Alexander
Devine
Children's Hospice
Service
Annual Report and Financial Statements
For the year ended 31st March 2024
REACHING OUTTO EVERY CHILD 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|
|Balance Sheet|17|
|Statement of Cash Flows|18|
|Notes to the Financial Statements|19 - 35|



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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **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 2024. 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)). 

## **ABOUT THE CHARITY** 

Alexander Devine Children’s Hospice Service (Alexander Devine) is a registered charity (no.1118947) and company limited by guarantee (No. 5757493). 

We are registered as a service provider under the Health and Social Care Act 2008 to carry out regulated activity of treatment of disease, disorder and injury. We are required to register with the Care Quality Commission and the current rating is Good. 

John and Fiona Devine set up the charity in memory of their extraordinary little boy, Alexander, who in early 2006 sadly passed away at the age of eight from a rare brain tumour. Their personal experience, and subsequent extensive research, let them to realise that there was a vital need for a local children’s hospice service with a hospice facility in Berkshire. 

The charity was established in 2007 and has grown to become the key provider for children’s palliative care in Berkshire. The hospice building, based just outside Maidenhead, was opened in the summer of 2018. 

We are a local service delivering respite, palliative and end of life care and bereavement support at our hospice, in the family home and across the community, including hospitals and schools.   Our care services include Respite care, Specialist play, Symptom management, Family support, Physiotherapy and Transition support in the community, day care and overnight care.   We individualise our approach to meet the unique clinical, emotional, and practical needs of each child and their family, ensuring they receive the best possible care and support. 

## **VISION AND MISSION** 

Our vision is to provide a children’s hospice service within Berkshire and into surrounding counties that will give children and families a choice of care and support from a skilled team. We work closely in partnership with the NHS, local authorities and other services in delivering our care in the community and in the hospice. 

Our mission is to reach out to every child and family who needs us. 

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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **SERVICE** 

Alexander Devine Children’s Hospice Service provides palliative and end of life care to babies, children and young people with a life-limiting or life-threatening condition aged 0-25. We care for a wide range of different conditions and our staff is skilled in meeting the individual and complex needs of each individual child and young person. The support we provide extends to the whole family from diagnosis through to bereavement. 

Our service is vital with more than 1,370 children with life-limiting conditions across Berkshire alone. Research shows that this number is likely to increase a further 11% by 2030. ( _Data source: ‘Make Every Child Count’ study by Fraser et al 2018_ ) 

We work closely with our NHS colleagues and Children’s Community Nursing teams to ensure families have timely access and seamless care. 

For children who meet our eligibility criteria our service includes: 

All services are free at point of delivery and are mainly funded through fundraising activity with a small amount of support from NHS England and local integrated care board/integrated care systems (previously commissioning groups). 

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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **ACHIEVEMENTS** 

We have invested in care delivery to support quality and safe care to improve the experience and outcome for babies, children and young people who require specialist palliative care. Alexander’s Care Team is led by the Director of Care and supported by the Lead for Quality and Governance. We were inspected in March 2022 by the Care Quality Commission (CQC) and in May 2022 we were rated GOOD. We survey our families annually to understand the needs of those we support and to help inform development. 

Some of the comments from our families are: 

_“I don’t think the team at Alexander Devine will ever know the extent to which they make my life so much easier. They are all truly amazing and I don’t know what I would do without them. I know that I can leave Franké with them and have peace of mind and utter trust that the wonderful and amazing team will love and look after my boy.”_ Sarah, Franké’s Mum 

_“We are so lucky to have such an amazing service for our family. I can truly say I would not have been able to cope as well if I did not have the support from the respite.”_ Alexander Devine supported parent 

_"Every staff member in Alexander Devine that we met so far is amazing. Smiles always, very welcoming, not just there for our daughter but for the whole family. And it means a lot for us as we are going through tough times. Thank you to each one of you."_ Alexander Devine Supported Parent 

Care is delivered by a skilled multi professional team made up of qualified nurses, clinical nurse specialists, carers, play specialists, music therapists, counsellors, pharmacists and doctors. 

Of note, the achievements this year have included: 

- Appointing a Consultant Paediatrician with an Interest in Paediatric Palliative Care. 

- Introduction of physiotherapy and hydrotherapy support at our hospice. 

- Reaching out to more families with the caseload of children increasing to over 200 (including 86 bereaved families). 

- 182% more overnight respite provided at the hospice and 60% more end of life care. 

Over the course of the year, Alexander’s Care Team has in total delivered over 18,758 hours of direct care to children and families. This excludes supervision, governance and training. 

## **PLANS FOR THE FUTURE** 

During 2022/23, with more sustainable income following the Covid restrictions and successful recruitment into our Alexander’s Care Team, we were able to move forward with our plans to  grow and develop all areas of the service, especially around Family Support and increasing the provision of respite and end of life support at the hospice and in the community. Due to an unexpected legacy we were able to make a surplus despite the economic climate making income generation difficult. 

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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

For 2023/24 this growth was continued despite the difficulty raising income to match the increasing costs due to the economic climate. The budget for 2024/25 is for costs to increase to more than £3.05 million. In the current climate it is likely to be difficult to increase income by the same extent and another deficit is expected. 

The Board has reluctantly decided that it is necessary to focus on growing the fundraising team in order that income can be increased to match expenditure to slow the drain on reserves. 

In addition to the difficulty in growing income the main challenge we face in continuing to grow the service continues to be the national shortage in suitably qualified nurses and carers. Whilst we have been successful in the past year in growing our team, it is a wellrecognised issue that is affecting all hospices and, in particular, children’s hospices, across the UK. This workforce problem is a priority for Together For Short Lives, Hospice UK and the NHS and the other is the expected loss of statutory funding from the local ICB.. 

