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← Aneurin Bevan University Local Health Board Charitable Fund And Other Related Charities

2022-03-31-accounts

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities

Trustee’s Annual Report and Accounts 2021-2022

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Registered Charity No: 1098728
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Aneurin Bevan Health Charity

About Us

1. We receive monies given to Aneurin Bevan University Local Health Board from grateful patients, their loved ones and the wider community; thanking us for the NHS care and treatment we provide.

2.Our Partner NHS Health Board

3. Aneurin Bevan University Local Health Board was established in October 2009 and achieved ‘University’ status in December 2013.

4. It delivers healthcare services to people in Blaenau Gwent, Caerphilly, Monmouthshire, Newport, Torfaen and provides some services to the people of South Powys.

5. Serving an estimated population of more We than 639,000 people, which is around 21% serve a population of 639,000 of the total Welsh population, it has approximately 14,000 staff and a budget of £1.6 billion. G.VENT 6. 7. 21% Introduction of Wales

8. On behalf of the corporate trustee, we present the Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Annual Report together with the audited financial accounts for the year ended 31[st] March 2022.

9.

10. Message from our Chair

11. It has been another tough year for all of us. Your donations continue to help us

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improve the care and treatment our patients receive and support our staff in delivering exceptional healthcare.

12. Please discover the story of our financial year and see the snapshot of the year below as a reminder of all that we have achieved.

13.

14. You made it possible!

15. Thank You!

16. Katija Dew, Chair

17. Charitable Funds Committee

18. 19.

20. Message from our Chief Executive

21.

22. As we reflect on the past year, my heartfelt thanks goes out to all those dedicated and generous donors who have supported us.

23. I am delighted to share our highlights with you

24.

25. Glyn Jones 26. Interim Chief Executive

27.

28.

29.

30.

31.

32.

33.

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34. Snapshot of 2021-22 INCOME – How we received our money 35. This year we received £981,000

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36.
Total Income 2021-22
37.
38.
Investmen 39.
t Income; 40.
19.06% 41.
Donations
42.
; 40.67%
Legacies; 43.
Other 17.33% 44.
Income;
2.55%
Grant
Course Income;
Income; 10.09%
10.30%
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Donations £399,000

The donations we received is thanks to the generosity of patients, their relatives and friends in recognition of the care and treatment received from Aneurin Bevan University Local Health Board.

Courses and Other Income Income from Investments £126,000 £187,000 We received £126,000 from course fees and sponsorship. These are run We received £187,000 from mainly through our Postgraduate our investment portfolio. department.

Legacies £170,000

We received s legacies totalling £170,000. We are extremely grateful to those individuals who have had the generosity to leave a gift to us in their will.

Grant Income £99,000

We have received £99,000 from external organisations to fund specific schemes / projects. Some of this funding was received from NHS Charities Together – monies raised by Captain Sir Tom Moore and others.

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EXPENDITURE – How we spent our money

45.

46. This year we spent £930,000

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Total Expenditure 2021-22
Patient
education and
Staff education
welfare ;
and welfare;
20.54%
24.09%
Research;
0.32%
Support/Fundra
ising Costs;
15.27%
Purchase of Building and
equipment; refurbishment;
36.45% 3.33%
47.
48.
49.
50.
51.
Patient Education and Welfare £191,000
52.
53.
54. This year we have used this money to continue services including:
55.  an End-of-Life Companion service which enables trained
volunteers to sit with patients who may be at risk of dying alone.
 The continued support of the Robins services, who assist
patients with menu choices on the wards, mealtime support,
contributing to their wellbeing and dignity, to Nevill Hall Hospital
and the Grange University Hospital, providing an equitable
service across our hospitals.
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Building and Refurbishment £31,000

Research £3,000

We spent this mainly on establishing a research office in This was used to pay for the cost of analysing samples for a Nevill Hall Hospital and research study. improving the environment, making better use of our rooms for our patients and staff.

During the year this was e.

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56. 57. 58. 59.Staff Education and Welfare £224,000 60. 61. 62. This was spent on additional support for our Employee Well-being 63. Service and continued support for training, where it has been 64. possible and the purchase of educational materials to develop our 65. staff. 66. 67. 68. It was agreed to use charitable funds to purchase Hydration Bottles 69. which were presented to staff to say thank you to all our staff and to 70. recognise the exemplary contribution our staff have made and 71. continue to make during the Covid-19 pandemic. 72. 73. 74. 75. 76. 77. 78. 79. 80. Support Costs £139,00081. 82. This covers the cost of the Charitable Funds Team, Corporate support 83. and auditor fee in administering the funds. 84. 85. 86. 87. 88. 89. 90. 91. Equipment £339,00092. 93. 94. You have made it possible for us to purchase numerous items of 95. much needed equipment for various wards and departments across 96. the Health Board, such as pulse oximeters, bladder scanners and ECG 97. machines. 98. 99.

100. Other items include a simulation training suite for students and 101. volunteers, defibrillators and cabinets for the community, MacBooks 102. 103. for students, laptops for staff and furniture for our new medical education centre at the Grange University Hospital 104. 105. 106. A list of key purchases follows. 107. 108. 109.

110.

111.

112.

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113. You made it possible …. 114.

…. for us to provide these key purchases

115.

116.

117.

118. Charitable Funds are spent in line with the Charity’s objects and are intended to provide those additional amenities that will improve the conditions under which patients are cared for and treated or staff work.

119.

RITA Dementia Packages x 2, Ysbyty Aneurin Bevan 120.

121. Reminiscence Interactive Therapy Activities (RITA) software is aimed at augmenting the care delivered to older people, those living with e.g 1 ims Dementia, Alzheimer’s and learning difficulties as a means of supporting them and reducing their agitation, isolation, depression and delirium. This equipment is particularly useful in this hospital where there are single bedded rooms.

122.

123.

Bladder scanner for Monmouth District Nurses

124.

125. Bladder scanners are portable, handheld 5 ultrasound devices which can perform quick,easy and non–invasive scans of the bladder LS) and is painless for the patient. It can be used to help identify bladder distension, causes of one urinary frequency and bladder irritability and is useful in assisting with accurate assessments of hydration status. The purchase of these additional bladder scanners has enabled the nursing staff to use them at the patient’s bedside which is beneficial to both patients and staff.

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126.

The Thera Trainer is used as part of the treatment for patients to enhance their overall rehabilitation in a cohort of patients where achieving aerobic activity can be challenging.

128. 129. 130. 131.

132.

133. Additional machines to check the heart’s rhythm and electrical activity

134.

135. PH Manometry equipment tests the functionality of the oesophagus i.e., can it move food to your stomach normally.

137. Whilst ABUHB provides the largest benign Upper GI surgery service in Wales, it is the only Health Board in Wales that does not offer an oesophageal manometry service. As a result, patients are referred to Cardiff. This equipment will allow us to provide this service in house. Overall, this new service will significantly improve care provided to patients with acid reflux disease (GORD - Gastro-oesophageal reflux disease.

138.

139. This equipment was funded from an outside charity, the Nevill Hall Hospital Thrombosis and General Research Fund which has supported the hospital for many years.

140.

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You made it possible ….141. 142.

…for us to provide “Thank you“ tokens to our staff.

143. 144. 145. 146. 147.

“Thank you” Hydration Bottles hydration bottles, which are a ‘thank you’ gift for our staff for the outstanding contribution they made and continue to make during the Covid-19 pandemic.

148. 149. 150. 151. 152. 153. 154.You made it possible …. ASGLU - New Bilingual Card Game Designed by …for the Person-Centred Care Team to Help Patients and Welsh Learners

155. 156. The Health Board’s Person-Centred Care Team, in collaboration with the Welsh Language Unit and local Welsh medium schools, have designed and created a brand-new bilingual card game, named Casglu ( Welsh for To Collect).

157. 158. The game was made possible by funding from the RCN Foundation and the Welsh Language Unit Charitable Fund and is suitable for all ages, with the aim being for players to collect as many sets of cards as possible. Children in Welsh Medium education in

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the Torfaen and Newport areas played a big part in designing the game’s pictures and sentences.

159. 160. The game was recently piloted with patients, Serenity and Caleb, on the Children’s Unit at The Grange University Hospital, who enjoyed playing with their families.

161.

162. In the first instance, Casglu will also be made available to:

helped design the game, as well as other schools in the Health Board area. 163.

164. Once restrictions allow, it will also be part of the resources available for Intergenerational Activity in Care Homes and Community Wards.

165. We look forward to seeing the game played across our communities and generations, bringing a little bit of joy, and enhancing the use of the Welsh language.

166.

167. 168.You made it possible …. 169.

…. for us to say it with cards

170. Little things make a Big Difference

171.

172. Staff at the Neonatal Unit, Grange University use your donations to purchase and send cards to those babies treated on the unit for their 1[st] Birthdays. While babies are in the unit, cards are sent from the babies to mums and dads, for Mother’s Day and Father’s Day.

173.

174. 175. While in hospital

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176. 177. Recently a patient was given a card and stamp so he could write to his wife whom he had not been able to see for some time. Sadly, and unexpectedly, the patient died...

178.

179. When his wife came to collect his

belongings, she was carrying the card and said it had become one of her most treasured possessions.

180.

Thankfully, many patients recover and return home, but this small gesture made a significant difference to a loved relative. 181.

Cards and stamps are available free of charge from the Chaplaincy department for any patient that might appreciate being able to write to a loved one.

182.

After…

183.

184. Staff at our Accident and Emergency Units write notes in sympathy cards to relatives of those loved ones that have been admitted to hospital suddenly and passed away. Staff find it helps give closure to those relatives who were unable to be there at the end.

185. 186. 187. 188. Your donations have made this possible.

189. 190. You made it possible ….191. 192. 193. …. for us to provide support at the End of Life

194. End of Life Companion Case Study 195. 196. The End-of-Life Companion volunteer service commenced at the very start of the pandemic and both grants and donations have been used to pay for a Clinical Skills Trainer and a Volunteer Co-ordinator for this service.

197. Companions were recruited and trained so they were ready to support any patient that was at the end of their life and at risk of dying alone. End of Life Companions have supported patients both as befrienders and provided support to patients who are in the last days of their lives.

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198. 199. Late last year, the Person-Centred Care Team had a request for the End-of-Life Companions to support a family in providing some additional company for their relative. The family members were exhausted. They had been sitting with their relative 24-hours a day; however, they did not want their relative to be alone.

200. 201. The End-of-Life Clinical Skills Trainer met with the family to explain the Companion role and then arranged for three Companions to visit the following day so that the family could have some muchneeded rest. The Clinical Skills Trainer also met with the ward staff so that they were aware of the support that had been put in place.

