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2021-03-31-accounts

Alexander Devine Children's Hospice Service '.It Annual Report and Financial Statements For the year ended 31st March 2021 REACHING OUTTO EVERYCHILD AND FAMILYTHAT NEEDS US www.alexanderdevine.org Company No. 05757493 Registered Charity No. 1118947

CONTENTS

PAGE
Report of the Trustees 3 - 9
Reference and Administrative details 10 - 11
Report of the Independent Auditors 12 - 15
Statement of Financial Activities 16 - 17
Balance Sheet 18
Statement of Cash Flows 19
Notes to the Financial Statements 20 - 35

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

Page 2

REPORT OF THE TRUSTEES (including Directors Report)

The Trustees who are also directors and members 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 31st March 2021. The Trustees have adopted the provisions of the 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).

AIMS AND OBJECTIVES

The aims of Alexander Devine are to support life limited and life threatened children and their families and carers. This is within their own homes through Alexander’s nurses, whether in Berkshire or the surrounding areas, or in the hospice itself. Our ethos is “to reach out to every child and family that needs us”.

ACHIEVEMENTS

HOSPICE

The position of the hospice is ideal for the needs of the children and their families with excellent motorway links between East and West Berkshire and South Bucks. The building was opened in June 2018 and currently provides day care, hydrotherapy, bereavement and sibling support. The service will be further expanded in a phased way reflecting the availability of staff and funds.

SERVICE

Alexander’s Nurses continue to provide regular, quality respite, end of life care and bereavement support to many families in Berkshire and into surrounding counties. With the hospice now open to day care, our parents can choose between support at home and/or in our purpose built hospice. Our ongoing work continues to recognise the significant gap in regular respite care and choice of service for children with life-limiting and life-threatening conditions, and their families. Our aim has always been to provide a seamless service that supports frequent year-round care throughout the child’s life. We aim to offer accessible, responsive, flexible and frequent care to meet the individual needs of a child and that of their family: care delivered when and wherever they need it. Whilst the pandemic has meant that the charity has had to change its way of working, Alexander’s Nurses have continued the service throughout the year.

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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A Care Quality Commission (CQC) report in February 2017 resulted in an overall rating of ‘GOOD’ and it reported:

“We saw children and young people received care and support in a personalised way. Complex medical needs were managed by staff who were well trained to deliver specialised care and support. Children and young people said they felt safe with staff.”

In March 2021, we sought feedback on families’ experience of the service. 30 parents responded and 97% rated the overall experience of the service as excellent or very good and 93% said Alexander’s care team is always approachable and responsive.

Alexander’s Care Team, led by the Director of Care and supported by the Lead for Quality and Governance, is registered with CQC and operates under their quality standards. By the

The support from Alexander Devine has been exceptionally helpful this year especially the specialist nursing practitioners. Thank you.”

Feedback from a family supported by Alexander Devine

end of the year, as well as the Director of Care, Lead for Quality and Governance and Matron who are medically qualified, the team directly employed ten nurses, two play specialists and three carers. With the appointment of Clinical Nurse Specialists we have been able to extend the service provision improving care for children and families. The

Clinical Nurse Specialist service provides assessment and symptom management. There is also a contract with the Royal Berkshire Hospital for the assistance of a paediatrician for two hours of medical support a week.

The charity has implemented a new way of recording the output of care staff in order that management, funders and other interested parties can fully understand the impact that the team are making. For this reason, no comparative figures are available.

The number of families the team supports has continued to grow and by the end of March had increased to 143 (2020: 133). We are finding that the cases referred to us are becoming more complex such that where a visit previously could be made using just one member of staff, this increasingly needs two.

The community team has spent 5,924 hours providing care including respite and telephone consultations, 3,319 hours have been spent on day care, respite, hydrotherapy and general care in the hospice and our clinical nurse specialists have spent 2,431 hours providing support. In addition our play team has spent 2,452 hours giving support to our families and our music specialist has spent 328 hours providing music therapy. In total, 14,454 hours have been spent on delivering care to our families.

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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PLANS FOR THE FUTURE

The charity had planned to continue to grow and expand services in 2020/21 and had already employed several staff before the COVID-19 virus hit the country. This has caused us to halt further expansion and do everything we can to reduce costs. We suffered a large drop in income with many of the companies and groups that provide a significant proportion of our income closing for a period of time and almost all suffering drops in income. We also cancelled our ball and a number of other events. We furloughed up to 14 staff (mostly fundraisers) and sadly had to make six fundraisers redundant. We have received income from NHS England to assist us to continue in operation. For 2021/22, as restrictions ease, we hope to continue the expansion of our service. However, without the one off COVID-19 income we expect a significant drop in income for the year. Cash flow projections have been made and although these show a significant loss in 2021/22, the Board are happy that with the reserves we have in place, the charity can survive as the situation improves and funding slowly recovers. The charity will then be in a position to continue expanding the service, in line with the strategic plan, with the fundraisers actively seeking opportunities to develop other income streams to ensure that our service is sustainable in the long term.

The future expansion will be phased in to reflect the availability of staff and funds.

