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2023-03-31-accounts

Harlington Hospice Association Limited Annual Report and Financial Statements 1[st] April 2022 to 31[st] March 2023

Registered Charity in England & Wales Number 1099332 Company Number 04199504

Contents

Contents

Reference and administrative information ................................................................................................. 3 Trustees’ Annual Report year ended 31[st] March 2023 ............................................................................ 5 Beneficiaries of our services ....................................................................................................................... 6 Priorities ........................................................................................................................................................... 6 Achievements and performance ................................................................................................................. 7 Outputs - Activity data ................................................................................................................................ 17 Contribution of volunteers ........................................................................................................................ 18 Measurements of success ......................................................................................................................... 19 Significant events that have affected our performance .................................................................... 23 Looking Forward: priorities for improvement in 2023-2024 ............................................................. 24 Longer term development plans .............................................................................................................. 26 Public Benefit Statement ........................................................................................................................... 26 Financial review ........................................................................................................................................... 27 Income ............................................................................................................................................................ 27 Expenditure .................................................................................................................................................... 28 Reserves ......................................................................................................................................................... 28 Trustee induction and training ........................................................................................................ 33 Staff and delegated responsibilities .............................................................................................. 34 Pay policy for senior staff ............................................................................................................... 34 Related parties and relationships with other organisations ........................................................ 34 Statement of responsibilities of the Trustees .............................................................................. 35 In so far as the Trustees are aware ............................................................................................... 35 Independent auditor’s report ..................................................................................................... 37 Statement of financial activities (incorporating an income and expenditure accoun t ........... 42 Balance sheet .............................................................................................................................. 43 Statement of cash flow ............................................................................................................... 44 Notes to the financial statements .............................................................................................. 45

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Reference and administrative information

Company number 04199504

Country of incorporation United Kingdom
Charity number 1099332
Country of registration England & Wales
Registered office and Lansdowne House
operational address St Peter's Way
Harlington
Middlesex
UB3 5AB
Operating address for Mount Vernon Hospital
Michael Sobell House Rickmansworth Road
Northwood
HA6 2RN
Trustees The Trustees - who are also directors under company law -
who served during the year and up to the date of this report
were as follows:
Carol Coventry, (Resigned as Chair December 2023)
Michael Breen (Appointed August 2022, Appointed Vice-Chair
February 2023, Appointed Chair December 2023)
Matthew (Sean) Fitzpatrick, Company Secretary (Resigned
December 2023)
Vanessa Avlonitis
Michael Edwards
John McDonnell MP
Brian Neighbour (Resigned April 2022)
Caroline Morison (Appointed November 2022)
Margaret Roberts (Resigned October 2023)
John Sandercock (Appointed August 2022)

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Key management William (Steve) Curry, Chief Executive
personnel Sara Ryan, Director of Clinical Services
Ros Taylor, Medical Director
Clare Miles, Director of Finance (Resigned May 2023)
Vanessa Harrison, Director of Finance (From November 2023)
Cath Coles, Interim Director of Fundraising & Communications
(From December 2022 to October 2023)
Lauren Kemp, Director of Fundraising & Communications (From
October 2023)
Bankers NatWest
6 Coldharbour Lane
Hayes
Middlesex UB3 3EL
Solicitors Tozers LLP
Broadwalk House
Southernhay West
Exeter
Devon
EX1 1UA
Keelys Solicitors
28 Dam Street
Lichfield
Staffordshire
WS13 6AA
Auditors Sayer Vincent LLP
Invicta House
108-114 Golden Lane
London
EC1Y 0TL

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Trustees’ Annual Report year ended 31[st] March 2023

The Trustees present their report and the audited financial statements for the year ended 31[st] March 2023.

The reference and administrative information set out on page three forms part of this report. The financial statements and memorandum and articles of association comply with both current statutory requirements and the requirements of a director’s report as required under company law. They are also in compliance with the Statement of Recommended Practice - Accounting and Reporting by Charities: SORP applicable to charities preparing their accounts in accordance with FRS 102.

Our purpose, vision and values

Our purpose

To support those in our community living with serious or terminal illness to live each of their days in their own way, to the fullest.

Our vision

Where everyone living with serious or terminal illness is treated as an individual and supported to live with their illness in a positive way.

Our values

Summary of our main activities in relation to our charitable objectives

We support people with serious or terminal illness across the London Borough of Hillingdon and surrounding areas through our six key pillars of care:

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Beneficiaries of our services

The services provided by Harlington Hospice are accessible to any adult nearing the end of life, in receipt of palliative care, living with dementia or another serious or terminal illness, or who is a carer providing unpaid support to a friend or family member with one of those conditions. Additionally, we provide bereavement therapy services for children and young people from four to 17 years old and subcontract a bereavement counselling service for adults through Hillingdon Mind.

Our services are mainly provided to adults and young people who live in the London Borough of Hillingdon or are registered with a GP in the Borough. Where there is capacity, we also support patients and families from adjacent boroughs in North West London and Hertfordshire. A small domiciliary care and respite service is also available to family carers in the London Borough of Hounslow.

Our services are widely accessible through GPs, community health services, hospital teams and partnering third sector organisations, as well as self-referral.

Priorities

Priorities identified by Trustees for year ended 31[st] March 2023

The Trustees are still working towards the objectives set in November 2020 – these are outlined below together with the success of each key activity. Regularly reviewing these helps the Trustees ensure the charity's aims, objectives and activities remain focused on its stated purposes.

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and the Michael Sobell Hospice Charity in December 2022 was a major step forward to achieving this objective. After four years of successful collaboration, merger has allowed us to reduce back office costs and join up the dedicated clinical teams from Harlington Hospice and Michael Sobell House with the experienced fundraising team from the Michael Sobell Hospice Charity . This increase in resources and expertise means we are now even more efficient in our day to day work and can be there for generations to come.

This year, the Trustees also launched a major review of all the charity’s activities and funding in order to increase our capacity and reach across the London Borough of Hillingdon in the future.

Achievements and performance

The charity's main activities are described below. All our charitable activities focused on the relief of sickness and suffering for people living with or alongside a serious or terminal illness.

Inpatient Unit at Michael Sobell House

The Inpatient Unit (IPU) at Michael Sobell House has been the only inpatient hospice care service in the London Borough of Hillingdon since it opened in February 1977. Since January 2020 and over the past year Harlington Hospice as been the clinical provider in the IPU and in December 2022 the IPU and Michael Sobell House became one of six key pillars of care at Harlington Hospice.

It is a ten bedded Inpatient Unit with a full multidisciplinary team comprising of doctors, nurses, healthcare assistants, rehabilitation and complementary therapists, psychotherapeutic and chaplaincy services. This team provides responsive and compassionate palliative and end of life care to people with complex symptoms and who require emotional support, with the aim of discharging them back home. They also care for people in their last days and hours of life.

In the year, the IPU supported a 24/7 consultant led advice line for clinicians and the public. We worked collaboratively with all other local palliative teams to ensure care was in the right place at the right time for local people. The team can stretch to twelve beds if needed, but generally uses ten.

As part of the care provided to patients staying at the IPU, the multidisciplinary team work to ensure they are supported to explore their aspirations and, where possible, these were

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carried out. For example, staff supported patients and families with several weddings, a very special trip to Disneyland Paris, a successful pilgrimage to Mecca (with a readmission back to Michael Sobell House on return), virtual reality experiences, and pony visits to the House. We also continued to support patients by taking their beds/wheelchairs outside to enjoy our glorious gardens, which are so well cared for by our weekly team of volunteer gardeners.

Over the past year, we maintained sufficient capacity to enable admissions seven days a week, often admitting patients the same day as we received their referral. We received 275 referrals to the Inpatient Unit and supported 186 patients with 198 admissions (some patients had multiple admissions). We analysed the situation of those who were referred and not admitted; this was very rarely because we had a waiting list, but usually because patients were referred very late, were too poorly to transfer, were admitted elsewhere or chose to stay where they were.

The responsiveness of the Inpatient Unit Team remained crucial in the local health economy, working closely with the local hospital and community palliative care teams. Over 70% of admissions were the same or next day, indicating a rapid response to local needs and a better palliative outcome for patients. The hospice contributed to patients being cared for in their preferred place of care in over 85% of cases.

This service was funded by NHS contracts and charitable income.

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Hospice at Home

Through our Hospice at Home Team of Registered Nurses and specialist trained Healthcare Assistants, we provided palliative support and health care to people in their own home during the last months and weeks of life. This support was tailored to each individual’s needs and those of their family members. As the service is provided overnight, this also allowed family members who had been caring for someone to have respite, and therefore be in a better place to provide support the following day.

The Hospice at Home Team also continued to support the Rapid Response and Discharge Teams by providing up to three nights’ support for local people and their carers to facilitate safe discharges from hospital.

During the year we received 222 referrals and supported 173 patients and their families. We provided a total of 1,127 night sits.

This service was funded by a combination of NHS contract and charitable income.

Wellbeing

Our Wellbeing Services (previously our Day Care Service) at Lansdowne House and Michael Sobell House involved offering complementary therapies (including massage and reiki), creative arts, and rehabilitation (including physiotherapy and occupational therapy). The COVID-19 pandemic meant we had to change the way we offered these services to best suit those we support, and the post pandemic period presented additional new challenges.

We ran face to face Creative Art sessions, as well as exercise and relaxation groups with the option of one to one support at either Michael Sobell House or the patient’s home. Our Occupational Health team also supported patients by ordering any equipment which would enable them to return home from the IPU, or for outpatients to ensure their safety. 780 patients were supported by the Wellbeing Service.

Our Physiotherapy, Occupational Health, and Complementary Therapy Teams offered home visits, which enabled us to reach the patients who were unable to attend either of our Hospice sites. This project was funded by charitable income.

Our Complementary Therapists also delivered a variety of therapies in our IPU and at outpatient appointments. 411 patients were supported. This project was funded by contractual income.

In the future, we plan to offer the same groups and support across both our Michael Sobell House and Lansdowne House sites in order to deliver equitable services across the Borough.

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Digital Wellbeing Hub

We continued to meet on a regular basis to progress our Digital Wellbeing Hub – an online resource for the residents of Hillingdon to access wellbeing support and Advanced Care Planning guidance. The Hub will be live in mid 2023/24.

This project was funded by charitable income.

Dementia support

In contrast to the previous year, we were able to re-introduce face to face dementia support sessions. These included:

This project was funded by charitable income.

Carer support

Our Medical Director and Nurse Consultant facilitated a three part psychoeducational course for carers, to coach and train them in supporting someone close to them towards the end of life. An average of six carers attended each session. Additionally, we continued to offer extensive informal carer support to families and friends inside Michael Sobell House, which was evaluated highly.

Comments included:

“A really excellent workshop. The best I’ve attended so far. A variety of new techniques to employ and each of which I’ll try to use again in my own life.”

“I felt I had personal space for the first time in a long time. I felt much calmer after the session and every element contributed to this. I felt my wellbeing mattered – something I very often forget. I also felt uplifted.”

“Just want to say thank you for providing these courses for us carers, I take it as my ‘me time’. I generally can’t relax so this really helps.”

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We provided the following carer support services and courses on behalf of Hillingdon Carers Partnership:

The carer support service and courses were provided by Harlington Hospice on behalf of Hillingdon Carers Partnership within a London Borough of Hillingdon contract.

