South Bucks Hospice ENHANCING QUALITY OF LIFE WITH OUTPATIENT CARE Annual Report and Accounts 2023-2024 Registered Charity Number: 1128881 Company Number: 06775584 •A￿￿8H0B5ty 04112r2024 COMPANIES HOUSE A16 *165 Contents Report of the Board of Trustees References and Administrative Oetails Chairman's Statement About Us Our Impact Progress Towards our 2023 - 24 Strategic Aims Our Focus for 2024- 25 Our Fundraising Our Finances io Principal Risks & Uncertainties 12 Structure, Governance & Management 13 Independent Auditorfs Report 15 Financial Statements 18 Notes to the Accounts 21 Find out More 29 South Bucks Hospi£e References and Administrative Details REGISTERED OFFICE ADDRESS Butterfly House Kingswood Park High Wycombe Buckinghamshire HP13 6GR EXTERNAL AUDITORS Haysmac LLP 10 Queen Street Place London EC4R IAG PRINCIPAL BANKER Lloyds 27-31 White Hart Street High Wycombe Buckinghamshire HPII 2HL CHARITY REGISTRATION NUMBER 1128881 COMPANY REGISTRATION NUMBER 06775584 PRINCIPAL SOLICITORS Blaser Mills LLP 40 Oxford Road High Wycombe Buckinghamshi HPII 2EE PATRONS S Baker MP Iresigned 02 Aug 24) Baroness Finlay of Llandaff M Harker OBE R Jefcoate CBE DL BOARD OF TRUSTEES D R Ellis 08E Ichairmanl D Balls (resigned 08 May 241 J L Kerridge C A Langlev HYWLav J B Pickersgill (Vice Chairman) (resigned 31 Mar 241 Dr S Procter S V Rabheru Iresi£ned 07 May 241 P J Watkins South twcks Hospicè Chairman's Statement The Board is currently engaged in our 3-year planning process, considerin8 the challenges to the sector as a whole and the opportunities to expand our service5. We see collaboration between hospices as a way of increasing availability of our key services. We have already begun collaborating with Rennie Grove Peace Hospice and we are now supporting additional patients in our area. Our sUPPOrter5 continue to generously help us increase the income needed to fund our services. Without this support, we could not exist. Whilst the demand to support patients with life limiting illness increases. so do our costs. New and innovative ways of generating income will continue to be a priority to allow us to tontinue providing our vital service5. David Elli5 08E, Chairman On behalf of everyone at South Bucks Hospice. l am delighted to share our annual review. which provides an opportunity to reflect on our activities across the year and to share our plans for the future. During the financial year we opened new shops in Amersham and Chalfont St Peter, we also identified a Slte for a new Superstore and Donation Centre which will significantly enhance our retail income opportunities. 2023124 was a challenging year for the hospice sector as a whole. We were not immune to those challenges, with less than 4% of our income coming from the NHS. We saw a 43% increase in patients supported bythe nufsing team. and a 47% increase in patients receiving support from the counselling and bereavement support services. Finally. we would not be able to support the residents of South 8ucks without everyone who supports the hospice. l am immensely 8ratef ul to every volunteer, staff member and supporter for their tirele55 contribution to the hospice and therefore the people we care for. thank you. Our goal is to as515t people in our community to live the best life, irrespective of their condition. Early referral, whether following a curative or life-limiting diagnosis, is important in helping patients come to terms with their illness and positively plan for the future. A diagnosis can impact a whole family and carers, our counselling services so support patients. family and carers and have seen a marked increase in demand. Dab/id E//is David Ellis OBE Chairman We continue to feel like the best kept secret in South Bucks but have invested in comrnunications, social media and our outreach program to ensure thot our support for people in our community with life limiting illness is better known. sO￿h Bucks H05pi¢e About Us OUR HOSPICE & SERVICES OUR SERVICE5 ARE FREE The diagnosis of a life-threatening or life-limiting illness can be devastating and no-one facinE this has to do it alone. We are there to SLlPPOrt people during these difficult times through OUT wide range of care and support. All our services are provided free of charge thanks to the generous support of people in our cornrnunity who generate almost all the income we need to provide our services. We do however need to secure more sustainable funding longer term to enable us to grow our services and support more people in need in the community. At south Bucks Hospice we help people to live well and improve their quality of life. despite being diagnosed with a life-threatening illness. Our team of professionals specialise in supporting people from the early stages of their joumey through ill- health, to enhance their quality of life- OUR HOLISTIC APPROACH Nursing Care Giving them time to talk and be heard Helping them and their family come to terms with their diagn0515 Preparing for, coping with and recovering from treatment Assisting around a third of our patients through recoverv Being there for our patients, families through bereavement and as they adjust to their loss Physiol Therapies Complementary Therapies Spiritual Care Counselling Prartical Support Importantly our support can start at any stage of illness including as soon as an illness has been diagnosed and whilst it may still be curative. Bereavement Support OUR VALUES Our focu5 15- To provide relief from pain and other troubling symptoms To support emotional and spiritual needs To provide practical support Compassionate We treat everyone with compossion in o coring, safe t7nd 5UPPOrtive environment. Aspirational We ospire to be the best in eyerythinq we do Respectful We VL71ue each person 05 on individual, treating everyone with dignity ond respect Enabling We enoble ond empower people OUR LOCATION We based High Wycombe Buckinghamshire, and we support patients, their families and carers living in or registered with a GP in South Buckinghamshire. are Ourpatients are at the heart of everything we do. South Buck5 H05pice Our Impact "At the time having gone through a mastertomy. chemo and radiotherapy Lymphoedemo seemed another big 'hurdle' to endure. I cannot begin to tell you how much the care and supportfrom the Lymphoedema Nurses helped me to leorn to cope with it.