By the end of March 2024, the number of children, young people and families Alexander’s Care Team supports had grown to 203 (2023: 165). There were 56 (2023: 43) new referrals in the past year, with many being so complex that where a visit previously could involve just one member of staff per child, it now increasingly needs two. 

## **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 Trustees give their time voluntarily and received no benefits from the charity, except for Dr Fiona Devine as she works full time for the charity as CEO 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. Apart from the CEO who can remain in post, Trustees must retire every two years but are eligible for re election. 

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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **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: 

- select suitable accounting policies and then apply them consistently. 

- observe the methods and principles in the Charity SORP; 

- make judgements and estimates that are reasonable and prudent; 

- state whether applicable UK accounting standards have been followed subject to any material departures disclosed and explained in the financial statements; and, 

- prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charitable company will continue in operation. 

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: 

- there is no relevant audit information of which the charitable company's auditors are unaware; and, 

- they have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditors are aware of that information. 

## **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 quarterly basis. Currently significant risks are around the potential withdrawal of NHS funding in conjunction with escalating costs and the economic climate making raising income very difficult. 

The charity raises money from a suitable spread of sources thereby minimising the risk to overall income of the charity. The Trustees believe that the charity will be able to sustain the service despite the threat of reduced income due to inflation and cost of living. They believe it will prove possible to continue expansion in a reviewed and measured way. 

## **RESERVES** 

Given that Alexander Devine is a front-line service to the most vulnerable in our community the Trustees took the decision last year to increase the free reserve policy to 2 years expenditure. 

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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

Experiences over the last four years and the need for our specialist services, requires we take these steps to ensure that our charity is sustainable and resilient for those who need us. This will continue to be reviewed annually. 

The revised target is around £5,115,926 based on 2023/24 costs. However, with the ongoing expansion of the service, these figures increase to £6,107,778 for 2024/25. 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 2024 was £3,548,048 (2023: £3,660,440). Despite the recent windfall £2 million legal receipt over the last two years and an unexpected £380,000 legacy, this figure is below the Trustees target. This will be difficult to make up with a shortfall in income predicted for the next two years. However, Trustees are happy that this level of reserves is appropriate given continuing uncertainty and the expansion in service that they wish to make and they will look at what can be done to increase this. The Trustees believe that they are managing risk and have a sensible and sustainable approach. 

## **FINANCIAL REVIEW** 

Total income for the year was £2,217,022 (2023: £2,416,057), showing a decrease of over 8% on the previous year. This was completely skewed by the one-off legal receipt of £200,000 in 2022/23 as well as a legacy of £380,000 in the same year. Without these, income would be over 20% up on last year. This is still somewhat less than previous years with the usual sources of income producing less during the year due to the twin effects of the pandemic and the cost of living situation. Despite this, corporate donations increased substantially and NHS donations also increased. 

Expenditure on charitable activities has increased by over 19% to £2,088,279 (2023: £1,746,429) reflecting the expansion of the service and the increased running costs of the hospice. As well as increased staff we now pay the NHS for more paediatrician support. Expenditure on raising funds has increased by about 43% to £469,684 (2023: £327,719) reflecting the increased staff needed to expand income to cover the increased service. 

Support and governance costs have increased by 11% reflecting inflation. 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 decreased by 3%. £188,000 of this is depreciation with £130,000 of this being building depreciation. 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 a difficulty in recruiting staff it has not been possible to expand as quickly as Trustees would have wished. The net outflow of funds was £340,941 (2023: £341,909 inflow).  The total fund is now nearly £12.135 million despite having started from nothing in 2006.The accounts have been prepared on the going concern basis as Trustees feel the charity has the resources to continue to operate for the foreseeable future. 

## **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. 

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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **STRUCTURE** 

The day-to-day operations, strategic management and events are managed by Dr Fiona Devine with the support of the Trustees and the four 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 50 permanent members of staff with 32 of these directly involved in the provision of care. Governance is overseen by the Board of Trustees who receive regular briefings from the management and timely financial reports. 

## **FUNDING** 

The charity takes the fundraising regulations seriously and is registered with the Fundraising Regulator. The charity has not received any complaints about fundraising practices in the year but if a complaint was received the Fundraising Regulator’s guidance would be followed.. 

The charity raises funds through a variety of income streams, predominantly grants from trusts and foundations, major donors, individual givers, corporate partnerships, community groups and fundraising events. Fundraising from individuals is carefully controlled following industry guidelines and no cold calling takes place. The charity does not employ third party organisations for its fundraising. 

The charity has a Volunteer Development Manager in post who has responsibility for overseeing volunteers and their compliance with regulations and best practice. 

## **DONORS AND SUPPORTERS** 

We would like to thank all those who give so generously to our charity for their faith, commitment to us and ongoing support. 

## **KEY MANAGEMENT STAFF PAY** 

The pay of the charity’s senior management team is set by the Trustees on the recommendation of a third-party HR consultancy, which benchmarks the roles against similar posts in other charities. 

## **PATRONS AND VOLUNTEERS** 

In addition to our ten patrons, we have 174 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 Moore Kingston Smith LLP as auditors will be presented at the AGM. 

## **ON BEHALF OF THE BOARD** 

Helen Johnson, Chairman 

Date: 3[rd] October 2024 

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## **REFERENCE AND ADMINISTRATIVE DETAILS** 

## **Registered company number** 

05757493 (England and Wales) 

## **Registered charity number** 

1118947 

## **Registered office** 

Alexander Devine Children’s Hospice Snowball Hill Maidenhead, Berkshire SL6 3LU 

## **Trustees** 

Mr John Devine MBA BA (Hons) CMgr MCMI Co-Founder (Chairman, resigned 7.4.2023.) Dr Fiona Devine MBE Co-Founder (Secretary) 

Mrs Helen Johnson (Chairman from 7.4.2023, served her term to 28.9.23 and was reappointed).) 