Lymphoedema Clinics

Based at both Lansdowne House and Michael Sobell House, last year we ran the largest lymphoedema clinic in the London Borough of Hillingdon. Lymphoedema is a long-term (chronic) condition that causes swelling in the body’s tissues. It can affect any part of the body, but usually develops in the arms or legs. We also treated patients with Lipedema (an abnormal build up of fat in the legs and sometimes arms). These conditions can be very painful and affect daily life.

Our team treated both primary and secondary lymphoedema patients, working closely with the Tissue Viability Team, District Nursing, GP Services and Community Palliative Care Teams. Home visits and group wellbeing sessions - such as Tripudio classes and ‘Legs 11’, a monthly drop-in session - were also part of the service.

Our outpatient lymphoedema services ran at full capacity for the first time since the COVID-19 pandemic and provided patients with a wider choice of locations for their appointments.

The Lymphoedema Team received 141 referrals, supported 289 patients and provided 1,352 sessions via outpatient appointments and home visits.

This service was funded through an NHS contract.

Psychological & Emotional Support

Adult Psychological Support Service

Our Adult Psychological Support Service includes a Palliative Psychotherapy Team who have supported adults living with a serious or terminal illness, and those close to them, since January 2021.

Palliative Psychotherapy sessions are offered following a referral for patients or family/carers affected by a serious or terminal illness in the last year of life. This service was provided 1.5 days a week, reduced from two days the previous year. Unlike Patient and Family Support, sessions were scheduled regularly and in advance and usually took place in the home. Due to COVID-19, a significant number had been conducted by phone or video call, but since the end of the second lockdown, all patients and carers were offered face to face sessions. Nearly all those seen at home also received community

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palliative support, so there was a high level of multi-professional liaison; with Clinical Nurse Specialists and Palliative Consultants as well as specialist support, where necessary, from the Psych-Oncology and Palliative Care Clinical Psychology teams. Where the patient was experiencing complex grief or was deemed to be at risk of developing it, sessions continued post bereavement.

The Palliative Psychotherapy team delivered 281 sessions to 27 patients or carers.

Our Adult Psychological Support Service also offered free counselling to adults in our community who had, or were living alongside, a serious or terminal illness. This service was available to patients using our other hospice services and those close to them who may be coming to terms with their friend or family member’s illness. The service also supported people caring for someone with a diagnosis of dementia.

26 clients received counselling support with the average number of sessions being seven and a total of 191 sessions delivered.

This service was funded by charitable income.

Child & Adolescent Bereavement Service (CABS)

Our CABS service supported children and young people, aged four to 17 years old, whose parent/carer, sibling or other significant person had died. The service also supported families with end of life care in the pre-bereavement stage and facilitated conversations around death and dying. This included working with schools and other professionals who were involved in the child or young person’s care. This was delivered by offering free individual and group art therapy sessions for young people, as well as family sessions, parent support groups and creative workshops.

The service also provided support at Michael Sobell House, increasing the accessibility of the service for children and young people in the north of the Borough and supporting children, young people, and their families with difficult conversations around death and dying.

In November 2022 the CABS team attended the Hospice UK Annual Conference 2022 with their research project ‘Neurodiversity and grief’ and won the overall poster for research. The poster and themes of practice were then featured on the Hospice UK website about innovation in hospice care.

In March 2023, the CABS team ran the first in a series of groups for the parents of children and young people living with neurodiversity. Funded by the National Lottery Community Fund, the groups were received positively by parents who attended.

The service also had its first successful student placement for Art Psychotherapy from Goldsmiths University London and will welcome two student placements in September 2023.

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Our CABS Team supported 110 children and young people through 610 therapy sessions. This service was funded by charitable income.

Patient and Family Support

Patient and Family Support was provided to patients and carers within the Inpatient Unit 3.5 days a week. High intensity psychotherapy, psychological and emotional support were delivered on demand and where the need arose. 129 patients and family members were supported over 514 sessions. As most patients were very ill, psychological and emotional support sessions ranged from 20 minutes to an hour. Some sessions were shorter, but were also generally much more frequent - often daily. The youngest patient was 29, the oldest 96. The average age of a patient at Michael Sobell House was 58. This average is significantly lower than last year (66) reflecting a large number of younger patients. This may be due to the global pandemic, delayed diagnosis and/or access to treatment. Face to face sessions took place in the Inpatient Unit with 80 patients and 49 family members.

This service was funded by charitable income.

Counselling for bereaved adults

Harlington Hospice commissioned Hillingdon Mind to run this service, which was subcontracted through their existing counselling service. It was available to adult clients who were experiencing a bereavement following the death of someone close to them.

This service was funded by an NHS contract.

Education & Information

Over this year, the charity continued to develop a diverse and creative education programme on palliative and end of life care for staff, healthcare professionals and carers - with attendances from our own staff, plus many from the wider North West London system.

Palliative Care Bites Open Lecture Series

328 healthcare professionals registered to attend these sessions over the year. Delivered online, the Palliative Care Bites Series grew from strength to strength, was disseminated more widely and offered free monthly training - from recognised national speakers - on different aspects of palliative and end of life care. Topics included bedside vigils, complex case studies, sepsis, wound care and an update on cancer immunotherapy.

Project ECHO

Project ECHO is an interactive methodology sharing specialist knowledge with generalists. We completed five ECHO sessions during the year, with ambulance clinicians from the London Ambulance Service (LAS). Topics included Recognising Dying, Emergencies at the End of Life, Ethical Dilemmas, Symptom Control at Home and Communication Difficulties.

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These were highly evaluated and LAS commissioned six more sessions, accompanied by 22K funding, to be delivered in 2023/24.

Lunch and Learn

These are internal interactive updates for Harlington Hospice staff, focused on the sharing of expertise and service information. Lunch and Learn topics included Reflections on Deaths in the Hospice, updates on the Medical Examiner Service, a review of a visit to the Brighton Death Festival, and a briefing on brain tumours.

Placements for healthcare professionals

We continued to support three GP Registrars on the Hillingdon GP Training Programme with six-month placements. Their time at the hospice was extremely well evaluated and all three have gone on to complete the European Certificate in Palliative Care.

We continued to offer placements to Hillingdon paramedics via the London Ambulance Service, as well as 18 student nurses and medical students. Other adhoc requests included the Medical Examiner Officer and local students requesting work experience prior to applications to medical school.

HPAL website (https://hpal.medindex.co.uk)

This a unique education and information tool, funded by the charity and developed by our Medical Director in collaboration with award winning London GP, Dr Poppy Freeman. The site was radically transformed in 2022/23 to include a palliative service directory for each of the eight boroughs in North West London. The site provides accessible and essential information on a wide range of topics for clinicians and family carers and both traction and national interest in the site increased during the year.

Training for carers

Our Medical Director and our Nurse Consultant continued to facilitate a psycho-educational course for carers. This was delivered in collaboration with Carers Trust Hillingdon and helped to coach and train a total of 52 carers in how they can support their family members as they are nearing the end of life.

External presentations and posters

Our Medical Director and Nurse Consultant contributed to numerous local, national and international conferences during the year. This included both of them presenting at the International Palliative Care Congress in Montreal in October 2022.

Our Medical Director was also a Commissioner and author on the Lancet Commission on the Value of Death, published in January 2022, leading to several national presentations on the Commission themes. Several presentation opportunities were accepted to national conferences; our CABS work on neurodiversity won the research prize at the Hospice UK Conference and the Project ECHO initiative with London Ambulance Service was shared at the Palliative Congress in Edinburgh.

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Harlington Care

Our social care support service, known as Harlington Care, provides a comprehensive domiciliary care service in the home. This includes more advanced care tasks for people with complex health and social care needs. A contracted service also provides respite care to carers across the London Borough of Hillingdon and includes an additional respite service in the neighbouring Borough of Hounslow.

In 2022/2023 Harlington Care delivered 6,800 hours of respite care in Hounslow and 9,000 hours in Hillingdon. Some of the changes made during the COVID-19 pandemic have now remained as standard practice. We increased the maximum number of respite hours in Hillingdon; these were set four per week, but were increased to support clients with health appointments, so this did not affect their normal respite support. They were also increased where there had been a significant decline to the health or medical condition of the carer, or the person being supported by them, and where no additional support from other services was available.

In December 2021, our Harlington Care service underwent a full Care Quality Commission (CQC) inspection and was rated ‘Good’ in all five domains (safe; effective; caring; responsive to people's needs; and well-led).

This service was funded by the London Borough of Hillingdon, Hestia, Hillingdon Carers, and client fees.

Hayes Cottage Nursing Home and Parkfield Nursing Home

Once again, our nursing and therapy staff supported patients in continuing healthcare beds (known as Primrose Beds) at Hayes Cottage Nursing Home in Hayes. In November 2022, we also introduced this concept to Parkfield Nursing Home in Uxbridge. This support incorporated aspects of hospice care into both Nursing Homes, including physiotherapy and rehabilitation, complementary therapies, pastoral support, psychological support, and senior end of life nursing care. We are proud that the work of our teams at both Hayes Cottage and Parkfield Nursing Home increased the total amount of hospice care available to local people in the Borough.

For Primrose beds at both Hayes Cottage and Parkfield Nursing Homes we had 44 referrals with 32 admissions.

This service was funded by a combination of NHS contracts.

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Partnerships and collaborative working

Over the past year we have continued to influence developments in palliative care within health and social care planning in our area. This has been through our partnership work within the integrated care partnership known as Hillingdon Health and Care Partners (HHCP). We have provided leadership in developing the HHCP End of Life Strategy and the implementation of a system wide Coordination Hub is now taking place, led by Harlington.

Our Chief Executive is the nominated representative for the third sector on the North West London Integrated Care System (ICS) Board. He is therefore able to promote the needs of people needing palliative and end of life support within the larger health economy across eight boroughs.

H4All

Harlington Hospice plays an active role in H4All. H4All is a joint venture of five local charities set up to strategically coordinate non-profit services and develop services collaboratively, for the benefit of residents in the London Borough of Hillingdon. This collaborative working enables us to identify residents who may be in need and offer support at an earlier stage in a person’s end-of-life journey.

Hillingdon Health and Care Partners (HHCP)

Established in 2014, HHCP is the main healthcare provider partnership in the Borough. It is made up of Hillingdon Hospital NHS Trust, CNWL NHS Community Trust, NHS Northwest London ICS, Hillingdon Primary Care Confederation, and H4All of which we are an active member. The partnership works to develop an integrated approach to services to better meet the needs of the Hillingdon community. HHCP is the Integrated Care Partnership for the Borough and Harlington Hospice’s Chief Executive has continued to play a leading role in this.

3ST - North West London Third Sector Together

3ST is a collaboration of leading third sector providers and councils for voluntary services across eight North West London Boroughs (which make up the NHS Integrated Care System area). Through this group, the charity has access to seats on the Integrated Care System Boards.

Other hospices

As a result of working within 3ST, we have continued to develop close links with St Luke’s Hospice (Brent and Harrow). We have also strengthened our partnerships across North West London with Royal Trinity Hospice (Clapham, London) and St John’s Hospice (Central London), continuing to explore efficiencies and the possibility of shared services.

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Compassionate Hillingdon

This year, we continued to play a major role in the delivery of our local Compassionate Neighbours project - Compassionate Hillingdon. Compassionate Hillingdon is a collaborative project that provides community support across Hillingdon. It supports those living with life limiting illness, older people and those suffering from isolation through reciprocal friendships. Friendships are made through matching local volunteers and members of our community together. In Hillingdon the project is overseen by the charity H4All and includes partners such as Carers Trust Hillingdon, Mind in Hillingdon and Harlington Hospice.