202.

203. The Companions know they may be contacted at short notice and were very pleased that they could support both the patient and the relatives. It was during one of the Companion visits that the patient peacefully died and importantly, they were not alone, which was a comfort to both the patient and their relatives.

204. 205. The Health Board is so grateful to our End-of-Life Companions who provide a very special and unique companionship in the final hours and moments of peoples’ lives.

206.

207.

You made it possible ….208. 209.

210. …. for us to continue supporting students to become doctors 211. 212. 213. Our Care Fund Project is used to identify individuals from less privileged backgrounds, with a potential to become qualified doctors by supporting them with a programme of mentoring and financial support. The project looks at innovative ways to encourage and train these individuals with the necessary skills and knowledge to obtain a place in medical school and support them through the training process to hopefully lead to them becoming active doctors within the Health Board locality.

214. The following comments have been received from recipients of our Care Project Bursary Fund:

215.

216. “The generosity of the bursary I received has allowed me to experience the amazing opportunities I have had whilst completing a neuroscience degree. This is something that I did not think would be possible in my medical studies, as an extra year in university comes at a price that would not have been accessible to me without your support.

217.

218. This year has allowed me to gain a greater appreciation for the research that underpins medicine and has allowed me to gain a qualification that will open many doors for myself in the future.

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219.

220. If I had taken this intercalated year without the support of the bursary I would have had to support myself with a job whilst studying. However, thanks to your generosity I have been able to put the time and effort into my studies required to gain a first-class degree, something I never thought would be possible.

221.

222. I have further been very fortunate to have the time and opportunity to work with Public Health Wales and Cardiff University researchers to write and submit my first research paper for publication, as the first author. This opportunity has allowed me to turn what I have studied over the past year into something that will hopefully help others and add to the broader scientific community. To have the chance to work closely with incredible scientists and doctors that are advancing the knowledge of medicine has been a special experience.

223. 224. Without your financial support, I do not believe this opportunity to better myself academically and as a future doctor would have been possible. I have to thank you dearly for the role you have played in this journey so far” 225. “The laptop given to me was incredibly beneficial. It is something I use every day and thus am very grateful to have a good and reliable device, to use for lectures, notes, assignments, as well as for online a teaching sessions.

226.

227. Furthermore, the money awarded to me has made a significant difference to my academic studies and personal life– It meant I did not have to work during term time, and could therefore fully focus on my studies, and dedicate myself to the course and its workload. It also allowed me to use my free time to pursue my hobbies and spend time with friends.”

228.

229.

“Having now had first hand hospital experience through medical school placement I have never been more certain that a career of patient care in medicine is something that I am excited to be fully committed to pursuing. It is so rewarding to interact with people every day and to be part of the team which aims to improve their lives.

230. Receiving the bursary meant that I didn’t have to worry financially during the academic year which was a massive relief. I also continued using the laptop which was awarded the year prior, and this continues to be the most useful thing I have for my degree. A laptop like this would have absolutely been unattainable without your support .”

231.

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232. “This bursary allowed me to focus solely on my studies without the stress of financial burden, ensuring I successfully passed all exams. 233. 234. In addition to this, I was able to purchase resources such as textbooks and medical equipment as needed to aid revision. 235. 236. Finally, I have been able to pursue areas of interest such as widening participation schemes.”

You made it possible ….237.

238.

239. …for us to enable the Patient Reported Experience Measures to be adopted 240.

241.

242. Following on from last year’s trial of Patient Reported Experience Measures:

~~243.~~

244.

245. The Value Based Healthcare Team worked in partnership with the Director of Nursing Team to implement and embed the experience measure collection. The service areas with access to the dashboard can review and evaluate the results with the aim of making service improvements to benefit the patient experience.

You made it possible ….

246.

…by fundraising for us

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247. 248. Fundraising with a Zip for Staff Wellbeing 249. Around 30 staff from Complex Care and COVID-19 Thank You - US 1 Testing completed a Zip Wire challenge to raise funds for Health Board’s Employee Wellbeing Service.

250. The staff decided to take up the hair-raising challenge following the difficulties experienced during the pandemic, which has impacted the wellbeing of our staff.

251. If you would like to donate to their fundraising efforts, please visit their Just Giving page:

252. https://www.justgiving.com/fundraising/ABUHB-Wellbeing 253.

254. Turn ABUHB Pink

255. Could you be a Pink Champion and organise your teams #Turnpink event?

256. Every October, people all over the world show their support for people affected by breast cancer.

257. After a very difficult year, Health Board staff are being urged to take part in the biggest

TurnABUHBpink has ever seen to raise money for the new Breast Care Centre at YYF.

258.

259. We would like to expand on the previous year’s success and get even more departments involved in helping us. We are aiming to get as many staff and community groups as possible to come together to wear pink and donate.

260. We will make sure you have everything you need to make your day fab and full of fun. Get in touch to see how you can “Turn Pink“ leading up to a main event every October, which will take place across all our Health Board sites.

261.

262. Local women gathered to create a ‘tastefully topless’ calendar to raise funds for The New Breast Care Unit. These courageous women have had breast cancer or experience of the breast service and feel passionate about having an improved service for all.

263. You made it possible ….264.

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265.

Fundraising and the new Breast Care Unit

266. 267. Unified Breast Unit at Ysbyty Ystrad Fawr – The construction of new purpose built Breast Unit will bring together diagnostic, treatment and surgical services that are currently spread across three hospitals. It was anticipated that work would start on the site of this new unit in October 2022. Work actually commenced on the 17[th] October 2022, with completion expected in December 2023.

268.

269. The Unit will support more than 5,000 women, and a number of men each year. The fundraising aims to support the patients and families to have a comfortable waiting room, counselling rooms with a sensitive design and décor to create a calm, light and dignified environment, where patients and their families can come to terms with their diagnosis and treatment.

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270.

271. “It’s been a difficult few years with Covid restrictions having a direct effect on how we can continue to raise funds to support our NHS. The number of people continually getting involved in all departments raising money in innovative, tireless and sometimes virtual ways for our new breast unit

272. 273.

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274.
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275.
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276. You made it possible ….277. 278.

279. 280.

…. for us to reflect our experiences creatively

281.

282. Calling all Sewers and Scrubbers! 283. 284. Did you pick up a needle and thread to lend a hand in 2020? Are you still sewing and donating now? Would you be interested in taking part in a free staff & community textile project that will reflect on the amazing efforts people made to provide PPE masks, scrubs, scrubs bags and everything else in 2020?

285.

286. We (Gwent Arts in Health & ABUHB) have raised funding through NHS Charities and NESTA for a creative project that aims to reflect our experiences at that difficult time through a series of community textile murals that will be hung in our hospitals. 287.

288. 289. At this stage, we would like anyone who would like to contribute and take part – sharing stories, stitching a piece or two, sharing with others – to get in touch so we can start planning the project together. The project was due to commence in September 2022 but has been delayed due to staffing issues and is hoping to commence in 2023.

290.

291.

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292.You made it ALL possible ….
293.
294.
295.
296.
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297. 298. 299. 300. 301. 302. 303. 304. …. Thank You 305. 306. Other events 307. Official Opening of the Grange University Hospital 308. 309.

310. First Minister Rt Hon Mark Drakeford led the official opening of The Grange University Hospital on Friday 27th August 2021.

311. The Grange University Hospital is one of the key components of our Clinical Futures Strategy, which aims to revolutionise healthcare services in the Health Board area by providing care as close to patients’ homes as

possible. 312. 313. The First Minister said: “The Grange University Hospital has already proved its value to the local community. My thanks go to everyone who worked hard to open the hospital earlier than planned. I’d also like to pay tribute to those NHS staff who work here for all their hard work during these difficult times.”

314. 315. 316.The Charitable Funds Team 317. Alison Griffiths – Charitable Funds Manager

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318.
319. Linda Proudman – Charitable Funds Officer
320.
,"
321. Wendy Keyte – Charitable Funds Officer
z
322.
323. Sue Turley–Charitable Funds Officer
324.
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With visits to hospitals restricted and internal conferences cancelled, the 325. Charitable Funds Team will continue to promote charitable funds across 326. the Health Board albeit in a new way of working with visits replaced by Teams calls.

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327. Charity Governance, Audit and Finance 328. Reference and Administrative Details

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329. Charity Name: Aneurin Bevan University
Local Health Board Charitable Fund and
Other Related Charities
330. Charity Working Name: Aneurin Bevan
Health Charity
331. Registered Charity No: 1098728
332. Address of Charity: Headquarters
St Cadoc’s Hospital
Lodge Road
Caerleon
Newport
NP18 3XQ
333. Administration of the Charitable Funds:
334. The accounting records and the day-to-day administration of
the funds are undertaken by:
335. Charitable Funds Section
Corporate Finance Department
Aneurin Bevan University Local Health Board
Block C, Mamhilad House
Mamhilad Park Estate
Pontypool, Torfaen
South Wales NP4 0YP
336. Tel No: 01495 765431
337. E-mail: Charitable.funds.ABB@wales.nhs.uk
338.
339. Professional Advisors:
340.
341. Bankers : National Westminster Bank PLC
Government Banking Parklands
342. De Havilland Way
Horwich
Boulton
BL6 4YU
343.
344. Santander
345. Customer Services Centre
346. Bootle
347. Merseyside
L30 4GB
348.
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349. Investment Managers: CCLA
Investment Management Limited
1 Angel Lane
London
EC4R 3AB
350.
351. External Auditors: The Auditor General
for Wales
24 Cathedral Road
Cardiff
CF11 9LJ
352. Internal Auditors: NHS Wales Shared
Services Partnership Audit & Assurance
Services
4-5 Charnwood Court
Heol Billingsley
Parc Nantgarw
Cardiff
CF15 7QZ
353. VAT Advisor: Ernst & Young LLP
354. The Paragon
355. Counterslip
356. Bristol
357. BS1 6BX
358.
359. Legal advice for Jacklyn Dawson
Solicitors
TP Price Estate: Equity Chambers
John Frost Square
Newport
South Wales
NP20 1PW
360. Douglas-Jones Mercer Solicitors
361. Axis Court
362. 16 Mallard Way
363. Swansea Vale
364. Llansamlet
365. Swansea
366. SA7 0AJ
367.
368. Estate Management NHS Wales
Shared Services Partnership for TP Price Estate: Specialist
Estate Services
369. 3 [rd] Floor, Companies House
Crown Way
Cardiff
370. Savills
20
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371. 2 Kingsway 372. Cardiff 373. CF10 3FD 374. Valuations for The District Valuer 13 Clytha Square: District Valuer Services Ty Rhodfa Ty Glas Road Llanishen Cardiff CF14 5GR

375. Valuations for Painting: Bonhams 376. 7-8 Park Place 377. Cardiff 378. CF10 3DP 379. 380.

  1. Structure, Governance and Management of Charitable Funds

Objects of the Charity

382. The objects of the charity are as follows:

383. The trustees shall hold the trust funds upon trust to apply income and at their discretion, so far as permissible, capital, 384. for any charitable purpose or purposes relating to the National Health Service. 385.

