##
##
|nts|||||||
|---|---|---|---|---|---|---|
|1.|Strategic Report|||||Page|
||o|Highlights
ofthe year||||3|
||o|Vision, Mission and Values||||5|
||o|Structure,
Governance|and Management|||6|
||o|Report ofthe chair||||9|
||o|Chief Executives Report||||10|
||o|Strategic Priorities for|2020-23|||11|
||o|Risk Management
and|Internal||Control|12|
||o|Financial Review||||13|
|2.|Directors Report||||||
||o|Reserves Policy||||16|
||o|Volunteers||||16|
||o|Fundraising||||16|
||o|Executive remuneration||||17|
||o|Investment
policy and|objectives|||17|
||o|Our impact on the environment||||17|
||o|Tax status||||18|
||o|Directors responsibilities||statement||18|
||o|Statement ofdisclosure|to auditor|||18|
|3.|Independent
auditor's
report|||||19|
|4.|Financial
Statements|||||23|
|5.|Notes|to the Financial Statements||||26|
##
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##
|Patient Care||2019/20|2020/21|
|---|---|---|---|
|Number of patients|admitted|380|404|
|Number of patients|discharged|132|162|
|Occupied bed days||5626|5491|
|Outpatient
appointments||37|na|
|Lymphedema
appointments||1284|1276|
|Advice Line calls||1754|1479|
|Hub patients
seen||620|258|
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|Risk Table|202ty21||||
|---|---|---|---|---|
|RiskArea||CHC K
Risk||internal|
|||An increased nunster ofstaff have left|the|We have widened the number
ofchannels used toadvertise vacanci|
|Shortage ofstaff and||charity and ithas become Increasingly||for staff snd volunteer
posts. The number of
promotlons
have|
|volunteers|across the|4fflcult to recruit replacements.
Many||been increased.
Fora linfted number ofhard to fill vacandes we have|
|organisation||volunteers 4d not return due to need|to|used recruitment
agendes. Our campaigns toattract new volunteers|
|||isolate or care for fsnsly members||through sodal me4a have been successful|
|||||ohsrsdpvtafnhNEtons'fff
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|||Inconectorspecuh@ve
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|||||Business requirenwnts
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|||NHS organisstlon
and organisations
that||identified.
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|Electronic patient records||deliver care under NHS contract are
required to have electronic records by|the|However, as at Februaty
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snd other providers
about their choice ofsystem|
|||end of2020.||Covid has delayed the 2020dea4ine. Eprescribing has been|
|Insane gansrsgon||||prloritised
at CHC and went live at both units during June 2021.
Ihilso lkkgt lsdoina gssetsgnj~oIEywlthtn ssih guldegnes
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|||||skpesigturL
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|||Consultant
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|||care in reach service being paoted with||supporting
RCHT In development
ofbusiness case for more|
|Clinical||RCHT. Informal agreement
during pllotand||consultant
capadty across all care settings
in in the county.|
|||potential
rdsmateh ofexpectations
could||Agreement
reached totransler
CHC consultant
resource to RCHT I|
|||lead to reputstionsl
risk.||CF7in mid 2021.|
##
##
##
|Financial Summary f0005|Financial Summary f0005|Financial Summary f0005|2020/21
Actual|2020/21
Budget|2019/20
Actual|
|---|---|---|---|---|---|
|Total Income|||9,669.6|11,212.6|10,313.6|