Outputs - Activity data

Number of new referrals 2019-20 2020-21 2021-22 2022-23
Michael Sobell House Inpatient Unit 71 302
256		 274
Hospice at Home 158 211
205		 222
Harlington Care - 171
144		 164
Lymphoedema Service 94 65 109 141
Psychological and Emotional Support(Adults) 55 34
192		 90
Child and Adolescent Bereavement Service 39 51
117		 114
Day Care and Wellbeing Services at
Lansdowne House and the Michael Sobell
House (excluding lymphoedema)		 - 30 130 162
Number of sessions provided 2019-20 2020-21 2021-22 2022-23
Michael Sobell House Inpatient Unit
(admissions)		 60 224
215		 197
Hospice atHome 1201 1115 1102 1127
HarlingtonCare 9500 9818 9361 9152
Lymphoedema Service 2274 979 1422 1352
PsychologicalandEmotionalSupport (Adults) 738 753 676 880
Child andAdolescentBereavement Service 341 493 748 610
Day Care and Wellbeing Services at
Lansdowne House and Michael Sobell House
(excludinglymphoedema)		 472 5
839		 1035

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Contribution of volunteers

We are so grateful to the people who choose to dedicate their time to support our charity. From the latter part of 2022, when COVID-19 restrictions began to ease, the confidence of our existing volunteers increased and new opportunities for volunteering emerged across our services. This meant we were able to launch a new recruitment drive, although take up in some areas was understandably slower than pre-COVID.

We successfully recruited a volunteer Complementary Therapist for Wellbeing and Patient Support volunteers for Creative Arts. Our Inpatient Unit activity covers meals at lunchtimes during weekdays and weekends and our gardeners continue to maintain the grounds throughout the year.

This year, volunteers in our hospice contributed 15,079 hours which is the equivalent to 7.5 full time staff, which is amazing! A huge heartfelt and humbled thanks to all our volunteers.

Total annual hours donated Total annual hours donated Total annual hours donated Total annual hours donated
Role of Volunteers 2019-20 2020-21 2021-22 2022-23
Administrative support at Lansdowne
House
876		 0 0 0
Art Therapy (included in Wellbeing) 53 0 0
DayCare at Lansdowne House 960 0 0 0
Wellbeing (includes Art and
Complementary Therapies)		 1007 0 0 268
Gardeners at Michael Sobell House 732
Inpatient Unit (Michael Sobell
House)		 312 0 77 461
Reception at Lansdowne House 960 0 0 0
Reception at Michael Sobell House 336 642 1,344 1,643
Complementary Therapy at
Lansdowne House		 516 0 0 0
Complementary Therapy at Michael
Sobell House (included in Wellbeing		 102 0 0
Retail 12,900 0 10,538 11,975
Total 18,382 642 11,959
15,079

Retail volunteers

Our retail volunteers are the heart and soul of our community, always out on the high streets supporting and promoting the charity. Their time, skills, expertise and experience are extremely valuable in allowing us to run a smooth, professional service. There are many groups of volunteers helping to raise funds alongside paid staff within our retail arm, including drivers, ambassadors, DIY support and online sales.

We are not only very lucky to have so many longstanding volunteers who remain loyal to the cause; we also have, in the past year, seen a large increase in young students 18

completing their Duke of Edinburgh’s Awards or work experience placements for schools, colleges and universities. We are proud that many of them choose to return after their placement is completed to continue to volunteer with us.

This year, with over 227 volunteers on the team, retail volunteers contributed an amazing 11,975 hours to the charity. We thank them, and all our volunteers, wholeheartedly.

Measurements of success

External accreditation

Harlington Hospice holds three separate registrations with the Care Quality Commission (CQC).

‘Requires improvement’ was awarded for:

An action plan was developed and immediate action taken to resolve all issues identified.

‘Good’ was awarded for the domains:

‘Requires Improvement’ was awarded for the domains:

An action plan was created and actioned, with improvements swiftly made in the areas identified in the report. We are currently awaiting a return visit which has been delayed due to restructuring and changes within the CQC. There were, and will continue to be, bi-monthly calls between the CQC Relationship Officer and the Harlington Hospice Team as we await our next inspection.

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How we measure the quality of our services

Harlington Hospice works to the Care Quality Commission (CQC) quality framework across all our services. All newly acquired services are now embedded in the charity’s governance systems and processes. The quality improvement methodology and standard of care philosophy is also brought into alignment for all new services.

All of our quality processes are implemented in line with the National Institute for Health and Care Excellence (NICE) quality standards.

In order to measure the quality of our services, over the past year we have:

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are trained to at least the minimum standard required for ethical practice. For example, our Child & Adolescent Bereavement Service (CABS) is registered with, and regulated by, the Health Care Professions Council (HCPC) and the British Association of Art Therapists (BAAT).

Feedback from our beneficiaries

It is essential that we measure the quality of our beneficiaries’ experiences. One way we achieve this is by encouraging patients and family members who are using our services to complete feedback forms.

Of the 56 patients and family members who completed the feedback forms, 91% answered ‘Yes - they would recommend the service to friends and family if they needed similar care’. 4% answered ‘likely’. One person said they were ‘unlikely’ to recommend it, but no details were provided so we were unable to follow up on this.

98% of people surveyed said that they ‘Totally Agreed’ or ‘Agreed’ with the statement ‘I had confidence and trust in the staff looking after me’. The remaining 2% said ‘Don’t know/non-applicable’. Furthermore, 96% of people surveyed ‘Totally Agreed’ or ‘Agreed’ with the statement ‘I was satisfied with the support I received’. The remaining 4% responded ‘Neither agreed or disagreed’ or ‘Don’t know/not applicable’.

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Due to the sensitive nature of our clinical work, it is very important that family and friends are also able to freely express their opinions of our services in a qualitative way. Below is a selection of the feedback we received from our feedback forms across our services:

“The staff were friendly, caring, professional and empathetic throughout my stay and once I started to feel better, they introduced the fun element of staying in a hospice. The staff are often run off their feet, but always had a smile or kind word for a patient and/or relative.”

“Staff explained my care very carefully and clearly, never any confusion, regular checkups by the doctors too.”

“Exceptional, person centered care at its utmost best. I feel as if I have been restored to enjoy a quality of life that has eluded me for months. The staff team are all amazing people who have worked collaboratively to get me to this point.”

“It's been everything e.g. the planning (healthcare plan), emotionally, and you guys have been just great, making me feel welcome.”

“I'm going home but I want to say how much I appreciate everyone here and all the support I've got that's allowed me to get back on my feet and walk.”

“Our carer is the warmest, kindest person you could imagine. She looks after my mum who has quite advanced dementia, they have a lovely time together doing things that mum loves to do. She shows so much respect and love for my mum. In a recent crisis, when my dad (who is the main carer) was very unwell, the office at Harlington Care went out of their way to help us arrange emergency cover. They were so efficient and kind. I can’t thank them enough.”

”Everything. Kept in the picture. Felt supported. Responded to in good time. Kind, friendly and approachable.

“I felt fully involved in any decisions made and everything explained so clearly.”

“There’s been change in my daughter, she’s happier, laughing more, and she has some of her old spark back.”

How we monitor our success

As well as submitting compliments about the service, patients and those close to them are able to share concerns and submit formal complaints through our complaints procedure, which are then reviewed by the Complaints Lead.

In order to measure the success of our services through both positive feedback and areas for improvement, we have several internal initiatives:

Feedback Friday : Every week, staff are sent a summary of anonymised patient feedback via email. This outlines both compliments about the service and how any concerns have 22

been, or are being, addressed. This enables staff to have a real time understanding of the performance of the services, any new procedures that have been put in place to prevent issues, and any upcoming changes to improve beneficiaries’ experiences.

Annual and quarterly reports : Additionally, the Patient Safety Lead creates both annual and quarterly quality reports for the Trustees which summarise the complaints, concerns and general feedback received over the period.

Public facing communications: Display boards at Michael Sobell House and Lansdowne House were updated monthly to share with the public the feedback we received over this period and how we addressed any concerns raised.

Exit interviews: The HR team conducted exit interviews when staff left the charity to gain feedback on staff members’ experiences and to identify any trends in feedback and areas where staff experiences may be improved.

Significant events that have affected our performance

NHS wide structural changes in services

As we reported last year, there were a number of changes in the NHS regarding our Clinical Commissioning Group (CCG) in 2022/23; the CCG changed from being solely a Hillingdon CCG to a wider North West London CCG. We have been working through the impact of these changes and further changes have since taken place – our Commissioner is now Northwest London Integrated Care board (ICB).

The ICB undertook a major review of community palliative care services in Hillingdon. Whilst we have engaged in this process, it has involved a considerable amount of management time - however, we recognise it gives us a valuable opportunity to shape the discussion and future service provision. We were also able to negotiate the reshaping of services in Hillingdon ahead of the outcome of the broader review. This will involve the introduction of a single point of coordination around end of life care and integrated management with NHS and other partners to streamline access for patients and improve efficiency.

Merger of Harlington Hospice and the Michael Sobell Hospice Charity whilst continuing to meet an increase in demand for the provision of acute care.

In July 2022, the Boards of Harlington Hospice Association Ltd and the Michael Sobell Hospice Charity formally approved the merger plans that had been under discussion for some time. Delivering the merging of the two charities was understandably complex – with great consideration given to the impact on patients, their family and friends, supporters, staff and volunteers – and the merger was finally completed in December 2022.

We were able to deliver on our plan, as outlined in our 2021/22 Annual Report, to strengthen our Fundraising & Communications Team to support the merger; our new Director of Fundraising & Communications and Communications Manager were joined by a Communications Officer, a Community Fundraiser, an Individual Giving Manager, and a

23

Fundraising Coordinator. We have further plans to strengthen the team in 2022/23 in order to maximise fundraising opportunities across the whole London Borough of Hillingdon.

Throughout the merger discussions, our staff continued to adapt to meet the increasing demand for Inpatient Unit beds and put into place plans to increase our regular bed numbers from ten to fourteen in the near future. Our ability to increase capacity was further complicated by the complexity of the illnesses which many patients presented with, and the age of the patients; there was a marked increase in patients of working age, which brought with it issues around Wills and guardianship of surviving children. To address this, we colocated our CABS team so they could support children and young people across Michael Sobell House and Lansdowne House.

Looking Forward: priorities for improvement in 2023-2024

Priority 1: Increased, improved and sustainable IPU provision

We recognise Michael Sobell House was never built to last; it has done our patients proud for many years and has become a well respected and well loved part of our community. We also know we are not currently able to meet the increasing need for end of life care in the south of the Borough.

How:

Priority 2: Embedding the merger

We know the merger of Harlington Hospice and Michael Sobell Hospice Charity was the right thing to do for those who access our services, their friends and family and our staff and volunteers. However, we recognise it takes time to successfully embed a new culture and brand.

How:

24

Priority 3: Well Led

For our Charity to offer the very best services to our patients and their family and friends – and to embed our future strategic plan to ensure we are sustainable - we know we need to be well led.

How:

25

Longer term development plans

Our main aim over the medium to long term is to become the leading provider of high quality services for local people in the last phase of life. To achieve this we will:

Public Benefit Statement

The sections of this report entitled ‘Summary of Activities’ and ‘Achievements and Performance’ set out Harlington Hospice Association’s objectives, and report on the activity and successes in the year to 31[st] March 2023, as well as explaining the plans for the current financial year.

The Board of Trustees is aware of the Charity Commission’s guidance in relation to public benefit. All of the organisation’s charitable activities fall within its objects and provide considerable public benefit as outlined in this report.