386. The corporate trustee is Aneurin Bevan University Local Health Board. The executive directors and independent members of the Board share the responsibility for ensuring that the health board fulfils its duties as a corporate trustee in managing charitable funds.

387. The chair and independent members of the Board are appointed by the Welsh Government and the executive directors are appointed by the Health Board.

388. Trustee Arrangements

389. Aneurin Bevan University Local Health Board is the corporate trustee of the Charity. The directors who served the Aneurin Bevan University Local Health Board during the year to 31[st] March 2022 were as follows:

390. 391. 392.

Ann Lloyd CBE Chair Emrys Elias Vice Chair (Until 30[th] September 2021) Pippa Britton Independent Member (Community) (Until 17[th] October 2021)

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393. Pippa Britton Interim Vice Chair (From
18 [th] October 2021)
394. Philip Robson Special Advisor to the
Board
395. Chris Koehli Special Advisor to the
Board (Until 17 [th] July 2021)
396. Judith Paget * Chief Executive (Until 31 [st]
October 2021)
397. Glyn Jones * Director of Finance &
Performance / Deputy Chief Executive
(Until 31 [st] October 2021)
398. Interim Chief Executive (From 1 [st]
November 2021)
399. Robert Holcombe Interim Director of
Finance, Procurement & Value (From 1 [st]
November 2021)
400. Dr James Calvert Medical Director
401. Rhiannon JonesDirector of Nursing
402. Geraint Evans Director of Workforce and
Organisational Development (Until 31 [st]
August 2021)
403. Sarah Simmonds Director of
Workforce and Organisational
Development (From 22 [nd] July 2021)
404. Peter Carr Director of Therapies and
Health Science
405. Dr Sarah Aitken Director of Public
Health & Strategic Partnerships
406. Dr Sarah Aitken Interim Director of
Primary, Community and Mental Health
Services (From 6 [th]
December 2021 to 28 [th] February 2022) in
addition to substantive role of Director of
Public Health & Strategic Partnerships
407. Nicola Prygodzicz Director of Planning,
Digital & IT (Until 31 [st] October 2021)
408. Nicola Prygodzicz Director of Planning,
Digital & IT/Deputy Chief Executive (From
1 [st] November 2021)
409. Nick Wood Director of Primary,
Community and Mental Health (Until 5 [th]
December 2021)
410. Dr Chris O’Connor Interim Director of
Primary, Community and Mental Health
(From 28 [th] February 2022)
411. Katija Dew * Independent Member
(Third Sector)
412. Prof. Helen Sweetland Independent
Member (University)
413. Richard G Clark Independent
Member (Local Authority)
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414. Paul Deneen
Independent Member
(Community)
415. Shelley Bosson Independent Member
(Community)
416. Louise Wright *Independent Member
(Trade Union)
417. Keith Sutclife *Associate Independent
Member (Chair, Stakeholder Reference
Group)

418.

419. * Members of the Charitable Funds Committee.

420. Charitable Funds Committee

421. The Board of Aneurin Bevan University Local Health Board, as the corporate trustee, delegates its governance work to the Charitable Funds Committee which is a subcommittee of the Board. The Committee is required to:

422. Membership of the Charitable Funds Committee is as follows:
423.
424.		 Katija Dew
Independent Member
(Chair)
425. Louise Wright
Independent Member
426. Keith Sutclife
Associate Independent
Member
427. Judith Paget
Chief Executive (Until 31st
October 2021)
428. Glyn Jones
Director of Finance &
Performance / Deputy Chief Executive
(Until 31stOctober 2021)
429. Interim Chief Executive (From 1st
November 2021)
430. Robert Holcombe
Interim Director of
Finance, Procurement & Value (From 1st
November 2021)
431. 23

432. The following also attended the committee with other staff as appropriate for specific agenda items:

433.
Mark Ross
Assistant Director of
Finance, Financial Systems & Services
(Until 31stAugust 2021)
434.
Gwen Kohler
Assistant Director of
Finance, Financial Systems & Services
(From 1stSeptember 2021)
435.
Estelle Evans
Head of Financial Services
and Accounting
436.
Richard HowellsBoard Secretary (Until 30th
November 2021)
437.
Rani Mallison
Board Secretary (From 28th
November 2021 Until 13thMarch 2022)
438.
Rani Mallison
Director of Corporate
Governance (From 14thMarch 2022)
439.
Bryony Codd
Head of Corporate
Governance
440.

441. Independent Members are appointed to hold office for a period of up to four years in any one term. During this time, a member may resign or be removed by the Board. The Chair of the Health Board keeps under review the membership of Board Committees to ensure changes are made regularly to refresh the membership of each committee and respond to circumstances when new members join the Board.

442. Trustee Induction and Training

443. As part of their induction programme, new Executive and Independent Members of Aneurin Bevan University Local Health Board are made aware of their responsibilities as Board members and as a Corporate Trustee of Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities.

444. At each Charitable Funds Committee meeting, members are advised of any changes in legislation or other requirements relating to charities.

445. Public Benefit

446. The objects of the charity are such that all expenditure from the charity is for the benefit of the National Health Service and as such is therefore for ‘public benefit’. The Charitable Funds Committee is aware of its duties in relation to public benefit and ensures that all expenditure fulfils public benefit criteria. This is demonstrated further in this report in the Expended Resources Section of Item 7.

447. Management of Funds

448. The Director of Finance is responsible for the day-to-day management and control of the administration of charitable funds and

24

reports to the Charitable Funds Committee. The Director of Finance has responsibility for ensuring that:

449. Within the charity there are 424 internal funds which are delegated to authorised fund holders to approve expenditure within predefined limits. All expenditure requests exceeding £25,000 are subject to Committee approval. A further 6 funds are controlled by the Charitable Funds Committee. The Health Board has a formal procedure that sets out guidance to delegated fund managers to aid them in the process of approving appropriate expenditure from funds.

450. Strategic Objectives & Activities

451. Charitable Funds received by the charity are accepted, held and administered as funds held on trust in accordance with the National Health Service (Wales) Act 2006.

452. The principal areas in which the funds are applied for the benefit of the public are:

453. The corporate trustee fulfils its legal duty by ensuring that funds are spent in accordance with the objectives of each fund. The trustee respects the wishes of our generous donors to benefit patient care and advance good health and welfare of patients and staff.

454. The charity is constituted of 365 unrestricted and designated funds and 65 restricted funds as at 31[st ] March 2022. Material fund details are shown in Note 22 to the accounts. The current structure of the individual funds reflects the fact that most of the income and expenditure is focused where patients receive services. Fund managers exercise control over the funds donated to their management area.

455.

456. Risk Management

457. The main risks associated with the charity relate to:

25

458. Financial Control Risk

459. A financial control procedure has been developed for Charitable Funds and agreed with the Charitable Funds Committee to ensure that there are sufficient management controls in place to ensure regulatory compliance and minimise risk of fraud and error. Specifically, to:

460. All other Financial Control Procedures covering core financial systems within Aneurin Bevan University Local Health Board are also applied to the financial administration of the charity.

461. An internal audit is undertaken periodically, based on the assessment of risk, to evaluate the adequacy of procedures and controls in place and to test compliance against those procedures. Audit Reports are presented to both the Charitable Funds and Audit Committees of the Health Board and this is a key measure in mitigating control risk. The latest Internal Audit report carried out in November 2021 provided substantial assurance on controls covering charitable funds. This definition of assurance generally means there is substantial assurance that arrangements to secure governance, risk management and internal control are suitably designed and applied effectively and that few matters require attention and are compliance or advisory in nature.

462. Financial reports showing the income statement and balance sheet together with analysis of significant financial changes are reported to each Charitable Funds Committee meeting. In addition, the Charitable Funds Committee reviews the draft annual accounts while the Board approves the final annual accounts of the charity.

463. The external audit of the accounts is undertaken by the Auditor General for Wales. The accounts have this year and historically received an unqualified audit opinion.

464. Investment Risk

465. This risk is mitigated by investing in a portfolio of investments through the professional advice of investment managers. Our investment managers, CCLA, usually attend the Charitable Funds Committee annually to present and discuss investment performance and strategy but due to Covid this was not possible this year, but we remain in regular contact with them.

466.

26

467.

468. Reserves Policy

469. The Charitable Funds Committee reviewed the Charity’s reserve policy, observing both Charity Commission guidance on reserves and the current level of funds held.

470.

471. If reserves are too high, the charity is retaining funds without justification and this could constitute a breach of trust. If reserves are too low, the fund’s ability to meet future commitments or needs may be at risk.

472. The Charity operates on the basis that it only spends what it has received and does not rely on future donations to meet its commitments. Therefore, the reserves should be set at a level sufficient to cover the liabilities that face the charity, namely the cost of administering the funds and any unrealised losses and to hold some money in reserve to act as a buffer against stock market fluctuations.

473. The charity currently holds £266,000 in reserve (2020/2021 £246,000).

474. The corporate trustee recognises the need to regularly review the level of reserves and the charity’s activities and operations so that future reserves can be maintained at a level which will mitigate the risk of significant fluctuations in the levels of donations and investments, and provide financial stability for the charity, to ensure that its aim of being able to apply charitable funds within a reasonable time is achieved.

475. 476.

477. Grant Making Policy

478. The use of our funds is restricted by the governing document which established the charity for purposes connected with the NHS. Grants consist of:

479. General Funds

480. This consists of donations received by the charity where no preference as to its expenditure has been expressed by donors. The Charitable Funds Committee decides on how these funds should be spent by receiving requests from across the Health Board. The value of general funds held is £399,000. There are also 3 property valuations totalling £343,000.

481. Designated Unrestricted Funds

482. These consist of donations where a particular part of the hospital or activity was nominated by the donor at the time their

27

donation was made. Whilst their nomination is not binding on the trustee, the designated funds reflect these nominations. The value of the designated unrestricted funds is £4.060 million.

483. Restricted Funds

484. These consist of legacies and grants where a legal document and signed agreement restricts the use to the terms of the bequest/agreement. The value of restricted funds held is £1.242 million.

485. During the year the charity made grants of £788,000 representing 85% of the total charitable expenditure. In making grants the trustee requires that the activity falls within the objectives of the charity and relate to the specific purpose of the individual funds from which it is being met.

