NHS Cambridgeshire and Peterborough HEAD - TO TOE CHARITY NHS Foundation Trust Annual Report and Financial Accounts 2024- 2025 Registered Charity No:1099485 Community Butterfly Volunteers, pictured with Butterfly Volunteer Co-ordinator, Helen Coold Contents Page Head to Toe Charity Annual Impact Report A note f rom the Chair of Head to Toe Charity Committee Our objectives Our impact: Community Butterf ly Volunteer Service Our impact- Children's creative therapies Our impact: Supporting mental health services CAMEO Comedy Club Supporting patients on our acute mental health wards Supporting our people Looking ahead 10 Head to Toe Charity Accounts and Finan¢ial Statements Corporate Trustee Report Financial statements Foreword to the Financial Statements Independent Examiners Report 2024- 2025 accounts 18 19 20 21 Participants i n the Head to Toe annual bi ke ride Foreword from the Chair of Head to Toe Charity As Chair of the Head to Toe Charity Committee, and an Associate Non-Executive Director at Cambridgeshire and Peterborough NHS Foundation Trust ICPFTI, l am proud to present this year's annual report. It ref lects not only the generosity of our donors and supporters, but also the creativity and commitment of our staff, volunteers, and partners in bringing meaningful change to the lives of people across our communities. Over the past year, Head to Toe has continued to defnonstrate the unique impact that an NHS charity can have, f unding projects that sit above and beyond what the NHS alone can provide. From the launch of the ground- breaking Community Butterf ly Volunteer Service, off ering compassion and companionship at the end of life, to the expansion of arts therapies and i nnovative i nitiatives such as the CAM EO Comedy Club, each story in this report highlights how philanthropy and partnershi p can transform experiences of care. I have been particularly inspired by the way Head to Toe projects not only enrich the lives of patients and their families, but also provide vital support to the incredible staff across CPFT. Through initiatives like Schwartz Rounds, Staff Network f unding, and wellbeing projects, the charity plays an important role in strengthening the resilience and wellbeing of those who dedicate themselves daily to the care of others. As we look ahead, we remain ambitious in our vision: to empower health and wellbeing for everyone in our community. We will continue to build on the strong partnerships we have with CPFT, our volunteers, our supporters, and the wider community, ensuring that every donation and every act of generosity makes a real and lasting diff erence. On behalf of the Trustee Board and the Charity Committee, I would like to thank our donors, f unders, volunteers, and colleagues at CPFT f or your continued support and belief in what we can achieve together. Head to Toe is truly about more than f unding., it is about compassion, collaboration, and commitment to creating healthier lives and stronger communities. Jacquie McGeachie Chair of Head to Toe Charity Committee Associate Non-Executive Director, CPFT Our objectives Who we are Head to Toe is the N HS charity f or Cambridgeshire and Peterborough NHS Foundation Trust ICPFTI, dedicated to supporting individuals receiving mental health, community, and social care throughout our region. By f unding initiatives above and beyond the scope of NHS resources, we amplify CPFT'S mission to improve the health and wellbeing of both the people they serve and the staff who care for them. Our vision is clear: Healthier minds and bodies tor everyone in our community. Working closely with N HS health and social care specialists, we respond to the unique needs of our region by off ering i nclusive opportunities f or better physical and mental wellbeing, all informed by clinical expertise. Thanks to the continued generosity of our donors, f undraisers, and partners, we're able to deliver transformative projects that directly impact the lives of patients, f amilies, and N HS staff every day. Thank you We could not do this work without our generous donors. In 2024-2025, we would especially like to acknowledge the f ollowing organisations, for their support: Wrights Clock Land Trust NHS Charities Together Youth Music The Harry Cureton Trust The Healthier Futures Fund Illumina The Friends of North Cambridgeshire Hospital Cambridgeshire Community Foundation Ninja Theory LTD Our Impact: Community Butterfly Volunteer Service Compassionate support at a critical time This year, we proudly launched the Community Butterf ly Volunteer Service, a ground-breaki ng initiative developed with CPFT'S Voluntary Services, and community nursing teams, which is the f irst of its kind in the UK. This i nnovative service off ers vital volunteer support to patients receiving end-of-lif e care at home, provid i ng companionship and comfort to those with few visitors orfamilies needing respite. Volunteers ensure that no one faces this difficult time alone. In partnership with The Anne Robson Trust, volunteers receive specialist training to provide compassionate support to patients identif led by our older people, community, and specialist nursing teams. his service is ground-breaking because it goes into the local community, rather than staying confined to a hospital. Most people prefer the comfort of their own home. and in this small way, we're helping them do that.- David, Community Butterf ly Volunteer (pictured below, with fellow volunteers, Koty- CPFIS End-of-Life Core Facilitator, Helen - Butterfly Volunteer Co-ordinator and Lynn from The Anne Robson Trust). This project has been funded entirely through philanthropy and donations, with special thanks to the ICS Healthier Futures Fund, administered by Cambridgeshire Community Foundation. 