The work of the Hospice benefits people with serious or terminal illness and those close to them. The Hospice makes no charge to those people who are currently patients of any core hospice service, or to their families and carers. All core palliative care services provided by the Charity are free to beneficiaries living, or under the care of a GP, in the London Borough of Hillingdon.

A risk assessment of all innovations and service developments ensures that the work of the hospice is beneficial rather than harmful, and as inclusive as possible.

26

The Trustees have considered this matter and concluded that:

  1. the aims of the organisation continue to be charitable;

  2. the aims and the work done give identifiable benefits to the charitable sector and both indirectly and directly to individuals in need;

  3. the benefits are for the public, are not unreasonably restricted in any way and certainly not by ability to pay; and

  4. there is no detriment or harm arising from the aims or activities.

The Trustees have complied with their duty according to Section 17(5) of the Charities Act 2011.

Financial review

Income

Total income for the year ended 31 March 2023 was £6,692,270 (2022: £5,718,617) an increase due both to the £1m benefit on merger of the charities and additionally due to an increase of fundraising income.

2022/23 2021/22
Income £ £
Inpatient Care 2,923,079 2,802,906 4%
Harlington Care
(Domiciliary care)		 600,616 753,140 -20%
Hospice at Home 223,932 551,983 -59%
Collaborations 407,573 525,782 -22%
Wellbeing 134,474 141,401 -5%
Psychotherapy 44,100 113,910 -61%
Total income from
charitable activities		 4,333,774 4,889,122
Fundraising and trading 1,304,131 829,495 57%
Other income 1,054,365 0 100%
Total income 6,692,270 5,718,617

77% of income is derived directly from charitable activities, and nearly 63% of income is associated with inpatient care (excluding the income from the merger of the charities).

27

Expenditure

Total expenditure was £6,372,625 (2021: 5,678,264), an increase of £694,361 12%

2022/23 2021/22
Expenditure £ £
Inpatient Care 3,449,549 3,053,235 13%
Harlington Care (Domiciliary care) 638,639 637,386 0%
Hospice at Home 334,098 338,354 -1%
Collaborations 430,598 442,758 -3%
Wellbeing 245,185 230,043 7%
Psychotherapy 309,421 196,262 58%
Total expenditure on charitable activities 5,407,490 4,898,038
Fundraising and trading 965,135 780,226 24%
Total expenditure 6,372,625 5,678,264

Over 68% of costs are salaries or salary related (including payments for agency and other outsourced staff).

2022/23 2021/22
Surplus / deficit £ £
Total income 6,692,270 5,718,617
Total expenditure 6,372,625 5,678,264
Surplus 319,645 40,353

Reserves

2022/23 2022/21
£ £
Restricted reserves 753,463 0
Designated reserves 3,342,009 2,893,066
Free reserves 594,193 968,131

28

Harlington Hospice Association Reserves

----- Start of picture text -----
5,000,000
4,000,000
3,000,000
2,000,000
1,000,000
0
2022/23 2022/21
Restricted reserves Designated reserves
Free reserves
£
----- End of picture text -----

Reserves policy

Harlington Hospice Association calculates an operating reserve each year, comprising the minimum level of reserves required to ensure financial sustainability.

The target minimum operating reserve is equal to:

The Board of Trustees may in addition decide on a further, discretionary amount to be included in the Reserve for a specific purpose, such as long-term capacity building or a special project. This has not happened in recent years.

The Operating Reserve needed for the financial year 2023-24, based on the factors above, is £1,200,658. Free reserves at 31 March 2023 were £594,143 (2022: £968,131).

Principal risks and uncertainties

Over the past year, the Trustees have actively managed the charity’s risks. Senior charity staff follow a robust process to identify and evaluate risks, and to put mitigation strategies

29

in place. The Sub-Committees review the risks relating to their area of operations, and the highest rated risks, and the strategic risks are referred to the Board for review and discussion.

The most significant risks - at the date of this report are:

1. Fundraising income

The risk relating to income generation, and fundraising income specifically is rated as a significant risk to the stability of the Charity and its ability to continue to provide the current range of services. If fundraising income is inconsistent or unpredictable, the funding of patient services may be affected.

Mitigations in place are:

2. Increases in costs due to inflation

The risk relating to higher costs could jeopardise service delivery. Staff costs account for over 68% of the charity’s costs, and if wage inflation continues to grow, costs could rise faster than income. Growing energy prices are also a cause of concern. Mitigations are limited, as inflationary growth is outside our control.

Mitigations in place are:

3. Staff recruitment and retention

The Charity needs to recruit and retain high quality staff to provide an effective clinical service. The Charity recruits from an ever-diminishing pool of health and care staff and in a relatively small organisation, high numbers of vacancies would have a serious impact on our ability to deliver quality care.

Mitigations in place are:

30

Going concern

Expanded and new services delivered by Harlington Hospice in recent years have improved the Charity’s financial position and delivered the benefits expected from the charity’s investments.

Following the merger of Harlington Hospice Association and the Michael Sobell Hospice Charity the clinical services and support functions have realised many of the expected benefits and synergies. This combination is supported by significant investment in fundraising activities to support future growth. Although, the combined Charity expects to report an operating deficit in 2023-24, it is expected to return to a balanced position by mid 2024- 25.

Our financial projections show that up to 31[st] March 2025, Harlington Hospice can expect to retain reserves to ensure sustainability, and will therefore be able to trade as a going concern. Although the free reserves are forecast to be below the required operating reserve this is without allowing for current new contracts we are bidding for and assuming a very conservative growth in fundraising, which given the team will have been embedded for over 12 months by then we would expect it to be operating at a higher growth level.

2024 2025
£ £
Total required operating reserve 1,200,655 1,406,211
Projected free reserves 961,687 870,580

The Trustees have confidence in the charity’s financial position going forward. Reserves are forecast to ensure that the Charity remains sustainable. The Trustees support the strategy to invest in fundraising activities to improve the underlying business model and so to strengthen the organisation against future shocks. Cashflow management is achieved by close monitoring of cash flow and credit control.

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Fundraising and Communications

We rely on the support of our local community to fund our services – by making donations and grants, taking part in events, spending in our shops and remembering us in their Wills. Last year, 23% (excluding the income gained through the merger of the two charities assets) of our income (£1.3m) was generated through fundraising and we would like to thank our supporters for their dedication and generosity.

The impact of closing the Inpatient Unit in 2018 and then the COVID-19 pandemic still resonated into 2022/23. Fortunately, we were able to fill some staff vacancies and bring some new energy and enthusiasm to our team. We were also able to expand our Communications Team which meant we could spread the word to new audiences about our wide range of services for people living with serious and terminal illness.

Major successes in the year included: Golf Day.

The Hospice Lottery. As a founding member, we continued to benefit from this partnership which, since it launched in 1997 had donated over £16 million to Charity.

Launch of our Memory Tree, with memorial leaves purchased to remember loved ones.

Every penny donated was invaluable to our patients and those close to them.

It should be noted that:

The Charity does not work with or use any external professional fundraisers, with the exception of the Hospice Lottery Partnership who canvass on our behalf.

Harlington Hospice Association is registered with the Fundraising Regulator and is fully compliant with its requirements and code of practice.

The Trustees are not aware of any complaints made in relation to our fundraising activities during the year ending 31[st] March 2023.

Ensuring that our supporter’s data is safeguarded and used only in an appropriate manner is of paramount importance, in line with GDPR regulations. Our privacy statement can be found in full on our website here: https://www.harlingtonhospice.org/privacy-policy-users-ofservices-volunteers-supporters/.

Harlington Hospice has been an associate partner of the Hospice Lottery Partnership since 2019. This year, Harlington Hospice and Michael Sobell House Charity together gained £55,276 income from this arrangement.

Structure, governance and management

The organisation is a charitable company limited by guarantee, incorporated on 12 April 2001 and registered as a Charity on 9 September 2003.

32

The company was established under a memorandum of association which established the objects and powers of the charitable company and is governed under its articles of association.

All Trustees give their time voluntarily and receive no benefits from the Charity. Any expenses reclaimed from the Charity are set out in note 8 to the accounts.

Appointment of Trustees

The Board aims to ensure that it maintains an appropriate mix of skills and experience to enable it to fulfil its mission, and also to ensure that it adequately represents the communities it serves. It takes the appropriate steps to fill gaps in necessary skills.

Trustees stand for election or are re-elected in rotation at the Annual General Meeting. There are no external bodies holding the right to appoint Trustees to the Board.

The Trustees (who are the directors of the Charity), include those with professional expertise in clinical care, third sector managerial experience, commercial and business experience, experience of elected representation at local and national government level as well as business people. Several Trustees have extensive Charity management experience and sit on the boards of other charities. All share a common passion and commitment to the mission and vision of Harlington Hospice.

Trustees are nominated by the Board to provide lead roles on Board Subcommittees and ensure that assurance is provided to the Board on a number of key areas. Working groups have continued to provide information and support to each Subcommittee to the Board. During year to 31 March 2022 the Subcommittees to the Board were:

The Trustees continue to recognise that during this period of development and expansion within the Charity they need to consider development of the Board in order to ensure there is sufficient depth and experience to meet medium and long term strategic needs.

Trustee induction and training

Following planned recruitment through advertisement within our local community, new Trustees will be provided with an induction pack, which includes Charity Commission guidance on the roles and responsibilities of Charity Trustees.

Training for new and existing Trustees includes the requirement to attend awareness briefings and on Safeguarding responsibilities and sign a Safeguarding Code of Conduct, as outlined in Harlington Hospice Safeguarding Policy and Procedure.

Training is enhanced with briefings on all aspects of the responsibilities of Trustees and the governance requirements of the health related services provided by the Charity. This is in addition to attendance at Board meetings.

33

Staff and delegated responsibilities

The Board of Trustees has delegated operational management of Harlington Hospice to the Chief Executive, Steve Curry.

The headcount number of staff employed by Harlington Hospice to carry out its charitable activities was one hundred and thirty-seven and, in addition, some tasks were also undertaken by contractors and consultants.

The process for recruiting staff is set out in the Recruitment Policy and Procedure. Staff employment terms and conditions are included in Harlington Hospice’s Employee Handbook, which is available to all staff.

Pay policy for senior staff

The directors are The Charity’s Trustees. The senior management team comprise the key management personnel of The Charity in charge of directing and controlling, running and operating The Charity on a day to day basis (see Organisation note). All directors give their time freely and no director received remuneration in the year. Details of directors’ expenses and related party transactions are disclosed in note 8 to the accounts. The pay of the senior staff is reviewed annually and benchmarked against pay levels in other comparable charities, the voluntary sector and similar roles.

Related parties and relationships with other organisations:

Harlington Hospice has a long history of collaborative working with both the third and the statutory sectors. It is our belief that working with stakeholders, other providers, and commissioners gains best value for our donors, supporters, and contractors and delivers the best quality outcomes for our patients and clients.

We have formal relationships with the following organisations:

34

Statement of responsibilities of the Trustees:

The Trustees (who are also directors of Harlington Hospice Association Limited for the purposes of company law) are responsible for preparing the Trustees’ annual report a nd the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

Company law requires the Trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charitable company and of the incoming resources and application of resources, including the income and expenditure, of the charitable company for that period. In preparing these financial statements, the Trustees are required to:

The Trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

In so far as the Trustees are aware:

The Trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company's website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

Members of the Charity guarantee to contribute an amount not exceeding £10 to the assets of the Charity in the event of winding up. The total number of such guarantees at 31 March 2023 was 6 (2022:7). The Trustees are members of the Charity, but this entitles them only to voting rights. The Trustees have no beneficial interest in the Charity.

