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2022-03-31-accounts

REGISTERED COMPANY NUMBER: 05389416 (England and Wales) REGISTERED CHARITY NUMBER: 1109021

Report of the Trustees and

Unaudited Financial Statements

for the Year Ended 31 March 2022

for

Walsalll Rehabilitation and Healthy Living Trust

Haines Watts Tamworth Limited Sterling House 97 Lichfield Street Tamworth Staffordshire B79 7QF

Walsalll Rehabilitation and Healthy Living Trust

Contents of the Financial Statements for the Year Ended 31 March 2022

Page
Report of the Trustees 1 to 4
Independent Examiner's Report 5
Statement of Financial Activities 6
Balance Sheet 7
Cash Flow Statement 8
Notes to the Cash Flow Statement 9
Notes to the Financial Statements 10 to 14
Detailed Statement of Financial Activities 15 to 16

Walsalll Rehabilitation and Healthy Living Trust

Report of the Trustees for the Year Ended 31 March 2022

The trustees who are also directors of the charity for the purposes of the Companies Act 2006, present their report with the financial statements of the charity for the year ended 31 March 2022. The trustees have adopted the provisions of 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) (effective 1 January 2019).

Trustees' Responsibilities

The responsibilities of the Trustees are detailed on page 5.

Trustees will attend Charity Law updates to ensure that the Charity is compliant and have included a routine item on the agenda for Risk Management. A Risk Management policy and action plan has been drawn up.

The Charity Trustees therefore give on-going consideration to the major risks to which the charity is exposed and satisfy themselves that strategies, systems and procedures have been established in order to manage those risks.

OBJECTIVES AND ACTIVITIES

Objectives and aims

The objects of the Charity are to relieve sickness and protect the health of persons suffering or at risk from diseases, complaints or hereditary conditions of the cardiovascular system, circulatory system and respiratory system or other long term conditions.

Significant activities

Development, Activities and Achievements

The Trust continues to be part funded by the Walsall Clinical Commissioning Group (due to restructure this is now the NHS Black Country & West Birmingham CCG) based on new cardiac and pulmonary patient referrals.

Heart Care has continued with some of the changes made through COVID pandemic as these have proved to be successful and gives better access to those who would not have normally attended the Unit. Therefore we are still undertaking all the initial interviews by phone, providing a home exercise and/or web based programme co-ordinated by the Exercise Physiologist and nurse support programme for those who are unable to exercise but want advice and support over 8 weeks where goals are set and agreed. Our tailor-made rehabilitation programmes therefore continue for all appropriate patients referred, with 100% of patients having a personalised care plan supported by professionally trained and experienced personnel. Staff ascertain and agree with the patient the best pathway, including relevant advice, structured programme, tai chi (either face to face or via zoom) and/or home /web based programmes.

Page 1

Walsalll Rehabilitation and Healthy Living Trust

Report of the Trustees for the Year Ended 31 March 2022

ACHIEVEMENT AND PERFORMANCE Charitable activities

Cardiac Rehabilitation

The Trust has achieved the National Certification Programme for Cardiac Rehabilitation status for the fourth year in a row.

Cardiac referrals have been affected during the COVID pandemic and this continues to be the case as waiting times have increased for elected procedures. However, we have still received 780 referrals with 93% of patients being given an appointment.

The majority of referrals were received from New Cross Hospital (73%) with Walsall Manor Hospital 14% and GP 7%.

The majority of patients were white British with 11% ethnic minority patients. 68% of patients were male and 32% female, a similar split to previous years.

All patients who start the exercise programme are given a baseline assessment, 100%.

Statistics:

We continue to provide some short exercise sessions via our own website if patients can't access the Unit, including Tai Chi. Patients have moved between programmes and therefore it has been difficult to access exact improvements, however, the majority of patients have improved fitness and risk factor outcomes such as quit smoking, reduced anxiety and depression, and reduced blood pressure. These are recorded and reported to the CCG accordingly on a quarterly basis.

Many patients improved their eating habits, increasing fruit and vegetables and reducing salt, fast foods and alcohol.

