Registered Charity No 1123540 Company No 6533385
A Limited Company Registered in England and Wales
The Hospital of God at Greatham
Trustees, Annual Report and Accounts
for the year ended
31 October 2023

Contents
Introduction
o Message from the chair
o Message from the director
Organisatlonal details
Page
Trustees. Annual Report Ilncluding the Strategic Report)
About the charity
Our charitable objectives
Our vision, mission, and values
What we do
o Our impact
What we dellvered and achleved durin8 the year
Making a difference
Our plans for the future
Financlal review of the year
Summary
Results from charitable actlvlties
Results from Investment activities
Flnancial posltion
o Structure, governance and management
Formation, le8al structure and oblectives
Governin8 body and governance
Statement of publlc benefit
Risk management and princlpal risks
Statement of trustees, responsibilitie5
Statement of disclosure to auditors
li
21
24
24
25
26
27
27
29
29
30
30
Independent Auditorf5 Report
32
Financial Statements
Statement of financial activities
Statement of financial position
o Statement ofcash flows
Notes to the financial statements
36
37
38
39

Introduction
Message from the Chair- Margaret Bousfield
Welcome to our report forthe year November 2022 to October 2023.
2023 was a special year for The Hospital of God, a year in which we celebrated our 750, Anniversary.
The Charity marked this amazing milestone with a year of events organised by different parts of the
organisation. As part of the celebrations, an excellent book charting the charity's history was written
by trustee Philippa Sinclair. This is still available by contactin8 the Estate Office.
The main concern for the Trustees during the year was how to best take the Charity forward. whilst
contlnuinB to deliver it5 aims and objectlves. The object5 Set out In the Memorandum of A550ciation
were reviewed to recognise the increasing prevalence of dementla In Society. The review will be
included In the Articles of Association.
The Trustees and staff reviewed and updated the Charlty's Vislon and Mlsslon statements. These
statements maintain our commitment to ensuring person-centred care and ensure our core values of
the charity are fully understood and embedded.
The Charity has had to meet the challenges of the rising costs of delivering our seNices. Increased
staffing and fuel costs together with hS8h inflation rates and the legacy of Covld have had a
significant impact on the budget. This has resulted in a review of levels of revenue gained from
property and land, the costings of our service5 and our pricing policies, with a view to achievin8
maxlmum efficiency and cost recovery.
We are continuing to expand our use of technologies in order to improve many aspect5 of our
adminlstrative proce55e5. There 15 Still further work to be done in thi5 area in order to maximi5e
efflciency. Increased information from internal monitoring is greatly assisting Trustees in gainin8 a
continuous overNiew of the organisation and assisting them in meeting their governance
responslbilities.
Looklng forward, in response to changing circumstances the Trustees have been giving thoughi to
maximi5e the benefit5 of its land and property portfolio to best support the charity now and in the
future. Consultant5 have been engaged to advise on thi5, together with the future use of the Gretton
Court site.
A rebranding exercise has been commissioned and we look forward to receiving their suggestions.
On behalf of the Trustees, I would like to thank the staff throughout the whole organisation for their
hard work and commitment to the charity,
I would also like to thank Lois Neal, Chair of Trustee5 during 2022 to 2023 for her work for the
Charity.
Finally, I would like to pay tribute to Mr Chris Dickinson who sadly passed away following a short
illness. Chris was a previous Trustee and Chair of the Charity, in particular through the Covid-19
pandemic. Chris helped guide and sUPPOrt the Charity through these incredibly difficult times,

bringing his experience. rational thought and calmness. His contribution to the Charity, invaluable.
Sadly, missed by all of us.
Mar8aret Bousfleld
Chair of Trustees
4 July 2024

Message from the director- Lawrence McAnellv
I can only start by thankin8 the staff. volunteers and Trustees of the Charity for their continued time,
passion, skills knowledge and understanding. They are the life blood of our Charity. It feels like we
have come through recent difficult times, adapting and changing. Every person, every team is
important to enable the charlty to thrive and to continue to make a difference to people's lives.
In thls year we ￿lebrated the Charity's 750, year. It IS Qulte amazing and humbllng to be associated
with such a historic charity. It is this history and foresight of our founder, that enables us to look to
the future and continue to develop the Charity.
The charity's str8te8y movin8 forward is to modernise, increase our efficiency whilst continuing to
deliver truly effective care and support, to be an employer of cho5ce, deliver profe551onal propertv
services, run an impattful grants programme, have good leadership and governance and all under
the umbrella of stron8 financial management.
Why? The world we operate in has changed and wlll contlnue to change. The financlal pressures on
soclal care and public services are not likely to improve in the next few years and priorities are likelv
to become driven by statutory requirements. We have made some chan8es already, come through
storms recently and we cannot and will not Stand still, or be complacent. It is time to modernise
further, to focus on our priorities, to deliver our strate8y.
The charity faces and continues to face financial pressures, wlth volatlle markets impacting on our
investmerst5, a pricing structure which has not kept up wlth the times, Increasing costs whlch are not
always fully reflected in the fees we receive for the dellvery of contracts or to enable people to live In
our homes.
The Charity is taklng bold steps to bring its vision to life, to make a difference, to have an impact on
people's lives. Including the development of 21" Century almshouses at The Heathers site, seekin8
to generate Income from the Greatham wetlands project, developlng our system5 and processes to
be as efflclent as possible and gradually further embracing the use of technology. We need to
contSnue to modernSse and make our processes smart, effective, and efficient. The charity has
updated its investment policies to reflect the latest guidance, developing Its knowledge and
understanding of the use of our permanent endowment, our physical a55et5, and liabilities.
The aim and plan 15 to PQ5ition the charity, with the right structure, ways of working and leadership
to make the best use of all its re50urce5, to meet its objectives and provide a foundation for
continued organisational growth and development.
Looking forward to meetillg the challenges ahead.
Lawrence McAnelly
Olrectgr
4 July 2024

Organisational details
The Hospital of God at Greatham is a re8lStered charity Iregistration number 11235401 and a
company limited by guarantee (registration number 6533385, England and Wales).
The registered office is The Estate Office, Greatham Hall, Greatham, Hartlepool, TS25 2HS.
The trustees of The Hospltal of God at Greatham are directors for the purposes of company law and
trustees for the purposes of charity law Ihereinafter referred to as "the trustees").
The trustees who setved during the year and up to the date this report was approved118 July 20231
are:
Co-opted..
Lois Neal (Chairl resigned as Trustee 10 November 20231
Margaret Bousfield Ivice-chair and Chair from 10 November 20231
Robert Eden (Vice chair from 19 March 20241
Kai Sander
Patrlcla Hancock
Nicola Local lappointed 20 November 20231
Ni8el Fenny (appointed 21 Oecember 20231
Exrfl¢lo:
The Venerable Richard Simpson
The Venerable Rachel Wood
Philippa Sinclalr (nominee of the Bishop of Durham)
The charity director (chief executive and company secretary) is Lawrence McAnelly.
The names and addresses of the princlpal professional advisers are..
Auditors.. William Fortune & Son, Chartered Accountants, Collingwood House, Hartlepool,
TS24 7EN
Banker.. 8arclays Bank PLC, Stockton Business Centre, The Tee5 Group North, PO Box 7,
Stockton on Tees, TS18 IAH
Investment Manager.. IP Morgan Private Weolth Management Ltd, PO Box 68214,1
Knlghtsbridge, London SWIP 9UH
50licitors.' Archers Law LLP, Lakeside House, Kingfisher Way, Stockton on Tees, TS18 3N8
Solicitors: Ward Hadaway, Sandgate House, 102 Quayside, Newcastle upon Tyne, NEI 3DX
Pension Scheme Adviser-. Barnett Waddingham, Pinnacle, 67 Albion Street, Leeds, LSI SAA

Tru5tees' Annual Report (including the strategic report)
About the charity
Our charitable objectives
l. the provision of housing accommodation and extra-care accommodatlon for beneficiaries.
the provision of grants not exceeding £5000 in any one year for such parochial and charitable
purpose5 Wlthin the parish of Greatham as the trustees think fit.
3. the relief of persons who are in conditions of need, hardship, or distress, including but not
limited to sufferers of Alzheimer's disease and related disorders. the charlty may relieve
per50ns in need by..
lil making grants of money to them or for thelr benefit.
lill providing or paying for goods, servlces or facillties for them,. or
liiil makin8 grants of money to other persons or bodles who provlde goods, services or facilities to
those in need.
4. the appropriation of bungalows, alms houses and other property belongin8 to the charity for
the use of residents and brethren of the charity.
5. the maintenance of the chapel which is devoted to the performance of divine service for the
benefit of the brethren and residents of the charity.
Our vlsion, mission and values
8ulldlng on our century's long hlstory, our ambltlon Is to be a force for good, uslng our resources,
skills, knowledge and abilities to have a significant impact in communitie5. We aim to be a leading
charity that is modern, forward thinking, robust, SUStainable and resilient. A charity that is respected
and valued by communities, people, partners and peers.
Our vi51on is for older people and those affected by dementia to live well within supportive
communities.
Our mission is to support and empower older people and those affected by dementia, to live well
throu8h the provision of care and community-based services, homes and grants by puttin8 them at
the centre of everything we do.
Value5
To be kind, caring and compassionate.
To put people at the heart.
To be professional, learn and empower
To be open, transparent and honest.
Our Prlorltles (2022-2027)
l. Strong financial management
2. Outstanding services
3. Professional property Services
4. Employer of choice

5. Good leadership and governance
Impactful grants
What we do
We aim to provide Bood quality residential care, support, information and houslng servlces for
people, particularly older people and those living with a dementia. We operate in Hartlepool,
Stockton, and East Durham.
Through our grants programme we support the voluntary and communlty sector and those not-for-
profit organisations which make a difference to the lives of people in our communities.
The main charitable actlvltles of the charlty are..
Residential care for Older people at Stichell House, in the villa8e of Greatham, near
Hartlepool
Day care and community support seThices for people living with dementia, and thelr
families, dellvered through our day centres, our community-based pastimes service and our
famlly support seThices throughout Hartlepool and East Durham
Support, information and advice through our regular activities, cafés and our dementia
advisory service 'The Bridge, based in Hartlepool
Supported living for older people in our Almshouses located in Greatham, Norton, Stockton
and the wider North-Ea5t area
The making of grants to other charltable organisatlons In the North-East.
We complement our charitable activities to provide an income by providlng for rent or lease,
houslng, farm and farmland and some commercial property in the village of Greatham, Hartlepool.
Our impact
What we achieved and delivered In the year
Celebratlng our 750 Year
We celebrated the Charity's 750, anniversary with events throughout the year. The celebrations
started in January 2023 with our Founders Day service, held in our chapel with the address 8lven by
The Right Reverend Mark Wroe, Bishop of Berwick and Acting Bishop of Newcastle. The seNice was
also attended by dignitaries including the Vice Lord-Lieutenant of County Durham Mike Poole, the
Ceremonial Mayor of Hartlepool Cllr Brian Cowie, and Hospital of God staff, past and present
trustees and people who the charity work in partnership with. A further celebratSon service was held
on 4 May 2023 in the chapel, with members of staff and people who use our services.
Each area of the charity was 8iven a bud8et to plan their own celebration events, and these Included:
May 2023 - HoGFes1 at Stichell House. A drop-in party celebrating our anniversary and the
Kings Coronation. The entertainment included a choir made up of staff and people who use
our seryices.
June 2023- Minerva House staff hosted a Hawaiian theme celebration event, including
entertainment and food at Easington Colliery Social Club for the people who attend the day
centre. The event enabled people to do a lot of reminiscing and it even inspired one guest to
pick up his gultar and do a performance for everyone.

June 2023 - The Almshouse Team hosting a garden party, sharing stories of the history of
Almshouses and The Hospital of God whilst celebrating our Almshouse Cgmmunities being
together from across Stockton and Greatham.
June 2023 - Joining forces with the Greatham Feast Committee, the charity sponsored the
annual colouring competition for Greatham The theme was focused on our charity's 750th
anniversary, were we asked pupils from Greatham Primary School to draw pictures that
represented our charity.
July 2023- Staff from Hartlepool Day Centre recreated the magic of The Rink, a local
dancehall, for people who use the day centre. There was lots of reminiscin8, music,
entertainment, food and laughter. One family member who attended said ' Just seeing our
mam enjoylng herself singing and dancing to Bobbles Girl brought tears to all our eyes to see
how happy she was at the centre. It means a lot to us that you take so much care of our
mam"
July 2023- pupils from Greatham Church of England Primary School came to Stichell House
to perfomi thelr end of year perfomiance to residents.
August 2023- The team at Community Pastimes hosted an 'all the fun of the fair, celebration
garden party, entertainment and a variety of 8ames, includlng lucky duck and tin can knock
down. Guests were also treated to fun falr food includln8 hotdoBs, chips, popcorn and
donuts. It was a great opportunity for everyone to come tO8ether, reminisce, laugh and
dance the afternoon away whilst celebratln8 the charity's long history.
September 2023- a summer garden party was held for staff, people who use our services,
Trustees and local dignitaries. A marque was errected in the estate 8rounds and 120 people
attended, with Ilve music from a jazz swing band. The following night, a staff party wa5 held
in the marquee to thank staff for their hard work and commltment over the years. The
Trustees donated a tree that was planted in our grounds to remember our 7501h Annlversary.
December 2023- The Brldge hosted a Christmas event at The Avenue for the people who
use The Bridge.
Phllippa Sinclair ITrusteel also helped mark the 750, annlversary by writin8 a book about our history.
'Greatham Hospltal: a brfef of the charlty as It celebrates 750 years of offerlng Care, is available to
purchase from the Estate Office and all proceeds from the sale of the book go to the charity.
To further celebrate and showcase the charity's long and proud hlstory, together with County
Durham Community Foundation, we were the joint associate spor)50r of the North East Charity
Award 2023. The awards were held on 19 July 2023 in Gateshead. The awards were an Inspiring
celebration of the incredible work that people in the North East communities do to 5UPPOrt and
empower others. It was good to know that the passlon we have for our work, the difference we
make Is shared by others across our area.
In February 2023, approximately 4C¥) people attended the annual Snowdrop Walk hosted by
Greatham in Bloom la voluntary community group in Greatham Village) and held on the charity's
grounds. Thanks to the kindness of everyone Involved, the event raised over £2,(n) for the group
with visitors from all over the North East, some travelling from as far as Northumberland to enjoy the
snowdrops "A beautiful straw lined path was created through the wood5 Wlth information boards
and seatin8 areas by the Hospital of God gardeners"

