Arthur Rank Hospice Charity Trustees Report and Financial Statements For the year ended 31 March 2025 Arthur Rank Hospice Charity (A company limited by guarantee) Registered number- 07086155 Charity Number. 1133354
ARTHUR RANK HOSPICE CHARITY CONTENTS Trustees Report and Financial Statement5 For the year ended 31 March 2025 Content5 Page Trustees, Repor( including Strategic report 2~38 Reference and adrninistratlve dètails of the Charlty. Its Trnstèes and advisers Independent auditors. report 40-44 Consolidated statement of financial activttie5 45 Consolidated and dwity balance Sheet 46 Consolidated statement of cash flows 47 Notes to the financial statements 48-70
ARTHUR RANK HOSPICE CHARITY TRUSTEES. REPORT The Trustees are pleased to present their annual TTUStees' Report together with the consolidated financial statements of the Charity and its subsidiary for the year ended 31 March 2025. These are also prepared to meet the requirements for a directors. report and accounts for Companies Att 2006 purposes. The finanaal Statements comply with the Charities Act 201 l. the Companies Act 2006. the Articles of Association, and Accounting and Reporting by Charitie& Statement of Recommended Practice ISORPI applicable to charities preparing their accounts in accordance wtth the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS1021 (Second edition October 20191. Trustee5' Re ort The Five-year Strategy. agreed in 2021-22. was ambitious. Thi5 Annual Report outlines the progress we have rnade against the objertive5 In that strategy and how we are delivering cornpèssionate and safe care for our patients and their loved ones. We will be developing our new strategy during 2026- 27 aiming to build on the progress we have made to date. The Annual Report shows that we have a charity that focuses on service quality and continuous improvement and that it continues to deliver on both. We continue to adapt and develop our service5 in consultstion with our NHS commissioners to meet changing needs. For example. we found that the need to support patier)ts at night had reduced significantly since our Hospice at Home daytime service expanded and therefore, in conjunction with the Cambridgeshire & Peteorough ICB, we moved all our resources into providing support from 07.00 to 22.00 daity. Financial sustainability remain5 an orkgoing challenge. NHS funding is under pressure and the demographics of a growing and ageing population is increasing the demand for palliative and erid-of- life care. The report outlines how wewere unable to secure funding for a number of projects we wished to deliver in 2024-25 and this remains èn ongoing challenge. For example, we have highlighted concems about the inadequate provision of seven4ay access to specialist palliative care nursing in Wisbech and our Specialist Palliative Care Home Team remains under pressure with demand outstripp5ng our resources. It can be fnjstrating when we can see a need but a unable to convince commissioners to fund appropriate solutiOn5. This is why we continue to on fundraising and income generation to delwer and enhance those services that are not funded by the NHS. Approximatety 40% of our costs are met by income from these sources but we are unable to cover everything we would like to do. The financial climate also makes it harder for tharities like us to continue to maxirnize our income. As part of our fundraising strategy this year we opened two new shops irk March and Ety. We were very fortunate to finish the year in surplus mainly due to one-off legacies and donations. which are hard to predict We are very grateful to everyone ¥Yho supports us. in so many different ways. Despite the financial challenges we face. this report shows that we continue to evolve and innovate and delivei a wide range of services to patients and their loved ones. Not just supporting people at the end of life but also when they are dealirbg wth life-limiting illnesses, providing care and psychological support. 2024-25 saw a decrease in the total numbèr of referrals received, but an increase in clinical contacts completed. The U(tIOn of refeThals is due to greatèr understanding of the criteria for our 5ervice5, which ha5 resulted in fewer inappropriate referrals being received than in previous years. The increase in clinical contacts 15 mostty within our Hospice at Home service, which had 2,219 more face-to-face contacts than in 2023-24. Our people will always be at the heart of syhat makes us speoal and eath and every member of Team
ARTHUR RANK HOSPICE CHARJTY TRUSTEES. REPORT Arthur plays a vital role in helping us achieve the quality of service we strive for. Recruitrllent and retention is an issue affecting charities and health providers across the COLJntry. We implemented new pay structure last year to help ensure that we continue to attract and retèin the colleagues we need to run our Services effectiveSy. We are very blessed to have skilled colleagues and volunteers who are passionate about what they do and that they are ably led by our talented CEO and senior leadership te)m. We need to ensure that we continue to be an employer of choice and 50 we were delighted to achieve a silver rating in 2023 in the Best Employers Eastern Region awards. We are active partners in the Integrated Care System, recognising that a joined-up approach across the system is vital to tackling the health needs ol our population and making best use of our collective resources. We are keen to contribute to the wider debate on the role hospice chaiities can play achieving better health outcomes and 5yStem efficiency. As well as thanking our wonderfu1 colleagues and volunteers, and our iommunity who support in so many ways, l also want to pay tribute to the very able trustees who sit on the Board of the Charity. They bring skills and enthusiasm to the Charity and ensure we continue to focus on the future and what we need to ensure Arthur Rank Hospice Charity continues to thrive. Antoinette Jackson Chair of Trustees Our vlslon Our vision is 'Making Every Momènt Count,: supporting people with a lilè-limiting illness and caring for people and their loved ones at end of life. Underpinning this are our values.. Our values Compa55ionate". we provide compassionate care and support for people and their loved ones and a compassionate workplace through compassionate leadership. Caring.. we care for everyone who needs our services, everyone who supports us. works for us
ARTHUR RANK HOSPICE CHARITY TRUSTEES. REPORT and volunteers for us. Cornmunity.. we are part of our community, our community is part of us, our cornmunity is everyone in Cambridgeshire who needs us and we are proactive in tackling inequality. Excellence.. we provide spEcialist care and support through our skilled team drawing on their expertise. Strate icRe Ort 2024-25 Why are he7 In March 2022 we launched our current fivè-year strategy 12022-20271 which was produced in consultation with our communily. Our five-year strategy sets out Strategic prioritie5 that we have aligned to the Ambitions for Palliaiive Care and Hospice UK IHUV Future Vision. Outstanding- Serwice focused {continual improvement of current provisionl. Sustslnable Income generation strategie5 and successful contract negotiations with ststutory lunders and developing oui environmental responsibilities for a net zero carbon approach. Accessible - Increase diversity of those accessing out setvices. Engaging - Greater pr()motion and awareness, using resources such as digital solutions and effective use of our data. People - Investing In our workforce and supportin9 our volunteers. Partnering - Working with our system partners as part of the Integrated Care System, sharing knowledge and expertise. 21 31 41 61 In 2024-25 we fixused on the following priorities.. tstandin Wè said that we would- Increase our bereavement 5UPPOrt 5eNices across Cambridgeshire and we will update our online and printed resources and use of other technological application5 to support Psychological wellbeing Continue our efforts to Secure funding for our"Think Family" projett. focusing on support for families with Ihildren, by employing a family worker and child clinical psychologist. Continue to build on the Tran51tioning programme for yOLJng people, involving them in decision making and service improvement5. Want to secLJre commissioning for the two remaining beds on our IPU at the hospice in Cambridge so we can maximise the care we provide. contnUe to develop education links with the social care sector to ensure seamless provision for patients and loved ones and accessible, appropriate support to develop confidence and competence of the Social care workforce within PEOLC. Continue to improve on our capacity in Hospice at Home lo ensure more rapid response and bl dl
ARTHUR RANK HOSPICE CHARITY TRUSTEES. REPORT capacity to care. Review community specialist nursing and specialist medical cover across Cambridgeshire with our system partners to ensure equality in seNice provision. gl Whatwe did: We have updated our online re50urce5 and bereavement support leaflet. We have appointed a Bereavement Lead who ha5 worked hard in setting up new Services such a5 Understanding Grief monthly se55ion5 and Grief Kind Space on Fridays in our Bistro. in partnership with Sue Ryder. We are also working with Sue Ryder to see if we can provide a similar seNice from our Alan Hudson Centre in Wisbech. We have provided placements for counselling students, which has enabled us to offer more 1..1 psychological support to carers and those bereaved. We have revised our group provision for carers. and are now delivering Care15 Space, a fortnightly peer support group, facilitated by two skilled and experienced volunteer5 from the beavement support team. Due to demand we are in the process of establishing a second Carers Space. Positive feedback received from Carers has demonstrated a preference for the revised model Unfortunately, we were unsuccessful in our funding bids and continue to seek appropriate funding. However, we have been fortunate to employ colleagues with experience in supporting the psychological need5 of young people 90ing through pre and post bereavement and have set up a pilot project working with our Music Therapist, to provide group sessions for young people. This has been positively evaluated and the group of young people wrote a song to reflect on their experiences. Although thi5 was very private to them and not for sharing, we know that the impact has been positive and are looking into how we can set up more of these sessions. We have a Submitted a funding application to support delivery of the 'Sharing what it's liké, workshops on a quarterly b35is and hope to have the outcome in August 2025. Unfortunately, we were unable to secure funding to continue to provide a Transitions Coordinator to support young people transitioning from Children's Hospice seNices to our Hospice. Neverthele55, we continue lo work with EACH Children'5 H05pice in Milton and will support with offering annual review rneetings for teenager5 and young adult5 aged 16 - 25 years as needed. We have not been able to secure additon31 funding to resource these two beds and are continuing to consider all options for funding these beds on our IPU. Our Head Df Education and Practice Development continues to engage with care homes and doiniciliary care providers and deliver training on palliative and end of life care. We have now appointed a Practice EdJi cation Facilitstor to support further training and practice development and 5UPPOrt for student placements at the Hospice (due to start lune 20251. OUT educatio programme can be found on oijr website. Following a review of unmet need wilh Cambridgeshire and Peteiborough ICB, we have remodelled our service in partnership with ICB commissioner5. We found that the need lo support Patients at night reduced significantly since our day seNice has expanded and therefore we have moved all our resources into providing support from 07.OQ to 22.00 daily. Those patients who are eligible for Continuing Heal;hcare ICHCI at night Vlill receivc thi5 from other seNice providers. This has allowed us to provide up to 120 hours of care a day acr05S Cambridgeshire, reaching more patients who wish to die in their own homes and have a primary health need which requires additional care and support. Due to the increasing number of referrals received by our Community Team ISPCHTI. we have reviewed the way our team responds to patients in Cambridge City, South Cambridgeshire and East Cambridgeshire 9the area we are commissioned lo provide this service inl. We have bl d) gl
ARTHUR RANK HOSPICE CHARtrY TRUSTEES. REPORT agreed a model for this year, takn.ng into consideration the limitstions of our resource5. We produced a report and submitted this rèport to the C&PICB in Augv5t 2024 highlighting the need for further service development and resources and ideas to address some of the issues. We have highlighted concerns in the inadequate provision of seven4ay access to specialist palliative care nursing in Wisbech. Sadly. without appropriate funding we are unable to provide a seven-day Specialist Palliative Care response Sèmce in Wisbech. ustainab We said that we would: Want to secure grant and trust income and long-term funding to support all our Services through charitable or contracted means (namely support for children through patient and family supporL Young Persons Transition. Caring Cornmunitie51. Want to increase the income from retail, onlir)e activities. venue hire and strengthen our brand identity and we w¢ll establish a new Charity shop in the town of March. Want to build corporate partnerships and support and help increase awareness of hospice care within this group. Invite people to consider making gifts such as donations and encourage people to futtjre plan, using our Free Will service by making a small donation to our Charity or including otjr Charity in their will. Continue to review our use of sustainable materials fiJndrai5ing aaiwties. bl dl reduction in use of plastic in all What we did: Although we have not been successfijl in getting fijnding to deliver all the projects we had hoped to this past financial year, we have utilised the ski115 and competencies of those we employ and our wonderful volunteers to help deliver seNices to children and young people such as the children's 'ShaTing what like" workshop which helped a group of children to meet and share their experiences whilst being 5UPPOrted with music therapy and psychological support. We are looking to expand our volunteer roles within the bereavement and psychology team to provide high qualty psychological support to patients and fami members. We were delighted to secure further fur)ding to support our Caring Communitie5 service. Our Caring Communities service provides a volunteer who wll vistt or telephone weekly at a designated tie, for up to eight weeks. Providing companionship fgr those who may be at risk of feeling isolated is so important. We have opened shops tn March and Ely and following assistsnce from an extemal consultsnL are now implementing the actions recommended from their review of our retail services. We have implemented a new stock rotation system and have developed Gift Aid training for retail colleague5 to encourage uptake. The set up of our new shops allowed us to strengthen our retail branding which will be carried across to future new shops and in refits of our current portfolio. More brand identity work will continue in the new financial year. We conducted review of our Venue Hire operation whith resulted a move from the Fundraising team to the Education team so they have complete ownership of the Education centre. We have reviewed the capacity of this team and created a new strategy to intrease the number b}
ARTHUR RANK HOSPICE CHARirY TRUSTEES. REPORT of partnerships and therefore income from this area. To deliver this we have employed a Corporate Partnerships Officer and fvlanagèr to help implement our strategy to generate incomé through corporate sponsorship and fundraising activities We continue to receive many generous donations and legacies that are so vital in allowing us to provide the level of care that is so valued throughout our community. Our events te8m work hard lo ensure we are as sustainable as possible. For example, we now ask people to bring refillable water bottles and have refilling stations at all our event5, rather than providing plastic water bottle5. Our star shine night walk medals are made from wood not plastic. We no longer hire vans to undertake our Christfflas Tree Recycling scheme, We have recycling stations at our Hospice and encourage visitors to recycle their waste when visiting the Hospice. dl Accessible We said that we would: Develop a plan to broaden access to events to diverse groups. Achieve our widening access group action plan and complete community engagement 5e55ioris across Cambridgeshire. bl What we dld: We partnered with the Judge Business School who undertook a pro1t with their students to explore how we can best understand the community we seThe. Their presentation explored how we can build stronger links, raising the profile of what we deliver and understsnding the barriers to connecting with div@e commkJnitiÈs. They presented their findings to us in December 2024 which our Widening Access Group iWAGI committee are taking fotward in their attion plan. We di5CUSsed our priorities Wlth our Twstee5 in October 2024 during an away day and these have been taken on by our WAG committee. We have had several engagements with the Khidmat Sisters and Chinese Community Centre and continue engaging with the Cambridge Mosque. We also attended Mid-surnmer Fair, June 2024, in partnership with Cambridgeshire County Council and the Showman'5 Guild, which helped to increase awareness of our Hospice service5 Wlth travelling communities. We have also participated in a community engagement event for Bangladeshi Women at the Arbury Community Centre on 12th september 2024 a5 part of the UPTURN Study with Cambridgeshire University Hospitals NHS Foundation Trust, who are leading the research study. We have also started working in partnership with the Ganga Prem Hospice in India, inviting their colleagues to attend our Quality Development Group meetings so we can share learning and ideas. They have also benefitted from some compression hosiery we donated to their Hospice for their cancer patients. bl Engaging We said that we would: al Continue to look to work with schoo15 through fundraising. hurllan resources and volLJnlary services, encouraging opportunities for work experience and volunteering.
