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

2023-03-31-accounts

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

Trustee’s Annual Report and Accounts 2022-2023

Registered Charity No: 1098728

Aneurin Bevan Health Charity

About Us

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.

Our Partner NHS Health Board

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

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

Blaenau Gwent is situated in the valleys of southeast Wales and covers approximately 10,900 hectares with a population of 69,713 . The area has accessible green spaces and close community working but it is an area with high levels of unemployment and a high percentage of people who are dependent on benefits.

Caerphilly has the largest population in Gwent of 181,019 . People are widely dispersed amongst fifty small towns and villages with the main settlements largely reflecting the area’s rich coal mining heritage. Caerphilly has an expanding economy and benefits through good transport links to Cardiff but there are significant levels of unemployment and poor health.

Monmouthshire is classed as a ‘semi-rural accessible area’. There are four major towns, with a total population of 94,412 . Monmouthshire has the lowest level of unemployment in Gwent: however, there are pockets of deprivation as evidenced in north Abergavenny.

Newport City is the third largest urban centre in Wales with a population of 153,302 . The city has the second largest number of people from minority ethnic communities of all the Welsh counties (after Cardiff).

Torfaen is the most easterly of the south Wales urbanised valleys with a population of 93,049 . There are three urban centres: Pontypool, Blaenavon, and Cwmbran.

The Health Board employed 12,648 whole time equivalent (WTE) staff as at 31[st] March 2023 and has a budget of £1.6 billion. It is the largest employer in Gwent.

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Introduction

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 2023.

Message from our Chair

I am delighted to accept responsibility to Chair the Charitable Funds Committee. I take this opportunity to thank my predecessor Katija Dew for all her superb work over the years in supporting this committee.

As a charity we welcome the support from the public and others regarding donations for this important charitable work and we are most grateful for such contributions. The funds help to improve the quality of life for the patients as well as supporting staff in delivering such great care.

Huge thanks to the team of staff who do an incredible job in relation to producing this report and for their excellent work throughout the year as well.

Thank you for your support and for taking the time to read this Annual Report and Accounts 2022-23 which is greatly appreciated.

Paul Deneen, Chair of the Charitable Funds Committee

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Message from our Chief Executive

Firstly, I would like to say a heartfelt thanks to everyone who made a donation, legacy or generated income for our Health Board charity. This funding made a real difference to many of our staff and services.

The year ahead for the Health Board is a financial challenge unlike anything we have ever seen before. All the additional funding we were receiving as part of the pandemic response is no longer available, yet we continue to see costs rise, resulting in a large deficit.

I want to ensure we consider all the great ideas staff have on how we can better use our resources and avoid waste no matter how big or small the opportunity.

We look to charitable funds to assist us in this, piloting projects, testing proof of concept and steering funds to where they are needed most.

Charitable funds provide opportunities to support staff wellbeing initiatives and events.

You will see from the highlights of our previous year, shown below, the types of projects we have been able to support.

“Thanks to You “

Nicola Prygodzicz Chief Executive

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Snapshot of 2022-23

INCOME – How we received our money This year we received £1,144,000.

==> picture [250 x 206] intentionally omitted <==

----- Start of picture text -----
TOTAL INCOME 2022-23
Investment
Income
17%
Donations
37%
Legacies
13%
Grant Income
4%
Other Income Course Income
10% 19%
----- End of picture text -----

Donations £418,000 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. ee Courses and Other Income Income from £330,000 Investments £200,000 Fees and sponsorship for courses We received this from our which are almost back to preinvestment portfolio. This pandemic levels. These are run was up £13,000 on last mainly through our Postgraduate financial year. department.

Grant Income £50,000 This money is received 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. a Legacies £146,000 We are extremely grateful to those individuals who have had the generosity to leave a gift to us in their will. a 4

EXPENDITURE – How we spent our money This year we spent £1,048,000.

TOTAL EXPENDITURE 2022-23

Patient education and welfare 10% Support/Fundraising Costs Staff education 14% and welfare 36% Building and refurbishment 1% Purchase of equipment 39% Patient Education and Welfare £103,000 This year we have used this money towards a project providing psychological support for patients, continued our volunteer Endof-Life Companion service which enables trained volunteers to sit with patients who may be at risk of dying alone and purchasing Christmas gifts for those patients in hospital during the festive season. oe Building and Staff Education and Refurbishment £16,000 Welfare £377,000 We spent this mainly on This was spent on various grounds and garden continued support for projects, improving the training and education to environment, making it better develop our staff and for our patients and staff. various services focused on staff wellbeing. Support Costs £147,000 This covers the cost of the Charitable Funds Team, Corporate support and auditor fee in administering the funds. 5 Oo

Equipment £405,000

You have made it possible for us to purchase numerous items of much needed equipment for various wards and departments across the Health Board.

This includes defibrillators and cabinets for the community, ECG machines, MacBooks for students, laptops for staff, furniture and equipment for the new Sexual Health Clinic, upgrade to the audio/visual equipment throughout our postgraduate departments.

A list of key purchases follows.

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.

Thanks to you …. ~~Po~~

…. we were able to provide these key purchases

• Intra Oral Scanner for Orthodontics, Nevill Hall Hospital

Intra oral scanner scans, analyses and reconstructs the patient’s oral cavity in 3D without the need for dated conventional impressions using moulds and impression materials. It allows for visualisation of treatment, disease and potential outcomes.

There are many benefits to the patient:

• No airway or gag risk due to eliminating the need for conventional impressions.

• Digital reconstruction of oral cavity allows the clinician to explain treatment to patients in an interactive and engaging format, therefore increasing patient understanding of their treatment.

• Quicker turnaround time for construction of appliances and therefore shorter waiting times for patients.

This item was purchased from a donation received from Nevill Hall League of Friends.

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Bladder scanner for Ysbyty Aneurin Bevan

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

DR.VR is a virtual reality (VR) distraction therapy product that is being used successfully in a range of clinical settings. It creates a simulated world which immerses the viewer.

Within the critical care unit, this VR headset is used to give patients experience of being outside or used for the long-term patient as a distraction therapy with various programmes built into it.

The Billicocoon bag system is a medical device targeted at treating neonatal jaundice without compromising the relationship between mother and baby.