66., His Butterfly visitor has been a lifeline to normality for him. Prior to this service, he had little input with anyone else. He was experiencing low mood and becoming withdrawn. Now the highlight of his week is his visitor. What an amazing gift that is!11 (Specialist Palliative Care Nurse) 995 Our impact: Children's creative therapies Transforming healing through music and art In autumn 2022, we launched an innovative music therapy programrne to support young people accessing care through Child and Adolescent Mental Health Services (CAM HSI and community paediatrics. This year, we expanded the i nitiative, f undi ng expert therapists to deliver music and art therapy sessions f or both adults and young people across CPFT'S specialist acute mental health wards i n Fulbourn. The project has also been nominated for a prestigious HSJ Award, and a clinical Allied Health Prof essional Award based on its innovative approach to providing support to young people. These therapies provide a non-verbal, creative f orm of support when traditional talking therapies are not always appropriate, improving emotional regulation and overall wellbeing. Feedback from patients and carers tells us that for some young people this is the onlyform of therapy they have engaged with. Young people have reported pain relief during sessions and better sleep. Most importantly, young people are supported to identify and work through trauma and learn coping strategies that they can use every day. "Music therapy has been such a wonderful experience. Every session has improved my mood and helped me use music to regulate my emotions. Thank you, Head to Toe." Patient Since April 2024, more than 350 sessions have been delivered, reaching more than 200 patients, all made possible thanks to our donors, generosity. Our plans going forward are to grow this service, with a focus on reaching young people who don't cu rrently have access to this additional support, such as children in care and refugees. Pictured are Volentini (left), Music ThercJpist, ond Aimee (right), Art Therapist. Our impact: Supporting mental health services CAMEO Comedy Club Bringing laughter, connection, and comfort to our communities Thisyear, we supported the CAMEO South team to launch a series of inclusive comedy evenings f or patients experiencing f irst episode psychosis and thei r carers. 66 Having Head to Toes support made a huge difference. It enabled us to create a high-quality event that patients felt invested in, and the response was incredible." Ali Shippey, CAMEO Team The first CAMEO Comedy Club event welcomed 24 patients and carers alongside10 staff members, f eaturing prof essional comedians - one of whom shared his lived experience of mental health, creating an evening of laughter, connection, and shared understanding. 100 /0 of attendees said they would attend again, highlighting the powerf ul impact of social connection on mental health recovery. The CAMEO Comedy Club continued throughout 2025. 99 Wellbeing on wheels: The Cavell Centre Supporting patients on our acute wards With CPFT Voluntary Services, we launched a new wellbei ng trolley f or inpatient wards at The Cavell Centre - a simple idea that's making a big diff erence. 471kTrl J2 Managed by volunteers, the trolley gives patients receiving 24-hour mental health care the opportunity to make personal choices,. whether selecting a favourite snack, a soothing activity, or a card to send to someone they care about. These small but meaningful moments of choice help restore a sense of agency, dignity, and normality during a time when much of daily lif e is structured around treatment and recovery. During the festive season, the trolley was stocked with Christmas gifts and cards, helping patients sharejoy and connection with loved ones. By supporti ng independence and connection, the wellbeing trolley is helping patients feel more li ke themselves - an important step toward recovery and wellbeing. Brightening people's day when they're struggling is one of the best feelings. l absolutely love doing it.- Paige, CPFT Volunteer Supporting our people Empowering CPFT staff through community and care We're deeply committed to the wellbeing of CPFT'S incredible staff. This year, we continued to provide annual f unding f or each of CPFT'S six Staff Networks, supporti ng events and workshops, educational resources and guest speakers, as well as peer support gatherings. We also f und the CPFT Schwartz Round licence, which provides a saf e space f or staf f to ref lect on the emotional challenges of working in healthcare. "Schwartz Rounds are a lifeline in my clinical practice; knowing there's a safe, supportive space to share experiences and connect with colleagues makes a profound difference to how I cope with the emotional impact of my role." Schwartz Rounds help reduce stress, f oster understand i ng, and strengthen team cohesion, ultimately improving both staf f wellbeing and patient care. By investing in our N HS people, we're building a stronger, more resilient healthcare system f or everyone. Ilfl IVUII ¢# The Senua Scholarship A game-changing programme for peer support In partnership with BAFTA award-winning game developer Ninja Theory and CPFT'S RCE Wellbeing Hub, we proudly delivered another successf ul year of the Senua Scholarship, a unique peer support training programme inspired by the acclaimed game Hellblade.. Senua's Sacrif ice. The scholarship provides training, mentoring, and support for a student to qualify as a Peer Support Worker, using their lived experience to work in the NHS, or charity sector, to help others in their recovery journey. Thank you to Ninja Theory f or its continued generosity and partnershi p. Looking ahead in 2025-26, we will continue to put patients at the heart of what we do, working closely with our partners, fund- raisers, staff and volunteers to ensure a wide and accessible programtne of Head to Toe charitable projects. We will strive towards transformi ng health outcomes f or the most vulnerable members of our community by providing support that goes above and beyond traditional healthcare. We will work with CPFT teams to deliver strategic, long-lasting programmes that make a measurable diff erence. We will expand our partnership with CPFT Voluntary Services, embedding volunteers across the Trust. We will embed a new brand identity, that