Dr Andrew Boon BSC MD FRCP DCH (served his term to 28.9.23 and was reappointed) Mr Fraser Silvey (served his term to 28.9.23 and was reappointed) Mr Warren Tonkinson 

Trustees are also Directors of the company and members of the charity. 

## **Patrons** 

Founder Patron: Sir Michael Parkinson CBE (passed away 16.8.23. He will be much missed.) Lady Mary Parkinson Michael Parkinson Jnr. Rt Hon Lady Theresa May Dr Sanjiv Mata Mr Nick Parkinson Dr Peter Sebire Air Marshall Sir Ian Macfadyen CB OBE John Barley BEM Mark Tilling Lt Gen Phil Jones CB CBE DL Denise Jones 

## **Key management staff** 

Dr Fiona Devine, CEO and Co-Founder Dr Helen Bennett, Director of Care Mr Andrew Rice, Director of Finance Mr Warren King, Director of HR and Wellbeing Mrs Anne Bajorek, Director of Fundraising 

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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

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

**Auditors** Moore Kingston Smith LLP Chartered Accountants 9 Appold Street London EC2A 2AP 

**Bankers** HSBC Bank Plc Barclays Bank Plc Shawbrook Bank 128 High Street Leicester Lutea House, Slough LE87 2BB Warley Hill Business Park Berkshire Great Warley, Brentwood SL1 1JF Essex, CM13 3BE 

Nationwide Building Society Kings Park Road Northampton NN3 6NW 

**Solicitors** Russell-Cooke 2 Putney Hill London SW15 6AB 

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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 2024 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: 

   - give a true and fair view of the state of the charitable company's affairs as at 31[st] March 2024 and of its incoming resources and application of resources, including its income and expenditure, for the year then ended; 

   - have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and 

   - have been prepared in accordance with the requirements of the Companies Act 2006. 

## **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. 

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 

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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

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** 

- In our opinion, based on the work undertaken in the course of our audit: 

   - the information given in the Trustees' report, which includes the Directors' report prepared for the purposes of company law, for the financial year for which the financial statements are prepared is consistent with the financial statements; and 

   - the Directors' report included within the Trustees' report has been prepared in accordance with applicable legal requirements. 

## **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: 

- adequate accounting records have not been kept, or returns adequate for our audit have not been received from branches not visited by us; or 

- the financial statements are not in agreement with the accounting records and returns; or 

- certain disclosures of Trustees' remuneration specified by law are not made; or 

- we have not received all the information and explanations we require for our audit; or 

- the Trustees were not entitled to prepare the financial statements in accordance with the small companies regime and take advantage of the small companies' exemptions 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 

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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

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; 

- We enquired of management the systems and controls the charity has in place, the areas of the financial statements that are most susceptible to the risk of irregularities and fraud, and whether there was any known, suspected or alleged fraud. The charity did not inform us of any known, suspected or alleged fraud. 

- We obtained an understanding of the legal and regulatory frameworks applicable to the charity. We determined that the following were most relevant: FRS 102, The Companies Act 2006, The Charities SORP and The Charities Act 2011. 

- We considered the incentives and opportunities that exist in the charity, including the extent of management bias, which present a potential for irregularities and fraud to be perpetuated, and tailored our risk assessment accordingly. 

- Using our knowledge of the charity, together with the discussions held with the charity at the planning stage, we formed a conclusion on the risk of misstatement due to irregularities including fraud and tailored our procedures according to this risk assessment. 

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

- Identifying and testing journal entries and the overall accounting records, in particular those that were significant and unusual. 

- Reviewing the financial statement disclosures and determining whether accounting policies have been appropriately applied. 

- Reviewing and challenging the assumptions and judgements used by management in their significant accounting estimates. 

- Assessing the extent of compliance, or lack of, with the relevant laws and regulations. 

- Reviewing documentation such as the charity board minutes for discussions of irregularities including fraud. 

- Obtaining third-party confirmation of material bank balances. 

- Documenting and verifying all significant related party balances and transactions. 

- Performing a physical verification of key assets 

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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

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. Moore Kiveyston Smid Lop **Shivani Kothari (Senior Statutory Auditor) for and on behalf of Moore Kingston Smith LLP** 

Chartered Accountants Statutory Auditor 9 Appold Street London EC2A 2AP United Kingdom 

5 November 

**2024** 

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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31[ST] MARCH 2024** 