- 670 people were supported by the hospice during the year. of which: "I cannot thank SBH enough, I have attended o group and had a course of counsellingi this has helped me move on with my life now l am in remission. tsfefeels different now. amazing place that got me through on incredibly tough time. The nurse whofirst contacted me immediately mode things easier, Ifelt heard ondfelt Straight away they could help me.- I ve had very good core. I've been suggested therapies to help me move on in lifc. All staff have been very understanding so please keep up the good work. Thonks.- 311 people were referred to the hospice in the year 505 people nur.sing were supported 363 people were lymphoedema people conselling received support bereavement service people attended activity group's support -We've been involved with the hospice for some time now. We've olways been shown ab501ute kindness und courtesy* ond to be honest, I really don't know how we would both have monaged without the help of all the people we are involved with. It's always so welcoming and peaceful, o reolly nice place to be" I could not have got through breast cancer without your 5UPPOrt. Thank you- "I cannot imogine anything that must or should be improved other than those things necessarily constrained by availablefinance. The Staff from CEO to cleoners have a wormth. core and generosity that exceed5 anything I hove ever previously encountered. I have thefondest of memorie5 from my time within South Bucks Hospice ' South Bucks Hospice Progress Towards our 2023-24 Strategic Aims I. GROWTH IN CHARTABLE REACH TO ENSURE WE ARE PROVIDING MORE HOURS OF PATIENT CARE We have started our Compassionate Community initiative to help build support networks in our community, with the first being a community café supporting cancer patients. Our outreach team continued to explain and promote our services through engagement with the oncology teams of all the local hospitals. through quarterly contact with the 42 GP practices in South Buckinghamshire and with complimentary services within our area. We acquired the 5UPPOrt of a communication specialist who manages our external profile, resulting in,. increased media coverage, presence in community magazines, more frequent radio slots, more Social media channe15 and driving the collection of patient stories. This year we have also.. 3. GRowfH IN INCOME GENERATION engaged with local homeless 8roup'5. made connections to community partnership group s sUPPOrting the LBGTQ+ community increased the diversity of our teams, with the goal of ensuring these harder to reach group's, have access to palliative care services when the need arises We opened new shops in Amersham and Chalfont St Peter. doubling our shop capacity irb our community. Both Shops have started well nd will make a major contribution to our income generation in 2024, their first full year of operation. We grew our co-operation with the local prison service to refurbish discarded bikes for resale in our re-use centres. We started a Collaboration with Rennie Grove Peace Hospice to offer appropriate day hospice Services to some of their patient5 in our local area. Early in the year we successfully recruited into our FundraisinE department and in parallel gained additional help in identifying and securing new grants. We have an excellent collaboration with the Stoke Mandeville Clinical Psychologv Department where we cross refer patient5 to each other depending upon their need. We attended many more networking event5 to raise awarenes5 of our services and highlight the need to raise funds for our work with patients with life limiting illnesses. We increased our individual and family support services with 73% more hours of care offered and a 94% increase in patients seen. This was as a result of our highly successful placement programme which doubled the number of volunteer counsellors. 4. STRONGER GOVERNANCE AND A NEW 3-YEAR STRATEGY Our desire to deliver more care, to more people in more ways. was at the heart of the review of our clinical strategy. This involved 3 deep dive into the opportunities to develop our earlv support and clinical services. Completed late in the year, this now forms the basis for developing the full strategic plan. Significant work was undertaken in developinE a new 3-year clinical strategic plan which will now dovetail into the overall strategic plan for the organisation. 2. INCREASING AWARENESS IN THE COMMUNITY We submitted a new patient safety framework to Ihe Integrated Care Board. which has been agreed in principle and awaits ratification. We regularly attend inter-hospice clinical meetings to share knowledge. understanding and our service5 With each other to promote palliative care within our community. %iuth Bulk5 Hos lee Our Focus for 2024-25 I. COMPLETING THE 3-YEAR STRATEGY We will empower our patients to live independently by sign posting them to informal local group's and organisations who can compassionately support them through their journey. The well feported challenges of the hospice sector will feed into our strategic thinking and the work undertaken at the end of last year with the clinical strategy. We will continue to raise awareness of our services with Social prescribers, GPS, community and with other healthcare organi5ations. highlighting through patient stories the psythological benefit5 that early referral can bring. We will work with hospices in Buckinghamshire to provide clarity in the level of palliative and end of life support that we jointly offer. We will finalise the 3-year strategy which will form the basis of driving our hospice service for the benefit of the residents of South Buckingharnshire. We will develop our volunteer engagement program to support every aspect of our services, to promote our capabilities, support our retail outlet5 and contribute to the running of the centre. 