An ECG machine records and monitors cardiac rhythms and can identify if a patient is having a heart attack and the necessary treatment can be applied.

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…our Charitable Funds Committee gave grants

Thanks to you ….

The Charitable Funds Committee approved several small grants from general funds as follows:

• In Tune with Parent and Infant Mental Health Conference

This conference will raise the awareness and good practice focusing on Parent and infant Mental Health and its importance in promoting life-long wellbeing and good mental health, in line with current developments and emphasis on the importance of the first 1000 days and wellbeing across Wales.

Organised by Gwent Parent & Infant Mental Health Service in conjunction with Monmouthshire Early Years Service.

It will also demonstrate and recognise some excellent examples of good practice being undertaken within our teams, thus promoting a more confident, motivated, and skilled workforce. Throughout the day formal presentations and workshops will be delivered by experts in the field across the UK and locally within Wales and ABUHB. These will encompass music therapy, early developmental trauma, supporting parent infant bonding, using video to work with parents and infants, diversity in families, group work, wellbeing, and voices from families.

The conference will include current research and reflections on services offering support and examples of good evidence-based practice and incorporate the importance of Staff Wellbeing to promote staff resilience.

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• Staff Recognition Event

On Friday 24th March 2023, the Health Board held our annual Staff Recognition Awards. It is always a pleasure to welcome everyone to this special event and this is especially true this year as it was the first in person event since before the pandemic in 2019.

Colleagues from across the Health Board gathered to celebrate each other’s achievements and the hard work, dedication and outstanding care given by teams across Aneurin Bevan University Health Board.

The event, funded by general charitable funds was hosted by Chief Executive, Nicola Prygodzicz CEO and saw performance from Coleg Gwent students and local band The Verge.

Nicola said; “There is no doubt that 2022/23 has been an exciting and challenging year. It is testament to the expertise, dedication and compassion of our staff that despite the many challenges we face, we continue to step up and keep our focus where it should be - on the patients and the community we serve.

Claire Jordan, Winner–Welsh Champion

We see the challenges we face as opportunities for innovation, collaboration, integration and longer term thinking not as barriers to improvement, and this is evident in all those who won awards and were nominated for the awards this evening.”

The YYFM Radio Station, Winner – Partnership Working

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• Llanfrechfa Grange Walled Garden Path

Since the garden opened to the public in April 2022, it regularly welcomes many visitors walking over from the Grange University Hospital or the offices in Grange House. This includes staff, hospital visitors and occasionally even patients. The garden is also enjoyed by members of the local community.

A good quality top dressing of self-binding gravel has already been laid to the main paths and some of the smaller inter-connecting paths in the southern half of the garden. Extending this surface to the other paths on the west side of the garden, particularly those in the Reflective quadrant, will improve the accessibility of the garden as there will be a smoother and safer surface for wheelchair users and other visitors with impaired mobility. It will improve the aesthetic appearance and it will make paths easier to keep drained and weed free.

• Muslim Prayer Mats

We have two new Muslim prayer rooms at the RGH.

The Brothers (Male) prayer room is on level 4 near Anaesthetics, upstairs from the canteen.

The Sisters (Female) prayer room is now on level 5 between C & D block, behind the lifts.

Our Muslim colleagues now have their own dedicated prayer rooms in addition to the Ecumenical Chapel on D3 East.

• Care After Death Team Provisions

The Integrated Care After Death Team provides families with practical support including co-ordination of paperwork when a patient dies, signposting families to bereavement support and ensuring we care for patients who have passed.

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As a team we would love to be able to offer to take handprints and locks of hair for all families’ loved ones at their request. Currently we can only do so for children and suicide deaths with thanks to external charities that provide us with these resources. However, we would like to offer this wider, to all families and give these families treasured memories that mean so much.

84-year-old Roy sadly passed away in April 2022 at Nevill Hall Hospital. Due to the rapid and unexpected nature of Roy’s decline in health, not all family members were able to say goodbye in time.

Roy’s wife said “I never expected when he left the house a few days earlier that he was never coming back again. I could never express my gratitude at being able to come and say goodbye to Roy after he passed.”

Granddaughters were soon in touch with the service that accommodated a viewing the next day. The family were invited to write on cards and take their time to say goodbye in their own way. The team went out of their way to make sure Roy held a red rose and lowered him to a level that wife, Marion could see him in her wheelchair.

“A lot of our Nanny’s memories and comfort with Roy, was from holding his hand, always warm, keeping her safe. Handprints are such a simple thing, but it means so much to us that handprints were done without us even asking. At those times, it can be a struggle to think clearly, so to have that keep sake provided without us having to request it is extremely appreciated,” said granddaughter Gemma.

Alongside the Charitable Funds grant, passionate team members also raised funds to help support the creation of memory boxes. These boxes can contain handprints or locks of hair of loved ones and purple hearts upon family requests.

“It’s not a body to us, they are still a patient, even when deceased and it’s the little bits that help support the families of deceased patients even more. The deceased patients and the relatives are at the centre of what we do“ said the Care After Death Manager.

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Thanks to you ….

…we can hold the hand of a stranger

‘Could you hold the hand of a stranger’?

Introducing our new End of Life Companion Service in Hospitals

Some people who come into hospital may not have anyone to visit them. It may be because they have no family or may have friends or family who live many miles away from them or who can’t be with them all the time. Sadly, this means that some people may die without anyone to hold their hand.

We are all acutely aware that visiting restrictions during the pandemic has significantly increased the number of people at risk of dying alone. Even though relatives are now allowed to visit loved ones at the end of life, not all patients will have visitors.

Prior to the Pandemic, the Health Board secured funding through the Community Lottery Fund to pilot an end-of-life Companion Service. This service would see trained Volunteer Companions supporting those patients who are identified as being at risk of dying alone. Where patients have families who cannot always be there, the Companions will also offer ‘respite’ for visitors and sit with patients whilst their families attend to other everyday matters.

We are delighted to advise that we now have 33 Companions who are fully trained and ready to offer companionship to patients identified as being at risk of dying alone. Additionally, we have another 30 who are going through training.

Holding hands is a small gesture but it holds much meaning.

When we hold hands, we are reminded that we are not alone in this world.

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Thanks to you ….

…we can support others

Maternity services alongside our service user group BABI have been lucky enough to secure funding for a volunteer project from Safer Beginnings (incorporating the White Ribbon Alliance and Best Beginnings).