486.

487.

488. Review of our Finances, Achievements and Performance

489. The financial statements for 2021-22 are presented at the end of this report.

490. The net assets of the Charity as at 31[st] March 2022 were £6.044 million (2021 £5.416 million). Overall net assets increased by £628,000.

491. Incoming Resources

492. Incoming resources when comparing against the 2020/21 position were £190,000 lower than the previous year. Donations decreased by £286,000, legacies increased by £128,000, investment income increased by £6,000, grant income decreased by £77,000 and income from charitable activities increased by £39,000.

493. The charity received seven legacies during the year, total value £170,000 (2020-2021 eight legacies, value £42,000).

494. The charity did not receive any new grants in 2021-2022 but has carried forward grants totalling £99,000 to cover related spend. (2020-2021 eight grant payments, value £176,000).

495. Expended Resources

496. Charity expenditure for the year totalled £930,000, a decrease of £311,000 from the previous year. Expenditure for the year was across several categories as follows:

I. Medical Research

497. Total expenditure on medical research was £3,000.

28

II. Purchase of Equipment

498. Total expenditure on equipment was £339,000. This was on a range of varied equipment across the Health Board.

III. Building and Refurbishment

  1. Total expenditure on building and refurbishment was £31,000. 500. 501. 502. 503.

IV. Patients Education and Welfare

504. Total expenditure on patients’ welfare and amenities was £191,000. This consists of various therapies, seasonal activities, support groups and other items of expenditure to benefit patients.

V. Staff Education and Welfare

505. Total expenditure on staff education and welfare was £224,000. The main items consist of seminars, training course fees, textbooks, professional journals and related travelling, subsistence and accommodation expenditure.

VI. Fundraising Costs

506. Total expenditure on fundraising costs was £3,000. This mainly relates to events for the new Breast Care Unit at Ysbyty Ystrad Fawr which is due to be opened in December 2023.

VII. Support Costs

507. Total expenditure on support costs was £139,000. This includes the audit fee of £16,000 and costs of the charitable funds office and corporate support.

508. Investment Properties

509. Investment properties owned by the charity are the T P Price Estate £68,000 and 13, Clytha Square, Newport £250,000.

510. The T P Price Estate comprises a leasehold property and a small parcel of land.

511.

29

512. 13 Clytha Square, Newport is a large Victorian building in the centre of Newport which is rented to Aneurin Bevan University Local Health Board to use as offices.

513. 514. Income from the investment properties was £16,000 (20202021 - £15,000). 515. 516. Investments on the Stock Exchange

517. The charity’s investments are managed by CCLA Investment Management Limited, with the aim of managing the funds to achieve a balance of growth and income.

518. The charity’s investment policy does not allow managers to invest in those companies whose main business is related to the production or sale of tobacco or alcohol, or those companies involved in the arms trade.

519. Details of the investments (including cash held as part of the investment portfolio) and investment performance for 2021-2022 are shown in the table below:

520.

521. Other Investments

522. “The Domestic Chaplain”, a painting donated to the charity many years ago is valued at £25,000 and is currently on loan to the National Museum of Wales, Cardiff.

523. 524. Key Achievements

30

Funding

525. The charity supported many bids from across the organisation from its general funds and via the 430 delegated charitable fund accounts This support significantly enhanced services for the patients and staff in the Aneurin Bevan University Local Health Board.

526. Charitable Funds Strategy 527. Progress on streamlining funds has continued throughout the year. 528.

529.

530. Fundraising 531. Our fundraising campaign to supplement a new Breast Care Centre due to be opened in December 2023 in Ysbyty Ystrad Fawr continues.

532. Investment Management 533. CCLA continue to provide investment management services to the charity and we continue to invest in their ethical investment fund.

534. 535. Governance Arrangements 536. Historically the accounts and trustees annual report have been produced on time with unqualified audit opinions and filed on time with the Charities Commission. Risks 537. The Committee has used a considerable amount of its general funds which led to fewer bids being approved during the year, placing more pressure on the Health Board’s internal capital programme. 538. 539.

540. Plans and Objectives for the Future

541. Income continues to be received by the charity due to the generosity of the public in recognition of the care and treatment received from the Health Board. The charity will continue to use its funds to improve patient experience.

542. Other objectives for the forthcoming year are to:

31

543.

544. Events since the Year End

545.

546. With the downturn in global economic markets, CCLA has adopted a defensive position, holding higher than normal cash balances and remaining cautious about future investments.

547.

548. 549. 550. Approved on behalf of the Corporate Trustee 551. 552. 553. 554. ) a 555. 556. 557. 558. Ann Lloyd CBE 559. Chair Aneurin Bevan University Local Health Board

32

th 560. Date: 25 Ja 561. ry 2023 33

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

Aneurin Bevan University Local Health Board Charitable Fund and Other

Related Charities

The accounts for Funds Held on Trust.

FOREWORD

The Charity’s accounts and annual report for the year ended 31st March 2022 have been prepared by the Corporate Trustee in accordance with the Charities Act 2011 and the Charities (Accounts and Reports) Regulations 2008.

STATUTORY BACKGROUND

Aneurin Bevan University Local Health Board is the Corporate Trustee of the Funds Held on Trust under the National Health Service (Wales) Act 2006.

The Aneurin Bevan University Local Health Board and Other Related Charities registered with the Charity Commission on 7th January 2011, registration number 1098728.

Page 1

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

Statement of Financial Activities for the year ended 31 March 2022

Unrestricted
funds
Note
£000
Incoming resources from generated funds:
Donations, legacies and grants
4
399
Charitable activities
5
126
Investments
7
149
Total incoming resources
674
Expenditure on:
Raising Funds
8
8
Charitable activities
9
716
Total expenditure
724
Net gains / (losses) on investments
16
539
Net income / (expenditure)
489
Transfers between funds
22
0
Net Movement in funds
489
Reconciliation of Funds
Total Funds brought forward
23
4,313
Total Funds carried forward
4,802		 Restricted
Income
funds
£000
269
0
38
307
0
206
206
38
139
0
139
1,103
1,242		 Total
Funds
2021-22
£000
668
126
187
981
8
922
930
577
628
0
628
5,416
6,044

Statement of Financial Activities for the year ended 31 March 2021

Unrestricted
funds
Note
£000
Incoming resources from generated funds:
Donations, legacies and grants
4
685
Charitable activities
5
87
Investments
7
145
Total incoming resources
917
Expenditure on:
Raising Funds
8
5
Charitable activities
9
954
Total expenditure
959
Net gains / (losses) on investments
16
526
Net income / (expenditure)
484
Transfers between funds
22
(7)
Net Movement in funds
477
Reconciliation of Funds
Total Funds brought forward
23
3,836
Total Funds carried forward
4,313		 Restricted
Restricted
Income
funds
£000
218
0
36
254
0
282
282
145
117
7
124
979
1,103		 Total
Total
Funds
2020-21
£000
903
87
181
1,171
5
1,236
1,241
671
601
0
601
4,815
5,416

Page 2

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

Balance Sheet as at 31 March 2022

Restricted Total Total
Unrestricted Income 31 March 31 March
funds funds 2022 2021
Note £000 £000 £000 £000
Fixed assets:
Investments 16 4,580 1,247 5,827 5,250
Total fixed assets 4,580 1,247 5,827 5,250
Current assets:
Debtors 17 211 20 231 188
Cash and cash equivalents 18 288 85 373 238
Total current assets 499 105 604 426
Liabilities:
Creditors: Amounts falling due within one year 19 277 110 387 260
Net current assets / (liabilities) 222 (5) 217 166
Total net assets / (liabilities) 4,802 1,242 6,044 5,416
The funds of the charity:
Restricted income funds 23 0 1,242 1,242 1,103
Unrestricted income funds 23 4,802 0 4,802 4,313
Total funds 4,802 1,242 6,044 5,416

The notes on pages 5 to 17 form part of these accounts

Approved by the Trustees on 25 January 2023 and signed on its behalf by:

Signed : .................................................................................... Name : .............................................................. (Chair of Trustees) Ann Lloyd

Page 3

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

Statement of Cash Flows for the year ending 31 March 2022

Note
Cash flows from operating activities:
Net cash provided by (used in) operating activities
21
Cash flows from investing activities:
Dividend, interest and rents from investments
7
Proceeds from the sale of investments
16
Net cash provided by (used in) investing activities
Change in cash and cash equivalents in the
reporting period
Cash and cash equivalents at the begining of the
18
reporting period
Cash and cash equivalents at the end of the
18
reporting period		 Total
Funds
2021-22
£000
(52)
187
0
187
135
238
373		 Total
Funds
2020-21
£000
(100)
181
28
209
109
129
238

Page 4

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

Note on the accounts

1 Accounting Policies

(a) Basis of preparation

The financial statements have been prepared under the historic cost convention, with the exception of investments which are included at market value.

The accounts (financial statements) have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued in October 2019 and the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102) and the Charities Act 2011 and UK Generally Accepted Practice as it applies from 1 January 2019.

The accounts (financial statements) have been prepared to give a ‘true and fair’ view and have departed from the Charities (Accounts and Reports) Regulations 2008 only to the extent required to provide a ‘true and fair view’. This departure has involved following Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued in October 2019 rather than the Accounting and Reporting by Charities: Statement of Recommended Practice effective from 1 April 2005 which has since been withdrawn.

The Trustees consider that there are no material uncertainties about the Charity's ability to continue as a going concern. There are no material uncertainties affecting the current year’s accounts.

In future years, the key risks to the Charity are a fall in income from donations or investment income but the trustees have arrangements in place to mitigate those risks (see the risk management and reserves sections of the annual report for more information).

The Charity meets the definition of a public benefit entity under FRS 102.

(b) Funds structure

Where there is a legal restriction on the purpose to which a fund may be put, the fund is classified as a restricted fund.

Restricted funds are those where the donor has provided for the donation to be spent in furtherance of a specified charitable purpose. The Charity’s restricted funds tend to result from appeals, grants and legacies for specified purposes.

Those funds which are not restricted income funds, are unrestricted income funds which are sub analysed between designated (earmarked) funds where the Trustees have set aside amounts to be used for specific purposes or which reflect the non-binding wishes of donors and unrestricted funds which are at the Trustees’ discretion, including the general fund which represents the Charity’s reserves. The major funds held in each of these categories are disclosed in note 23.

Page 5

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

(c) Incoming resources

Income consists of donations, legacies, grants, income from charitable activities and investment income.