2. INCOME GENERATION We will open a new superstore and donation centre which will allow for the provision of new revenue generating services and support the existing retail estate. We will further develop our partnership with His Majestie5 Prison Service to maximise the opportunities to enhance the value of recycled products through our retail sltes. We will continue to enhance our fundraising by engaging regularly with all our supporters. 3. INVEST IN OUR NURSING AND LYMPHOEDEMA SERVICES We will invest in our nursing services to address the need5 of patients requiring symptom and palliative care management or support. We will continue to develop our own pipeline of fully qualified Iymphoedema nurse specialists. 4. EXPAND OUR CONNECTIONS IN THE COMMUNITY We will work with local organisation5 to create community support group s where are patients can find sanctuary after the cornpletion of treatment. South Bucks Hospice Our Fundraising We receive less than 40A of our income from the government, fundraising is our life blood. Without fundraising we would not be able to provide our services to those who need our help and support. Every pound donated brings us one step closer to caring for our next patient. All our services are provided free of charge and 96% of our income comes from the kindrbe55 of those in our community. It is important to us that those who give to our Charity understand the impact of their generositv and how their giving helps. REGULATION As part of our commitment to best fundraising practice, South Bucks Hospice voluntarily subscribes to the Fundraising Regulator. We report our complaints to the Fundraising Regulator. We received no fundraising complaints during the year. We are committed to adhering to best practice. applicable law5 and codes. such a5 the Fundraising Regulator'5 Code of Fundraising Practice. WAYS TO SUPPORT US There are a range ofways to support our work. These include= COMMUNICATION Regular giving We keep our sUPPOrter5 UP to date about our work, fundraising and retail activities, where permitted. Legacy giving Attending fundraising events Grant funding We do not use fundraising agencies.. Shopping in and donating to our charity shops and reuse centres GENERAL DATA PROTECTION REGULATION The privacy and security of personal information is extremely important to U5 and as such we are committed to adherence to UK Data Protection Volunteering Business partnerships Regulations. OUR FUNDRAISING COMMITMENT COMPLAINTS We promise: We strive for the highest standards however it is possible that there are occasions when we do not get things quite right. To keep our supporter5. details safe. We will not Sell or pa55 their details to anyone who is not working directly on our behalf. We take any complaints raised seriously and investigate them promptly. All complaints are dealt with sympatheticallv and thoroughlv. We promise to communicate with our supporters in a way that suits their needs. South 8uths F105pice Our Finances FINANCIAL SUMMARY INCOME At the start of the year, we anticipated making a Significant loss for 2023124, largely due to planned recruitment. The Charit(s incorne, excluding unrealised gains and losses on investments, increased by 15.9% from £1.654m to £1.917m. At the end of the financial year. we made a deficit of £235,509 before unrealised gains on listed investrnents of £11,394. This deficit was significantly less than planned largely due to difficulties recruiting into roles resulting in expenditure being later than originally anticipated. The overall deficit including unrealised losses on investment was £224,115 for the year. A summary of the income and expenditure is as follows: This increase wa5 driven by a growth in retail, throuEh the opening of new shops and fundraising. both also benefiting from an increase in gift aid. Incorne 2024 2023 Change £'ooo £'ooo 68.7 67.5 516.0 419.3 1,324.0 1,148.0 Statutory income Fundraising Retail 1.8% 23.1% 15.3% 3800.oyo 199.0¥01 15.9% Net income 2024 2023 Change £'ooo £'ooo 1,916.8 1.654.1 15.9% 2,152.3 1,855.3 16.0% 1235.51 1201.21 117.0%) Investments Other Total Gains11055e5 on investments Total 19.1 Total income Total expenditure Net income Unrealised gains/llossesl on investment Net income 1,916.7 1,654.1 11.4 18.41 235.7% 1,928.1 1,645.7 17.2% 11.4 18.41 235.7% 1224.11 1209.61 16.9%) EXPENDITURE In order to best illustrate where our income comes from and how this is applied to our charitable work, we have used the net income approach to show this= The Charity's expenditure in¢reased frorn £1.855m to £2,152m. Expenditure 2024 £'ooo 1.150.2 2023 Change £'ooo 930.2 Net income by source 2024 £'ooo 352.2 2023 Change Retail Other cost of raising funds Patient Care Total 23.7% Fundraising Retail Inve5trnents 297.2 18.5% 217.8 120.2%) 18.21 334.1% 86.6 120.4%) 163.8 122.1 34.2% 173.8 838.3 803.0 24.9% 19.2 69.0 2.152.3 1,855.3 16.0% Other. Less expenditure on objectives Totol The main increase in our costs wa5 35 a result of investment and set up of the new shops. 