35

Auditor

Sayer Vincent LLP was re-appointed as the charitable company's auditor during the year and has expressed its willingness to continue in that capacity.

The Trustees’ annual report has been prepared in accordance with the special provisions applicable to companies subject to the small companies' regime. The Trustees’ annual report has been approved by the Trustees and signed on their behalf by,

Mr MJ Breen Chairman

19[th] December 2023

36

Independent auditor’s report

to the members of

Harlington Hospice Association Limited

Opinion:

We have audited the financial statements of Harlington Hospice Association Limited (the ‘parent charitable company’) and its subsidiary (the ‘group’) for the year ended 31 March 2023 which comprise the consolidated statement of financial activities, the group and parent charitable company balance sheets, the consolidated statement of cash flows and the notes to the financial statements, 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 FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In our opinion, the financial statements:

Basis for opinion:

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the group financial statements section of our report. We are independent of the group and parent charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern:

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

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on Harlington Hospice Association Limited’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

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

37

Independent auditor’s report

to the members of

Harlington Hospice Association Limited

Other Information:

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

We have nothing to report in this regard.

Opinions on other matters prescribed by the Companies Act 2006

In our opinion, based on the work undertaken in the course of the audit:

Matters on which we are required to report by exception:

In the light of the knowledge and understanding of the group and the parent charitable company and their environment obtained in the course of the audit, we have not identified material misstatements in the trustees’ annual report.

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 and Charities Act 2011 requires us to report to you if, in our opinion:

38

Independent auditor’s report

to the members of

Harlington Hospice Association Limited

preparing the trustees’ annual report and from the requirement to prepare a strategic report.

Responsibilities of trustees:

As explained more fully in the statement of trustees’ responsibilities set out in the trustees’ annual report, the trustees (who are also the directors of the parent charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the trustees are responsible for assessing the group’s and the parent charitable company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the group or the parent charitable company or to cease operations, or have no realistic alternative but to do so.

Auditor’s responsibilities for the audit of the financial statements

We have been appointed auditor under the Companies Act 2006 and section 151 of the Charites Act 2011 and report in accordance with those Acts.

Our 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 our 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. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud are set out below.

Capability of the audit in detecting irregularities.

In identifying and assessing risks of material misstatement in respect of irregularities, including fraud and non-compliance with laws and regulations, our procedures included the following:

39

Independent auditor’s report

to the members of

Harlington Hospice Association Limited

Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation.

A further description of our responsibilities is available on the Financial Reporting Council’s website at: www.frc.org.uk/auditorsresponsibilities . This description forms part of our auditor’s report.

40

Independent auditor’s report

to the members of

Harlington Hospice Association Limited

Use of our report:

This report is made solely to the charitable company's members as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006 and section 144 of the Charities Act 2011 and regulations made under section 154 of that Act. Our audit work has been undertaken so that we might state to the charitable company's members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company's members as a body, for our audit work, for this report, or for the opinions we have formed.

Joanna Pittman (Senior statutory auditor) 19[th] December 2023

for and on behalf of Sayer Vincent LLP, Statutory Auditor Invicta House, 108-114 Golden Lane, LONDON, EC1Y 0TL

Sayer Vincent LLP is eligible to act as auditor in terms of section 1212 of the Companies Act 2006

41

Harlington Hospice Association Limited CONSOLIDATED

Statement of financial activities (incorporating an income and expenditure account)

For the year ended 31 March 2023

Note
Income from:
2
3
4
Other income
5
5
5
5
5
5
5
5
Net income / (expenditure)
Other recognised gains
Gain on revaluation of fixed assets
Reconciliation of funds:
Hospice at Home
Donations and legacies
Charitable activities
Harlington Care
Wellbeing (including Lymphoedema Clinic)
Wellbeing (including Lymphoedema Clinic)
Psychotherapy
In-Patient Care
H4All & Other Collaborations
Other trading activities
Total income
Expenditure on:
Raising funds including charity shops
Charitable activities
Harlington Care
Hospice at Home
Total funds brought forward
Total funds carried forward
Psychotherapy
In-Patient Care
H4All & Other Collaborations
Total expenditure
Transfers between funds
Net movement in funds		 Unrestricted
£
213,744
600,615
223,932
134,474
28,046
1,984,630
407,573
860,974
-		 Restricted
£
175,190
-
-
-
16,055
938,449
-
54,222
1,054,365		 2023
Total
£
388,935
600,615
223,932
134,474
44,101
2,923,079
407,573
915,196
1,054,365		 Unrestricted
£
105,727
630,569
214,320
141,401
38,150
1,497,824
525,782
723,768
-		 Restricted
£
-
122,571
337,663
-
75,760
1,305,082
-
-
-		 2022
Total
£
105,727
753,140
551,983
141,401
113,910
2,802,906
525,782
723,768
-
4,453,989 2,238,281 6,692,270 3,877,541 1,841,076 5,718,617
965,135
638,639
334,098
245,185
293,366
1,971,963
430,598		 -
-
-
-
16,055
1,477,586
-		 965,135
638,639
334,098
245,185
309,421
3,449,549
430,598		 780,226
514,815
691
180,043
120,502
1,610,318
442,758		 -
122,571
337,663
50,000
75,760
1,442,917
-		 780,226
637,386
338,354
230,043
196,262
3,053,235
442,758
4,878,984 1,493,641 6,372,625 3,649,353 2,028,911 5,678,264
(424,996)
-
500,000
75,004
3,861,197		 744,640
-
8,823
753,463
-		 319,645
-
508,823
828,468
3,861,197		 228,188
-
-
228,188
3,633,009		 (187,835)
-
-
(187,835)
187,835		 40,353
-
-
40,353
3,820,844
3,936,202 753,463 4,689,665 3,861,197 - 3,861,197

All of the above results are derived from continuing activities. There were no other recognised gains or losses other than those stated above. Movements in funds are disclosed in Note 18 to the financial statements.

42

Harlington Hospice Association Limited CONSOLIDATED Balance sheets

Company no. 04199504

As at 31 March 2023

2023
2022
Note
£
£
Fixed assets:
11
3,350,832
2,893,066
14
679,295
-
4,030,127
2,893,066
Current assets:
15
738,518
1,348,209
1,064,718
659,708
1,803,236
2,007,917
Liabilities:
16
(1,143,698)
(1,039,786)
659,538
968,131
4,689,665
3,861,197
17a
753,463
-
3,342,009
2,893,066
-
-
594,193
968,131
Total unrestricted funds
3,936,202
3,861,197
4,689,665
3,861,197
Designated funds
Revaluation reserve
General funds
Total funds
Unrestricted income funds:
Net current assets
Total net assets
Funds:
Restricted income funds
Investments
Debtors
Cash at bank and in hand
Creditors: amounts falling due within one year
Tangible assets
The group		 2023
2022
Note
£
£
Fixed assets:
11
3,350,832
2,893,066
14
679,295
-
4,030,127
2,893,066
Current assets:
15
738,518
1,348,209
1,064,718
659,708
1,803,236
2,007,917
Liabilities:
16
(1,143,698)
(1,039,786)
659,538
968,131
4,689,665
3,861,197
17a
753,463
-
3,342,009
2,893,066
-
-
594,193
968,131
Total unrestricted funds
3,936,202
3,861,197
4,689,665
3,861,197
Designated funds
Revaluation reserve
General funds
Total funds
Unrestricted income funds:
Net current assets
Total net assets
Funds:
Restricted income funds
Investments
Debtors
Cash at bank and in hand
Creditors: amounts falling due within one year
Tangible assets
The group		 2023
2022
Note
£
£
Fixed assets:
11
3,350,832
2,893,066
14
679,295
-
4,030,127
2,893,066
Current assets:
15
738,518
1,348,209
1,064,718
659,708
1,803,236
2,007,917
Liabilities:
16
(1,143,698)
(1,039,786)
659,538
968,131
4,689,665
3,861,197
17a
753,463
-
3,342,009
2,893,066
-
-
594,193
968,131
Total unrestricted funds
3,936,202
3,861,197
4,689,665
3,861,197
Designated funds
Revaluation reserve
General funds
Total funds
Unrestricted income funds:
Net current assets
Total net assets
Funds:
Restricted income funds
Investments
Debtors
Cash at bank and in hand
Creditors: amounts falling due within one year
Tangible assets
The group		 2023
2022
£
£
3,330,910
2,893,066
-
-
3,330,910
2,893,066
762,933
1,348,209
933,553
659,708
1,696,486
2,007,917
(1,111,115)
(1,039,786)
585,371
968,131
3,916,281
3,861,197
-
-
3,330,910
2,893,066
-
-
585,370
968,131
3,916,281
3,861,197
3,916,281
3,861,197
The charity		 2023
2022
£
£
3,330,910
2,893,066
-
-
3,330,910
2,893,066
762,933
1,348,209
933,553
659,708
1,696,486
2,007,917
(1,111,115)
(1,039,786)
585,371
968,131
3,916,281
3,861,197
-
-
3,330,910
2,893,066
-
-
585,370
968,131
3,916,281
3,861,197
3,916,281
3,861,197
The charity
4,030,127
738,518
1,064,718		 2,893,066
1,348,209
659,708		 3,330,910
762,933
933,553		 2,893,066
1,348,209
659,708
1,803,236
(1,143,698)		 2,007,917
(1,039,786)		 1,696,486
(1,111,115)		 2,007,917
(1,039,786)
659,538 968,131 585,371 968,131
4,689,665 3,861,197 3,916,281 3,861,197
753,463
3,342,009
-
594,193		 -
2,893,066
-
968,131		 -
3,330,910
-
585,370		 -
2,893,066
-
968,131
3,936,202 3,861,197 3,916,281 3,861,197
4,689,665 3,861,197 3,916,281 3,861,197

Approved by the trustees on 19 December 2023 and signed on their behalf by

Mr MJ Breen Chairman

43

Harlington Hospice Association Limited

Statement of cash flows

CONSOLIDATED

For the year ended 31 March 2023

Note
£
£
Cash flows from operating activities
Net income / (expenditure) for the reporting period
319,645
(as per the statement of financial activities)
(690,458)
Depreciation charges
74,599
(Increase)/decrease in debtors
609,691
Increase/(decrease) in creditors
103,912
Net cash provided by operating activities
417,388
12,379
(12,378)
405,010
659,708
1,064,718
At 1 April 2022
Cash flows
£
£
Cash at bank and in hand
1,064,718
-
Total cash and cash equivalents
1,064,718
-
Cash and cash equivalents at the beginning of the year
Cash and cash equivalents at the end of the year
Analysis of cash and cash equivalents and of net debt
Fixed assets acquired as part of the merger
Cash flows from investing activities:
Purchase of fixed assets
Net cash (used in) investing activities
Change in cash and cash equivalents in the year
2023		 Note
£
£
Cash flows from operating activities
Net income / (expenditure) for the reporting period
319,645
(as per the statement of financial activities)
(690,458)
Depreciation charges
74,599
(Increase)/decrease in debtors
609,691
Increase/(decrease) in creditors
103,912
Net cash provided by operating activities
417,388
12,379
(12,378)
405,010
659,708
1,064,718
At 1 April 2022
Cash flows
£
£
Cash at bank and in hand
1,064,718
-
Total cash and cash equivalents
1,064,718
-
Cash and cash equivalents at the beginning of the year
Cash and cash equivalents at the end of the year
Analysis of cash and cash equivalents and of net debt
Fixed assets acquired as part of the merger
Cash flows from investing activities:
Purchase of fixed assets
Net cash (used in) investing activities
Change in cash and cash equivalents in the year
2023		 Note
£
£
Cash flows from operating activities
Net income / (expenditure) for the reporting period
319,645
(as per the statement of financial activities)
(690,458)
Depreciation charges
74,599
(Increase)/decrease in debtors
609,691
Increase/(decrease) in creditors
103,912
Net cash provided by operating activities
417,388
12,379
(12,378)
405,010
659,708
1,064,718
At 1 April 2022
Cash flows
£
£
Cash at bank and in hand
1,064,718
-
Total cash and cash equivalents
1,064,718
-
Cash and cash equivalents at the beginning of the year
Cash and cash equivalents at the end of the year
Analysis of cash and cash equivalents and of net debt
Fixed assets acquired as part of the merger
Cash flows from investing activities:
Purchase of fixed assets
Net cash (used in) investing activities
Change in cash and cash equivalents in the year
2023		 £
£
40,353
185,620
(546,140)
442,725
122,558
(7,667)
(7,667)
114,891
544,817
659,708
Other non-cash
changes
At 31 March
2023
£
£
-
1,064,718
-
1,064,718
2022		 £
£
40,353
185,620
(546,140)
442,725
122,558
(7,667)
(7,667)
114,891
544,817
659,708
Other non-cash
changes
At 31 March
2023
£
£
-
1,064,718
-
1,064,718
2022
417,388
(12,378)		 122,558
(7,667)
At 1 April 2022
£
1,064,718		 Other non-cash
changes
£
-
405,010
659,708		 114,891
544,817
1,064,718 659,708
Cash flows
£
-		 At 31 March
2023
£
1,064,718
1,064,718 - - 1,064,718

