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2023-03-31-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 2023

for

Walsall Rehabilitation And Healthy Living Trust

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

Walsall Rehabilitation And Healthy Living Trust

Contents of the Financial Statements for the Year Ended 31 March 2023

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

Walsall Rehabilitation And Healthy Living Trust

Report of the Trustees for the Year Ended 31 March 2023

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 2023. 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 NHS Black Country ICB (previously NHS Black Country & West Birmingham CCG) based on new cardiac and pulmonary patient referrals.

All the initial interviews are undertaken by phone, following which patients are offered our Unit based programme or if they are unable to attend they can be offered a home exercise and/or web based programme co-ordinated by the Exercise Physiologist, or a nurse support programme for those who are unable to exercise but want advice and support over 8 weeks where goals are set and agreed. Those on the home/web, or nurse support programmes are also offered to move to the Unit based programme after a month if they change their mind or their circumstances change. 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 and/or Tai Chi.

Page 1

Walsall Rehabilitation And Healthy Living Trust

Report of the Trustees for the Year Ended 31 March 2023

ACHIEVEMENT AND PERFORMANCE Charitable activities

Cardiac Rehabilitation

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

This year we have received 850 referrals up from last year which is encouraging following the dip during COVID. In addition 95% of patients were given an appointment.

The majority of referrals were received from New Cross Hospital (68%) with Walsall Manor Hospital 16% and GP 9%.

The majority of patients were white British with 10% ethnic minority patients. 67% of patients were male and 33% 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 and alcohol.

All patients completing 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, 48% could not be contacted and 27% did not want any further input or were not interested. 16% 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

380 patients have been referred, this is an increase on last year and therefore encouraging. The majority of these have been referred from GPs (39%) and Practice Nurses (34%).

Page 2

Walsall Rehabilitation And Healthy Living Trust

Report of the Trustees for the Year Ended 31 March 2023

76% of referred patients had clinical input higher than last year and of those 51% started an exercise rehabilitation programme.

70% completed either the exercise programme, although 24 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. As previously stated there are still some short sessions on a website for patients to follow.

Unfortunately our singing classes have not continued due to the low numbers but we will keep this on review.

The staff continue to provide one-to-one education for patients.

27% of patients could not be contacted, were uninterested or were inappropriate 8% 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.

Health and Safety

We are following the NHS guidelines for COVID with both patients and staff wearing face masks only if they wish. Patients can ask staff to wear face masks if they feel more comfortable.

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, she continues to apply for Trust funding as a main source of funding at the moment.

The cardiac and pulmonary rehabilitation contracts continue with the NHS Black Country ICB and targets reviewed on a quarterly basis. The contract has now been reviewed and it has been agreed that this will continue with a few positive adjustments from our point of view giving more stability to the Charity.

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.

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 them 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.

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.

Page 3

Walsall Rehabilitation And Healthy Living Trust

Report of the Trustees for the Year Ended 31 March 2023

STRUCTURE, GOVERNANCE AND MANAGEMENT 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) P B Burns Trustee Dr C Kerbotson Flenley General Medical Practitioner

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 23 October 2023 and signed on its behalf by:

P B Burns - Trustee

Page 4

Independent Examiner's Report to the Trustees of Walsall Rehabilitation And Healthy Living Trust

Independent examiner's report to the trustees of Walsall 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 2023.

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 member of the 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

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

23 October 2023

Page 5

Walsall Rehabilitation And Healthy Living Trust

Statement of Financial Activities for the Year Ended 31 March 2023

2023
Unrestricted
fund
Notes
£
INCOME AND ENDOWMENTS FROM
Donations and legacies
133,485
Charitable activities
Rehabilitation Programmes
319,404
Aftercare Programmes
52,239
Other trading activities
2
900
Investment income
3
7,294
Other income
-
Total
513,322
EXPENDITURE ON
Raising funds
23,456
Charitable activities
4
Rehabilitation Programmes
318,077
Other
165,368
Other
7,053
Total
513,954
NET INCOME/(EXPENDITURE)
(632)
RECONCILIATION OF FUNDS
Total funds brought forward
800,410
TOTAL FUNDS CARRIED FORWARD
799,778		 2022
Total
funds
£
245,863
298,248
53,651
2,006
2,793
659
603,220
18,413
279,919
156,576
4,397
459,305
143,915
656,495
800,410