All patients completing a programme are reassessed and are given a long-term maintenance plan and a letter sent to their GP communicating their outcomes.

Goal setting continues within all programmes with 94% of patients achieving all or part of the goals.

Of those patients who defaulted, 42% could not be contacted and 25% did not want any further input or were not interested. 19% of patients were either too poorly or waiting for further intervention. Patients who default at any stage of the rehabilitation programme will be contacted by phone or letter to ascertain the reasons and where possible accommodated at a later stage and a letter is sent to their GP advising them of the current situation.

Actions agreed to increase the service to all patients

We are continually marketing our service to the Local GPs and are reviewing our patient support group to ensure we are offering a wide range of activities that patients need for their on-going progress.

Pulmonary Rehabilitation

296 patients have been referred, much lower than last year. The majority of these have been referred from Practice Nurses (59%).

Page 2

Walsalll Rehabilitation and Healthy Living Trust

Report of the Trustees for the Year Ended 31 March 2022

56% of referred patients had clinical input.

52% completed either the exercise programme or nurse support, although 5 are still on the course.

Clinical improvements include: improved fitness, weight loss, anxiety and depression scores, SATs, COPD Assessment Test scores, blood pressure and perception of their condition.

There are still a higher proportion of patients being referred within the older age range, however, we are continuing to receive referrals for patients in the age range 40-59 which is encouraging and will continue to promote this to GPs and Practice Nurses.

The tai chi sessions are continuing to be well attended by all groups of patients and we have now returned to face to face sessions with limited numbers to keep a 2 metre distance. As previously stated there are still some short sessions on a website for patients to follow.

Unfortunately our singing classes have only just started with a low take up however, we will continue to promote these to our own patients and within GP surgeries to hopefully build up the numbers.

The staff continue to provide one-to-one education for patients, although we now have support from the Community Physiotherapy Team.

32% of patients could not be contacted, were uninterested or were inappropriate. 34% of patients were too ill to attend.

After Care

After care sessions continue for patients who have completed any of the above free courses and wish to continue exercising at Heart Care. These patients continue to be monitored by the Clinical Team to maintain their lifestyle and fitness.

FINANCIAL REVIEW

Principal funding sources

The Trustees continue to be committed to raising additional funds with the Community Fund-raiser now able to organise some fund-raising activities, however, the Trust continue to apply for Trust funding as a main source of funding at the moment.

The cardiac and pulmonary rehabilitation contracts continue with the Black Country & West Birmingham Clinical Commissioning Group and targets reviewed on a quarterly basis. The contract will come up for a review in 2023.

We are continuing to promote our service to GPs for all patients who may have long term conditions and would benefit from our service.

Investment policy and objectives

Any investments or land belonging to the Trust, other than monies required for ordinary expenditure of the Trust, shall be vested with such concense as may be necessary in the official Custodian for Charities. The Trust Deed authorises the Trustees to make and hold investments using the general funds of the Charity.

Reserves policy

The board have agreed a reserves policy covering 12 months running costs of the Trust, enabling support programmes, at all stages of completion, to be seen through to their conclusion.

We are continuing to promote our service to GPs for all patients who may have long term conditions and would benefit from our service and have agreed to provide the first 12 sessions at a low cost to try and encourage more people to use the facilities.

FUTURE PLANS

Heart Care continues to work closely with the Commissioners as well as the local public to promote all services.

The website continues to gain followers and by including more information through facebook we feel that we are reaching more patients and the general public informing them of the work that we are doing and giving them support in regard to education and exercise. In addition the website helps with our fund-raising activities and also in regard to bid writing where potential Trusts can easily view our services.

Page 3

Walsalll Rehabilitation and Healthy Living Trust

Report of the Trustees for the Year Ended 31 March 2022

STRUCTURE, GOVERNANCE AND MANAGEMENT Governing document

The charity is controlled by its governing document, a deed of trust, and constitutes a limited company, limited by guarantee, as defined by the Companies Act 2006.

Charity constitution

The Trust is incorporated as a Limited Company by Guarantee from March 2005.