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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GOVERNING DOCUMENT

Alexander Devine Children’s Cancer Trust is a charitable company limited by guarantee, incorporated on 27th March 2006 and registered as a charity on 25th April 2007. The company was established under a Memorandum of Association which sets out the objects and powers of the charitable company and is governed under its Articles of Association. The Articles were last updated on 5th October 2017. The charity operates as Alexander Devine Children’s Hospice Service.

All members of the Charity apart from Mrs Fiona Devine, give their time voluntarily and received no benefits from the charity. Mrs Devine works full time for the charity and received permission from the Charity Commission to be paid for this work. Her costs of employment and all expenses claimed by Trustees in the execution of their duties are reported in note 8 to the financial statements. The Trustees have carried out a skills audit to ensure that the Board has the necessary spread of skills to ensure good governance. They look to fill any gaps in knowledge within their contacts and charity supporters and if they do not find suitable candidates, they will widen the spread of applicants by advertising. They ask successful candidates to attend Board meetings for a period to assess their contribution before appointing them full Trustees. There is an induction process in place for new Trustees and ongoing training is available as applicable.

RESPONSIBILITIES OF TRUSTEES

The Directors are responsible for preparing the Report of the Trustees and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

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

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

Each of the Trustees has confirmed that in so far as they are aware:

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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RISK MANAGEMENT

The Trustees regularly consider risk at their bi-monthly meetings and are satisfied that systems in place to mitigate the impact of key risks are being observed. Internal control risks are minimised by the implementation of procedures for the authorisation of all transactions and projects. Procedures are in place to ensure compliance with health and safety regulations for staff, volunteers and families. A comprehensive risk register is in place which is reviewed by the senior management team on a monthly basis. The charity raises money from a wide variety of bodies ensuring that a problem with one of these would not significantly impact on the overall income of the charity. Given the phased and controlled plans to open the hospice and reserves already in place, the Trustees believe that the charity will be able to sustain the service despite the threat of reduced income due to COVID-19. They believe it will prove possible to continue expansion in a measured way.

RESERVES

The target for free reserves now stands at between twelve and fifteen months of ongoing expenditure which is between £1,629,000 and £2,037,000 based on 2020/21 costs. However, with the planned expansion of the service, these figures increase to between £1,811,000 and £2,264,000 for 2021/22. They believe this level will enable the charity to continue its activities and make all payments as they fall due whatever short-term issues may arise. The level of free reserves at the end of March 2021 was £2,128,574 (2020: £1,688,733). The Trustees are happy that this level of reserves is appropriate given the continuing uncertainty in respect of future income due to the effects of the COVID-19 pandemic.

The Trustees believe that they are managing risk and have a sensible and sustainable approach.

FINANCIAL REVIEW

Total income for the year was £1,888,773 (2020: £1,567,075), showing an increase of 21% on the previous year. The usual sources of income produced much less during the year due to the pandemic, but this was supplemented by furlough income of £82,000 and by restricted funding from NHS England of £461,000 which was given to the charity so that the service could continue and could take pressure off the NHS. We have also secured funds from East Berkshire Clinical Commissioning Group to contribute towards the cost of the End of Life pathway.

Expenditure on charitable activities has increased by 32% to £1,280,888 (2020: £967,385) reflecting the expansion of the service and the increased running costs of the hospice as well as ongoing legal costs. Expenditure on raising funds has decreased by over 25% to

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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£349,077 (2020: £468,781) reflecting the decreased level of staff required due to the pandemic and a reduction in fundraising activities.

Support and governance costs have increased by 5%. Support costs have been allocated between charitable activities and activities to raise funds based on time spent by the members of staff employed in this area. Hospice costs have increased by 39%. £130,000 of the costs relate to depreciation of the building. The legal costs mentioned in note 1c) are also charged here and account for much of the increase. Hospice costs are allocated between charitable activities and activities to raise funds on the basis of area of the building occupied. Despite the significant expansion in the service, due to the uncertainty in respect of income, it has not been possible to expand as quickly as Trustees would have wished. The net movement of funds of £258,808 (2020: £130,909) represents an increase of 98% on the previous year. The total fund is now over £10 million despite having started from nothing in 2006.

PUBLIC BENEFIT

The Trustees considered the guidance offered by the Charity Commission on public benefit and have developed strategic plans to ensure their objectives, the provision of care and support to children with life-limiting and life-threatening conditions and their families, fall under the purposes defined by section 4 of the Charities Act 2011.

HISTORY

John and Fiona Devine set up the charity after identifying the need for a dedicated local children’s palliative care service within Berkshire and the surrounding area. Their experience and that of others has been one of the driving factors in making this a reality, with all credit to their amazing son, Alexander. The lack of provision for quality respite, symptom management, end of life care and family support is something that has been lacking in the county of Berkshire forcing families to travel long distances out of county to access help elsewhere. The need for a local provision has been well identified by families and health care professionals and the hospice has been opened to cater for this.

STRUCTURE

The day to day operations, strategic management and events are managed by Fiona Devine with the support of the Trustees and the five senior management staff. Fiona and the senior team have previous management experience and are suitably qualified. By the end of the year the charity employed 32 permanent members of staff with 18 of these directly involved in the provision of care. Performance is overseen by the Board of Trustees who receive regular briefings from the management and timely financial reports.