The notes form part of these financial statements

Page 6

Walsall Rehabilitation And Healthy Living Trust

Balance Sheet 31 March 2023

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		 2023
Unrestricted
fund
£
324,784
-
7,299
487,479
494,778
(19,784)
474,994
799,778
799,778
799,778
799,778		 2022
Total
funds
£
346,572
2,300
3,019
474,115
479,434
(25,596)
453,838
800,410
800,410
800,410
800,410

The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 March 2023.

The members have not required the company to obtain an audit of its financial statements for the year ended 31 March 2023 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 23 October 2023 and were signed on its behalf by:

P B Burns - Trustee

The notes form part of these financial statements

Page 7

Walsall Rehabilitation And Healthy Living Trust

Cash Flow Statement for the Year Ended 31 March 2023

2023 2022
Notes £ £
Cash flows from operating activities
Cash generated from operations 1 11,255 179,601
Net cash provided by operating activities 11,255 179,601
Cash flows from investing activities
Purchase of tangible fixed assets (160) (16,679)
Interest received 2,269 110
Net cash provided by/(used in) investing activities 2,109 (16,569)
Change in cash and cash equivalents in
the reporting period 13,364 163,032
Cash and cash equivalents at the
beginning of the reporting period 474,115 311,083
Cash and cash equivalents at the end of
the reporting period 487,479 474,115

The notes form part of these financial statements

Page 8

Walsall Rehabilitation And Healthy Living Trust

Notes to the Cash Flow Statement for the Year Ended 31 March 2023

1. RECONCILIATION OF NET (EXPENDITURE)/INCOME TO NET CASH FLOW FROM OPERATING ACTIVITIES

ACTIVITIES
2023 2022
£ £
Net (expenditure)/income for the reporting period (as per the
Statement of Financial Activities) (632) 143,915
Adjustments for:
Depreciation charges 21,948 24,497
Interest received (2,269) (110)
(Increase)/decrease in debtors (1,980) 4,187
(Decrease)/increase in creditors (5,812) 7,112
Net cash provided by operations 11,255 179,601
ANALYSIS OF CHANGES IN NET FUNDS
At 1.4.22 Cash flow At 31.3.23
£ £ £
Net cash
Cash at bank and in hand 474,115 13,364 487,479
474,115 13,364 487,479
Total 474,115 13,364 487,479

2. ANALYSIS OF CHANGES IN NET FUNDS

The notes form part of these financial statements

Page 9

Walsall Rehabilitation And Healthy Living Trust

Notes to the Financial Statements for the Year Ended 31 March 2023

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...

Walsall Rehabilitation And Healthy Living Trust

Notes to the Financial Statements - continued for the Year Ended 31 March 2023

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
£
318,077
21,451
339,528		 2023
£
900
2023
£
5,025
2,269
7,294
Support
costs
£
-
143,917
143,917
2023
£
21,948
3,462
-		 2022
£
2,006
2022
£
2,683
110
2,793
Totals
£
318,077
165,368
483,445
2022
£
24,497
2,987
2,640

6. TRUSTEES' REMUNERATION AND BENEFITS

There were no trustees' remuneration or other benefits for the year ended 31 March 2023 nor for the year ended 31 March 2022.

Trustees' expenses

There were no trustees' expenses paid for the year ended 31 March 2023 nor for the year ended 31 March 2022.

7. STAFF COSTS

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

Medical staff
Admin staff
Fundraising staff		 2023
12
3
1
16		 2022
12
3
1
16

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

Page 11

continued...