This is essentially to reach more women in our diverse community and encourage feedback and involvement from families who are currently underrepresented where English is not the first language in the household; families who are homeless, refugees etc.

We are also seeing health inequalities and disparity in care which are usually related to people who do not speak English. Not knowing where to find the information and resources available or able to access them in their first language.

Emma Milne (left) Kerry Jefferies (right)

Runners up – Partnership Working at Staff Recognition Awards for this project.

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Thanks to you ….

…our Hospital Radio Service continues

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Thanks to you ….

…we can look after out staff’s wellbeing

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Wellbeing Pop-Up Sessions

Chaplaincy is working alongside Senior Managers in Mental Health to facilitate ‘Wellbeing and Relaxation Sessions’ for different staff groups. The first of these planned sessions took place at the Maindiff Court Hospital site to support our local community staff teams.

The sessions were very well received and hopefully provided a brief but well-deserved bit of support and chill out time.

The Chaplaincy service have a “Chill Out” Charitable Fund that they have used to purchase massage chairs, aromatherapy sessions and equipment and refreshments.

Alan Tyler Senior Chaplain

Supporting our Wellbeing Service

Funds are being used to support the Employee Wellbeing Service’s ambitions to improve the employee experience of work as well as reduce waste and avoid or mitigate potential harm. A short-term post to develop the existing and highly effective Avoidable Employee Harm Programme with new training that focuses on the importance of looking after both the process and the people involved.

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Thanks to you ….

…we can help refurbish new units

The Sexual & Reproductive Health Team have made strides in the last year to future-proof sexual health services for our communities, and for young people with a recent award-winning Communications and Engagement redesign campaign.

To celebrate the next milestone, the Health Board welcomed the opening of a new Sexual Health Clinic which was officially opened by Aneurin Bevan University Health Board’s Chief Executive Officer, Nicola Prygodzicz on Thursday 25th May 2023- with a very special nod to a much-loved individual.

Julia Frances Maynard, a former member of the Health Board Sexual Health Team, was an inspiration in both her professional and personal life, who sadly lost her battle with metastatic ovarian cancer. Many of her colleagues commented on how she was passionate about the Sexual & Reproductive Health Service; working as clinic lead, she always strived to offer the best care to everyone who attended the Cordell Centre. Julia led by example and was happiest when seeing patients face to face in clinic and never gave less than 100%. Her work ethic, along with the respect she showed her colleagues, was compelling and always brought out the best in all who worked with her.

Clinical Director for Sexual & Reproductive Health at Aneurin Bevan University Health Board, Dr Jane Dickson, said:

“ I'm so delighted that we've been able to open our brand-new sexual health unit, which we named after Julia Frances Maynard. Julia was an

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incredible lead nurse at our previous clinic, The Cordell centre, but tragically died of metastatic cancer in 2018 .

“ Our new clinic, which can be found on Ward B6 West of the Royal Gwent hospital, is bright, modern and designed for full accessibility and inclusivity. The clinic is the pinnacle of our new service model, offering a sexual health hub in every borough of our health board area, with B6 West being the focus for our most specialised services. We hope that everyone passing through the doors of our new centre will feel welcomed, dignified and free from stigma.”

Funds to purchase various items of equipment and furniture for the new unit were purchased through charitable funds from a donation from the Royal Gwent Hospital League of Friends. The League received most of its income from the buffet bar they operated in main outpatients at the hospital before closing due to the pandemic.

Thanks to you ….

…we can buy Christmas gifts for our patients

Donations are used to purchase small gifts for patients who are in hospital over the festive period.

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Thanks to you ….

…. we can continue supporting students to become doctors ~~ee~~

In partnership with the Shaw Foundation, 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.

We are delighted to announce that one of these students has qualified this year and is staying in South Wales completing their foundation training.

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

Student A

I was kindly awarded a generous bursary for my final year at medical school. Following from that, I thought I would provide an update as to how this year has gone.

I travelled to The Philippines for my medical elective and had the most incredible time. I spent four weeks in the local government hospital across a range of departments including internal medicine, family medicine, emergency medicine and obstetrics and gynaecology. I have gained so much from this experience, skills and knowledge which I am excited to take further into my career; an opportunity that would not have been possible without your support.

In addition, whilst away I found out I had successfully passed all examinations and will be graduating as a doctor in July 23! I also secured my first choice of job and so will be staying in South Wales for my

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foundation training. My rotations will be acute internal medicine, urology, anaesthetics with one day a week in a local GP surgery, followed by ENT, acute internal medicine and emergency medicine.

At present I am still very keen on emergency medicine and GP for my future career, however I am excited to explore all opportunities. I have also been grateful to become involved with a charity called The Care Collective which looks at supporting young unpaid carers and have been invited to attend and speak at some local events to raise awareness of young carers in higher education. As you may remember I care for both grandparents, who I am pleased to update you are doing very well!

I would just like to express once again how grateful I am. Without the support you have provided, I may not be in this position. The work you do is incredible, and I am honoured to be a part of it. If there's anything I can help with at all going further, please let me know .

Student B

I have successfully passed my final exam (ISCE) recently and finished in the top quartile of my year group. This was such a relief and means graduation from medical school is getting ever closer as I enter my 5[th] year. This year marks the end of everything I have been working towards and marks the integration and beginning of becoming a doctor. I will be studying at Aneurin Bevan University Health Board for my first placement and then will be going to Bangor for my second placement.

I also have some great news about my research paper from my intercalation degree I conducted last year. It has been published in a peer-reviewed journal and I am very grateful for the opportunity to share my work with others.

None of this would be possible without your continuous support throughout my journey. You have been so generous and kind to me and I cannot thank you enough. Your bursary has made a massive difference in my life and education. It has allowed me to continually focus on my studies and pursue my passions without worrying about the financial burdens which act as a barrier to many students like me. I cannot express my gratitude to you all enough, thank you.

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Thanks to you ….