better ref lects our mission, vision, and impact. We will collaborate with partners across our local area to bring volunteering opportunities and philanthropy to people and businesses who share our values and motivations. We will partnerwith Addenbrooke's Charitable Trust and the University of Cambridge to deliverthe philanthropic campaign f or the regions f irst children's hospital, and its pioneering approach to integrated physical and mental healthcare. www.headtotoecharity.org.uk To find out more about Head to Toe, the people and projects we support, please get in touch: Call us: 01223 219708 E-mail: charity@cpft.nhs.uk Follow us: @head2toecharity Head to Toe Charity, Elizabeth House, Fulbourn Hospital, Cambridge CB215EF Registered Charity No.1099485 Corporate Trustee Annual Report and Financial Statements of Head to Toe Charity 2024- 2025 HEAD TO TOE . CHARITY CHARITI HEAD TO TOE Ct]ARITY EAD TO TOE CHARITI 10 Annual Report and Financial Statements Statement of Corporate Trustee's Responsibilities The Corporate Trustee is the Board of Cambridgeshire and Peterborough NHS Foundation Trust. The Corporate Trustee is responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the funds held on trust,. establishing and monitoring a system of internal control: establishing arrangements for the prevention and detection of fraud and corruption. The Corporate Trustee is required under the Charities Act 2011 and the Charity (Accounts and Reports) Regulations 2008 to prepare financial statements that give a true and fair view of the financial position of the funds held on trust for each financial year. In preparing those financial statements, the Corporate Trustee is required to: Select suitable accounting policies and then apply them consistently. Observe the methods and principles in the charity's SORP. State whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the accounts. Prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in business. The Corporate Trustee confirms that it has met the responsibilities set oul above and complied with the requirements for preparing the financial statements. The financial statements set out on pages 21 to 31 of the finance section have been compiled from and are in accordance with the financial records maintained by the Trustee. As far as the Corporate Trustee is aware. there is no relevant information of which the charity's independent examiners are unaware. The Board members of the Corporate Trustee have taken all the steps that ought to have been taken in order to make themselves aware of any relevant information and to establish that the charity's Independent Examiner is aware of that information. The financial statements on pages 21 to 31 of the finance section were approved by the Trustee on 17 December 2025 and signed on its behalf by.. R2.4 Chair Eileen Milner Chief Executive Steve Grange Chief Finance Officer Robert Toole 11 Corporate Trustee Annual Report The Corporate Trustee presents the independently examined financial statements of the Head to Toe Charity for the financial year ended 31 March 2025. Charity registration Head to Toe Charity is registered with the Charity Commission, registration number.. 1099485. The name was changed in July 2017 and the previous name was Cambridgeshire Mental Health and Primary Care Trusts Charitable Fund. The principal address of the charity is Elizabeth House, Fulbourn Hospital, Cambridge CB215EF. Structure. governance and management The charitable trust constituted by the Trust Deed is administered and managed by the Corporate Trustee of the charity which is Cambridgeshire and Peterborough NHS Foundation Trust. The overall responsibility, therefore, rests collectively with the Board. The Board consists of a Chair and eight other Non-Executive Directors who are each appointed by the Council of Governors, together with a Chief Executive and five other Executive Directors. Below represents those in post during 2024-25. Directors during the financial year ending 31 March 2025 and at the date the financial statements were approved were as follows: Eileen Milner, Chair Prianthi Pinnaduwa, Non-Executive Director Dr Catherine Walsh, Chief Medical Officer Stephen Legood, Director of People and Business Development Jane Cannon, Non-Executive Director (from February 2024) Jacquie McGeachie, Associate Non-Executive Director, Head to Toe Charity Chair (from February 2024) Rachel Gomm, Chief Nurse (from March 2024) Karen Daber, Deputy Chair, Senior Independent Director (from Apnl 2024) Debbie Smith, Chief Operating Officer (to April 2024) Holly Sutherland, Chief Operating Officer (from April 2024) John Webster, Deputy Chief Executive Officer (to May 2024) Mike Hindmarch. Non-Executive Director (to May 2024) Dr Mike Knapton, Non-Executive Director (from May 2024) Scott Haldane, Interim Chief Executive Officer (to October 2024) Steve Grange, Chief Executive (from October 2024) Steve Cox, Non-Executive Director (from Decen7ber 2024) Lauren Gable, Chief Finance Officer (to February 2025) Prof Ed Bullmore, Advisory Non-Executive Director (to April 2025) Brian Mccarthy, Non-Executive Director (to September 2025) Mark Bailham, Non-Executive Director (from October 2025) Prof Rudolf Cardinal, Non-Execulive Director (from October 2025) Kishamer Sidhu, Interim Chief Finance Officer (from February 2025 to November 20251 Robert Toole, Chief Finance Officer (from November 2025} The charity has policies and proCedU￿S in place for the induction and training of the Board. This induction includes an introduction to the objectives, scope and policies of the charitable funds, Charity Commission information on Trustee Responsibilities, and copies of the previous year's financial statements. 