Within this year, we also continued to support the local community by contributing to prizes and
awards for the annual Gretham Feast event and we also continued to support our local primary
School with gifts of recognition for their leavers as they transition to secondary school.
Developing our strategy
Building on the previou5 year's work we further developed our strategy furthering our Six busine55
objectives.
Strong Flnanclal Management
The charity reviewed its fees across all our services, identifyinB real costs and aimed our
price5 to reflect thls. The aim is to ensure the sustalnability of ongoing Services a8ainst a
backdrop of risin8 Costs.
Worked to improve administrative and financlal procedures which ones, a more effective
debt prevention and recovery, more efflcient mechanisms for payment of charges. We
SOU8ht to restructure the finance team to build capacity and expert15e.
Contlnued to develop People Planner to manage rotas at Stichell House and link them to
payroll.
Updated our Investment policies to reflect updated guidance and to ensure that we use our
investments, including land and property, for the benefit of present and future beneficiaries.
We started to explore the potential of utilising some of our land assets to provide an Income
through the potential sale of bio-diverslty credits in response to changing legislation for
developers.
Outstandlng servS¢e$
Our residential servlces continued to achieve a Level I status from Hartlepool Local Authority
and a 'good' rating from the Care Qvallty Commisslon. htt
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locatlon
143411578?referer-wid et3
Developed our applicatlon of Care Planner, digitislng care plans, saving staff admlnlstrative
and time to be able to spend more time caring for people at Stichell House residential home
Received feedback from clients and their families of our day service5 in Hartlepool and East
Durham for people living wilh dementia through our annual survey.
Achleved quality standard from Ourham County Council for our day service provision at
Mlnerva House Hordern, East Durham.
Invested In our transport provision to enable people living with Dementia to access our
services.
Continued support for family carers in our day Centres and thfOU8h The Bridge Dementia
Advisory Service, Hartlepool
Developed our performance management framework through the identification and
monitoring of Key Performance Indicators, providlng Important data to assess our
performance and adapt where nece55ary.
Piofesslonal Property Servlce5
Continued to work with partner5 to ensure we are best P051tioned to develop the Greatham
Wetlands Project and achieve a satisfactory return for the charity, both financially and
environmentally. -ContinLsing work with the Environment Agency to get to planning stage in
2024.
io

Reviewed property seNice, commissioned extensive property suNey to develop a long-term
planned maintenance program.
Commissioned work to develop our Land and Property Strategy work and commi55ioned
partners to enable the development of The Heathers, on the Gretton Court nursing home
Slte, including the potential of creatlng 21" Century Almshouses, a dementia centre of
excellence for the Hartlepool area.
Employer of Cholce
Build on work to develop the recruitment and retention of staff to be the employer of cholce
in our area, significantly reducing the use of agency staff in our residential home, Stichell
House.
Developing and implementing our values-based recruitment and induction proBramme.
Implemented the employee of the month scheme, recogni5ing and rewarding excellent
contributions from our staff team.
Reviewed pay) terms and conditions providing competitive remuneration withln appropriate
payment scales.
Developed our organisatlon structure for senlor staff posltlons to build capacity.
Establish a Remuneration Committee of the Board for oversight of senior staff pay.
Good governance and leadersh5p
Reviewed our governance arrangements, Including sub-committee terms of reference,
Scheme of delegation, structure and timin85 of meetings and board effectiveness. Identified
gaps to inform the recruitment of new Trustee members with the skills, knowled8e,
experience and values to complement and add to the Board of Trustees.
Held Board led strategy days to plan the development of the Charity.
lrnpactful Grants programme
Refined our grants offer and process to make applyln8 for a grant accessible and a posltlve
experience for north east based charities, community organisations and social enterprlses
positive
Awarded £IC4J,OiJ) of grant5 to 69 organi5ations
Maklng a dlfference - Our servlces and support
he Bridge"
Dementia Advisory Service (Hartlepool)
The Bridge Dementia Advisory Service offer5 advice and 5UPPQrt to those living with dementia and
their familles. As well as providing much needed emotional support, the advisors signpost to other
services and provide training and resources to help carers learn more about dementia. The Bridge
has a mailing list which goes out every 6 weeks to ensure all client5 are kept informed of any events
or activities hosted by The Bridge or other services.
For this reporting period, The Bridge supported an average of..
67 people with dementia each month
285 family carers receiving advice and 5UPPOrt each month
287 individuals monthly receiving indirect support
li

464 events and interactions held each month
Last year. the team at The 8ridge moved into their new home at Greenbonk in central Hartlepool.
The Bridge has continued to See an increase in referra15, Includin8 from the Community Mental
Health Team in Hartlepool as we continue to receive referrals straight from the consultants followin8
a diagnosis.
With great voluntary sector relationships which The Bridge has developed this keeps the service at
the forefront in the community and working alongside other organisations such a5 CLIP and
Dementia Friendly Hartlepool to ensure Hartlepool is an acce551ble and friendly place for people
living with a dementia.
"Everybody was fontastlc. My husband and myself made some greatAriends
over the years"
"I really oppreclated the frlendly volce In your calls, especlally at the
beglnnlng of my husband's dementia diagnosis"
"I hlghly recommend The Brldge and I can't thank you enough for your
continued support"
Hartlepool and Mlnerva House Day Centres
- for people Ilvlng wlth a dementla and famlly member carers
Our Hartlepool Oay Centre at Heather Grove and Minerva House Day Centre in Hordern, East
Durham provide therapeutic care and support for people living with dementia. The team works to
deliver a range of activities and sessions which support people living with dementia, that are
stimulatin8, interesting and fun. They are creative usin8 a range of technlques and laughter can often
be the sound that resonates through our centres.
Across the two services, they delivered an average of 5.024 sesslons with people living with
dementia.
We have seen a slow increase In the overall numbers accesslng our day centre provision, which has
been impacted by people accessing the seNices later in their dementia, a reduction in the number of
people getting a dementia diagnosis durin8 the pandemic and changing Social behaviours. There 15 a
general feelin8 that dementia as an issue is receiving less exposure as demonstrated by dated
dementia strategies.
Through our whole family approach, we also support family carers through our Family Support
Worker, who provides face to face and telephone support, access to infomiation and guidance and
practical 5UPPOrt, e.g., with attending appointments, financlal and benefit information and someone
who can offer a listening ear.
Hartlepool Day Centre- The Heathers
12

Receiving a diagnosls of dementia does not mean life tannot be enjoyed. Our day tentre at
Hartlepool is the perfect place to socialise, explore new hobbies and receive the best PaS5ible
support.
The day centre provides friendship, Support, stimulation a5 well a5 respite for carers. We provide a
safe, warm and welcoming environment. Examples of actSvltles and services, include arts & crafts,
baking, cooking, bingo and games, singing and dancing, gardening and woodwork and reminiscing
activitie5. We provide accessible minibus transport to and from our guest's homes, along with
nutritiOUS two course lunch with refreshments and snacks throughout the day.
For this reponing period, The Heathers Day Centre delivered an average of 2,467 se551ons, 5UPPOrting
an average of 8 people per session and an average of 44 individual people supported each month.
We undertook a survey In summer 2023, and the results were posltive.
87% responded that they felt their loved one had had an opportunlty to develop new
friendships when at The Heathers
100% said attending The Heathers had helpe(I malntaln thelr loved one5 physlcal and mental
wellbeing
94% sat15fartlon rate
81% felt there wa5 an improvement in their loved one's wellbein8 slnce they started
attendlng The Heathers
94% saw an improvement in their own wellbein8
"Dad Is a lot happler In himself after hls vlsltS to the Day Centre"
"All staff are frlendlyi and we feel very confldent that they treat Mam with
respect and are lovely wlth he
'1'm happy wlth the care my stepfather Is 8ettin8p he looks forward to
Saturday to go to the day centre gettin8 Out meetlng people"
"I feel listened to, and you understood what I was 8oin8 throu8h. It was 8ood
to feel I wasn't alone In all of thls"
Mlnerva House- East Durham Day Centro
If you have a diagnosi5 of dementia or memory problems, MineNa House is a safe, warm, and
welcoming day centre where you can meet new people and enjoy a wide range of activities. We
prlde ourselves on being a modern and inclusive centre that is genuinely per50n-centred and at odds
with the traditional 'day centre, model.
For thi5 reporting period, Minerva House delivered an average of 2,557 sessions, supportin8 an
average of 10 people per session and an overage of 36 individual people supported each month.
We undertook a survey In summer 2023. and the results were posltive.
13

100% responded that they felt their loved one had had an opportunlty to develop new
friendships when at Minerva House
93% said attending Minerva House had helped maintain their loved ones physical and mental
wellbeing
100% 5atisfartion rate
79% felt there was an improvement in their loved one's wellbeing since they started
attending Minerva House
93% saw an improvement In thelr own wellbeing
'It has been fantastic In terms of reduclng my mother's social isolation. a real
boost and she always looks forward to attendin
"Staff are frlendly and down to earth. They are always 8enulnely Interested in
me and dad. All Interactlons wlth dad from the staff are very patlent and
relaxed and nothln8 Is too much trouble. l am contacted regularly regardlng
my own needs as a carer"
"Mam puts her coat on every mornlng of the week as she hopes she Is 8oln8
to Minerva House to meet her friends"
"My mother was bored. lonely and Isolated In her home. She feels part of the
communlty when she goes to Mlnerva House"
Communlty Pastlmes
Support In the communlty for people Ilving wlth dementla
Community Pastlmes supports small groups of people across Hartlepool and East Durham, who mav
have a memory problem or dia8nosis of dementia, with the same interests and hobbies to access the
wider communlty. Our number one priority is making sure people are Ilvlng Ilfe well and enjoying
themselves to the full.
Within this reporting period, the Community Pastimes service delivered 2,402 se5slons, supporting an
average of 10 people per session and an average of 35 Indivldual people each month.
We undertook a survey in summer 2023, and the results were positive.
94% responded that they felt their loved one had ha(i an opportunlty to develop new
friendships when at Community Pastimes
94% said attending Community Pastimes had helped maintain their loved ones physical and
mental wellbeing
94% satisfartlon rate
75% felt there wa5 an improvement in their loved one's wellbeing since they started
attending Community Pastimes
75% saw an improvement in their own wellbeing
14

"Contact with people outslde the home has improved dad's communicatlon
and mental wellbeing"
"Staff are all very loving and carlng and my mum and I feel safe and not
stressed about her when she Is using your servlces"
'Mam Is really enjoyin8 singing again"
"Contact with people who understand dementia process and difficulties
carers face- It Is also a place to alr these problems as they arlse maklng them
less of a challenge"
Stichell House Residential Home
Set in the landscaped grounds of the beautlful Greatham Estate, Stlchell House Is a modern
residential home in an enviable locatlon. We offer 35 en5Uite bedrooms, in a purpose built, modern
facillty with outstandin8 levels of person-centred care,
Our phllosophy of care Is based on putting the people we care for at the heart of everything we do.
We belleve that real care cannot be delivered untll we completely understand you, the person being
cared for. We focus on your history and strengths, your hopes, and ambitions. We respect your past,
support your present, and help you plan for your future. Our approach is to ensure that your
preferences, needs and values guide our decisions, and we will provide care to you that is respectful
and responsive.
Withln this reporting period, Stichell House delivered an average of
51,499 Care hours
96.3% occupancy
Recruitmenr and retention of staff remained a challenge this year. The slgnSficant staffing cr1515 in
social care is widely reported nationally. We employed an average of 60.3 people at Stichell House
within this reporting period, which represents 54% of the charity's workforce.
The charity has worked hard to improve the retention of staff and for the period January- October
2023, the retention rate of staff at Stichell House was 77.78%. Thisls a 15.8% Increase on the
retentlon rate at Stichell House in the previous year.
Within the reporting period, occupancy at Stichell House continued to improve from 91.2% in
January 2023 to a peak of 99.5% in April 2023.
15

Where necessary in order to provide'safe levels of care during peak staff shortages and sickness
absence, the charity needed to use agenry staff. We are pleased to report that during the period
January- October 2023, the use of agency staff was 7.6% and this fell below the target of no more
than IO% agency staff across the year. In January 2023, agency staffin8 was at a peak of 33.8% after
which we saw a reduction to 0% for five months of the year. This is due to the hard work and
commitment of our staff who worked tirele551y to cover additional shifts. In addition, the charity had
a real focus on recruitment, trainln8 and induction. For the first time, the charity sponsored three
employees with Health and Care Worker visas.
StL4lf v Age iicy
?fl
'wi'.rity
Each resident has an individual care plan, to enable staff to meet thelr needs and requirements. We
continue to develop our use of Care Plannin8 providing a paperless care planning system. We have
also continued the development of our Governance, Audit and Improvement IGAII Policy and
practice, working to maintain a live and ongoin8 action plan. We have continued Identlfyin8 and
collatin8 near miss data to continually inform our practice, and to reduce the risk of accldent5.
Stichell House had an unannounced Inspection by the Care Quallty Commisslon withln this reporting
period and we were pleased to receive an overall rating of 'Good' The inspection report noted that
people felt very safe living at Stichell House and with the support they received from staff. People
and relatives spoke very hlghly of the staff and described them as "very kind,
'excellent and
"caring., Comments included, The carers are so patient with everybody, have a good sense of
humour and keep the place happy all the time" and, 'It is very well or8anised, very clean, welcoming
and homely. The report further noted that people were supported to have maximum choice and
control of thelr lives, and stsff supported them in the least restrictive way possible.
"A heartfelt thanks for all the love and care. You are not just a care home.
vou are a family home"
"The carers are at your beck and call every minute. All the staff are absolutely
wonderful. If you need anything dolng. they wlll do It for you straightaway"
16