ARTHUR RANK HOSPICE CHARITY TRUSTEES. REPORT bl Continue to develop our text messaging service, virtual consultations and videos online and introduce a telephony informatloll service about self-care. cl Develop an 'introduction to clinical services. video to help promotè our service5 and explain them in order to widen the public's perception of what we do and how we do it. What we dld: al Our community fundraising team continue to explore opportunities with local schools. We held successful Rudolf Runs throughout November and December 2024 with thousands of children engaged. We 5UPPOrted the Cambridge Muslim Scout Group by hosting them in our Bistro, along with student5 from the Cambridge University Islamic Society who gathered in oui Bistro to create banners for the Cambridge Half marathon. bl In additlDn to offering text reminders for appointments across our service5, we have been looking at other ways in which technology can support our patients and their loved ones. Our Communications team has worked with our LWS to test a new telephone advice line for patients in addition to the online videos. Thi5 will help those who may be visually impaired and therefore unable to watch our supportive vide05 online bijt who might wish to call up nd listen to pre-recorded advice over the telephone. The scripts for this have been written and we are in the process of uploading the recordings with our telephone seNicè provider. cl We have not been able to produce a video but hope to complete this in 2025-2026 People We said that we would: Look after our people by ensuring 0r staff benef1ts, career pathway5, training and development opportunities and staff wellbeing support is implemented in line with our People Plan. Grow our student and learner engagement and support apprenticeships and other development opportunities. Continue to grow our volunteer services Design an education plan fit for the future workforce. bl dl What we did: We have worked hard on achieving the objects that were Set out in our People Plan. Some of these achievements include achieving a Compassionate Employers assessment rating of Bronze, rolling OLJI mediation training for some colleagues, launching our Freedom to Spèak Up Guardian revised policy, supporting our trained Mental Health First Aiders across the Charity and reviewing our staff benefits programme. Lots of other projects continue in 2025. We have had a colleague successfully complete their trainee Nursing Associate course and we continue to provide this development for OUT Healthcare Support workers. We are als0 supporting a Nursing Associate to complete their Nurse Training programme. We are collaborating with Cambridge RegiornaS College to support their learners and are considering placement opportunities for those Students who wish to further careers in care or supportive services such a5 retail. We worked with Choices College to provide placement opportunities for work experience for young students with learning disabilities. We provide clinical bl
ARTHUR RANK HOSPICE CHARITY TRUSTEES, REPORT placements for students who are undertaking a nur5ing/paramedic/Allied Health Profession IAHPllmusic therapyl50cial worker placernent. We have now appointed a Practice Education Facilitator who joined us in summer 2025 We have increased the number of Caring Communities and Touchpoint Trajectory Technique volunteers. We have reviewed, amended and implemented a new Information Governance IIGI matrix to ensure that all volunteers have the appropriate level of IG training. We have expanded the use of Arthurs Shed and increased attendance numbers. We have completed the 2024 Volunteer Survey, achieving a 10% increased response rate. The adion plan has been finalised and shared. We undertook a training needs analysis for clinical services to identify areas to focus on. Areas such as improving IT literacy and skills and applying research were key themes that we wish to focus on in 2025-2026. dl PartnÈrin9 We said that we would: Ensure representation at the Palliative and End of Lile Care Pro9ramme Boards and other relevant forums including the Integrated Care Partnership IICPI bl Continue links with our system partners by engaging in communities of practice and the Palliative and End of Life Care Strategic Clinical NeOrk IPEOLCSCNI. What we did: We continue to attend the systemwide palliative and End of Life Care Board with other 5y5tem partners, focused on delivering the Cambridgeshire and PeterboroLJgh ICS, Palliative and End of Life Care strategy 2022-2026 We continue to engage with other Hospices acr055 the East of England and share learning through our Clinical Leaders Network and East of England H05pice CEO network. bl In 2025- 2026 we want to focus on the lollowing priorities". Priority 1- Ouistanding We will Continuè to widen access to bereavement support, counselling and psychological services across our Hospice and Alan Hudson centre.we will improve support for unpaid carers and social worker 5UPPOrt across the Hospice and Alan Hudson Centre. Improve support for patients who have children around pre and post beaVernent support. Plan for the use of the two remaining beds on our inpatient unit by revisiting the option5 appraisal and securing adequate funding. Introduce an electronic piescribing module to the inpatient unit and a electronic prescription service for the Palliative Care Hub. Review how we broaden our reach into local communities, build1ng on the work with neurological conditions, singlè organ failures, fraility and demèntI3 care. Contribute to education in palliative and end of life care of wider health and social care sertor. Ensure that we review the range of diagnose5 being supported and addre55 any gaps.
ARTHUR IiANK HOSPICE CHARITY TRUSTEES, REPORT Build upon the Trajectory Touchpoint Technique and consider other methods lor obtsining patient and family feedback. Improve our capacity in Hospice at Home to ensure more rapid response and capacity to care. Build on the number of independent prescribers in our specialist palliative care service5. Increase access to the Palliative Care Hub advice line1111 option 41. Review the community specialist nursing and medical cover across Cambridgeshire with system partners to ensure equity in service provision. Implement Vantage software systems to report on CQC compliance, management of risks and incident reporting, management of complaints and managerllent of policie5 Develop a bathing service for patients attending our Living Well SeNice at the Hospice Prlorlty 2- Sustalnable We will Continue to seek funding to maintain our charity funded projects Continue to build partnerships and support Increase income through Gift5 in Wills and donations Use sijstainable materiz15 and reduce the use of plastic in all our fundraising activitie5 Develop a new Supporter Care and Insights team Increase irncome generated from retail outlets and online sales Strengthen our brand by refitting/ refreshing shops Increase retail income and visibility of our retails offering across the county Increase income generated by hospitality Assess our carbon fDOtprint and take actions to reduce this Replace the wooden cllidding oli our Hospice building Priority 3- Ac¢essible We will Consider how we can broaden access to events and fundraising activities for all areas of our community Implement our Widening Acces5 Group plan and cultural schedule Prlority 4- Engaging We will Continue our work with schools through fundraising and PIR and voluntary services Use technology to engage i.e. through text messaging, virtual consultation5 and video me55aging and telephone SLJPPOrt about self care Develop an 'introduclion to Hospice Service5" video for patientslpublic, to widen the public's understanding ol what we do and how we do it. Priority 5- People We will Continue to implement our People Plan Continue to champion an inclusive and compassionatè culture which we can all achieve our objective5 Continue to explore nèw ways of working and delivering care Continue to build resilience in our services a5 we grow lor the future Continue to support our volunteers through improving mandatory training and induction processes for ietail volunteers and managers Introduce the bereavement 5UPPOrt volunteer seiCe at the Alan Hudson Centre Develop the use of Arthurfs Shed by external organisations to widen our reach ContinuÈ to build our Caring Communities service 10
ARTHUR RANK HOSPICE CHARITY TRUSTEES, REPORT Listen and act on feedback frorll colleagues Design an education plan fit for the workforce Priority 6- Partnering We will Continue to provide representation at the Palliative and end of life care programme board and other relevant forums including the Integrated Care Partnership Continue our link5 With our system partner5 Continue to transition our IT architerture to be more cloud based mprove our clinical digital capabilities to make the most Use of Sy5tmOne and other software/applications used by the NHS/ICS Public Benefit In setting objectives for the year and planning the Charity's activities, the Trustees give due consideration to guidance from the Charity Commission relating to public benefit. Access to services is based solely on need and no charges are made for setvices provided. The difference we make through our charitable activities Our focus, at all limes, Is ensuring that our patients and their loved ones receive the very besL holistic care that we can provide. The purpose of the Charity is to relieve sickness and suffering of people with life-limiting conditions andlor chionic health conditions and their families, loved ones and/or carers throughout Cambridgeshire, Peterborough and the surrounding areas and to assist their families, IDved ones andlor carers IBeneficiarie51 by providing: End ol life care Bt Arthur Rank Hospice and elsewhere., Services, facilitie5, equipment or grants for Beneficiaries and Any other benefil which provides care and support to Beneficiaries. Care and services are provided free of charge to patients. The Charity helps them and their loved ones to improve their quality of life and lulfil their choices al the end of their lives- making every moment count
ARTHUR RANK HOSPICE CHARITY TRUSTEES, REPORT Our Charitable Activities During the year we provided care services that enabled us to care for patients at the hospice just outside Cambridge, the Alan Hudson Centre in Wisbech and in patients. own homes. OUT services are provided free of charge to those who need our vital care and support in the local community. Living Well S•Ni<e and Lifè Celebration Our Living Well Service provides specialist advice, palliative care 2nd support for adults who have a life- limiting illness. Living Well programmes typically involve once a week contact for eight weeks and are delivered by our multi-disciplinary team IMDTI. Our MDT includes nurses and healthcare a5515t8nts, complementary therapists, a life celebration and creative co-ordinator, a music therapist, volunteers, physiotherapists, occupational therapists, chaplain, psychological therapists and the specialist medical team. Our Life Celebration and Creative Artivities Coordinators guide creative therapy sessions allowing patients to discover a new talent or enjoy a long-forgotten hobby. We encourage patients to talk about their lives nd explore ways in which they might like to leave something which celebrates life-moments for family and loved ones. Despite there being a vacancy lor our Life Celebrations and Activities coordinator for m05t of the year, referrals to the LWS and Life Celebration have increased from 2023-24 by 17%. Alongside this, there has been an 18% increase in the number of people seen across their wide range of services including Wellbeing groLJPS, carer supporL and 1..1 outpatient appointments. The Living Well SeTvice is entirely funded by the Charity. 12
ARTHUR RANK HOSPICE CHARITY TRUSTEES. REPORT Education We run courses for health and care professionals to learn and share best practice. These cotJrse5 are provided by our experienced multi-professional hospice clinicians The teaching team are experienced in hospice, community and acute settings, which ensures that theory is linked to current practice in all 5etting5. We also offer placements 50 that healthcare professionals and students can gain a more thorough understanding of the work we do We also design and provide bespoke education sessions that provide a tailored experience for a range of organisations. We have successfvlly partnered with Anglia Ruskin University to deliver a Masters Module in Palliatyve and End of Life Care. We were commissioned, in partnership with Sue Ryder Thorpe Hall, by the Integrated Care Board, to deliver training for GP'S and residential care home managers on implementing ReSPEcf acr055 our System. Hospice at Horne We know that many people would prefer to die at home. Our compassionate team of Health Care Assistants and Nurses are experts in the PTadicalities and complexities of end of-life care and support patients at the end of their lives to die in their own homes if they so wish and it 15 safe to do 50. IJ Family carer5 war)t to be able to care for the person they love and, at time5, thi5 can be hard. Sometimes they need a break and sometimes they need support with particular care needs. Thi5 is what our teams can offer to give carers a chance to rest and carry on caring. Having our Hospice at Home team support with care. skill and knowledge can help keep loved ones at home, avoid unwanted admisslon to hospital and help patients return home from hospital when admission has been necessary. Our care is practical and holistic. It might involve keeping patients comfortable, ensuring they have the rnedication they need. providing a hand massage and words of comfort. Our care 15 focused on per50n- centred care for patients and what they need. The total number of refeTra1s to HaH reduced because of the end of the night seNice in May 2024, but the day seNice received a similar number of referra15 to 2023-24. Despite the ending of the night 13
ARTHUR RANK HOSPICE CHARITY TRUSTEES. REPORT SeiCe, HaH still saw 558 people throughout the year, and saw a 10% increase124,0471 in the total number of face-to-face clinical contarts. This is because patients have more cornplex needs and need closer monitoring and interventioris. We continue to support palient5 to die in their Preferred Place of Dèath IPPODI when it is safe to do 50. Wlth 95% of patients achieving their PPOD during the year. Alan Hudson Day Treatment Cèntre IAHDTC) lOted at North Cambs Hospital. W15bech 11 'il We work closely with Queen Elizabeth Hospital, Kings Lynn to support their end ol life care provision and our Matron attends their f4ADT meetings. Our MDT of highly qualified staff and dèdicated volunteers provide expert care, which is holistic and tailored to each person's specific needs. SeTvices include Living Well, treatment and clinical days lincluding blood transfusions, tsncology and symptom management), complementary and diversional therapies, and bereavement and support services. OUT specialist palliative care nurse 15 a core member of the te3m and is working c105ely with the GP practices in Wi5bech. The team also provides clinical advice and support to palliative patients on the adjacent Trafford Ward. Part of our Hospice at Home Team is based at the Centre providing care for people throughout Fenland. Demand for both specialist seNices and treatments in and around Wisbech continues to rise, as demonstrated in the 7% increase in completed treatments this year, a 20% increase in the number of day care se55ions attended, and a 3% increase in the total number of people seen. 14
ARTHUR RANK HOSPICE CHARITY TRUSTEES, REPORT Inpatient Unit (Shtlford Bottorn. Cambridgeshifyl Welc The hospice Inpatient Unit IIPUI has 12 Specialist Beds and seven Nurse Led Beds INLBI with the ability to increase up to nine beds if necessary. Two beds remain available to be commissioned and we continue to explore how best for these to be Ljtilised. All patients and their loved ones are provided with holistic care from the Multi Disciplinary Teams. Spècialist Beds: Funding and catchment area The beds for people with specialist and complex needs ale funded by a contrart with Cambridgeshire and Peterborough ICB and are available for patients whose GP practice falls within Cambridgeshire. Peterborough patients are cared for by Sue Ryder Thorpe Hall. In èxceptional circumstances, patients are admitted from outside the Cambridgeshire area, bul funding mu51 have been agreed with the relevant ICB. The referral criteria for the specialist beds are for those aged 18 and over, who have an advanced, life- limiting illness. who have uncontrolled symptoms or a rapidly deteriorating condition. who would benefit from regular review by the specialist MDT, and/or a daily review by a doctor. All referra15 must 15