Walsall Rehabilitation And Healthy Living Trust

Notes to the Financial Statements - continued for the Year Ended 31 March 2023

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
TANGIBLE FIXED ASSETS
COST
At 1 April 2022
Additions
At 31 March 2023
DEPRECIATION
At 1 April 2022
Charge for year
At 31 March 2023
NET BOOK VALUE
At 31 March 2023
At 31 March 2022		 Freehold
property
£
524,554
-
524,554
215,694
13,565
229,259
295,295
308,860		 Plant and
machinery
£
141,241
160
141,401
113,972
6,817
120,789
20,612
27,269		 Unrestricted
fund
£
245,863
298,248
53,651
2,006
2,793
659
603,220
18,413
279,919
156,576
4,397
459,305
143,915
656,495
800,410
Fixtures
and
fittings
Totals
£
£
19,137
684,932
-
160
19,137
685,092
8,694
338,360
1,566
21,948
10,260
360,308
8,877
324,784
10,443
346,572

9. TANGIBLE FIXED ASSETS

Page 12

continued...

Walsall Rehabilitation And Healthy Living Trust

Notes to the Financial Statements - continued for the Year Ended 31 March 2023

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 1.4.22
£
800,410
800,410
Incoming
resources
£
513,322
513,322
At 1.4.21
£
656,495
656,495		 2023
2022
£
£
-
2,300
2023
2022
£
£
-
674
8,425
8,605
11,359
16,317
19,784
25,596
Net
movement
At
in funds
31.3.23
£
£
(632)
799,778
(632)
799,778
Resources
Movement
expended
in funds
£
£
(513,954)
(632)
(513,954)
(632)
Net
movement
At
in funds
31.3.22
£
£
143,915
800,410
143,915
800,410

Page 13

continued...

Walsall Rehabilitation And Healthy Living Trust

Notes to the Financial Statements - continued for the Year Ended 31 March 2023

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 603,220 (459,305) 143,915
TOTAL FUNDS 603,220 (459,305) 143,915

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

Unrestricted funds
General fund
TOTAL FUNDS		 At 1.4.21
£
656,495
656,495		 Net
movement
in funds
£
143,283
143,283		 At
31.3.23
£
799,778
799,778

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
1,116,542
TOTAL FUNDS
1,116,542		 Resources
Movement
expended
in funds
£
£
(973,259)
143,283
(973,259)
143,283

13. RELATED PARTY DISCLOSURES

There were no related party transactions for the year ended 31 March 2023.

Page 14

Walsall Rehabilitation And Healthy Living Trust

Detailed Statement of Financial Activities for the Year Ended 31 March 2023

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
Charitable activities
Wages
Insurance
Sundries
Medical supplies
Training costs
Depreciation of tangible fixed assets
Other
Wages Service
Accountancy Fees
Professional and legal
Support costs
Management
Wages
Carried forward		 2023
£
59,003
74,482
133,485
900
5,025
2,269
7,294
319,404
52,239
371,643
-
513,322
23,456
310,237
366
177
7,840
(1,040)
21,948
339,528
1,728
2,000
3,325
7,053
58,550
58,550		 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
61,691
61,691

This page does not form part of the statutory financial statements

Page 15

Walsall Rehabilitation And Healthy Living Trust

Detailed Statement of Financial Activities for the Year Ended 31 March 2023

2023 2022
£ £
Management
Brought forward 58,550 61,691
Hire of plant and machinery 3,462 2,987
Rates and water 12,772 10,736
Light and heat 10,397 9,104
Telephone 4,014 3,663
Postage and stationery 4,264 3,336
Travelling Expenses 739 252
Repairs 15,906 9,604
Cleaning materials 15,504 17,107
Sundry office expenses 9,121 6,913
IT expenses 9,163 6,985
143,892 132,378
Finance
Bank charges 25 3
Total resources expended 513,954 459,305
Net (expenditure)/income (632) 143,915

This page does not form part of the statutory financial statements

Page 16