Almshouses - supporting older people to live independently
The charity owns and manage5 123 Almshouses, providing accommodation, with the support of an
Almshouse Lead and Almshouse Support Workers. The properties in Stockton-on-Tees, Norton and
Hartlepool all benefit from a call system 24 hour5 a day providing residents with the responsive help
needed. The combination of accommodation, a sense of community and belonging, suitably adapted
properties, warden support and 24-hour access to the one call system means that our residents can
continue to live independently in the community.
Within this reporting period, the Almshouse team supported on average..
124.2 residents each month
95.14% OCCLJpancy
16 staff-led social inclusion sesslons each month
1,395 attendances at staff-led Social inclusion sessions
Chaplalncy Servlce
Chaplaincy aims: To develop the Hospital of God'5 splritual, reli8lOU5 and pastoral care of residents,
their families, almshouse residents, and the charitws staff. To enable more services to take place in
our chapel.
Overvlew.. It has been another successful year puttlng In place a programme of regular activlties that
sees me involved with a broad range of the charity'5 Services. There are so many opportunities to
engage with.. cllents, residents and staff, and everyone remains very welcoming and supportive of
the chaplalncy role within the organisation..
Prayer and Care, Pastoral Vlslts and Support
Stlchell House.. I run a weekly Prayer and Care group in Stichell House which is an ecumenical servlce
of the word for residents from a ChristSan background, and many who may not have a faith but enjov
attending. We use the set prayers for the week,. I compile a weekly order of service which follows a
set format: prayers of welcome, the Lord's Prayer, an Old Testament readin8, Psalms, the Gospel
reading for the week and a reflection. l also add In some colourful art that ties In with the readings
and we sometimes talk about what the images look like or could mean to us. Some contemporary art
has proved less popular wSth some of our residentsl We also choose hymn5 that speak to the
readings and these5 are played via our TV in the lounge. It Is nice blending the formal aspects of
prayers and hymns as many residents are familiar with the recitation and singing, but equallv
importanl is the time spent chatting informally afterward5 Wlth our re5ident5 and Betting to know
them better. The ses5ion5 are popular, with regular attendees of 12-18 residents, and family
members often attend too. We also have 2 local people IBobbi and Pauline) who joln us during our
Prayer and Care servlces as part of a *church-led befriendin8 scheme. It ha5 been great having them
along at our servlces as it is difficult to spend time with every resident before the evening meal Is
served, so this really helps. Our Activities Coordinator (Tracy) plays a crucial role in arranging the
sessions. We are approachin8 our IOOth Prayer and Care group this summer.
Pastoral Visits to Almshouse Residents.- I vi51t our Brother House on a weekty basis and spend time
chattin8 Wlth a real cross section of our resident5. Their mutual support for one another and
ea8erness to spend time together 15 a joy to see. It has been my pleasure getting to know folk and
17

being there for them if they are undergoing any worrying hospital procedures or are just generally
needing someone to talk to. l a150 carry out regtjlar pastoral visits to Trinity Gardens and Emma
Simpson Court (again our staff team have helped broker introductions and promote what the
chaplaincy role can bring to the lives of our re5identsl.
staff Support.. I have spent time with several staff members over the last year helplng support them
through some issues or challenges. It Is good to develop thi5 aspect of chaplaincy for the charity as
the modern world of work, and general pace of life these day5, can take its toll on all of us at times.
CommunSty Outreach and Christian Connections
Outreach work with local faith communities: To ensure that we can have approprSate connections
with local churches and other falth groups I have worked with collea8ues from several Christian
traditions: Catholic, Anglican and Baptist churches, and have also met wlth a local Islamic group loo.
We have our local Greatham vicar (Philip), and curate (Lou), providing a monthly eucharistic service
in our care home and a local catholic deacon a150 occaslonally vislt5 the care home too. We have two
RC 'Pastoral Visitors working as part of the St. Vincent De Paul Society (retired people who join us for
our prayer and care group and spend time chattln8 Wlth our residents, before, during, and after our
service). I have joined Hartlepool Churches Together and have made some useful contacts through
their networks too. I have also played bass gultar at several Headland Baptist dementia friendlv
services such a5 at Easter and Harvest Festival. It ha5 been nlce to help with this side of worshlp too.
Dementia Friendly Hartlepool.. I was invited to join the network and to act as o "falth rep. as part of
the group. Although still quite early days this has enabled me to develop some practical connections
Ithrough Churches Together Hartlepooll which can tie into Dementia Awareness Week and other
Dementla Friendly Worshlp events throughout the year.
Llnks with Hartlepool Foodbank.. Followin8 on from an Angllcan Deanery Chapter meeting I Invlted a
colleague, who is the chairperson of the foodbank, to make use of our chapel for their thanksgiving
event. It was nice to host them and to Support the important work they are doing, but perhaps even
more noteworthy was that our administration staff (led by Veronica) once again decided that we
should organise a second annual charity-wide collection which we could then present to the
foodbank when they were in Greatham for thelr event. This was warmly received, and our generosity
as individuals, and as a charity, was acknowledged by Hartlepool Foodbank.
Worklng wlth our Cornmunlty Servlees
The Brid8e- Staff here have really embraced how chaplaincy support can enhance the se￿ICe5 that
we collectively provlde. I now support their regular Carers, Group (for those with family members
who may be living with dementia), we run a 6-week block of group support sessions and also host
quarterly events in our Estate Office and Chapel here in Greatham too. l also co-facilitate a
Bereavement Group with Bridge staff too, and it has been especially poignant to support clients who
are dealing with loss and grief.
Day Centre Visits: l am also able to spend time visiting client5 5UPPOrted through our services at The
Heathers, Community Pastimes, and Minerva House. Seeing the breadth of support and reach into
communities that this charity has at its fingertips means that it is easy to work alongside our staff
and participate in our Social activitles in an effort to help combat Soneliness and bring practical
support and happiness into the lives of others. l attend a half-day session at Minerva House every
other month and attend Community Pastime social event5.
18

Events In our Chapel
Winter Bereavement se￿iCe in Greatharn.. Dealing with105s and bereavement 15 never easy, but it is
often more acute as we head towards major festive family times, such a5 Christmas. To help ease this
burden I have hosted an annual memorial service in our chapel where we share prayers. hymns and
offer up an opportunlty for participant5 to sign our book of remembrance too.
Christmas Carol Service: We started this last yeèr120231 whereby we invited guests from our
community seryices Imainly The Bridge) and Stichell House to join us for Christmas Carols and
refreshments aftemards. I booked a tommunity choir to sing for us and this really brought the
festive spirit alive. This proved popular, and we have a date booked in December 2024.
Christian Church Visits and Retreat Days.. I have hosted event5 Utilising our chapel, outdoor space,
and meetlng rooms for a varlety of local churche5'. Headland Baptist Church have used our Spaces
twice over the last year. Reverend Dr. Andrew Craig (who is the Chairperson of Hartlepool Foodbankl
has also used our space for a celebratSon event and an away-day. Our trustee Robert Eden has also
vlsited with members of his church communlty from Darlington for what were very well put together
spiritual retreat days Ithese are also open to staff from our charity tool.
Founder's Day.. I co-celebrated our annual seNice once again with the support of Reverend Philip
Bullock from our nei8hbourlng church. This event brought together staff, trustees, resident5, and
clients. This really brought to life what the charity is all about and gave u5 a chance to gather in our
chapel and also to spend time together afterwards.
Grant Glvln8 and Phllanthropv
Grants Committee: After working for over 20 years In the charltable and voluntary sector, it is
especially rewardlng to act in an advisory capacity as a lay member of this group. It is great to see the
philanthropic ethos and 50clal justice heritage of the charity still at work in a practical way. I was also
ble to Vlslt some of our grant recipients in situ too.
Grants Recipients Soclal Event: It was rewarding to attend our social event almed at bringing
together some local groups and people we support. It was useful to put some fates to name5, and to
renew some old acquaintances and make some new connections too.
Training and Splrltual Supervlslon
Training.. During Winter of 2023 1 completed a Roman Catholic Diocesan "Lay Leaders of The Word"
course which took place over 8 weeks. Thi5 is an accredited course land comes with a certificatell
and means that particlpants can be registered or acknowledged as lay worship leaders within the
Diocese.
Spiritual Supervlsion.. During 2023 1 arranged to meet the retired Roman Catholic Bishop Iseamus
Cunnlnghaml for some informal spiritual SLSPPOrt. This involved visitin8 him at his home lin Seahaml
and spending some time in conversation and prayer. Dates for summer 2024 are planned too.
Andrew Tinkler, Chaplainfvr The Hospital of God
19

Grants- supporting the voluntary and community sector
The charity has a long and proud philanthropic hlstory. Through our small grants programme, we
provide funding to voluntary and community organisations and charities who are based within the
Hospital of God's geographical boundary covering Stockton to Northumberland. The aim of our 8rant
funding is to empower local communities to help and support themselves, creating and building on
their strengths and assets, with a particular focus on those who are experiencing disadvantage.
The Hospital of God's Grants Committee meets on an annual basls to allocate Erant fundlng. Wlthin
this reporting period, in April 2023 funding was issued to 69 voluntary and community sèctor
organisations with grants totalling £lOO,000.
Some of the or8anisations that received funding include..
40, Hartlepool Scout group- a group which changes Ilves by offerlng 6-15-year-olds fun
and challenging activities, unique experiences, everyday adventure and the chance to help
other5 to make a positlve Impact In the community
Clean Slate Solutions- a Charitable Incorporated Organisations ICIOI, covering Teesside and
North Yorkshire. Supportin8 people with past convictlons into meaningful, paSd, sustainable
work wlth genulne long-term career prospects throu8h a network of employers.
Actlon FoundatSon- a charlty that supports and empower5 people seekin8 asylum, refugees
and mlgrants In Tyne and Wear to overcome immediate barriers, Inte8rate with the
communlty. and build skills for the future.
Palllon Actlon Group- a charity established In 1993 to Improve the Ilving condltlons,
community facilitie5, social, educational and economic opportunitles available to people
wlthln the Pallion and surrounding areas of the City of Sunderland.
The Actlvlty Den- improvlng the lives of young people In the Tanfleld Lea, Stanley and
surrounding areas of county Durham. by delivering qualSty activities and malntalnlng
community building.
'Thank you for belng such a great help and support towards the work we do
and enabling US to continue to work wlth some of the most underrepresented
communltles."
"We've been overwhelmed recently wlth the number of people requestlng
help and in crisis. Your grant was crucially Important to our or8anlsation"
"Provldlng core costs Is the most helpful way to support charltle5• giving them
the flexibility to utilise the grants where it is most needed. Thank you for
providing us with our grant and helplng us to help more young carer51"
"The grant application was extremely simple and user friendly. Often the
need to provide very detalled and extensive Informatlon when applylng for
grants can be off-putting, but thls application was very accessible and
communication after the award has been similarly straightforward"
20

Impact of the 2023 grant fundin8 programme..
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Our plans for the future
Followlng the Strategy Day held by Trustee5 In the summer of 2023. Trustees Identifled the change
that they wanted to see in people's lives, definin8 the impact of the Charit¢s se￿Ice dellvery. Thls
alm is underpinned by our 6 key strate8lc objectives.
Older people and those livin8 Wlth a dementia live well, are safe, happy and content
Families and famlly carers can continue to be part of their loved one's lives, providing care.
love and support.
Through the delivery of a ran8e of services, that are valued driven aiming to achieve the following
outcomes..
Older people feel part of their community and have a sense of belonglng Ireducing lonellness
and isolation)
People living with dementia live life and are valued, dignified and respected (staying healthy
and fulfilled)
21

Family carers can contribute to care for and support their loved one5 Istaying healthy and
Strong financial management
To achieve an acceptable and good return from our financial investment5 to enable and support the
delivery of the Charities objectives and maintain the value in perpetuity for future beneficiaries.
Key activitles
Support the Director and Head of Finance to achieve appropriate embedded internal
financlal management arrangements that meet the Charity's needs, are effective and
efficlent
Maintain key financial performance KPIS
Continue to monitor performance of Investments wlth JP Morgan to ensure an approprlate
return
Revlew our investment manager5 to achieve appropriate perfomiance and best value
OutstandlnK servlces
Key activities
Continued delivery and development of community based services for people living with
dementia in Hartlepool and East Durham, c105ely monitorlng attendance figures and
performance
Continued dellvery of Almshouse provlslon (Stockton, Norton, Hardwlck, and Hartlepooll
maintaining good levels of occupancy compliance and resident satisfactlon
Contlnued delivery of resldential care at Stichell House malntaining Level I status with the
local authorlty, maintaining CQC "Good" rating, mlnimisin8 the use of agency staff to a bare
mlnlmum, maintainin8 8ood occupancy and resldent satisfaction level5.
Develop as a recognised dementia centre of excellence at The Heather5 in Hartlepool
Continued delivery of Chaplaincy support for residents, cllents, and their famllies across the
Charity.
Professlonal property servlce5
We are committed to meet our charitable objectives, in Ilne with our v151on, mission and values.
Beln8 a provlder of 8ood quality accommodation for older people (Almshouses and Stichell House)
that reflects the needs of the changing resident demographics and is compliant with current and
future legislation. Being a provider of good quality accommodation on a commerclal basis for
residents of Greatham. Being a provider of good quality commercial property and 51te5, including
farms, offices, shops and public houses. EnsLtrlng the portfolio contributes effectively financlally.
Reviewing and taking opportunitie5 for acquisition of and development of property assets and land.
Key activities:
Compile a property register of all properties held by the Charity to include a detailed
narrative and understanding
Prepare o schedule of condition of all properties to understand and what works are required
to enable the delivery of long term pre-planned maintenance programme
Operate a rolling 3-year forecast for budget planning
Understand rents, leases, rent review dates and prepare a 3-year plan to harmonise all rents
Conduct a survey of residents to understand their view5 and areas of change/development
22