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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FUNDING

The charity takes the fundraising regulations seriously and is registered with the Fundraising Regulator and Fundraising Institute. The charity raises funds through its corporate contacts who raise money on its behalf, by responding to invitations to visit community groups and by approaching trusts and foundations. Fundraising from individuals is carefully controlled following industry guidelines and no cold calling takes place. No professional fundraisers were used during the year. The charity has a Volunteer Co-ordinator in post who has responsibility for overseeing volunteers and their compliance with regulations and best practice.

SPONSORS

We would like to thank all our corporate sponsors for their faith and ongoing support.

KEY MANAGEMENT STAFF PAY

The pay of key management personnel is set by the Trustees on the recommendation of the Chief Executive after the posts have been benchmarked against similar posts in other charities.

PATRONS AND VOLUNTEERS

In addition to our patrons, we have in excess of 160 volunteers who give up their time and offer endless enthusiasm for the charity. We would like to thank them all sincerely for their help.

AUDITORS

A resolution to reappoint HW Fisher LLP as auditors will be presented at the AGM.

ON BEHALF OF THE BOARD

John Devine, Chairman

Date: 25[th] November 2021

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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REFERENCE AND ADMINISTRATIVE DETAILS

Registered Company number

05757493 (England and Wales)

Registered Charity number

1118947

Registered Office

122 Tinkers Lane With effect from 2.2.21: Alexander Devine Children’s Hospice Windsor Snowball Hill Berkshire Maidenhead, Berkshire SL4 4LP SL6 3LU

Trustees

Mr John Devine MBA BA (Hons) CMgr MCMI Co-Founder (Chairman) Dr Fiona Devine Co-Founder (Secretary) Mrs Helen Johnson Dr Andrew Boon BSC MD FRCP DCH Mr Fraser Silvey Mr Warren Tonkinson Trustees are also Directors of the company and members of the Charity

Patrons

Rt Hon Theresa May MP Sir Michael Parkinson CBE Dr Sanjiv Mata Mr Nick Parkinson Dr Peter Sebire Air Marshall Sir Ian Macfadyen CB OBE Mr John Barley BEM Mr Mark Beard

Key Management Staff Dr Fiona Devine, CEO Dr Helen Bennett, Director of Care Mr Andrew Rice, Director Finance Mr Warren King, Director of HR and Wellbeing Mrs Harjit Bola, Director of Fundraising

Hospice Telephone Website Snowball Hill 01628 822777 www.alexanderdevine.org Maidenhead 0845 055 8276 Berkshire SL6 3LU Email fundraising@alexanderdevine.org

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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Auditors

HW Fisher LLP Chartered Accountants Acre House 11-15 William Road London NW1 3ER

Bankers

HSBC Bank Plc 25 High Street Windsor Berkshire SL4 1LN

Barclays Bank Plc

29-30 High Street Windsor Berkshire SL4 1PG

Shawbrook Bank Lutea House, Warley Hill Business Park Great Warley, Brentwood Essex, CM13 3BE

Solicitors

Russell-Cooke 2 Putney Hill London SW15 6AB

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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REPORT OF THE INDEPENDENT AUDITORS TO THE MEMBERS OF ALEXANDER DEVINE CHILDREN’S CANCER TRUST

OPINION

We have audited the financial statements of Alexander Devine Children’s Cancer Trust (the ‘charity’) for the year ended 31[st] March 2021 which comprise the statement of financial activities, the balance sheet the statement of cash flows, and the notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102, The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In our opinion, the financial statements:

BASIS FOR OPINION

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

CONCLUSIONS RELATING TO GOING CONCERN

In auditing the financial statements, we have concluded that the Trustees' use of the going concern basis of accounting in the preparation of the financial statements is appropriate. Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charity’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

Page 12

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

OTHER INFORMATION

The other information comprises the information included in the annual report other than the financial statements and our auditor's report thereon. The Trustees are responsible for the other information contained within the annual report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard.

OPINIONS ON OTHER MATTERS PRESCRIBED BY THE COMPANIES ACT 2006

MATTERS ON WHICH WE ARE REQUIRED TO REPORT BY EXCEPTION

In the light of the knowledge and understanding of the charity and its environment obtained in the course of the audit, we have not identified material misstatements in the directors' report included within the Trustees' report.

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

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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in preparing the Trustees' report and from the requirement to prepare a strategic report.

RESPONSIBILITIES OF TRUSTEES

As explained more fully in the statement of Trustees' responsibilities, the Trustees, who are also the directors of the charitable charity for the purpose of company law, are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the Trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. In preparing the financial statements, the Trustees are responsible for assessing the charitable charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the Trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative but to do so.

AUDITOR’S RESPONSIBILITIES FOR THE AUDIT OF THE FINANICAL STATEMENTS

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud, is detailed below.

As part of our planning process;

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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The key procedures we undertook to detect irregularities including fraud during the course of the audit included:

Owing to the inherent limitations of an audit, there is an unavoidable risk that we may not have detected some material misstatements in the financial statements even though we have properly planned and performed our audit in accordance with auditing standards. The primary responsibility for the prevention and detection of irregularities and fraud rests with those charged with governance of the entity.