Organisational structure

The activities of the Trust are governed by the Trustees, all of whom are Directors, and are administered by a committee consisting of the Trustees and a senior member of staff.

REFERENCE AND ADMINISTRATIVE DETAILS Registered Company number

05389416 (England and Wales)

Registered Charity number 1109021

Registered office 12 Portland Street Walsall West Midlands WS2 8AB Trustees P Griffin Director NHS (retired) M Walsh Director NHS (retired) E B Watts Retired (resigned 24.4.21) P B Burns Trustee Dr C Kerbotson Flenley General Medical Practitioner (appointed 19.5.21)

Company Secretary Ms S M Ursell

Independent Examiner Haines Watts Tamworth Limited Sterling House 97 Lichfield Street Tamworth Staffordshire B79 7QF

This report has been prepared in accordance with the special provisions of Part 15 of the Companies Act 2006 relating to small companies.

Approved by order of the board of trustees on 2 December 2022 and signed on its behalf by:

P B Burns - Trustee

Page 4

Independent Examiner's Report to the Trustees of Walsalll Rehabilitation and Healthy Living Trust

Independent examiner's report to the trustees of Walsalll Rehabilitation and Healthy Living Trust ('the Company')

I report to the charity trustees on my examination of the accounts of the Company for the year ended 31 March 2022.

Responsibilities and basis of report

As the charity's trustees of the Company (and also its directors for the purposes of company law) you are responsible for the preparation of the accounts in accordance with the requirements of the Companies Act 2006 ('the 2006 Act').

Having satisfied myself that the accounts of the Company are not required to be audited under Part 16 of the 2006 Act and are eligible for independent examination, I report in respect of my examination of your charity's accounts as carried out under Section 145 of the Charities Act 2011 ('the 2011 Act'). In carrying out my examination I have followed the Directions given by the Charity Commission under Section 145(5) (b) of the 2011 Act.

Independent examiner's statement

Since your charity's gross income exceeded £250,000 your examiner must be a member of a listed body. I can confirm that I am qualified to undertake the examination because I am a registered member of Association of Chartered Certified Accountants which is one of the listed bodies.

I have completed my examination. I confirm that no matters have come to my attention in connection with the examination giving me cause to believe:

  1. accounting records were not kept in respect of the Company as required by Section 386 of the 2006 Act; or 2. the accounts do not accord with those records; or

  2. the accounts do not comply with the accounting requirements of Section 396 of the 2006 Act other than any requirement that the accounts give a true and fair view which is not a matter considered as part of an independent examination; or

  3. the accounts have not been prepared in accordance with the methods and principles of the Statement of Recommended Practice for accounting and reporting by charities (applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102)).

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.

Darren Barlow FCCA Association of Chartered Certified Accountants Haines Watts Tamworth Limited Sterling House 97 Lichfield Street Tamworth Staffordshire B79 7QF

2 December 2022

Page 5

Walsalll Rehabilitation and Healthy Living Trust

Statement of Financial Activities for the Year Ended 31 March 2022

2022
Unrestricted
fund
Notes
£
INCOME AND ENDOWMENTS FROM
Donations and legacies
245,863
Charitable activities
Rehabilitation Programmes
298,248
Aftercare Programmes
53,651
Other trading activities
2
2,006
Investment income
3
2,793
Other income
659
Total
603,220
EXPENDITURE ON
Raising funds
18,413
Charitable activities
4
Rehabilitation Programmes
279,919
Other
156,576
Other
4,397
Total
459,305
NET INCOME
143,915
RECONCILIATION OF FUNDS
Total funds brought forward
656,495
TOTAL FUNDS CARRIED FORWARD
800,410		 2021
Total
funds
£
106,968
281,286
13,983
9,531
1,392
24,146
437,306
20,290
255,893
140,734
4,725
421,642
15,664
640,831
656,495

The notes form part of these financial statements

Page 6

Walsalll Rehabilitation and Healthy Living Trust

Balance Sheet 31 March 2022

Notes
FIXED ASSETS
Tangible assets
9
CURRENT ASSETS
Debtors
10
Prepayments and accrued income
Cash at bank and in hand
CREDITORS
Amounts falling due within one year
11
NET CURRENT ASSETS
TOTAL ASSETS LESS CURRENT LIABILITIES
NET ASSETS
FUNDS
12
Unrestricted funds
TOTAL FUNDS		 2022
Unrestricted
fund
£
346,572
2,300
3,019
474,114
479,433
(25,595)
453,838
800,410
800,410
800,410
800,410		 2021
Total
funds
£
354,390
2,695
6,811
311,083
320,589
(18,484)
302,105
656,495
656,495
656,495
656,495

The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 March 2022.