Be8in the process of considering development of 21, Century almshouses including at The
Heathers as part of plans for developing a Dementia Centre of Excellence.
Continue development of Greatham Wetlands Project workin8 Wlth partners to increase the
financial return to the Charity through the management and sale of bio-diversity credit5
Employer of cholce
We are committed to building an inclusive and positive culture where staff are empowered, valued,
have space and opportunity to develop- to be the employer of choice.
Key activities
Develop an organisational structure and empowered staff to deliver our aims
Establish an organisation structure for senior staff positions
Develop 5uccesslon plans for senlor staff positions
Maintain our commitment to values-based recrultment and retention - consistent with our
mission and value
Further develop our induction and staff trainlng opportunities
Commit to being a learning organisation, enhancing Iraining and learning opportunities
Provide competitive remuneration with proportionate payment scales
Establish a Remuneration Committee of the Board for oversight of 5enlor staff pay
Good governance and leadership
We are committed to pur5ulng the Charlvs objectlves In the context of our Mission and Values, and
our forward rolling Strate8y, making a difference to people's lives and having an impact. Ensuring
that the Charity's activities are conducted within the appropriate legal boundarles and acting as
responslble custodlans of the Charlty's assets, conducting our business In a timely and falr way wlth
honesty and appropriate transparency
We wlll empower our staff team to work to deliver the Charlty's objectives Sn the context of our
mission and values includin8 appreciatlng the distinct and separate role of the Director of the Charity
Key artlvltles
Revlew the tlmln8s and numbers of board meetin8S throu8h the year creating time for
dlscusslon and development.
Revlew and revlse the structure of the Boards commlttees, includln8 their terms of reference
and delegated powers.
Seek applications for Trustee appointments to fill existlng gaps in our skills, knowledge, and
experience
Revise the brand name and materials
Impactful Grants
Committed to provlding a small grant programme of North East based, Charitles, soclal enterprises
and community groups. Who can demonstrate how thelr work meets need and makes a difference.
Key Actlvltles
Delivery of grants programme
Monitoring of outcomes
Start to SUPPOrt the development of networks. sharing experience and mutual support
23

Financial review
Summary
Total income for ihe year wa5 £3.7m12022: £3.9ml and total èxpenditure on operations was E4.3m
12022- £5.Iml, glvlng an operating deficit of £0.6m12022: £1.2ml which has been funded from
unrestricted reserves. The charity invests in its servlces uslng its accLfjmulated reserves and the
income generated from its investment activities. The restructuring of services and a fotus on seNices
breaking even has continued this year to support the long-term financial strength of the charity.
There has also been an improvement in the performance of our investments following the significant
losses experienced last year. This has generated an unrealized gain on investments of £2m which has
contributed to the overall increase of £1.469m in Total Fund5 to £46m12022: £44.5ml.
Results trom charltable actlvlties
The principal source of funding for the charity's actSvltles is the income received from fees, contract
payments and 8rants for its care and communlty services which this year accounts for 74%1£2.7ml of
total income, 77% in 2022.
Income from residential care amounted to £1.4m whlch 15 a decrease of approximately 20% on the
previou5 year. Expenditure lincluding support COSt51 on residentlal care services has fallen bv
pproximately 35%. For the year to October 2022 Gretton Court Nursing Home c105ed part way
through the previous financial year in March 2022 and expenditure included one-off redundancy
costs, holiday pay and pay in lieu of notice for staff working at the home, amounting to £232k.
Residential care setvices expenditure lincluding support costs) exceeded Income by 26% whlch
represents a subsidy by the charity toward5 the full cost of this service. This is down from a subsidv
of over 50% the prevlous year.
Income from community Services amounted to £0.8m, an increase of 9% on the previous year.
Expenditure on day and community services lincluding support costs) amounted to £l.Im, a
reduction of £71k, approximately 6%, on the previous year. The subsidy from the charity for
community care services was 39%, down from 60% the previous year.
Income from the provision of supported almshouse accommodation amounted to £584k, a reduction
of 1% on the previous year. Despite the annual uplift in maintenance fees, a fall in occupancy during
the year, partly due to the sale of two almshouses that were located outside of Greatham, has
resulted in a reduced income this year. The cost of providing this service, including support cost5,
was £693k, an increase of £66k on 2022 due to filling staff vacancies to strengthen the support team
and continuing the investment in the upgrade of the almshouses. This has increased the subsidy from
the charity to this support this service from 6% last year to 19% in 2023.
During the year, the charity contlnued its support for other charities, voluntary organisation5 and the
Newcastle Diocese by awarding grants of £IOI,IX)O. These grants, and the associated support costs,
continue to be entirely funded from the charitV'5 Qwn resources as part of its charitable activities.
24

Results from investment activities
The charity holds investments in financlal and property assets which generate income and capital
8ains for use in meetin8 its charitable objects.
The trustees employ investment fund managers to manage the financlal Investment portfolio on a
discretionary basis within broad investment parameters set by the trustees which take account of
tru5tees' views on acceptable leve15 of risk. The fund managers have been instructed that the charitv
ha5 an ethical investment policy relating to dlrectly held securit5es which encourages investment in
companies which are sensitive to the communities in which they operate, can demonstrate Success
In business and financlal matters and adopt responsible corporate governance, employment and
environmental pollcles. Performance of the fund managers is measured against appropriate industry
benchmarks. Trustees and senior management meet regularly with the fund managers to review
performance and consider changes to the portfolio in response to chan8e5 in market conditions.
The investment objective of the endowment fund's financial investment portfolio is to achieve
sustained growth over the medium to lon8 term whilst accepting a moderate level of rlsk.
DurinB the year ended 31 October 2023 the charity's financial investments generated income of
£290k and an unrealised gain on endowment funds of £1.98m. much improved on the £2.Im
unrealised loss in 2022. The charity's investment objective continues to be to achieve growth over
the medlum to lon8 term and short-term fluctuations in investment values are not expected to
impact on activities.
Under a total return order granted by the Charity Commission In 2010 the charity is permitted to
draw upon capital growth In the endowment's flnancial investment asset5 to SUPPOrt Its ¢harltable
activities provided alway5 that the real value of the trust for investment is maintained. In this wav
trustees ensure that due consideration is given to the needs of both present and future beneficiaries
of the charity. Details of the total return approach to the investment of the charlty'5 permanent
endowment is given in Note 17 to these accounts which shows that the value of the "trust for
Investment" at 31 October 2023 was £21.6m1£19.07m 20211 and the value of unapplied total return
at that date was positlve £0.52m, Inegatlve £4.Olm, 20201. Unapplied total return represents that
part of the accumulated unrealised galns on the flnancial investments which is available for trustee5
to spend In meeting the charity's objectives or to replenlsh general reseNes. During 2022 the decline
in the global stock markets wiped out the unapplied total return but improved performance durin8
2023 has again generated a positive unapplied total return. The charity ha5 not drawn down any
funds from endowment growth during the year.
The charity's portfolio of investment properties comprises houses, farms. commercial and other
properties locoted in and around the village of Greatham. The portfolio is managed in-hov5e. The
charity endeavour5 to be a good landlord with one of its strategic objectives being to deliver
professional property services. The comprehensive refurbishment of properties has continued this
year in furtherance of this objective. The net income generated from these properties during the
year was É267k1£234k 20221, after deducting maintenance and other costs including support costs.
Overall. rental income Increased by 4% during the year. Expenditure on these properties has reduced
by 2%, with £91k bein8 spent this year, in addition to £167k in the previous year, on replacement
doors, windows and boilers and refurbishment of kitchens and bathrooms.
25

Financial position
The charSVs overall financial posltion remains strong, wlth total funds at 31 October 2023
amounting to £46m, an increase of £1.5m13%1 on the previous yearfs funds of £44.5m with £2m of
unrealised gains on the financial investments.
Of these total funds 94% is represented by the charity's endowment fund assets, primarily its
financial and property investments. Of the remaining funds, approx. 2% represents funds held on
trust in a restricted fund for the Charity of Emma Simpson for Almshouses and o further 4% of funds
comprise the charity'5 unrestricted reserves.
The assets in which the endowment fund Is held remain unchanged with 50% of the assets being held
in listed investments, over 30% held in the form of property, 17% in flxed assets and the remainder in
inter-fund balances.
The value of the financlal Investments held in the Endowment Fund at 31 October 2023 inclvde5 an
Unapplied Total Return of 0.55m12022'.1£0.52mll. This Is after a recalculation of the Unapplied Total
Return as detailed in Note 17. There is no obligatlon to maintain the value of permanent endowment
investment and investment values will fluctuate over tlme. Durin8 the year Tru5tee5 approved a
revlsed Investment mana8ement policy to reflect updated 8uldance.
The re51ricted fund represents the assets of the Charlty of Emma Simpson for Almshouses which are
held and mana8ed by the charily as corporate trustee of the linked charity.
£0.7m134%1 of the charlty'5 £1,9m unrestrlcted funds are held in net current assets with the balance
being held in listed investments. The charlty continues to have a good level of Ilquidity, although th15
has reduced during the year, with total assets less current liabilities of £1.8m12022'. £2.3ml
The trustees have established a reserves policy to ensure that In the unllkely event of all sources of
income ceasing at once the charity could operate for a period of three months, which equates to
approximately £lm. At 31 October 2023 the charity's unrestricted funds totalled £0.7m12022:
£1.2ml. In view of the overall strength of the charitvs flnancial posltlon backed by its endowment
and available cash and the move towards full c05t recovery for Se￿iCe5, the trustees confirm that
they consider the reserves to be sufficient to enable the charSty to continue wlth its operations and
to fulfil its obllgations as they fall due. The charity ha5 already seen a significant shift towards
ensuring servlces cover their costs including a contribution to overheads and this will continue during
2024.
The charity has a long-term financial obligation in respect of The Greatham H05Pltal Pension Scheme,
a legacy defined benefit pension scheme for which the charity is the sponsoring employer.This
pension scheme is closed to new member5 but remalns open to future accrual for the remaining
active members. The most recent comprehensive actuarial valuation of the scheme was carried out
as at 31 October 2022, which indicated a reduced actuarial deficit of £91,1XM) at that date. The
charity, as spon50ring employer, has agreed with the trustees of the Scheme a deficit recovery plan
involving additional contributions which is expected to eliminate the shortfall by November 2023. For
the purposes of the financial statements as at 31 October 2022 the valuation calculated in
accordance with Financial Reporting Standard 102, shows a pension scheme 'asset' of £254k.12022'.
£209k'asset'l.
26

Structure, governance and management
Formation, legal structure and objectives
The charity was first founded In 1273 by the Bishop of Durham, Robert de Stichell, and was
Subsequently re-founded in 1610 by King James l.
The present charlty governing document Ss the scheme of the Charlty Commi55ion dated 27 June
2002 as amended by the uniting order of the Charity Commission of 26 March 2009 which appointed
the charitable company as the corporate trustee of the charity. The Hospital of God at Greatham
charity holds the permanent endowment on behalf of the company.
The present governing document of the charltable company15 the memorandum and articles of
a550ciation dated 13 March 2LN)8 which sets out its charitable objectives:
"the provision of housing accommodotion ond extro core occommodotion for beneficiaries
the provision of gronts, not exceeding £5,000 in any one yeor, for Such parochiol orchoritoble
purposes WArhln the pori5h of Greutham 05 the trustee5 thinkfit.
the relief of persons who ore in conditions of need, hordship or distress. includlng but
notlimited to people living with Alzheimer's disease ond related disorders, by providlng grrjnts
ofmoney to them orfor their benefit,. by providing or puyingfor goods, services orfocilities
forthem,, or bv
muking gronts of money to other persons or bodies who provide good5, Services orfvcilitiesto
those In need,.
the appropriation of bungolows, olmshouses ond otherproperty belonging to the charity
forthe use of residents ond brethren of the chority,. ond
the mointenonce of the chapel which is devoted to the performonce of dlvlne service for
thebenefit the brerhren ond resldents of the thority."
These objects are achieved through the provlslon of residential and nursing care for older people and
people living with dementia,. community support service5 for older people and people living with a
dementia, and their carers; the provision of supported housing for older people,. and the makSng of
grants to other charities and voluntary organisations.
Governing body and governance
The tru5tee5, who are also directors of the charity for the purposes of the Companies Act, have
overall responsibility for the strategy, management and control of the charity. There is provision for
ei8ht co-opted trustees, and they are elected by the existing trustees at a general meeting as
vacancies arise and in accordance with the needs of the charity. There is a one-year trial period for
new co-opted trustees. Each co-opted trustee may serve for two periods of five years.
27

There are three ex-officio trustees, namely the Archdeacons of Durham and Northumberland and the
Bishop of Durham. The archdeacons take up the role of trustee by virtue of their position and hold
office for as long as they remain in post. The Bishop of Durham holds office for as long as he or she
remains in post. The Bishop may. and historically has, nominated someone to act on their behalf for
a five-year period which can be repeated.
The Trustees are required to elect a chair of their meetings at the first meetin8 of each calendar year.
As part of thelr Induction new trustees receNe the following documents.. the Trustee Handbook; the
latest set of audited accounts,. the scheme of the charity,. the memorandum and articles of
association,. the budget for the current financial year- the trustee code of conduct; the trustee
declaration of interests whlch is updated annually- relevant Charity Commission publication5 via their
website. the latest timetable of meetings and workplan; Scheme of DeSegation- Risk Register
The Board of Trustees normally meets four times each year. The Charity's Board of Trustees is
responsible for establishin8 Structures for the proper governarbce and mana8ement of the charlty
and the development of the vision and strategy of the charity in accordance with its objects. In this
vear, reflectln8 the development of its governance arrangements, Trustees have used online
meetings on a regular basls to hold formal and regular discussion meetin85.
The truslees have established several committees to consider issues in greater depth and to advise
the Board. These committees, which are accountable to and report to the Board, are as follows..
Finance and Property committee which meet5 four times a year to provide overslght of the
charity's finances and investments, flnancial strategyi objectives, plans and policies and the
developing property strategv.
Grants Committee whSch now meets twice a year.
In addition, a Trustee has joined the Charity's Governance, Audlt and Improvement group to offer
insight and a direct link to the Board of Trustees.
The trustees ensure that the charlty has effective Strategy, and that effective monltorin8 and
80vernance arrangements are in place. The day to day running of the charity and the exercise of
executlve responsibility is delegated to the charity Director and the Senior Leadership team.
The charity is not part of o formal network of other charitie5. It does, however, have contractual and
working relationships with local authorities for the provision of Social care seNices and housing
support Services and contractual relationships with the local commissioning bodies for the funding of
community services and nursing services.
The Hospital of God at Greatham has absorbed or been formally linked with other charities in recent
year5 a5 follows..
Fox Almshouses Trust- absorbed on l February 2008
Hartlepool and East Durham Alzheimerfs Trust- absorbed on l April 2008
Stockton Almshouses Chority and Stockton Relief in Need Fund - both absorbed on 12 Julv
2010
Charity of Emma Simpson for Almshouses- linked by Charity Commi55ion order on 28 July
2017.
28