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

USE OF OUR REPORT

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

Sailesh Mehta (Senior Statutory Auditor) for and on behalf of HW Fisher LLP

Chartered Accountants Statutory Auditor Acre House 11-15 William Road London NW1 3ER United Kingdom

21st December 2021

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31[ST] MARCH 2021

Notes
INCOME from
Donations and legacies
2
Trading activities
3
Other
1c
Investment
Total income
EXPENDITURE on
Raising funds
4
Charitable activities
5
Total expenditure
NET INCOME BEFORE
TRANSFERS
Transfers
Net movement in funds
16
RECONCILIATION OF
FUNDS
Total funds brought
forward
16
TOTAL FUNDS
CARRIED FORWARD
16		 Unrestricted
Funds
£
Restricted
Funds
£
Endowment
Funds
£
2021
Total funds
£
2020
Total funds
£
817,283
942,579
-
1,759,862
1,417,652
42,462
-
-
42,462
128,920
81,815
-
-
81,815
3,451
4,634
-
-
4,634
17,052		 Unrestricted
Funds
£
Restricted
Funds
£
Endowment
Funds
£
2021
Total funds
£
2020
Total funds
£
817,283
942,579
-
1,759,862
1,417,652
42,462
-
-
42,462
128,920
81,815
-
-
81,815
3,451
4,634
-
-
4,634
17,052
946,194
942,579
-
1,888,773
1,567,075
343,003
239
5,835
349,077
468,781
226,090
930,681
124,117
1,280,888
967,385
569,093
930,920
129,952
1,629,965
1,436,166
377,101
11,659
(129,952)
258,808
130,909
(8,908)
(44,575)
53,483
-
-
368,193
(32,916)
(76,469)
258,808
130,909
3,107,337
134,725
6,557,755
9,799,817
9,668,908
3,475,530
101,809
6,481,286
10,058,625
9,799,817

The statement of financial activities also complies with the requirements for the income and expenditure account under the Companies Act 2006. All Income and expenditure derives from continuing activities.

Notes 1 to 18 form part of these financial statements.

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31[ST] MARCH 2020

Notes
INCOME from
Donations and legacies
2
Trading activities
3
Other
1c
Investment
Total income
EXPENDITURE on
Raising funds
4
Charitable activities
5
Total expenditure
NET INCOME BEFORE
TRANSFERS
Transfers
Net movement in funds
16
RECONCILIATION OF
FUNDS
Total funds brought
forward
16
TOTAL FUNDS
CARRIED FORWARD
16		 Unrestricted
Funds
£
Restricted
Funds
£
Endowment
Funds
£
2020
Total funds
£
2019
Total funds
£
1,131,766
285,886
-
1,417,652
2,584,191
128,920
-
-
128,920
128,791
3,451
-
-
3,451
(100,000)
17,052
-
-
17,052
8,243		 Unrestricted
Funds
£
Restricted
Funds
£
Endowment
Funds
£
2020
Total funds
£
2019
Total funds
£
1,131,766
285,886
-
1,417,652
2,584,191
128,920
-
-
128,920
128,791
3,451
-
-
3,451
(100,000)
17,052
-
-
17,052
8,243
1,281,189
285,886
-
1,567,075
2,621,225
459,644
3,340
5,797
468,761
378,381
536,001
308,065
123,319
967,385
924,316
995,645
311,405
129,116
1,436,166
1,302,697
285,544
(25,519)
(129,116)
130,909
1,318,528
79,582
(79,582)
-
-
-
365,126
(105,101)
(129,116)
130,909
1,318,528
2,742,211
239,826
6,686,871
9,668,908
8,350,380
3,107,337
134,725
6,557,755
9,799,817
9,668,908

The statement of financial activities also complies with the requirements for the income and expenditure account under the Companies Act 2006. All Income and expenditure derives from continuing activities.

Notes 1 to 18 form part of these financial statements.

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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BALANCE SHEET AS AT 31[ST] MARCH 2021

Notes
FIXED ASSETS
Tangible assets
11
CURRENT ASSETS
Stocks
Debtors: amounts falling
due within one year
12
Cash at bank and in hand
Cash on deposit
CREDITORS
Amounts falling due within
one year
13
NET CURRENT ASSETS
NET ASSETS
FUNDS
16
Unrestricted funds:
Reserves
Designated
Restricted funds:
Restricted fund
Endowment funds:
Property
TOTAL FUNDS		 £
1,333
166,917
70,777
3,536,716		 2021
£
6,678,242
3,380,383
10,058,625
10,058,625		 £
1,910
42,985
162,430
2,875,146		 2020
£
6,826,359
2,973,458
3,775,743
(395,360)
2,128,574
1,346,956		 3,082,471
(109,013)
1,688,733
1,418,604
9,799,817
9,799,817
3,475,530
101,809
6,481,286		 3,107,337
134,725
6,557,755

Notes 1 to 18 form part of these financial statements.