The members have not required the company to obtain an audit of its financial statements for the year ended 31 March 2022 in accordance with Section 476 of the Companies Act 2006.

The trustees acknowledge their responsibilities for

These financial statements have been prepared in accordance with the provisions applicable to charitable companies subject to the small companies regime.

The financial statements were approved by the Board of Trustees and authorised for issue on 2 December 2022 and were signed on its behalf by:

P B Burns - Trustee

The notes form part of these financial statements

Page 7

Walsalll Rehabilitation and Healthy Living Trust

Cash Flow Statement for the Year Ended 31 March 2022

Notes
Cash flows from operating activities
Cash generated from operations
1
Net cash provided by operating activities
Cash flows from investing activities
Purchase of tangible fixed assets
Interest received
Net cash used in investing activities
Change in cash and cash equivalents in
the reporting period
Cash and cash equivalents at the
beginning of the reporting period
Cash and cash equivalents at the end of
the reporting period		 2022
£
179,600
179,600
(16,679)
110
(16,569)
163,031
311,083
474,114		 2021
£
24,128
24,128
(10,208)
152
(10,056)
14,072
297,011
311,083

The notes form part of these financial statements

Page 8

Walsalll Rehabilitation and Healthy Living Trust

Notes to the Cash Flow Statement for the Year Ended 31 March 2022

1. RECONCILIATION OF NET INCOME TO NET CASH FLOW FROM OPERATING RECONCILIATION OF NET INCOME TO NET CASH FLOW FROM OPERATING ACTIVITIES
2022 2021
£ £
Net income for the reporting period (as per the Statement of
Financial Activities) 143,915 15,664
Adjustments for:
Depreciation charges 24,497 23,936
Interest received (110) (152)
Decrease/(increase) in debtors 4,187 (2,438)
Increase/(decrease) in creditors 7,111 (12,882)
Net cash provided by operations 179,600 24,128
2. ANALYSIS OF CHANGES IN NET FUNDS
At 1.4.21 Cash flow At 31.3.22
£ £ £
Net cash
Cash at bank and in hand 311,083 163,031 474,114
311,083 163,031 474,114
Total 311,083 163,031 474,114

The notes form part of these financial statements

Page 9

Walsalll Rehabilitation and Healthy Living Trust

Notes to the Financial Statements for the Year Ended 31 March 2022

1. ACCOUNTING POLICIES

Basis of preparing the financial statements

The financial statements of the charitable company, which is a public benefit entity under FRS 102, have been prepared in accordance with the Charities SORP (FRS 102) '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) (effective 1 January 2019)', Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland' and the Companies Act 2006. The financial statements have been prepared under the historical cost convention.

The charitable company's financial statements are prepared on a going concern basis on the grounds that current and future sources of funding or support will be more than adequate for the charitable company's needs. We have considered a period of twelve months from the date of approval of the financial statements.

Additionally not all events or conditions can be predicted with the event of COVID-19 pandemic, which has brought with it additional unprecedented levels of uncertainty and the inability to assess fully, therefore, the impact of that on not only the charity and its ability to meet its primary objectives but also on the support afforded by donors and overall fundraising capabilities.

Income

All income is recognised in the Statement of Financial Activities once the charity has entitlement to the funds, it is probable that the income will be received and the amount can be measured reliably.

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 a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all cost related to the category. Where costs cannot be directly attributed to particular headings they have been allocated to activities on a basis consistent with the use of resources.

Tangible fixed assets

Depreciation is provided at the following annual rates in order to write off each asset over its estimated useful life.