44

Harlington Hospice Association Limited

Notes to the financial statements CONSOLIDATED For the year ended 31 March 2023

1 Accounting policies

a) Statutory information

Harlington Hospice Association Limited is a charitable company limited by guarantee and is incorporated in England and Wales. The merger was completed by the adoption of new Mem & Arts of The Michael Sobell Hospice Charity which were adopted on 23rd December 2022. Harlington Hospice Association became the sole member of Michael Sobell Hospice Charity Ltd, which is treated as a wholly owned subsidiary in these accounts. Group accounts have been prepared for the year ended 31 March 2023. Michael Sobell Hospice Charity Ltd remains a registered charity and also files accounts.

The registered office address is Lansdowne House, St Peter's Way, Harlington, Middlesex UB3 5AB.

b) Basis of preparation

The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) - (Charities SORP FRS 102), The Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006.

Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy or note.

In applying the financial reporting framework, the trustees have made a number of subjective judgements, for example in respect of significant accounting estimates. Estimates and judgements are continually evaluated and are based on historical experience and other factors, including expectations of future events that are believed to be reasonable under the circumstances. The nature of the estimation means the actual outcomes could differ from those estimates. Any significant estimates and judgements affecting these financial statements are detailed within the relevant accounting policy below.

These financial statements consolidate the results of the charity and its wholly-owned subsidiary The Michael Sobell Hospice Charity on a line by line basis. Transactions and balances between the charity and its subsidiary have been eliminated from the consolidated financial statements. Balances between the two entities are disclosed in the notes of the charity's balance sheet. A separate statement of financial activities, or income and expenditure account, for the charity itself is not presented because the charity has taken advantage of the exemptions afforded by section 408 of the Companies Act 2006, A summary of the result for the year is disclosed in the notes to the accounts.

c) Public benefit entity

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

d) Going concern

The trustees consider that there are no material uncertainties about the charity's ability to continue as a going concern.

The successful partnership with the Michael Sobell Hospice Charity has delivered planned synergies and benefits and strengthened the financial position of the Charity.

The charity has taken account of the risks identified by the Board and has made provision through its Reserves calculation to ensure that these risks can be managed. The Finance Sub-Committee regularly monitors cashflow and projected income and expenditure to budget.

The trustees do not consider that there are any sources of estimation uncertainty at the reporting date that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next reporting period.

e) Income

Income is recognised when the charity has entitlement to the funds, any performance conditions attached to the income have been met, it is probable that the income will be received and that the amount can be measured reliably.

Income from government and other grants, whether ‘capital’ grants or ‘revenue’ grants, is recognised when the charity has entitlement to the funds, any performance conditions attached to the grants have been met, it is probable that the income will be received and the amount can be measured reliably and is not deferred.

For legacies, entitlement is taken as the earlier of the date on which either: the charity is aware that probate has been granted, the estate has been finalised and notification has been made by the executor(s) to the charity that a distribution will be made, or when a distribution is received from the estate. Receipt of a legacy, in whole or in part, is only considered probable when the amount can be measured reliably and the charity has been notified of the executor’s intention to make a distribution. Where legacies have been notified to the charity, or the charity is aware of the granting of probate, and the criteria for income recognition have not been met, then the legacy is a treated as a contingent asset and disclosed if material.

Income received in advance of the provision of a specified service is deferred until the criteria for income recognition are met.

45

Harlington Hospice Association Limited

Notes to the financial statements CONSOLIDATED For the year ended 31 March 2023

1 Accounting policies (continued)

f) Donations of gifts, services and facilities

Donated professional services and donated facilities are recognised as income when the charity has control over the item or received the service, any conditions associated with the donation have been met, the receipt of economic benefit from the use by the charity of the item is probable and that economic benefit can be measured reliably. In accordance with the Charities SORP (FRS 102), volunteer time is not recognised so refer to the trustees’ annual report for more information about their contribution.

On receipt, donated gifts, professional services and donated facilities are recognised on the basis of the value of the gift to the charity which is the amount the charity would have been willing to pay to obtain services or facilities of equivalent economic benefit on the open market; a corresponding amount is then recognised in expenditure in the period of receipt.

g) Interest receivable

Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the charity; this is normally upon notification of the interest paid or payable by the bank.

h) Fund accounting

Restricted funds are to be used for specific purposes as laid down by the donor. Expenditure which meets these criteria is charged to the fund. In the consolidated accounts, the assets held by Michael Sobell Hospice Charity Ltd are reported as restricted funds.

Unrestricted funds are donations and other incoming resources received or generated for the charitable purposes.

Designated funds are unrestricted funds earmarked by the trustees for particular purposes. The trustees have decided to report all Harlington Hospice Association's fixed assets as designated funds.

i) Expenditure and irrecoverable VAT

Expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party, it is probable that settlement will be required and the amount of the obligation can be measured reliably. Expenditure is classified under the following activity headings:

Irrecoverable VAT is charged as a cost against the activity for which the expenditure was incurred.

46

Harlington Hospice Association Limited

Notes to the financial statements CONSOLIDATED For the year ended 31 March 2023

1 Accounting policies (continued)

j) Allocation of support costs

Resources expended are allocated to the particular activity where the cost relates directly to that activity. However, the cost of overall direction and administration of each activity, comprising the salary and overhead costs of the central function, is apportioned on the following basis which are an estimate, based on staff time, of the amount attributable to each activity.

Where information about the aims, objectives and projects of the charity is provided to potential beneficiaries, the costs associated with this publicity are allocated to charitable expenditure.

Support and governance costs are re-allocated to each of the activities on the following basis which is an estimate, based on staff time, of the amount attributable to each activity

Harlington Care 21%
Hospice at Home 9%
Wellbeing (including Lymphoedema Clinic) 6%
Psychotherapy 5%
In-Patient Care 39%
H4All and Other Collaborations 8%
Raising Funds 12%

All support costs incurred by Michael Sobell Hospice Charity Ltd are allocated against Raising funds, as this is the only activity undertaken by Michael Sobell Hospice Charity Ltd.

Governance costs are the costs associated with the governance arrangements of the charity. These costs are associated with constitutional and statutory requirements and include any costs associated with the strategic management of the charity’s activities.

k) Operating leases

Rental charges are charged on a straight line basis over the term of the lease.

l) Tangible fixed assets

Items of equipment are capitalised where the purchase price exceeds £1,000 and the asset is expected to be productive for more than 12 months. Depreciation costs are allocated to activities on the basis of the use of the related assets in those activities. Assets are reviewed for impairment if circumstances indicate their carrying value may exceed their net realisable value and value in use. Major components are treated as a separate asset where they have significantly different patterns of consumption of economic benefits and are depreciated separately over its useful life.

Where fixed assets have been revalued, any excess between the revalued amount and the historic cost of the asset will be shown as a revaluation reserve in the balance sheet.

Depreciation is provided at rates calculated to write down the cost of each asset to its estimated residual value over its expected useful life. The depreciation rates in use are as follows:

Equipment, Fixtures & Fittings 2-4 years
Motor Vehicles 5 years
Improvements 10 years
Freehold Property 50 years
Michael Sobell House refurbishment 2 years

Land and Buildings are held at valuation, not historic cost. Assets represented by land are not depreciated.

47

Harlington Hospice Association Limited

Notes to the financial statements CONSOLIDATED For the year ended 31 March 2023

1 Accounting policies (continued)

m) Debtors

Trade and other debtors are recognised at the settlement amount due after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due.

n) Cash at bank and in hand

Cash at bank and cash in hand includes cash and short term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account.

o) Creditors and provisions

Creditors and provisions are recognised where the charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount after allowing for any trade discounts due.

p) Financial instruments

The charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value.

q) Pension schemes

The Charity offers a qualifying defined contribution scheme to all staff. In addition, the charity offers the NHS pension scheme to qualifying staff.

National Health Service Superannuation Scheme

This is a statutory superannuation scheme as defined in Section 6.12 (1) Income and Corporation taxes Act 1988 which has no invested funds. Contribution by employers (currently 14.38%) and members (variable rates) are accounted for to the Treasury and benefits are paid from the consolidated fund. This scheme is only open to staff who have been members of the NHS scheme in previous employment under the dispensation rules. The accounting charge represents the employer's contributions for the period. Harlington Hospice Association has no liability or potential liability for accrued unfunded obligations relating to this pension fund.

Group Personal Pension Scheme

In addition to the NHS Pension Scheme, the Hospice operates a Group Personal Pension Plan available to all staff. This plan is a defined contribution scheme administered and invested with Scottish Widows. It is a money purchase plan and all eligible employees who are not members of the NHS superannuation scheme are automatically enrolled on starting employment with the charity. Employee contributions are 5% with an employer contribution of 3%. Employees may contribute more to the plan.