…NHS CT are able to provide grants to us

As part of the fundraising led by Captain Sir Tom Moore, NHS Charities Together (NHS CT) allocated money for supporting Covid-19 projects across the NHS in the UK to be accessed through individual bodies’ charitable funds; we successfully obtained a grant of £308,000 to be used as described below:

During the pandemic, Aneurin Bevan University Health Board identified a significant unmet need for psychological support for people accessing cancer services. Limited psychological support negatively impacted on people pre-diagnosis (waiting for results), when navigating the system and post treatment. We have also identified that people who are Deaf/hard of hearing are unable to access supportive counselling and people from the LGBTQI+ community are reluctant to attend screening services that could potentially identify a cancer.

The Corridor Walk & Talk

Many nurses and other staff will recognise the “Corridor Walk & Talk”. It is that time when the patient leaves their consultation appointment to go home and while being escorted down the corridor by a member of staff, they ask the questions they were unable to ask during their appointment.

This will be for a number of reasons and it has nothing to do with our levels of education and intelligence; we are unable to process what was heard and recall it due to the stress of the appointment. Sometimes, it is because we are too embarrassed to ask someone to repeat information because we can’t hear or understand what we are being told.

The staff are always on hand to answer the patients concerns and to reassure them, but since the pandemic this corridor walk and talk has been lost. This “service by-product” has encouraged us into talking about the longterm health, psychological recovery and wellbeing of patients, relatives, NHS staff, volunteers and the wider community who have been impacted by COVID-19, leading us to this project.

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Our grant supports this project which primarily focusses on psychological recovery in cancer and screening services through a model of enhanced psychological support (including peer support), patient and staff education, digital inclusion and improved accessibility for vulnerable groups.

This psychological support proposal contains new, exciting and innovative service developments to improve people’s experience (particularly vulnerable groups) and accessibility to both healthcare and psychological support services across primary, community and secondary care. The proposal is aligned to the Aneurin Bevan University Health Boards 3 year Integrated Medium Term Plan which takes a life course approach to population health and wellbeing. The proposal focuses on psychological wellbeing improvements needed following direct patient, relative and staff feedback throughout the COVID 19 pandemic. Predominately, the proposal focuses on cancer and screening services and improved access to psychological support for people who are waiting for a diagnosis / accessing cancer service, people who are Deaf, people who identify as LGBTQI+ and Black and Asian minority ethnic groups.

Thanks to you ….

for fundraising for the new Breast Care Unit

Breast Unit at Ysbyty Ystrad Fawr

Our new Breast Unit is now under construction at Ysbyty Ystrad Fawr, due to be completed in December 2023 with the unit opening early in 2024.

The Unit will bring together diagnostic, treatment and surgical services that are currently spread across three hospitals.

Fundraising has continued especially in the local community. The Mayor of Caerphilly County Borough Council, Elizabeth Aldworth, made the Breast Unit her Charity of the Year.

The balance of the fund is £261,000 at 31[st] March 2023. All money raised will go towards improving the experiences of our patients, both male and female, to ensure they are provided with a calm and dignified environment where they and their families can come to terms with their diagnosis and treatment.

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Thanks to you…

…we can enhance parents accommodation

Dedicated accommodation for parents of Neonatal Intensive Care Unit (NICU) babies at The Grange University Hospital was officially opened this year to help provide added support to families with very poorly babies.

Thanks to you…

…we can enhance the new Oncology Unit at Nevill Hall Hospital

Due to open in early 2025, the Satellite Radiotherapy Centre at Nevill Hall Hospital, Abergavenny is part of a long-term programme to transform cancer services in South Wales by improving access to treatment for those living in the north and east catchment area of Velindre Cancer Centre in Cardiff.

The centre has started to take shape with the construction of the main steel frame, providing a glimpse of the size and scale of the new unit.

Several existing charitable funds will be used to enhance the inside of the unit.

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The Charitable Funds Team

Alison Griffiths – Charitable Funds Manager

Linda Proudman – Charitable Funds Officer

Wendy Keyte – Charitable Funds Officer

Sue Turley–Charitable Funds Officer

The Charitable Funds Team continue to promote charitable funds across the Health Board attending face to face conferences and visiting Charitable Fundholders as well as by Teams.

The Charitable Funds Stand at the Aneurin Bevan University Health Board Dementia Conference at the Christchurch Centre in Newport.

We were delighted to be joined by our Welsh NHS Charities Together representative, Lynne Carney (left) who was shown around by Tanya Strange (right) Head of the Person-Centred Care Team.

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Charity Governance, Audit and Finance

1. Reference and Administrative Details

Charity Name:

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

Charity Working Name: Aneurin Bevan Health Charity

Registered Charity No: 1098728

Address of Charity: Headquarters St Cadoc’s Hospital Lodge Road Caerleon Newport NP18 3XQ

Administration of the Charitable Funds:

The accounting records and the day-to-day administration of the funds are undertaken by:

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

Tel No: 01495 765431 E-mail: Charitable.funds.ABB@wales.nhs.uk

Professional Advisors:

Bankers : National Westminster Bank PLC Government Banking Parklands De Havilland Way Horwich Boulton BL6 4YU Santander Customer Services Centre Bootle Merseyside L30 4GB

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Investment Managers: CCLA Investment Management Limited
1 Angel Lane
London
EC4R 3AB
External Auditors: The Auditor General for Wales
Audit Wales
1 Capital Quarter
Tyndall Street
Cardiff
CF10 4BZ
Internal Auditors: NHS Wales Shared Services Partnership
Audit & Assurance Services
4-5 Charnwood Court
Heol Billingsley
Parc Nantgarw
Cardiff
CF15 7QZ
VAT Advisor: Ernst & Young LLP
The Paragon
Counterslip
Bristol
BS1 6BX
Legal advice Douglas-Jones Mercer Solicitors
For T P Price Estate Axis Court
16 Mallard Way
Swansea Vale
Llansamlet
Swansea
SA7 0AJ
Estate Management NHS Wales Shared Services Partnership
For TP Price Estate: Specialist Estate Services
3rdFloor, Companies House
Crown Way
Cardiff
CF14 3UB
Savills
2 Kingsway
Cardiff
CF10 3FD

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Valuations for The District Valuer 13 Clytha Square: District Valuer Services Ty Rhodfa Ty Glas Road Llanishen Cardiff CF14 5GR

Valuations for Painting: Bonhams

7-8 Park Place Cardiff CF10 3DP

2. Structure, Governance and Management of Charitable Funds

Objects of the Charity

The objects of the charity are as follows:

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

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.