12 Throughout the year, the Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) Board received and considered financial statements that had been prepared and reviewed by the sub-committee known as the Charilable Funds Management Committee {CFMC), consisting of the Non-Executive Director who acts as Chair of the Committee, two other Non- Executive Directors, Chief Finance Officer and Director of People and Business Development from CPFT. Advisers, Investment Managers and Independent Examiner The names and addresses of principal advisors during the year are as follows.. Natwest 250 Bishopsgate London EC2M 4AA Mills & Reeve, Solicitors LLP 110 Hills Road Cambridge CB2 1PH CCLA Fund Managers Limited One Angel Lane London EC4R 3AB The independent examiner is.. Katherine Parkin Azets Audit Services Ty Derw Lime Tree Court Cardiff Gate Business Park Cardiff CF23 8AB Statement on Public Benefit The objective of Head to Toe Charity is for the Corporate Trustee to hold the funds upon trust to apply the income, and at its discretion, so far as may be permissible, the capital, for any charitable purpose or purposes relating to the National Health Service. The objectives and activities and achievement and performance sections of this report clearly set out the activities which the charity undertakes for the public benefit. The Corporate Trustee confirms that it has complied with the duty in section 17 {5} of the Charities Act 2011 to have due regard to public benefit guidance published by the Charity Commission in determining the activities undertaken by the charity. 13 Financial review The following figures are taken from the full accounts below, This part of the Corporate Trustee's annual report comments on the key features of those accounts. Income Total incoming reSoUr￿S for the year, excluding gains and losses on investments, were £247,000 compared with £269,000 for the previous year. This is broken down for 2024-25 as follows: Income Expenditure Gain&lLos3es eVen1$f.9￿m8￿ke1lfft9 Invg$twni Irwm* 8.5% St￿NG￿nis 4.5% FUndra￿l￿g Isupwrti .6% 206% Patleni fyants 28.9% T￿land f¢Jndaiions 677 othersuppori & gO¥ern&r 30.7% Grants in: £151,000 - our main source of income is from Trusts and other charities who support the aims and objectives of Head to Toe. who we would like to thank for their support over the last year. Donations in.. £46,000 - income received from businesses, members of the public, CPFT staff, patients, loved ones and families, and other associations who wish to support Head to Toe, including in memory, and regular gifts. We would like to thank all of our donors for their support in 2024-2025. Fundraising and events: £31,000 - this is income received from events that we organise as a charity, or from dedicated individuals who take on a fundraising challenge to raise money for the NHS. We would like to thank all the fundraisers for their efforts in 2024-25. Investment income.. £19,000- this arises from the prudent management of funds not immediately required for use by Head to Toe and earned incorne on the investment portfolio of £4,000 and £15,000 for money held in the charity's bank account. Gains and losses on investment: £7,000 - CCLA funds are subject to unrealised gains and revaluations on disposal of funds. Expenditure Outgoing resources for the year totalled £332,000 compared with £321,000 for the previous year. This can be split into four distinct areas- Patient welfare- £96,000 - funded grants and projects across a broad range of activities to improve the wellbeing of patients and improve the health of our wider community. 14 Staff grants: £54,000 - on grants and projects that enabled staff wellbeing, development and an improved staff experience., ultimately enhancing the NHS services delivered by CPFT. Marketing and publicity: £5,000 - costs associated with running events in 2024-25. Fundraising {Support): £75,000 - A strategic investment, agreed by the Corporate Trustee, as a necessary means to grow our organisation, impact and income. Other support and governance.. £102,000 - costs are associated with running the charity, supporting CPFT staff and patients, delivering projects with the Trust, financial audit, compliance, memberships and raising awareness of Head to Toe. At 31 March 2025, restricted funds totalled £203,000 {2024: £156,000} (see note 11) and unrestricted funds totalled £189.000 (2024.. £328,000}. These funds are donor designated to be used to support and improve patient services and to provide further comforts for patients that cannot be afforded through public funding. Reserves Policy The Corporate Trustee has a duty to manage the cash reserves of the charity efficiently. This requires keeping cash held at the bank to a minimum and investing prudently. Charity reserves, as defined by the Charity Commission. are 'funds freely available for its general purpose, and this definition excludes investment assets. The charitable funds management committee calculate the free reserves as part of the charity's unrestricted funds that is freely available after taking account any designated funds that have been earmarked for specific projects. The total reserves currently stand at £392,000 made up of Restricted Funds of £203.000 and free reserves are calculated as follows.. Total unrestricted funds Less funds for projects Total free reserves £189,000 £189.000 The minimum reserve requirement is calculated as follows. Requirement for charitable expenditure Funds committed to future charitable activity Total reserve requirement £180,000 £180,000 The reserves held are currently above our target requirement. The Corporate Trustee of the charity is under a general legal duty to 'apply' {in practice this means 'expend') and not accumulate income. Charity Commission guidance on this issue determines that the income of a charity should be applied to specified purposes within a 'reasonable period of receipt, (currently six months to two years). Levels of future income flows are never guaranteed, and it is prudent to retain reserves that enable the charity to continue to meet its regular commitments. Income may be retained beyond this 'reasonable period, if, in the considered opinion of the trustee. it is implementing an action necessary for the charity to function properly- for example, the holding of specified income reserve balances. Subject to the above it is the intention that the charity will spend available funds generally over a two-year period, but with a maximum of three years, and the Corporate Trustee will ensure that resources are maintained in a fashion that achieves this objective. 