ARTHUR RANK HOSPICE CHARITY TRUSTEES. REPORT come via a healthcare professional. As we are a short-slay Ljnit we support the discharge ol patients whose needs are stable and can return home or can be managed elsewhere in othér care settings. Therefore, we are unable to admit people whose main need is long- term care. We are experienced in caring for patients with specialist nutritional needs, non-invasive ventilation and tracheostomies, and are able to give oxygen, intravenou5 medication and fluids. Our Specialist Beds continue to exceed our tar9et occupancy of 72%, with the year ending with an average occupancy of 82k. Patients are admitted for a variety of reasons, not just for end-of-life care. as demonstrated in the fact that 19% of admissions were discharged back into the care of the community. There has been 3 decrease in the average length of stay compared to 2023-24, returning to the same average than in 2020-21. Nurse Led Beds These beds have been funded by Cambridge University Hospital NHS Foundation Trust for patients in Addenbrooke's who would otherwise be dying in hospital, and who require non- complex nursing and medical care. Their daily management IS led by experienced nursing staff rather than the full MDT. Patients have access to the ward doctor if quired. Our Nurse Led Beds ended the year wrth an average occupancy of 94%, a 21% increase from 2023-24. This sharp increase demonstrates the fantastic work completed this year alongside colleagues at Addenbrooke's to improve aur referral proce55, ensuring that the correct patients are being identified and transferred at ihe appropriate time. 93% 01 admissions ended in death, a150 demonstrating that in most casès, the correct patients are being identified for this transfer for en(J-of-life care. The rernainirTrg 7% were discharged back into the care of the community. Unfortunately, due to funding challenges within the NHS, Cambridge University Hospital NHS Foundation Trust has informed the charity that the Nurse Led Beds contract will come to an end at the end of March 2026. This is extremely disappointing given the hard work put in by Arthur Rank and AddenbTooke's stsff as well as the recognition by all parties of what an excellent service this is for patients and their loved ones who would otherwise Spend their last days in hospital. We are now looking at alternative uses for these beds in the new financial year and hope to increase access to them throughout our local community. 16
ARTHUR RANK HOSPICE CHARITY TRUSTEES, REPORT Lymphoedema The Lymphoedema Clinic provides a seNice for those with primary lymphoedema and those with lyrnphoederna secondary to cancer or cancel surgery, inlertion, deep vein thrombosis, dependency, and other related conditions. The team also 855e55es and advi5e5 Lipoedema patients. All patients are offered an assessment with a clinical specialist and a treatment programme is agreed with them. Treatment may consist of some or all of the following". skin care, various forms of compression, exercise programmes, simple/manual1ymphatic drainage or use of compression pumps, kinesiotape and low-level light theiapy. We aspire to support all our patients to self-manage this long- term condition and, to help with this, we offer six sessions a year at our support group to provide further education about managing lymphoedema. Referral figures have increased slightly, whilst the caseload has increased quite significantly and rnany. more people have been seen by the clinic compared to last year135% morel. The team are happy to deliver virtual and face-to-face consultations, yet many more contacts were delivered face-to-face thi5 year than in the previous years following COVID-19.The team continue to Work Dn a variety of Qua5ity Improvement Projects including caseload reviews, for example looking at why some patient5 remain on the caseload for 2+ years, helping the team stabilise the caseload. 17
ARTHUR RANK HOSPICE CHARITY TRUSTEES. REPORT Patient and Family Support Team 11111 The Patient and Family support tearn provides emotional and psychological 5UPPOrt to patients and families who are known to our Hospice services. The Service inclLJdes counselling, psychology, psychotherapy and creative thérapy interventions and pre and post bereavement support. The team de5ivers evidence based psychological support for patients and their familie5 Wlth pre and post bereavement needs from level I to 3 (NICE Guidance 20241. The team also works closely with our Social Worker and Chaplain in order to provide practical social and spiritual support. Thè Hospice's social workers provide social support and prartical information to patient5 and families who are being cared for on our IPU or through our Community Team. This support may include bereavement SUPPDrt, 1 to I counselling, life celebration and memory making activities as well as music therapy, a Grief Kind Space and a Carer5 group Spirituality can be seen to be the heart of who we a. Whilst some people view this through a religious lens for many others it is less defined, although no less irnportanl. A team of volunteers are available to all patients, their relative5 and loved ones, whether they are of faith or not, to help explore the 'difficult questions,. We listen and help where we can. Inpatients and their visitors can also access our Sanctuary, a peaceful space at the Hospice for those ol all different faiths or no faith. We will also facilitate acts of worship or rites as required. If appropriateto patient care and the situation, we encourage people from faith groups to V15iL enabling patients still to feel part of their community if this is something that 15 importantto them. We have also provided music therapy to our patients. Music therapy is a form of emotional and psychological support that combine5 music making, listening and talking. The impact of the tearn has been demonstrated in their use of Clinical Outcomes in Routine Evaluation ICOREI questionnaires. Average scores for both versions of the CORE demonstrate that interventions from the team have resulted in positive outcomes an improvement for the patient. This Patient and Family Support Setvice is funded by both the Charity and by the Cambridgeshire and Peterborough IC8 for patients registered with a GP in Cambridge City, South and East Cambridgeshire. 18
ARTHUR RANK HOSPICE CHARITY TRUSTEES, REPORT Spe¢ialist Palliative Care Team Our seven days a week service helps those living with an advanced serious illness or other life- limiting condition to get further support and encourage5 planning for future care with families, carers or loved ones. We liaise regularly with care providers, such as GPS and distrirt nurses, so that care remains as seamless as possible. The team may also be able to highlight other NHS setvices, charities or organisations that can help support the spècific circumstances of a patient. The service is available 9am 5pm, seven days a week and is able to provide a rapid response to people in crisis. We also have a part tirne clinical nurse specia115t working at our Alan Hudson Day Treatment Centre to support patients registered with one of the four GP practices in Wi5bech who have specialist palliative care needs. As this role is only ftjnded for part-time hours, the Wi5bech service is only available Monday to Friday. Our team of skilled Clinical Nurse Specialists help manage symptoms and any other difficulties patients might be facing. We may help with medicine fftanagernent and accessing the wider hospice team for psychological and spiritual support or complementary therapy. Psychological support may be provided via video consultation or over the phone to patients and their primary carers, family members and lovèd onès. A large part of the team's work 15 to do with advance care planning. We help patients talk about their bvishes and preferences, especially when it comes to end of life care. Wishes are documented in a ReSPECT plan so that other services are aware and the various teams can work together to fulfil them. Demand for ovr SPCHT continues, with an 8% increase in total referra15 compared lo 2023-24. The large discrepancy betiiieen referrals and disr.harges demonstrates the high volume of referrals that the team receive, triage, and rejecvrefer on to other services. Most new referrals triaged and accepted by the team are phased as 'deterior8ting' 1630/01. Using the OACC Suite of Outcome Measure5, if a patient'5 Phase of Illness is deteriorating, this means that their care plan is 8ddre$5ing anticipated needs but requires periodic review. This is because their overall functional statu5 15 declining and their experiences are gradually worsenin9 and/or they Experience a new but anticipated problem, and/or the family/carer experience gradual worsening distress that impacts on the patient's care. 19
ARTHUR RANK HOSPICE CHARITY TRUSTEES, REPORT Transiti¢nlng Young Adults ProJ•ct Unfortunately, the funding for this project came to an end in August 2024. However, we continue to work with East Anglia's Children's Hospices IEACHI and will 5UPPOrt with offering annual review meeting5 for teenagers and young adults aged 16 25 years as needed. EACH can refer yoijng people from age 14 as an introduction to our Transition SeNice. Our Specialist Care Team are supporting young adults and their families from age 18 throughout symptom control, crisis management and end of life care. Palliatlve Care Hub This service is for anyone who needs specialist pa11iative care advice or support. It is available to patients, lamily/friends, carer5, GP'5 and other healthcare professionals including care and nursing homes and home care when the patient has been identified as having palliative care needs. We provide advice and support, signpost to ropriate services, transfer patients to anothèr healthcare professional who can better help thèm. The sérvice is a 2417 telephone advice and support seTvice across Cambridgeshire and Pelerborough, in partnership with HUC which commenced in April 2021. In 2024-25 this seNice supported 1,609 patients (an increase of 8% from 2023-241, took 2,702 calls lan increase of 14% from 2023-241, and helped to avoid 83 hospital admissions. 20
ARTHUR RANK HOSPICE CHARITY TRUSTEES. REPORT Complementary Therapy Our highly trained therapists tailor programme5 to each person's needs. Se55ion5 provide a safe space where patients and their loved ones can take a little time out from their daily challenges. The team see patients face-to-face in the hospice and in their own homes if required, as well as in the hospice for those attending our Living Well Serdice and on our IPU. Treatrnents may help alleviate marly common symptoms such as pain, nausea, insomnia. muscular aches and low mood. We aim to offer the maximum benelit whilst disturbing the client as little as possible. 21
ARTHUR RANK HOSPICE CHARITY TRUSTEES. REPORT VoluntarySÈrvices linc Arthur's Shed) IL:. Ii,, Arthur Rank H05pice Charity is supported by over 620 volunteers in clinical, retail and supportive roles as well as in patients home5. Volunteers provide the charity with experience, knowledge, time and compassion and are Informal arnba55adors for the organi5ation in the local community, helping raise awareness of our work. Many of our volunteer roles operate on 3 2-4-hour shift, weekly or lortnightly,. lor those unable to make a regular commitment we offer ad-hoc or flexible roles. The seiCe is passionate about providing a high-quality and accessible volunteer experience, that is mutually beneficial, rneéting the needs of the volunteer as well as the charity. The service continues to future-proof and develop in line with service needs, introducing 11 new volunteer roles in 2024 alone. In addition, we have welcomed over 40 new volunteers to the charity to 5UPPOrt our newest shops in Ely and March. As our numbers grow, we are always looking for ways to ensure our volunteer offer is efficient and governance led, whilst remaining meaningful and personal. Arthur5 Shed is a studio set in the Hospice gardens which acts as a for our local community. Frgm here we run weekly and fortnightly volunteer-led sessions on a range of wellbeing-related tOPiC5. Suth as arts and crafts, meditstion and physical activity, these are free of charge and open to the public. The aim of the Shed is piedominantly to raise awarene55 of the charity and bring people into the slte. We have created strong working rplatinnships with local health 3nd social care providers whn Ljtilise our 5e5510ns foi those they support. In addition, the space is availablè for public use for meetings, events and workshops. In 2024 we had over 160 individual wsits to the Shed been April and November 22
ARTHUR RANK HOSPICE CHARITY TRUSTEES, REPORT Patients supported 2024-25 has seen a decrease in the total number of referrals received, bul an increase in clinical contact5 completed. The reduction of referrals is due to greater education surrounding the criteria for our services which has resulted in fewer inappropriate referrals being received than in previous years. The increase in clinical contacts is mostly within our Hospice at Home seNice, which had 2,219 more face-to-face contacts than in 2023-24. Number of Referrals IpatIent Unit {specialist beds} InThPatient UntL Iwrse led beds} Living Well Sermce Fknspi at Home Specialist Palliative Care Home Team Lymphoadema Palionl and Famity Support SeNces Pain Management CoMpMntary rapY Medical Ouipatienl and Domiriliary Alan HLKJson Day Treatmanl Centre Cariro Commurities TrarLsitionirg Young Aduf(s Total 2024125 2023124 358 361 292 362 318 436 652 950 1.131 305 1,227 315 186 195 55 270 47 323 137 443 58 118 488 56 4,458 4,636 23
ARTHUR RANK HOSPICE CHARITY TRUSTEES, REPORT Number of faco-to-fa¢e ¢ontaet$lappolntments Limng Well Service F*)spice al Home SpecK41isl Palliative Care Pk)me Team LYmpedem8 Patierrt ar1 Family Support Sorvicos Pain Management ,Complemenlary Therapy Medical Outpalienl arKI Domiciliary Aan Pl$0n Day Treatment Centre Transitioning Young Adults Total Number of telephong ¢ontaGt$ Libirg Well SerlCe Pbspice al Fk)me Specialist PalIlIve Care Pk)me Team Lymphoedema Patient aThl Family Support Serwces Pain Manag&menl Gomplemenlary Tlprapy Medical Oulpalienl and Domiciliary Alan Hudson Day Trealmerrt Centre Transitioning Young AdLAts Total 2024125 1,037 24,047 1,607 778 704 41 2023124 21.828 1.642 742 767 40 495 660 410 341 3,379 17 3,648 11 32.778 2024125 1.378 3,758 6,894 1,174 534 30.303 2023124 1,317 4.597 7,350 1.163 367 26 912 1,003 3,473 24 1.101 718 4.198 26 19,176 2024125 20,848 2023124 12 I In-Patient Unit (specialist beds) , Number of beds , B9d occupancy Ilargel 72 /01 .Number of patients Number of dischargesldealhs Average duration Idaysl Available bed days 12 82./0 217 91/0 213 201 18.6 203 16.4 4,380 4,392 24
ARTHUR RANK HOSPICE CHARITY TRUSTEES, REPORT Approach lo fundraising Fundraising Approach and Controls Arthur Rank H05pice Charity enjoys long-standing relationships with supporter5 and partner organisations, proartively engaging and collaborating with our community. The Charity maintains high stsndards in raising funds through a variety of means. The Charity employs a team of paid colleagues to deliver ourfundraising and communicalions strategy, operating within the Fundraising Code of Practice. Tearn5 regularly attend events and training to increase their own understanding of hospice sector developments as well as changes in ihe external environment. Where possible representatives also contribute by sharing their own expert15e, leading sessions, or speaking at events. Arthur Rank Hospice Charity has a broad portfolio of open, legal. hones( and respectful activities. These include newsletter mailings and appeals shared by post. email, or social media. We seek the support of corporates, ensuring alignment to our purpose and providing commercial participator agreements when required. The Charity is voluntarily registered with the Fundraising Regulator and is a member of Hospice UK and the Hospice Income Generation Network IHIGNI. The Charity partners with Your Hospice Lottery IYHLI who are registered with the Gambling Cornmis5ion to manage a weekly lottery for which the Charity receives royalties Ilaunched in 20111. The team adhere to our Ethical Fundraising Promise, fundraising specific policie5, and 8150 benefit Irom other policies which involve safeguarding, lone working, and social media use. With the agreement and prior approval of scripts, telesales campaign5 are occasionally conducted by Your Hospice Lottery. Notification of these artivities are shared with the Senior Leadership Team and rnanagers in advancè. 25