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

Trustee Arrangements

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 2023 were as follows:

Name Designation Dates (if less
than full year)
Executive Directors
Nicola Prygodzicz* Chief Executive From 05/09/2022
Nicola Prygodzicz Director of Planning,
Performance, Digital and IT/
Interim Deputy Chief
Executive		 Until 04/09/2022

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Glyn Jones* Interim Chief Executive Until 04/09/2022
Glyn Jones Deputy Chief Executive From 05/09/2022
to 23/09/2022
Christopher
Dawson-Morris		 Interim Director of Planning
and Performance		 From 05/09/2022
Rob Holcombe * Interim Director of Finance,
Procurement and Value
Based Healthcare		 Until 13/11/2022
Rob Holcombe * Director of Finance and
Procurement		 From 14/11/2022
Dr James Calvert Medical Director Until 23/09/2022
Dr James Calvert Medical Director / Deputy
Chief Executive		 From 24/09/2022
Sarah Simmonds Director of Workforce and OD Full Year
Rhiannon Jones Director of Nursing Until 05/07/2022
Jennifer Winslade Director of Nursing From 08/08/2022
Linda Alexander Interim Director of Nursing From 25/06/22 to
14/08/2022
Peter Carr Director of Therapies and
Health Sciences		 Full Year
Dr Sarah Aitken Director of Public Health and
Strategic Partnerships		 Until 05/01/2023
Dr Chris O’Connor Interim Director of Primary,
Community and Mental
Health Services		 Full Year
Independent Members
Ann Lloyd Chair Full Year
Pippa Britton Interim Vice Chair Full Year
Katija Dew * Independent Member (Third
Sector)		 Full Year
Shelley Bosson Independent Member
(Community)		 Full Year
Louise Wright * Independent Member (Trade
Union)		 Full Year
Richard G Clarke Independent Member (Local
Authority)		 Full Year
Professor Helen
Sweetland		 Independent Member
(University)		 Full Year
Paul Deneen Independent Member
(Community)		 Full Year
Iwan Jones * Independent Member
(Finance)		 From 04/04/2022
Dafydd Vaughan Independent Member
(Digital)		 From 09/05/2022
Vacant (Pippa
Britton’s
Substantive
position)		 Independent Member
(Community)		 Full Year

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Directors in Attendance Directors in Attendance
Leanne Watkins Director of Operations Full Year
Special Advisors to the Board
Phil Robson Special Advisor to the Board Full Year
Associate Members
Keith Sutcliffe * Chair, Stakeholder Reference
Group		 Until 30/11/2022
and vacant
thereafter
Vacant Chair, Health Professionals
Forum		 Full Year
Vacant Director of Social Services Full Year
Director of Corporate Governance
Rani Dash (nee
Mallison)		 Director of Corporate
Governance		 Full Year

Charitable Funds Committee

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:

Membership of the Charitable Funds Committee is as follows:

Name Designation Dates (if less
than full year)
Charitable Funds Committee Members
Katija Dew Independent Member (Third
Sector) Chair		 Full Year
Louise Wright Independent Member (Trade
Union)		 Full Year
Keith Sutcliffe Chair, Stakeholder Reference
Group		 Until 01/11/2022

29

Iwan Jones Independent Member
(Finance)		 From 01/11/2022
Glyn Jones Interim Chief Executive Until 04/09/2022
Nicola Prygodzicz Chief Executive From 05/09/2022
Rob Holcombe Interim Director of Finance,
Procurement and Value
Based Healthcare		 Until 13/11/2022
Rob Holcombe Director of Finance and
Procurement		 From 14/11/2022

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

Name Designation Dates (if less
than full year)
In Attendance
Gwen Kohler Assistant Director of Finance,
Financial Systems & Services		 Until 30/06/2022
Mark Ross Assistant Director of Finance,
Financial Systems & Services		 From 01/07/2022
Estelle Evans Head of Financial Services
and Accounting		 Full Year
Rani Dash (nee
Mallison)		 Director of Corporate
Governance		 Full Year
Bryony Codd Head of Corporate
Governance		 Full Year

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.

Trustee Induction and Training

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.

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

30

Public Benefit

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.

Management of Funds

The Director of Finance is responsible for the day-to-day management and control of the administration of charitable funds and reports to the Charitable Funds Committee. The Director of Finance has responsibility for ensuring that:

Within the charity there are 415 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 4 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.

3. Strategic Objectives & Activities

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.

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

The corporate trustee fulfils its legal duty by ensuring that funds are spent in accordance with the objectives of each fund. The trustee

31

respects the wishes of our generous donors to benefit patient care and advance good health and welfare of patients and staff.

The charity is constituted of 355 unrestricted and designated funds and 64 restricted funds as at 31[st ] March 2023. Material fund details are shown in Note 23 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.

4. Risk Management

The main risks associated with the charity relate to:

Financial Control Risk

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:

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.

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. Financial reports showing the income statement and balance sheet together with analysis of significant

32

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.

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.

Investment Risk

This risk is mitigated by investing in a diversified 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.

5. Reserves Policy

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

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.

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.

Due to the unrealised loss on investments in 2022/23 the reserves held were utilised to mitigate the loss incurred.

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.

The charitable funds reserve value is reviewed annually.

33

6. Grant Making Policy

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

General Funds

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 £106,000. There are also fixed asset valuations totalling £355,500 which includes 2 investment properties (£330,500) and 1 painting (£25,000).

Designated Unrestricted Funds

These consist of donations where a particular part of the hospital or activity was nominated by the donor at the time their 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 £4.069 million.

Restricted Funds

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 £1.239 million.

During the year the charity made grants of £901,000 representing 86% 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.

7. Review of our Finances, Achievements and Performance

The financial statements for 2022-23 are presented at the end of this report.

The net assets of the Charity as at 31[st] March 2023 were £5.770 million (2022 £6.044 million). Overall net assets decreased by £274,000.

Incoming Resources

Incoming resources when comparing against the 2021/22 position were £163,000 higher than the previous year. Donations increased

34

by £19,000, legacies decreased by £24,000, investment income increased by £13,000, grant income decreased by £49,000 and income from charitable activities increased by £204,000.

The charity received five legacies during the year, total value £146,000 (2021-2022 seven legacies, value £170,000).