Donations are accounted for when received by the charity. All other income is recognised once the Charity has entitlement to the resources, it is probable (more likely than not) that the resources will be received and the monetary value of incoming resources can be measured with sufficient reliability.

Where there are terms or conditions attached to incoming resources, particularly grants, then these terms or conditions must be met before the income is recognised as the entitlement condition will not be satisfied until that point. Where terms or conditions have not been met or uncertainty exists as to whether they can be met then the relevant income is not recognised in the year but deferred and shown on the balance sheet as deferred income.

(d) Incoming resources from legacies

Legacies are accounted for as incoming resources either upon receipt or where the receipt of the legacy is probable.

Receipt is probable when:

If there is uncertainty as to the amount of the legacy and it cannot be reliably estimated then the legacy is shown as a contingent asset until all of the conditions for income recognition are met.

(e) Resources expended and irrecoverable VAT

All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to each category of expense shown in the Statement of Financial Activities. Expenditure is recognised when the following criteria are met:

Irrecoverable VAT is charged against the category of resources expended for which it was incurred.

(f) Support costs

Support costs are those costs which do not relate directly to a single activity. These include staff costs, costs of administration, internal and external audit costs. Support costs have been apportioned between fundraising costs and charitable activities on an appropriate basis. The analysis of support costs and the bases of apportionment applied are shown in note 12.

Page 6

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

(g) Fundraising costs

The costs of generating funds are those costs attributable to generating income for the charity, other than those costs incurred in undertaking charitable activities or the costs incurred in undertaking trading activities in furtherance of the charity’s objects. The costs of generating funds consists of expenses for fundraising activities.

(h) Charitable activities

Costs of charitable activities comprise all costs incurred in the pursuit of the charitable objects of the charity. These costs, where not wholly attributable, are apportioned between the categories of charitable expenditure in addition to the direct costs. The total costs of each category of charitable expenditure include an apportionment of support costs as shown in note 9.

(i) Fixed Asset Investments

Ethical Fund Investments are stated at mid-market value as at the balance sheet date, and Property Fund investments are stated at net asset value. Investment properties are included at their open market valuation. The statement of financial activities includes the net gains and losses arising on revaluation and disposals throughout the year.

Quoted stocks and shares are included in the balance sheet at mid-market price, excluding dividend.

Other assets are valued on an open market basis by a professional valuer.

(j) Debtors

Debtors are amounts owed to the charity. They are measured on the basis of their recoverable amount.

(k) Cash and cash equivalents

Cash at bank and in hand is held to meet the day to day running costs of the charity as they fall due.

(l) Creditors

Creditors are amounts owed by the charity. They are measured at the amount that the charity expects to have to pay to settle the debt.

(m) Realised gains and losses

All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and losses on investments are calculated as the difference between sales proceeds and opening carrying value (purchase date if later). Unrealised gains and losses are calculated as the difference between the market value at the year end and opening carrying value (or purchase date if later).

Page 7

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

2. Key Judgements and Assumptions

Average fund balances are used to apportion certain balances between restricted and unrestricted funds, which is deemed to be the most appropriate methodology to use.

There are no material assumptions judged to affect the 2021/22 accounts.

As at 31st March 2022, there is no other information to show that assets/liabilities would need to be materially adjusted during 2022/23.

3. Related party transactions

The Aneurin Bevan University Local Health Board is the sole beneficiary of the charity.

The charity had significant material transactions with Aneurin Bevan University Local Health Board as follows:

2021-22 2021-22 As at 31st March 2022 As at 31st March 2022
Expenditure
to related
party		 Income
from
related
party		 Amounts
owed to
related
party		 Amounts
due from
related
party
£000 £000 £000 £000
Aneurin Bevan UniversityLocal Health Board 930 24 175 5

The Corporate Trustee has interests in related parties as follows:

Member Related Organisation Relationship with
Related Party		 2021-22 2021-22 As at 31st March 2022 As at 31st March 2022
Expenditure
to related
party		 Income
from
related
party		 Amounts
owed to
related
party		 Amounts
due from
related
party
£000 £000 £000 £000
Robert Holcombe JW Bowkett (Electrical
Installation)Ltd		 Son is an Employee of
the Company		 1 0 0 0
Emrys Elias Velindre NHS Trust Spouse is Employee
(Seconded to Health
Inspectorate Wales)		 0 0 0 0
Richard G Clark Torfaen County Borough
Council		 County Borough
Councillor, Deputy Leader
and Elected Member
0		 0 0 0
Prof Helen Sweetland Cardiff University Employed 6 1 6 1

The Corporate Trustee has interests in a number of related parties. All transactions with those related parties have been reviewed and there are nil transactions except for those listed above.

Page 8

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

3. Related party transactions (continued)

In 2020-21 the charity had significant material transactions with Aneurin Bevan University Local Health Board as follows:

2020-21 2020-21 As at 31st March 2021 As at 31st March 2021
Expenditure
to related
party		 Income
from
related
party		 Amounts
owed to
related
party		 Amounts
due from
related
party
£000 £000 £000 £000
Aneurin Bevan UniversityLocal Health Board 1,170 17 25 32

The Corporate Trustee had interests in related parties as follows:

Member Related Organisation Relationship with
Related Party		 2020-21 2020-21 As at 31st March 2021 As at 31st March 2021
Expenditure
to related
party		 Income
from
related
party		 Amounts
owed to
related
party		 Amounts
due from
related
party
£000 £000 £000 £000
Glyn Jones NHS Wales Informatics
Service (Hosted by
Velindre NHS Trust)		 Sister is Project
Manager		 1 0 0 0
Swansea Bay University
Health Board		 Niece is on the NHS
Wales Graduate
Finance Training
Scheme		 0 21 0 0
David Street Caerphilly County
Borough Council		 Corporate Director,
Social Services and
Housing		 0 1 0 0

The Corporate Trustee has interests in a number of related parties. All transactions with those related parties have been reviewed and there are nil transactions except for those listed above.

Page 9

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

4. Income from donations, legacies and grants

Donations
Legacies
Grants		 Restricted
Total
Total
Unrestricted
Income
2021-22
2020-21
funds
funds
£000
£000
£000
£000
399
0
399
685
0
170
170
42
0
99
99
176
399
269
668
903

5. Income from charitable activities

Restricted Total Total
Unrestricted Income 2021-22 2020-21
funds funds
£000 £000 £000 £000
Course income 101 0 101 73
Other income 25 0 25 14
126 0 126 87

6. Role of volunteers

Volunteers have the trust and understanding of the community and are invaluable in engaging with our patients and providing support to paid professionals . The services they provide include:

Due to the pandemic and in order to comply with Government guidelines and hospital infection control measures, some of these volunteer services were suspended during the year.

In accordance with the SORP, due to the absence of any reliable measurement basis, the contribution of these volunteers is not recognised in the accounts.

. 7. Gross investment income

Fixed asset equity and similar investments
Short term investments, deposits and cash
on deposit		 Unrestricted
funds
£000
149
0
149		 Restricted
Income
funds
£000
38
0
38		 Total
Total
2021-22
2020-21
£000
£000
187
181
0
0
187
181

Page 10

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

8. Analysis of expenditure on raising funds

Fundraising office
Fundraising events
Investment management
Support costs		 Unrestricted
funds
£000
0
3
0
5
8		 Restricted
Income
funds
£000
0
0
0
0
0		 Total
Total
2021-22
2020-21
£000
£000
0
0
3
1
0
0
5
4
8
5

The fundraising office costs relate to the new Breast Care unit and are no longer being incurred by the Charity The investment management fee is shown as nil as this is deducted from capital held by the investment management company.

9. Analysis of charitable activity

Grant funded
activity
£000
Medical research
3
Purchase of new equipment
339
Building and refurbishment
31
Staff education and welfare
224
Patient education and welfare
191
788		 Support
costs
£000
0
58
5
38
33
134		 Total
Total
2021-22
2020-21
£000
£000
3
10
397
505
36
18
262
371
224
332
922
1,236

10. Analysis of grants

The majority of grants are made to the Health Board to provide for the care of NHS patients in furtherance of our charitable aims. The charity makes grants to individuals from one specific fund which is used to support nominated medical students from deprived areas. The total cost of making grants, including support costs, is disclosed on the face of the Statement of Financial Activities and the actual funds spent on each category of charitable activity is disclosed in note 9.

The trustees operate a scheme under which Fund Account Managers control how the Charity's designated funds should be spent. The day to day disbursements are in accordance with the directions set out by the trustees in the Charity's Standing Orders and Financial Instructions.

Where undesignated funds exist, the trustees do make grant awards based on applications from across the Health Board.

Page 11

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

11. Movements in funding commitments

Opening balance at 1 April
Movement in funding commitments
Closing balance at 31 March 2022		 Current
liabilities
£000
406
(132)
274		 Non-current
liabilities
£000
0
0
0		 Total
31 March
2022
£000
406
(132)
274		 Total
31 March
2021
£000
501
(95)
406

As described in notes 9 and 10, the charity awards a number of grants in the year. Many grants are awarded and paid out in the same financial year. However, some grants are paid over a longer period.

12. Apportionment of support costs

Support and overhead costs are allocated between fundraising activities and charitable activities. Governance costs are those support costs which relate to the strategic and day to day management of a charity.

Governance
External audit
Finance and administration
Total governance
Finance and administration
Total Finance and Administration
Raising funds
Charitable activities		 Raising
funds
£000
0
4
4
1
1
5
Unrestricted
funds
£000
5
106
111		 Charitable
activities
£000
16
61
77
57		 Total
2021-22
£000
16
65
81
58
58
139
Total
Funds
2021-22
£000
5
134
139		 Total
2020-21
Basis
£000
9
Average fund balance
61
Average fund balance
70
56
Average fund balance
56
126
Total
Funds
2020-21
£000
4
122
126
57
134
Restricted
Income
funds
£000
0
28
28

13. Trustees' remuneration, benefits and expenses

The charity does not make any payments for remuneration nor to reimburse expenses to the charity trustees for their work undertaken as trustee.

14. Analysis of staff costs

The charity has no employees. Staff services are provided to the charity by Aneurin Bevan University Local Health Board, the Corporate Trustee of the charity, which has received reimbursement of £200,198 (2020-21: £359,974) for these services.

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

15. Auditors remuneration

The auditors remuneration of £16,314 (2020-21: £9,000) related solely to the audit of the statutory annual report and accounts.