|Expenditure|||10,141.9|11,508.0|10,978.4|
|Operating
Result|||-472.3|-295.4|-664.8|
|Gain / lloss) on investments||&pro|406.3|22.0|-182.1|
|Gain / lloss) on disposal|of|fixed a|1.3|0.0|2.6|
|Gain / lLoss) on pension|scheme p||16.0|0.0|-14.8|
|Surplus / deficit|||~.8|-273.4|-859.2|
##
|Income Summary f0005|2020/21
Actual|2020/21
Budget|2019/20
Actual|
|---|---|---|---|
|Legacies|1,674.5|2,433.6|1,433.4|
|Donations|540.8|410.6|429.8|
|Fundraising|498.1|993.3|820.3|
|Gross income from Retail|1,282.4|5,220.8|4,955.6|
|Gross income from Lottery|678.0|736.5|680.0|
|Income from clinical contracts|1,444.8|1,044.8|1,172.5|
|Covid 19Grants|3,248.7|0.0|487.1|
|Investment
Income|121.2|69.5|106.8|
|All other income|181.1|303.5|228.1|
|Total Income|9,669.6|11,212.6|10,313.6|
##
|Expenditure|Summary f0005|2020/21
Actual|2020/21
Budget|2019/20
Actual|
|---|---|---|---|---|
|Retail||3,265.5|4,083.4|4,113.0|
|Lottery||195.5|329.3|292.9|
|Cost of raising funds||472.9|534.6|562.3|
|Provision ofcare||6,105.4|6,440.6|5,914.4|
|Support costs||102.6|120.1|95.8|
##
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##
|Consolidated
statement|Consolidated
statement|Consolidated
statement|offinanci|al
activitie|s||||
|---|---|---|---|---|---|---|---|---|
|For the year ended 31March|||202/||||||
||||||Unrestricted|Restricted|Total|Total|
||||||funds|funds|2021|2020|
|||||Notes|||||
|Income|||||||||
|Donations
8t; legacies|||||2,215,283||2,215,283|1,863,218|
|Income from Charitable|Activities||||1,444,792||1,444,792|1,172,503|
|Income from Other Trading|||Activities:||||||
|Commercial
trading
operations|||||1,960,435||1,960,435|5,635,616|
|Fundraising|||||488,066|10,000|498,066|820,286|
|Covid-19 support
income|||||1,317,449|1,931,295|3,248,744|487,041|
|Other income|||||181,072||181,072|228,072|
|Investment
income|||||121,192||121,192|106,821|
|Total Income|||||7,728,289|1,941,295|9,669,584|10,313,557|
|Expenditure|||||||||
|Expenditure
on raising|funds||||||||
|Commercial
trading
activities|||||3,460,993||3,460,993|4,405,925|
|Costs ofgenerating
donations|||and legacies||451,786||451,786|539,935|
|Investment
portfolio fees|||||21,126||21,126|22,357|
|Expenditure
on charitable||activities|||||||
|Provision ofcare|||||4,154,248|1,951,083|6,105,331|5,914,388|
|Support costs|||||102,629||102,629|95,822|
|Total Expenditure|||||8,190,782|1,951,083|10,141,865|10,978,427|
|Net gains/(losses)
on investments|||||406,319||406,319|(182,076)|
|Net expenditure|||||(56,174)|(9,788)|(65,962)|(846,946)|
|Transfers|||||||||
|Gross transfers between|funds||||||||
|Other recognised
gains|and|losses|||||||
|Gain on disposal offixed assets|||||1,240||1,240|2,637|
|Pension Liability|||||15,966||15,966|(14,822)|
|Net movement
in funds|||||(38,968)|(9,788)|(48,756)|(859,131)|
|Reconciliation
offunds:|||||||||
|Fund balances brought
forward|||||8,374,369|759,986|9,134,355|9,993,486|
|Fund balances carried|forward|||27,28,29|8,335,401|750,198|9,085,599|9,134,355|
##
##
|As at 31M|a|rch 202|1||||||
|---|---|---|---|---|---|---|---|---|
||||||The|The|The|The|
||||||Company|Group|Company|Group|
||||||2021|2021|2020|2020|
|||||Notes|||||
|Fixed assets|||||||||
|Tangible assets||||18,19|4406,744|4406,744|4,430,588|4,430,588|
|Intangible|assets|||20||||4,139|
|Investments||||21|3,611,643|3,611,643|3,405,080|3,405,080|
||||||7,918,387|7,918487|7,835,673|7,839,807|
|Current assets|||||||||