The charity received four new grants in 2022-2023 totalling £130,000 (2021-2022 no new grants received) of which £94,000 has been carried forward to 2023-2024. Income of £14,000 brought forward from prior years has been released to meet expenditure in the current year.

Expended Resources

Charity expenditure for the year totalled £1,048,000, an increase of £118,000 from the previous year. Expenditure for the year was across several categories as follows:

I. Medical Research

There was no expenditure on medical research in 2022-23.

II. Purchase of Equipment

Total expenditure on equipment was £405,000. This was on a range of varied equipment across the Health Board.

III. Building and Refurbishment

Total expenditure on building and refurbishment was £16,000.

IV. Patients Education and Welfare

Total expenditure on patients’ welfare and amenities was £103,000. This consists of various therapies, seasonal activities, support groups and other items of expenditure to benefit patients.

V. Staff Education and Welfare

Total expenditure on staff education and welfare was £377,000. The main items consist of seminars, training course fees, textbooks, professional journals and related travelling, subsistence and accommodation expenditure.

35

VI. Fundraising Costs

There was only a small amount of expenditure on fundraising costs for the purchase of fundraising buckets and collection boxes for “Dinky Dragons” which is the name of the fundraising group for our Neonatal Intensive Care Unit.

VII. Support Costs

Total expenditure on support costs was £147,000. This includes the audit fee of £19,000 and costs of the charitable funds office and corporate support.

Investment Properties

Investment properties owned by the charity are the T P Price Estate £80,500 and 13, Clytha Square, Newport £250,000.

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

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.

Income from the investment properties was £16,000 (2021-2022 - £16,000).

Investments on the Stock Exchange

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.

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.

Details of the investments (including cash held as part of the investment portfolio) and investment performance for 2022-2023 are shown in the table below:

36

Investment Performance 2022-23
CCLA
£000
Balance 1 April 2022
5,484
Acquistions
0
Disposals
0
Movement of Cash
0
Realised Gains/(Loss)
0
Unrealised Gains/(Loss)
(382)
Balance 31 March 2023
5,102
Income
173
Gains/(Loss) %
-7.22%
Returns %
3.27%

Other Investments

“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.

8. Key Achievements

Funding

The charity supported many bids from across the organisation from its general funds and via the 415 delegated charitable fund accounts This support significantly enhanced services for the patients and staff in the Aneurin Bevan University Local Health Board.

Charitable Funds Strategy

Progress on streamlining funds has continued throughout the year.

Fundraising

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

Investment Management

CCLA continue to provide investment management services to the charity following a competitive retendering exercise in year. We continue to invest in their ethical investment fund.

37

Governance Arrangements

The accounts and trustees annual report have always been produced on time with unqualified audit opinions and filed on time with the Charities Commission.

9. Plans and Objectives for the Future

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.

Other objectives for the forthcoming year are to:

10. Events since the Year End

Equity markets made progress overall during the period. However, these gains have been very narrowly based with a handful of names, mainly in information technology, enjoying exceptionally strong returns for the first half of the calendar year while the majority of stocks and sectors have struggled to maintain earnings in the face of inflationary pressures.

Bond markets, meanwhile, fell back slightly as central banks continued to tighten monetary policy.

38

In alternative sectors such as property and infrastructure, the higher yield environment continued to suppress asset valuations although income returns have generally remained sound.

39

Approved on behalf of the Corporate Trustee

Ann Lloyd CBE Chair Aneurin Bevan University Local Health Board

Date:

40

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2022-23

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 2023 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 2022-23

Statement of Financial Activities for the year ended 31 March 2023

Unrestricted
funds
Note
£000
Incoming resources from generated funds:
Donations, legacies and grants
4
418
Charitable activities
5
330
Investments
7
161
Total incoming resources
909
Expenditure on:
Raising Funds
8
10
Charitable activities
9
811
Total expenditure
821
Net gains / (losses) on investments
16
(286)
Net income / (expenditure)
(198)
Transfers between funds
22
(73)
Net Movement in funds
(271)
Reconciliation of Funds
Total Funds brought forward
23
4,802
Total Funds carried forward
4,531		 Restricted
Income
funds
£000
196
0
39
235
0
227
227
(84)
(76)
73
(3)
1,242
1,239		 Total
Funds
2022-23
£000
614
330
200
1,144
10
1,038
1,048
(370)
(274)
0
(274)
6,044
5,770

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
Restricted
Income
funds
£000
269
0
38
307
0
206
206
38
139
0
139
1,103
1,242		 Total
Total
Funds
2021-22
£000
668
126
187
981
8
922
930
577
628
0
628
5,416
6,044

Page 2

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2022-23

Balance Sheet as at 31 March 2023

Unrestricted
funds
Note
£000
Fixed assets:
Investments
16
4,194
Total fixed assets
4,194
Current assets:
Debtors
17
204
Cash and cash equivalents
18
397
Total current assets
601
Liabilities:
Creditors: Amounts falling due within one year
19
264
Net current assets / (liabilities)
337
Total net assets / (liabilities)
4,531
The funds of the charity:
Restricted income funds
23
0
Unrestricted income funds
23
4,531
Total funds
4,531		 Restricted
Income
funds
£000
1,263
1,263
24
130
154
178
(24)
1,239
1,239
0
1,239		 Total
31 March
2023
£000
5,457
5,457
228
527
755
442
313
5,770
1,239
4,531
5,770		 Total
31 March
2022
£000
5,827
5,827
231
373
604
387
217
6,044
1,242
4,802
6,044

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

Approved by the Trustees on 24 January 2024 and signed on its behalf by:

Signed : ....................................................................................

Name : .............................................................. (Chair of Trustees)

Page 3

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2022-23

Statement of Cash Flows for the year ending 31 March 2023

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
2022-23
£000
(46)
200
0
200
154
373
527		 Total
Funds
2021-22
£000
(52)
187
0
187
135
238
373

Page 4

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2022-23

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 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.

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2022-23

(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.

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2022-23

(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 2022-23

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 2022/23 accounts.

As at 31st March 2023, there is no other information to show that assets/liabilities would need to be materially adjusted during 2023/24.