|**Notes**<br>**INCOME from**<br>Donations and legacies<br>2<br>Trading activities<br>3<br>Other<br>1c<br>Investment<br>**Total income**<br>**EXPENDITURE on**<br>Raising funds<br>4<br>Charitable activities<br>5<br>**Total expenditure**<br>**NET (EXPENDITURE)/**<br>**INCOME BEFORE**<br>**TRANSFERS**<br>Transfers<br>Net movement in funds<br>16<br>**RECONCILIATION OF**<br>**FUNDS**<br>Total funds brought<br>forward<br>16<br>**TOTAL FUNDS**<br>**CARRIED FORWARD**<br>16|**Unrestricted**<br>**Funds**<br>**£**<br>**Restricted**<br>**Funds**<br>**£**<br>**Endowment**<br>**Funds**<br>**£**<br>**2024**<br>**Total funds**<br>**£**<br>**2023**<br>**Total funds**<br>**£**<br>**1,170,745**<br>**671,824**<br>-<br>**1,842,569**<br>1,992,467<br>**183,307**<br>**-**<br>-<br>**183,307**<br>168,255<br>**-**<br>**-**<br>-<br>**-**<br>200,000<br>**191,146**<br>**-**<br>-<br>**191,146**<br>55,335|**Unrestricted**<br>**Funds**<br>**£**<br>**Restricted**<br>**Funds**<br>**£**<br>**Endowment**<br>**Funds**<br>**£**<br>**2024**<br>**Total funds**<br>**£**<br>**2023**<br>**Total funds**<br>**£**<br>**1,170,745**<br>**671,824**<br>-<br>**1,842,569**<br>1,992,467<br>**183,307**<br>**-**<br>-<br>**183,307**<br>168,255<br>**-**<br>**-**<br>-<br>**-**<br>200,000<br>**191,146**<br>**-**<br>-<br>**191,146**<br>55,335|
|---|---|---|
|||**1,545,198**<br>**671,824**<br>-<br>**2,217,022**<br>2,416,057<br>**463,814**<br>**-**<br>**5,870**<br>**469,684**<br>327,719<br>**1,202,075**<br>**761,344**<br>**124,860**<br>**2,088,279**<br>1,746,429|
|||**1,665,889**<br>**761,344**<br>**130,730**<br>**2,557,963**<br>2,074,148|
|||**(120,691)**<br>**(89,520)**<br>**(130,730)**<br>**(340,941)**<br>341,909<br>**17,999**<br>**(17,999)**<br>**-**<br>**-**<br>-|
|||**(102,692)**<br>**(107,519)**<br>**(130,730)**<br>**(340,941)**<br>341,909<br>**6,084,967**<br>**170,282**<br>**6,219,827**<br>**12,475,076**<br>12,133,167<br>**5,982,275**<br>**62,763**<br>**6,089,097**<br>**12,134,135**<br>12,475,076|
||||



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 19 form part of these financial statements. 

Page 16 



Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **BALANCE SHEET AS AT 31[ST] MARCH 2024** 

||||**2024**||2023|
|---|---|---|---|---|---|
||**Notes**|**£**|**£**|£|£|
|**FIXED ASSETS**||||||
|Tangible assets|11||**6,178,324**||6,329,354|
|**CURRENT ASSETS**||||||
|Stocks||**1,830**||3,170||
|Debtors: amounts falling|12|**549,342**||494,334||
|due within one year||||||
|Cash at bank and in hand||**75,708**||59,539||
|Cash on deposit for less||**5,336,860**||5,911,578||
|than 3 months||||||
|Short term deposits||**307,743**||-||
|||**6,271,483**||6,468,621||
|**CREDITORS**||||||
|Amounts falling due within|13|**(315,672)**||(322,899**)**||
|one year||||||
|**NET CURRENT ASSETS**|||**5,955,811**||6,145,722|
|**NET ASSETS**|||**12,134,135**||12,475,076|
|**FUNDS**|16|||||
|**Unrestricted funds:**||||||
|Reserves||**3,548,048**||3,660,440||
|Designated||**2,434,227**||2,424,527||
|||**5,982,275**||6,084,967||
|**Restricted funds:**||||||
|Restricted fund||**62,763**||170,282||
|**Endowment funds:**||||||
|Property||**6,089,097**||6,219,827||
|**TOTAL FUNDS**|||**12,134,135**||12,475,076|



Notes 1 to 19 form part of these financial statements. 

The financial statements were approved by the Board on 3[rd] October 2024 and were signed on its behalf by: 

## **Helen Johnson – Chairman** 

Company Registration No. 05757493 

Page 17 



Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **STATEMENT OF CASH FLOWS** 

|Notes<br>**Cash flows from operating activities:**<br>Net cash provided by operating activities<br>17<br>**Cash flows from investing activities:**<br>Investment income<br>Purchase of property, plant and<br>equipment<br>Sale proceeds from disposal of property,<br>plant and equipment<br>Transfer to deposits over 3 months<br>**Net cash provided by (used in)**<br>**investing activities**<br>**Cash flows from financing activities**<br>**Change in cash and cash equivalents**<br>**in the reporting period**<br>**Cash and cash equivalents at the**<br>**beginning of the reporting period**<br>**Cash and cash equivalents at the end**<br>**of the reporting period**|**2024**<br>**£**<br>**(398,896)**<br>**191,146**<br>**(43,056)**<br>**-**<br>**(307,743)**<br>**(558,549)**<br>**-**<br>**(558,549)**<br>**5,971,117**<br>**5,412,568**|2023<br>£<br>316,675<br>55,335<br>(30,540)<br>-|
|---|---|---|
|||341,470<br>-|
|||341,470<br>5,629,647|
|||5,971,117|



Page 18 



Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **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. 

## _**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 inflation and the costof-living increases on fundraising, 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**_ 

- Donations and legacies are recognised as income when receivable, except where they are incapable of financial measurement. 

- Grants are recognised in full in the Statement of Financial Activities in the year in which they are receivable, or any requirement imposed on the grant is fulfilled. 

- Investment income is recognised on a receivable basis. 

- Gifts in kind are recognised when received and a reasonable estimate can be made of their value. 

## _**Expenditure**_ 

- Costs of raising funds are those costs incurred in attracting voluntary income, and those incurred in trading activities that raise funds and an apportionment of support costs. 

- Costs of charitable activities comprise all expenditure identified as wholly or mainly attributable to achieving the objectives of the charity. These costs include staff costs, wholly or mainly attributable support costs and an apportionment of support costs. 

Page 19 



Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## _**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 liabilities_ 

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 

Page 20 



Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## _**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. 

Page 21 



Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **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. 

Depreciation and legacies are the only material ongoing estimates in these accounts. Assets are depreciated based on their estimated useful life. Legacies are taken into account when the amount is reasonably clear and eventual receipt is certain. 

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

## **1c. OTHER INCOME** 

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 negotiated compensation amounting to £1.8 million which was received in 2021/22. A further £200,000 was received in 2022/23. All costs incurred during the year were treated as governance costs and are shown in note 6. 