|Stock||||22|20,979|104,029|20,979|105,366|
|Debtors||||23|1495,430|1,098,545|1,607,707|1,500,835|
|Cash at bank||and in|hand||340,101|603,711|121,789|402,229|
||||||1,656,510|1,806,285|1,750,475|2,008,430|
|Creditors:||amounts|falling due within||||||
|one year|||||(549,858)|(639,073)|(890,933)|(713,882)|
|Net current||assets|||1,106,652|1,167,212|859,542|1,294,548|
|Provision|for liabilities||||||||
|Total net assets|||||9,025,039|9,085,599|8,695,215|9,134,355|
|The funds|ofthe charity||||||||
|Restricted funds||||27|750,198|750,198|759,986|759,986|
|Unrestricted||funds||28|8474,841|8435,401|7,935,229|8,374,369|
||||||9,025,039|9,085,599|8,695,215|9,134,355|
##
##
|For the year ended 31March 2021|||||||
|---|---|---|---|---|---|---|
|||Note||2021||2020|
|Cash provided
by/(used
in)|||||||
|operating
activities||34||44,937||(947,002)|
|Cash flows from investing
activities|||||||
|Interest income|||198||1,861||
|Dividends
income|||61,580||74,593||
|Rental income from investment
property|||59,414||30,367||
|||||121,192||106,821|
|Purchase oftangible fixed assets|||(173,042)||(177,919)||
|Purchase ofinvestments|||(634,155)||(580,270)||
|Receipts from sale ofinvestments|||833,916||537,595||
|Withdrawal
offunds from Investment|Portfolio||||139,500||
|Receipts from sale oftangible fixed assets|||8,634||1,707||
|Net cash flows from investing
activities||||35,353||(79,387)|
|Increase/(decrease)
in cash equivalents||||201,482||(919,568)|
|Cash and cash equivalents
at 1April|2020|||402,229||1,321,797|
|Cash and cash equivalents
at 31March 2021||||603,711||402,229|
##
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##
##
##
##
##
##
|Tangible fixed assets and depreciation||||||||
|---|---|---|---|---|---|---|---|
|Individual
fixed assets costing /500 or|more are capitalised
at cost and are depreciated|||over|their estimated||useful|
|economic lives on a straight
line basis as follows:||||||||
|Freehold buildings|2%per annum|at cost|(minor|refurbishment||costs|100%)|
|Short leasehold
improvements|over the period|ofthe|lease|||||
|Long leasehold
buildings|2%per annum|(minor|refurbishment||costs|100%)||
|Medical equipment
and fittings|10%per annum|||||||
|I.T.equipment|15% - 25%per|annum|on cost|||||
|General equipment
and fittings|10%- 100%per annum|||||||
|Motor vehicles|20%per annum|||||||
|Depreciation
is calculated on a monthly|basis where assets are purchased|during|the year.|||||
##
##
##
##
##
##
##
##
##
##
##
##
##
##
|Donations
and Legacies|||
|---|---|---|
||2021|2020|
|Legacies|1,674,488|1,433,383|
|Donations|540,795|429,835|
||2,215,283|1,863,218|
##
|6|Income from trading|activities|||
|---|---|---|---|---|
||Commercial
operations||||
||||2021|2020|
||Gross Income Irom shops||1,282,414|4,955,568|
||Gross Income Irom Lottery||678,021|680,048|
||||1,960,435|5,635,616|
||Fundraising||||
||||2021|2020|
||Trusts and grants||84,258|121,651|
||Fundraising
activities||413,808|698,635|
||||498,066|820,286|
|7|Covid-19 support grant income||||
||||Group|Group|
||||2021|2020|
||Grant income &om NHS England||1,931,295||
||Job Retention Scheme|grant income|987,903||
||Local Authority
grant|income|329,546|487,041|
||||3,248,744|487,041|
|8|Investment
income||||
||||Group|Group|
||||2021|2020|
||Property||59,414|30,367|
||Bank interest||198|1,861|
||Listed investments||61,580|74,593|
||||121,192|106,821|
##
##
##
|9
Total expendit|ur|e
-group|||||||