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:

2022-23 2022-23 As at 31st March 2023 As at 31st March 2023
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 1,048 24 144 31

The Corporate Trustee has interests in related parties as follows:

Member Related Organisation Relationship with
Related Party		 2022-23 2022-23 As at 31st March 2023 As at 31st March 2023
Expenditure
to related
party		 Income
from
related
party		 Amounts
owed to
related
party		 Amounts
due from
related
party
£000 £000 £000 £000
Glyn Jones Welsh Ambulance Trust Sister is Project Manager 0 21 0 0
Katija Dew Newport Live Trustee 1 0 0 0
Richard Clark Torfaen County Borough
Council		 Elected Member,
Executive Portfolio holder
(Education) and Deputy
Leader
0		 0 0 0
Iwan Jones Swansea Bay Health
Board		 Sister is Assistant
Finance Director		 4 2 0 2

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.

The value of transactions with Torfaen County Borough Council were less than £500 and therefore round to £0 in the above table.

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2022-23

3. Related party transactions (continued)

In 2021-22 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 had 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.

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2022-23

4. Income from donations, legacies and grants

Donations
Legacies
Grants		 Restricted
Total
Total
Unrestricted
Income
2022-23
2021-22
funds
funds
£000
£000
£000
£000
418
0
418
399
0
146
146
170
0
50
50
99
418
196
614
668

5. Income from charitable activities

Restricted Total Total
Unrestricted Income 2022-23 2021-22
funds funds
£000 £000 £000 £000
Course income 219 0 219 101
Other income 111 0 111 25
330 0 330 126

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		 Unrestricted
funds
£000
153
8
161		 Restricted
Income
funds
£000
37
2
39		 Total
Total
2022-23
2021-22
£000
£000
190
187
10
0
200
187

Page 10

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2022-23

8. Analysis of expenditure on raising funds

Fundraising office
Fundraising events
Investment management
Support costs		 Unrestricted
funds
£000
0
0
0
10
10		 Restricted
Income
funds
£000
0
0
0
0
0		 Total
Total
2022-23
2021-22
£000
£000
0
0
0
3
0
0
10
5
10
8

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
0
Purchase of new equipment
405
Building and refurbishment
16
Staff education and welfare
377
Patient education and welfare
103
901		 Support
costs
£000
0
62
2
57
16
137		 Total
Total
2022-23
2021-22
£000
£000
0
3
467
397
18
36
434
262
119
224
1,038
922

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.

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2022-23

11. Movements in funding commitments

Opening balance at 1 April
Movement in funding commitments
Closing balance at 31 March 2023		 Current
liabilities
£000
274
289
563		 Non-current
liabilities
£000
0
0
0		 Total
31 March
2023
£000
274
289
563		 Total
31 March
2022
£000
406
(132)
274

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
1
6
7
3
3
10
Unrestricted
funds
£000
10
105
115		 Charitable
activities
£000
18
67
85
52		 Total
2022-23
£000
19
73
92
55
55
147
Total
Funds
2022-23
£000
10
137
147		 Total
2021-22
Basis
£000
16
Average fund balance
65
Average fund balance
81
58
Average fund balance
58
139
Total
Funds
2021-22
£000
5
134
139
52
137
Restricted
Income
funds
£000
0
32
32

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 £167,563 (2021-22: £200,198) for these services.

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2022-23

15. Auditors remuneration

The auditors remuneration of £18,761 (2021-22: £16,314) 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 2023		 Investment
Properties
£000
318
0
0
12
0
330		 Investments
Listed
on Stock
Exchange
£000
5,484
0
0
(382)
0
5,102		 Cash
Held in
Investment
Portfolio
£000
0
0
0
0
0
0		 Other
Assets
£000
25
0
0
0
0
25		 Total
Total
2022-23
2021-22
£000
£000
5,827
5,250
0
0
0
0
(370)
577
0
0
5,457
5,827

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 is the risk that the charity does not have sufficient available resourcs to enable it to meet its obligations as they fall due. The vast majority of expenditure is funded from donations and legacies and therefore the Charity is not exposed to significant liquidity risk. The Charity also holds around 6 months of expenditure in its cash balance to cover any short term fluctuations and holds a reserve to protect against any fluctuations in the value of investments. Investments can be converted into liquid cash easily and with short notice.

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2022-23

17. Analysis of current debtors

Debtors under 1 year
Accrued income
Trade Debtors
Prepayments		 Total
31 March
2023
£000
144
62
22
228		 Total
31 March
2022
£000
71
133
27
231

18. Analysis of cash and cash equivalents

Current Accounts
Petty Cash		 Total
31 March
2023
£000
526
1
527		 Total
31 March
2022
£000
372
1
373

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
2023
£000
246
181
15
442		 Total
31 March
2022
£000
259
125
3
387

20. Analysis of Deferred Income

Grant Income
Other Income		 Total
1 April
2022
Deferred
Released
£000
£000
£000
84
96
(16)
41
17
(41)
125
113
(57)		 Total
31 March
2023
£000
164
17
181

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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2022-23

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
2022-23
2021-22
£000
£000
(274)
628
370
(577)
(200)
(187)
3
(43)
55
127
(46)
(52)

22. Transfer between funds

Transfers have been actioned between Unrestricted funds during 2022/23 to streamline the number of funds in line with the Charitable Funds Committee plans to merge and reduce the number of Charitable Funds.

In addition, centrally held reserves were transferred across all funds to partially offset the loss on investments allocated to each fund.