2 Income from donations and legacies

Legacies
Donations
Fundraising & events
Gift aid
HMRC (furlough)
Other Income		 Unrestricted
£
100,500
94,622
11,571
2,846
-
4,205		 £
-
153,950
21,240
-
-
-
Restricted		 2023
Total
£
100,500
248,572
32,811
2,846
-
4,205		 Unrestricted
£
5,000
87,030
8,330
-
5,324
43		 £
-
-
-
-
-
-
Restricted		 2022
Total
£
5,000
87,030
8,330
-
5,324
43
213,744 175,190 388,934 105,727 - 105,727

48

Harlington Hospice Association Limited

Notes to the financial statements CONSOLIDATED For the year ended 31 March 2023

3 Income from charitable activities

Income from charitable activities
Harlington Care
Charges
London Borough of Hillingdon
Hillingdon Carers
Hestia
London Borough of Hillingdon (COVID-19)
HMRC (furlough)
Sub-total for Harlington Care
Hospice at Home
NHS - Central & N W London
NHS - North West London ICB
Hospice UK
Sub-total for Hospice at Home
Wellbeing
Charges
Hillingdon Carers
NHS - Central & N W London
A P Taylor
HMRC (Furlough)
Sub-total for Wellbeing
Psychotherapy
Hillingdon Community Trust
BBC Children in Need
Other grant funding
NHS - Central & N W London
Sub-total for Psychotherapy
In-Patient Care
NHS - Central & N W London
NHS - North West London CCG
NHS - out of area commissioned services
Michael Sobell Hospice Charity
Primary Care - Hillingdon
Hospice UK
HMRC (furlough)
Sub-total for In-Patient Care
H4All & Other Collaborations
The Hillingdon Hospital
H4All C.I.O.
Carers Trust Hillingdon
Age UK Hillingdon Harrow and Brent
Michael Sobell Hospice Charity
NHS - North West London CCG
Sub-total for H4All & Other Collaborations
Total income from charitable activities		 Unrestricted
£
94,000
107,100
198,940
200,575
-
-		 £
-
-
-
-
-
-
Restricted		 2023
Total
£
94,000
107,100
198,940
200,575
-
-		 Unrestricted
£
172,752
120,967
198,940
131,504
-
6,406		 £
-
-
-
-
122,571
-
Restricted		 2022
Total
£
172,752
120,967
198,940
131,504
122,571
6,406
600,615 -
-
-
-		 600,615
218,432
5,500
-		 630,569
213,000
1,320
-		 122,571
-
-
337,663		 753,140
213,000
1,320
337,663
218,432
5,500
-
223,932
-
22,000
102,474
10,000
-		 -
-
-
-
-
-		 223,932
-
22,000
102,474
10,000
-		 214,320
2,840
22,000
99,926
10,000
6,635		 337,663
-
-
-
-
-		 551,983
2,840
22,000
99,926
10,000
6,635
134,474
-
-
-
28,046		 -
-
6,196
9,859
-		 134,474
-
6,196
9,859
28,046		 141,401
10,802
-
-
27,348		 -
-
65,660
10,100
-		 141,401
10,802
65,660
10,100
27,348
28,046
687,669
1,134,047
83,514
79,400
-
-		 16,055
-
-
-
938,449
-
-
-		 44,101
687,669
1,134,047
83,514
938,449
79,400
-
-		 38,150
413,247
976,575
104,541
-
-
-
3,461		 75,760
-
-
-
1,123,696
-
181,386
-		 113,910
413,247
976,575
104,541
1,123,696
-
181,386
3,461
1,984,630
-
348,090
20,000
34,284
5,199
-		 938,449
-
-
-
-
-
-		 2,923,079
-
348,090
20,000
34,284
5,199
-		 1,497,824
12,502
251,318
18,333
31,469
-
212,160		 1,305,082
-
-
-
-
-
-		 2,802,906
12,502
251,318
18,333
31,469
-
212,160
407,573 - 407,573 525,782 - 525,782
3,379,270 954,504 4,333,774 3,048,046 1,841,076 4,889,122

49

Harlington Hospice Association Limited

Notes to the financial statements CONSOLIDATED For the year ended 31 March 2023

4 Income from other trading activities

Income from other trading activities
Charity Shops - sales
Online sales
Gift Aid
Recharged costs
HMRC (furlough) - Shops
Insurance claim received
Other Income		 Unrestricted
£
647,289
26,379
17,406
50,168
-
111,682
8,050		 £
54,222
-
-
-
-
-
-
Restricted		 2023
Total
£
701,511
26,379
17,406
50,168
-
111,682
8,050		 Unrestricted
£
627,077
22,399
8,901
52,723
7,349
-
5,319		 £
-
-
-
-
-
-
-
Restricted		 2022
Total
£
627,077
22,399
8,901
52,723
7,349
-
5,319
860,974 54,222 915,196 723,768 - 723,768

All income from trading activities is unrestricted. The insurance claim relates to business interruption during April to June 2020.

5. Other income

Other income
Event income restricted
Investment income
Acquisition of Michael Sobell Hospice Charity		 Unrestricted
£
-
-
-		 £
1,038,290
12,050
4,025
Restricted		 2023
2022
Total
Unrestricted
Total
£
£
£
£
1,038,291
12,050
4,025
1,054,366
Restricted
- 1,054,365

50

Harlington Hospice Association Limited CONSOLIDATED Notes to the financial statements

For the year ended 31 March 2023

5a Analysis of expenditure (current year)

Staff salary costs (Note 8)
Other staff costs
External and agency staffing costs
Clinical services costs
Professional fees
Premises costs
Operational costs
Audit fees
Legal fees
Depreciation
Support costs
Governance costs
Total Expenditure 2023		 Raising funds
£
447,796
50,369
53,708
-
24,974
194,421
75,058
-
600
8,410		 Charitable activities Charitable activities Governance
costs
£
-
-
-
-
-
-
13
26,800
15,968
-		 Support costs
£
344,250
51,170
-
2,766
34,967
56,918
83,095
-
-
51,642		 2023 Total
£
4,150,505
131,516
558,905
389,207
187,066
580,226
257,237
26,800
16,568
74,599		 2022 total
£
3,597,217
126,387
610,910
253,887
187,996
411,209
267,218
12,000
25,819
185,620
Harlington
Care
£
442,891
14,144
-
-
-
-
48,272
-
-
225		 Hospice at
Home
£
274,871
1,206
-
-
-
-
975
-
-
-		 Wellbeing
£
187,865
1,485
-
1,717
8,225
413
3,170
-
-
4,280		 Psychotherapy
£
232,222
9,565
32,263
2,013
-
-
1,666
-
-
-		 In-Patient
Care
£
1,906,037
2,452
472,934
382,711
55,450
328,475
44,248
-
-
10,042		 H4All & Other
Collaborations
£
314,574
1,127
-
-
63,450
-
740
-
-
-
855,336
95,854
13,945		 505,532
126,226
6,881		 277,052
54,097
2,949		 207,154
36,065
1,966		 277,729
30,054
1,638		 3,202,350
234,420
12,779		 379,891
48,086
2,621		 42,781
-
(42,781)		 624,806
(624,803)
-		 6,372,629
-
-		 5,678,264
-
-
965,135 638,639 334,098 245,185 309,421 3,449,549 430,598 - - 6,372,629

51

Harlington Hospice Association Limited

Notes to the financial statements

For the year ended 31 March 2023

5b Analysis of expenditure (prior year)

Staff salary costs (Note 7)
Other staff costs
External and agency staffing costs
Clinical services costs
Professional fees
Premises costs
Operational costs
Audit fees
Legal fees
Depreciation
Support costs
Governance costs
Total Expenditure 2022		 Raising funds
£
332,651
56,807
42,341
-
15,082
189,451
48,414
-
13,777
4,224		 Charitable activities Charitable activities Governance
costs
£
-
-
-
-
-
-
-
12,000
12,043
-		 Support costs
£
324,725
30,093
13,170
941
35,866
117,096
53,445
-
-
46,275		 2022 Total
£
3,597,217
126,387
610,910
253,887
187,996
411,209
267,218
12,000
25,819
185,620
Harlington
Care
£
426,120
19,399
-
-
-
-
56,055
-
-
225		 Hospice at
Home
£
222,195
1,399
10,512
35,000
-
-
11,139
-
-
-		 Wellbeing
£
173,453
2,350
1,501
1,858
-
2,063
6,100
-
-
3,979		 Psychotherapy
£
121,802
2,724
32,598
987
-
-
5,868
-
-
-		 In-Patient
Care
£
1,742,212
13,615
510,789
215,102
-
102,599
86,197
-
-
130,917		 H4All & Other
Collaborations
£
254,059
-
-
-
137,047
-
-
-
-
-
702,747
74,593
2,885		 501,799
130,538
5,049		 280,245
55,945
2,164		 191,304
37,297
1,443		 163,979
31,081
1,202		 2,801,430
242,429
9,377		 391,106
49,729
1,923		 24,043
-
(24,043)		 621,612
(621,612)
-		 5,678,264
-
-
780,226 637,386 338,354 230,043 196,262 3,053,235 442,758 - - 5,678,264

52

Harlington Hospice Association Limited

Notes to the financial statements CONSOLIDATED For the year ended 31 March 2023

6 Net income / (expenditure) for the year

This is stated after charging / (crediting):

This is stated after charging / (crediting):
2023 2022
£ £
Depreciation 74,599 185,620
Operating lease rentals payable:
Property 97,625 122,376
Auditor's remuneration (excluding VAT) 26,800 10,500

7 Analysis of staff costs, trustee remuneration and expenses, and the cost of key management personnel

Staff costs were as follows:

Salaries and wages
Redundancy costs
Social security costs
Employer’s contribution to pension schemes		 2023
£
3,571,718
7,287
363,318
208,181		 2022
£
3,134,386
7,297
276,669
178,865
4,150,504 3,597,217

The following number of employees received employee benefits (excluding employer pension costs and employer's national insurance) during the year between:

£70,000 - £79,999
£80,000 - £89,000
£90,000 - £99,000		 2023
No.
1
1
1		 2022
No.
2
1

The total employee benefits (including pension contributions and employer's national insurance) of the key management personnel were £360,756 (2022: £293,765). The figure in 2023 includes the staff listed on page 3 of this report.

The charity trustees were neither paid nor received any other benefits from employment with the charity in the year (2022: £nil). No charity trustee received payment for professional or other services supplied to the charity (2022: £nil). Expenses relating to one trustee for £43 were reimbursed for travel expenses during the year. (2022- nil)

8 Staff numbers

The average number of employees (head count based on number of staff employed) during the year was 154 (2022: 137).

Staff are split across the activities of the charity as follows:

Raising funds
Harlington Care
Hospice at Home
Daycare
Family Support
In Patient Care
H4All and Other Collaborations
Support		 2023
No.
16.0
31.0
12.0
6.0
4.0
65.0
6.0
14.0		 2022
No.
16.0
30.0
8.0
8.0
4.0
51.0
7.0
13.0
154.0 137.0

53

Harlington Hospice Association Limited

Notes to the financial statements CONSOLIDATED For the year ended 31 March 2023

9 Related party transactions

During the year the Charity rented a property from Komfort Service Ltd (a company for which Mr Michael Edwards, trustee, is a director.) Payments to the company for rent and other services during the year totalled £12,500 (2022: £12,500).

Mr Sean Fitzpatrick, trustee, is additionally the Treasurer of the A.P. Taylor trust, which provided £10,000 grant funding to Harlington Hospice in 2021, 2022 and 2023. The purpose of the fund was to support charitably funded daycare activities for clients.

As Trustee representatives, Ms Margaret Roberts (Resigned October 2023) and subsequently Michael Breen (Appointed October 2023), and Mr William (Steve) Curry, as CEO of Harlington Hospice, are also trustees for H4All C.I.O. Any work for H4All is on an arm's length basis.

During the year, Mr M J Breen, trustee, was also a director of the Hospice Lottery Partnership in which the charity has an interest. Income received in the year was £200,000 (2022: £201,000) and expenditure in the year was £1760 (2022: £733) with an amount due to the Hospice Lottery Partnership of £138 at the year end (2022: £111 ). Mr M J Breen is also a Director of The Creative Place Ltd and shareholder in it’s ultimate holding company and expenditure incurred with this company by Harlington Hospice was £2682 (2022: nil).

Income received from H4All C.I.O. covered the cost of staff seconded to the charity to support the broader Health & Wellbeing aims of Harlington Hospice. The total income received from H4All in 2022 was £348.090 (2022: £244,723 ).

There are no donations from related parties which are outside the normal course of business and no restricted donations from related parties, except as noted above.

