JO’S CERVICAL CANCER TRUST
FINANCIAL STATEMENTS
FOR THE YEAR ENDING 31ST JULY 2020
CHARITY NO: 1133542 (ENGLAND & WALES) CHARITY NO: SC041236 (SCOTLAND)
COMPANY NO: 07111375
JO’S CERVICAL CANCER TRUST
FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31ST JULY 2020
CONTENTS
| Page | |
|---|---|
| Reference and Administrative Details | 1 |
| Report of the Trustees | 2 - 15 |
| Auditors' report | 16-17 |
| Statement of Financial Activities | 18 |
| Balance Sheet | 19 |
| Statement of Cash Flows | 20 |
| Notes to the Financial Statements | 21 - 30 |
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JO’S CERVICAL CANCER TRUST
REFERENCE AND ADMINISTRATIVE DETAILS
Jo’s Trust was established in 1999 as a Deed of Trust. In 2010 Jo’s Cervical Cancer Trust was incorporated as a company limited by guarantee and registered as a charity which then took on the assets and activities of Jo’s Trust.
| Trustees: | Clodagh Ward (Chair) |
|---|---|
| Tessa Bamford | |
| Mina Desai | |
| Doug D’Arcy | |
| Hugh Grootenhuis | |
| Louise Newton | |
| Andrew Nordin | |
| Rebecca McCreath | |
| Kevin Pollock | |
| Carol Taylor | |
| Chief Executive: | Robert Music |
| Registered Office: | CAN Mezzanine, |
| 7-14 Great Dover Street, | |
| London, SE1 4RY. | |
| Charity Number: | 1133542 (England & Wales) |
| Charity Number: | SC041236 (Scotland) |
| Company Number: | 7111375 |
| Auditors: | Knox Cropper LLP |
| 65-68 Leadenhall Street | |
| London, EC3A 2AD | |
| Bankers: | C. Hoare & Co. |
| 37 Fleet Street | |
| London, EC4P 4DQ | |
| Solicitors: | Farrer & Co. |
| 66 Lincoln’s Inn Field | |
| London, WC2A 3LH |
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JO’S CERVICAL CANCER TRUST
REPORT OF THE TRUSTEES
Report of the Trustees
The Trustees (who are also the directors of the charitable company for the purposes of the Companies Act) present their combined directors’ report and Trustees’ report, as required by company law, together with the audited financial statements of Jo’s Cervical Cancer Trust (the Charity) for the year ended 31 July 2020. The Trustees confirm that the Trustees’ report and financial statements of the Charity comply with the current statutory requirements, the requirements of the Charity’s governing document and the provisions of the Statement of Recommend Practice (SORP) “Accounting and Reporting by Charities” applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102 second edition) (effective 1 January 2019).
Public Benefit
The Trustees have referred to the guidance contained in the Charity Commission’s general guidance on public benefit when reviewing the charity’s aims and objectives and in planning future activities.
OBJECTS
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To advance education of the public in the understanding of all aspects of cervical cancer;
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To promote the study of cervical cancer by supporting and carrying out research into the causes, prevention, diagnosis and method of treatment of this disease and by publishing the useful results of such research;
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To provide support, assistance and information directly or indirectly to people affected by cervical cancer; and
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Such other purposes for the benefit of the community as shall be exclusively charitable as the trustees from time to time shall decide.
Mission and Vision
Our vision is a future where cervical cancer is a thing of the past.
Our mission is to see cervical cancer prevented, and to reduce the impact for everyone affected by cervical abnormalities and cervical cancer through providing the highest quality information and support services and by campaigning for excellence in cervical cancer treatment and prevention
COVID-19
Jo’s Cervical Cancer Trust, like so many other charities was significantly affected by the pandemic and the impact was immediate on our fundraising plans for summer 2020, with 70% of our projected unrestricted income lost literally overnight. This was due to face to face fundraising stopping, events being cancelled and the financial situation of many of our supporters sadly impacted. We simply faced a funding crisis and had to act quickly to try and secure the future of the charity. This included stopping projects, placing staff on furlough, salary cuts, giving up our office space and cutting back on every possible cost.
To enable the charity to act quickly, a sub group consisting of the charity’s Chair, Vice Chair, Treasurer, Chief Executive and Deputy Chief Executive met weekly to review the current financial situation in order to make speedy decisions and implement them to best protect the charity. Although the charity has now come through the initial crisis, this group continues to meet weekly. The full board of trustees agreed that the sub group should continue to meet regularly, with approval to make decisions if required without having to refer to the entire board.
To recoup the large loss of income the charity had to innovate, quickly launched an urgent emergency appeal, revamped our traditional annual face to face fundraising into a virtual format, and created a new campaign to encourage supporters to donate the cost of something they were not spending due to working from home. Many funders agreed to unrestrict existing grants, and we were successful in applying for emergency grants from both corporate and trust funders. This included financial support from the Department of Digital, Culture, Media & Sport, who supported our information and support services at such a critical time. As a result income and reserve levels at year end were higher than initially budgeted, but it is important to note that many costs were reduced or taken out of the budget, we have not replaced all staff if someone left the charity, whilst we gave up our office space which was our was our greatest single item of expenditure.
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Additionally, the charity was successful in applying for a £200,000 loan from the Recovery and Resilience Fund (RRLF) in order to provide extra financial back up if required. The RRLF is part of the Government’s Coronavirus Business Interruption Loan Scheme and the loan is for 3 years, unsecured with no capital repayable or interest charged in the first 12 months. After the 12 month period the charity can decide whether to return the full loan with no financial penalty, or if it was felt funds were need, it can utilise some or all of the funds, which will be paid back over two years on a low interest rate. The board of trustees are confident that the funds will not be required but have until July 2021 before a final decision needs to be taken.