ARTHUR RANK HOSPICE CHARITY TRUSTEES. REPORT From time to time Ihe Charity may work with established and reputable seNice providers, such as mailing houses or event management companie5. For two of our mass participation events we collaborate with two charitable organisations to deliver the fundraising activities. The annual 8ridge the Gap walk remains in partnership with Romsey Mill, another Carllbridge based charity, and lust Helping administer our Christmas Tree Recycling Scheme. WÈ actively encourage discu5510r15 to collaborate with other businesses and people in the community. In both scenarios we are diligent around the relationships we seek or build. The Income Generation Commiltee comprises of trustees, specialist advisors and senior leadership team members. Meetings are held three times a year and attendees contribute to strategic discussions for future planning and deep dives into Specific existing activities. Fundraising activities are detsiled in committee papers, with a standing open invite for trustees or senior leadership team not on this committee to attend. The Charity place5 high importance on maintaining GDPR compliance. The Income Generation and c0mUniCatiOnS Director attends Inlormalion Governance IIGI meetings and the team contributes to the Information Governance IIGI Handbook. Where work is undertaken with external btsdies, privacy notices are reviewed, and privacy impact assessments ale conducted. This information Is then recorded on an informatlon asset reglster, which is checked annually. The Charity has a dedicated supporter relationship managèment system to ensure we comply with Fundiaising Regulator requirements. This maintains robust systems for data maintenance and record keeping. In the period 1 April 2024 to 31 March 2025, we received 2 Suppression requests from the Fundraising Preference Service. These were actioned within 3 days. Any complaints that do arise are recorded on Vantage, our incident reporting system, and dealt in line with our complaint5 policies. No complaints have been received in respect of Your H05pice Lottery and in the instance where the Charity receive5 ca115 relating to the Lottery these are escalated to the Lottery team in line with their policy. Pleasingly, no complaints were recorded for fundiaising or communications during this period. 26
ARTHUR RANK HOSPICE CHARITY TRUSTEES. REPORT Financial review These are very difficult financial time5 for all UK h05pices. A recent Survey by Hospice UK found that just under 60% 01 UK hospice5 Incurred a deficit in 2024-25, resulting in service closures and redLJndancies at some hospices. There are significant political, economic and system pressures facing the sector currently and the impending restructuring of ICBS adds COn5iderab1e uncertainty to all hospices nationwide. The govemment's announcement in December 2024 of a £1 OOM capilal grant to UK hospices is welcome, but does not address the fundamental underlying funding issues that the hospice movement faces. Our cost5 are increasing fasier than our core income streams and this presents us with challenges to ensure our long-term sustainability. In addition, there is an ever- increasing demand from an aging population without improved funding to recognize this. Despite this financial background, we are extremely fortunate to be able to report a surplus of £1,608k 12024.. £1,106kl. This wa5 mainly due to a significant increase iri one-off legacies. We are incredibly gratelul for the generosity of those who recognise our work across the county of Carnbridgeshire. In addition, the first tranche of the government's capital grant to hospices increased our income by a further £235l but thi5 was restricted to capital programmes and not day-to-day running cost5. Together with small income increases from our NHS contracts and much higher investment income due to increased interest rates, our overall income rose by £1,327k1l0%1. Expendilure has been managed tightly given the financial environment that ihe Charity finds itself in. However, the need to match NHS pay awards15.5% in 20241251 due to our proximity to Addenbrooke's Hospital and investment in our fundraising team to improvè returns in future yÈar5 did see our expenditure increase by 7%. Our surplus has resulted in an increase in reseNes to £14.1 m 12024.. £12.5ml, with totsl free reserves that are available to spend on any of the Charitjds purposes increasing to £7.6m as at 31 March 2025 131 March 2024.. £6.Oml. This increase in the level of reserves strengthens our financial position to continue to provide the existing level of services as well as deal with the upcoming financial challenges that we will lace. It is worth noting. however, that our free resetves (expressed as a number of months of expenditure) are below the average for UK hospices. Accordingly, we have revised our reserves policy to allow for the incre3sed requirements in the uncertain times ahead. The Charity has retained a Strong focu5 on fi'nancial contro15, managing cost5 and a prudent approach to setting budgets. Our income generation activities, including fundraising, have all worked extremely hard to secure the additional funds required. This will continue to be a stretch for our teams as we plan ahead with an increasing focus on our retail operations. We will receive a second and final government grant of £706k in 2025/26. As before, thi5 has to be spent on capital projects, not day-to-day expenditure. The majority of the grant will be SPEnt on replacing the wooden cladding on the outside of the hospice building which has unfortunately not weathered well. This is one of our Sustainab5e objectives for 2025126 and will help to minimize maintenance expenditure on the exterior of the hospice. 27
ARTHVR RANK HOSPICE CHARITY TRUSTEES. REPORT Income The chart below shows our income compared to the previous year.. ICB contract Legacies DonatKins and gr3nts Retail and trading actThiities Nurse Led 8eds contract Id 2024125 • 2023124 Events and other fundr3isin8 othèr charitable activities Lottery Investment Incon £ Mmlions The Charity's total income was £14.39m12024.. £13.06ml, an increase of 10.2% We are indebted to our generous donors and supporters for their continued commitmènt to the Hospice. This yéar income from donation5 and events was £1.75m12024.. £1.90ml The Charity is extremely grateful for all gifts in wills, and income for the year was £2.01 m12024: £1.08ml The income from the charity's shops and other retail artivities was £1.43m12024." £1.19ml Our NHS income Comes principa11y via the Cambridgeshire & Peterborough IC8 and Cambridge University Hospitals Foundation Trust. NHS income for care services Increased to £7.98m12024". £7,68ml in the current year. Thi5 repre5ent$ 55% of our total income. The Charity was extremely grateful to receivè £0.33m 12024= £0.33ml wa a combination of unrestricted and restricted grants and donation5 from charitable trusts. Donors included Albert Hunt TrusL Albert Van Den Bergh Charitable Trust, Arndee Trust. Betty Lawes Foundation, The Blunt Trust, City and University of Cambridge Masonic Charitable Trust, Frank Litchfield Trust, Girton Town Charity, Griftsome TrLJSt, Innes Family Charitable Trust, The James Knott Charitable Trust John Armitage Charitablè TrLJSt, john Laing Charitable Trust, The jonathan Towler Memorial Foundation, The Julia Rausing Trust, The Mistra Trust Mrs Winglield Charitable Trust, Nancy Kenyon's Charitable Tru5L Nicholas Swallow and Other Charities, Northwick Trust, The P3ragon Tnjst, The Pench3nt Foundation. Philip King Charitable frust, The Polonsky Foundation. The Rodney and Shirley Holder Charitable Fund, The Saddlers, Company, St larlles's Place Foundation, Strangward Charitable Trust, Terry and Pat Chalmers Charitable Trust, and Thoma5 Galon Charity ol Swavesey. 28
ARTHUR RANK HOSPICE CHARvrY TRUSTEES. RÉPORT The chart below shows the proportion of income that we received in the year from different sources. Investment Income Event5 & other fundraisin8aJivitie5 Lortery 2%. Rerail and Irading_ io% ICBcontracl 49% Legacies_ 14% Oonatrons & 8rènti, L2% OtheT chariEaNe aiiivr(ies Nurse Led Beds contract 5% 29
ARTHUR RANK HOSPICE CHARITY TRUSTEES. REPORT Expendilure The chart below shows our expenditure compared to the previous year.. Charitable activit$ 2024125 • 2023124 Raisin8 funds 0 1 2 3 4 5 6 7 8 9 10 11 £ Mllllons Overall expenditure increased this year to £12.78m from £11.96m last year, an increase of 6.9% 80*0 of all the expenditure this year has been spent on charitable activities12024. 86%). The redudion is due to a strategic decision to invest in our fundraising team to increase income strearns in future year5 a5 the funding challenges intensify. £8.99m was spent on staff costs 12024.. £8.70ml and this represents 70% 01 the Charity's total expenditure173% excluding depreciation) The expenditure on charitable care has decreased by 0.1% to £10.24m12024". £10.25ml. This was primarily due to having to close the Young Adults Transition project Idue to lack of lundingl and vacancies in our Education and Specialist Palliative Care teams. £2.30m12023.. £2.19ml wa5 spent supporting direct delivery of charitable care. Thi5 included Ibut is not restrirted tol medical, clinical administrative supporL facilitie5 and catering, the management team, HI communications, Finance and IT. £0.86m was spent on fundraising activities12024.' £0.66ml. This exclude5 the fundraising Costs ol retail activities totalling £1.68m 12024.. £1.05ml. 30
ARTHVR RANK HOSPICE CHARITY TRUSTEES, REPORT The chart below shows the proportion of expenditure within each area lincluding allocated support costs). Fundraisin8 Retail and trading costs Hosk)ice at Home 24% 13% other Patient & Family support team Education Lymphoedema 2% Livin8 Well service 3¥ an HESdson Centre s% In Patient Unit 23% Palliative Hub Specialist palliative care team Nurse led beds Trading Company- Arthur Rank Hospice Limited The Charity has a separate subsidiary trading company through which our trading activities are managed which include the sales of new goods, verlue hire and sales in Ouf Bistro. The consolidated accounts include income and expenditUTe generated by the trading company. Our Education and Conference Centre provides a convenient meeting and conference venue which is available to hire by businesses, charities, health and social care organisations and community groups. Our Bistro prides itself on delivering a freshly prepared and home Cooked menu and providing a friendly welcome in 1ts bright and airy space, where patients, visitors and colleagues can enjoy meeting friends over lunch, or a coffee and cake. Gross income from the trading company was £0.3m 12024.. £0.3ml. Expenditure was £0.3m 12024.. £0.2ml and a very small loss wa5 incurred 12023.. £0.1 m profitl This loss was due to significant staff turnover and we are seeing irnprovements in the new financial year. 31
ARTHUR RANK HOSPICE CHARITY TRUSTEES, REPORT Reserves policy and going ¢oncem As a result c)f the increased demand for our service5, the Trustee5 are mindful of the Charity Commission publications.. "Charity reserves building resilience" ICC191 and 'Managing a charitys finances.. planning, mana9ing difficulties ènd insolvencl, ICCI 21. The Charity need5 a level of free reseNe5 to continue with core services in the event of a reduction in income or loss of lunding. Total free reserves of the Charity as at 31 March 2025 were £7.6m131 March 2024.. £6.Oml. Free resepJes cornprise those funds that are freely available to spend on any of the Charitls purposes and is calculated as general funds plus the legacy reserve. They exclude restricted funds and tangible fixed assets (Hospice fund) held for the Charity's use. The 2024/25 surplus has contributed to a significant increase in reserve5. According to Hospicè UK'S data, the average amount of free reserves held by adult hospices in the UK equates to 8.8 months of expenditure. Hi5toriially, we have been well below this level, primarily as we only became independent some len years ago. Our previous reserves policy had a target range of £2.5 to £S.Om. This was clearly not enough given the increase in our activities and expenditure as well as the need for financial resilience during the current financially challenging time5. Accordingly, we have revised the resetve5 policy such that the target range Is £5.Om £9.Om with an aim to reach the higher level over the next ten years. Progress towards that aim has been much quicker than expected due to the fortunate outcome of the last two financial years. Included within the reserves policy is a designated Legacy Reserve. Due to the unpredictable and IluctiIating nature of legacy income, Trustees have designated a legacy serve to which legacies received over and above the budget level may be allocated, to be drawn down in future years where legacy income falls below the budgeted level This will help manage the peaks and troughs of funding received via legacy rece1Pts. Such a reserve can also be assessed and managed al the frustees, discretion should a Serlce need present it5ell. As at 31 March 2025 the value of the designated Legacy Reserve was £1,917k12024.' £661 kl. Following the Charity Commi55ion's advice thal Charity trustees consider the p055ibility of an unplanned closure, the Trustee5 view the possibility of unplanned closure as very unlikeSy. There is always going to be significant demand lor high quality end of life care in CambTidgeshire. In a worst- case situation, the Charity's balance sheet would provide sufficient resources io fund a solvent liquidation. Management has prepared detailed month-by-month budgets for the years ending 31 March 2026 and 31 March 2027. There are less detailed projections forthe following years. Despite the matter noted as a post Balance Sheet evént in the financial statements, the Trustees are of the opinion that there is no doubt about the ability of the Charity to continue as a going concern over the next years. Accgrdirigly, the Trustèès are of the view that the Charity is a going concern. Investment poll<y In accordance with the Charity's constitution, the Trustees have the power lo invest in Such stocks, sl)ares, investments and property as tliey see fit. The Trustees are miiidful of the recoii)mesid3tioii of the Charity Commission with regard to the management of investments. The Charity has a formal investment policy and strategy which has been approved by the Tru5tee5. The investment guidelines relating to cash deposits were revised durin9 the year to increase the returns available during a period of relatively high interest rates. When we are able to invest fund5, no investment will knowingly be made directly in tobacco and related products or in any other products which run counter to the ethical standards of the Charity. 32
ARTHUR RANK HOSPICE CHARITY TRUSTEES, REPORT Risk management A comprehensive risk register is maintained by the Senior Leadership Team and reviewed by the Tnjstees on a quarterly basis. During 2021, a significant review of our risk management framework took place further embedding risk management within the strategic planning and fnanagement for the organisation and incorporating the guidance within Charitie5 and risk management ICC261. Following the review, the risks have been spllt into Strategic and operational risks. Strategic risks are allocated to the relevant sub-committees of Finance and General Purposes, Income Generation and Clinical Governance and reported on quarterly at each full Trustee Board meeting. Operational risks are managed by the Senior Leadership Toam and those idèntified as high risk are reportèd at each meeting of the full Trustèe Board. For each specilic risk the register describes the risk and assesses thè level of risL the likelihood of it happening and the potential impact. The register also includes proposed mitigation foi each risk and Trustee appetite for each risk. The risks are Scored both pre and p05t mitigation on the likelihood and impact of the risk. Our most significant risks and mitigating actions are set oul in the following table.. Income Iboth NHS and fundraising) does not offer ARHC financial stability Budget5 linked to planning and objectives Trustee monitoring of timely financial reporting Proper costing procedures for service delivery Diversity of income streams Regular review of resetrves Income Generation strategy including investment in team Appropriate authorisation processes in place for new investments and Initiatives Continued dialogue and negDtiation with NHS commissioners Scenario planning to identify how Service costs could be reduced should income be insufficieni The charity is not able to meet the changing needs of patients and their families Highly qualified and skilled workforce Highly skilled and experienced Trustee Board and SLT Proactive engagement in relevant system decision making bodies Seek feedback from system partners on effectiveness of our contribution Ongoing dialogue with commissioners to ensure timely e5c8lation a5 required Good engagement with Hospice UK and NHS England so aware of national directives and trends ARHC Open Days and active social media presence Listening to patients & loved ones, engaging at strategic level ie throLJgh PEOLC Programme Board and with eg HUK Escalation lo IC6 lÈmèntation of RUN-PC tool 33
ARTHUR RANK HOSPICE CHARITY TRUSTEES. REPORT Thè charity is a victim of a cyber attack Data security and awarene55 training for all staff Regular Phishing training IT outsourced to an ISO 27001 accredited company Regulaf reviews of system5 and security with and by IT support provider Service5 backed up daily Information asset register maintained SLJPPOrt package with website provider Following penetration testing, password security has been improved and MFA has been introduced BCP identifies actions to be taken in emergencies leg Systmone going downl BCP table top planning 5ession5 Wlth stslf Beyond ihe specific mitigation Strategies for each risk, the Trustees take the strategic view that the overarching risk mitigation strategy is to ensure that the Charity is well led by its Senior Leadership Team, supeNised and supported by the Board of Trustees.