Further information is given in the Notes to the Financial Statements which accompany this report.
Statement of public benefit
The trustees 8ive due conslderation to Charity Commission guidance on public benefit ijnder the
Charities Act 2011.
The Hospital of God at Greatham provides public benefit by virtue of its object5 which are to relieve
need, hardship and dlstress. We work to ensure the independence, health, wellbeing and social
integration of the people we work with. Where individua15 are not able to pay fees, for example in
our residential homes, because they cannot afford them, the charlty would encourage them to seek
state funding. The charity to a greater or lesser extent supports or subsidlses all Its services from its
own resources and this is considered by trustees to be an appropriate use of the charitable
endowment In accordance with the legal objectives of the charitv.
Examples of how charltable funds are used to create public benefit are..
the use of the charity's property and financlal assets to support the delivery of its charitable
services.
the use of charity funds to contribute and add value to service delivery to ensure that the
charity's seryices are effectlve, affordable and accessible.
the operation of a transport service In our day centres, which enables people to attend who
would otherwise not be able to do 50,.
the expenditure of capital in order to modernise and improve our supported almshouses for
the benefit of beneficiarie5,'
the makln8 of grants to other charltles and voluntary organlsatlons in need throughout the
north east of England with the objective to relleve need, hard5hlp or dlstress.
Rlsk management and prlncipal rlsks
The trustees have overall responsibility for the management of risk wlthln the charity and vlew the
management of risk as an essential dis¢ipllne to support the charity in achieving its goals.
The trustees have conducted a review of the major risks to which the charity is exposed. A risk
register has been establlshed and Is updated annually. Control systems have been put in place to
mitigate such risks. The charity Director report5 to trustees on any new risks that might arise during
each year.
These major risks have been identified by the Board of Trustees and the measures taken to mitigate
them are detailed below. They are included within a full and comprehensive re8iSter which is
monitored and revised as is necessary.
Identlfied rlsk
Flnanclal Controls (Board level)
Inability to monitor actual against planned
financial p051tion
Mitigatl
acoon
Receive assurance of effective internal
financial controls
Monitor actual financial position against
expected/planned perfomiance
29

Inaccurate information about short-term
financial position
Future financial security damaged
Auditors queries addressed
Quarterly accounts reported
Variances explained
Report of annual external aLtdit
Benefit Realisation from Property Investments
Poor return detrimental to future
generations
Not fit for purpose
Reduced income
Reputational damage
Compliance failure leading to flnancial loss
Property maintenance survey completed.
Developing planned maintenance
programme
Developinglrestructure Land and property
team in progress Ilnterim arrangements in
place Au8USt 2024 lan 2025 assistant
Director.Land and Property in postl
Management accounts income records
Strateglt Dlrectlon: Alm, Objertives and Plans
Charity becomes divorced from the objects
deflned in the Memoranda
Charlty'5 Strategic direction falls to take
account of new legis1?tionlCharlty
Commlsslon requirements and guidance
Adhere to Objects set out in Memoranda
ChecklEstablish 3, 5 and 10 year StrateBY
Plans to deliver to objectives
Observe new le81slation and Charlty
Commi55ion's guldance
Align new and further developments of
prov15ion with Strate8Y
Revisit quinqvennially Objects defined In
Memoranda (update If nece55aryl
Review and update Strate8y annually
(Strategy Davl
Board Vacancles
Reduced ran8e of expertise available
Excessive workloads
Reduced capacity to meet responsibilitles
Monitor Term5 of Office and vacancles
Complete Skills Audit and recruit to gaps
Quarterly report to the Board of terms of
Office
Follow Trustee appointment procedure
lagreed at Board April 20221
Complete the Trustee induction process
Statement of trustees, responsibilities
The trustees are responsible for preparing the annual report and the financial statements in
accordance with applicable law and UK Generally Accepted Accounting Practice.
Company law requires the trustees to prepare financlal statements for each financial year which give
a true and fair view of the state of affairs of the charlty and of the Surplus or deficit of the charity for
that period. In preparing these financial slatements, the trustees are required to-
select suitable accounting policies and then apply them consistently.,
make judgements and estimates that are reasonable and prudent,. and
prepare the financial statement5 on the going concern basis unless it Is inappropriate to
presume that the charity will continue In operation.
The trustee5 are re5pon5ible for keeping proper accounting records which disclose with reasonable
accuracy at any time the financial position of the charity and which enable them to ensure that the
financial statements comply with the Companies Act 2006. They are also responsible for
30

safeguarding the assets of the charity and hence for taking reasonable step5 for the prevention and
detection of fraud and other irregularities.
Statements of dlsclosure to auditors
In so far as the trustees are aware..
there is no relevant audit informatlon of which the charitws auditor5 are unawa￿. and
the trustees have taken all steps that they ought to have taken to make themselves aware of
any relevant audit informatlon and to establish that the auditors are aware of that
information.
Wm Fortune & Son are deemed to be reappointed In accordance with Section 487121 of the
Companies Act 2006.
This Trustees, Annual Report, which Incorporate5 the Strategic Report and the DSrectors' Report
required under the Companies Act 2006 Istrategic Report and Dlrectors Report) Regulations 2013,
was approved by the Board on 18 July 2021 and signed on its behalf by;
A fv7t//i
Margaret Bousfield
Chair of trustees
Lawrence McAnelly
Director
Company Secretary
31

Independent Auditor's Report
Opinion
We have audited the financial statements of The Hospital of God at Greatham (the 'charity'l for the
year ended 31 October 2023 which comprise the statement of financial activities (including income
and expenditure accountl, statement of financial position, statement of cash flows and the related
notes, including a summary of significant accounting policies. The financial reporting framework that
has been applled in their preparation is applicable law and United Kin8dom Accountin8 Standards.
including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland
(United Kingdom Generally Accepted Accounting Practice).
In our opinion the financlal statements..
give a true and fair view of the state of the charity's affalrs as at 31 October 2023 and of its
incoming resources and applicatlon of resources, including Its Income and expenditure, for
the year then ended
have been properly prepared in accordance with United Kingdom Generally Accepted
Accountlng Practice,.
have been prepared In accordance wlth the requirements of the Companies Act 2006 and
the Charities Act 2011.
Basis for opinion
We conducted our audit in accordance wlth Internatlonal Standards on Auditing IUKI IISAS IUKII 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
re5pon5ibilities in accordance with these requirements. We believe that the audit evidence we have
obtained 15 sufficient and appropriate to provlde a ba515 for our opinion.
Concluslons relatlng to golng concern
We have nothlng to report in respect of the following matters in relation to which the ISAS IUKI
require us to report to you where=
the trustees, use of the Eoing concern ba515 of accounting in the preparatSon of the flnanclal
statements is not appropriate,. or
the trustees have not disclosed in the financSal statements any identified material
uncertaintie5 that may cast significant doubt about the charity's ability to continue to adopt
the going concern basis of accounting for a period of at least twelve months from the date
when the financial statements are authorised for issue.
Other information
32

The other information comprises the information included in the annual report, other than the
financial statements and our auditorfs report thereon. The trustees are responsible for the other
information. Our opinion on the financial statements does not cover the other information and,
except to the extent othe￿ise explicitly stated in our report, we do not express any form of
assurance conclusion thereon.
In connection with our audit of the financial statements, our responsibility is to read the other
information and, in doing so, consider whether the other information is materially inconsistent wlth
the financial statements or our knowledge obtained in the audit or otherwise appears to be
materially misstated. If we identify such materiol incon515tencies or apparent material
mlsstatements, we are required to determlne whether therels a materlal misstatement In the
financial statements or a material misstatement of the other information. 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 nothlng to report In this regard.
Oplnions on other matters prescribed by the Companles Act 2006
In our oplnion, based on the work undertaken in the course of the audit..
the information 8iven in the trustees, report for the financial year for which the financial
statements are prepared is consistent with the financial statements,. and
the tru5tee5' report ha5 been prepared in accordance with applicable legal requirements.
Matter5 on which we are required to report by exception
In the light of the knowledge and understandlng of the charity and its environment obtaSned In the
course of the audit, we have not identified material mi55tatemen15 in the trustees, report.
We have nothing to report in respect of the following matters in relation to which the Companles Act
2IXJ6 and the Charities Act 2011 requires us to report to you if, In our oplnion:
adequate accounting record5 have not been kept, or returns adequate for our audlt have not
been recelved from branche5 not vislted 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 recelved all the informatlon and explanations we require for our audit.
Responsibilities of the trustees
As explained more fully in the trustees, respon5ibilitie5 Statement, the trustees Iwho are also the
directors for the purposes of company lawl 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 trustee5 are responsible for assessing the charity's ability
to continue as a going concern, disclosing, as applicable, matters related to going concern and using
33

the going concern basis of accounting unless the trustees either intend to liquidate the charity or to
cease operations, or have no realistic alternative but to do so.
Audltor's responsibilities for the audit of the financial statements
Our objedives are to obtain reasonable assurante about whether the flnancial statements a5 a
whole are free from materlal mlsstatement, whether due to fraud or error, and to issue an auditorf5
report that includes our opinion. Reasonable assurance 15 a high level of assurance but Is not a
guarantee that an audit conducted in accordance with ISAS IUKI will always detect a material
misstatement when it exists. Mi55tatements can arlse from fraud or error and are considered
material if, individually or in the aggregate, they tould 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 re5ponslbilitie5, Outllned above, to detect material misStatement5 in
respect of irre8ularities, including fraud. The extent to which our procedures are capable of detecting
IrregularSties. including fraud Is detailed below:
Because of the inherent limitations of an audit, there is a risk that we wlll not detect all irreBularities,
Including those leadlng to a material misstatement In the financlal statements or non compllance
wlth regulatlon. This risk Increases the more that compliance with a law or transactlon is removed
from the events and transactlons reflected in the financial statements, as we will be less likely to
become aware of instances of non compliance. The risk is also Breater regardlng irregularlties
occurring dLte to fraud rather than error, as fraud Involves intentional concealment, forgerv,
collusion, omission or misrepresentation.
As part of an audit in accordance with ISAS IUKI, we exercise professional judgment and maintain
professional scepticism throughout the audit. We also..
Identify and assess the risks of materlal misstatement of the financlal statements, whether
due to frau(l or error, desi8n and perform audit procedures responsive to those risks, and
obtain audit evldence that is sufficient and appropriate to provide a ba515 for our oplnlon.
The rlsk of not detectin8 a material misstatement resultlng from fraud 15 hlgher than for one
resulting from error, as fraud may involve collusion, for8ery, intentional omissions.
misrepresentations, or the override of internal control.
Obtain an understanding of internal control relevant to the audit in order to design audit
procedure5 that are appropriate in the circumstances, but not for the purpose of expressing
an opinion on the effectiveness of the internal control.
Evaluate the appropriatene55 of accountin8 policies Used and the reasonableness of
accountlng estimates and related di5c105ures made by the trustees.
Conclude on the appropriateness of the trustees, use of the going concern basis of
accounting and, based on the audit evldence obtained, whether a material uncertainty exists
related to events or conditions that may cast significant doubt on the charity's ability to
continue as a 80ing concern. If we conclude that a material uncertainty exists, we are
required to draw attention in our auditor's report to the related disclosures in the financial
Statements or, if such disclosures are inadequate, to modify our opinion. Our conclusion5 are
based on the audit evidence obtained up to the date of our auditor's report. However, future
events or conditions may cause the charity to cease to continue as a going concern.
34

Evaluate the overall presentation, Structure and content of the financial statements,
including the disclosures, and whether the financial statements represent the underlying
transactions and Èvents in a manner that achieves fair presentation.
We communicate wlth those charged with governance regarding, among other matters. the planned
scope and timin8 of the audit and significant audit findings, intluding any slgniflcant deficiencies in
Internal control that we Identlfy during our audit.
Use ofour report
This report is made solely to the charlty's members, as a body, in accordance wlth Chapter 3 of Part
16 of the Companies Act 21KJ6. Our audlt work has been undertaken so that we might state to the
charity's members those matters we are required to state to them in an auditor's 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 charlty and the charity's members as a bodys for our audit work, for this
report, or for the opinions we have formed.
Thomas Atkin50n Isenlor Statutory Auditor) For and on behalf of
Wm Fortune and Son, Chartered Accountant5 & Statutory Auditors
Collingwood House
Church Square
Hartlepool, TS24 7EN
17 July 2024
35

The Hospital of God at Greatham
Statement of Financial Activities (including income and expenditure account)
Yèar ended 31 October 2023
2023
2022
Unrestrlcted RÉstrlctod EndowTnen¢
lund5
funds
funds
Total ftsnds Total funds
Note
Incom• and endowments
Donations and legacles
Charitable activitie5
Investment income
9.546
2.704,256
666.188
9,546
2,743,135
956,153
8,281
3,007.496
872,420
38,879
289,905
Total Income
3,379,990
38.879
289,965
3,708,834
3,888,197
Expenditur•
Expenditure on rnising funds..
Investment management costs
Expendi¢ure on charitabl• acuvitie5
{365.399)
(156,146)
(521.545) IS45,2951
9,10 (3,069,506) (60.•74) (1 0.000) (3,740,380) {4.596.4641
(4,034,905) (00,874) (166.146) (4.261.925) I5,141,759}
Total ex￿ndIture
Total Incom• l•sJ total
expenditure
(654,915) (21,995)
123.819
(553,091) 11.253,5621
Ne¢ unrealised gainslllossesl on
investmen
9,597
2,044 1.963,501
1.975,142 12,167.7601
Realised gainslllosses} on disposal of
fixed assets
2,710
2,710
299,102
Net Incomel(expendltur*)
(642.608) (19,951) 2,087,320
,424,701 (3,122,220)
Transfers between funds
23
87,985
(87,9851
Other r•co8nised gains and105ges
Ilncrea5e)decrease in pension fund deficit 21
45,000
4S,000
362.000
Net movement In funds
(509.623) (19,951) 1,999,335
1,469,761 12.760.220)
Rèconciliation of funds
Tocal funds brought forward
1.207.443
1,055,7S3 42,2J1,082
44,494,278 47,254,498
Total funds carried forward
23
697.820 1.035.802 44.230.417
4S,964,039 44.494,278
The statement of financial activitie5 includes all gains and lossÈs retognised in the year.
36