|---|---|---|---|---|---|---|---|---|
||||||Commercial||||
||||Provision|Raising|trading|Support|2021|2020|
||||ofcare|funds|expenses|costs|Total|Total|
|Staffcosts|||5,332,722|326,253|2,015,557|45,795|7,720,327|7,623,730|
|Patient care|||32,070||||32,070|79,914|
|Medical supplies &drugs|||104,610||||104,610|98,491|
|Catering &domestic|supplies||64,838||||64,838|78,257|
|Travel expenses|||15,077||||15,077|40,249|
|Training &education|||33,220||||33,220|50,680|
|Laundry|||7,188||||7,188|16,980|
|Electricity &Gas|||51,711||||51,711|46,547|
|Telephone|||47,108||||47,108|48,928|
|Rates and water|||19,610||||19,610|16,824|
|Uniforms|||2,921||||2,921|8,452|
|Printing,
Postage and|stationery||28,108||7,810||35,918|36,349|
|Insurance|||27,336||||27,336|28,114|
|Repairs and maintenance|||102,887||||102,887|117,368|
|Depreciation|||147,430||127,990||275,420|293,063|
|Direct fundraising
costs||||34,570|||34,570|128,595|
|Department
fundraising||costs||67,753|||67,753|76,496|
|Banking charges||||5,730|10,682||16,412|12,234|
|Administration
charge|||88,495|8,374|70,258||167,127|227,490|
|Audit and accountancy||||||15,146|15,146|14,505|
|Legal and professional||fees||||41,688|41,688|39,574|
|Irrecoverable
VAT||||9,105|||9,105|9,472|
|Cost ofsales|||||152,368||152,368|509,524|
|Shops operating
expenses|||||1,057,468||1,057,468|1,331,396|
|Investment
portfolio fees||||21,127|||21,127|22,357|
|Staffrelocation &recruitment|||||18,860||18,860|22,838|
||||6,105,331|472,912|3,460,993|102,629|10,141,865|10,978,427|
##
##
##
|charitable
activity. Their|deta|il along with basis o|fapportionment
is shown|in the table below:||
|---|---|---|---|---|---|
||||Governance|Basis ofapportionment||
||||function|||
|Staffcosts|||35,066|Key management
allocated on time||
|Audit and accountancy|||15,146|Governance||
|Legal and professional|||41,689|Governance||
||||91,901|||
|Net expenditure
for the|year|||||
|This is stated after charging||the following:||||
|||||2021|2020|
|Auditors'
remuneration|—audit (group)|||15,146|14,505|
|Operating
leases||||661,460|680,361|
|Depreciation
(group)||||289,487|293,063|
|Amortisation
(group)||||4,139|4,139|
|||2021|2020|
|---|---|---|---|
|Staff and management||269|300|
|The aggregate|payroll costs ofthese persons were as follows:|||
|||2021|2020|
|Wages and|salaries|6,520,065|6,592,307|
|Social security costs||533,531|546,571|
|Other pension costs||510,866|459,852|
|Termination|payments|155,865|25,000|
|||7,720,327|7,623,730|
##
|ine employees
had annualised
emolume|nts
for the yea|r in excess|off60,000 and fell i|nto the following ba|nds:|
|---|---|---|---|---|---|
|||||2021|2020|
|f60,000to f70,000 —Director ofClinical Services, 3||Consultants,|Head ofHR|||
|f70,000to f80,000 —Finance Director,|1 x Consultant,|1 x Speciality Doctor||||
|f80,000to f90,000||||||
|f90,000to f100,000 —Chief Executive||||||
|f100,000to f,110,000||||||
|f110,000to K120,000||||||
##
##
##
##
##
##
|A summary of|the r|esults oft|he subsidiaries
is sh|own below:||||
|---|---|---|---|---|---|---|---|
||||Cornwall|Cornwall|Resource|||
||||Hospice Care|Hospice Care|Kernow|||
||||Trading|Lottery|Newco|Total|Total|
||||Limited|Limited|Ltd|2021|2020|
|Per company accounts||||||||
|Turnover|||81,742|678,021||759,763|1,213,489|
|Cost ofsales|||(49,966)|(102,401)||(152,367)|(506,059)|
|Interest payable||||||||
|Administrative|expenses||(31,127)|(90,730)||(121,857)|(268,979)|