15 Investments The Investments of Head to Toe are managed by Churches, Charities and Local Authorities Fund Managers Ltd (CCLA), registered In England No. 8735639. CCLA is authorised and regulated by the Financial Conduct Authority. The investment was split into two funds. They were Charities Ethical Investment Funds Income Units with a value of £106,000, and the Charities Ethical Investment Fund Accumulation Units with a value of £126,000. The objective of these funds managed by CCLA is to provide a long-term total return comprising growth in income as Head to Toe may need to draw on the funds to cover grant expenditure. The fund is an actively managed, diversified portfolio of assets with an emphasis on equities but also includes property, bonds and other asset classes which maybe liquid or illiquid in nature. sin￿ our distribution of funds represents unrestricted funds, the emphasis is on maintaining a high level of liquidity and a low to moderate investment risk. The CFMC has decided not to invest directly in alcohol. tobacco and fossil fuel securities because of the effect to the environment and poor health that would make such investments contrary to our charitable aims. At the balance sheet date, the two funds held amounted to £232,000. The CFMC monitors the investment performance via quarterly reports from CCLA who attend each CFMC to update the members on the funds to date. Relationship with related partieslexternal bodies Head to Toe Charity works closely with its related NHS organisation, Cambridgeshire and Peterborough NHS Foundation Trust. Many of its grants are provided to its related Trust and to individuals within this organisation. Staff within this organisation identify and advise the charity on local priorities and support the Corporate Trustee (the Trust Board) in monitoring the use of the charitable funds. Head to Toe Charity maintains close links with staff and patients within the Trust, their seNices and community. The strong relationship wilh members of staff is particularly valued and enables the charitable funds to be directed to ensure an effective contribution is made in support of these organisations. Grant-making Policy In making grants, the Trustee requires that the activily falls within the objects of the charity and that the funds are available to meet the requirement. Risk management The major risks to which the charity is exposed have been identified and considered. They have been reviewed and systems established to mitigate those risks. The Trustee is satisfied that systems are in place to mitigate exposure to identified risks. Plans for future periods The key objectives for the next financial year have been identified- We will enhance health experiences for children and young people by improving their mental and physical wellbeing and supporting NHS care. We will provide additional support for the most vulnerable people in our community, at a time they need us most. We will empower our community. by delivering health and wellbeing interventions above and beyond NHS care, through social and creative therapies, the outdoors, and fellowship. 16 We will invest in our staff and their ideas, to nurture, inspire and support them to be happy and healthy in their workplace and in delivering the best patient care. To achieve these objectives, we will.. Grow.. We will increase our fundraising activity across all giving portfolios., focusing on building long-temi sustainable income through legacy and in-memory campaigns, strategic project funding, regular giving schemes and partnership campaigns. Do more: We will embed volunteering within the delivery of charity projects and seek to build our capacity through volunteer resource. We will seek out opportunities to work with partner organisations, businesses. and funders to improve the experiences of our patients and wider community. We will collaborate to ensure a wider reach and impact for beneficiaries. Be excellent: We will become the charity of choice for people in our region, by demonstrating our impact, value and outcomes through meaningful communications and events. We will operate a well-governed. compliant and effective charity, which makes the best use of its resources for the benefit of its supporters and beneficiaries. Approved by the Corporate Trustee on 17 December 2025 and signed on its behalf by: 4LYTh Chair Eileen Milner Chief Executive Steve Grange R2.4 Chief Finance Officer Robert Toole 17 Head to Toe Charity FINANCIAL STATEMENTS Year to 31 March 2025 18 Foreword to the Financial statements The charity's financial statements for the year ended 31 March 2025 have been prepared by the Corporate Trustee in accordance with the accounting policies set out in Note 1 to the financial statements and comply with the charity's trust deed, the Charities Act 2011 and Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland published in October 2019. The Head to Toe Charity is registered with the Charity Commission (registration number 1099485) and includes charitable funds in respect of all the Cambridgeshire and Peterborough NHS Foundation Trust services. The main purpose of the charitable funds held on trust is to apply income for any charitable purposes relating to the National Health Service wholly or mainly for the seNices provided by Cambridgeshire and Peterborough NHS Foundation Trust. 19 Independent examiner's reportto theTrustee of Head To Toe Charity I report to the Trustee on my examination of the financial statements of Head To Toe Charity (the charity) for the year ended 31 March 2025. Responsibilities and basis of report As the Trustee of the charity you are responsible for the preparation of the financial statements in accordance with the requirements of the Charities Act 2011. I report in respect of my examination of the charity's financial statements carried out under section 145 of the Charities Act 2011. In carrying out my examination I have followed the Directions given by the Charity Commission under section 14515llbl of the Charities Act 2011. Independent examiner's statement I h2ve completed my examination. I confirm that no matters have come to my attention in connection with the examination giving me cause to believe that in any material respect.. 