Income and expenditure derive from continuing activityes.
The Hospital of God at Greatham
Statement of Financial Position
Year ended 31 October 2023
2023
2022
Flxed a55ets
Tangible lixed assets
Investments
8,241,316
16 35.857,239
8.440.743
33,765,969
44,09a,55S
42,206,712
Current aisets
Debtors
Cash at bank and in hand
18
329.703
1,838,764
470,040
2,337,105
2,168,467
2,807,145
Cr•ditors: amounts falllng due wlthln on¢ year
19
{467,557)
1637,793)
Net curr•nt as*ets
1,700,910
2,169,3S2
Total assets leJ% current Ilablliti•s
45,799,465
44,376,064
Credltort: *mounts falling duè aft•r mor• than one year
20
(89,426>
190,7861
Pènilon sch•m• aJs•t l (provljlonj for p•nsion liabil•tie>)
21,22
254,000
209,000
Net assets
45,964.039
44.494.278
Funds of the charlty
Endowment funds
Restricted funds
Unrestricted fund5
44,230.417
,035,802
697,820
42,231,082
1,055.753
1,207.443
Total charlty funds
23 45.964.039
44.494,278
These financial statements were approved by the b¢)trd of ¢rustees and authorlsed for i55ue on 17 july 2024,, and
are signed on behalf of thè b¢)ard by:
Margaret Bousfield
Chair of trustses
37

The Hospital of God at Greatham
Statement of Cash Flows
Year ended 31 October 2023
2023
2022
Cash flows from opèrating activitl
Ne¢ incomelle¥penditur¢l
1.424.761
{3,122.2201
Adjustments for
Depreciation of tangible fixed assets
Ne¢ valuation Igainslllosses on investments
Net (8ains}1105ses on disposal of tangible fixed assets
Dividends, interest and rent5 from investments
Interest payable and simllar changes
Increaselldecreasèl in accrued liabilitle5
227,052
(1,975,142)
(2.710>
{956,1 $3)
10.203
(63,5Z3)
222,873
2,167,760
(299,1021
1872,420)
10,328
22.335
Change5 tn..
Trade and other debtors- {increaselldeerease
Trade and other ereditor5- increaselldecrease
140,337
{106,8S2)
49,698
Cash generated fromllused inl operatlng activitie5
(1,302,027) 11.965,8791
Interest paid
(10.203>
110.328}
Net cash generated fromllused inl operacing activi¢ie5
(1,312,230) (1,976,207}
Cash flows from Investin8 ac￿VItIeS
Dividends, inthrest and rènts from investmtnts
Purchase ol tangible a5set5
Proceeds from sale of tangible assets
Purchases ol other investments
Proceeds from sale ol other in¥estmen¢s
956.1 $3
(34.665)
9.750
(204.556)
168,429
872,420
128,113)
338.083
{245,5221
147,418
Net cash from investing activitie5
1,084,286
Cash flows from flnanclng artivlties
Loan repaxment5
(1,222)
11,0941
Net Cash used In financing activities
{1,222)
11,0941
Net intreasel(decr•ase) in cash and (￿h equlvalents
Cash and cash equivalents at beginnin8 of year
(498.341)
2.337,105
1893,0151
3,230.120
Cash and cash equivalent5 at end of y¢ar
1,838,764
2.337.105
38

The Hospital of God at Greatham
Notes to the Financial Statements
Year ended 31 October 2023
General informatloTh
The charity 15 a private company limited by guarantee. registered in England and Wales and a registered
charity in England and Wales.
The charlty ¢onsdtu¢¢s a publ1¢ benell¢ enuty as dtftned by FR5 102.
A5 corporats trustee che company adminlscers the endowmenr fund of the Hospitsl of God at Greatham
which Is an unincorporated charity. The endowment funds thu5 do not form part of the corpora¢e a55ets
of the company bur ar• instead h•ld on crust by the charitabl• company. In accordanc• wlth Charity
CgmmissioD rKommendations the endowment fund held on trust is included in the financial statements of
the charitable company but is discinguishÉd from the charltabl• company's ocher fvnds. In accordancè with
thè Charity Commission Scheme of 27 lune 2002 income generated from inves¢ments within the charity's
endowment lund becomes available lor use by the charitable company in furtherance ol it5 objectives as
doe5 capi¢al growth on the financial investments covered by the order for tothl return dated 15 November
201 O referred to In Noté 17 01 this report.
Under an Order of the Charicy Commisslon da¢¢d 28 July 2017 th* chaA¢ablÈ ¢ompany was appoln¢ed sole
¢ru5tee ol the Charity of Emma Simpson for Almshouses Icharity reg. 222517. now 1123540.21, an
unincorporated charity. Thè charitable company, a5 corporate trustee. thereby administer5 ¢he
endgwmen¢ and other funds of the Charfty of Emma Simpson for Almshouses. whlch do not fomi part of
the corporaté assèts ol chè company but art instèad htld on trust by thé charitablè company in a rèstrittèd
lund. In accordance with the Order, the Charicy ol Emma Simpson for Almshouses is treA￿d as forming
part of The Ho5pi¢al of Ggd at Greatham lor the purp05e ol Par¢ 8 laccoun¢ingl ol ¢he Charityes Act 2011.
Stat•m•nt of ¢omplian¢e
These financlal ststaments havè been preparéd in compliancè with FRS 102, The Flnancial Reporting
Standard applicable in the UK and the Republic ol Ireland,, the Statement of Recommended Practice
applicable ¢0 charitie5 preparing thwr accounts in accordance with the Financial Reporting Standard
applicable in the UK and Republic of Ireland IFRS 102} (Charitie5 SORP IFRS 10211 and the Charitie5 Act
2011.
Accountlng pollcles
Basls of préparatlon
The financial statements have been prepared on a htstorical cosc basis, as modified by che revaluation ol
certain financial assets and liabilities and investment properties measured at fair value through income or
expendlture.
The financial statements are prepared in sterllng, which is the funttional currency of the entity.
Going concern
There are no maierial uncertainties about the charity's abillty to conrlnue.
39

The Hospital of God at Greatham
Note5 to the Financial Statement5 (coiitinued)
Year ended 31 October 2023
Accounting polities (conunued)
Fund accountlng
Unrestyicted fuThJs are available for use at the discretion of the trustees to further any of the charity's
purposes.
Dèsignated funds are unrestricted funds earmarked by the ¢rusre¢ for partlcular future projects or
commitments.
R￿trIcted funds are subjected to res¢ric¢ions on cheir expenditure declared by the donor or ¢hrough the
terms of an appeal and lall into one ol (wo sub-cla55e5= restricted income funds or endowment funds. The
haritY'5 restricted funds comprise its permanent endowmenu ¢he Stockton Reliel in N¢ed endowmènt
lund and restrltted funds relating to The Chari¢y of Emma Slmpson for Almshouses as referred to in Note
Income recognition
Income is induded in thè statement ol financial acti￿rieS when enti¢lement ha5 passed to the charity. it 15
probable that the economic benefits assoclated wi¢h the transaction will flow ¢0 the charity and the amount
can be reliably m￿SUr￿d. Thè followin8 poin¢5 are appli•d to particular categorles of income..
Income frorn donations or grants is reco8nised when there Is evidence ol entitlement to the 8ifL receipt
15 probable, and it5 amount tan be mèasured reliably.
Donated lacilitiès and services are recogni5ed in the accounts when receivèd if the value can be reliably
measured. No amounts are included lor ¢he contribution ol gener741 volunteèrs.
Income from contracts lor ¢he supply of services is recognised upon the delivery of the contracted
setrylce. This is cla55ified as unres¢ric¢ed funds unless there is a contractual requlrement for it ¢0 be
spent on a particular pyrp95e and rèturned il unspeni in which case It may be regarded as restrlcted.
Exp¢ndityr¢ rècognltlon
Expènditure is reco8nised on an accruals basis as a liability 15 incurred. Expenditure include5 any value added
tax which cant)ot be fully recovered. and is classified under headings of the statement ol financial activities
to which it relates..
Expenditure on raising funds includes the costs of all fundrnising activities, events. non-¢harita￿e
trading activities, and the sale of donated goods.
Expenditure on charitable ac¢ivities includes all costs incurred by the charity in undertaking activities
that further its charitable aims for the benefit ol its beneficiaries, including those suppcxt C05¢s and
costs relating to the governance of the charity apportioned to charitable acrivityes.
Other expenditure include5 all expenditure that is neither tslated to raising lund5 for the charity nor
part ol its exP￿dIcure on charitable acuviues.
All costs are allordted to expenditure categoriÈ5 reflecting the use of the resource. Direct Costs actributable
to a single acuvity are allocated directly to that activity. Shared costs are apportioned between the activives
¢hey contribute to on a reasonable. justifiable and consistent basis.
40

The Hospital of God at Greatham
Notes to the Financial Statements Iconiinued)
Year ended 31 October 2023
Accounting policie$ (continued)
Tw)glbl¢ ass¢ts
Tanwble assets are inltially recorded at cost. and subsequendy stated a¢ cost less any accumulated
depreciation and imp2irmen¢10s5e5. Any tangible assets carried at revalued amounts are recorded at thè
lair value at the date of revaluauon less any subsequent ac<umula¢ed deprKiatyon and subsequen¢
accumulated irnpairmen¢ losses.
Increa5e$ 2nd decreases in the carrylng amount of assets as a r•sult of revaluation are recognised in the
S¢aomeTh¢ of Financial Activitles.
D•pr•¢iatlon
D•preelarion Is calculaced in order to wrlt• off the cost or valuation ol an asseL le55 its residual value, over
the useful economic life ol that asset as follow5.'
Frtehold property
Equipment
2.S% rèducing balanc•
20% reducing balance
Investments
Llsted Invèstments are measurèd at fair Value with changes in fair Value beln¥ recognised in income or
expenditure.
Invèstrn¢nt property
Tha trusteès carry out a r￿leW ofthe investment propertyes each year using in.hou5e resources or external
resources if appropriate. Any adjus¢ments to fair value (rom the previous financial yèar arè recognised in
in¢¢m¢ or expendi¢ure.
Flnanclal InstrumÉnts
A financlal assèt or a Nnan¢ial liability is ￿CognISed only when the charity becomes a party ¢0 the contractual
provisions ol the instrument.
Basic financial instruments are initially recognised at the arnount receivable or payable including any relaTrd
cransacclon costs.
Current assets and current liabilities are subsequently mèasurèd at thè cash or ochtr considerttion
expected to be paid or received and not discounced.
Where investmencs in shares are publicly traded or their fair value can otherwise be measured reliably, the
investment 15 sub5equendy measured at fair valve with changes in fair value recognised in income and
expenditure.
41

The Hospital of God at Greatham
Notes to the Financial Statements (continued)
Year ended 31 October 2023
Atcounting policies Icontsnuedj
Defined contributlon pension schemes
Contributions to defined contribution pension schemes are recognised as an expense In the period in which
the seryice is providtd.
Limited by guarantee
Tha charity is a company lim1t￿ by 8uaran¢ee and has no share capi¢al. In the event ol the Chadty being
wound up the liability in r•spect of the 8uaraft￿ is limited tc £1 per member of the charity.
Donations and legaci
Unrestricted Total Funds Unrest￿tted Total Funds
Funds
2023
Funds
2022
Donation•
Donations and legacies
100
100
SponJor%hlp #nd oth•r
Spon5or5hip and other incorné
9,446
9.446
8,281
8,281
9,546
9,546
8,281
8.281
Incom• from charitable activitles
Unrestric¢¢d Restricted
Total
Fund5
Funds Funds 2023
Reslden¢ial care
1,355.173
803,769
544.777
537
1.355.173
803,769
583,656
537
Community services
Supported almshausas
Other charltable attivitie5
38,879
2,704,256
JJ,879 2,743.135
Unrestricted
Funds
Restric¢ed
Funds
Total Funds
2022
Residential care
Community services
Supported almshouses
Other charitable activityes
1,674,328
740.394
551.957
1.720
1,674,328
740,394
591,054
1.720
39,097
2.968,399
39,097
3,007,496
42

The Hospital of God at Greatham
Note5 to the Financial Statements (continued)
Year ended 31 October 2023
Investment Incon
Unrestricted Endowment Total Funds
Funds
Fund5
2023
Income from investment propertyes
n¢erest and dividends
632,817
33.371
632,817
323,336
289.96S
066.188
289,965
956,153
Unrestrlcted Endowment
Funds
Funds
Total funds
2022
Income from invescm¢n¢ prop¢rdes
Interest and dividends
607,053
14,786
607,053
265.367
250,581
621.839
250,581
872.420
Investment rnanag•m•nt costs
Unrestricted Endowment TotAI Fund$
Fund5
Funds
2023
Portlolio management
Property rèpairs and maintènancè charyès
Support cus¢s
156.146
156.146
20S,484
159,915
205,484
159,915
365.399
156.146
521,545
UnroStric¢ed Endowment
Funds
Funds
Total Funds
2022
Portfolio managernen¢
Property repairs and maintenance charge5
Support costs
172,720
172,720
279,243
93,332
279,243
93.332
372,575
172.720
545,295
43