16. Fixed asset investments

Movement in fixed assets investments

Market value brought forward
Add: additions to investments at cost
Less disposals at carrying value
Add any gain / (loss) on revaluation
Movement of cash held as part of the
investment portfolio
Market value as at 31st March 2022		 Investment
Properties
£000
221
0
0
97
0
318		 Investments
Listed
on Stock
Exchange
£000
5,004
0
0
480
0
5,484		 Cash
Held in
Investment
Portfolio
£000
0
0
0
0
0
0		 Other
Assets
£000
25
0
0
0
0
25		 Total
Total
2021-22
2020-21
£000
£000
5,250
4,607
0
0
0
(28)
577
671
0
0
5,827
5,250

All investments are carried at their market value.

The investment valuation has been performed by CCLA Investment Management Limited.

The valuation of investment properties, consisting of a freehold ground rent and a small parcel of land, is based on a professional assessment of market value, by independent RICS (Royal Institute of Chartered Surveyors) qualified valuers at least every five years.

The significance of financial instruments to the ongoing financial sustainability of Aneurin Bevan University Health Board Charitable Fund is considered in the risk management section of the trustees’ annual report.

The Charity receive the majority of their income in the form of donations. However, significant investments are made and are the source of the main financial risk.

Interest rate risk - the Charity is exposed to fluctuations in interest rates on the monies invested in deposits and the stock market.

Liquidity risk - the majority of expenditure is financed from donations and legacies and there are no borrowings. The Charity is not, therefore, exposed to significant liquidity risk.

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

17. Analysis of current debtors

Debtors under 1 year
Accrued income
Trade Debtors
Prepayments		 Total
31 March
2022
£000
71
133
27
231		 Total
31 March
2021
£000
96
81
11
188

18. Analysis of cash and cash equivalents

Current Accounts
Petty Cash		 Total
31 March
2022
£000
372
1
373		 Total
31 March
2021
£000
237
1
238

No cash or cash equivalents or current asset investments are held in non-cash investments or outside of the UK.

All of the amounts held on interest bearing deposit are available to spend on charitable activities.

19. Analysis of liabilities

Creditors under 1 year
Trade creditors
Deferred Income
Accruals
Total creditors		 Total
31 March
2022
£000
259
125
3
387		 Total
31 March
2021
£000
59
200
1
260

20. Analysis of Deferred Income

Grant Income
Other Income		 Total
1 April
2021
Deferred
Released
£000
£000
£000
184
12
(112)
16
41
(16)
200
53
(128)		 Total
31 March
2022
£000
84
41
125

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

21. Reconciliation of net income / expenditure to net cash flow from operating activities

Net income / (expenditure) (per Statement of
Financial Activities)
Adjustment for:
(Gains) / losses on investments
Dividends, interest and rents from investments
(Increase) / decrease in debtors
Increase / (decrease) in creditors
Net cash provided by (used in) operating activities		 Total
Total
2021-22
2020-21
£000
£000
628
601
(577)
(671)
(187)
(181)
(43)
45
127
106
(52)
(100)

22. Transfer between funds

Transfers have been actioned between Unrestricted funds during 2021/22 to streamline the number of funds in line with the Charitable Funds Committee plans to merge and reduce the number of Charitable Funds.

23. Analysis of funds

a. Analysis of restricted fund movements

Royal Gwent Childrens Ward Legacy
Royal Gwent Coronary Care Legacy
ABUHB Calcraft Legacy Fund
Nevill Hall Rheumatology Legacy
Renal Unit Legacy
Nevill Hall Coronary Care Legacy
Royal Gwent Haematology Legacy
Royal Gwent Breast Care Legacy
Chepstow General Legacy
Other - 56 restricted designated funds		 Balance
1 April
2021
£000
153
112
0
96
82
75
58
58
50
419
1,103		 Income
£000
5
3
100
3
2
2
2
2
1
187
307		 Expenditure
£000
(13)
(3)
0
(2)
(12)
(5)
(1)
(1)
(1)
(168)
(206)		 Transfers
£000
0
0
0
0
0
0
0
0
0
0
0		 Gains
Balance
and
31 March
losses
2022
£000
£000
5
150
4
116
0
100
3
100
3
75
3
75
2
61
2
61
2
52
14
452
38
1,242

The material funds specified in the above note will vary from year to year dependent on the closing year end balance.

We consider that a closing fund balance of £50,000 or greater are material for disclosure in these accounts.

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

23. Analysis of funds (continued)

The objects of each of the restricted funds are as follows:

The Royal Gwent Hospital Children's Ward Legacy Fund was bequeathed to the charity for the benefit of the Children's Ward. A proposal for the purchase of various equipment to improve patient care and access was approved by the Charitable Funds Committee.

The Royal Gwent Hospital Coronary Care Unit Legacy Fund was bequeathed to the charity for the provision of medical facilities, towards the cost of providing equipment for the heart unit at the hospital.

The ABUHB Calcraft Legacy fund was bequeathed to the charity to assist in colonoscopy practices within the Health Board.

The Nevill Hall Rheumatology Legacy Fund was bequeathed to the charity for the use of the Rheumatology department at the hospital.

The Renal Unit Legacy Fund was bequeathed to the charity for the purpose connected with the research and treatment of patients under haemodialysis treatment (kidney unit).

The Nevill Hall Coronary Care Legacy Fund was bequeathed to the charity for the use of the heart unit at the hospital.

The Royal Gwent Haematology Fund was bequeathed to the charity for the Haematology Unit at the Royal Gwent Hospital.

The Royal Gwent Breast Care Legacy Fund was bequeathed to the charity for the Breast Care Unit at the Royal Gwent Hospital.

The Chepstow General Legacy was bequeathed to the charity for the Chepstow Community Hospital.

The other 56 restricted funds also related to monies bequeathed to the charity for various wards and departments.

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

23. Analysis of funds (continued)

b. Analysis of unrestricted and material designated fund movements

Balance
1 April
2021
£000
ABUHB Charitable Funds Committee
186
ABUHB Breast Centre
171
Royal Gwent Property, 13 Clytha Square
117
St Woolos Springfield Fund
107
ABUHB Post Graduate Fund
106
Royal Gwent Casting Techniques Course
87
ABUHB Covid-19
85
Nevill Hall Voluntary Body
96
Royal Gwent Post Grad Eye
39
ABUHB Employee Well Being Service
60
Grange Critical Care Unit
110
ABUHB C.H.A.aT Volunteer Service
75
ABUHB Ffrind I Mi Volunteer Service
95
Nevill Hall Oncology Rehabilitation
73
Monmouth Chippenham Community Nurses
78
Royal Gwent Breast Care Unit
69
Royal Gwent Property, TP Price
54
Royal Gwent Prostate Cancer Fund
60
ABUHB Volunteering (Corporate)
42
ABUHB Rheumatology
56
Ysbyty Ystrad Fawr Adult Medicine
55
Nevill Hall Windsor Suite
32
Other - 343 unrestricted designated funds
2,460
4,313		 Income
£000
12
57
3
5
18
51
3
3
27
8
3
3
2
2
2
2
2
16
2
2
20
431
674		 Expenditure
£000
(22)
(8)
0
(3)
(8)
(5)
(28)
(7)
(2)
(3)
(38)
(18)
(18)
(2)
(11)
(2)
(33)
(2)
(1)
(2)
(4)
(1)
(506)
(724)		 Transfers
£000
216
10
36
0
(10)
45
20
45
(362)
0		 Gains
and
losses
£000
7
6
97
4
4
3
3
3
3
2
3
3
3
3
3
3
0
2
1
2
2
1
381
539		 Balance
31 March
2022
£000
399
236
250
111
107
103
101
95
88
86
83
83
83
76
72
72
68
62
58
58
55
52
2,404
4,802

The trustees have delegated all unrestricted funds as designated funds to the ward or department the donations were intended for.

The material funds specified in the above note will vary from year to year dependent on the closing year end balance.

We consider that a closing fund balance of £50,000 or greater are material for disclosure in these accounts.

24. Events after the reporting period

Our CCLA investments have increased in value to pre-pandemic levels but growth in the year ahead is expected to be challenging as a result of the war in Ukraine and a slow down in the global economy.

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

Statement of Trustee's Responsibilities

The law applicable to charities in England and Wales requires the Trustee to prepare financial statements for each financial year which give a true and fair view of the charity's financial activities during the year and its financial position at the end of the year. In preparing financial statements giving a true and fair view, the Trustee should follow best practice and :

The Trustee is responsible for keeping accounting records which disclose with reasonable accuracy the financial position of the charity and which enable them to ascertain the financial position of the charity and which enable them to ensure that the financial statements comply with the Charities Act 2011, the Charity (Accounts and Reports) Regulations 2008 and the provisions of the trust deed. The Trustee is responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

The Trustee confirms that they have complied with the above requirements.

By order of the trustee

Ann Lloyd Trustee

Rob Holcombe Dated: Financial Trustee

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

The independent auditor’s report of the Auditor General for Wales to the trustee of Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities

Opinion on financial statements

I have audited the financial statements of Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities for the year ended 31 March 2022 under the Charities Act 2011. These comprise the Statement of Financial activities, Balance Sheet, Statement of Cash Flows and related notes, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In my opinion the financial statements:

Basis for opinion

I conducted my audit in accordance with applicable law and International Standards on Auditing in the UK (ISAs (UK)) and Practice Note 10 'Audit of Financial Statements of Public Sector Entities in the United Kingdom'. My responsibilities under those standards are further described in the auditor’s responsibilities for the audit of the financial statements section of my report. I am independent of the charity in accordance with the ethical requirements that are relevant to my audit of the financial statements in the UK including the Financial Reporting Council’s Ethical Standard, and I have fulfilled my other ethical responsibilities in accordance with these requirements. I believe that the audit evidence I have obtained is sufficient and appropriate to provide a basis for my opinion.

Conclusions relating to going concern

In auditing the financial statements, I have concluded that the use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work I have performed, I have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the body's ability to continue to adopt the going concern basis of accounting for a period of at least twelve months from when the financial statements are authorised for issue.

My responsibilities and the responsibilities of the trustee with respect to going concern are described in the relevant sections of this report.

Other information

The other information comprises the information included in the annual report other than the financial statements and my auditor’s report thereon. The trustee is responsible for the other information contained within the annual report. My opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in my report, I do not express any form of assurance conclusion thereon. My responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If I identifiy such material inconsistencies or apparent material misstatements, I am required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work I have performed, I conclude that there is a material misstatement of this other information, I am required to report that fact.

I have nothing to report in this regard.

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

Report on other requirements

Matters on which I report by exception

I have nothing to report in respect of the following matters in relation to which the Charities (Accounts and Reports) Regulations 2008 require me to report to you if, in my opinion:

Responsibilities

Responsibilities of the trustee for the financial statements

As explained more fully in the statement of trustee’s responsibilities set out on page 18, the trustee is responsible for preparing the financial statements in accordance with the Charities Act 2011, for being satisfied that they give a true and fair view, and for such internal control as the trustee determines 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 trustee is responsible for assessing the charity’s ability to continue as a going concern, disclosing as applicable, matters related to going concern and using the going concern basis of accounting unless deemed inappropriate.