Financial review
The charity’s finances are overseen by the Trustee board. A Statement of Financial Activities has been prepared for the full year. This statement shows income for 2019-20 was £1,899,727 (£1,630,294 201819) with expenditure in 2019-20 at £1,671,014 (compared to £1,652,839 in 2018-19), producing net income of £228,713.
Income includes £79,244 from the Job Retention Scheme that was provided by the Government to offer support to organisations in response to the COVID-19 crisis. The charity made use of this scheme with approximately 50% of its staff being furloughed.
Expenditure on Charitable Activities increased slightly from £1,290,592 to £1,300,088. However, this includes a rise in the value of gifts in kind by over £100,000 and therefore in real terms there was a reduction in expenditure, which is due to actions taken to protect the charity from the financial impact of COVID including giving up our office space and removing projects and costs that were not core to the charity’s work. Fundraising activities showed a small rise from £361,887 to £370,926, mainly due to a fundraising event to raise funds for the charity’s 20[th] anniversary in 2019.
The charity receives support via the Google AdWords grant scheme. During the year the value of this grant increased from £153,200 to £255,243 and this is recognised as a Gift in Kind in both income and expenditure.
The level of unrestricted reserves at the end of 2019-20 was £654,969, which equates to 8.8 months unrestricted expenditure. This is above the charity’s usual reserves policy of four to six months, mainly thanks to the success of the charity’s emergency COVID-19 appeal to its supporters, along with reducing significant costs from its budget, in order to manage the impact of the pandemic. The board of trustees agreed that in the short term it will aim to hold on to a higher level of reserve to protect against further waves from the pandemic and that once finances are more settled to then increase charitable expenditure and reduce these levels back to normal. See note further along this document to see our full reserve policy.
Governance and administration
Ensuring the charity is well governed is fundamental. It ensures we can best deliver on our mission and objectives, are compliant with relevant legislation and can effectively manage risks. The board of trustees met formally four times during the year along with a number of additional meetings to discuss the charity’s response to COVID-19. The names of the trustees are shown on page one. Trustees have the power to appoint new or additional trustees up to a maximum of 12. During the year there were no retirements or new trustees added to the board.
Risk management
The Trustees board and senior management team undertook two reviews of the risks which the charity faces and are satisfied that systems are in place to mitigate those risks. Effective risk management is key to successfully delivering our strategy and ensuring the charity is safe and sustainable both now and in the future. An organisation-wide risk management approach is in place. Additionally more regular reviews of the risks due to the impact of COVID-19 were discussed to deal with and respond to any challenges due to the pandemic.
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Reserves policy
During the year trustees reviewed the charity’s reserves policy which states that unrestricted reserves are to be a maximum of six months unrestricted expenditure. Due to the impact of COVID-19 the board of trustees agreed that in the short term it will aim to hold on to a higher level of reserve due to the number of newly restricted grants that are supporting our core work and to protect against further waves from the pandemic. Once finances are more settled the board will then look to increase charitable expenditure and reduce reserve levels back to normal. See note further along this document to see our full reserve policy.
This policy will be regularly reviewed and updated as and when felt appropriate, with the focus always on ensuring the financial sustainability of the organisation. The reserves policy requires:
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Reserves to be maintained at a balanced level which ensures that Jo’s Cervical Cancer Trust’s core activity can continue during a period when the level of voluntary income (which by its very nature is uncertain) is significantly reduced and which allows the anticipated additional expenditure on charitable output, in line with its strategic plan, to take place
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The planned level of reserves to be maintained in a readily realisable form
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That the reserves are reviewed at each board meeting
Leadership
Jo’s Cervical Cancer Trust is governed by its wholly volunteer Trustee Board. The role of Board of Trustees is to set and agree the overall direction, strategy and culture at Jo’s Cervical Cancer Trust. They lead by example and support the chief executive in the daily delivery of our strategic and annual plans and activities, monitoring performance against agreed objectives. The Board also have a legal responsibility, ensuring the charity is meeting legal requirements. Additionally they regularly review risks and policies throughout the year.
Trustee Board
Trustees who served on the board during 2019-20 can be found on page 1 of this report. The trustees are a diverse group geographically, bring specific skills to the Board but as a group all have a passion for the cause and its vision. The charity aims to match the skills of trustees to strategic goals and business plans.
Each year trustees review the make up of the trustee board and gaps that may arise, putting plans in place to refresh the skills, experience and diversity to ensure sustainable governance. During 2020-21 the board will be seeking to recruit up to four new trustees, two of who will replace board members due to retire, whilst there are also two currently two vacant places to be filled.
Length of Service for Trustee Board Members
Trustee Board members serve a 3 year term and may be reappointed for up to a further two succeeding terms. After a 1 year break they can be reappointed.
Senior Management Team
The executive team, made up of five individuals and led by the chief executive, are Jo’s Cervical Cancer Trust’s senior managers and responsible for the day-to-day leadership and running of the charity and the execution of the strategy and policies decided by the Trustee Board. As a team they are committed to not only focusing on the delivery of our core activities, but also looking forward to ensure we remain sustainable as an organisation, able to respond to changing trends and external factors. The executive team provide direction and motivation to our team.