838.3 803.0 4.4% 1224.11 1209.61 17.0%) •lncludes clinicul commi55ioning 10 South 8u£ks Hospice Our Finances RESERVES The trustees are however mindful that the hospice's income needs to increase significantly if it is to fulfil its longer term aims to provide greater palliative care 5UPPOrt in the community. South Bucks Hospice's reserves policy is in place to safeguard against unforeseen fluctuations in income. This allows US to ensure that we can continue to provide our services during these times. On 31 March 2024, South Bucks Hospice held total funds of £6,334.635 12023.. £6.558,751} of which £1,592.351 {2023: £1.686.640} were restricted. Of thetotal funds. £4,622,52912023'. £4,610,208) were held as fixed asset5. We started the financial year in a strong position and planned to make a financial105s during the year. The planned loss anticipated investment in our services, largely investment in new staff, however recruitment during the year proved challenging once again. Delay5 in appointing to the new posts means that the anticipated loss and subsequent fall in our reserves were not at the level anticipated at the start of the year. INVESTMENTS South Bucks Hospice's objective is to produce the best financial retum on cash reserves within an acceptable level of risk. Capital preservation importance. is therefore of high Our policy on reserves for the year was to hold free reserves of at least 40% of projected annual operational expenditure. Our reserves level at the end of the year was higher than this however it reflects the increasing risk around income generation and the current difficult economic climate with inflation rising and significant increases in energy prices. Our financial projections indicate that our reserves will decrease significantly within the next two financial years. and we will need to carefully manage our resources to ensure that we remain compliant with our reserves policy lonEer- term so that we are able to continue to offer care in our community both now and in the future. As such. an amount at least equal to the Reserves Policy is held in cash or easily liquidated deposits to ensure capital protection and interest income. Most of the hospice's funds were held in cash durin8 the year. During 2023124 we saw our investments increase and there is unrealised surplus of £11,394. These long-term investment funds are designed to provide high and growing income, whilst at the same time protecting capital from the erosive effects of inflation. FIXED ASSETS AND CAPITAL EXPENDITURE Our level of free reserves at the end of the year was £1,517,855. This higher level of end-year reserves over our reserves policy means that we can continue with our plan to invest in the growth and development of our charity in the short-term during the current difficult economic climate. The majority of our fixed assets comprise the land, building, furniture and equipment at our hospice. Other assets include our shops and vans. We had no capital comrnitment5 at the end ofthe year. At the end of the year, the trustees were pleased to be in the position to be able to designate funds of £293,000 for investment in 2024125 for the development of hospice services. South 8uck5 H95Plte Principal Risks & Uncertainties The Board of Trustees are responsible for identifying and managing the major risks facing South Bucks Hospice and are satisfied that the steps being taken to mitigate risk meets the needs of the Charity. To this end. South Bucks Hospice maintains a risk register which is regularly reviewed by the trustee5. There are also a number of systems of control in place to monitor risk-. The Charity has operational subcommittees in place to which responsibilities in key areas of risk are delegated There is an annual planning and budgeting proce55 in place which is subject to ongoing review during the year by the Board of Trustees The m05t significant risks and uncertainties identified. and the steps being taken to mitigate these risks are.. MITIGATION 'PRINCIPAL RISKS AND UNCERTAINTIES ]rn_ Income Insufficient growth in stable and sustainable income to 5UPPOrt the ongoing operational costs of the hospice and its other business needs We have diversified income strearns Financial performance, including cash flow forecasts, are produced and reviewed on a regular basis A reserves policy is in place and the reserves position is regularly monitored by the Finance and General- Purpose Committee at eath meeting and by the Board of Trustees Clinical Services The risk that the quality of our clinical service is compromised We have a Clinical Committee in place to oversee the governance of our clinical seNice We provide high-quality training to our clinical staff We are regulated by the Care Quality Commission ICQC) and monitor and regularly review our clinical operation against the CQC framework. Policies and procedures are in place and regularly reviewed Patient feedback and incident reporting is in place People The risk that we are unable to retruit and retain the right people to support our fvture strategy which may lead to an inability to deliver services and strategy Although recruitment remains challenging, our reserves enable us to continue to be in a position to invest in our development and growth We have made improvements to our statutory and mandatory training for staff and widened the availability of training opportunities within the charity. We remain committed to provide greater training opportunities and continuin8 professional development South Bucks Hospice Structure, Governance & Management STRUCTURE and performance. It will determine overall policy and trustees are required to formally declare any conflirts of interest at each meeting. The Charity was originally constituted as Charitable Trust and governed by a Trust Deed. dated 20th October 1986. On 17th December 21x18. the Trust's charter and all its assets were transferred and becarne a new Company. limited