Freehold property 2% or 10% on cost
Plant and machinery 25% on reducing balance
Fixtures and fittings 15% on reducing balance

Taxation

The charity is exempt from corporation tax on its charitable activities.

Fund accounting

Unrestricted funds can be used in accordance with the charitable objectives at the discretion of the trustees.

Restricted funds can only be used for particular restricted purposes within the objects of the charity. Restrictions arise when specified by the donor or when funds are raised for particular restricted purposes.

Further explanation of the nature and purpose of each fund is included in the notes to the financial statements.

Hire purchase and leasing commitments

Rentals paid under operating leases are charged to the Statement of Financial Activities on a straight line basis over the period of the lease.

Page 10

continued...

Walsalll Rehabilitation and Healthy Living Trust

Notes to the Financial Statements - continued for the Year Ended 31 March 2022

2.
OTHER TRADING ACTIVITIES
Fundraising events
3.
INVESTMENT INCOME
Rents received
Deposit account interest
4.
CHARITABLE ACTIVITIES COSTS
Rehabilitation Programmes
Other
5.
NET INCOME/(EXPENDITURE)
Net income/(expenditure) is stated after charging/(crediting):
Depreciation - owned assets
Hire of plant and machinery
Independent examiner's fee		 Direct
Costs
£
279,919
24,195
304,114		 2022
£
2,006
2022
£
2,683
110
2,793
Support
costs
£
-
132,381
132,381
2022
£
24,497
2,987
2,640		 2021
£
9,531
2021
£
1,240
152
1,392
Totals
£
279,919
156,576
436,495
2021
£
23,936
4,224
3,130

6. TRUSTEES' REMUNERATION AND BENEFITS

There were no trustees' remuneration or other benefits for the year ended 31 March 2022 nor for the year ended 31 March 2021.

Trustees' expenses

There were no trustees' expenses paid for the year ended 31 March 2022 nor for the year ended 31 March 2021.

7. STAFF COSTS

The average monthly number of employees during the year was as follows:

Medical staff
Admin staff
Fundraising staff		 2022
12
3
1
16		 2021
12
3
1
16

No employees received emoluments in excess of £60,000.

Page 11

continued...

Walsalll Rehabilitation and Healthy Living Trust Notes to the Financial Statements - continued for the Year Ended 31 March 2022

8. COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES

INCOME AND ENDOWMENTS FROM
Donations and legacies
Charitable activities
Rehabilitation Programmes
Aftercare Programmes
Other trading activities
Investment income
Other income
Total
EXPENDITURE ON
Raising funds
Charitable activities
Rehabilitation Programmes
Other
Other
Total
NET INCOME
RECONCILIATION OF FUNDS
Total funds brought forward
TOTAL FUNDS CARRIED FORWARD
9.
TANGIBLE FIXED ASSETS
COST
At 1 April 2021
Additions
At 31 March 2022
DEPRECIATION
At 1 April 2021
Charge for year
At 31 March 2022
NET BOOK VALUE
At 31 March 2022
At 31 March 2021		 Freehold
property
£
524,554
-
524,554
202,130
13,564
215,694
308,860
322,424		 Plant and
machinery
£
135,041
6,200
141,241
104,882
9,090
113,972
27,269
30,159		 Unrestricted
fund
£
106,968
281,286
13,983
9,531
1,392
24,146
437,306
20,290
255,893
140,734
4,725
421,642
15,664
640,831
656,495
Fixtures
and
fittings
Totals
£
£
8,658
668,253
10,479
16,679
19,137
684,932
6,851
313,863
1,843
24,497
8,694
338,360
10,443
346,572
1,807
354,390

Page 12

continued...