The financial statements were approved by the Board on 25th November 2021 and were signed on its behalf by:

John Devine – Chairman

Company Registration No. 05757493

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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STATEMENT OF CASH FLOWS

Notes
Cash flows from operating activities:
Net cash provided by operating activities
17
Cash flows from investing activities:
Investment income
Purchase of property, plant and
equipment
Sale proceeds from disposal of property,
plant and equipment
Net cash provided by (used in)
investing activities
Cash flows from financing 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		 2021
£
633,131
4,634
(67,848)
-
569,917
-
569,917
3,037,576
3,607,493		 2022
£
281,060
17,052
(146,916)
-
151,196
-
151,196
2,886,380
3,037,576

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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NOTES TO THE FINANCIAL STATEMENTS

1a. ACCOUNTING POLICIES

Charity information

Alexander Devine Children’s Cancer Trust is a private company limited by guarantee incorporated in England and Wales. The registered office was moved from 122 Tinkers Lane, Windsor, Berkshire, SL4 4LP to Alexander Devine Children’s Hospice, Snowball, Hill, Maidenhead, Berks, SL6 3LU in January 2021.

Accounting convention

The financial statements have been prepared in accordance with the Companies Act 2006 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 (FRS 102) (effective 1[st] January 2019)". The charity is a Public Benefit Entity as defined by FRS 102.

The financial statements are prepared in sterling which is the functional currency of the charity. Monetary amounts in these financial statements are rounded to the nearest £.

The financial statements have been prepared on the historical cost convention. The principal accounting policies adopted are set out below.

Going concern

At the time of approving the financial statements, despite the effects of COVID-19, given the reserves held, the Trustees have a reasonable expectation that the charity has adequate resources to continue in operational existence for the foreseeable future. Thus, the Trustees continue to adopt the going concern basis of accounting in preparing the financial statements.

Income

Expenditure

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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Impairment of fixed assets

At each reporting end date, the charity reviews the carrying amounts of its tangible assets to determine whether there is any indication that those assets have suffered an impairment loss. If any such indication exists, the recoverable amount of the asset is estimated in order to determine the extent of the impairment loss (if any).

Financial instruments

The charity has elected to apply the provisions of Section11 “Basic Financial Instruments” and Section 12 “Other Financial Instruments Issues” of FRS 102 to all of its financial instruments.

Financial instruments are recognised in the charity’s balance sheet when the charity becomes party to the contractual provisions of the instrument.

Financial assets and liabilities are offset with the net amounts presented in the financial statements, when there is a legally enforceable right to set off the recognised amounts and there is an intention to settle on a net basis or to realise the asset and settle the liability immediately.

Basic financial assets

Basic financial assets, which include debtors and cash and bank balances, are initially measured at transaction price including transaction costs and are subsequently carried at amortised cost using the effective interest method unless the arrangement constitutes a financing transaction, where the transaction is measured at the present value of the future receipts discounted at a market rate of interest. Financial assets classified as receivable within one year are not amortised.

Basic financial assets

Basic financial liabilities, including creditors, are initially recognised at transaction price unless the arrangement constitutes a financing transaction, where the debt instrument is measured at the present value of the future receipts discounted at a market rate of interest. Financial instruments classified as payable within one year are not amortised.

Debt instruments are subsequently carried at amortised cost, using the effective interest rate method.

Trade creditors are obligations to pay for goods or services that have been acquired in the course of operations from suppliers. Amounts payable are classified as current liabilities if payment is due within one year or less. If not, they are presented as non-current liabilities. Trade creditors are recognised initially at transaction price and subsequently measured at amortised cost using the effective interest method.

Tangible fixed assets

Depreciation is provided at the following annual rates in order to write off each asset over its estimated useful life. Items costing over £1,000 are capitalised. Office equipment – 20% on cost Computer equipment – 25% on cost Hospice equipment – 20% on cost Completed freehold buildings – 2% on cost Land is not depreciated

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Stocks

Stocks are valued at the lower of cost and net realisable value, after making due allowance for obsolete and slow moving items.

Debtors

Debtors include amounts owed to the charity for the provision of goods and services as well as amounts paid in advance for goods and services it will receive.

Cash at bank and in hand

Cash at bank and in hand is held to meet short term commitments as they fall due rather than for investment purposes.

Cash on deposit

Cash on deposit represents monies held on a short-term basis in excess of immediate requirements which are invested to produce investment income.

Creditors

Creditors include amounts due for goods and services provided to the charity and income received in advance.

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.

Endowment funds represent the value of the building and land. This is not readily realisable as the donors of the land restricted the use of the land.

Designated funds comprise funds which have been set aside at the discretion of the trustees for specific purposes. The purposes and uses of the designated funds are set out in the notes to the financial statements.

Further explanation of the nature and purpose of each fund is included in note 16 to the financial statements.

Support

Support costs are split between charitable activities and the cost of raising funds on the basis of the number of staff employed in each activity.

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1b. CRITICAL ACCOUNTING ESTIMATES AND JUDGEMENTS

In the application of the Foundation’s accounting policies, the Trustees are required to make judgements, estimates and assumptions about the carrying amount of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates.

The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised where the revision affects only that period, or in the period of the revision and future periods where the revision affects both current and future periods.

The Trustees do not consider there to be any critical accounting estimates or judgements in preparing the financial statements.

1c. OTHER INCOME

£81,815 (2020: £3,451) was received in respect of furlough payments from HMRC.