|Interest receivable|||14|||14|690|
||||663|484,890||485,553|438,141|
|Amount
distributed||to the||||||
|charity via Gift|Aid||(61,178)|(802,963)||(864,141)|(440,742)|
|Result in the subsidiary|||(60,515)|(318,073)||(378,588)|(2,601)|
|The assets and liabilities ofthe subsidiaries
were:||||||||
|||||Cornwall|Cornwall|Resource||
|||||Hospice Care|Hospice Care|Kernow||
|||||Trading|Lottery|Newco|Total|
|||||Limited|Limited|Ltd|2021|
|Per company
accounts||||||||
|Current assets||||190,494|157,171|1|347,666|
|Current
liabilities||||(189,827)|(97,280)||(287,107)|
|Total net assets||||667|59,891||60,559|
|Aggregate
share capital and reserves||||667|59,891||60,559|
##
|||||Total|Total|
|---|---|---|---|---|---|
|||||2021|2020|
|Income||||9,391,720|9,160,409|
|Gift aid from subsidiaries||||864,141|440,742|
|||||10,255,861|9,601,151|
|Expenditure|on charitable||activities|9,926,037|10,458,677|
|Net income/(expenditure)||||329,824|(857,526)|
|Total funds brought||forward||8,695,215|9,552,741|
|Total funds|carried|forward||9,025,039|8,695,215|
|Represented|by:|||||
|Restricted funds||||750,198|759,986|
|Unrestricted|funds|||8,274,841|7,935,229|
|Total funds|carried|forward||9,025,039|8,695,215|
##
##
|Consolidated||||||||
|---|---|---|---|---|---|---|---|
||||||Unrestricted|Restricted|Total|
||||||funds|funds|2020|
|Income||||||||
|Donations k legacies|||||1,863,218||1,863,218|
|Income &om Charitable|Activities||||1,172,503||1,172,503|
|Income from Other Trading|||Activities:|||||
|Commercial
trading operations|||||5,635,616||5,635,616|
|Fundraising|||||771,030|49,256|820,286|
|Covid-19 support income|||||487,041||487,041|
|Other income|||||228,072||228,072|
|Investment
income|||||106,821||106,82|
|Total Income|||||10,264,301|49,256|10813,557|
|Expenditure||||||||
|Expenditure
on raising|funds|||||||
|Commercial
trading
activities|||||4,405,925||4,405,925|
|Costs ofgenerating
donations|||and legacies||539,935||539,935|
|Investment
portfolio fees|||||22,357||22,357|
|Expenditure
on charitable||activities||||||
|Provision ofcare|||||5,845,594|68,794|5,914,388|
|Support costs|||||95,822||95,822|
|Total Expenditure|||||10,909,633|68,794|10,978,427|
|Net losses on investments|||||(182,076)||(182,076)|
|Net expenditure|||||(827,408)|(19,538)|(846,946)|
|Transfers||||||||
|Gross transfers between|funds|||||||
|Other recognised
gains|and|losses||||||
|Gain on disposal offixed assets|||||2,637||2,637|
|Costs payable re pension|contributions|||adjustment|(14,822)||(14,822)|
|Net movement
in funds|||||(839,593)|(19,538)|(859,131)|
|Reconciliation
offunds:||||||||
|Fund balances brought
forward|||||9,213,962|799,524|9,993,486|
|Fund balances carried forward|||||8,374,369|759,986|9,134/55|
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||Goodwill||Total||||
|---|---|---|---|---|---|---|
|Costor valuation|||||||
|At 1 April 2020|12,417||12,417||||
|Additions|||||||
|Disposals|||||||
|At 31 March 2021|12,417||12,417||||
|Depreciation|||||||
|At 1 April 2020|8,278||8,278||||
|Charge for the year|4,139||4,139||||
|Released on disposal|||||||
|At 31 March 2021|12,417||12,417||||
|Net book value|||||||
|At 31March 2021|||||||
|At 31March 2020|4,139||4,139||||
|Investments|||||||
||Freehold|Investment|in||||
||investment|subsidiary||Investment|Company|Group|
||property|undertakings||portfolio|2021|2021|
|||||||K|
|At 1 April 2020|516,641|||2,888,439|3,405,085|3,405,085|
|Additions