ARTHUR RANK HOSPICE CHARITY TRUSTEES, REPORT Structure, governance and management Constitution The Charity is a charitable company limited by guarantee. The company was originally incorporated under Articles of Association on 25 November 2009. New Articles of Association were adopted on 6 June 2016 and amended on 31 March 2022. The company is a registered charity. number 1133354 The members of the company are the Trustees named below. In the event of the company being wound up. the liability of Trustees and members in respect of the guarantee is limited to £1 O each. The Charity previously operated as an unincorporated charity which was founded in 1981 and established by Trust Deed in 1982. With efFect from 1 February 2010, the assets of the unincorporated charity, renamed Arthur Rank House Hospice Charity, registered charity number 1133354-1 Iformedy number 2833531. were transferred to the charitable corripany. Under a Uniting Order dated 29 April 2010, Arthur Rank House H05pice Charity is now treated as part of Arthur Rank H05pice Chaiity. The TrLJStees who served during the year are shown on page 33. Biographical details of all Trustees are included on our website at We extend our gratitude to all of our Trustees. Appointment of Trustee5 The Charity ha5 appropriate policies and procedures in place for the recruitmenL appointment and training of new Trustees. In accordance with Charity Commission recommendations, the Charity 15 aware of the importance ol a diverse range of skills, background and experience among Trustees to ensure good governance. Thè usual approach to recruitment IS to advert15e but where specific skills or knowledge are required to strengthen the board's expertise, the Charity will seek otjt people with those skills and ask them to apply. These candidates are then interviewed and considered in the normal way, Trustees are usually appointed for an initial period of three years which may, subject to satisfactory performance, be renewed for up to two further term5 of three years each. A Trustee would not normally see for more than nine years but can be invited to seNe lor an additional three-year terrn at the request of the Trustees. The induction and training of new Trustees New Trustees are provided with an induction pack which includes the Charity's constitution, accounts and annual reports together with Charity Commission publications relating to the role of a trustee and material from the Hospice UK induction pack. They are encouraged to attend the Palliative Care Overview course TLJn at Arthur Rank H05pice. which cover5.. the background and history of the hospice movement and palliative care,. the working arrangements between the Charity and the NHS,. clinical aspects of the care at th@ Hospice," and strategy, expenditure, income generation and other detailed information about the Charity Trustees are also invited to observè service delivery wherè appropriate and feasible. 35
ARTHUR RANK HOSPICE CHARITY TRUSTEES, REPORT Remuneration poli The key management personnel of the Charity and the group comprise the Trustees and the senior leadership team, being the CEO, Clinical Services DirtOr/Deputy CEO, Finance Director, Medical Director, Communications & Income Genération Dirertor and People & OperatlOn5 Diredor. The Medical Director transferred in from the NH5 in August 2015 and continues to be paid in accordance with the NHS salary framework. Her role is assigned to individual NHS salary bands subject to satisfactory performance, rhe Medical Director receives annual increments on the anniversary of her appointment ijntil she reaches the top of her band. Salarie5 of other key management personnel are reviewed annually by Trustees, taking into account salaries paid for comparable roles in similar organisation5. There are third-party salary 5uroey5 of remuneration in the hospice sector and charities more generally which provide helpfvl input to thi5 proce55. Where Senior employee5 take on significant new responsibilities during the year, salaries are adjusted accordingly. Trustees se@ pio bono and voluntarily. A Remuneration and Nomination Committee is in place to provide focus, oversight and expertise on these matters, given the Charitys incre35ed workforce FKJSt-independence. Oryanisatipnal structure and de¢lsion making The Trustees set the strategic agenda and general policy of the Charity. The day-to-day affair5 of the Charity are managed by the CEO who reports to the chair of Trustees. The CEO presents comprehensive reports to the TrLJStees at Board mèetings, which are held at least quarteily, In addition, the CEO provide5 lortiiightly briefi1i9 updates to the Trustees. Within the organisation, there are also a number of sub-committees. which are set up to review each aspect of governance rnore detail. Each sub-committee is made up of Trustees and SLJPPOrted by members of the Senior Leadership Team. Each comrnittee reports back to the Board of Trustees. The structure and membership of these formal committees during the year was detailed below-. Clinical Govemanc?: Dr Catherine Bennett Julia Curtis DrArnold Fertig Mark Kingstone Finance and G8n•ral Purpos•s Committee.. Neil Tween (Chairl Mark Kingstone Sonali Kumarakulasinghe Rob Negus lappoinled 26th June 20251 Nicola Scrivings Colin Shemood (resigned 11 th Augijst 20251 36
ARTHUR RANK HOSPICE CHARITY TRUSTEES. REPORT Remuneration and Nominations: Julia Curtis Antoinette Jackson Sonali Kumarakulasinghe (Chairl Mehrunisha Suleman (resigned 13th June 20241 Income Generation Committee: Carolan Davidge (Chairl Arnold Fertig Antoinette Jackson Meghan Mathieson Iresigned 28, April 20251 Peter Northmore (Director of Trading Company) Eduardo Prato lappointed 26th June 20251 Andy Rigby (appointed 26, lune 20251 Colin Sherwood (resigned 11th August 20251 Mehrunisha Suleman (resigned 13th lune 20241 Trading Company Board: Carolan Davidge Ichairl Sharon Allen OBE ICEOI Antoinette Jackson ITru5teel Peter Northmore IDire(tor ofTrading Company) John Bishop (Director of Finance) There is also a formal scheme of delegation in place which set5 Out roles, responsibilities and decision- making thresholds. 37
ARTHUR RANK HOSPIC£ CHARITY TRUSTEES, REPORT Trustees, responsibilities statement The Trustees (who are also director5 of Arthur Rank H05pice Charity for the purposes of company lawl are responsible for preparing the Tru5tees' Report and the financial statement5 in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). Company law requires the Trustees to prepare financial statements for each financial period. Undèr Company law, the Trustees must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affaiT5 of the charitable company and the group and of the incoming resources and application of resources, including the income and expendilure. of the charitable group for that period. In preparing these linancial statements the Trustees are required to.. select suitable accounting policies and then apply them consistently,. observe the methods and principles in the Chaiities SORP. make judgments and accounting estimates that are reasonable and prLJdent', prepare the financial statements on a going-concern basis unless it is inappropriate to presume that the charitable group will continue in operation. The Trustees are responsible for keeping adequate accounting records that ale sufficient to show and explain the charitable company and the group'5 transactions and disclose with reasonable accuracy at any time the financial position of the charitsble group and enable them to ensure that the financial statement5 comply with the Companies Act 2006, They are also responsible for safeguarding the assets of the charitable COTnpèny and the group and hence for taking reasonable Steps for the prevention and detection of fraud and other irregularities. The Trustees are responsible for the maintenance and integrity of the corporate and linancial information included on the charitable group's website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ Irom legislation in other jurisdictions. Provision of information to auditors So far as each of the Trustees is aware at the time the report is approved.. there is no relevant audit information of which the charitsble company and the group's auditors are unaware, and the Trustee5 have taken all Steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditors are aware of that information. This feport, including the strategic report, was approved by the Trustees on 4th December 2025 and is signed on their behalf by.. A. Jackson - Chair of Trustees 38
ARTHUR RANK HOSPICE CHARITY REFERENCE AND ADMINISTRATIVE DAlL Reference and Administrative Details of the Chari its Trustee5 and Advisers Trustees Antoinette Jackson Dr Catherine Bennett Julia CurtLS Carolan Davidge Dr Amold Fertig Mark Kingstone Sonali Kumarakulasinghe Meghan Mathieson (resigned 28 April 20251 Rob Negus (appointed 26th June 20251 Eduardo Prato (appointed 26th June 20251 Andy Rigby lappointed 26th June 20251 Nicola Scrivings Colin Sherwood Iresigned 11th August 2025) Dr Mehrunisha Suleman (resigned 13th June 20241 Neil Tween Presldent Lady Chadwyck-Healey Patrons Baroness Cohen of Pimlico Sir Derek jacobi C8E Lady Marshall HM Lord-Lieutenant of Cambridgeshire Mrs Julie Spence OBE QPM Mrs Belinda Sutton DL Dr Nigel Williams MB. Ch.B., MRCGP. DCH. Ambassad*¥ Robert Barnes Les Bunker Judith Chisholm Jenny Cole Stuart Evans Rosemary Hall Stephen Hall lan Kydd Mike Mccall Jennifer Mulluck5 Diana PetchÈll Sheila Pierre Eduardo Prato John Short 39
ARTHUR RANK HOSPICE CHARITY REFERENCE AND ADMINISTRATIVE DETAIL Senior Leadership Team Sharon Allen OBE, Chief Executive Officer John Bishop, Finance & IT Director Gernma Manning, People & Operation5 Director Dr Lorraine Petersen, Medical Director Sara Robins, Clinical Services Dirertor/Deputy CEO jodie Vaughan, Communication5 and Income Generation Director Company registered number 07086155 Charity registered numbèr 1133354 RegistsrÈd offic• Cherry Hinton Road, Shelford Bottom, Cambridge, CB22 3F8 Company Secretsry John Bishop Independent audltors Price Bailey LLP, Tennyson House, Cambridge Busine55 ParK Cambridge, CB4 OWZ Website address arhc.org.uk 40
ARTHUR RANK HOSPICE CHARITY CONSOLIDATED AND CHARITY BALANCE SHEET INDEPENDENT AUDITORS. REPORT TO THE MEMBERS OF ARTHUR RANK HOSPICE CHARITY OPINION We have audited the financial statements of Arthur Rank H05pice Charity Ithe 'parent charitsble company) and its subsidiaries Ithe 'group'l for the year ended 31 March 2025 which comprise the Consolidated statement of f1nancial activities. the Consolidated balance sheeL the Charity balance shee( the Consolidated statement of cash flows and the related notes, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Stsndards, including Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland, (United Kingdom Generally Acceptèd Accounting Practice). In our opinion the financial statements= give a true and fair view of the state of the Group's and of the parent charitable Companls affairs as at 31 March 2025 and of the Group's incoming resources and application of resources, including its income and expenditure for the year then end&. have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice,. and have been prepared in accordance with the requirements of the Companies Act 2006. BASIS FOR OPINION We conducted our audit in accordance wrth Intemational Standards on Auditing (UK) IISAS IUKII and applicable law. Our resF>onsibilities under those 5tandard5 are further described in the Auditors. responsibilities for the audit of the financial 5tstements section of our reporL We are independent of the Group in accordance with the ethical requirements that are relevant to our audit of the financial statements in the United Kingdom. including the Financial Reporting Council's Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion. CONCLUSIONS RELATING TO GOING CONCERN In auditing the financial ststements. we have concluded that the Trustees. use of the going concern basis of accounting in the preparation of the finanoal statements is appropriate. Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that individually or collectively. may cast significant doubt on the Group's or the parent charitsble company's ability to continue as a going concern for a period of at least twelve months from when the financial ststements ale authori5ed for issue. Our respon5ibilitie5 and the responsibilities of the Trustees with respect to going concern are described in the relevant sections of this report 41
ARTHUR RANK HOSPICE CHARITY CONSOLIDATED AND CHARITY BALANCE SHEEY OTHER INFORMATION The other information comprises the information included in the Annual report other than the financial Statements and our Auditors, report thereon. The TIustÉes are responsible for the other information contained within the Annual report. Our opinion on the financial statements does not cover the other information and, except to the extent othetwise explicitly stated in our reporL we do not express any lorm of assurance conclusion thereon. Our responsibility is to lead the other information and, in doing so, consider whether the other information is materially inconsistent with the financial 5tatemen15 or our knowledge obtained in the course of the audiL or otherwise appears to be materially misstated. If we identify such materia1 inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements thernselve5. If, based on the work we have performed, we conclude that there is a matèrial misststement of this other informabon, we are required to report that fact. We have nothing to report in this regard. OPINION ON OTHER MATTERS PRESCRIBED BYTHE COMPANIES ACT 2006 In our opinion, based on the work undertaken in the course of the audit.. the information given in the Trustees. Annual Report, incorporating the Strategic Report and the Diiectoi"s' Report for the linancial year for which the financial statements are prepared is ¢unsisl¢nt with the financial statements. the Strategic Report and the Director5, Report have been prepared in accordance with applicable legal requirements. MArrERS ON WHICH WE ARE REQUIRED ro REPORT BY EXCEPTION In the light of our knowledge and understanding of the group and parent charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the Strategic Rèport and the Directors. Report. We have nothing to feport in respect of the following matters in relation to which Companies Act 2006 requires us to report to you if, in our opinion.. adequate accounting record5 have not been kept by the parent charitable company, or returns adequate for our audit have not been received from branches not V151ted by us,. or the parent chantable company's financial statements are not in agreement with the accounting records and returns,. or certain disclosures of Trustees. remvneration specified by law are not made", or we have not received all the information and explanation5 we require for our audit. 42