Auditor’s responsibilities for the audit of the financial statements

I have been appointed as auditor under section 150 of the Charities Act 2011 and report in accordance with regulations made under section 154 of that Act.

My objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes my opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of non-compliance with laws and regulations. I design procedures in line with my responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud.

My procedures included the following:

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2021-22

In addition to the above, my procedures to respond to identified risks included the following:

I also communicated relevant identified laws and regulations and potential fraud risks to all audit team and remained alert to any indications of fraud or non-compliance with laws and regulations throughout the audit.

The extent to which my procedures are capable of detecting irregularities, including fraud, is affected by the inherent difficulty in detecting irregularities, the effectiveness of the Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities' controld, and the nature, timing and extent of audit procedures performed.

A further description of the auditor’s responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website www.frc.org.uk/auditorsresponsibilities. This description forms part of my auditor’s report.

Adrian Crompton Auditor General for Wales 27 January 2023

24 Cathedral Road Cardiff CF11 9LJ

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Audit of Accounts Report – Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities

Audit year: 2021-22 Date issued: January 2023 Document reference: 3308A2023

This document has been prepared as part of work performed in accordance with statutory functions.

In the event of receiving a request for information to which this document may be relevant, attention is drawn to the Code of Practice issued under section 45 of the Freedom of Information Act 2000. The section 45 code sets out the practice in the handling of requests that is expected of public authorities, including consultation with relevant third parties. In relation to this document, the Auditor General for Wales and the Wales Audit Office are relevant third parties. Any enquiries regarding disclosure or re-use of this document should be sent to the Wales Audit Office at infoofficer@audit.wales.

We welcome correspondence and telephone calls in Welsh and English. Corresponding in Welsh will not lead to delay. Rydym yn croesawu gohebiaeth a galwadau ffôn yn Gymraeg a Saesneg. Ni fydd gohebu yn Gymraeg yn arwain at oedi.

Contents

We intend to issue an unqualified audit report on your Accounts and there are some issues to report to you prior to their approval.

Audit of Accounts Report
Introduction 4
Proposed audit opinion 4
Significant issues arising from the audit 5
Recommendations 5
Appendices
Appendix 1 – Final Letter of Representation 6
Appendix 2 – Proposed Audit Report 9
Appendix 3 – Summary of Corrections Made 13
Appendix 4 – Follow up of previous year’s audit recommendations 14

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Audit of Accounts Report

Introduction

Proposed audit opinion

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Significant issues arising from the audit

Uncorrected misstatements

Corrected misstatements

Other significant issues arising from the audit

Recommendations

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Appendix 1

Final Letter of Representation

[Audited body’s letterhead]

Auditor General for Wales

Wales Audit Office 24 Cathedral Road Cardiff CF11 9LJ

25 January 2023

Representations regarding the 2021-22 financial statements

This letter is provided in connection with your audit of the financial statements of Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities for the year ended 31 March 2022 for the purpose of expressing an opinion on their truth and fairness and their proper preparation.

We confirm that to the best of our knowledge and belief, having made enquiries as we consider sufficient, we can make the following representations to you.

Management representations

Responsibilities

We have fulfilled our responsibilities for:

Information provided

We have provided you with:

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Financial statement representations

All transactions, assets and liabilities have been recorded in the accounting records and are reflected in the financial statements.

The methods, the data and the significant assumptions used in making accounting estimates, and their related disclosures are appropriate to achieve recognition, measurement or disclosure that is reasonable in the context of the applicable financial reporting framework.

Related party relationships and transactions have been appropriately accounted for and disclosed.

All events occurring subsequent to the reporting date which require adjustment or disclosure have been adjusted for or disclosed.

All known actual or possible litigation and claims whose effects should be considered when preparing the financial statements have been disclosed to the auditor and accounted for and disclosed in accordance with the applicable financial reporting framework.

The financial statements are free of material misstatements, including omissions. The effects of uncorrected misstatements identified during the audit are immaterial, both

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individually and in the aggregate, to the financial statements taken as a whole. A summary of these items is set out below:

Representations by the Trustee of Aneurin Bevan University Health Board Charitable Fund and Other Related Charities

We acknowledge that the representations made by management, above, have been discussed with us.

We acknowledge our responsibility for the preparation of true and fair financial statements in accordance with the applicable financial reporting framework. The financial statements were approved by Aneurin Bevan University Health Board on 28 January 2023.

We confirm that we have taken all the steps that we ought to have taken in order to make ourselves aware of any relevant audit information and to establish that it has been communicated to you. We confirm that, as far as we are aware, there is no relevant audit information of which you are unaware.

Signed by: Signed by: Nicola Prygodzicz Ann Lloyd Chief Executive and Accountable Officer Board Chair Date: 25 January 2023 Date: 25 January 2023

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Appendix 2

Proposed Audit Report

The independent auditor’s report of the Auditor General for Wales to the trustee of Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities

Opinion on financial statements

I have audited the financial statements of Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities for the year ended 31 March 2022 under the Charities Act 2011. These comprise the Statement of Financial Activities, Balance Sheet, Statement of Cash Flows and related notes, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In my opinion the financial statements:

Basis of opinion

I conducted my audit in accordance with applicable law and International Standards on Auditing in the UK (ISAs (UK)) and Practice Note 10 ‘Audit of Financial Statements of Public Sector Entities in the United Kingdom’. My responsibilities under those standards are further described in the auditor’s responsibilities for the audit of the financial statements section of my report. I am independent of the charity in accordance with the ethical requirements that are relevant to my audit of the financial statements in the UK including the Financial Reporting Council’s Ethical Standard, and I have fulfilled my other ethical responsibilities in accordance with these requirements. I believe that the audit evidence I have obtained is sufficient and appropriate to provide a basis for my opinion.

Conclusions relating to going concern

In auditing the financial statements, I have concluded that the use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work I have performed, I have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt

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on the body’s ability to continue to adopt the going concern basis of accounting for a period of at least twelve months from when the financial statements are authorised for issue.

My responsibilities and the responsibilities of the trustee with respect to going concern are described in the relevant sections of this report.

Other Information

The other information comprises the information included in the annual report other than the financial statements and my auditor’s report thereon. The trustee is responsible for the other information contained within the annual report. My opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in my report, I do not express any form of assurance conclusion thereon. My responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If I identify such material inconsistencies or apparent material misstatements, I am required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work I have performed, I conclude that there is a material misstatement of this other information, I am required to report that fact.

I have nothing to report in this regard.

Report on other requirements

Matters on which I report by exception

I have nothing to report in respect of the following matters in relation to which the Charities (Accounts and Reports) Regulations 2008 require me to report to you if, in my opinion:

Responsibilities

Responsibilities of the trustee for the financial statements

As explained more fully in the statement of trustee’s responsibilities, the trustee is responsible for preparing the financial statements in accordance with the Charities Act

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2011, for being satisfied that they give a true and fair view, and for such internal control as the trustee determines 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 trustee is responsible for assessing the charity’s ability to continue as a going concern, disclosing as applicable, matters related to going concern and using the going concern basis of accounting unless deemed inappropriate.

Auditor’s responsibilities for the audit of the financial statements

I have been appointed as auditor under section 150 of the Charities Act 2011 and report in accordance with regulations made under section 154 of that Act.

My objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes my opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of non-compliance with laws and regulations. I design procedures in line with my responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud.

My procedures included the following:

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In addition to the above, my procedures to respond to identified risks included the following:

I also communicated relevant identified laws and regulations and potential fraud risks to all audit team and remained alert to any indications of fraud or non-compliance with laws and regulations throughout the audit.

The extent to which my procedures are capable of detecting irregularities, including fraud, is affected by the inherent difficulty in detecting irregularities, the effectiveness of the Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities’ controls, and the nature, timing and extent of the audit procedures performed.

A further description of the auditor’s responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website www.frc.org.uk/auditorsresponsibilities. This description forms part of my auditor’s report.

Adrian Crompton Auditor General for Wales 27 January 2023

24 Cathedral Road Cardiff CF11 9LJ

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Appendix 3

Summary of Corrections Made

During our audit, we identified the following misstatements that have been corrected by management, but which we consider should be drawn to your attention due to their relevance to your responsibilities over the financial reporting process.

Exhibit 3: summary of corrections made

Value of correction Nature of correction Reason for correction
£97,000 Amending the market
value of an investment
property from £153,000 to
£250,000 in line with the
District Valuers’ valuation
on 1 April 2022. This
amendment impacted a
number of disclosures,
including the Fixed Asset
Investments note, the
Reconciliation of net
income/expenditure to net
cash flow from operating
activities note, and the
Analysis of Funds note.		 To ensure an
investment property is
accurately valued at its
current market value.
N/A Inclusion of an analysis of
income deferred and
released in year		 To ensure compliance
with the requirements of
the Charities SORP.
Various Narrative and disclosures
amendments, including:
•
Correcting the number
of restricted funds
referred to in Note 22
(continued) to agree
with Note 22a.
•
Various Annual Report
amendments.		 To agree back to
supporting evidence and
ensure consistency
throughout the Annual
Report and Financial
Statements.