Page 22 



Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **2. INCOME FROM DONATIONS AND LEGACIES** 

|Individual donations<br>Collections<br>Community<br>Gift aid<br>Corporate donations<br>Trust and Foundations<br>In memory<br>Legacies<br>Sponsored events<br>Clinical Commissioning Group income<br>Gifts in kind<br>Charity donations<br>Donation from another hospice<br>Department of Health Grant<br>NHS England staff funding for training<br>Individual donations<br>Collections<br>Community<br>Gift aid<br>Corporate donations<br>Trust and Foundations<br>In memory<br>Legacies<br>Sponsored events<br>Clinical Commissioning Group income<br>Department of Health Grant|**2024**<br>**Restricted**<br>**2024**<br>**Unrestricted**<br>**2024**<br>**Total**<br>2023<br>Total<br>**£**<br>**£**<br>**£**<br>£<br>**20,000**<br>**120,312**<br>**140,312**<br>182,972<br>**-**<br>**20,630**<br>**20,630**<br>13,128<br>**-**<br>**137,874**<br>**137,874**<br>129,008<br>**-**<br>**47,975**<br>**47,975**<br>50,028<br>**59,125**<br>**428,742**<br>**487,867**<br>362,386<br>**70,477**<br>**172,130**<br>**242,607**<br>263,446<br>**-**<br>**8,808**<br>**8,808**<br>18,615<br>**-**<br>**131,222**<br>**131,222**<br>486,364<br>**-**<br>**26,555**<br>**26,555**<br>31,788<br>**267,258**<br>**-**<br>**267,258**<br>240,923<br>**25,750**<br>**25,750**<br>-<br>**4,890**<br>**4,890**<br>-<br>**39,007**<br>**39,007**<br>-<br>**254,964**<br>**-**<br>**254,964**<br>213,809<br>**6,850**<br>**6,850**<br>-<br>**671,824**<br>**1,170,745**<br>**1,842,569**<br>1,992,467|
|---|---|
||**2023**<br>**Restricted**<br>**2023**<br>**Unrestricted**<br>**2023**<br>**Total**<br>**£**<br>**£**<br>**£**<br>-<br>182,972<br>182,972<br>-<br>13,128<br>13,128<br>1,100<br>127,908<br>129,008<br>-<br>50,028<br>50,028<br>3,173<br>359,213<br>362,386<br>90,718<br>172,728<br>263,446<br>-<br>18,615<br>18,615<br>-<br>486,364<br>486,364<br>-<br>31,788<br>31,788<br>240,923<br>-<br>240,923<br>213,809<br>-<br>213,809<br>549,723<br>1,442,744<br>1,992,467|



Page 23 



Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **3. INCOME FROM OTHER TRADING ACTIVITIES** 

|Fundraising events<br>Volunteer events<br>Recharges<br>Sale of merchandise|**2024**<br>**Unrestricted**<br>2023<br>Unrestricted<br>**£**<br>£<br>119,003<br>97,234<br>60,990<br>64,129<br>-<br>583<br>3,314<br>6,309|
|---|---|
||**183,307**<br>168,255|



## **4. EXPENDITURE ON RAISING FUNDS** 

|Staff and recruitment costs<br>Share of hospice costs<br>Share of hospice depreciation<br>Fundraising events and other<br>direct costs<br>Cost of merchandise sold<br>Share of support and<br>governance costs|**2024**<br>**Restricted**<br>**2024**<br>**Endowment**<br>**2024**<br>**Unrestricted**<br>**2024**<br>**Total**<br>2023<br>Total<br>**£**<br>**£**<br>**£**<br>**£**<br>£<br>**-**<br>**-**<br>**271,809**<br>**271,809**<br>172,746<br>**-**<br>**-**<br>**4,066**<br>**4,066**<br>3,739<br>**-**<br>**5,870**<br>**2,556**<br>**8,426**<br>8,791<br>**-**<br>**-**<br>**46,295**<br>**46,295**<br>56,399<br>**-**<br>**-**<br>**10,580**<br>**10,580**<br>6,805<br>**-**<br>**-**<br>**128,508**<br>**128,508**<br>79,239<br>**-**<br>**5,870**<br>**463,814**<br>**469,684**<br>327,719|
|---|---|



||**2023**|**2023**|**2023**|**2023**|
|---|---|---|---|---|
||**Restricted**|**Endowment**|**Unrestricted**|**Total**|
||**£**|**£**|**£**|**£**|
|Staff and recruitment costs|-|-|172,746|172,746|
|Share of hospice costs|-|-|3,739|3,739|
|Share of hospice depreciation|-|5,870|2,921|8,791|
|Fundraising events and other|-|-|56,399|56,399|
|direct costs|||||
|Cost of merchandise sold|-|-|6,805|6,805|
|Share of support and|-|-|79,239|79,239|
|governance costs|||||