ARTHUR RANK HOSPICE CHARITY CONSOLIDATED AND CHARITY 8ALANCE SHEET RESPONSIBILITIES OF TRUSTEES As explained more fully in the Trustees, responsibilities statement, the Trustèès (who arè also the directors of the charitable company for the purpose5 of company lawl are responsible for the preparation of thè financial statements and for being 5at15fied that they givè a true and fair view, and for such internal control as the Trustees determine is necessary to enable the pieparation of financial statements that are free from material misstatemenL whether due to fraud or error. In preparing the financial Statements, the Trustees are responsible for assessing the Group's and the parent charitable company's ability to continue as a going concern. disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the Trustees either intend to liquidate the Group or the parent charitable company or to cease operations, or have no realistic alternative but to do 50. AUDITORS. RESPONSIBILITIES FOR THE AUDif OF THE FINANCIAL STATEMENTS Wé have been appointed auditor under the Companies Act 2006 and report in accordance with this Act. Our objectives are to obtain reasonable assurance about whether the financial 5tstements as a whole are free from material misstatement, whether due lo fraud or error, and to issue an Auditors. report that include5 our opinion. Re350nable assurance is a high level of assurance, but is not a guarantee that an audii conducted in accordance with ISAS IUKI will always detecl 8 material mi55tstemeiit wlieii it exists. Misstatement5 can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be experted 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 procèdures in line with our responsibilities, OLJtlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below.. We gained an understanding of the legal and regulatory framework applicable to the charitable company and how it operates and considered the risk of the group and the parent charitable company not complying with the applicable laws and regulations including fraud in particular those that could have a material impact on the financial statements. Th15 included those regulations directly related to the financial statements. In relation to the group and the parent charitable company this inclLJd@d employment law, financial reporting and health & safety. The risks were discussed with the audit team and we Temained alert to any indications ol non- comp11ance throughout the audit. We carried out specific procedures to address the risks identified these included the following.. We reviewed systems ancl procedures to identify potential areas of management override risk In particular, we agreed the financial statements to underlying records and we carried out testing of journal entrie5 and other adjustments for appropriatene55. We reviewed accounting policie5 for evidence of management bias and ensured that the accounting policies were correctly applied to the financial statements. We review minutes of Trustee Board meetings ond agreed the financial statement disclosures to underlying supporting documentation. 43
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ARTHUR RANK HOSPICE CHARITY CONSOLIDATED AND CHARITY BALANCE SHEET CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITES (INCORPORATING AN INCOME AND EXPENDITURE ACCOUNT) FOR THE YEAR ENDED 31 MARCH 2025 Unrestrirted Rostrirted funds funds 2025 2025 Totsl fund5 2025 Total funds 2rJ24 Nots INCOME FROM: Donations and legacie5 Charitable activities 3.303. 172 366.475 3.669.647 2.946,954 8.096,467 235,458 8.331.925 8,180,528 oiher Trading aitivities Investments 2.132.413 4.583 2.136.996 1.792,366 249.362 249.362 140,903 TOTAL INCOME 13,781.414 606,516 14,387,930 13,060,751 EXPENDITURE ON.. Raising funds Cliaritable activities 12.446.220} 193.4081 (2.539.628) 11,705,545) (9,886.674) {353.6341 {10.240.3081 110.249,5881 10 TOTAL EXPENDITURE {12.332.8941 (447.0421 {12.779.936) 111,955.1331 NET INCOME 1.448.520 272.469 159.474 1.607.994 1,105.618 Transfer betweeii fund5 22 {272.469} NET MOVEM£NT IN FUNDS 1.720.989 {112.995} 1,607.994 1,105,618 RECONCILIATION OF FUNDS Total fLJnds brought forward Net moveinent iii funds 11.734.291 792.635 12.526.926 11,421.308 1.720.989 {112.995) 1,607.994 1,105,618 TOTAL FUNDS CARRIED FORWARD 13.455.280 679.640 14,134,920 12,526,926 The Consolidated statement ol financial activitie5 Includes all gains and losses recogiiised in the year. The notes on pages 48 70 forni part of these finaniial statements. 45
ARTHUR RANK HOSPICE CHARITY CONSOLIDATEO AND CHARITY BALANCE SHEET CONSOLIDATED AND CHARITY BALANCE SHEET AS AT 31 MARCH 2025 COMPANY NUMBER: 07086155 GROUP 2025 CHARITY Note 2024 2024 FIXEO ASSETS Tangible 355ets Investments 75 16 8.504,962 8,648,360 1504962 10.000 8.514,962 8,648,360 10.000 8,658,360 8,504.962 8.648.860 CURRENT ASSETS Stoc Debtors Investments 17 20.321 2.573. 133 1,045,1)00 17,876 1,60),526 705,000 1889.797 1,045,000 5,620,837 9,555,634 1.634.535 705,000 19 Cash dt bar)k and in lidnd 5,990,929 5,3)E 198 5,235,163 9.629,383 7,6i4.2G'C. 7,574,b98 CURRENT LIABILITIES Creditors due within one year 20 11.359,4251 1975.6341 {1.324,0891 1940,2601 NET CURRENT ASSETS 8.269.958 6,678,Sb6 8.231,545 6,634.4311 TOTAL ASS$ LESS CURRENT LtABILIYIES 16.774.920 15,326 926 16.746,507 15,292,798 Creditors.. due after one year 21 l2.640.0c7l 12 800.OOOj {2.640.1)001 2.800.000) TOTAL NET ASSETS 14,134.920 14. 106.507 CHARITY FVNOS Resti-icted funds 22 679.640 792,635 679,640 792.635 Unre5tricled fund5 22 13,455,280 11.734.291 13.426,867 11,700.163 TOTAL FUNDS 14.134,920 12.52b.926 14 106, 507 12,492.798 The Charity's net rnovement in funds lor the year wa5 £1.607.99412024 - £1.105:6181. The Tru5tee5 acknowledge their ie5Pf)Tisibilities for cotnplying with the requirements ol the Act with respect to accountino records and preparation of financial statp.me.nts. The financial Statements were approved and authorised lor issiie by the frustees 3nd signed. on tlieir behalf by.. Antoinette Jackson, Chair of Trustees Daté." 04 Decernbei 2025 The note5 on pages 48 to 70 form part of these financial sratement- 46
ARTHUR RANK HOSPICE CHARITY CONSOLIDATED STATEMENT OF CASHFLOW CONSOLIDATED STATEMENT OF CASHFLOW FOR THE YEAR ENDED 31 MARCH 2025 2024 Note CASH FLOWS FROM OPEIiATING ACTIVITIES Net cash used in operating activities 25 1,486,476 847,345 CASH FLOWS FROM INVESTING AcfiviTIES Purchase of tangible fixed assets Salp nl tangible fixed ass@ts Movemei)t in short term cash deposits {327,3461 1142,3741 300 1280,0171 1339.9991 NET CASH USED IN INVESTING A1VITIEs 1661.3451 1422,0911 Repaymeiits of borrowings 1160.0001 1161,4451 NET CASH USED IN FINANCING AcfiviTIES 1160.000) 161.4451 CHANGE IN CASH AND CASH EQUIVALENTS IN THE YEAR 665,131 263,809 Casli and cash eqLJivalents at the beginning of the yeai 5.325.798 5.061.989 CASH ANO CASH EQUIVALENT5 AT THE END OF THE YEAR 26 5,990.929 5,325,798 47
ARTHUR RANK HOSPICE CHARITY NOTES TO THE FINANCIAL STATEMENTS NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 1. ACCOUNTING POLICIES 1.1 BASIS OF PREPARATION OF FINANCIAL STATEMENTS Thè financial statemenlb have boeii prepared In a codance with the Charities SORP IFRS 1021 Accountsng and Reporting by Charities.. Staternent of Recommeiided Prartire applicable to charities preparing iheir accoui)ts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland ,:FRS 1021 (Second EditlDn Octobei" 20191 th.è Financial Reporting standard applicable In the UK and Republic ol Ireland jFRS 101.13nd the CoTnpanies Art 2006. Arthur Rank Hospice Charity meet5 the delinition of a public benetit entity under FRS 102. Assets an.d liabilities a initially recogn15ed at historical colt or transaction valLie unless otherwise stated in the relevant accountivg policy. The Coiisolidated >tatement of financial a£tivitie5 1 50FAJ and Con501idated balance sheet consolidate thè financial statemeiits of the Chbiity and its subsidiary undertakirig. The results of tlie subsidiary are coiisolidated on a line by line basi5. The company has taken advantage ol the exemption allowed under section 408 01 tlie Companies Act 2006 and has not preseiited its own Statement of financial activities in thèse financial 5taemenls. 1.2 GOING CONCERN Alter Ihe end ol the 2024125 financial ye.ar, Cambridge Universtty Hospita15 informed the charity that they ivould not be renewing the Nurse Led Beds contract from Isi April 2076. In 2025126, tlie contfact will generate income of £829k Whilst it ha5 a mii)imal Impact on oiir surplusldeficit, the Trustees are considep.ng how tl)ese beds will bp funded In the future. They are comfoftablp that the cost can be al)soi'bed froii) exl5liii clidrity luiids wliilst a SLijliiinabl& Iilan loi. rhe lulLirE is Lor151do'ied ovei tl) coming months. Howèvér, thi5 will result in a reduitioii In the nuinber of bed5 available if alternative funding cannot be found. In addition to the above, the trusrèes have rek'iewed the finaniial position ol the group and have rea50n£ble expectation that the group has adequate resources to contiiiue Ill operational existencè for the foi"e5@eab1e future. Accordingly. the financial sratement4 continue to be prepared or) the going concei n bas15. 7.3 FUND ACCOUNTING General furids are iJi)restricted funds which are available lor use at the disctetion of the Trustees in furtherance of the general objective5 of rhe 9roup and which have not been designated for orher purposes. De51gnated ftjnds comprise unre5tiicted funds that have been set aside by the Tnjstees lor particular purposes. Tlie aim and use of each designated fund Is set out in the ngtes lo the financial 5tatemeniS Restricted fund5 ale fund5 wliich ère to be used in accordaiice h¥ith specific restrictions irTiposed by donors or which havè beèn raised by the oroup for partlCLS13r ptJrpose5. The costs ol raising and adrninistering suih fLinds ale charged against the specitic fund. The airli and use Df each restritted fund is set out in the notes tD the finan£ial state])ntS Inveytment 11)coine, gains and losses are allocated to the appropriate fund. 1.4 INCOME All Income 15 recognised once the company has entitlement to the incorrie. It is probable that rh? Income will K)e recèived, and the a4llOUFIt of iricome receivable ian be measured reliably. For legacies, entitlement 15 taken a5 the earlier of the date on which either. the coinpany is aware that probate has been granted, rhe e5rate has been fin6li5ed and notifir.3tion has been made by the e%ecutorls1 to ihe TrLJSt ihat a distiibution will be made, 01 when a disiribution is Feceived from the est,Ite. Receipt of a legacy. in whole or in part, 15 oT)ly considered probable when the arrount cari be 48
ARTHUR RANK HOSPICE CHARrrY NOTES TO THE FINANCIAL STATEMENTS measured reliabty, and the company has been notified of the executorfs intention to make a distribution. Where legacies have been notified to the company, or the COFnpany is aware of the granting of probate, and the criteria for income recognition have not been met then the legacy is treated as a contingent asset and disclosed if material. Donated Services or facilities a recognised when the company has control over the item, any conditions associated with the donated item have been met the receipt of economic benefit from the use of the company of the item is probable and that economFc benefit can be measured reliably. In accordance with the Charities SORP IFRS 1021. the general time given by volunteers is not recognised. On receipt donated profe55ional 5eTvices and donated fa£slities are recognised on the ba515 of the value of the gift to the company which is the amount the company would have been willing to pay io obtain services or facilities of equivalent economic benefit on the open markeL a corresponding amount IS then recognised in expenditure in the period of receipt Donations are recognised as income on receipt unless there is eatlier evidence of entitlement. and the amount can be measured reliabty. Income tax recoverable in relation to donations received vnder Gift Aid or deeds of covenant is recognised at the time of the donation. Donated goods for resale are recognised once sold. Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the group.. this is nomially upon notific*ion of the interest paid or payable by the Ban Income from NHS contracts, govemment and other grant& whether capital grants oi revenue grants, are recognised when the chartty has entitlement to the lunds, any performance conditions attached to the grants have been meL it is probable that the income will be received, and the amount can be measured reliably and is not deferred. Lottery income is recognised in the period to whrch it relates, and events income 15 Tecogni5ed when the event has occurred. Education income received for bespoke and programmed course5 is recognised in the period that the teaching course takes place. Any amounts received at thefinancial yeaf end forfuture courses is carried forward as deferred income in these accounts. Income from retail Sales of new goods, venue hiTe income and c3teTing income for the year, are recognisecl exclusive of Value Added Tax. Retail sales and catering sales are recognised immediately. Venue hire income is recognised in full when the eftt is held and any amounts received at the financial year-end for venue hire in the following year is carried forward as deferred income in these accounts. 1.5 EXPENDITURE Expenditure is cogniSed oncè there is a legal or con51w(tive obligation to transfer economic benefit to a third party, it 15 probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliabty. All expenditure is accounted for on an accruals basis. All expenses including support costs and govemance costs are allocated to the applicable expenditure headbngs Support costs have been allocated between cost of raising funds and expenditure on charitable activitie5 based on direci costs. Fundraising costs are those incurred in seeking voluntary contributions and do not include the costs of disseminating information in support of the charitable ctivities. Support costs are those costs ir)curred diTertly in support of expenditure on the objÈcts of the company. Govemance costs comprise the costs involving the public accountability of the charity (including atjdit costs) and costs in respect of compliance with regulation and good practice. Costs of generating funds are costs incurred In attracting voluntary income. 3nd those incurred in trading activities that raise funds. Expenditure 1% classified by actiwty. The costs of each artimty are made up of the totsl of direct costs and shared costs, including support costs involved in undertaking each activity. Direct Costs attributable to a single activity ale allocated directly to that actNity. Shared costs which contribute to more than one 49