Avoiding conflicts of interest
The charity operates a Conflict of Interest policy for all Trustees. Conflicts of interest are collated annually and new declarations, in line with the Commission disqualification criteria guidelines, are recorded.
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Financial Responsibilities
Trustees are responsible for preparing the Trustees’ Report and financial statements in accordance with the latest law and regulations. Trustees are required to prepare financial statements for each financial year in accordance with UK accounting practice and must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affairs of the charity for that period. Trustees are responsible for keeping proper accounting records. These must be sufficient to show and explain transactions and disclose, with reasonable accuracy at any time, the financial position of the charity. Financial statements must also comply with the UK Charities Act 2011 and applicable accounting regulations. Trustees are also responsible for safeguarding the assets of the charity and taking reasonable steps to prevent and detect fraud and other irregularities.
Financial Planning, Decisions and Reporting
The strategic management of the charity is entrusted to the Trustee Board and its execution – implementing the strategy and the day-to-day management - is the responsibility of the chief executive. The chief executive delegates authority to their senior management team.
Financial authority is granted by the approval of specific budgets. The financial plans form part of these overall plans and are made up of a high-level five-year business plan; a detailed annual budget, which defines specific projects and detailed departmental plans for the next financial year; and a quarterly forecast process that reviews the annual plans and makes changes, as necessary. Monthly accounts are produced and sent to all Trustees for review, whilst a quarterly budget reforecast is undertaken with the senior management team and then agreed by Trustees.
Financial Policies and Procedures
Trustees are responsible for safeguarding the assets of the charity which is enabled through the financial policies and procedures. Compliance with these policies and procedures is mandatory for all employees, and non-compliance may lead to disciplinary proceedings.
Fundraising Standards, Regulation Compliance, Contacting Supporters and Supervising Fundraisers
Jo’s Cervical Cancer Trust’s approach to fundraising is to go ‘beyond compliance’ and demonstrate best practice alongside the highest standards of supporter care and governance. The charity is signed up to the Fundraising Regulator, which is voluntary and adheres to the ‘Codes of Fundraising Practise’ as set out by the Fundraising Regulator. Additionally some of the fundraising department are members of several of the Institute of Fundraising’s special interest groups, voluntary groups that promote excellence and best practice across peer networks for specific fundraising income streams such as Corporate Fundraising.
Jo’s Cervical Cancer Trust does not sub-contract elements of its fundraising activities to telephone or marketing agencies and undertakes all its correspondence and contact with donors in-house. The charity does benefit from fundraising activity where it has been selected as a beneficiary. This includes the Women V Cancer challenge events organised by Dream Challenges in support of three women’s cancer charities. This relationship is covered by a contract with two governance meetings a year and detailed regular updates provided which includes projected income and participant numbers.
For members of the public who fundraise on their own initiative, the charity has a Fundraising Guide recommends safe and legal practices and requests fundraisers get in touch to seek advice and support. The charity will monitor and keep in touch with all fundraisers holding events and activities it is aware of, advising about best practice as part the full supporter care journey. Contracted relationships, with corporate partners (commercial participators) or individuals, state they are not representing Jo’s Cervical Cancer Trust but supporting the charity and cannot act on its behalf.
The charity has fundraising policies in place that protect supporters and provides clarity about policies such as working with vulnerable supporters, complaints, donation acceptance and corporate and pharmaceuticals policy. The charity received no complaints relating to its fundraising activities during the year.
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Gender Balance
At the end of 2019-20, the Board comprised of 6 women and 4 men. Diversity is promoted and encouraged diversity across the charity.
Trustee Board Meetings
The Trustee Board meets formally at least four times a year. Standing agenda items are supplemented with other items of relevance to the Trustees role and responsibilities. While the Executive Team are at times present at Trustee Board meetings, they do not have any voting rights. Decisions lie with the Trustees.
Trustees have the power to appoint new or additional trustees up to a maximum of 12.
Refreshing Trustee Board Skills and Knowledge
On appointment, new Trustees have an induction programme and are provided materials to help them understand the work of the charity and their role. Ongoing training opportunities are provided with a number of trustees going on training or attending conferences to improve and update skills and share learnings with the Trustee Board. Trustees are regularly updated on changes to regulation and standards as part of the Board meeting papers and receive weekly updates from the charity through an email called ‘This week at Jo’s’.
Review of the year
Clodagh Ward, Chair of Trustees
Last year was our 20[th] anniversary year. It was meant to be a year of celebration and throughout the first half of the year it truly was. We launched new support services, made positive inroads at a policy level and expanded our outreach services. It was set to be our best ever year. Then COVID-19 hit.
Along with many organisations we faced significant challenges, having to make incredibly hard decisions to ensure the survival of the charity. I cannot thank our staff enough. They did not lose sight of the purpose and mission of Jo’s and worked above and beyond to ensure we could continue to provide the support our community desperately needed. Our senior team led the charity through difficult choices and my sincere thanks also go to them. But above all, thank you to our supporters and volunteers who gave their time and raised funds to help us through; thanks to you Jo’s is still here.
We are not out of the woods and the future is still uncertain however we have renewed reasons to celebrate. We are in a far stronger situation than we could ever have imagined when the pandemic hit and have become more resourceful and efficient as a result.
The impact of the pandemic on cancer services and programmes such as cervical screening was widereaching and ongoing. Our support services saw the impact first hand with cancelled appointments, delayed treatments and diagnoses being delivered at an already highly anxious time.