by gu3rantee, maintaining its charitable status and service aims. The Charitable Company is a companv limited by guarantee and is reE15tered with the Charities Commission as a Charity. The liability of its members, in the eventthat, the charitable company is wound up is limited to £1 per member. MANAGEMENT The Board delegate the day-to-day responsibility for the operation of the Charitable Company and its main services to the Chief Executive, as515ted by staff and volunteers. Responsibilities were also delegated to its committees during the year which reported back to the Board on a regular basis. The pay of the Senior Management is set by the Board of Trustees and is based on remuneration TRUSTEES leve15 for similar role5 in other charities. The Charitable Companyis managed bythe Board of Trustees, who are unpaid director5 for the purpose of company law. Appointment to the Board of Trustees is by resolution of the 803rd members. The trustees have no financial interest in the Charitable Company. COMMIThEES The two trustee led committees operated during the year. the Finance and Gener31-Purpose Committee and the Clinical Committee These committees met at least four times during the year. and all had trustees serving on them. Trustees are recruited to ensure that the Board maintains a suitable mix of skills. knowledge and experience for the Hospice. including clinical expertise. A staff led Health and Safety Committee also met several times during the year. The power to appoint new trustees is vested in the existing trustees. in accordance with the Charitable Company's Articles and Memorandum of Association. RELATED ORGANISATIONS The Charity has two wholly owned subsidiaries, South Buck5 Hospice Development Company Ltd, which wa5 formed on 6th August 2013 to construct a new hospice on behalf of the Charity and South Butks Hospice (Trading Company) Ltd dormant since incorporation in 1994. When new trustees are appointed. they are inducted through a process of consultation with existing trustees. New trustees are given relevant training in the responsibilities and duties of trustees of the Company as set out in Charity Commission guidelines and the Company's Articles and Memorandum of A550ciation. Further guidance is also provided to new trustees through Hospice UK, of which South Bucks Hospice is a member. STATEMENT OF TRUSTEES. RESPONSIBILITIES The trustees (who are also the directors of the Charity for the purposes of company lawl are responsible for preparing the trustees, Annual Report and Accounts in accordance with applicable law and regulations. The Board meets at least four times per year to review and direct South Bucks Hospice's strategy Souih ilvcks Hospi Structure, Governance & Management Company law require5 the trustees to prepare accounts for each financial year. Under that law the trustees have elected to prepare the accounts in accordance with United Kingdom Generally Accepted Accounting Practice (United Kingdom Accounting Standards and applicable13wl. In so far as the trustees are aware.. There is no relevant audit information of which the Charity'5 auditor is unaware.. and The trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditor is aware of that information. Under company law the trustees must not approve the accounts unless satisfied that they give a true and fair view of the state of affairs of the Charity and of the group and the incoming resources and application of resources, including the net income or expenditure of the group for the year. PUBLIC BENEFIT We have referred to the guidance in the Charity Commission's general guidance on Public Benefit when reviewing our aims and objectives and in planning our future activities. In particular, the trustees have considered how planned activities will contribute to the aims and objectives they have set. In preparing those accounts. the trustees are required to.. Select suitable accounting policie5 and then apply them consistentlv Observe the methods and principles in the Charities SORP Make judgments and estimates that are reasonable and prudent State whether applicable ' UK Accounting Standards have been followed, subject to anv material departures disclosed and explained in the accounts Prepare the accosjnts on a going concern ba51S unless it is inappropriate to presume that the charity will continue in operation. The trustees confirm that they have complied with the duty in section 4 of the Charifies Act 2011 to have due regard to the Public Benefit guidance published by the Charities Cornmi55ion in determining the activities undertaken by the Charitv. The trustees have taken the exemptions available to small companie5 and have not prepared a Strategic Report. CHARITY GOVERNANCE CODE The Board of Trustees is committed to ensuring that high standards of governance are in place. As part of that commitment. the Board of Trustees will work to the Charity Governance Code. The tru5tee5 are responsible for keepin8 adequate accounting record5 that are sufficient to show and explain the Charity's transactions and disclose with reasonable accuracy at. any time the financial position of the Charity and the group and enable them to ensure that the accounts comply with the Companies Act 2006. They are also responsible for safeguarding the asset5 of the Charity and the group and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. APPROVAL This report was approved by the trustees and signed on their behalf on 22nd November 2024. Dab/id E//is D R EIIi5 OBE Chairnlan 14 th 8uck5 H05pice Independent Auditor's Report to the Member of South Bucks Hospice OPINION CONCLUSIONS RELATING TO GOING CONCERN We have audited the financial statements of South Bucks Hospice for the year ended 31 March 2024 which comprise the Consolidated Statement of Financial Activities, the Con501idated and Charity Balance sheet. the Consolidated Cash flow Statement and note5 to the financial statements, including a summary of significant accounting policies. The financial reporting framework that ha5 been applied in their preparation is applicable law and United Kingdom Accounting Standards. including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice). In èuditing the financial statement5. we have concluded that the trustees. use of the going concern basis of accounting in the preparation of the financial statement5 is appropriate. Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the Eroup's and charitable company'5 abilityto continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue. Our responsibilitie5 and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report. In our opinion, the financial statements: give a true and fair view of the state of the group's and charitable company's affairs as of 31 March 2024 and of the group's and charitable company's net movement in funds. including the income and expenditure. for the year then ended,. have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice,. and have been prepared in accordance with the requirements of the Companies Act 2(M)6. OTHER INFORMATION The trustees are responsible for the other information. The other information comprises the information included in the Trustees, Annual Report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report. we do not express any form of assurance conclusion thereon. BASIS FOR OPINION In connection with our audit of the financial Statement5, our responsibility IS to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements. or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there 15 3 material 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 15 material misstatement of this other inforrnation, we re required to report that fact. We have nothing to report in this regard. We conducted our audit in accordance with Internation31 Standards on Auditing IUKI IISAS IUKII and applicable law. Our responsibilities under those standards are further described in the Auditorf5 responsibilities for the audit of the financial statements section of our report. We are independent of the group and charity in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK. including the FRC'S Ethical Standard. and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion. uth t5ucks FIOS Independent Auditor's Report to the Member of South Bucks Hospice OPINIONS ON OTHER mA￿ER5 PRESCRIBED BY THE COMPANIES ACT 21)06 RESPONSIBILITIES OF TRUSTEES FOR THE FINANCIAL STATEMENTS explained more fully in the trustees. responsibilities statement set out on pages 13 and 14, the trustees Iwho are also the directors of the charitable company for the purposes of companv 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 our opinion, based on the work undertaken in the course of the audit= the information given in the Trustees. Annual Report Iwhi¢h includes the directors. report prepared for the purpose5 of company lawl for the financial year for which the financial statements are prepared 15 consistent with the financial statements,. and the directors, report included within the Trustees, Annual Report have been prepared in accordance with applicable legal requirements. MATTERS ON WHICH WE ARE REQUIRED TO REPORT BY EXCEPTION In the light of the knowledge and understanding of the Eroup and charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the Trustees, Annual Report (which incorporates the strategic report and the directors. report). n preparing the financial statements, the trustees are responsible for assessing the group's and charitable company's ability to continue as a going concern, disclosin& as applicable. matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charitable company or to cease operations. or have no realistic alternative but to do so. We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, in our opinion.. • adequate accounting records have not been kept by the group and charitable company,- or the group and charitable company financial Statements are not in agreement with the accounting records and returns. or certain disclosures of trustees. remuneration specified by law are not made; or • we have not received all the information and explanation5 we require for our audit,. or the trustees were not entitled to prepare the financial statements in accordance with the small companies, regime and take advantage of the small companies, exemptions in preparing the tru5tees' report and from the requirement to prepare a strategic report AUDITOR'S RESPONSIBILITIES FOR THE AUDIT OF THE FINANCIAL STATEMENTS Our objectives are to obtain reasonable assurance about whether the f inancial statement5 a5 è whole are free from material misstatement, whether due to fraud or error. and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance. but is not a guarantee that an audit conducted in accordance with ISAS IUKI will always detect a material mi5Statement when it exists. Misstatements can arise from fraud or error and are considered material if. individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements. Irregularities, including fraud, are instances of non- compliance with laws and regulations. We design procedures in line with our responsibilities. Outlined above, to detect material misstatements in respect of irregularities. including fraud. The extent to which 16 South 8vck5 Hospice Independent Auditor's Report to the Member of South Bucks Hospice our procedures are capable of detecting irregularities, including fraud is detailed below: Because of the inherent limitations of an audit, there is a risk that we will not detert all irregularities. including those leading to a material