23. Analysis of funds

a. Analysis of restricted fund movements

Royal Gwent Coronary Care Legacy
ABUHB Calcraft Legacy Fund
Royal Gwent Childrens Ward Legacy
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 - 55 restricted designated funds		 Balance
1 April
2022
£000
116
100
150
100
75
75
61
61
52
452
1,242		 Income
£000
55
13
4
3
3
2
2
2
2
149
235		 Expenditure
£000
(29)
(3)
(47)
(16)
(3)
(6)
(2)
(2)
(1)
(118)
(227)		 Transfers
£000
6
6
8
6
4
4
4
4
3
28
73		 Gains
Balance
and
31 March
losses
2023
£000
£000
(7)
141
(6)
110
(9)
106
(7)
86
(5)
74
(5)
70
(4)
61
(4)
61
(4)
52
(33)
478
(84)
1,239

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 2022-23

23. Analysis of funds (continued)

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

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 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 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 55 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 2022-23

23. Analysis of funds (continued)

b. Analysis of unrestricted and material designated fund movements

Balance
1 April
2022
£000
ABUHB Breast Centre
236
Royal Gwent Property, 13 Clytha Square
250
The Care Project
44
St Woolos Springfield Fund
111
ABUHB Charitable Funds Committee
399
Royal Gwent Casting Techniques Course
103
Nevill Hall Voluntary Body
95
ABUHB Covid-19
101
Royal Gwent Post Grad Eye
88
ABUHB Employee Well Being Service
86
Royal Gwent Property, TP Price
68
Nevill Hall Oncology Rehabilitation
76
ABUHB Volunteering (Corporate)
58
Royal Gwent Breast Care Unit
72
Monmouth Chippenham Community Nurses
72
ABUHB Person Centred Care Fund
83
Grange Critical Care Unit
83
ABUHB Ffrind I Mi Volunteer Service
83
Royal Gwent Prostate Cancer Fund
62
ABUHB Media Fund
0
ABUHB Post Graduate Fund
107
ABUHB Rheumatology
58
Nevill Hall Windsor Suite
52
Ysbyty Ystrad Fawr Adult Medicine
55
Other - 331 unrestricted designated funds
2,360
4,802		 Income
£000
33
0
143
4
101
24
42
4
4
39
0
3
17
2
2
4
7
2
2
65
5
2
4
2
398
909		 Expenditure
£000
(6)
0
(67)
(3)
(57)
(22)
(42)
(13)
(2)
(40)
0
(2)
(3)
(3)
(7)
5
(25)
(20)
(1)
(3)
(49)
(1)
(2)
(4)
(454)
(821)		 Transfers
£000
15
0
6
7
(307)
6
4
6
5
5
0
4
4
4
4
(21)
4
4
3
0
5
3
3
3
160
(73)		 Gains
and
losses
£000
(17)
0
(7)
(8)
(30)
(7)
(5)
(6)
(6)
(6)
13
(5)
(5)
(5)
(5)
(6)
(4)
(5)
(3)
0
(6)
(4)
(3)
(4)
(152)
(286)		 Balance
31 March
2023
£000
261
250
119
111
106
104
94
92
89
84
81
76
71
70
66
65
65
64
63
62
62
58
54
52
2,312
4,531

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 2022-23

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

Page 18

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2022-23

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 2023 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.

Page 19

Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2022-23

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 2022-23

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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Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities Accounts 2022-23

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

The maintenance and integrity of the Aneurin Bevan University Local Health Board website is the responsibility of the Health Board. The work carried out by the auditor does not involve consideration of these matters and, accordingly, the auditors accept no responsibility for any changes that may have occurred to the Statement of Accounts since they were initially presented on the website.

Page 22

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

Audit year: 2022-23 Date issued: January 2024 Document reference: [the Publishing team assigns this]

Purpose of this document

This document is a draft supplied in confidence solely for the purpose of verifying the accuracy and completeness of the information contained in it and to obtain views on the conclusions reached.

Handling prior to publication

This document and the copyright comprised therein is and remains the property of the Auditor General for Wales. It contains information which has been obtained by the Auditor General and the Wales Audit Office under statutory functions solely to discharge statutory functions and has been prepared as the basis for an official document that may be issued or published in due course. It may also contain information the unauthorised disclosure of which may be an offence under section 54 of the Public Audit (Wales) Act 2004. Except as expressly permitted by law, neither the document nor any of its content may be reproduced, stored in a retrieval system and/or transmitted in any form or by any means, or disclosed to any person other than the original recipient without the prior written permission of the Wales Audit Office. It must be safeguarded at all times to prevent publication or other improper use of its content. Unauthorised use or disclosure may result in legal proceedings. Any enquiries regarding disclosure or re-use of this document should be sent to the Wales Audit Office at infoofficer@audit.wales.

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 4
Recommendations 5
Appendices
Appendix 1 – Final Letter of Representation 6
Appendix 2 – Proposed Audit Report 9
Appendix 3 – Summary of Corrections Made 13

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Audit of Accounts Report

Introduction

Proposed audit opinion

Significant issues arising from the audit

Uncorrected misstatements

Page 4 of 14 - Audit of Accounts Report – Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities

Corrected misstatements

Other significant issues arising from the audit

Recommendations

Page 5 of 14 - Audit of Accounts Report – Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities

Appendix 1

Final Letter of Representation

[Audited body’s letterhead]

Auditor General for Wales Audit Wales 1 Capital Quarter Tyndall Street Cardiff CF10 4BZ

[Date]

Representations regarding the 2022-23 financial statements

This letter is provided in connection with your audit of the financial statements of Aneurin Bevan University Health Board Charitable Fund and Other Related Charities for the year ended 31 March 2023 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 individually and in the aggregate, to the financial statements taken as a whole.

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Representations by [insert name of those charged with governance]

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 [insert date].

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: Date:

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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 2023 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

Page 9 of 14 - Audit of Accounts Report – Aneurin Bevan University Local Health Board Charitable Fund and Other Related Charities

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:

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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:

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 1 Capital Quarter Auditor General for Wales Tyndall Street [Date] Cardiff CF10 4BZ

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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 1: summary of corrections made

Value of correction Nature of correction Reason for correction
£100,000 Closing balance of
Note 11. Movements in
Funding Commitments to
be reduced by £100,000.		 Closing balance of
funding commitment
was overstated by
£100,000.
£26,000 Opening balance of an
unrestricted fund (ABUHB
Person Centred Care
Fund) to be increased by
£26,000 and transfers for
the fund to be decreased
by £26,000. Other funds
opening balance to be
decreased by £26,000 and
transfers to for other funds
to be increased by
£26,000.		 Transfer between
unrestricted funds was
made but not disclosed
in the Note 23b.
Various Annual Report Incorrect figures
disclosed in the Annual
Report for investment
property values,
designated unrestricted
funds and support costs.

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Audit Wales

Tel: 029 2032 0500 Fax: 029 2032 0600 Textphone: 029 2032 0660

E-mail: info@audit.wales Website: www.audit.wales We welcome correspondence and telephone calls in Welsh and English. Rydym yn croesawu gohebiaeth a galwadau ffôn yn Gymraeg a Saesneg.

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