1. accounting records were not kept in respect of the charity as required by section 130 of the Charities Act 2011.. or 2. the financial statements do not accord with those records. or 3. the financial statements do not comply with the applicable requirements concerning the form and content of financial statements set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the financial statements give a true and fair view, which is not a matter considered as part of an independent examination. I h8ve no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in other to enable a proper understanding of the financial statements to be reached. Katherine Parkin FCA Azets Audit Services Ty Derw LimeTree Court Cardiff Gate Business Park Cardiff CF23 8AB Date.. 8 January 2026 20 ## **Statement of Financial activities for the year ended 31 March 2025** |Note
**Income and endowments from:**
Donations
2
Investment Income
2
**Total income**
**Expenditure on:**
Raising Funds
3
Charitable Activities
4
**Total Expenditure**
Gains and Losses on Investments
**Net income/(expenditure) and net**
**movement in funds**
_Reconciliation of funds_
Total funds brought forward
**Total funds carried forward**|Unrestricted
Restricted
**Total**
_Total_
Funds
Funds
**Funds**
_Funds_
2024/25
2024/25
**2024/25**
2023/24
£000
£000
**£000**
£000
117
111
228
257
19
0
19
12| |---|---| ||**136**
**111**
**247**
269| ||(4)
(1)
(5)
(5)
(264)
(63)
(327)
(316)| ||**(268)**
**(64)**
**(332)**
(321)| ||(7)
0
(7)
55| ||**(139)**
**47**
**(92)**
**3**| ||328
156
484
481| ||**189**
**203**
**392**
**484**| All amounts are generated from continuing activities. The notes on pages **24 to 31** form part of these financial statements. 21 ## **Balance Sheet as at 31 March 2025** ||Note|Unrestricted|Restricted|**Total**|_Total_| |---|---|---|---|---|---| |||Funds|Funds|**Funds**|_Funds_| |||||**31**|31| |||||**March**|March| |||||**2025**|2024| |||£000|£000|**£000**|£000| |Current Assets|||||| |Cash at bank and in hand||177|203|380|592| |Investments|6|232|0|232|239| |**Total current assets**||**409**|**203**|**612**|**831**| |Liabilities|||||| |Trade and other Payables|||||| |falling due|||||| |within one year|7|(220)|-|(220)|(347)| |**Net Current Assets**||**189**|**-**|**392**|**484**| |**The Funds of the Charity**|||||| |Unrestricted funds||189|-|189|328| |Restricted funds||-|203|203|156| |**Total Charity Funds**||**189**|**203**|**392**|**484**| ## **Approved by the Corporate Trustee on 17 December 2025 and signed on its behalf by** Chair Eileen Milner Chief Executive Steve Grange Chief Finance Officer Robert Toole The notes on pages **24 to 31** form part of these financial statements. 22 ## **Statement of Cash Flows For the year ending 31 March 2025** |Note
**Net cash used in operating activities**
11
**Net cash used in investment activities**
Acquisition of Investment
Proceeds from the sale of Investment
Investment income
**Change in cash and cash equivalents in the**
**year**
Cash and cash equivalents at the beginning of
the year
**Cash and cash equivalents at the end of the year**12|Total
Total
Funds
Funds
2024/25
2023/24
£000
£000| |---|---| ||(231)
246| ||-
-
19
-
295
12
(212)
553
592
39| ||**380**
**592**| The proceeds from the sale of Investment relates to the disposal of investments approved at the March CFMC and which was actioned by CCLA on 28th March 2024 but the associated cash did not reach the Head-to-Toe bank account until 3rd April 2024. The notes on pages **24 to 31** form part of these financial statements. 23 ## **NOTES TO THE FINANCIAL STATEMENTS** ## **1 Accounting policies** ## **1.1 Basis of preparation** The financial statements have been prepared under the historical cost convention with items recognised at cost or transaction value unless otherwise stated in the relevant note(s) to these accounts. The financial statements have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued in October 2019 and the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102) and the Charities Act. The trust constitutes a public benefit entity as defined by FRS 102. The Corporate Trustee has prepared the financial statements on a going concern basis which it considers appropriate for the following reasons: - The Charity operates in such a way that its charitable activities are limited to those only where it has sufficient funds to support those activities once the costs of administering the Charity have been removed. - The Corporate Trustee has reviewed its cash flow forecasts for a period of 12 months from the date of approval of these financial statements and this indicates that the Charity has sufficient funds to meet its liabilities as they fall due for that period. ## **1.2 Income** - a All incoming resources are included in full in the Statement of Financial Activities as soon as the following three factors can be met: - i entitlement - arises when there is control over the rights or other access to the resources, enabling the Charity to determine its future application - ii certainty - when it is probable that the incoming resources will be received - iii measurement - when the monetary value of the incoming resources can be measured with sufficient reliability. - b Legacies Legacy gifts are recognised on a case-by-case basis following the granting of probate when the administrator/executor for the estate has communicated in writing both the amount and settlement date. - c Interest and dividends 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. Dividends (where applicable) are recognised once the dividend has been declared and notification has been received of the dividend due. 24 ## **NOTES TO THE FINANCIAL STATEMENTS** ## **1.3 