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Appendix 4

Follow up of previous year’s audit recommendations

We have followed up progress made against our prior year’s audit recommendations. Where these are ongoing, we will continue to follow up progress and include any outstanding issues in next year’s audit report:

Exhibit 4: matter arising 1 (2020-21)

Matter arising 1(2020-21) – Financial Controls Procedures need to be updated Matter arising 1(2020-21) – Financial Controls Procedures need to be updated
Findings As identified in our audit, the Financial Control Procedures
(FCPs) state that 'The managed investment portfolio should
equate to no more than 75% of the total funds, with the
remaining sum being more readily available.' The managed
investment portfolio as per the financial statements is
£5,004k, which equates to 92% of the £5,443k total funds. As
per our discussions with the Charitable Funds team, this is
due to the FCPs not being updated to reflect the changing
profile of the investment portfolio.
In addition, the Charitable Fund should consider having
clearerprocedures regardingthe classification of income.
Priority Medium
Recommendation The FCPs should be reviewed regularly and updated as
necessary.
Benefits of implementing
the recommendation		 Regular review of the FCPs will ensure that they remain
relevant to the Charitable Fund and provide officers with
appropriateprocedures to follow.
Accepted in full by
management		 Yes
Management response The Charitable Funds financial control procedure is reviewed
on a 3-year rolling basis and is due for review in July 2022.
Going forward, additional reviews will be carried out on an
annual basis to ensure that the procedure remains relevant
and that no significant changes have occurred since the last
review.
For clarity, the income section (section 9 of the current
financial control procedure) will be enhanced to include a
more detailed section on the types of income received by the
Charity and how the classification is determined, e.g., grant,
donation, legacy etc. and the documentation required to be
obtained/retained to verify this classification.
Implementation date July2022
Progress update
December 2022		 Completed

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Exhibit 5: matter arising 2 (2019-20)

Matter arising 2 (2019-20) –
for the Charity’s transactions		 review and document the procedures undertaken to account
andprepare the financial statements
Findings Officers undertake a variety of detailed procedures over the
course of the year to account for the Charity’s transactions
and prepare the financial statements. During the audit we
identified that these are not documented and are not applied
on a consistent basis.
Priority High
Recommendation The procedures adopted in accounting for the Charity’s
transactions should be reviewed and documented to ensure
that they are appropriate and applied on a consistent basis.
Examples of such procedures are:
•
review the classification of grant income as it is all
currently accounted for as Unrestricted, but has Terms
and Conditions attached to its use.
•
review and classification of legacy income, as these are
treated as Restricted, even where the monies are
available for wide use, e.g., at a particular site. This will
also include the three Restricted Funds reported on last
year for which there is no documentation to support the
classification as Restricted.
•
the method of allocating Support costs as they are
allocated on different bases depending on the nature of
the Fund, and the Note. In Note 12 they are allocated on
the basis of the year-end Fund balance and in Note 20
on the average monthlyFund balance.
Benefits of implementing
the recommendation		 Reviewing and documenting the procedures adopted in
accounting for the charitable funds will improve efficiency and
ensure consistency.
Accepted in full by
management		 Yes
Management response We will review and document our procedures to ensure
consistency. We will also review the treatment of grant
income and legacy income with regard to restricted or
unrestricted classification. We will produce a series of
Standing Operation Procedures to ensure that the accounts
areproduced on a consistent basis.
Implementation date 31 March 2021

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Progress update
December 2021		 Ongoing
As part of our audit of the financial statements 2020-21, we
noted that consideration had been given to the treatment
whilst there was evidence to suggesttreatment of grant
income and legacy income with regard to restricted or
unrestricted classification. However, our testing of income did
identify a misclassification between grants and donations, a
misclassification between legacies and donations, and a
number of misclassifications of income withinNote 5 –
Income from Charitable Activities.
Management response Section 9 of the Charitable Funds Financial Control
Procedure will be updated to include a detailed section on the
types of income received by the Charity and also the nature
of the income, e.g., restricted, unrestricted. This will include
details of how the income should be treated and the
documentation required to be obtained on receipt of the
income to verify the treatment within the Charitable Funds in
the accounts.
Implementation date July2022
Progress update
December 2022		 Completed

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Exhibit 6: matter arising 3 (2019-20)

Matter arising 3 (2019-20) – fundholders have not always provided finance officers
with complete and appropriate documentation on a timely basis		 Matter arising 3 (2019-20) – fundholders have not always provided finance officers
with complete and appropriate documentation on a timely basis
Findings During the audit we identified that complete supporting
documentation was not provided for all transactions, and
requests to raise invoices were not made on a timelybasis.
Priority High
Recommendation Fundholders should be reminded of the procedures and
requirements for managing a Fund, including timely and
completeprovision of documentation to finance officers.
Benefits of implementing
the recommendation		 More efficient use of finance officers’ time if all relevant
documentation is provided promptly, and the opportunity of
reimbursement from the donor is not lost.
Accepted in full by
management		 Yes
Management response We do try to ascertain all information in relation to donations
at the time of receipt, however, it may not always be possible
to locate backing documents. There will always be instances
where donations are paid directly into the Charitable Funds
bank account. Where this occurs, we try and locate any
backing documents associated with this receipt from the
fundholder. We will ensure that the backing documents are
kept on file or stored electronically going forward.
In relation to invoices raised, the income recovery form
should be completed within three months of the
service/event. The procedure will be reiterated to
fundholders,and compliance monitored.
Implementation date 31 March 2021
Progress update
December 2021		 Ongoing
As part of our audit of the financial statements 2020-21, we
noted instances where third party documentation to support
donations was not available for audit. We acknowledge that
obtaining third party documentation can be difficult in some
cases due to the sensitive nature of the donation, however
we noted instances where the chasing of third-party
documentation can be strengthened.
Management response As reported previously, on receipt of the donation the team
do try and ascertain any backing documentation in relation to
the donation. We will evaluate the areas identified by Audit
Wales to establish how we can improve on the chasing of 3rd
Partydocumentation.
Implementation date 31 March 2022
Progress update
December 2022		 Completed
Our audit did not identify any issues in this area.

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Exhibit 7: matter arising 4 (2019-20)

Matter arising 4 (2019-20) – the Charity has agreed to review and streamline the
number of individual Funds there are, as set out in the ‘Use of Funds’ paper
presented to the Charitable Funds Committee on 9 May 2019		 Matter arising 4 (2019-20) – the Charity has agreed to review and streamline the
number of individual Funds there are, as set out in the ‘Use of Funds’ paper
presented to the Charitable Funds Committee on 9 May 2019
Findings This paper identified that as at 1 April 2019 there were 447
Funds, 64 were Restricted and 383 were Unrestricted; and
that reducing this number would reduce the level of
communication and administration required and enable the
monies to be spent more effectively. As at 31 March 2020 the
number of Funds had reduced to 432, of which 56 were
Restricted and 376 Unrestricted.
Priority High
Recommendation The Charity needs to actively continue to review and
streamline the number of Funds, especially now the Grange
Hospital, which if not managed appropriately, has the
potential to further increase the number of individual funds.
Benefits of implementing
the recommendation		 Streamlining the Funds will enable the Charity to achieve the
identified reductions in communication and administration. As
noted in the paper, if Funds with similar interests and
objectives are merged, there is scope for the Funds to be
used more effectively to deliver goods or services that
individual Funds would not be able to achieve on their own.
Accepted in full by
management		 Yes
Management response Work has already started on streamlining the number of
funds in line with the opening of the Grange University
Hospital. We are currently reviewing all funds held with a
view to providing clarification on whether the fund can be
combined bythe end of March 2021.
Implementation date 31 March 2021
Progress update
December 2021		 Ongoing
As part of our audit of the financial statements 2020-21, we
noted that there has been no reduction in the number of
individual funds, with there being 67 restricted funds and 372
unrestricted (total of 439) in 2020-21compared to the total of
432 in 2019-20.
We understand that work in this area will be ongoing during
2021-22.
Management response This is an ongoing process with the number of funds
continually under review in relation to streamlining the funds
held by the HB. In the period January 2021 to September
2021, we have closed 38 funds, 18 of which had been
merged with other funds with an additional 20 closed as the
funds had been fully utilised. We have also opened a number
of new funds due to the nature of the donation.
We will continue to work with fund holders to merge funds of
a similar nature to maximise the use of the donated income
held in the funds.
Implementation date Ongoing – initial review to be finalised by July 2022

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Matter arising 4 (2019-20) – the Charity has agreed to review and streamline the
number of individual Funds there are, as set out in the ‘Use of Funds’ paper
presented to the Charitable Funds Committee on 9 May 2019		 Matter arising 4 (2019-20) – the Charity has agreed to review and streamline the
number of individual Funds there are, as set out in the ‘Use of Funds’ paper
presented to the Charitable Funds Committee on 9 May 2019
Progress update
December 2022		 Ongoing
As part of our audit of the financial statements 2021-22, we
noted that there has been limited reduction in the number of
individual funds, with there being 65 restricted funds and 365
unrestricted (total of 430) in 2021-22 compared to the total of
439 in 2020-21.
We understand that work in this area will be ongoing during
2022-23.
Management response This continues to be an on-going process. In 2021/22 the
team secured the merging of 8 funds; 10 new funds were
opened as a result of the type of donation received with a
further 11 funds being closed during the year where the funds
had been utilised. This reduced the number of funds held
from 439 in 2020/21 to 430 in 2021/22
The charitable funds team are carrying out visits and
meetings with all fund holders where they are having
discussions about merging funds, making sure that fund
holders are up to date with the current Charitable Funds
procedure and also encouraging them to utilise their funds on
a cross service basis. A process has been put in place during
2022/23 where all employees can view the types of charitable
funds held and who is the lead manager on the fund so that
they can contact them to request funding if the funding
required is within the scope of the scheme.
Revised implementation
date		 Complete – the details on merged funds, new funds and
closed funds are routinely reported to the Charitable Fuds
committee at each meeting held as part of the finance report.

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Exhibit 8: matter arising 5 (2019-20)

Matter arising 5 (2019-20) – the Reserves Policy was last reviewed in May 2019 and
does not explain how itprovides sufficient funds for ongoing commitments		 Matter arising 5 (2019-20) – the Reserves Policy was last reviewed in May 2019 and
does not explain how itprovides sufficient funds for ongoing commitments
Findings The Reserves Policy should be reviewed annually, as set out
in the Financial Control Procedure, and should specify how
the Charity identifies what is required to meet its ongoing
commitments. The Policy and disclosures in the Annual
Report do not clearlyexplain this.
Priority Medium
Recommendation The next annual review of the Reserves Policy should include
specifying how the Charity identifies the level of reserves
required to meet its ongoing commitments. This will assist the
Charity in reviewing its reserve levels and documenting in the
Annual Report both the policy and the review, as per the
requirements of the SoRP, paras 1.22 and 1.48.
Benefits of implementing
the recommendation		 The annual review of the Reserves Policy will improve
governance and ensure that the Charity understands,
reviews, and discloses it Reserves Policy and the funding
required to meet ongoing commitments in compliance with
the SoRP.
Accepted in full by
management		 Yes
Management response The Reserves Policy will be reviewed to clearly identify the
level of reserves required to be held to meet the ongoing
commitments of the Charity. The financial control procedure
will be updated to reflect the revised reserves policy at the
next review stage which is 19 July2022.
Implementation date 30 June 2021
Progress update
December 2021		 Ongoing
As part of our audit of the financial statements 2020-21, we
noted that the updated Reserves Policy has been drafted but
not yet finalised.
We understand that work in this area will be ongoing during
2021-22.
Management response The revised reserves policy has been drafted and a report will
be presented to the January Charitable Funds Committee for
review and approval. If approved, the reserves policy will be
implemented for the remainder of 2021-22.
Implementation date 11 January2022
Progress update
December 2022		 Completed

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Audit Wales

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E-mail: info@audit.wales

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