The charity claimed damages for breach of covenant over land adjacent to their premises in 2017. £150,000 plus costs was awarded by the Lands Tribunal. However, the Trustees did not think this was adequate compensation and successfully appealed during the year 2018/19. The Lands Tribunal ruling was set aside and £150,000 damages were repaid. £50,000 was awarded in costs as an interim amount on account. The net amount of these transactions amounting to a charge of £100,000 was shown in other income in 2018/19. The other party made a counter appeal but were not successful. The Trustees are now negotiating suitable compensation. All costs incurred during the year are shown in note 9.

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2. INCOME FROM DONATIONS AND LEGACIES

Individual donations
Collections
Community
Gift aid
Corporate donations
Trust and Foundations
In memory
Legacies
Sponsored events
Clinical Commissiong Group income
NHS England COVID-19 support
Department of Health Grant
Individual donations
Collections
Community
Gift aid
Corporate donations
Trust and Foundations
In memory
Legacies
Sponsored events
Department of Health Grant		 2021
Restricted
2021
Unrestricted
2021
Total
2020
Total
£
£
£
£
3,000
173,763
176,763
151,302
-
4,119
4,119
37,109
(2,288)
100,397
98,109
194,092
-
50,285
50,285
33,491
39,000
261,525
300,525
317,814
235,673
143,458
379,131
522,890
-
15,002
15,002
13,265
-
4,500
4,500
6,000
-
64,234
64,234
70,770
100,158
-
100,158
-
460,657
-
460,657
-
106,379
-
106,379
70,919
942,579
817,283
1,759,862
1,417,652
2020
Restricted
2020
Unrestricted
2020
Total
£
£
£
3,680
147,622
151,302
-
37,109
37,109
580
193,512
194,092
-
33,491
33,491
61,276
256,538
317,814
149,431
373,459
522,890
-
13,265
13,265
-
6,000
6,000
-
70,770
70,770
70,919
-
70,919
285,886
1,131,766
1,417,652

Note the income figure for trusts in 2021 includes £nil (2020: £296,000) from one trust donated as unrestricted funds.

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3. INCOME FROM OTHER TRADING ACTIVITIES

Fundraising events
Volunteer events
Recycling
Sale of merchandise
Recharge of costs		 2021
Unrestricted
2020
Unrestricted
£
£
32,547
82,491
8,493
42,082
14
15
1,408
1,916
-
2,416
42,462
128,920

4. EXPENDITURE ON RAISING FUNDS

Staff and recruitment costs
Share of hospice costs
Share of hospice depreciation
Fundraising events and other
direct costs
Cost of merchandise sold
Cost of sponsored events
Share of support and
governance costs
Staff and recruitment costs
Share of hospice costs
Share of hospice depreciation
Fundraising events and other
direct costs
Cost of merchandise sold
Cost of sponsored events
Share of support and
governance costs		 2021
Restricted
2021
Endowment
2021
Unrestricted
2021
Total
2020
Total
£
£
£
£
£
-
-
204,340
204,340
263,179
-
-
8,230
8,230
3,985
-
5,835
3,050
8,885
8,339
-
-
14,639
14,639
27,394
-
-
1,533
1,533
935
-
-
396
396
9
239
-
110,815
111,054
164,940
239
5,835
343,003
349,077
468,781
2020
Restricted
2020
Endowment
2020
Unrestricted
2020
Total
£
£
£
£
-
-
263,179
263,179
-
-
3,985
3,985
-
5,797
2,542
8,339
-
-
27,394
27,394
-
-
935
935
-
-
9
9
3,340
-
161,600
164,940
3,340
5,797
459,644
468,781

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5. EXPENDITURE ON CHARITABLE ACTIVITIES

Staff and recruitment costs
Other direct costs
Payments to NHS for external
nursing costs
Payments to NHS for
paediatrician support
Patients Christmas party
CQC subscription
Share of hospice running costs
Share of hospice depreciation
Share of support and
governance costs
Staff and recruitment costs
Other direct costs
Payments to NHS for external
nursing costs
Payments to NHS for
paediatrician support
Patients Christmas party
CQC subscription
Share of hospice running costs
Share of hospice depreciation
Share of support and
governance costs		 2021
Restricted
2021
Endowment
2021
Unrestricted
2021
Total
2020
Total
£
£
£
£
£
494,986
-
93,848
588,834
418,792
22,189
-
2,778
24,967
28,302
-
-
-
-
29,411
5,291
-
1,788
7,079
5,378
-
-
-
-
1,405
1,445
-
488
1,933
1,933
137,256
-
37,800
175,056
84,778
48,496
124,117
16,393
189,006
177,384
221,018
-
72,995
294,013
220,002
930,681
124,117
226,090
1,280,888
967,385
2020
Restricted
2020
Endowment
2020
Unrestricted
2020
Total
£
£
£
£
276,120
-
142,672
418,792
21,254
-
7,048
28,302
-
-
29,411
29,411
-
-
5,378
5,378
75
-
1,330
1,405
-
-
1,933
1,933
-
-
84,778
84,778
-
123,319
54,065
177,384
10,616
-
209,386
220,002
308,065
123,319
536,001
967,385

In addition to the care staff employed directly, the charity also supported the cost of a palliative care nurse based at The Royal Berkshire NHS Trust Hospitals for most of last year. This has now ceased.