misstatement in the financial statements or non- compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements. as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error. as fraud involves intentional concealment, forgery, collusion. omi55i0n or misrepresentation. Based on our understanding of the group and the environment in which it operates, we identified that the principal risks of non-compliance with laws and regulations related to health and social care and charity and company law applicable in England and Wales, and we considered the extent to which non- compliance might have a material effect on the financial statements. We also considered those laws and regulations that have a direct impact on the preparation of the financial statements such as the Companies Act 2006 and the Charities Act 2011. A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditorfs report. We evaluated management's incentives and opportunities for fraudulent manipulation of the financial statements (including the risk of override of controls), and determined that the principal risks were related to revenue recognition, in particular in relation to income from donations. legacies and income from charitable activities. and management override of controls. Audit procedures performed by the engagement team included-. inspecting correspondence with regulators and tax authorities. discussions with management including consideration of known or suspected instances of non-compliance with laws and regulation and fraud,. evaluating rnanagement's controls desiEned to prevent and detect irregularities- identifying and testing journals, in particular journal entries posted with unusual account combinations, p05tings by unusual users or with unusual descriptions: reviewing the cut-off of income recognised to consider whether income had been recognised in the correct accounting period,. and challenging assumptions and judgements made by management in their critical accounting estimates. Use of our report This report 15 made solely to the group and charitable company's members, as a body. in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable company's members those matters we are required to state to them in an 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 charitable company and the charitable company's members. as a body, for our audit work. for this report. or for the opinions we have formed. Lee Stokes (Senior Stotutory Auditor) for ond on beholf of Hoysmoc LLP. Stotutory Auditor Dt7te.' 29 November 2024 10 Queen Street Ploce. London, EC4R IAG 17 South Bucks Hosplce Consolidated Statement of Financial Activities for the Year Ended 31 March 2024 lincorporating the income and expenditure account) iozj Totsl un￿￿1(￿ed Re5triae¢ Unwestrirted Resirirted es Inu•mÈ frwn- Donat40nsand le$a￿e5 DDnati¢ns Le8aues Clinital ctynmissionin Total Income from donations ￿ legaues *J(8.373 34.743 345.228 14515 67.532 429.275 S5,314 4D),542 16,515 67.532 &8.747 539.383 34.743 574126 55,314 ot￿rtradI￿ attyvities L324.ClYJ LO,643 1.334.652 1.147.W) 1258 1.150.257 LJ47,99) 2,258 L19).257 e¥ents r• > ￿. IQ643 Totsi iveome frorn othtwttsdin Invests*ent in¢ome 155 155 OtherbnttsFnè 217 .217 IX588 19.132 Tot31 intamÈ 1,882.055 34.743 1.591275 58.858 1,654,133 Expenditure tyi.. paisingfund5 L145.Z36 4.955 tT.Lw191 P*.- W*6" '4.w4.017 930.195 122,087 I052,28Z Other Total ex 35.524 .519 86.563 8&763 endItU￿ on raisinzfunds L222.5 91.517 Ch￿table athwives Paiiefjt Cafe Total ex e￿dIt￿re oniharitable xtiwties 0.774 .774 37.516 37.5161.. 743.145 743.145 59.868 59.868 &)3.013 3.013 Total ex nditufe 1023,274 129.033 ".2.151307 1,7LH664 146,631 l855,295 14et incomel lexpenditurel fortheyearbefore galnsand losseson inb*#ments 114l2al I94.￿) li￿389? 187.7731 13IL1621 NetG¥inslllossesl w ￿n￿stments 113y 143991 1&3991 Net incvrnellexpeNlitu forthe¥ea IU9.8261 194.2891 Ir.'.-,1224ll51 112Ln81 IYYJ.S611 Trtnsfers betweenfvnds I033 11.033 mo¥tment irtftsnds IW.8Z6J 194.2891 11224,1151 I1￿7551 lJ19.5611 Total fund5brtsu8htforwxd 4.871110 I￿641 5S8.751 4.99l L775.447 &768,312 Toial fundscarri¢dfonvard 4.741284 ISg351 4.8YIIIO 1.686,641 6.558,751 All amounts relate to coniinuing operations. All 8ains and Eos5e5 recognised in the year are included in the Consolidated Statement of Financial Activities ISOFAI. The Con501idated Statement of Financial Activities is for the Group. 18 South Buck5 Hospice Company registration Number: 06775584 Consolidated & Charity Balance Sheets at 31 March 2024 r 2014 2023 23 Charity (knup Tafftgtsleas5Ets ImiE5tnlènts ,.¥￿.5?9. 4.fjZ7.5 4.é10,207 462.8B4 5.on1191 4M0207 402W5 5X173m Sth4* Qebknr5 Shorttprm dep05 (ash athankard In hahd 1591 3397 I4￿3￿1 29Q281 L2 L681546 3997 1403 290284 1246Jfyl 12 . I￿0$? . 343.Q61. IA82.7•4-- . I￿83.￿1,, 11a￿•11s 13 217.112 986 - lJ65 71 6711 IA85 $9 TotslJwt51e¥uwwentlithhllies . 6J34636. 3x636., 6558351 6558.751 ionB LèWtie5 CrEdYtws=amounts lallDB due4fterone Total&ss*t51tJ5 tot41 fjabiNi*s 141 6J34.416 .... 6.3Y.fy16'. 6.55•351 655B,751 fvnd5'. F*striLtedf￿n&9 1.592351 .1,5>13511 Vnre5tr1ttsd l¥nI5 htw a5 fix￿ *5*ts *nd5 de5iirbatrd for In￿￿￿trnEnt[n h05pk* SU¥XÈS Fr*È relè[￿5 2?34430 '2Y3.1 1i51?,855 IWl24Y 2￿￿¢9 I1,517.￿s.. I.?27￿51 1.727061 2JlO TDts5fund% 751 751 Theiirfoiof thE Chor4y wlypriDlto roThs•&datrw w45 EZ?4115lm:OÈf&it Df£XO.5fj1I. The financial staternent5 on pa8e5 18 10 28were approved and auihorised for issue by the Trustees on 22 November 2024 and signed on their behalf by David Ellis David Ellis OBE. Chairman 19 >vth 8ucks Ho Consolidated & Charity Cash Flow Statements for the Year Ended 31 March 2024 Attonciliètitsthof Thet wl(tsm 1024 Group 2014 Chartty 1023 Group 2023 *t Incomel(eyMnilityrel 12355091. IXSL162 I¥JL1621 AdI￿stMents10r. Oepreciation tharges In¥estrnentthcorne Lossllprofirl M Iheswle(bFftteda$5¢ts Purchase of iTh¥estrnEnt 118.694. I?