Walsalll Rehabilitation and Healthy Living Trust

Notes to the Financial Statements - continued for the Year Ended 31 March 2022

9. TANGIBLE FIXED ASSETS - continued

10.
DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
Trade debtors
11.
CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
Trade creditors
Social security and other taxes
Accrued expenses
12.
MOVEMENT IN FUNDS
Unrestricted funds
General fund
TOTAL FUNDS
Net movement in funds, included in the above are as follows:
Unrestricted funds
General fund
TOTAL FUNDS
Comparatives for movement in funds
Unrestricted funds
General fund
TOTAL FUNDS		 At 1.4.21
£
656,495
656,495
Incoming
resources
£
603,220
603,220
At 1.4.20
£
640,831
640,831		 2022
2021
£
£
2,300
2,695
2022
2021
£
£
673
6,358
8,605
6,455
16,317
5,671
25,595
18,484
Net
movement
At
in funds
31.3.22
£
£
143,915
800,410
143,915
800,410
Resources
Movement
expended
in funds
£
£
(459,305)
143,915
(459,305)
143,915
Net
movement
At
in funds
31.3.21
£
£
15,664
656,495
15,664
656,495		 2021
£
2,695
2021
£
6,358
6,455
5,671
18,484

Page 13

continued...

Walsalll Rehabilitation and Healthy Living Trust

Notes to the Financial Statements - continued for the Year Ended 31 March 2022

12. MOVEMENT IN FUNDS - continued

Comparative net movement in funds, included in the above are as follows:

Incoming Resources Movement
resources expended in funds
£ £ £
Unrestricted funds
General fund 437,306 (421,642) 15,664
TOTAL FUNDS 437,306 (421,642) 15,664

A current year 12 months and prior year 12 months combined position is as follows:

Unrestricted funds
General fund
TOTAL FUNDS		 At 1.4.20
£
640,831
640,831		 Net
movement
in funds
£
159,579
159,579		 At
31.3.22
£
800,410
800,410

A current year 12 months and prior year 12 months combined net movement in funds, included in the above are as follows:

Incoming
resources
£
Unrestricted funds
General fund
1,040,526
TOTAL FUNDS
1,040,526		 Resources
Movement
expended
in funds
£
£
(880,947)
159,579
(880,947)
159,579		 Resources
Movement
expended
in funds
£
£
(880,947)
159,579
(880,947)
159,579
159,579

13. RELATED PARTY DISCLOSURES

There were no related party transactions for the year ended 31 March 2022.

Page 14

Walsalll Rehabilitation and Healthy Living Trust

Detailed Statement of Financial Activities for the Year Ended 31 March 2022

INCOME AND ENDOWMENTS
Donations and legacies
Donations
Legacies
Other trading activities
Fundraising events
Investment income
Rents received
Deposit account interest
Charitable activities
Walsall Clinical Commissioning
Aftercare
Other income
Government grants
Total incoming resources
EXPENDITURE
Raising donations and legacies
Wages
Other trading activities
Bad debts
Charitable activities
Wages
Insurance
Sundries
Medical supplies
Training costs
Depreciation of tangible fixed assets
Other
Wages Service
Accountancy Fees
Support costs		 2022
£
119,548
126,315
245,863
2,006
2,683
110
2,793
298,248
53,651
351,899
659
603,220
18,413
-
271,418
304
1,211
8,501
-
22,680
304,114
1,757
2,640
4,397		 2021
£
106,968
-
106,968
9,531
1,240
152
1,392
281,286
13,983
295,269
24,146
437,306
19,992
298
244,710
-
-
11,183
(232)
23,936
279,597
1,595
3,130
4,725

This page does not form part of the statutory financial statements

Page 15

Walsalll Rehabilitation and Healthy Living Trust

Detailed Statement of Financial Activities for the Year Ended 31 March 2022

Support costs
Management
Wages
Hire of plant and machinery
Rates and water
Light and heat
Telephone
Postage and stationery
Travelling Expenses
Repairs
Cleaning materials
Sundry office expenses
IT expenses
Finance
Bank charges
Total resources expended
Net income		 2022
£
61,691
2,987
10,736
9,104
3,663
3,336
252
9,604
17,107
6,913
6,985
132,378
3
459,305
143,915		 2021
£
61,339
4,224
11,784
7,937
3,432
2,661
(4)
8,700
10,137
1,173
5,647
117,030
-
421,642
15,664

This page does not form part of the statutory financial statements

Page 16