Page 24 



Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

- 5,870 321,849 327,719 

## **5. EXPENDITURE ON CHARITABLE ACTIVITIES** 

|Staff and recruitment costs<br>Other direct costs<br>Payments to NHS for external<br>pharmacy costs<br>Payments to NHS for<br>paediatrician support<br>CQC subscription<br>Share of hospice running costs<br>Share of hospice depreciation<br>Share of support and<br>governance costs<br>Staff and recruitment costs<br>Other direct costs<br>Payments to NHS for external<br>nursing costs<br>Payments to NHS for<br>paediatrician support<br>CQC subscription<br>Share of hospice running costs<br>Share of hospice depreciation<br>Share of support and<br>governance costs|**2024**<br>**Restricted**<br>**2024**<br>**Endowment**<br>**2024**<br>**Unrestricted**<br>**2024**<br>**Total**<br>2023<br>Total<br>**£**<br>**£**<br>**£**<br>**£**<br>£<br>**640,572**<br>**-**<br>**567,714**<br>**1,208,286**<br>917,430<br>**9,950**<br>**-**<br>**97,299**<br>**107,249**<br>83,709<br>**14,669**<br>**-**<br>**-**<br>**14,669**<br>14,498<br>**77,613**<br>**-**<br>**-**<br>**77,613**<br>48,047<br>**-**<br>**-**<br>**1,933**<br>**1,933**<br>1,933<br>**18,540**<br>**-**<br>**67,952**<br>**86,492**<br>82,983<br>**-**<br>**124,860**<br>**54,375**<br>**179,235**<br>190,464<br>**-**<br>**-**<br>**412,802**<br>**412,802**<br>407,365<br>**761,344**<br>**124,860**<br>**1,202,075**<br>**2,088,279**<br>1,746,429|
|---|---|
||**2023**<br>**Restricted**<br>**2023**<br>**Endowment**<br>**2023**<br>**Unrestricted**<br>**2023**<br>**Total**<br>**£**<br>**£**<br>**£**<br>**£**<br>460,851<br>-<br>456,579<br>917,430<br>36,077<br>-<br>47,632<br>83,709<br>7,485<br>-<br>7,013<br>14,498<br>40,135<br>-<br>7,912<br>48,047<br>436<br>-<br>1,497<br>1,933<br>18,711<br>-<br>64,272<br>82,983<br>42,946<br>124,860<br>22,658<br>190,464<br>90,636<br>-<br>316,729<br>407,365<br>697,277<br>124,860<br>924,292<br>1,746,429|



Page 25 



Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **6. SUPPORT AND GOVERNANCE COSTS** 

|**.**<br>**SUPPORT AND GOVERNANCE**|**COSTS**|
|---|---|
|**Support costs**<br>Staff and recruitment costs<br>Office rent and utilities<br>Telephone, bank costs,<br>printing and other costs<br>IT costs<br>Consultancy<br>Insurance<br>Depreciation<br>**Governance costs**<br>Audit fee<br>Legal costs (see note 1c)<br>Trustee expenses<br>**Total support and**<br>**governance costs**<br>Reallocated to raising funds<br>(see note 4)<br>Reallocated to charitable<br>activities (see note 5)|**2024**<br>2023<br>**£**<br>**£**<br>**385,010**<br>361,018<br>**18,775**<br>7,671<br>**34,379**<br>33,755<br>**39,540**<br>29,698<br>**3,107**<br>65<br>**26,164**<br>24,528<br>**6,424**<br>6,929<br>**513,399**<br>463,664|
||**18,326**<br>13,211<br>**9,265**<br>9,633<br>**320**<br>96<br>**27,911**<br>22,940|
||**541,310**<br>486,604|
||**128,508**<br>79,239<br>**412,802**<br>407,365<br>**541,310**<br>486,604|



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. 

Page 26 



Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **7. NET INCOME** 

Net income is stated after charging: 

||**2024**|2023|
|---|---|---|
||**£**|£|
|Depreciation – owned assets|**194,086**|202,732|
|Auditors remuneration|**18,326**|13,211|
|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 2024 nor for the year ended 31st March 2023. Trustees' expenses paid for the year ended 31st March 2024 were £320 paid to two Trustees (2023: £96 to two Trustees). These sums were paid in reimbursement of items purchased on behalf of the charity. Christmas gifts costing £158 were shared between four Trustees (2023 £228 between three Trustees). 

The Charity Commission has given approval for the employment of Dr Fiona Devine as CEO.  Her total remuneration for the year to 31st March 2024 is reflected in the £80,000 to £90,000 banding in note 10. 

## **9. HOSPICE COSTS** 

|**.**<br>**HOSPICE COSTS**||
|---|---|
|Utilities<br>Depreciation of buildings and<br>equipment<br>Equipment maintenance<br>General running costs<br>Reallocated to raising funds<br>Reallocated to charitable<br>activities|**2024**<br>2023<br>**£**<br>**£**<br>**35,551**<br>34,862<br>**187,661**<br>195,803<br>**28,377**<br>27,239<br>**26,630**<br>28,073<br>**278,219**<br>285,977|
||**12,492**<br>12,530<br>**265,727**<br>273,447<br>**278,219**<br>285,977|



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

Page 27 



Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **10. STAFF COSTS** 

|**0. STAFF COSTS**||
|---|---|
|**Wages and salaries**<br>Charitable activities<br>Fundraising activities<br>Support and governance<br>**Total wages and salaries**<br>Employer National Insurance<br>Travel and uniforms<br>Staff training<br>Pension costs<br>Recruitment fees|**2024**<br>2023<br>**£**<br>**£**<br>**1,003,195**<br>751,144<br>**230,326**<br>149,315<br>**321,976**<br>318,150<br>**1,555,497**<br>1,218,609|
||**154,262**<br>121,747<br>**21,663**<br>20,594<br>**33,891**<br>9,557<br>**87,896**<br>67,389<br>**11,896**<br>13,298<br>**1,865,105**<br>1,451,194|



There were 24 permanent full-time employees and 26 part time employees as at 31st March 2024, equal to 36.25 (2023: 29.47) full-time employees. The average number of full-time equivalent employees during the year was 36.22 (2023: 28.09). 

Two employees earned between £60,000 and £70,000 (2023 one). 

No employees earned between £70,000 and £80,000 (2023 one) 

One employee earned between £80,000 and £90,000 (2023 none) 

Remuneration for the 5 key management staff in the year was £325,876 (2023:  £257,353). The personnel are listed on page 10. 