We have a challenging time ahead but Jo’s will continue to campaign and support the needs of those affected by cervical cancer in the coming year while working to ensure as many people as possible have the resources to reduce their risk of the disease.
I also have to announce the departure of our Chief Executive Officer, Rob Music who has decided to move to a new charitable leadership role. Rob has led the charity for the past 12 years. He was recruited as employee number 1 and has grown the charity into the impressive organisation that it is today. The Board and I are very sorry to see him go, however he leaves the charity in robust health and I want to thank Rob for all his hard work and commitment over the years. Jo's would not be where it is today without that. On a personal note I have greatly enjoyed working with him and wish him every success in his new role.
Clodagh Ward
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Jasmine’s story
In March 2019, when my son was 6 months old, I started experiencing light spotting after sex. I knew this was a symptom of cervical cancer but brushed it off as I thought maybe I still wasn’t completely healed after a difficult birth. Over the next few months I started having light bleeding between periods, cramps and some lower back discomfort, again I brushed it off thinking it was my body getting used to being back on the contraceptive pill until one morning in June I experienced extremely heavy bleeding along with large clots. I remember sitting on the bathroom floor crying.
Jo’s was the first website I visited when I was experiencing symptoms. I eventually had a cancer referral and a couple of weeks later I went under general anaesthetic for my colposcopy and biopsy. On the 1st November 2019 I went to discuss my biopsy results where I was told I had stage 2b cervical cancer.
A few weeks after my diagnosis I started my treatment. 25 sessions of radiotherapy, 5 sessions of chemotherapy and 3 sessions of brachytherapy. I made the decision to not have any fertility treatment as I am lucky enough to already have two children and wanted to focus on getting better. The first couple of radiotherapy sessions were emotionally tough, trying to get my head around the fact I would be going to hospital almost every day for 5 weeks. I then had brachytherapy. It was something I had never heard of and found the thought of it very daunting, but the radiographers and nurses were incredible.
I finished brachytherapy in January 2020 and within a couple of weeks I went through the menopause - hot flushes and night sweats galore! I struggled emotionally for the first couple of weeks after treatment as all I could think about was whether it had gone or not. It was a worrying time waiting for scan results, especially during the lockdown, but in April 2020 I received my latest PET scan results saying they have found no evidence of cancer.
They were trying to limit hospital appointments during lockdown understandably so I received my good news over the phone. It’s a little daunting suddenly having no appointments to attend but I know they’re at the other end of the phone if I need them. It has been hard not being able to celebrate with family, especially my parents but we opened some champagne over a video call, and we will make up for it when we’re allowed to.
I’m still struggling with some bowel changes which I think will be permanent but manageable. I’m also suffering with painful hips from radiotherapy but since starting yoga and exercising more it’s slowly improving. I’m hoping to get some HRT soon to help with the menopausal symptoms but overall I feel extremely lucky to have got through the last year with the help of my incredible fiancé who was at every appointment, my amazing parents, family and friends. Not to mention the tremendous support I have received and am still receiving from the wonderful people at Jo’s.
I hope to carry on raising awareness of cervical cancer and the importance of smear tests and when lockdown is lifted, I look forward to raising as much money as possible for such an important charity that has played a key part in my cancer journey.
Never more needed
A cancer diagnosis changes everything. From the immediate consequences to the lifelong impacts on physical, mental and financial health. At Jo’s we know that everyone’s experience is completely different. Our mission, and one of our reasons for being, is to be there for everyone who needs us, when they need us.
Before the country went into lockdown we were reaching more people than ever before. Our connected Helpline calls were up 6% on the previous year and we had our busiest ever January, coinciding with Cervical Cancer Prevention Week.
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In 2019-20 we connected 2282 calls compared to 2153 in the previous year. This was in part achieved by us being open for longer, a total of 82 days up from 73 which is a real testament to our team and volunteers who stuck with us through a very hard year.
The nature of our calls changed dramatically overnight in March as the NHS was forced to pause and delay tests, treatments and prevention programmes. Those coming to us were highly anxious and desperately needed answers. We very quickly realised our Helpline needed to be open longer and later and increased the number of helpline call backs we made.
Every month, bar April and May 2020, exceeded figures in 2019 and we carried out 10% more calls backs compared to the year before. These calls have also been consistently longer as the pandemic has made life even harder for those facing tests and treatments. During the first months of the pandemic we saw calls drop off slightly as fewer tests and appointments were carried out. However as lockdown eased they started increasing with rising levels of frustration and fear.
Our Ask The Expert service saw a small reduction of around 2% during the year. We always want to make sure we can reply quickly to everyone who needs us. However, due to a high volume of requests we took the decision to stop promoting the service so widely to ensure we could achieve this and particularly in light of high numbers of our volunteer expert panel being redeployed to different departments during the pandemic or dealing with increased workload and so unable to offer as much time as they normally could.
We have now recruited two more screening nurses and two oncologists to our panel. This will lessen the demand on the existing panel and decrease the amount of time service users have to wait for a response. During the year we also saw a 17% increase in the number of new users posting comments in our Forum.
One new project s providing Helpline support to a HPV self-sampling research project due to start in November 2020. YouScreen aims to screen 10,000 women and people with a cervix in North and East London, and we have been part of the project steering group from the start. We couldn’t be more grateful to each and every one our volunteers and experts who make running our support services possible.
Face to face support
In September 2019 we had our highest ever attendance at our annual cervical cancer support day Let’s Meet with a 9% increase from the previous year. Attendees travelled from all over the UK to attend including Dumfries in Scotland with 96% saying they would attend another event in the future. Topics spanned looking after your mental health, sex and intimacy changes after cervical cancer and parenting through alternative means.