at cost||||634,155|634,155|634,155|
|Disposals||||(833,916)|(833,916)|(833,916)|
|Unrealised
gains/(losses)||||406,025|406,025|406,025|
|Realised gains/(losses)||||294|294|294|
|At 31March 2021|516,641|||3,094,997|3,611,643|3,611,643|
##
##
##
|22|Stocks|||||||
|---|---|---|---|---|---|---|---|
|||||Company|Group|Company|Group|
|||||2021|2021|2020|2020|
||Goods for resale|||12,079|95,129|12,079|96,466|
||Drugs, medical supplies etc.|||8,500|8,500|8,500|8,500|
||Maintenance|stocks||400|400|400|400|
|||||20,979|104,029|20,979|105,366|
|23|Debtors|||||||
|||||Company|Group|Company|Group|
|||||2021|2021|2020|2020|
||Recoverable|income|tax|||51,130|51,130|
||VAT recoverable|||50,967|49,778|73,999|63,697|
||Amounts
owed by group undertakings|||196,701||98,314||
||Other debtors|||51,814|52,819|48,658|48,658|
||Prepayments|and accrued income||995,948|995,948|1,335,606|1,337,350|
|||||1,295,430|1,098,545|1,607,707|1,500,835|
|24|Creditors:
amounts||falling due within one year|||||
|||||Company|Group|Company|Group|
|||||2021|2021|2020|2020|
||Trade creditors|||138,557|141,107|134,574|147,837|
||Other creditors|||98,068|98,280|215,752|220,001|
||Other taxation|and social security||135,893|135,775|136,652|137,577|
||Amounts
owed to group undertakings|||||298,990||
||Accruals|||166,660|182,617|94,706|129,258|
||Deferred income (note 25)|||10,680|81,294|10,259|79,209|
|||||549,858|639,073|890,933|713,882|
##
##
##
##
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##
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##
##
||||Unrestricted|Restricted|Total|
|---|---|---|---|---|---|
||||funds|funds||
|Fixed assets|||3,556,546|750,198|4,306,744|
|Investments|||3,611,643||3,611,643|
|Current assets|||1,806,285||1,806,285|
|Current liabilities|||(639,073)||(639,073)|
||||8,335,401|750,198|9,085,599|
|Consolidated|fund balances at 31March 2020 are represented|by:||||
||||Unrestricted|Restricted|Total|
||||funds|funds||
|Fixed assets|||3,674,741|759,986|4,434,727|
|Investments|||3,405,080||3,405,080|
|Current assets|||2,008,430||2,008,430|
|Current liabilities|||(713,882)||(713,882)|
||||8,374,369|759,986|9,134,355|
##
##
||||Land &buildings|Land &buildings|Land &buildings|Land &buildings|
|---|---|---|---|---|---|---|
||||Company|Group|Company|Group|
||||2021|2021|2020|2020|
|Expiring|within|1 year|415,424|415,424|395,116|395,116|
|Expiring|2 - 5 years||982,585|982,585|937,807|937,807|
|Expiring|in more|than five years|375,313|375,313|340,033|340,033|
||||1,773,322|1,773,322|1,672,956|1,672,956|
||||Other||Other||
||||Company|Group|Company|Group|
||||2021|2021|2020|2020|
|Expiring|within|I year|45,725|45,725|45,725|45,725|
|Expiring|2-5 years||2,638|2,638|40,844|40,844|
||||48,363|48,363|86,569|86,569|
##
##
##
##
##
||||||2021|2020|
|---|---|---|---|---|---|---|
|Net expenditure
per|statement|offinancial|activities||(48,756)|(859,131)|
|(Gains)/losses
on investments|||||(406,319)|182,076|
|Investment
income|||||(121,192)|(106,821)|
|Less profit on sale ofassets|||||(1,240)|(2,637)|
|Add back depreciation
charge|||||293,626|297,202|
|Decrease in stocks|||||1,337|72,666|
|Decrease in debtors|||||402,290|(539,688)|
|(Decrease)/increase|in creditors||||(74,809)|9,331|
|Net cash provided|by/(used|in) operating|activities||44,937|(947,002)|
|Analysis ofnet debt|||||||
|||||1 April 2020|Cash flows|31March|
|||||||2021|
|Cash at bank and in|hand|||402,229|201,482|603,711|