Page 28 



Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **11. TANGIBLE FIXED ASSETS** 

|**COST**<br>At 1st April 2023<br>Additions<br>**As at 31st March 2024**<br>**DEPRECIATION**<br>At 1st April 2023<br>Charge for year<br>**As at 31st March 2024**<br>**NET BOOK VALUE**<br>At 31stMarch 2023<br>**At 31st March 2024**|Land and<br>Buildings<br>Hospice<br>Equipment<br>Office<br>Equipment<br>Computer<br>Equipment<br>**Total**<br>£<br>£<br>£<br>£<br>**£**<br>7,009,292<br>385,249<br>1,562<br>95,751<br>**7,491,854**<br>-<br>43,056<br>-<br>-<br>**43,056**|
|---|---|
||7,009,292<br>428,305<br>1,562<br>95,751<br>**7,534,910**|
||789,465<br>292,305<br>1,562<br>79,168<br>**1,162,500**<br>130,730<br>56,931<br>-<br>6,425<br>**194,086**|
||920,195<br>349,236<br>1,562<br>85,593<br>**1,356,586**|
||6,219,827<br>92,944<br>-<br>16,583<br>6,329,354|
||**6,089,097**<br>**79,069**<br>**-**<br>**10,158**<br>**6,178,324**|



## **12. DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR** 

|Prepayments<br>Other debtors<br>Floats<br>Gift aid outstanding<br>VAT due from HMRC<br>Interest receivable|**2024**<br>2023<br>**£**<br>**£**<br>**46,522**<br>38,749<br>**429,187**<br>409,366<br>**500**<br>500<br>**2,218**<br>5,706<br>**12,249**<br>11,533<br>**58,666**<br>28,480<br>**549,342**<br>494,334|
|---|---|



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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **13. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR** 

|Deferred Income<br>At 1stApril 2023<br>Income deferred<br>Income released<br>At 31stMarch 2024<br>Social security and other taxes<br>Provision for liabilities<br>Accruals<br>Pension payments due|**2024**<br>2023<br>**£**<br>**£**<br>**28,094**<br>**44,420**<br>**(28,094)**<br>**44,420**<br>**39,271**<br>4,812<br>28,094<br>(4,812)<br>28,094<br>28,196<br>**60,000**<br>60,000<br>**156,817**<br>194,292<br>**15,164**<br>12,317<br>**315,672**<br>322,899|
|---|---|



In respect of the legal case mentioned in note 1c an ongoing discussion has arisen in respect of amounts due to advisors. Trustees have offered a settlement of £60,000 and a provision for this amount has been included above. 

## **14. COMMITMENTS UNDER OPERATING LEASES** 

At 31st March 2024, the charity had outstanding commitments for future minimum lease payments under non-cancellable operating leases as follows: 

|Expiry date:<br>Within one year<br>Between two and five years|**2024**<br>2023<br>**£**<br>**£**<br>**7,000**<br>7,000<br>**-**<br>-<br>**7,000**<br>7,000|
|---|---|



## **15. CAPITAL COMMITMENTS** 

There were capital commitments of £8,169 at 31st March 2024 (2023: £nil). 

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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **16. MOVEMENT IN FUNDS** 

|**Unrestricted funds**<br>Designated<br>Free reserves<br>**Restricted funds**<br>Restricted<br>Endowment fund<br>**TOTAL FUNDS**<br>**Unrestricted funds**<br>Designated<br>Free reserves<br>**Restricted funds**<br>Restricted<br>Endowment fund<br>**TOTAL FUNDS**|**At**<br>**1st April 2023**<br>**Net Movement**<br>**in funds**<br>**At**<br>**31st March 2024**<br>**£**<br>**£**<br>**£**<br>2,424,527<br>9,700<br>**2,434,227**<br>3,660,440<br>(112,392)<br>**3,548,048**<br>170,282<br>(107,519)<br>**62,763**<br>6,219,827<br>(130,730)<br>**6,089,097**|
|---|---|
||**12,475,076**<br>**(340,941)**<br>**12,134,135**|
||**At**<br>**1st April 2022**<br>**Net Movement**<br>**in funds**<br>**At**<br>**31st March 2023**<br>**£**<br>**£**<br>**£**<br>1,301,110<br>1,123,417<br>2,424,527<br>4,152,124<br>(491,684)<br>3,660,440<br>329,376<br>(159,094)<br>170,282<br>6,350,557<br>(130,730)<br>6,219,827|
||**12,133,167**<br>**341,909**<br>**12,475,076**|



The endowment fund represents the value of land donated in 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. 

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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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **FUND BALANCES AT 31[ST] MARCH 2024** 

|Tangible fixed assets<br>Current assets<br>Creditors: amounts falling<br>due within one year<br>**TOTAL FUNDS AS AT 31st**<br>**MARCH 2024**|**Unrestricted**<br>**funds**<br>**Restricted**<br>**funds**<br>**Endowment**<br>**funds**<br>**Total**<br>**£**<br>**£**<br>**£**<br>**£**<br>89,227<br>-<br>6,089,097<br>**6,178,324**<br>6,208,720<br>62,763<br>-<br>**6,271,483**<br>(315,672)<br>-<br>-<br>**(315,672)**|
|---|---|
||**5,982,275**<br>**62,763**<br>**6,089,097**<br>**12,134,135**|



## **FUND BALANCES AT 31[ST] MARCH 2023** 

|Tangible fixed assets<br>Current assets<br>Creditors: amounts falling<br>due within one year<br>**TOTAL FUNDS AS AT 31st**<br>**MARCH 2023**|**Unrestricted**<br>**funds**<br>**Restricted**<br>**funds**<br>**Endowment**<br>**funds**<br>**Total**<br>**£**<br>**£**<br>**£**<br>**£**<br>109,527<br>-<br>6,219,827<br>**6,329,354**<br>6,298,339<br>170,282<br>-<br>**6,468,621**<br>(322,899)<br>-<br>-<br>**(322,899)**<br>**6,084,967**<br>**170,282**<br>**6,219,827**<br>**12,475,076**|
|---|---|



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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **PURPOSE OF RESTRICTED FUNDS** 