“The best thing has been being able to meet people who are experiencing the same thing. It’s being able to meet people living beyond a cervical diagnosis, this is so important it gives us hope, makes us realise we are not alone and allows us to bond and support each other through our shared experiences.”
Just before lockdown, we held our last face to face event of the year in Newcastle. Sadly we had to postpone the rest of our calendar of events, however a week long programme of virtual support events is planned for September with lunch time and evening sessions to make them as accessible as possible. The benefit of online support events means we can reach those previously unable to travel to our events.
We are committed to providing the highest level of support whether face to face or virtually and are adapting our traditional volunteer training weekend to a virtual programme. At our November 2019 training, 86% of new volunteers rated it as excellent and 100% said it met their expectations.
During the pandemic our Hospital Support Service role sadly came to an end as it became unviable due to challenges around access and safety. It was also apparent that it would be impossible to say when we would be able to restart this role within a hospital. Our incredible funders understood these challenges and agreed to change the way the service worked. We were able to develop the project funding to extend the reach of our services and are now able to take more calls. We are also pleased to be able to launch two new services, a one-to-one cervical cancer support service, and an email of our helpline, which we are able to offer nationally.
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Providing the answers
In the first half of the year we responded to gaps identified by our own research and the concerns of our service users, to create new information on fertility changes after cervical cancer and the impact of a diagnosis on mental health on our website. All new web pages featured in the top 10 page views within our cancer section at year end, demonstrating the clear need for this reassurance and support.
We were asked to use our expertise on a wide range of projects including partnering with RM Partners, the Tavistock Gender Identity Clinic and 56 Dean Street to form the No Barriers project group, launching and delivering a specialist cervical screening clinic for trans men and/or non-binary people. We also worked with Public Health England to revamp sample taker training to support the introduction of HPV primary screening and consulted with Royal College of Nursing on their updated Human Papillomavirus (HPV), Cervical Screening and Cervical Cancer guidance.
We won First Prize in the British Medical Award’s for Screening in September for our resources on cervical screening after sexual violence.
A Google algorithm update in September 2019 negatively impacted the traffic of many organisations and sadly this included Jo’s. Despite seeing a 40% drop we still had over 1.5 million website sessions and 4 million website page views, whilst we are now seeing traffic starting to recover.
In response to the pandemic we knew that people need answers and tips in how to navigate their health care and support their mental health. We quickly developed a Coronavirus hub on our website speeding up our peer review process to enable us to respond as fast as possible to the rapidly-changing situation, while not compromising the quality of our information. This had over 36,000 views in just 4 months.
Getting the message out
We want to reduce the impact of cervical cancer. This means preventing as many diagnoses as possible, whilst ensuring those with symptoms get help at the earliest stage. Creating new ways to get the messages out there is a big part of what we do and we worked with a wide range of organisations and individuals to do just that.
Over the year we had 2839 pieces of press coverage including international pieces and 236 broadcast pieces. This included two appearances on Woman’s Hour, in April 2020 with the Royal College of Obstetricians and Gynaecologists providing information about cervical screening across the UK during the pandemic, and in August 2019 discussing cervical cancer in the over 50’s. We had nine pieces on BBC news online. A further highlight was widespread coverage following our comment on Sir Mike Richards’s review of screening services in England. We focused on the need for accessible tests such as at lunch breaks and on weekends.
During the pandemic our media volunteers were incredible. Sharing their stories of living with cancer and having treatment for cell changes during lockdown. We worked with publications including Cosmopolitan, Huffington Post and Forbes Magazine to help others in similar situations feel less alone and know where to access help.
Supportive conversations
We know that whenever cervical cancer is in the news, we see an uptick in people talking about cervical screening. We worked hard to encourage people to speak supportively during these moments rather than shaming or blaming those who find attending hard. We took the opportunity of a 3-part documentary about Jade Goody’s extraordinary life aired in August, to steer the conversation. We published a blog and worked with the media, including the BBC, Stylist and Huffington Post encouraging people to use supportive, inclusive and sensitive language.
During Sexual Health Week (16-22 September) we teamed up with Twitter asking users to share an emoji which represented their vagina, along with the hashtag #EndSmearFear and a smear test tip. High profile involvement included Maura Higgins, Louise Redknapp and Lolly Adefope. The hashtag was used over 5,000 times and the tweets generated had a potential reach of 1.3 billion.
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We had great coverage with highlights including Independent, Mirror and Bustle. However, the success of the campaign was really demonstrated in the supportive nature of the conversations it inspired, the sharing of tips, and the complex barriers to screening being acknowledged.
Our work with Coronation Street came to an end as Sinead Tinker sadly passed away following her cervical cancer diagnosis. We worked closely with the writers ensuring the story was a realistic and sensitive portrayal, in addition to working with the media. Our focus was ensuring those facing a diagnosis felt less alone and that the opportunity to talk about preventing the disease was not missed. We secured coverage in publications including the Express and on Loose Women, BBC Radio 1 and the ITV news.
A highlight of the year was working with YouTuber Zoe Sugg to film her smear test with Jenny Greenfield, a member of our Ask the Expert panel and a Practice Nurse Manager. The video was posted on her YouTube channel (4.85 million subscribers) and her Instagram (9.7 million followers) and at present has over 3.8 million views.