￿3> IIB.694 106.892 IOS.892 2.774 1774 Ilncteaselldecreas¥ ¥1 srocks IIDcreasel/deciease In detytor5 107. 407 198.6841 Zl.226 1.708 21.226 4L3S3 Net ￿sh prowTded b¥ll￿sed in) operaiini I￿.669) {201.6691 114L569) Consoldaied starernent olush 2023 Gioup 2023 Char Group {hav￿V Plet cash pio¥lded b¥ll¥sed in) operalM14 adl¥il*S {201WI, 120L6691 1141.S691 IA41,569} Cèshfkn*sfrom In¥e51kn8artW•Es Invesiment in Tot lJ140JY U52.3U7 Im.2 WJ3WL3 I,855.￿5 ArAty55 DfgJwolCL*ts T(tsl RatsknBFur*l$ &Sffi47 I￿9)2 31 62,7YI 132 4l?JO Z6W53 15523 105 39?11 45J68 21259 WTSupport .175 1733> J3Jn• 13J65 GoverTrance 14J43 TDtat 124047 7. oz 211,938 Support hay￿b0￿ albxJiEd thekni5DfthcacwunUTripD*ysttoutinnotE I. South Butks H05pice Notes to the Accounts 8 STAFF COSTSAND TRUSTEE EXPENSES Totsl st4flw5ts 2024 1023 1182,737 162,m Sodèl se¢ur5tywsts Pe4$￿Tr￿sts fordef4ned contrbjbon 5theffles Y1.974 37.673 I.JZ5.978 leéundanry4ndtrrmtnaUonrasts w￿￿e￿Inexpertl￿￿￿dw￿thePar￿VeN1{%l3..tso EmploTrYes rect￿n&t￿l?1 eMplpyee￿nefvS lexdudi￿ern•h￿ the￿Or.. (b)e12O23."onel. Ihe totèl•mountolempfoyeebenefitsrtN¢fflpknd by5vAh 2024 2013 oraph• 4￿u￿ar*rrt Chailtsme as 3Xfj9Z JS92351 43.419 135M) 135DX¢ Inv￿lMEn15 OJtrenta&sets rrenth￿l￿￿es io term Nabllil Tot* r￿ta￿sE￿ ly4￿5 IX(B5 ?05,￿ G•xYAIhJr￿S fveda55 Ins￿￿ents CurrentassotS C¥trÈhllHbifibE5 lÈrmb*ilit Tot* nEI a%sLts 73J89 2331A 1&435 1539911 402W4 I460363 IJW861 2JLII.249 462W4 Ill?J￿) 1217Jlll I1￿1￿6> 1854241 159 4M9285 1*74870 4531110 TdalFwit Tan￿￿ htt¢a55ets 4414X abl￿29 346h35 IX784 Iy2. 1211J121 IZ17.1121 4JJ2253 IIK745 4ffi10.￿7 461 1ffi81y6 1193W61 OJ￿2￿1 a%set5 currEntIM￿"htie5 tetmbabiliti Tol¥ hEt 355L*s 1,681546 414Xp) 6J58.751 designated fuTrJ5 are lund5 Set aside ty the olTrLLStees ¥b%VtsWt in b)spKe 5ertes. tr and requlred equwrreni and upErade5. 26 South Bucks Hos ice Notes to the Accounts 14 ANALYSIS OF NET ASSEfSBm¥EEN FUNDS leontit)ued} arfty npwknjld Tafj￿b￿fred assets •Th￿str￿ents Cuiieniassets curientfiabifi￿S 1ohgtsmhabthie5 Tota net ass( JS91134 1 17,7* 217 15A83 L55W9 35ffi92 159U51 43AJ9 1fy36ffi41 TArtpb￿fi￿edA5*ts InyesThents thrrEni a55*ts lorE tErniliabir Tota rota5ets IY3JYX* 251(r)) Tar@b￿￿edassets IJIVPstsnents Current atsÈlS OJrrent Irabifile5 tErrnfiabifilEeS Toia nèt Èssets l858J41 73.189 .436 2931MXI iW911 2W249 40ZW5 I￿￿*$2 119%8861 INt4) In7J121 InpJui I￿241 L673*70 4J32.110 TrtAlF￿th Tan￿b￿fiKÈrfoS$e )7*29 10?45 4,610207 462 1,68U45 11g&WI y&436 (￿rrent a55e15 L5F2.783 Pl7.1121 L6BI545 1217J121 Lon rm IlablMtle5 4414yX) •19. 1057J89 6558,751 IS FUNDS rte4T 2023 orhor Total b￿ld ot￿r Restricttd Funds Tota1 lund5 brou￿1 I0￿•ar￿ Inc¢me ènd tèihS 1.641121 43.420 34.743 {41WI IM6.641 31.743 {129.0331 i.n9.784 45.664 So￿8 ISts.D691 IlJ)331 43.420 L775.44 58.8se 187.9B31 186.56al roLIl (und5 caiiivd foThvaré L55*238 37.113 1.592JSl L613.221 L686.641 Dejwattd Funds Foral luods btou8htforwJr¢ IniorneJnrfyin5 Expeniltfftand l&sse5 316AV7 3161￿7 1142.wl 195.C68 193,fnD 1142.Q68 195. 1131,6021 1S8.595 IL34.6021 158.595 340N Totèl lunds£air*d I0￿4rd GÈneral Toial brweht1D￿i￿r& Inc¢m¢ and$ains Expenthtwe •nd ID55E 4.S32.110 Im3.449 4.532.110 IA93.449 I2.0212￿5 47.QQl 4.419285 4.676J57 1.586A75 11.574.iWI 1157.S62 4532.110 4.676.857 L586.875 ILS74.O5QI Toral ¢•rr￿d IDThvard 4.532.11 To¢al F¥nd5 Tokl luDd5 brtyJghtlorwartt In¢ty6e gain5 EipEnditure and losses IM3.221 4.91S.S30 1.92&192 12.306.393) 242.(69 4.779398 6.5517SI 1.928.192 11394.3761 I42.(￿9 63Y.636 L725.754 5.038SIB 1.64S.733 II768.7311 768311 L545.733 IL8SS.2941 1¥7.9B31 186J631 Total Ivndscarrvkd l¢J￿•ra I￿$J56 1.643221 4.9L5J30 &55B,751 Al the end ofth¢ywno ¢aWtOrnrnrtmEnty rema￿e￿I$￿t notE191. 27 Stsuth Bucks Hosplce Notes to the Accounts 16 IIELATEO PARTY TRANSACllONS Payments ofnil were made ro the SosAh 8ucks Hospice D￿lOpment(OMp*7Y liffmterfd￿ngthe ye¥lJ)23.. nil). Otherrelated party p*mentsduriryiheyear. nil 1SJ23£nill. Total doDatlQn5 from tru5teeswere É2.692 IJJ23.. £L8821. There were nootherrelatsd partytraTh5actiunsin thtcwrthtorpreviOuSVear. 17 ANALYSIS OF CASH AND CASH EQUIVALENT5 Grnup (haity Group Charity Cash in hand Notice deposils Ilessthan 3 months) 241L*I 242.061 I.WO87 1,244904 29).284 L246.904 29),284 Tvtal osh and tssh eguivalents 1.340.148 L3dQ148 1.537.188 1,517.188 18 OPERATING LEASES As * 3L5t Mthrch 2024, the Gr¢￿p ￿ Chariiyhadthefollowin8cornmitments UndernoTrcan￿l1ableoperatlni1eXs." Charity Gtoup Chartty Withln one veal 8etweenone and five years Afterlive years 164.692 558.428 19&052 92Lin 164.692 428 19&052 921.172 832 314291 136.iu 533.236 VJJ.832 3J6.291 136,113 533.236 OpEratiThBlea5E t05tsof £14L84Bwereexpen5ed durinBthEyew12023.. W.4341. 19 CAPITALCOMMITMENT5 ThE6roup hadno ¢apital ¢¢*hmi)hentsa5 at 3tstPIOrth￿l1 IJ)23.. £hill. 20 TAXATION The(harity 15 EApmp¢fmm tsxation in rE5peit Olin￿Me ¢apitsl 8•it)5a51he incoffle anLI gainsare applied exdusivelyforcharitablt purposes. Irs subsiduay ha5 noi Inwrred a￿1￿￿tion￿X char8e asnoprolithas been m*fe. South Bucks HospKe South Bucks Hospice ENHANCING QUALITY OF LIFE WITH OUTPATIENT CARE Find out more If you would like tofindout more aboutourworkand how you can support Us, contact us at South Bucks H05pice Butterfly House Kingswood Park High Wycombe Bucks HP13 6GR Tel: 01494 552750 Email". into@sbhospice.org.uk Web: www.sbh.org.uk Make a donation To donate visit us at www.sbh.org.uk or call 01494 552750 Support us To find out ways you can get involved with fundraising and volunteering call us on 01494 552750 South Bu¢ks Hosplce @SBucksHospice South Bucks Hospicg Is a Company Limited by Guarantee l Rggistered in England aTrd Walos No. 677SS841 fteglstsT•d Charty No. 112U111 Registertd olllc8 15 Houso. K4n9swood Park. Hlgh Wyethnbo. O￿kIngha￿Shlrn. HP13 6GR