ARTHLIR RANK HOSPICE CHARITY NOTES TO THE FINANCIAL STATEMENTS activity and support costs which ale riot attiibiitab1e to a singl& actlV1D/ are apportioned between those activities on a basig ctrnsistent with the use of resources Central staff costs are allocated on iho basis of time spent. and depreciation charges allocated on the portion of the asset s use Expenditure on raising funds includes all expenditure Incurred by the Groijp to raise funds for its Lboritable PLJrposes and includes costs of all fundrèising activities events and non-charitable trading Expenditure on charitable ctivities Is incurred on directly undertaking the acrivities ¥vhich turther the Group's objectives. as well as any associated support costs. All expendilure is inclusive of ifrecoverable VAT. 1.6 TAXATION The company is con5ideTed to pa$5 the tests set out in Paragraph I Schedule 6 of the Finance Act 2010 and therefore it nieets the def;"nition of a charitable company For UK corporation t3x purposes. Accordingly. the company is potentially exempt from taxation In respect ol incoiT)e or capital gains received withiii ialegories covÈred by Chapter 3 Part I l ol the Corporation Tay Act 201 O or Section 256 of thè Taxètiori ol Chargeable Gains Acr 1992. to the extent that such income or gains a applied exclusively to charitable purposes. 1.7 TANGIBLE FIXED A55ETS AND DEPRECIATION Tangible fixed assèts costing £1,000 or more are capitalised and recognised when luture economic bènefits are probable and the cost or value ol the asset can be me(Isured reliably Tangible fixed a55ets are initially recognised ot cost. After recognition, undèr the cost model, taiigible fixed assets are measured at cost less acr.umulated depreciat10n and any ac.ciimulated impairment 105ses. All costs incurred to bring a tangible fixed asset into its intendèd working coiidilion should be included In the easurement of cost. At each reporting date tlie Loinpany assesses whèther there Is aliy IndiidtiL)ii of impairmenL If SLJch Indication exists. the recoverable amouiit ol the asset is determined to be the ..Igher of Its Idir value less costs to sell and its value in use. An impairment loss is recognised where the tarrying amount exceeds the recoverable atnoont. Depreciation is charged so as to allocate the tosl of tangible fixed assets less their re51dual value over their estiiyiated useful lives, using the straight-line method. Depreciation is provided on the following bases". Freehald property Leasehold land Fixtures, fittings. equipment & artwork 2 200A straight line 1% straight line -10 - 33°A straigit line 1.8 INVESTMENTS Fiked asset Investments are a form of finaiicial instrvment and are initially recognised at their transaction cost and subsequently Ire3SLJred at fair value at the Balarice sheet date, unless the value cannot be measured reliably In which case it Is rp.e3siired at C05t less impairment. Investmerit g8in$ and losses. whether realised oi. unrealised, are coinbined and presented as 'tsains/lL055èsI on Iiivestment5' in the Con501idated statement of financial a"tivities. Investments in Subsidiaries are valued at cost less provision for impairment. 1.9 STOCKS Stocks comprise rètail stock and are stated al the lower of cost and net realisable value, being the estimated selling piice less costs to complete and sell Cost Is based oll thè cost ol purchase on an averagè ccist basis. At each balance slieet date, stocks are a55e55ed lor iinpairment 11 stock is impaired, the carrying ainount is rediiced to "'ts selling price less costs to complete and sell. The impairment loss is recognised immediately in profit or loss. 50
ARTHUR RANK HOSPICE CHARrrY NOTES TO THE FINANCIAL STATEMENTS 1.10 DEBTORS Trade and other debtors are recognised at the settlèment afflount aftèr any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due. 1.11 CASH AT BANK AND IN HAND Cash at bank and in hand include5 cash and short term highty liquid investments with a short maturity of three month5 or less from the date of acquisition or opening of the deposit or similar accounL 1.12 LIABILITIES AND PROVISIONS Lièbilities are recognised when there is an obligation at the BalarKe Sheet date as a result of a past event, it is probable that a transfer of economic benefit will be required in settlement and the amount of the settlement can be estimated reliably. Liabilities are recognised at the moment that the company anticipates it will pay to settle the debt or the amount it has recewed a5 advanced payments for the goods or services it must provide. Provisions are measured at the best estimate of the amounts required to settle the obligation. Where the effect of the time value of money is material. the provision 15 based on the present value of those amounts, discounted at the pre-tax discount rate that reflects the risks specific to the liability. The unwinding of the discount is re(ognised in the Consolidated statement of financial activities as a finance cost. 1.13 FINANCIAL INSTRUMENTS The group only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently rneasuTed at their settlement value with the exception of bank loans which are subsequently measured at amort15ed cost using the effective interest method. 1.14 OPERATING LEASES Rentals paid under operating leases arè charged to the Consolidated statement of financial artivities on a straight-line basis over the lease term. 1.15 PENSIONS The group operates a defined contribution pension scheme and the pension charge represents the amounts pèyable by the group to the fund In respect of the year. The charity a150 Contributes to the NHS defined benefit scheme for members of staff who transferred to it with NHS pension scheme membership. It is not possible to identjfy the chariws share of assets in this scheme and therefore contributions are accounted for 0$ if they were made to a defined contribution scheme. 2. CRITICAL ACCOUNTING ESTIMATES AND AREAS OF JUDGEMENT E5timate5 and judgements are continually evaluated and are based on historical experience and other factors, including expectations of future events that are believed to be reasonable under the circumstances. Critical accounting estimates and assumptions: The company makes estimates and assumptions conceming the future. The resulting accounting estimate5 ènd a$5UmPtion5 will, by delinition, seldom equal the related actual results. The estimatos and assumptions that have a significant iisk of causing a material adjustment to the carrying arnounts of assets and liabilities within the nert financial year are discussed below. Accrued legacy income,. there is inherent uncertainty in the PTobatevaluation of estates due to the nature of underlying assets and liabilities, the time that may lapse between probate and closure, and other contingencies that attend the estate. Cases are reviewed on a case-by-case basis at least annually, and updated when 3ny new information is iecesved_ Depreciation of hospice,. the various components of the hospice have been identified from the Component Replacement Report prowded by Faithful Gould. This report wa5 produced at5tye
ARTHUR RANK HOSPICE CHARITY NOTES TO THE FINANCIAL STATEMENTS coii}rreiicement of the project ai)d as such final costs exceed those ihat the conipDnent depreciation wa5 calculated on. The additional costs have been pio-rated aiross the various de0CiatiOn rates accordance with the percentage values. The trustee5 have reviewed the depr.eciation rates and charge in the year and are satisfied on the basi5 the estimate is calculated. Critiul areas of judgement: The Trustees du not consider that there are any crttical areas of judgemènt applied in the preparation of these financial 5tatement5. 3. INCOME FROM DONATIONS, LEGACIES AND GRANTS Unrestricted lunds 2025 Restricted funds 2025 Total funds 2025 Total funds 2024 Oonalioi)s 1.223,532 1,922.410 157.230 113.197 83.673 169.605 1.336.729 2,006.083 326,835 1,532,066 1,083.646 331.242 Legacie5 Grants 3,303.172 366.475 3,669.647 2.946,954 Total 2024 2,633,289 313,66) 2,946,954 Included in donations Is £16,241 01 gifts in kind12024.. £48.8601 4. INCOME FROM CHARITABLE ACTIVITIES Unrestrirted funds 2025 Restricted funds 2025 Total funds 2025 Tolal fijnds 2024 ICB Contract 7,096,547 806,909 68.475 24,411 100.125 7.096.547 806,909 6,830,170 776,621 Nurse led beds contract Otl)er statutory Education 235.458 303.933 24.411 100,125 448,9q6 14,701 1 l D,040 Other 8.096,467 235.458 8.331.925 8,180,528 Tolal 2024 8,048,544 131,gU4 IJ. 180,528 52
ARTHUR RANK HOSPICE CHARITV NOTES TO THE FINANCIAL STATEMENTS 5. INCOME FROM FUNL)RAISING AND TRADING ACTIVITIES Unre5trirted Restricted Total Totsl lunds funds funds funds 2025 2025 2025 ?024 Shop and Trading Events and fundraising Lollery income Other 1.428.784 1.428.784 1.193,OQO 411.296 411,296 363.992 249,065 43.268 249.065 202,255 4.583 47.851 33.119 2.132.413 4.583 2.136,996 1.79?.,366 Total 2024 1.782,717 9,649 1,792.366 6. INVESTMENT INCOME Unrestrirted Restrided Total Totsl funds funds nds fijnds 2025 2025 2025 Interest 249.362 249.362 140,903 Total 2024 140,903 140,903 7. ANALYSIS OF EXPENDrruRE BY ACTIVITY Diwe<t Support costs Total fund5 2025 Totsl rKIs 2Q24 costs 2025 Note 11 Note9&10 Fundraising. Retail and Ti'ading Hospice care services 2.041700 7.940,606 496.928 2.299,702 2.539,628 10,240.308 1.705.545 10,249,588 9,983,306 2.796,630 12,779.936 Total 2024 9,462,080 2.493.OJ3 l T.955,133 53
ARTHUR RANK HOSPICE CHARITY
NOTES TO THE FINANCIAL STATEMENTS
8. ANALYSIS OF EXPENDITiIRE BY TYPE
Charitsble
FundTaising
direct costs dSrect ¢osts
2025
2025
Notè 10
Noie 9
Support
costs
Totsl
lunds
2025
Total
funds
2024
2025
Note 11
Staff costs
fi37&5(41
56.822
1.162,409
1.452.451
8.993.360
8,700,738
Lèases and rent
187,533
244,355
190.307
Loan financing costs
Depreciation
Other
95.859
95.859
464,743
101,429
311,386
61.296
1.443.9B8
34.492
658,266
368.955
879.365
2.981.619
2,651,273
7.940.606
Z.042,700
2.796,630
12.779.916
11955 133
Total 2024
8.063,314
1.398,766
2.493,053
11.955,ia3
9. FUNDRAISING, RETAIL AND TRADING COSTS
Dtre
ARTHUR RANK HOSPICE CHARITY NOTES TO THE FINANCIAL STATEMENTS 10. ANALYSIS OF EXPENDITURE ON CHARITABLE ACTIVITES Dirert Support ¢osts Totsl funds 2025 Totsl nds 2024 sts 2025 2025 Living Well Educatioii 312.883 132.103 90,615 3B.259 403,498 170,362 414,668 261,996 2,977,294 589.990 Hospice at home Alan Hudson Day Treatment Centre In palient unit Nui'se Led Bed5 Lymphoedema Patient ai)d family support team Specialist palliative care team Palliative Hub 2.390.207 692.235 3.082.442 567.078 439.727 127,351 2.235.536 647,439 2.881975 910.534 303.999 2 729,236 988,458 287,508 706.052 204.482 235.729 6&270 186,262 715.190 53,944 207. 128 13Q843 7.645 25,491 240.206 922.318 255,598 968,255 472,502 26.3% 88,019 609.345 34.041 607,617 Transitioning Young Adults projèct Voluntsry services 76.300 113,510 97.608 7,940,606 2.299.702 10.240.308 10.)49.588 Total 2024 8.063.3 14 ? 186,274 l J.249,988 In the year ended 31 March 2025, £353,63412024.. £396,447) ol expenditure oil cliaritable aitivities was attributablè to réstrirted funds and £9.886,67412024". £9,853.1411 to unrestncted funds. 11. SUPPORT COSTS stsff Loan fiTrancin9 ZOZ5 Total fvnds 2025 Total funds Others 2025 2025 2024 Faci15tie5 & Catering Central 406,680 487.451 225.414 435.452 632.104 1,01&762 221.636 760,214 640,382 215,983 156,788 308.021 91.062 95,859 Finance 201.319 20.317 Hunian resourcèg 134976 54746 324.010 189,722 324.010 Insurance 95,666 66.713 2S.992 95.666 180.974 133,756 Public r&latiOrnS 114261 107.764 194.737 Gokernai)ce 125,806 1,452.451 1.248.320 95.859 2.796.630 Total 2024 1,366,168 l.J25,456 101,429 2.491,053 55
ARTHUR RANK HOSPICE CHARITY NOTES TO THE FINANCIAL STATEMENTS 12. NET INCOME This is stated after charging. 2025 2024 Auditor5, remunp.r3tion aucsit 28,446 32,498 Auditors, remuneration other servicEs 15274 Loss ori ImpairmefTrt Jf Hospice cladding Depreciation ol tangible fixed a£sets.' owned by the charitable group 386,700 311,386 464.743 13. STAFF COSTS GrE)up ZOZ5 Gi"oup 2024 Company 2025 Compaii> 2024 wage.s and salaries Social security ctssts Contribulion ID defined contribution 7.594,850 723.087 675.423 7,369,117 672,019 659,602 7.578.631 721,462 674.475 7,339,547 668.998 657,887 8.993,360 8,700,738 8,974,568 8,666432 Tlie avera9e iiuiiibei of pei 5QI15 erriployed duri1)9 the year Nvas as follows Group and Company 2025 Group and Company 202-.1 No. No. Clinical serviceg 162 179 Fundraising and Communications Suppoft and governance Bank staff 21 40 50 37 Retsil 21 289 The average headcount expressed a5 full-time equivalents was.. Group and Company 2025 Group a CoTnpany 2024 No. Clinical service5 126 137 Fundraising and communicatyoris SL5ppori aiio govei'nance Bank staff 18 12 34 34 31 24 Retsil 17 14 2Z6 )21 56
ARTHUR RANK HOSPICE CHARITY NOTES TO THE FINANCIALSTATEMENTS 13. STAFF COSTS ICONTINUEDI The number of employees whose benefit5 lexcludiNg employer pension c05ts1 exceeded £60,000 wa5. G¥oup and . Cornp#ny 2025 GrvuF¢ ai]Ll Compar 202 No. No. In the band £60,001-£70,000 In tlie baiicl £70.001-£80.000 In the band £80.001-£90,000 In the band £90.001-£100,000 In the band £1 QO,001-£) I 0,000 The key management persor.nel of the Charity and the group comprise of the trustee5 and the senior leadership team being the CEO, Director of Clinical fervices, the Finance Director, the Medical Dirertor. People & OperatlQn5 Director and the CoFnrnunications & IIicoiTie Geiieratioi,, & Communications Director. The total employment costs inclbding Salaries, employer pension contributions and employers national insurance of key management personiiel were £579,05912024' £515,066) 14. TRusfEFS' REMUNERATION AND EXPENSÉS During the yèar. no TNstees received any remuneration or other benefits12024 - £NILI. Durifig the year, no Trusteo ox?enseb liave blen Iricurred 12024 - £NILI 57