Expenditure** Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the Charity to that expenditure, it is probable that settlement will be required, and the amount of the obligation can be measured reliably. All expenditure is accounted for on an accruals basis. All expenses including support costs and governance costs are allocated or apportioned to the applicable expenditure headings. Resources expended on charitable activities comprise all the resources applied by the charity in undertaking its work to meet its charitable objectives and governance costs, as opposed to the cost of raising the funds to finance these activities. Charitable activities are all the resources expended by the Charity in the delivery of goods and services, including its programme and project work that is directed at the achievement of its charitable aims and objectives. Such costs include the direct costs of the charitable activities together with those support costs incurred that enable these activities to be undertaken. Grants are only made to related or third - party NHS bodies and non-NHS bodies in furtherance of the charitable objects of the funds. A liability for such grants is recognised when approval has been given by the Corporate Trustee and it has been communicated to the grant recipient thereby creating an obligation to pay. Governance costs include the costs of governance arrangements which relate to the general running of the Charity as opposed to the direct management functions inherent in generating funds, service delivery and programme or project work. ## **1.4 Structure of funds** Where there is a legal restriction on the purposes to which a fund may be put, the fund is classified in the financial statements as a restricted fund. Funds where the capital is held to generate income for charitable purposes and cannot itself be spent are accounted for as endowment funds. Other funds are classified as unrestricted funds, these are funds that are spent or applied at the discretion of the Corporate Trustee to further the C . Funds which are not legally restricted but which the Corporate Trustee has chosen to earmark for set purposes are classified as designated funds. ## **1.5 Debtors and creditors receivable/payable within one year** Debtors and creditors with no stated interest rate and receivable or payable within one year are recorded at transaction price. Any losses arising from impairment are recognised in expenditure. ## **1.6 Cash at bank and in hand** Cash at bank and in hand are short-term, highly liquid investments that are readily convertible to known amounts of cash that are subject to an insignificant risk of changes in value. 25 ## **NOTES TO THE FINANCIAL STATEMENTS** ## **1.7 Value Added Tax** Under section 41(7) of the VAT Act 1994, the Corporate Trustee is registered for VAT and as per HMRC guidance this implies that the Charity falls under the Corporate Trustee VAT registration. Most of the activities of the Charity are outside the scope of VAT and, in general, output tax does not apply and input tax on purchases is not recoverable. Irrecoverable VAT is charged to the relevant expenditure category or included in the capitalised purchase cost of fixed assets. Where output tax is charged or input VAT is recoverable, the amounts are stated net of VAT. ## **1.8 Allocation of support and governance costs** Support costs have been allocated between governance costs and other support costs. Governance costs comprise all costs involving the public accountability of the charity and its compliance with regulation and good practice. Support costs comprise the costs involved in the administration of the charity. The analysis of support and the basis of allocations are shown in Note 5. ## **1.9 Charitable activities** Costs of charitable activities include grants made, governance costs and support costs. ## **1.10 Investment Policy** Investments are stated at market value as at the balance sheet date. The Statement of Financial Activities includes the net gains and losses arising on revaluation and disposals throughout the year. The Investments of Head to Toe are managed by Churches, Charities and Local Authorities Fund Managers Ltd (CCLA), registered In England No. 8735639. CCLA are authorised and regulated by the Financial Conduct Authority. Current value of the investment portfolio is shown under note 6. 26 ## **NOTES TO THE FINANCIAL STATEMENTS** ## **2 Income** |Donations
Investment
Income
Totals|**Unrestricted**
**Restricted**
**Total**
**24/25**
**23/24**
**24/25**
**23/24**
**24/25**
**23/24**
**£000**
**£000**
**£000**
**£000**
**£000**
**£000**
117
97
111
160
228
257
19
12
0
0
19
12| |---|---| ||136
109
111
160
247
269| ## **3 Raising Funds** |Marketing and
Publicity
**Totals**|**Unrestricted**
**Restricted**
**Total**
**24/25**
**£'000**
**23/24**
**£000**
**24/25**
**£'000**
**23/24**
**£000**
**24/25**
**£'000**
**23/24**
**£000**
4
4
1
1
5
5
**4**
**4**
**1**
**1**
**5**
**5**| |---|---| ## **4 Charitable activities** ||||**Unrestricted**|**Unrestricted**|**Restricted**|**Restricted**|**Total**|**Total**|| |---|---|---|---|---|---|---|---|---|---| ||||**24/25**|**23/24**|**24/25**|**23/24**|**24/25**|**23/24**|| ||||**£'000**|**£000**|**£'000**|**£000**|**£'000**|**£000**|| |Patients welfare and|||62|28|34|46|96||74| |amenities|||||||||| |Staff welfare and amenities|||25|21|29|44|54||65| |Support and governance|||177|177|0|0|177||177| |costs|||||||||| |**Totals**|||**264**|**226**|**63**|**90**|**327**||**316**| ||**Analysis of support costs**||||||||| ||||**Total**||**Total**||||| ||||**2024/25**||**2023/24**||||| ||||**£'000**||**£'000**||||| |||Governance|19||16|Allocated on basis of fund value|||| |||Fundraising|75||69||||| |||Administration|83||92|Coded directly to General Fund|||| ||||**177**||**177**||||| ## **5 Analysis of support costs** Governance costs include fees payable to the independent examiner of £6,250 (2024: £8,000). These are exclusive of VAT. 27 ## **NOTES TO THE FINANCIAL STATEMENTS** ## **6 Investment Activities** |Opening Balance
Disposal