Cervical Cancer Prevention Week
A pivotal point of our year is our annual campaign. We decided to something different and focus on HPV in direct response to the growing level of confusion and anxiety we see daily through our services. It also coincided with the move to HPV testing across the UK.
We conducted new research which found that despite eight out of ten people having HPV at some point in their lives, less than a quarter say they would date someone with HPV. If told they had the virus, one in five would feel embarrassed and one in ten dirty.
Our press release resulted in 215 articles and 54 pieces of broadcast coverage enabling us to start conversations and grab attention. #CervicalCancerPreventionWeek trended on Twitter on the first day with a reach of 16,986,469 people.
Celebrities including Sara Cox and Bonnie Wright joined us to spread the message wide and ensure more people know where they can access support. Our campaign film, highlighting key HPV myths, was viewed over 77,000 times.
Overnight in March all our communications became about COVID-19. We put our community at the heart of our communications and produced more videos than we ever have before. This included working with professionals on tips on dealing with lymphedema in lockdown, coping with self-isolation and what to expect in healthcare at the moment.
We scaled up the amount of communications we put out, increasing our social media presence, hosting three different Instagram Lives and sending more regular newsletters, which retained a high open rate. Cervical screening was paused or suspended across much of the UK and so Cervical Screening Awareness Week fell at a difficult time. The campaign set out to address challenges to attending screening and changes to the programme as a result of COVID-19. We focused on providing country-specific information and signposting to resources and sources of support.
We conducted research which found that delayed and cancelled appointments had left many women and people with a cervix feeling worried (39%). While 40% said they would feel relieved to be able to go, around one in eight felt less likely to attend than before the pandemic.
We launched new FAQs to address new anxieties and uncertainties, supplemented with short films and blogs outlining what to expect at screening. Our research reached publications including the Daily Mail, the Sun, Grazia, Independent and BBC totaling over a hundred pieces of media coverage.
We had over 10k views of our campaign video on Facebook alone with a reach of 35.5k. As a result we had a 35% increase in website page views compared to the previous week and a 23% increase in Helpline calls. Highlights including being the 3[rd] most mentioned Twitter account by MPs on the Monday of the awareness week, behind Boris Johnson and Marcus Rashford!
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Jennifer’s story
“I had been experiencing pain and bleeding during sex for a little while when I received my invitation for my cervical screening. The UK was just coming out of lockdown and there was a backlog in tests, so my results took about seven weeks to arrive. I received a phone call asking me to go in for a colposcopy appointment but this was cancelled twice so I found myself waiting for a long time.
I was told I would need a biopsy. The results showed I had CGIN and “small fragment invasive malignancy”. Everything moved really fast after that and two days later I went in for a cone biopsy. The results showed I had high-grade CGIN but no cancer.
The waiting time is completely out of our control, especially right now with COVID-19 and the delays as a result of this, so distracting yourself is absolutely essential. It’s a strange world we live in right now and unfortunately some things are taking longer than usual, but you are entitled to push for treatment.
I think it’s important to find support, whether that’s from loved ones, friends or on the Jo’s Cervical Cancer Trust Forum. Connecting with and speaking to people who understand your experiences and circumstances can be a lifeline when you’re struggling and I found it reassuring having people to relate to or who understood how I was feeling.
As supportive as my boyfriend was, it’s just not the same as talking to those who are going through, or have been through, similar treatments. Even though I’ve had my treatment, I continue to visit the forum and try to offer support to those who are currently where I was two months ago. You never have to be alone in how you’re feeling.
Advocating for change
As the UK’s cervical cancer charity, we work hard to see improvements in prevention, treatment and care of the disease. This year we made positive progress. We highlighted the needs of those with cervical cell changes for the first time and saw two of our biggest policy calls be implemented. COVID-19 changed everything, yet the cancer community pulled together. We shared insight and campaigned hard to ensure cancer did not become a further casualty of the pandemic. Some highlights of the year include:
In August
Released new research into the experiences of women with physical disabilities accessing cervical screening. Our findings were shocking, with two thirds saying they were unable to attend due to their disability. Issues such as a lack of equipment, no clear policies in GP practices and misconceptions among healthcare professionals meant that 88% of women with a physical disability say it is hard for them to attend.
Our five recommendations received widespread support from organisations such as Enhance the UK and Scope. Our report also led to meetings with the Care Quality Commission and Royal College of General Practitioners to discuss what more could be done to reduce the inequality we uncovered. The report was covered in the press focusing on the fantastic women who shared their stories with us. This included coverage on around 40 radio stations, the BBC and Independent.
In December
Ahead of the General Election we produced a manifesto setting out how the Government can help us get to the day where cervical cancer is a thing of the past. We also joined up with 28 other cancer charities to launch the #OneCancerVoice manifesto. It provides solutions to the biggest cancer issues the next Government will face such as workforce, early diagnosis and support after treatment. This set us in good stead for when the pandemic hit as some of the biggest cancer charities in the country were already sharing intelligence and working closer than ever.
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JO’S CERVICAL CANCER TRUST
REPORT OF THE TRUSTEES
In January
We saw widespread support across the four nations for Cervical Cancer Prevention Week:
-
Held our most successful drop in events to date in the Welsh Assembly and Scottish Parliament attended by just over a third of all members
-
Questions raised in Health and Social Care questions in Westminster, First Ministers Questions in Wales and First Ministers Questions in Scotland – all asking what the government will do to tackle HPV stigma and increase screening attendance
-
Meetings with new MP supporters included with Alex Davies-Jones MP who has a personal experience of cervical cell changes. Alex told us that she used our forum every day and found it really helpful and comforting!