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6. SUPPORT AND GOVERNANCE COSTS

Support costs
Staff and recruitment costs
Office rent and utilities
Telephone, bank costs,
printing and other costs
Travel costs
Consultancy
Insurance
Depreciation
Governance costs
Audit fee
Trustee expenses
Total support and
governance costs
Reallocated to raising funds
Reallocated to charitable
activities		 2021
2020
£
£
297,575
277,675
18,208
18,272
44,222
45,901
32
488
813
-
20,055
19,083
18,075
17,983
398,980
379,402
5,420
4,949
667
591
6,087
5,540
405,067
384,942
111,054
164,940
294,013
220,002
405,067
384,942

Support and governance costs are split between charitable activities and cost of raising funds on an assessment of the workload of each employee allocated to support.

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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7. NET INCOME

Net income is stated after charging:

2021 2020
£ £
Depreciation – owned assets 215,965 203,706
Auditors remuneration 5,420 4,949
Auditors other fees - -

8. TRUSTEES’ REMUNERATION AND BENEFITS

Apart from as set out below, there were no Trustees' remuneration or other benefits for the year ended 31st March 2021 nor for the year ended 31st March 2020. Trustees' expenses paid for the year ended 31st March 2021 were £667 (2020: £591) paid to one Trustee (2020: two Trustees). These sums were paid in reimbursement of items purchased on behalf of the charity.

The Charity Commission has given approval for the employment of Dr Fiona Devine as CEO. Her total remuneration for the year to 31st March 2021 amounted to £69,513 (2020: £68,316). Employer National insurance costs on this amounted to £8,380 (2020: £8,236) and pension costs to £2,085 (2020: £2,049).

There are no other related party transactions other than those disclosed above.

9. HOSPICE COSTS

.
HOSPICE COSTS
Utilities
Depreciation of buildings and
equipment
Equipment maintenance
Legal costs (see note 1c)
General running costs
Reallocated to raising funds
Reallocated to charitable
activities		 2021
2020
£
£
23,115
30,641
197,891
185,723
12,947
17,045
140,994
34,736
6,230
6,341
381,177
274,486
17,115
12,324
364,062
262,162
381,177
274,486

Hospice costs are split between charitable activities and cost of raising funds on the basis of area occupied.

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10. STAFF COSTS

0. STAFF COSTS
Wages and salaries
Charitable activities
Fundraising activities
Support and governance
Total wages and salaries
Employer National Insurance
Travel and uniforms
Staff training
Pension costs
Recruitment fees		 2021
2020
£
£
490,380
339,154
182,758
233,115
262,338
239,652
935,476
811,921
80,975
73,116
12,319
19,464
9,475
3,435
48,082
39,395
4,422
12,315
1,090,749
959,646

There were 14 permanent full-time employees and 18 part time employees as at 31st March 2021, equal to 25.34 (2020: 25.14) full-time employees. The average number of full-time equivalent employees during the year was 24.77 (2020: 24.39).

No employee earned more than £60,000 per annum apart from Dr Devine as above. Remuneration for the five key management staff in the year was £276,774 (2020: five staff, £269,201).

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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11. TANGIBLE FIXED ASSETS

COST
At 1st April 2020
Additions
Disposals
As at 31st March 2021
DEPRECIATION
At 1st April 2020
Charge for year
Disposals
As at 31st March 2021
NET BOOK VALUE
At 31st March 2021
At 31stMarch 2020		 Lands and
Buildings
Hospice
Equipment
Office
Equipment
Computer
Equipment
Total
£
£
£
£
£
6,955,808
330,962
11,024
86,750
7,384,544
53,484
11,974
-
2,390
67,848
-
-
(9,462)
(16,697)
(26,159)
7,009,292
342,936
1,562
72,443
7,426,233
398,053
90,605
10,658
58,869
558,185
129,952
67,939
312
17,762
215,965
-
-
(9,462)
(16,697)
(26,159)
528,005
158,544
1,508
59,934
747,991
6,481,287
184,392
54
12,509
6,678,242
6,557,755
240,357
366
27,881
6,826,359

Land was gifted to the charity in March 2012 and was valued at £500,000. The cost of fees, construction and of additional work, have been capitalised and added to the cost of land.

12. DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR

Prepayments
Other debtors
Floats
Gift aid outstanding
VAT due from HMRC
Interest receivable		 2021
2020
£
£
11,654
12,075
142,362
16,434
-
200
6,060
4,545
5,989
6,598
852
3,133
166,917
42,985

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13. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR

Social security and other taxes
Income received in advance
Accruals
Pension payments due		 2021
2020
£
£
20,482
17,298
117,440
5,540
249,502
79,197
7,936
6,978
395,360
109,013

14. COMMITMENTS UNDER OPERATING LEASES

At 31st March 2021, the charity had outstanding commitments for future minimum lease payments under non-cancellable operating leases as follows:

Expiry date:
Within one year
Between two and five years		 2021
2020
£
£
7,000
11,667
-
-
7,000
11,667

15. CAPITAL COMMITMENTS

There were no capital commitments at 31st March 2021 (2020: £nil).