Unrealised Loss|**Unrestricted**
**Restricted**
**Total**
**Funds**
**Funds**
**31 March**
**2025**
**£'000**
184
55
**239**
0
0
0
(7)
0
(7)
**177**
**55**
**232**| |---|---| An investment with CCLA was undertaken in May 2022, any realised/unrealised gains or losses are taken directly to general fund as investment income or gain/losses on investments and then distributed to unrestricted funds. ## **7 Trade Creditors and other payables: amounts falling due within one year** |Accruals|**31 March 2025**
**31 March 2024**
**£'000**
**£'000**
220
347
**220**
**347**| |---|---| This includes money owed to the Corporate Trustee and the Independent Examiner. ## **8 Analysis of net assets between funds** |Current assets
Current liabilities|**Unrestricted**
**Restricted**
**Total**
**Total**
**Funds**
**Funds**
**31 March**
**2024**
**31 March**
**2024**
**£'000**
**£'000**
409
203
612
831
(220)
0
(220)
(347)
**189**
**203**
**392**
**484**| |---|---| 28 ## **NOTES TO THE FINANCIAL STATEMENTS** ## **9 Related party transactions** The Head to Toe Charity works closely with its related NHS Trust, Cambridgeshire and Peterborough NHS Foundation Trust. During the year, the Charity had several material transactions with this organisation in furtherance of the objectives of the Charity totalling £212,058 (2024: £315,000), which includes administration charges. Other than these payments there have been no transactions between the Charity and the Corporate Trustee, these are recharges to cover payments made by the Corporate Trustee. At 31 March 2025, Head to Toe owed the Corporate Trustee £220,000 (2024 £347,000). Board Members of the Cambridgeshire and Peterborough NHS Foundation Trust, the Corporate Trustee, and members of the Charitable Funds Management Committee ensure that the business of the Charity is dealt with separately from the associated Exchequer Funds for which they are also responsible. Head to Toe has no direct employees. Staff who help run the Charity are employed by the Corporate Trustee, who recharge the Charity and is included in the transactions above. Declarations of personal interest are made where appropriate, and these declarations pertaining to the Funds Held on Trust are available for public inspection by application through the Trust Secretary of the Cambridgeshire and Peterborough NHS Foundation Trust. The Corporate Trustee did not pay expenses to any member of the Cambridgeshire and Peterborough NHS Foundation Trust Board of Directors nor to any member of the Charitable Funds Management Committee and members did not receive any honoraria or emoluments from charitable funds in the year. ## **10 Outline Summary of fund movements 2024/25** |**Unrestricted Funds:**
**Total Unrestricted Funds**
**Restricted Funds:**
Arts Therapy
NHS CT Stage 3 Wellbeing
Wrights Clock
Youth Music
NHS CT Stage 3StaffDevelopment
Friends of Fulbourn
Healthy Futures Fund
NHS CT Stage 3 Resource Centre
Recovery College East
ED & I
**Total Restricted Funds**
**TOTAL FUNDS**|**Balance**
**at 31-**
**March**
**2024**
**Income**
**Expenditure**
**Realised**
**and**
**Unrealised**
**Loss**
**Balance at**
**31-March**
**2025**
**£'000**
**£'000**
**£'000**
**£'000**
**£'000**
328
136
(268)
(7)
189| |---|---| ||**328**
**136**
**(268)**
**(7)**
**189**| ||2
11 0
0
13
5
0
0
0 5
17 0
(8)
0
9
15 0
(15)
0
0
3
24
0
0
27
10
5
(6)
0
9
10
0
(2)0
8
50
55
(17)
0
88
42
0
(16)
0
26
0
16
0
0
16
2 0
0
0
2| ||**156**
**111**
**(64)**
**0**
**203**| ||| ||**484**
**247**
**(332)**
**(7)**
**392**| 29 ## **NOTES TO THE FINANCIAL STATEMENTS** ## **10 Outline Summary of fund movements 2023/24** |**Unrestricted Funds:**
**Total Unrestricted Funds**
**Restricted Funds:**
Arts Therapy
NHS CT Stage 3 Wellbeing
Wrights Clock
Youth Music
NHS CT Stage 3 Staff Development
Friends of Fulbourn
Healthier Futures Fund
NHS CT Stage 3 Resource Centre
Other
**Total Restricted Funds**
**TOTAL FUNDS**|**Balance**
**at 31-**
**March**
**2023**
**Income**
**Expenditure**
**Realised**
**and**
**Unrealised**
**Gains**
**Balance at**
**31-March**
**2024**
**£'000**
**£'000**
**£'000**
**£'000**
**£'000**
394
109
(230)
55
328| |---|---| ||**394**
**109**
**(230)**
**55**
**328**| ||3
17
(18)
0
2
15
0
(10)
0 5
12 12
(7)
0
17
15 0
0
0
15
11
19
(27)
0
3
30
0
(20)
0
10
0
10
0
0
10
0
50 0
0
50
0
51
(9)
0
42
1 1
0
0
2| ||**87**
**160**
**(91)**
**0**
**156**| ||| ||**481**
**269**
**(321)**
**55**
**484**| ## **Purpose of Restricted Funds** Arts Therapy To provide Art Therapy to CPFT Patients NHSCT Stage 3 Wellbeing Funding from NHS Charities Together to support staff wellbeing Richard To provide Music Therapy to children and young people To provide Music Therapy to patients at Fulbourn Hospital Youth Music To provide Music Therapy community services NHSCT Stage 3 Staff Development Funding for organisational development for the charity Friends of Fulbourn To provide support and activities to patients staying at Fulbourn Hospital Healthy Futures Fund To set-up volunteer service supporting end of life patients NHSCT Stage 3 Resource Centre To redevelop the outdoor area at the Resource Centre Recovery College East Funds to advance the work at Recovery College East 30 ## **NOTES TO THE FINANCIAL STATEMENTS** ## **11 Reconciliation of net income/(expenditure) to net cash flow** |Net movement in funds
Gains on Disposal
Revaluation Gains
Dividends, interest and rents from investments
Increase in debtor
In/(de)crease in creditors
**Net Movement in Operating Activities**|**2024/25**
**2023/24**
**£'000**
**£'000**
(92)
3
-
(30)
7
(24)
(19)
(12)
0
0
(127)
309| |---|---| ||**(231)**
246| ## **12 Analysis of cash and cash equivalents** |Cash and Cash in hand
**Total cash and cash equivalents**|**31 March**
**2025**
**31 March**
**2024**
**£'000**
**£'000**
380
592
**380**
**592**| |---|---| ## **13 Events after reporting period** There are no known events after the reporting period. 31 HEAD a TO TOE CHARITY www.headtotoecharity.org.uk Registered Charity No.. 1099485 Supporting NHS Re9lstered wlth FR Cambridgeshire and Peterborough FUNDRAISING REGULATOR NHS Foundation Trust