-
Met with Health Minister Jo Churchill MP to ask for her support around tackling HPV stigma as well as some of the barriers to accessing screening in the UK.
Jo Churchill MP
‘I am delighted to join my right hon. Friend in congratulating Jo’s Cervical Cancer Trust on the work it does. I had the pleasure of meeting its team only last week, who do fantastic work to raise awareness of vital cervical screening.’
In March
Scotland became the third UK country to offer HPV primary screening providing a far more accurate and sensitive way pf predicting those at greater risk of cervical cancer. Jo’s sat on two key groups, the Implementation Board and the Communications Group, ensuring the patient perspective was at the top of the agenda.
We also took forward our work on the long term consequences of cervical cancer treatment. This included presenting our research at the Society for Gynecologic Cancer’s 50[th] anniversary conference. This is a prestigious meeting which brings together leaders from all across the world, proving an important opportunity to share our research on a world stage.
In April
One of our long held policy calls, a focus of our 2018 report ‘Computer Says No’, became a reality. Our research had shown that there has been a significant decline in cervical screening provision in sexual health services in England for many years. Jo’s has been part of an NHS England working group developing policy and guidance to address this. In April this was finally released meaning opportunities to access this potentially life saving test are increasing.
COVID-19
The cancer charity community as a whole came together to share intelligence and provide one strong voice. This includes the One Cancer Voice priorities for cancer recovery and contributing to regular meetings including weekly updates by the NHS England Cancer Programme, Cancer 52, the Welsh Cancer Alliance and parliament groups such as the APPG on Cancer in England and Cross Party Group on Cancer in Wales. As a result we were able to advocate for the needs of those affected by cervical cancer, cell changes and facing delays to cervical screening.
In addition to feeding back insight from our support services, we conducted research looking at the impact of the pandemic on cervical screening providers, including sample takers and commissioners, and worked with cervical screening programmes across the UK to highlight challenges and opportunities. This included worries over resources and examples of initiatives to support attendance within this time. We also worked with NHS England on research among women eligible for cervical screening to identify and address challenges including safety of attending and what to expect.
Outreach
One of the areas of our work most affected by the pandemic was our outreach services across the UK. Providing face to face training, drop in sessions and educational events for the public and health professionals, the team has had incredible success at reaching groups where inequalities are highest. Focused in London and Glasgow, and at the start of the financial year we also recruited two new posts in the West of Scotland.
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JO’S CERVICAL CANCER TRUST
REPORT OF THE TRUSTEES
In London the Jo’s public health engagement programme has grown in popularity with many Cancer Alliances and Clinical Commissioning Groups keen to book services. This includes delivering sessions to patients, community groups, clinical and non clinical staff on barriers to screening, attitudes around HPV and removing barriers to cervical screening attendance.
Our target was to reach 1600 people per year with cervical health messages across London over the 3 year project. Before the pandemic paused the service we had already engaged with over 6,000 people and trained 439 Community Connectors. The training is aimed to upskill people to support and engage with patients and members of their community.
“I just wanted to tell you that yesterday’s training was one of the best trainings I have been to. It was so effective and informative, I had learnt so much and even took the little cards we received at the end to make them into handouts for patients who are coming in for their smear test.”
We have presented at a wide range of conferences and meetings, including at the NHS England & Improvement Muslim Network Annual General Meeting, where we were awarded best speaker of the day. An invitation to train in excess of 400 professionals at the official London HPV Primary Screening Update also led to invites to train sample takers in various boroughs across London.
In Glasgow projects were focused on the Chinese Community in the North of the city and Eastern European (Roma) women in the South. Romanian Roma speak Romani which is not a written language. As a result we trained two educators in facilitation skills and cervical screening awareness who coproduced translated materials and an evaluation tool to facilitate awareness training. We also worked with community members and local partners, including GP practice managers to create an appointment booking system across local practices with translated support.
Projects in the West of Scotland included a week long campaign in the Western Isles in February. Rural communities face specific challenges around cervical screening attendance, therefore we undertook research and engaged with communities to understand the barriers and what can be done to overcome them. We also worked with NHS health improvement colleagues and the consultant gynaecologist to train sample takers throughout the islands in ways to increase screening attendance.
Work also started to support women with a learning disability. It is estimated that around 35% of women with a learning disability attend cervical screening so we partnered with Enable Scotland to better understand the reasons why. We ran an awareness session and focus group in January and have plans to co-produce new accessible resources, alongside providing training to people supporting women with a learning disability. Projects working with community organisations representing the over 50 population and the Polish community also started before lockdown hit.
Sadly due to the pandemic this work all had to stop overnight. The nature of the roles mean there are challenges how to deliver outreach in the future. However we are now able to engage more widely across the country due to work moving online. The team have already been working to understand how the pandemic has impacted both patients and the clinical workforce and developing new services. This includes training all Health Improvement community staff, Band 4 – 6, in Glasgow once restrictions are lifted. In addition, we gained funding to work with two of the London Cancer Alliances (RM Partners and the NEL Cancer Alliance) to support screening uptake during the pandemic.
We wouldn’t be here without you
Before the pandemic hit we had seen some great successes in fundraising. This included hosting a 20[th] anniversary evening at the National Portrait Gallery, benefitting from a BBC Radio 4 Appeal and getting support from the amazing riders who took on cycling challenges with Women v Cancer, raising £460,000, We were successful in gaining support from the Scottish Government’s Inequalities Fund to deliver screening awareness campaigns focusing on the 50-64 age group, were the selected charity for the Insurance Times Awards evening that raised £13,800 and continued to be supported by Next where in October we were their Bouquet of the Month partner, raising almost £9,000.