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

|Alexander’s Nursing team<br>Local Clinical<br>Commissioning<br>NHS palliative care<br>funding<br>Hospice gardens<br>Equipment & alterations<br>**Total Restricted funds**<br>Alexander’s Nursing team<br>NHS palliative care<br>funding<br>Play specialist<br>Local Clinical<br>Commissioning<br>Hospice gardens<br>Equipment<br>**Total Restricted funds**|At<br>1stApril<br>2023<br>Incoming<br>Resources<br>Resources<br>Expended<br>Transfers<br>**At**<br>**31st March**<br>**2024**<br>£<br>£<br>£<br>£<br>**£**<br>134,005<br>56,905<br>(189,582)<br>-<br>**1,328**<br>31,000<br>267,258<br>(298,258)<br>-<br>**-**<br>-<br>254,964<br>(254,964)<br>-<br>**-**<br>276<br>20,000<br>(2,070)<br>(14,002)<br>**4,204**<br>5,001<br>72,697<br>(16,470)<br>(3,997)<br>**57,231**|
|---|---|
||**170,282**<br>**671,824**<br>**(761,344)**<br>**(17,999)**<br>**62,763**|
||At<br>1stApril<br>2022<br>Incoming<br>Resources<br>Resources<br>Expended<br>Transfers<br>At<br>31stMarch<br>2023<br>£<br>£<br>£<br>£<br>£<br>257,990<br>84,876<br>(203,866)<br>(4,995)<br>134,005<br>-<br>213,809<br>(213,809)<br>-<br>-<br>-<br>3,334<br>(3,334)<br>-<br>-<br>58,000<br>240,923<br>(267,923)<br>-<br>31,000<br>5,500<br>(2,766)<br>(2,458)<br>276<br>7,886<br>6,781<br>(5,579)<br>(4,087)<br>5,001<br>**329,376**<br>**549,723**<br>**(697,277)**<br>**(11,540)**<br>170,282|



The Alexander’s 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 as well as some equipment.. 

Local Clinical Commissioning relates to payments from the local Clinical Commissioning Groups 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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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

Donations have also been received towards funding a play specialist . 

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 (expenditure)/income for the reporting period (as per the statement<br>of financial activities)<br>Adjustments for:<br>Depreciation charges<br>Investing activities<br>(Increase)/decrease in stocks<br>(Increase) in debtors<br>(Decrease)/Increase in creditors<br>**Net cash provided by operating activities**|**2024**<br>2023<br>**£**<br>**£**<br>**(340,941)**<br>341,909<br>**194,086**<br>202,732<br>**(191,146)**<br>(55,335)<br>**1,340**<br>(1,627)<br>**(55,008)**<br>(257,879)<br>**(7,227)**<br>86,825<br>**(398,896)**<br>316,675|
|---|---|



## **18. ANALYSIS OF NET CHANGES IN FUNDS** 

The charity had no debt during the year. 

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Alexander Devine Children’s Cancer Trust Annual Report and Financial Statements for the year ended 31[st] March 2024 

## **19. STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31[ST] MARCH 2023** 

|**Notes**<br>**INCOME from**<br>Donations and legacies<br>2<br>Trading activities<br>3<br>Other<br>1c<br>Investment<br>**Total income**<br>**EXPENDITURE on**<br>Raising funds<br>4<br>Charitable activities<br>5<br>**Total expenditure**<br>**NET INCOME BEFORE**<br>**TRANSFERS**<br>Transfers<br>Net movement in funds<br>16<br>**RECONCILIATION OF**<br>**FUNDS**<br>Total funds brought<br>forward<br>16<br>**TOTAL FUNDS**<br>**CARRIED FORWARD**<br>16|**Unrestricted**<br>**Funds**<br>**£**<br>**Restricted**<br>**Funds**<br>**£**<br>**Endowment**<br>**Funds**<br>**£**<br>**2023**<br>**Total funds**<br>**£**<br>**2022**<br>**Total funds**<br>**£**<br>**1,442,744**<br>**549,723**<br>-<br>**1,992,467**<br>1,873,931<br>**168,255**<br>**-**<br>-<br>**168,255**<br>139,230<br>**200,000**<br>**-**<br>-<br>**200,000**<br>1,800,000<br>**55,335**<br>**-**<br>-<br>**55,335**<br>4,037|**Unrestricted**<br>**Funds**<br>**£**<br>**Restricted**<br>**Funds**<br>**£**<br>**Endowment**<br>**Funds**<br>**£**<br>**2023**<br>**Total funds**<br>**£**<br>**2022**<br>**Total funds**<br>**£**<br>**1,442,744**<br>**549,723**<br>-<br>**1,992,467**<br>1,873,931<br>**168,255**<br>**-**<br>-<br>**168,255**<br>139,230<br>**200,000**<br>**-**<br>-<br>**200,000**<br>1,800,000<br>**55,335**<br>**-**<br>-<br>**55,335**<br>4,037|
|---|---|---|
|||**1,866,334**<br>**549,723**<br>-<br>**2,416,057**<br>3,817,198<br>**321,849**<br>**-**<br>**5,870**<br>**327,719**<br>307,506<br>**924,292**<br>**697,277**<br>**124,860**<br>**1,746,429**<br>1,435,150|
|||**1,246,141**<br>**697,277**<br>**130,730**<br>**2,074,148**<br>1,742,656|
|||**620,193**<br>**(147,554)**<br>**(130,730)**<br>**341,909**<br>2,074,542<br>**11,540**<br>**(11,540)**<br>**-**<br>**-**<br>-|
|||**631,733**<br>**(159,084)**<br>**(130,730)**<br>**341,909**<br>2,074,542<br>**5,453,234**<br>**329,376**<br>**6,350,557**<br>**12,133,167**<br>10,058,625<br>**6,084,967**<br>**170,282**<br>**6,219,827**<br>**12,475,076**<br>12,133,167|
||||



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. 

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