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16. MOVEMENT IN FUNDS

Unrestricted funds
Designated
Free reserves
Restricted funds
Restricted
Endowment fund
TOTAL FUNDS
Unrestricted funds
Designated
Free reserves
Restricted funds
Restricted
Endowment fund
TOTAL FUNDS		 At
1st April 2020
Net Movement
in funds
At
31st March 2021
£
£
£
1,418,604
(71,648)
1,346,956
1,688,733
439,841
2,128,574
134,725
(32,916)
101,809
6,557,755
(76,469)
6,481,286
9,799,817
258,808
10,058,625
At
1st April 2019
Net Movement
in funds
At
31st March 2020
£
£
£
946,278
472,326
1,418,604
1,795,933
(107,200)
1,688,733
239,826
(105,101)
134,725
6,686,871
(129,116)
6,557,755
9,668,908
130,909
9,799,817

The endowment fund represents the value of land donated on 28th March 2012 plus amounts spent on the building less depreciation.

There is a covenant in the transfer agreement that the land may only be used for a hospice, hospital or nursing home and a change of use could not be attempted without the approval of the donors or their successors.

Designated funds were set aside by the Trustees for further work on the hospice and gardens and for ongoing maintenance for the hospice, and also to take account of the amounts tied up in fixed assets that cannot readily be realised.

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FUND BALANCES AT 31[ST] MARCH 2021

Tangible fixed assets
Current assets
Creditors: amounts falling
due within one year
TOTAL FUNDS AS AT 31st
MARCH 2021		 Unrestricted
funds
Restricted
funds
Endowment
funds
Total
£
£
£
£
196,956
-
6,481,286
6,678,242
3,673,934
101,809
-
3,775,743
(395,360)
-
-
(395,360)
3,475,530
101,809
6,481,286
10,058,625

FUND BALANCES AT 31[ST] MARCH 2020

Tangible fixed assets
Current assets
Creditors: amounts falling
due within one year
TOTAL FUNDS AS AT 31st
MARCH 2020		 Unrestricted
funds
Restricted
funds
Endowment
funds
Total
£
£
£
£
268,604
-
6,557,755
6,826,359
2,947,746
134,725
-
3,082,471
(109,013)
-
-
(109,013)
3,107,337
134,725
6,557,755
9,799,817

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PURPOSE OF RESTRICTED FUNDS

Restricted funds must be used in accordance with specific conditions imposed by donors.

Alexander’s Nursing team
Local Clinical
Commissiong
NHS palliative care
funding
NHS England COVID
funding
Play specialist
Additional nurse
Hospice gardens
Equipment
Total Restricted funds
Alexander’s Nursing team
NHS palliative care
funding
Play specialist
Additional nurse
Additional carer
Hospice building and
gardens
Equipment
Total Restricted funds		 At
1stApril
2020
Incoming
Resources
Resources
Expended
Transfers
At
31st March
2021
£
£
£
£
£
19,428
77,151
(66,819)
-
29,760
-
100,158
(100,158)
-
-
-
106,379
(106,379)
-
-
-
460,657
(460,657)
-
-
8,639
1,000
(9,639)
-
-
60,746
185,452
(182,713)
-
63,485
37,375
-
-
(37,375)
-
8,537
11,782
(4,555)
(7,200)
8,564
134,725
942,579
(930,920)
(44,575)
101,809
At
1stApril
2019
Incoming
Resources
Resources
Expended
Transfers
At
31stMarch
2020
£
£
£
£
£
26,601
71,987
(79,160)
-
19,428
-
70,919
(70,919)
-
-
37,844
20,668
(49,873)
-
8,639
51,324
113,450
(104,028)
-
60,746
-
-
-
-
-
105,707
-
-
(68,332)
37,375
18,350
8,862
(7,425)
(11,250)
8,537
239,826
285,886
(311,405)
(79,582)
134,725

The Alexander Nursing team fund arose from a number of donations, which were restricted to the care team associated activities and is being spent on providing direct care and support to life limited children and their families.

Local Clinical Commissioning relates to payments from the local Clinical Commissioning Group to be spent on our clinical nurse specialists.

NHS palliative care funding is a Section 64 grant from the Department of Health specifically for the cost of palliative care in the community.

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NHS England COVID funding is funding that was awarded to allow the hospice to make available bed capacity and community support from April 2020 to July 2020 to provide support to children with complex needs in the context of the COVID-19 situation and to provide bed capacity and community support from November 2020 to March 2021 for the same purpose.

Donations have also been received to fund a play specialist as well as an additional nurse and carer.

The gardens fund was set up to raise money to construct gardens for the hospice. Donations to this fund are set against expenditure on the gardens.

A number of other donations have been received for equipment for the hospice. Some of these are restricted to specific items.

The transfers arose in respect of expenditure on gardens and equipment which was directly allocated to the balance sheet and not to the income and expenditure account.

17. RECONCILIATION OF NET INCOME TO NET CASH FLOW FROM OPERATING ACTIVITIES

Net income for the reporting period (as per the statement of financial
activities)
Adjustments for:
Depreciation charges
Investing activities
Decrease / (Increase) in stocks
(Increase) in debtors
Increase / (decrease) in creditors
Net cash provided by operating activities		 2021
2020
£
£
258,808
130,909
215,965
203,706
(4,634)
(17,052)
577
(15)
(123,932)
(21,414)
286,347
(15,074)
633,131
281,060

18. ANALYSIS OF NET CHANGES IN FUNDS

The charity had no debt during the year.

Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2021

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