10 Taxation

The charity is exempt from corporation tax as all its income is charitable and is applied for charitable purposes.

54

Harlington Hospice Association Limited

Notes to the financial statements CONSOLIDATED For the year ended 31 March 2023

11 Tangible fixed assets

Freehold
property
£
2,900,000
Revaluation in year
500,000
Arising from merger with MSHC
-
-
-
3,400,000
71,653
Arising from merger with MSHC
-
24,000
95,653
3,304,347
2,828,347
Freehold
property
£
2,900,000
Revaluation in year
500,000
Arising from merger with MSHC
-
3,400,000
71,653
Arising from merger with MSHC
24,000
95,653
3,304,347
2,828,347
At the start of the year
Additions in year
Disposals in year
At the end of the year
Depreciation
Cost or valuation
At the end of the year
At the start of the year
Land with a value of £1,400,000 (2022: £1,200,000) is included
At the start of the year
Charge for the year
Disposals in year
At the end of the year
Net book value
The Charity
Cost or valuation
At the start of the year
Additions in year
Disposals in year
At the end of the year
Depreciation
At the start of the year
Charge for the year
Disposals in year
At the end of the year
Net book value
At the end of the year
At the start of the year
Tangible fixed assets
The Group		 Freehold
property
£
2,900,000
500,000
-
-
-		 Improvements
£
521,580
-
-
-
-		 Equipment
£
45,656
-
-
11,819		 Fixtures and
fittings
£
202,992
-
28,225
560
(67,168)		 Motor vehicles
£
14,500
-
15,360
-
-		 Total
£
3,684,728
500,000
43,585
12,379
(67,168)
3,400,000 521,580 57,475 164,609 29,860 4,173,524
71,653
-
24,000		 487,071
-
26,292		 41,367
-
10,199		 177,409
8,239
13,770
(67,168)		 14,162
15,360
338
-		 791,662
23,599
74,599
(67,168)
95,653 513,363 51,566 132,250 29,860 822,692
3,304,347 8,217 5,909 32,359 - 3,350,832
2,828,347 34,509 4,289 25,583 338 2,893,066
Freehold
property
£
2,900,000
500,000
-		 Improvements
£
521,580		 Equipment
£
45,656
11,819		 Fixtures and
fittings
£
202,992
(67,168)		 Motor vehicles
£
14,500
-		 Total
£
3,684,728
500,000
-
11,819
(67,168)
3,400,000 521,580 57,475 135,824 14,500 4,129,379
71,653
24,000		 487,071
26,292		 41,367
10,199		 177,409
13,146
(67,168)		 14,162
338		 791,662
-
73,975
(67,168)
95,653 513,363 51,566 123,387 14,500 798,469
3,304,347 8,217 5,909 12,437 - 3,330,910
2,828,347 34,509 4,289 25,583 338 2,893,066

All properties held at valuation were last valued on 21st March 2023 by Reinhardt Estate agents. The revaluation was reviewed and agreed by the charity's finance sub-committee on behalf of the Board. Harlington Hospice would normally seek a revaluation for this property every three years.

All of the above assets are used for charitable purposes.

55

Harlington Hospice Association Limited

Notes to the financial statements CONSOLIDATED For the year ended 31 March 2023

12 Subsidiary undertaking

The charity owns the whole of the issued ordinary share capital of The Michael Sobell Hospice Charity, a company registered in England. The subsidiary is used for non-primary purpose trading activities. All activities have been consolidated on a line by line basis in the Harlington Hospice trustees Carol Coventry, Michael Breen, Vanessa Avlonitis, Michael Edwards, Caroline Morison and John Sandercock who are also directors of the subsidiary.

A summary of the results of the subsidiary is shown below:

Turnover from sales to parent undertaking
Reserves
Cost of sales related to purchases from parent undertaking
Turnover
Cost of sales
Gross profit/(loss)
Profit/(loss) on ordinary activities before interest and taxation
Interest receivable and similar income
Total retained earnings brought forward
Profit / (loss) on ordinary activities before taxation
Taxation on profit on ordinary activities
Profit / (loss) for the financial year
Retained earnings
Profit / (loss) for the financial year
Total retained earnings carried forward
The aggregate of the assets, liabilities and reserves was:
Assets
Liabilities
Net gains / (losses) on investments		 2023
£
1,015,359
-
(1,703,863)
-		 2022
£
1,155,861
-
(1,778,503)
-
(688,504)
(688,504)
-
(20,341)		 (622,642)
(622,642)
-
37,854
(708,845)
-		 (584,788)
-
(708,845) (584,788)
1,482,230
(708,845)		 2,067,018
(584,788)
773,385 1,482,230
929,124
(155,739)		 1,644,105
(161,875)
773,385 1,482,230

56

Harlington Hospice Association Limited

Notes to the financial statements CONSOLIDATED For the year ended 31 March 2023

13 Parent charity

The parent charity's gross income and the results for the year are disclosed as follows:

14
15
16
Fixed asset Investments
Cost or valuation
Arising from merger
Revaluation at 31 March 2023
At 31 March 2023
Creditors: amounts falling due within one year
Trade creditors
Taxation and social security
Other creditors
Accruals
Deferred income
Debtors
Trade debtors
Other debtors
Prepayments
Accrued income
VAT Recoverable
Gross income
Result for the year		 Listed investments
Unlisted
investments
473,485
205,810
-
-
473,485
205,810
2023
2022
£
£
441,411
753,834
34,784
23,160
32,482
60,192
94,537
57,184
135,304
453,839
738,518
1,348,209
2023
2022
£
£
199,237
294,167
89,063
79,617
43,510
59,103
642,888
266,097
169,000
340,802
1,143,698
1,039,786
The group
The group		 Listed investments
Unlisted
investments
473,485
205,810
-
-
473,485
205,810
2023
2022
£
£
441,411
753,834
34,784
23,160
32,482
60,192
94,537
57,184
135,304
453,839
738,518
1,348,209
2023
2022
£
£
199,237
294,167
89,063
79,617
43,510
59,103
642,888
266,097
169,000
340,802
1,143,698
1,039,786
The group
The group		 2023
2022
£
£
6,851,495
5,718,617
593,374
40,353
2023
2022
£
£
679,295
-
-
-
679,295
-
2023
2022
£
£
500,710
753,834
20,773
23,160
32,482
60,192
73,665
57,184
135,303
453,839
762,933
1,348,209
2023
2022
£
£
186,804
294,167
82,759
79,617
39,664
59,103
632,888
266,097
169,000
340,802
1,111,115
1,039,786
The charity
The charity		 2023
2022
£
£
6,851,495
5,718,617
593,374
40,353
2023
2022
£
£
679,295
-
-
-
679,295
-
2023
2022
£
£
500,710
753,834
20,773
23,160
32,482
60,192
73,665
57,184
135,303
453,839
762,933
1,348,209
2023
2022
£
£
186,804
294,167
82,759
79,617
39,664
59,103
632,888
266,097
169,000
340,802
1,111,115
1,039,786
The charity
The charity
1,143,698 1,039,786 1,111,115 1,039,786

57

Harlington Hospice Association Limited

Notes to the financial statements CONSOLIDATED For the year ended 31 March 2023

17a Analysis of net assets between funds (current year)

Investments
Intangible fixed assets
Tangible fixed assets
Net current assets
Net current assets
Net assets at 31 March 2022
Net assets at 31 March 2023
Analysis of net assets between funds (prior year)
Tangible fixed assets		 General
unrestricted
£
-
679,295
659,538		 Designated
£
3,342,009
-
-		 Restricted
£
-
-
-		 Total funds
£
3,342,009
679,295
659,538
1,338,833 3,342,009 - 4,680,842
General
unrestricted
£
-
968,131		 Designated
£
2,893,066
-
-		 Restricted
£
-
-
-		 Total funds
£
2,893,066
-
968,131
968,131 2,893,066 - 3,861,197

17b Analysis of net assets between funds (prior year)

18a Movements in funds (current year)

Movements in funds (current year)
Total restricted funds
Total designated funds
General funds
Acquisition of Michael Sobell Charity
Restricted funds:
Psychotherapy
In-Patient Care
Total unrestricted funds
Total funds
Unrestricted funds:
Designated funds:
Fixed assets		 At 1 April 2022
£
-
-
-		 Income & gains
£
16,055
1,167,861
1,063,188		 Expenditure &
losses
£
(16,055)
(1,167,861)
(309,725)		 Transfers
£
-
-
-		 At 31 March
2023
£
-
()
753,463
- 2,247,104 (1,493,641) - 753,463
2,893,066 500,000 (51,057) - 3,342,009
2,893,066 500,000 (51,057) - 3,342,009
968,131 4,453,989 (4,827,926) - 594,193
3,861,197 4,953,989 (4,878,983) - 3,936,202
3,861,197 7,201,092 (6,372,624) - 4,689,665

The narrative to explain the purpose of each fund is given at the foot of the note below.

58

Harlington Hospice Association Limited

Notes to the financial statements CONSOLIDATED For the year ended 31 March 2023

18b Movements in funds (prior year)

Movements in funds (prior year)
Total restricted funds
Total designated funds
General funds
Total funds
Total unrestricted funds
Land & Buildings
Designated funds:
Unrestricted funds:
In-Patient Care
Psychotherapy
Wellbeing
Harlington Care
Restricted funds:
Hospice at Home
Fixed assets		 At 1 April 2021
£
-
-
50,000
-
137,835		 Income & gains
£
122,571
337,663
-
75,760
1,305,082		 Expenditure &
£
(122,571)
(337,663)
(50,000)
(75,760)
(1,442,917)		 Transfers
£
-
-
-
-
-		 At 31 March
£
-
-
-
-
-
187,835 1,841,076 (2,028,911) - -
2,852,347
218,672		 -
7,667		 (24,000)
(161,620)		 -
-		 2,828,347
64,719
3,071,019 7,667 (185,620) - 2,893,066
561,990 3,869,874 (3,463,733) - 968,131
3,633,009 3,877,541 (3,649,353) - 3,861,197
3,820,844 5,718,617 (5,678,264) - 3,861,197

18b Movements in funds (continued)

Purposes of restricted funds

Psychotherapy : Grants from BBC Children in Need fund to provide counselling support to children and young adults.

In-Patient Care: grants from the Michael Sobell Hospice Charity to support the running costs of the hospice, and the acquisition value arising from the merger of Harlington Hospice and MSHC

Purposes of designated funds

Fixed assets: The trustees have decided to designate all fixed assets, including land and buildings at Lansdowne House in Harlington, and the fixed assets belonging to The Michael Sobell Hospice Charity.

59

Harlington Hospice Association Limited

Notes to the financial statements CONSOLIDATED For the year ended 31 March 2023

19 Operating lease commitments payable as a lessee

The charity's total future minimum lease payments under non-cancellable operating leases is as follows for each of the following periods

Less than one year
One to five years		 2023
2022
£
£
56,500
92,500
41,125
130,125
97,625
222,625
Property		 2023
2022
£
£
56,500
92,500
41,125
130,125
97,625
222,625
Property
97,625 222,625

20 Friends of Harlington Hospice

The accounts for the Friends of Harlington Hospice show a bank and cash balance of £9,015 (2022: £8,464) as at 31 March 2023. Donations received via the Friends and funds raised from coffee mornings, totalled £1,102 (2022: £3,619) and are included in unrestricted funding.

During 2022/23 there were no items purchased from ringfenced funds.

The income and expenditure account is not audited.

21 Legal status of the charity

The charity is a company limited by guarantee and has no share capital. The liability of each member in the event of winding up is limited to £10.

60