The Hospital of God at Greatham
Notes to the Financial Statements (conts'nued)
Year ended 31 October 2023
Expenditure on charitabl¢ attlvitles by fund type
Unrestricted
Funds
Restricted Endowment Total Fund*
Funds
Fund5
2023
Fiesiden¢ial care
Communlry service5
Supported almshouses
Grants
Fundraising fund cosis
Other Charita￿e ac¢ivi¢i*s
Support costs
1.306,966
741,310
427,701
91.000
0,50J
852
1,095,114
,306.966
741.310
453.273
101,ooo
6,563
852
1,130.416
25,572
10,000
35,302
3,669,506
60,874
i 0.000
3,740,380
Unrestricted
Funds
Restricted Endowment
Funds
Funds
Total Flbnds
2022
Residentlal car•
Community services
Supported almshouses
Gran
Fundraising fund costs
Other charitable activities
Support costs
2,264,226
687,283
398,911
89,192
4,677
145
1,097,592
2,264.226
687,283
435,583
99,192
4.677
145
,105,358
36.672
10.000
7.766
4.542.026
4,438
i 0,000
4,596.464
l O. Ex￿ndi￿re on charltable ictivitlej by activity ty
Actiyltles
undertaken
directly
Support
costs
Total
2023
Total
2022
Residential care
Comrnunity services
Supported almshouses
Grants
Fundraising fund costs
Othèr charitable costs
1,306.966
741.310
453,273
101.000
6,563
852
40J,719
375,519
300,292
SO.886
1,710,685
,116,829
753,565
151.886
6.503
852
2,644.665
1,187,845
627,142
131,990
4,677
145
2.609,964
,130,416
3.740.380
4.596,464
All grants made were awarded to organisations and no grants were paid to individua15. The highest grant
awarded to any organisacion during the year was £3,000 and no SIn￿e organisation received m¢rÈ than
£3,000 in grants during the year. All grants awarded are unconditional.
44

The Hospital of God at Greatham
Notes to the Financial Statements (continued)
Year ended 31 October 2023
I l. Net unrealised 8alnJ on investments
Unrestricted
Funds
Restrlc¢ed Endowment Total Funds
Funds
Funds
2023
Unreallsed pIn￿lI￿sSes) on listed
In¥estmen(s
9,597
2,044
1.963,501
1.975,142
Unrestricted
Funds
Restricted Endowment
Fund5
Fund5
Total Funds
2022
Unrealised salnsl(lossesl on Ilsted
Snvestmen¢s
(64,4721
(1,833} {2,101,4551 12,167,760)
12. N•t Incom•
N•t Incom• Is stated aftér charln&
2023
2022
Auditor's remuneration
Depreciation ol tan&bl* fixtd asstts
8,900
227.051
8,840
222.873
13. Staff costs
The total staff costs and employee beneflts for the reporting period are analysed a5 follow5:
2023
2022
Wages and Salaries
Social security costs
Employer contributions to defined contribution pension 5cheme5
Employèr contributions to ddined bÉn￿t pension schemes
Operatin8 costs ol defined benefit pensicn xheme
1,947,430
141.790
43,319
58.095
23,661
2,331,166
172,475
47,803
72.667
46,200
2.214,295
2.670,311
Included in employer contributions to defined benefit schemes is a payment of £48,000 to the Greatham
H05Pital Pension Scheme under the agreed deficit recovery plan. Furcher details are given in Note 22 ¢0
these accounts.
45

The average ktead count of employees during the year was 9312022.. 1141, analysed as foll¢)WS:
2023
No.
2022
Management and idminis¢ratyon
Care service5
Estate
14
77
99
93
46

The Hospital of God at Greatham
Notes to the Financial Statements {coi?tinued)
Year ended 31 October 2023
The number of employees whose remuneration for the year fell within the following bands. was:
2023
No.
2022
No.
£70,000 to £79,999
Key Managem•nt P•rsonn•l
Key management personnel include all persons that have authority and re5pon5ibili¢y for plannin& direttin& and
controlling the acvvitie5 01 the charity. The to¢al compensa¢ion paid to kty management ￿rSonnel l¢r $eThi¢es
provided ¢0 the charity was £267,42612022: £273.6761.
14. TruJt•• r•mun•ratlon and •xp•ns•s
No remunerauon was paid to the trus￿5.
15. Tangible fixed ass•ts
Freèhold
property
Equipment
Total
Cost
At l November 2022
Additions at cosr
Transfer Irom o¢her charity
Revaluauon of almshouse properries
12,911,521
232,258
34.665
13,143,779
34.665
Disposa15
199,5041
(99,5041
At 31 October 2023
12,911,521
167,419 13,078.940
DepreciatioD
At l November 2022
Charge for the year
4.530,816
209.518
172,220
17.534
4.703,036
227.052
Oisp03a15
{92.464)
{92,4641
At 3 l October 2023
4,740,3J4
97,290
4,837,624
Carrying arnount
At 31 October 2023
8,171 187
70.129
8,241,316
At 31 October 2022
8.380,705
60,038
8.440,743
47

The Hospital of God at Greatham
Notes to the Financial Statements (continued)
Year ended 31 October 2023
16. Investments
Listed
inves¢ments
Investment
propertiès
Total
C05t or valuatlon
At l November 2022
Additions
Oisposals
Fair value movements
22.347.719
284,S56
1168.4291
91,740
11,418,250
33,765.969
284,556
168,4291
1,975.143
1.883.403
At J l October 2023
22,555.586
13,301,653
35.857.239
Impalrment
At l November 2022 and J l Octob•r 2023
Carryln8 amount
At 3 l October 2023
22,555,586 13,301,653 35,857,239
At 31 Octcber 2022
22.347,719
11.418.250
33,76S,969
All invèstments shown above ar¢ stated at valuatlon.
Llsted inv•itments
The chariry's listed investmÈnts are largely held within a portfdio of investments managed by the ¢haritls
professionl fund managers with some iddltional direct holdings in common iDve5trnent funds. The managed
portfolio holds investment5 in the lorm ol equi¢ies, fixed income securitiÈs. hedge fund5 and commodiiies all ol
which are part of publicly iraded market5 where tradin8 is based upon quoted prices. The fair valve of all holdings
is based upon the quoted market pricts of the various holdings. The managed portfollo also includes forèign
currency con¢ract5 which act as a hedge against the effett of currency fluctuatlons wi¢hin the portfolio. The fair
value of foreign currency forward concracts within the managed porrfolio ts basÈd on the difference between
rhe exchange rate agreed at Ihe inception of the lorward contract and the exchange rate prevailing at che
reportin8 date.
An analysis of lis￿d investments by fund is as follows:
2023
2022
Permanent endowment fund
Non-permanent endowment fund5
21,284,29J
150,475
21,104,274
134.273
Total endowment funds
Restricted fund5
Unrestrictèd fund5
21,434.768
68,701
1.051.117
21.238,547
66,657
1,042,S I S
22.555,586
22.347,719
48

Investment properties
All investmen¢ properties are held withln the United Kingdom. The inves¢ment properties are stated ar open
market valuation which represents ¢heir fair waluè to the charlty. During the year the trustees carried out a
revaluation of the residential rental properties contained within the portfolio, represen¢in8 appro￿ two-third5
of the previous valuation. This resulted in a reYdlLAtion surplus durin8 the yehr of £1.853m. The valuauon of
thè lamis and comm4rclal properties is based upon a full profe55ional v￿vatIon which was carried out at 31
October 2013 by Thomas Stevenson, Chartered Surveyors. The policy is for trustees to review investment
propertie5 on an annual basis. This year ¢ru5tees have deterniined ¢hat a valuation of the charity's Commercial
proper¢ies. farms and land will bè und•ruken within the next 12 months. The investment properties are assets
of the charity's pem)anent endowment fund.
49

The Hospital of God at Greatham
Notes to the Financial Statements (continued)
Year ended 31 October 2023
17. Total rèturn approach to Investment of perni4nént endowment
The chariw s listed investments include ¢he charity's managed endowment fund investment portfollo. Thls
portlolio is accountsd for on a ¢otal return basis in accordance with an ordÈr for total re¢urn received Gn I S
November 2010 from thè Charlty Commission.
Th• movements in the trnst for Investment and the unapplied total rèturn during the year are set out in the
table below..
Endowment invéstments Jubjert to total
r•turn
Trust for
Investmènt
Unapplled
total return
Total
At 31 October 2022
Gift component ol the permantnt endowment
Unappli•d total return
21,610,025
21.610,025
IS23,8711
1523,8711
As J l Octob•r 2022, a* prevlously reported
21,610.025
(523.8711
21,086,154
Prior Year Adlustment, du• to change Sn
pollcy (as described below)
11,771,029)
1,771,029
At 31 October 2022 as restat•d
19,838,996
1,247,158
21.086,154
Movements in thè reportlng perlod
Invcstment returns- dividends and interest
InV￿trnent returns- realistd and unrealised gains
and110s5esI
Addition5 to trust for investment
Income repaid to unapplied total return in year
Less.. Investment management costs
284.556
284,556
82.012
82,012
1168,4291
1168,429)
Total movements in thè reporting period ￿lOre
transfers
198.139
198,139
Transfer Irom unapplied total return ta malntain
real value ol trust for investment
911,773
1911,773
Net mov•ments In the reporting period
911,773
1713.6341
198,139
At 31 October 2023
Gift component of Ehe pernianent endowment
Unappllèd total return
20,750,709
20,750,709
533.524
533.524
Tot￿ at J l October 2023
20,750.769
533,524
21,284,293
so

The Hospital of God at Greatham
Notes to the Financial Statements {continLied)
Year ended 31 October 2023
Each year the charity makes a ¢ransler from unapplied to¢al return to the trust for endowment to maintain the
real value of the trust for Investment. Prior to 31 October 2022. the amount transferred each year was based
on a slmple average of the respective changes in the Retail Price5 Indèx and the Consumer Prices Index arising
during the relevant period. Following a review of the basi$ for the calcula¢ion of thè transfer required to maintain
the real value of the trust for investment. the trustees took the decision to amend this policy sts that the
calculation 15 based only on the changè in the Consumèr Prlce Index each year on the grounds that this measure
of inflation represents more fairly rhe impact ol inflation on the charity's activities. As this represents a ch2n¥e
in policy, a Prior Year Adjvscment has been made to the calculation of the opening values of both the trusc for
investmènt and unapplied toral rerurn. The Prior Year Adjustment made to the opening figures is Shown in the
above table. This year cho transfer to maintain the real value of the trust for invèstmtnc based on the irKrÈas•
in the Consumer Prices Index durin8 the year ended 31 Occober 2023, amounted to £911.773.
18. D•btors
2023
2022
Trade debtor5
PrÈpaid expÈns•s
Accrued income and sundry deb¢ors
94,757
13,991
120,955
200,128
123,432
146,480
329,703
470,040
19. Credltors: amounts falling due wlthln one year
2023
2022
Trade creditors
Accruals and delerred intome
Social security and other taxes
Mortgage loan
249,904
184,597
31,636
1,300
358.311
248.120
30.141
467,S57
637.793
20. Cr￿ltors. amounts falllng due after more than one y¢ar
2023
2022
Mortgage loan
89,426
90.786
The mortgage loan was iransferred to the charity from the Stockwn Almshouses Charity during the year ended 3 I October
2010. The mortpge loan i% sectsred by a legal charge over the properry at Trinlty Gardens, Stockton on Tees.
51

The Hospital of God at Greatham
Notes to the Flnanclal Statements (continued)
Year ended 31 October 2023
21. Penslon scheme aimt I {provli•on for Ilabllltles)
Penilonx *nd
slmllar
obli8ationi
Note 22
At l November 2022 la558tl
Decrease in provision during the year
209,000
45,000
At J l Ortober 2023 {ass•t)
254,000
This represent5 the net valuauon, under FRS102. 01 ¢he 3$5tts and liabilities of the Greatham Hospital Penslon
Scheme, a defined benefit pension scheme of which the charlty 1$ the 501e sponsoring employèr. Further
information abou¢ thi5 scheme and it5 valuation is given in Note 22 below.
22. P•nslons and oth•r post.tmployment b•n￿tI
D¢fin•d contrlbutlon plans
The amount reco8nlsed in expenditure as an exp¢n$e in relation to defined eon¢ribu¢ion plans was £43.319
12022.. £47,803).
Defined benefit plans
The charity opérates and is che sole sponsoring employer of the Greatham Hospital Pension Schemt ("che
scheme'l, a definèd benefit pension scheme which provide5 benèfits b*$ed on final Salary and lengrh of Se￿Ce
on retirement. leaving service or death. The pension 5cherne was closed to new member5 On 14 December
2LTh)5. The last active member left penslonable service in November 2023 and as a result the Scheme is now
closed to future b￿efit accrual.
The scheme is managed by a board of trustees appointed in part by the charlty and in part from elections by
scheme member$. The trustees of the scheme havè responsibilbty lor obtalning valuauons of the fund.
adminlstering benefit payment5 and investing the Scheme's assets. The trus￿eS of the scheme delegate some
of these functions to their professional adviser5 Whe￿ approprkAte.
The scheme exp05e5 the tharity to a number of risk&
Invèjtment rlsk-the Scheme holds in¥es¢rnents in as5etclasses. such a5 equities. which have volatile
52

marfcet values, and while Lhese assets are expec￿￿ to promde real returns over the long-temK the
shorc-term volatility can cause additional funding to be required il defitits emerge.
Interest rate rlsk - the scheme's liabilities, calculated in actordaAce with the requirements of
FRS102. are assessed using market yields on high quality corporate bonds to discount che liabiliue5.
As the scheme holds assets such as equityes. the val¢Je of the assets and liabilityes may not move in the
same way.
Inflatlon rlsk
significant prOport￿n of the benefits under rhe scheme are linked to inflation.
Althou￿ the scheme's assets are expected to prts￿de a good hedge against inflauon over the long
¢errn. movements over the short-tvm could lead to defici¢s emer&ng.
Mortallty riik - in the event that member5 live lonw than a5sumtd, defrcits may ernerle in the
scheme.
Th• ¥cheme is sublett to the Statutory Fundin8 Objective under the Pensions Act 2004. A valuatlon of the
scheme is carried out at Iwt once every three years to deterniine wthether the Statutory Funding Objectlye
Is meL As part of the process the employer mu$t a¥ree wth che truste85 of the schemt the contrlbu¢ions to
be paid to mett the Statutory Funding Oty'ective. The future contributions requirtd to meti the StatsJ¢ory
Funding ObjÉetsv• do not currently iffect the balance s￿et of the sthemÉ in thesè atcounts.
53