ARTHUR RANK HOSPICE CHARITY NOTES TO THE FINANCIAL STATEMENTS 15. TANGIBLE FIXED ASSETS GROUP Long-temi leasehold Fixtures property and fittin95 Freehold Property Total COST OR VALUATION At 1 April 2024 Additions 10.720,8A9 120,0(KI 1,052,231 321,346 11,893,1)80 321.346 Disp05a15 {37.5631 (37,S631 At31 March2025 10.720.849 120.0 1,336.014 12.176.863 Long-terni leasehold Flxtures property and fittin9S Fveehold Property Total DEPRECIATION At l April 7¢i24 Charge for the year On disposals 2,509,626 726. 194 3,Z44.720 464.743 137.5621 330.457 1.21KI 133.086 (37.5621 At 31 March 2025 2,840,083 10,100 821.718 3.671.901 NET BOOK VALUE At 31 March 2025 7.880,766 109,9(4) 514,296 8,504,962 At 31 March 2024 8,211,223 111.100 326,037 8 ti48, 360 S8
ARTHUR RANK HOSPICE CHARITY NOTES TO THE FINANCIAL STATEMENTS 15. TANGIBLE FIXED ASSETS (CONTINUED) CHARITY Long-term leasehold Flxtures property and IIttEngs Freehold Prt>perty Totsl co¥r OR VALUATION At 1 April 2024 Additions 10,720,849 120,IJOO 1.052,230 11,893,079 321.346 137,5621 321.346 Disposals 137.5621 At 31 March 2025 10,720,849 120.[) 1.336,014 12. 176.863 Long-term l¢a5ehold Flxtures prDperty and fitttngs Freehold Property Total DEPRECIATION At 1 April 2024 Charge lor the year On disposals 2.509.626 726.193 133.087 3.244,719 464.744 330.457 1.21x1 137.562} {37,5621 At 31 March 2025 2.840,083 10.100 821,718 3.671.901 NET BOOK VALUE At 31 March 2025 7.880,766 109,900 514.296 8,504,962 At 31 March 2024 8,211,223 32v,017 8,648.360 59
RTl1Lr TA PJMohfi¢i fT ATFlplFh,TS tri ats-ILL4 IlllfJQ lt.tlf pIHr.IPAI ur PdJrP I15:tsice _. iQJ)QL h5. rk ?JtTIJTO T rèj ". VE? .LL- 4IA'i fr y47p w¥ YJpJ rtrur k. H"'spi£< 28,413 Lfi * k l-. k7r 4zl i-.¥ts
ARTHUR RANK HOSPICE CHARITY NOTES TO THE FINANCIAL STATEMENTS 18. DEBTORS G¥oup 2025 Group 2024 Company 2025 Company 2024 Trade debtors A ToiJnt£ owed by group undertakinqs Other debtors Prepaynient5 and accrued income Tax recoverable Legacies receivable 113.856 18,804 105.547 326,338 246.698 377.489 136.139 1.697.586 14,818 34,786 456,820 290,959 20.030 817.122 246.903 378.649 136,139 1,697,586 457,662 291,908 20,03C) 817,122 2,573,133 1,605.526 2.889.797 1,634. 535 19. CURRENT ASSET INVESTMENTS Group 2025 Campany 2025 Company 2024 2024 Investinents 1,045,Ql)O 7QS,000 1,045.000 70i,000 1.045.000 70J 000 1,045.01)O 705,000 20. CREDITORS.. AMOUNTS FALLING DVE WITHIN ONE YEAR Group 2024 Qxnpany 202S ioi)Ipai)y 2024 2025 Other Loans Trade Creoitors Other Taxation and social security Other creditors Accruals and deferred income 187.234 370.909 175.315 182.604 443.363 188,902 209,552 113.646 241,527 222,007 187.234 369.225 161.948 177.457 428,225 188.90? 207.053 103,845 237,750 202.710 1.359.425 975,634 1.324.089 94LI )60 Incliide.d within the sijbsidiary is deferrecl incotne relating to event dep051ts The aniount deferred at tlie year-end 15 £8,42512024' £12,797). Amounts inclLJded '1th1n otlier loans Is a loan with Cambridgeshre County Council arid 15 Secured on tl)e leasehold piopeity at Caius Farm, 8abraham Road, Cainoridge. The loan Is repayable over 25 years until June 2042 ivith six monthly payments made. Interest 15 c4arged at 3 34/0. 61
ARTHUR RANK HOSPICE CHARITY NOTES TO THE FINANCIAL STATEMENTS 21. CREDITORS: AMOUNTS FALLING AFTER MORE THAN ONE YEAR Group 2025 Group 2C>24 Company 2025 Cornpany 20i4 Other loan5 2.640.1 2.800.000 2.640.OOQ 2,800 OCO 2,640,000 2.800,DOO 2.640.000 2,dUU,OQO Included wthin the above are amounts falling due as follows.. Group 20Z5 Graup Company 2025 Compai)y 2024 BETWEEN ONE AND TWO YEARS Other loa'.Is 160,CMIJ 160,000 160.000 160.000 BETWEEN TWO AND FIVE YEARS Other loans 480.000 480.0 480.000 OVER F¢VE YEARS Other loans 2,0(10.000 ?.160noo 2.000,(KIO 2, 160.000 The above loan 15 Wlth Cainbridgesl)ire County Council and Is secured on the leasehold propety at CaiLJS Farrv., BaL)rah3m Road, Cambridge. The103n Is repayable over 25 yèars until lune 2042 with six monthly paynients made. Interest is charged at 3.34%. 62
ARTHUR RANK HOSPICÉ CHARITY NOTES TO THE FINANCIAL STATÉMENTS 22. STATEMENT OF FUNDS CURRENT YEAR lance Jt 31 March 2025 Balance at l April 2024 Transfers inlo ID¢ome Expendlture UNRESTRicfED FUNDS DESIGNATED FUNDS Hospice fund Légaol reserve 5.659.456 660,646 172.954 1.256,083 5.832.410 1.91&729 6.320. 102 1.429.037 7,749,139 GENERAL FUNDS Genei"al fulld5 5.380.061 34. 128 13.455.608 112.001.373} 11,15fi5681 325.805 1331.520} 5.677.728 SuDsidiary undertakings 28,413 5,414, 189 13,781,413 {12,332,893) 11,156.5681 5.706.141 TOTAL 11.734.291 13,781,413 (12,332.8931 272,469 13.45S.280 RESTRICTED FUNDS Hospice at home an Hudson DTC 233,641 196,057 25.S42 59,722 {9.336} 119,905 955 (6.228} 1116,168) (12.359) (59.8961 218.077 {9.3701 190,424 Equipment New Charity Shop Capital Grant Other restrictèd funds 14.138 174 235.458 {235.4581 127.8151 277.673 259.534 1252.391) 257.001 792,635 606,516 1447.0421 {272.4691 679,640 TOTAL OF FUNDS 11526,926 14,387,929 111779,9351 14. 134,920 63
ARTHUR RANK HOSPICE CHARir NOTES TO THE FINANCIAL STATEMENTS 22. STATEMENT OF FUNDS ICONTINUEDI PRIOR YEAR Balance at 31 Marth 2024 Balan<• at l April 2023 Income ExpeAditurÈ TTan5fe In/(out) UNRESTRICT£D FUNDS DESIGNATED FUNDS 4ospi=e hJnd Legacy reserve 5.926.506 211.01)O 1267.0501 449.fA6 5.659.456 137,506 182,596 6.320.102 GENERAL FVNDS cienei.kil funds 4.490.860 34,128 12.11Tr3.948 111.306.9561 295.505 {226,7001 (113.791) 168.80S) 5.380,061 34128 Skjbsidiary undertakings 4.524.988 12,605,453 111.533.6561 {182.596) 5.414.189 TOTAL 10.662.494 12,605.453 111.533.6561 11.734.291 RESTRICTED FUNDS H05pice at Home Alan Hiidson OTC 204136 33.087 72.989 (3.582) {105,5541 122.539) (4.183) 1285.6191 233.641 196,057 25.542 228.622 Equipment New charib, shop other restricted funds 46.490 59,293 220.273 1.591 4.612 343.019 59.722 277,673 758.814 455,298 1421,4771 792.635 TOTAL OF FVNDS 11,421.308 13,060.751 (11.955. 1331 12.526.926
ARTHUR RANK HOSPICE CHARITY NOTES TO THE FINANCIAL STATEMENTS DESIGNATED FVNDS Hospice fund A designated Hospice Fund was originally established with the view of securing the long-term provision of hospice seryices in the region. The trustees were delighted that this became a reality and that the fijnds here, built up over the coursè of many years, have now been utilised in bringing about the new hospice at Shelford Bottom. The closing balance Tepresents thè valLJe of tsngible fixed assets less the loan taken out to complete the build and those assets held within restricted funds. Legacy reserve Legacy income received over and above the budgeted level can be added to thè legacy reservè. This reseNe 15 available to draw down in future years if legacy income falls below budget and allows the charity to manage peaks and troughs for this unpredictable stream of income. RESTRICTED FUNDS Hospice at Home Donations conrinue to received spe(ifically for the Hospice at Home seNice. Alan Hudson Day Treatment Centre These funds compromise of donations made specificalty for use at the Alan Hudson Day Treatment Centre which is manèged by thè charity. Expenditure tnade from thts fund relates to the delivery of care at the Alan Hudson Day Treatment Centre. Funding received in previou5 years has been used to re develop the centre and garden area to provide an improved space for patients. This has helped to develop our seNice to meet the needs of patients in the Wisbech area in line with our objectives. Equipment Donations have been received and used for the purchase of equipment and furniture for the Hospice. New Charity shop These donation5 were raised from the 2022 Chariots of FI race. to be used to facilitate the opening of a new charvty shop and to support initial running costs. The lease for a new shop premise5 was signed at the end of March 2024. Funds spent in the year 2024125 were used to fit out ar)d set up the new location. Capital Grant Funding was received from the Department of Health and Social Care wa Hospice UK. The funding is iestricted for use on capitsl projects. In the year, we have used this funding to replace and PLJrchase ew e55ential equipment, fit out new shops and improve our IT infrastructure. Othèr Thi5 represents various smaller fund5 (including monies donated to a specific service within the charity) and some grant funded projerts such as Caring Communities which provides companionship for our patients and their carer. 65
ARTHUR RANK HOSPICE CHARITY NOTES TO THE FINANCIAL STATEMENTS 23. STATEMENT OF FUNDS CHARITY ONLY FUNDS- CURRENT YEAR Balanie at Balancè at 31 Mah 2025 Transf¢ inlo 2024 Income Expenditure Unre51ricted funds 11.700,163 792.635 13.455.609 112.001.3741 606.516 1447,0421 272,469 1272.4691 13.426.867 679.640 Restricted funds Total 12.492,798 14.062.125 112,448.416) 14.106.507 CHARITY ONLY FUNDS- PRIOR YEAR Balance at 31 Marth 2024 Balancé at 1 April 2023 TAnsf•Ys in/out Income Expèndlture Unrestricted fiinds 11,285,671 12.430.810 111,359.0131 1657,3051 11.700,163 792,635 Restricted funds 758,814 455,298 1421,47n Total 12.044,485 12,886.108 111,7804901 1657.3051 12,492,798 24. ANALYS15 OF NET ASSETS BETWEEN FUNDS ANALYSIS OF NET ASSÈTS BETWEEN FUNDS - CURRENT YEAR {GROUPI Unrestricted funds 2025 Restricted funds 2025 Total lunds 2025 Tangible fixed assets Current a5%ets 8.504,962 8.949.743 {1.359.425) (2,640,000) 8,504,962 9.629.383 {1.359.4Z5) {2.640.000) 679,640 Creditor5 due within one year Creditors due in .ore than one year TOTAL 13.455.280 679,640 14.134.920
ARTHUR RANK HOSPICE CHARITY NOTES TO THE FINANCIAL STATEMENTS 24. ANALYSIS OF NET ASSETS BETWEEN FUNDS ICONTINVEDI ANALYSIS OF NET ASSETS BETWEEN FUNDS- PRIOR YEAR {GROUPI Unrestritted fund$ 2024 Restricted lunds 2024 Total fvnds 2024 Tangible fixed a55ets Cuirent assets 8.566.475 81.885 8,tAB.360 7,654,200 1975,6341 12.800.000) 6,942,450 1975,6341 12,800,0001 710.750 Creditors due within one year Creditors due in more than one year TOTAL 11,734.291 792.G35 12.526.926 ANALYSIS OF NET ASSETS BETWEEN FUNDS - CURRENT YEAR (CHARITY ONLY) Unrestricted funds 2025 Restrirted funds 2025 Total funds 2025 Tangible fixed assets Investments Current a55etS Creditor5 due within one year Creditors dLJe in more thèn one yèar 8.504,962 10,000 8,875.994 11,324.0891 (2.640.000) 8,504.962 io.000 9.555.634 11.324,089) 12.640.000) 679,640 TOTAL 13,426,867 679,640 14,106.507 ANALYSIS OF NET ASSETS BETWEEN FUNDS- PRIOR YEAR (CHARITY ONLY) Unrestrirted funds 2024 Restrirted funds 2024 Total nd5 2024 Tanqible fixed asset5 Inve5tmer)ts 8,566.475 10,000 6.863.948 1940,2601 {2.81)0.0001 81.885 8,648.360 10.th)0 7.574.698 1940.260) 12.800,0001 Current assets Creditor5 due 'Nithin one year Creditor5 due In more thdn one year 710.750 TOTAL 11.700,163 792.635 12.492.798 67
ARTHUR RANK HOSPICE CHARITY NOTES TO THE FINANCIAL STATEMENTS 25. RECONCILIATION OF NET MOVEMENT IN FUNDS TO NET CASHFLOW FROM OPERATING AcfiviTIES fjroup 2025 Group 2024 Net Income lor the year 1.607,994 1,105,618 ADJUSTMENTS FOR.. Depreciation charges LossllProlitl ofj disposal of fixed asset5 Decrease/lincreasel in stock5 Decreasellincreasel In debtors Increase In creditors 464.743 311,386 386,700 12.4451 1967.6D71 383.791 12.0011 1528,1851 1426,1731 NET CASH PROVIDED BY OPERATING ACTIVITIES 1.486.476 847,34i 26. ANALYSIS OF CASH AND CASH EQUIVALENTS Group Group 2024 Cash in h3nd 5.990,929 5,32i,798 TOT AL CASH AND CASH EQUIVALENTS 5,990,929 5,32i 798 27. ANALYSIS OF CHANGES IN NET DEBT Other non- cash At 31 March changés 2025 AT IAprll 2024 Cash fltst Cash at b3nk and in hand Debt due within 1 year Debt due after l year Liquid Investments 5,325,798 1188,9031 {2.800.1> 705,( 665.131 1,669 5,990.929 (187,2341 160.(KIO (2,640.0) 1.044.999 339,999 3.041.895 I.)0,799 160,000 4208,694 68
ARTHUR RANK HOSPICE CHARITY NOTES TO THÉ FINANCIAL STATEMENTS 28. PENSION COMMITM£NTS The Group has operated 3 Defined Contribution pension scheme for many years. At 31 March 2025, 19312024. 1721 einployees were member5 of this scheme, to which the charity contributed ti¥) of their salaries. The assets of the scheme are held separately from those of the group In an independently administered fund. The charity also contributes to the NHS defined Benefit pension scl)eTiie for those emk>loyees who are erititled to membership li.e. those who vjere members Wlthin a year before joining the charityl. At 31 March 2025. 11012023.. 1021 employees were rp.embers of this scheme, to which the charity contributed 14.38% t)1 their salarigis This scheme 3150 provide5 deatl) ill seiCe and other benefits. Thè pension cost charge represents cont11butions payable by the group to these funds and amounted to £677.03812U24.. £659,540i. An amount of £91,34712024.' £85,843) was outstsnding at the >ear end and 15 Included within creditors. 29. OPÉRATING LEASE COMMITMENTS At 31 March 2025 the Gmup and the Charity had commitments to make fvture minimum lèase payments under non-cancèllable leases as follows.. Group and Company 2025 Group and Company ?024 No latèr than 1 year Later ihan l year and noi later than 5 years Later than 5 years 194.271 522,301 377.517 229,326 524.498 347,678 1,094,089 1 101,50) 30. RELATED PARTY TRANSACTIONS Arthiir Rank Hospice Limited is a wholly owned Subsidiary of Arthur Rank Hospice Charity. During the year ended 31 March 2025 the charity charged £012024.. £52,056! to this company. Due to a loss for ihe period. the company has not made a gift payment of taxable profits12024.. £68,805) to the charity The company also collects sums on behalf ol the charit5'. As at 31 March 2025 the COlmP3ny owed the charit/1 £.326,338 12024. 1£34,01911. Further details of the results of the subsidiaiy lor tlie year elided 31 March 2025 aFP included in note 16. 31. CONTROLLING PARTY The Charity is under the control of its Trustees who are 11sted on page 39 01 the financial statements 69
ARTHUR RANK HOSPICE CHARtrY NOTES TO THE FINANCIAL STATEMENTS 32. POST BALANCE SHEET EVENTS After the end of the 2024/25 financial year, Cambridge University Hospltals informed the charity that they would not be renewing the Nurse Led Beds contract from 1st April 2026. Given the excellent feedback about the Nurse Led Beds service from patients. relatives and CUH staff, this is very disappointing news. In 2025126, the contract will generate income of £829l Whilst it has a minirnal impact on our surplus/deftciL the Trustees are considering how these beds will be funded in the future. They are comfortable that the c05t can be absorbed frorTt existin9 charity funds whilst a 5UStainable plan for the future is considered over the coming months. However, thi5 will result in a reduction in the number of beds available if altemalive fvnding cannot be found. 70