The Hospital of God at Greatham
Notes to the Financial Statements (continued)
Year ended 31 October 2023
The most recent comprehen5i¥e actuari￿ valu2tion of the scheme was carried out as at 31 October 2022. This
Y￿uall0n calcula¢ed an actuarial deficit of £91,000 as at that (late. To eliminate this lunding shortfall the trustees
and the scheme jolndy 3grÈéd a recovery plan whereby the charlty make5 additional contribuuons of £48,000
to the scheme each year, with the first payment in November 2022 and the final paymeni in November 2023.
Both th￿e payment5 havo now been made. Th¢5¢ Colltribuiions were expecwd w elimina¢e the shortlall by
November 2023.
The next actuarial valuacion of the 5chemt is due at 31 October 2025. In the event that this valuatlon reveals
a larger deficit chan expected, the charity may be required io rnake further contributions above those set out
in ihe existing schedule ol contributions. Conversely if the pgsition is be¢¢er than expécted, It 4$ possible that
future concrlbutions may be reducéd.
As the scheme wa5 open to future accnjal throughou¢ the year ended 31 October 2023, the employer paid
contributlons to the Scheme for future setvice benefits. D¢Jring thi5 year the employer paid contributions on
gross pensionable salary for active member5 at the rate of 28% until july 2023 and a¢ ¢he rate of 22.7% thereafter.
In accordance with thè schedule of contributions, amounting to a total ol £10.095 12022.. 124,6671. Active
members were not required io make any contrlbuiion.
AS the list remalning active member left penslonable servlce In November 2023. the charity expects ¢0 pay
service contribution$ of le55 than £l,IMI to the scheme during the year to 31 Occobtr 2024.
The charity administers the scheme and mee¢$ all running Costs of the s¢heme. During the year ended 31
october 2023 Ihe toral ol all such costs amounted to £23,66112022.. £46,2CIJI, excluding the wages and 5alarie5
of Hospital of God management and staff who as515t with che adminis¢ration ol the scherre.
There were no plan amendmenu, curtallments or settlements durlng th• period.
The following disd95ure5 have been provided by the Scheme actuary ro meec che requlremen¢5 of FRS 102 for
the purposes of these accounts.
A¢ 31 October 2023 there was a surplu5 in the scheme of £254,000, calculaced in accordarnce with the
reqvirements of FRS102 and based gn the a5sumprions se¢ out below. Thi5 compares to a 5urplu5 of I209,OC
at the previous review dite. The increase in the surplus over the period 15 prirnarily due to fhe contributions
paid by the charlty. The increase in Corpora￿ bond ￿'eldS over the period has reduced the Yalue placed on
the Ibabilities bur this has been offset by a fall in the market value of the schème's assecs. The svrplus 15
recognised as an asset in these accounts at it 15 considered that this surplus will generate a future economic
benefiL for the charity in the form of reduced future conrribuEions and the scheme deed allow5 for thè
repaymenf of any residual surplus that remains on the termination of the schème. after all liabilities to member5
54

have been fvlty setded.
The following disclosures are ryAde in attordance with the requirements of FRSIOI Figures we shovm r¢wnded
to the neareJ¢ £l,OCM).
The amount reco￿lSed in the Statement of Financial P03i¢ion is a5 follows:
Asat
31 October 2023
Amounts r•ca8nlsed In the
St•tem•nt of Fln#n¢lal. Poiltlon
A5at
31 Octobor 2022
Falr valu• of assets
2,379,000
2.628.0
Present value of funded obligations
N•t defin￿ b•n•fit a$8•tl(Il•blllty)
I2.125,￿0)
154.000
{2,419,0￿)
209.000
55

The Hospital of God at Greatham
Notes to the Flnanclal Statements (continued)
Year ended 31 October 2023
The falr value of the scheme's inv¢5tment a$sets at 31 October 2023 anaiyyed by m4or asset dass is as
fallows..
J l O¢tober 2023
Diversified 8rowth fund
1.327.OC(I
Index linw gilts
684.(b)
Corporat• bonds
364.CO)
Net current a55et5
Total
2.379,000
The change In the fair value of th* scheme's assets over tho year15 as follows..
Asat
3 l Octob¢r 2023
Asat
J l Octob•r 2022
Changé In falr value of sch•m¢ 4SWts
Filr valut of schem• ￿$•t5 at thè
be8lnnln8 of the year
Intsrex on as5et5
2,628,000
3,686,000
120,OC
64,￿0
Charl￿5 contributi¢)ns pald Lo schemè in year
58,OC¥)
73,0fy)
ContrIbu￿on$ by scheme participrts
Benefits pwd by Schemè in year
1171,OCQI
(102,OJOI
Administration costs
Changt due to setdemenu
Return on schèm• a55ets le$$ interest
1256,000)
11,093,OCQI
Fair value of scheme ￿9•ts at the end of
the year
2,379,000
2.628,000
The attual return on thè scheme's assets during the year was a105$ of £136.OCQ {2022..1055 of £1,029,0)0).
56

The Hospital of God at Greatham
Notes to the Financial Statements (continued)
Year ended 31 October 2023
The change in the present ￿lue of the scheme's funded defined benefit obligations over the year 15 as foll¢￿$..
Ch*n8¢ in pr¢s•nt y￿ut of d•finéd
b•nefit obllgatlons
Asat
31 Octob•r 2023
Asat
3 l October 2022
Defined b¢n¢fit obligatlons of the
scheme at the beginning of the year
Current service cost
2,419.000
3,839,QOO
32,OCQ
Contributions by Scheme parric5pants
Pdst sèrvi¢¢ ¢os¢
In¢erest COS¢
109,OC(J
66,0￿)
Btnèfits paid by 5chèmt in ytar
1171.OQJl
(102.0¢)))
Change due to se¢¢lemen¢5
xperience tsainlAos$ on defined benefit
obli
IKJn
82,0
Changes to demographic a55ump¢ions
17.OCQ
Changes to financial assumptions
1239,OC(JI
11,515,000
Deflned benefit obllgatlong of th•
Jch¢m¢ at the end of the year
2,125,000
2,419,000
The net amount reco8nlsed in the S￿teMent of Financial Activities is as follows..
Year ended
J l October 2023
Net amount recognised in the
Statement of FSnanclal Artlvitleg
Year ¢nded
31 October 2022
Total incomellcostsl recognised in the year,
a5 detailed below
Total re-rnea5urewnent gain51llosses} in the
ear, as detailed below
Charity's con¢ributyons paid to scheme in year
Net amount retO8nised in the
Statément of Finahclal Artlvltles
4,000
134,0001
{17,OCIJI
323,OC#)
58,OCi)
73,OCIJ
45.000
362.000
57

The Hospital of God at Greatham
Notes to the Financial Statements (continued)
Year ended 31 October 2023
The income and cosis recognised in the year are as follow
Year ended
31 Octobèr 2023
Year ended
31 October 2022
Costsl{Income) recogn15ed In the year
Current seryice cos¢
7.000
32,000
Admlni5tration toscs
109.OC*)
66.000
Interest on assers
1120.0001
{64,0001
Past 5trvice cos¢
Settlement cost
Total cost￿(Income} r•cognlJ•d In th¢
(4.000)
34.000
Th• rt-measurement gains and 105se5 recogni5ed in the year arè as follows:
R••mt•Jur¢ment loss¢sl(galns)
Y•ar ènd•d
reco8nls*d In the y•ar
31 October 2023
Lo551(gainl on scheme assets in exces5 of
InteresL
Year ended
3 l October 1022
256.0fy)
1.093.OCX)
Experiencè lo$Se￿(gains> on liabiliiies
Los5851(gainsl from changes to dèmographic
assum
uons
Losse51(gainsl from changes ¢0 finan¢ial
tions
assum
Total re.m*asur•ment losi•il(8ains)
reco
nised in the
¢ar
82,000
17,OC#)
{239.OCQI
(1.515,CO)I
17.000
(323.000)
58

The Hospital of God at Greatham
Notes to the Financial Statements (continiled)
Year ended 31 October 2023
Principal aJ>umptioni
The principal assump¢ion$ used ¢0 calcula¢e scheme liabilities in acc¢rdarnce vAth FRSI 02 are as follows:
31 October 2023
J l Octob*r 2022
Dlscount rate
5.55%
4.65%
Inflation
RPI
3.35%
3.20%
Inflation
cpi
3.05%
2.80%
Sala
Increase5
3.35%
3.20%
Pen5i0n increases - di5cre¢ionar
1.525%
1.35%
Pension increases . CPI max 5%
3.05%
2.70%
Pension in¢rèases - RPI max 2.5%
2.50%
2.20%
Post re¢lremen¢ mortall¢y
S3NA tables wlth CMI
2021 projection5 using a
long-term improvement
rate of l.SO%
S3NA tables wlth CMI
2021 projection5 Using a
long-term improvement
rate of 1.50%
Commutation
Member5 are a55umèd to take 20% of cheir pen$lon
as cash at retiremen¢
fe expec¢ancy at age 65 of male aged 45
24.1
24.0
fe expectancy ar age 65 of male aged 65
22.5
22.4
fe expectancy at age 65 of female aged
45
26.7
26.6
Life expectancy at age 65 of female aged
65
25.0
24.9
59

The Hospital of God at Greatham
Notes to the Financial Statements (continued)
Year ended 31 October 2023
23. AD•lys1s of charltablt funds
UnreJtrltt*d funds
Ai
l Nov 2022
Gains and
losses
At
31 Oct 2023
Income
Expendlture
Transfer5
General fund
Fundraising fund
Developmeni fund
Exiraordinary
repair fund
1710,5711 3,370.544
46.640
9,446
13,737.915) 1447,4551
16.562)
57,307 (1,468,090)
49,524
1,871,374
1290,4281
535.440
2,116.386
1.207.443 3,379,990
14,034,905)
87,985
57.307
697,822
R•*tr1<t￿ fundi
Galns and
losses
At
3 l Ott 2023
l Nov 2022
In¢omè
Expenditure
Transfers
The Charity of
Emma Simpson for
Almshouses
1,055,753
38.879
{60,8741
2,044
1.035,802
Endowm•nt funds
Gains and
losses
At
31 Oct 2023
l Nov 2022
Incornè
Expenditure
Transfers
Endowment Fund
Jilding Fund
Stockton Relief in
Need Fui)d
40.819,493
1.260,033
285,201
1156,1461
187,9851
1,965,158 42,825,721
1,260.033
151,556
4,764
110,0001
11.6571
144.663
42.231.082
289,965
(166.146)
187,9851
1.963,501 44,230,417

ln previous years the Building Fund treated in the accounts as being part of the chariry's unrestrfrted lunds.
Durlng che year this treatment wa5 remewed. and rc was decided that the Bulldlng Fund should be regarded as
part of the charity's endowment fund5 based upon the fact that the primary purpose of the Building Funtj is to
hold the net proceeds from the disposal of endowment properries pending the reinves¢ment of these proceeds
in the wrcha$e or building of new properties. This redas$ification is rdec¢ed in these accoun￿ includin¥ in
any comparatives shown for the previous year end.
61

The Hospital of God at Greatham
Notes to the Financial Statements (contj'nued)
Year ended 31 October 2023
24. Anajysls of net *iJtti b•tw•en funds
2023
Unre5tritt•d Restricted Endowment
funds
funds
funds
Tot*1 funds
Flxtd ass•ts
Tangible fixed assets
Investments- investmen¢ properries
Investments- listed Investments
70,129
811,820 7,359,367
13,301,653
68.701 21,434,708
,241,316
13.301,053
22.555,S86
,052,117
.122.246
880.521 42.095.788
44,098.555
Debiors
Cash aL bank and In hand
Creditor5 due within onè year
1nter.fund balance5
329,703
1,838,764
(454,538)
(2,302,929)
329,703
1,038,764
(467,557)
(13.019)
155,281 2,147.048
(589,000)
155.281 2,134,629
1.700.910
Tot*1 asseti l•ss current
Il•bllltlei
533,246 1,035.802 44,230,417
45,799.465
Crtditors.. amounts falling due after
more than one year
Pension scheme asset
{J9.426)
254,000
(89.426>
254,000
Net *isets {total fundg)
697,820 1,035,802 44.230.417
4S,964,039
2022
Unrestricted Restrlrted Endowmenc
funds
funds
fund5
Total funds
Fixed assetg
Tan&ble fixed assets
Investments- investment properties
InvestM￿¢5- listed investmenES
60.038
832,636
7,548,069
11,418,250
66,657 21.238.547
8,440,743
11,418,250
22,347,719
1,042,515
62

1,102,553
899,293 40.204,866
42.206.712
Net currtnt ass*ts
Debtors
Cash at bank and in hand
Creditors due ￿thin one year
Inter-fund Wances
470.040
1337.105
1612.4911
11207.9781
470.040
2.337,105
1637.7931
125,3021
1 $6,460 1051,518
(13,3241
156.460 2.02&216
2,169.352
Trtal assets leyi curr•nt
Ilabllltlos
1.089.229
1,055.753 42,231,082
44,376.064
CredStors- amounts falllng du• after
more than one year
Provlslons for liabillue5
{90,7861
209,(MXJ
190.786)
209.000
N¢t assets (total funds)
1.207.443
1.055.753 42,231.082
44,494,278
63

The Hospital of God at Greatham
Notes to the Financial Statements (continued)
Year ended 31 October 2023
25. Trnst•e rnlated party ¢r•nsactlons and Inter•sts
Rober¢ Eden, who seThed as trustee during the Jpar, was durlng the year an employer-nominated trustee ol
the Grèatham Hospltal Penslon Schema of which the char5ty Is the sponsoring employ•r.
Trvstees are rdmbursed for thelr travel on a mlleage basls. Durfng thè year three trustee5 wer• a
comblned total of £739 in re$p¢rt of their travelling cost5 (2022.. £470).
26. Going cpn¢•rn
The trusthès consider that the charity is a going concern and that thert arè no material uncertain¢ies or events
whlch cast doubt upon Its abllity to condnue as a golng concern. In assessing the goin8 concern position of the
charity for the year ended 31" October 2023 the trus¢ees have consldered the oU￿00k and In dolng so looked
ar the future opera￿n8 resylts, ¢￿h fl¢)ws and facllltses available. Bas•d on these facts tht going concern basis
has been adopted in tht preparatl¢)n of the flnancial stat¢rnenu.
END