PAGE 14
JO’S CERVICAL CANCER TRUST
REPORT OF THE TRUSTEES
Like many other charities, the impact of COVID-19 on our financial situation was immediate. We lost 70% of our budgeted income almost overnight, as face to face fundraising stopped, events were cancelled and the financial situation of many of our supporters was sadly impacted.
We faced a funding crisis and had to act quickly to try and secure the future of the charity. This included stopping projects, placing staff on furlough, giving up our office space and cutting back on every possible cost.
We innovated. We quickly launched an urgent emergency appeal, we revamped our traditional annual event Steps for Jo’s into a virtual format, and created a new campaign #IGiveMy. #IGiveMy encouraged people to donate the cost of something they were not spending at the moment and we are grateful to the family of Jo Maxwell who the charity was named after for supporting with the campaign.
Thanks to the understanding of some of our key funders we were able to unrestrict several existing grants to be used towards our core work, and were successful in applying for emergency grants from both corporate and trust funders. This included financial support from the Department of Digital, Culture, Media & Sport which supported our information and support services at such a critical time and work with NHS England on a project to restore cervical screening.
We cannot thank our supporters enough. They had our back throughout, responding to our appeals, taking on our at home challenges and going above and beyond for us. Below are some donors whose support we would like to highlight.
BBC Radio 4 Appeal, Brindle Distillery, British Society for Colposcopy & Cervical Pathology, Broadsword Group Ltd, Cytology Society of South West and South Wales (CSSW), DCMS, East Riding Foundation, Edward Gosling Foundation, February Foundation, G C Gibson Charitable Trust, GSK, Heather MacRae, Insurance Times Awards, ISAWITFIRST.com, John Coates Charitable Trust, Joy Family Charitable Trust, Liz & Terry Bramall Charitable Trust, London Gynaecology, Masonic Charitable Foundation, Next Group plc, NPG 20th anniversary event, PayPal Giving Fund, Pelican Feminine Healthcare Limited, Q Charitable Trust, Roche Products Limited, Scottish Government, St James's Place Foundation, STV – Scarlett Moffat donation, Tessa Bamford, The Cathedral Road Clinic, The City Bridge Trust, The Grocers' Charity, Tim Bunting, University College London Hospital NHS Foundation Trust, Will Charitable Trust and Women v Cancer
Jan’s story
I started making masks during lockdown in the hope of protecting vulnerable people such as my eldest son who was critically ill with pneumonia three years ago. My partner Simon thought the masks were good enough to sell and it seemed like a great way to raise some money for Jo’s.
I was diagnosed with cervical cancer in December 2018 and underwent a radical hysterectomy in January 2019. The surgery successfully removed the cancer and thankfully I didn’t require any further treatment.
Unfortunately, I experienced a lot of complications post-surgery and my recovery, both physically and mentally has been tough. I’m finally feeling really well again and remain cancer free.
I found the Jo’s website whilst looking for information about abnormal smears and it was truly a godsend in those early days and over the following months. I’m proud to be able to support them.
To date, I’ve raised £884 through the sale of my masks and am really grateful to my friends, family, neighbours and colleagues for supporting Jo’s.
PAGE 15
JO’S CERVICAL CANCER TRUST
REPORT OF THE TRUSTEES
STATEMENT OF TRUSTEES’ RESPONSIBILITIES
The trustees (who are also the directors of Jo’s Cervical Cancer Trust for the purposes of company law) are responsible for preparing the Report of the Trustees and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice), including Financial Reporting Standard 102 "The Financial Reporting Standard applicable in the UK and Republic of Ireland".
Company law requires the trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charitable company and of the incoming resources and application of resources, including the income and expenditure, of the charitable company for that period. In preparing those financial statements, the trustees are required to:
-
select suitable accounting policies and then apply them consistently
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observe the methods and principles in the Charity SORP
-
make judgements and estimates that are reasonable and prudent
-
prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charitable company will continue in business.
The trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the charitable company and to enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.
In so far as the trustees are aware:
-
there is no relevant audit information of which the charitable company's auditors are unaware; and
-
- the trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditors are aware of that information.
AUDITORS
The auditors, Knox Cropper LLP, will be proposed for re-appointment at the forthcoming Annual General Meeting.
This report has been prepared in accordance with the special provisions of Part 15 of the Companies Act 2006 relating to small companies.
APPROVAL
This report was approved by the Board of Directors and Trustees on 16[th] December 2020 and signed on their behalf by:
Clodagh Ward Hugh Grootenhuis
PAGE 16
INDEPENDENT AUDITORS' REPORT TO THE TRUSTEES AND MEMBERS OF JO’S CERVICAL CANCER TRUST
Opinion
We have audited the financial statements of Jo’s Cervical Cancer Trust (the ‘charitable company’) for the year ended 31[st] July 2020 which comprise the statement of financial activities, the balance sheet, the statement of cash flows and notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).
In our opinion, the financial statements:
-
give a true and fair view of the state of the charitable company’s affairs as at 31[st] July 2020 and of its income and expenditure for the year then ended;
-
have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and
-
have been prepared in accordance with the requirements of the Companies Act 2006, the Charities and Trustee Investment (Scotland) Act 2005 and regulation 8 of the Charities Accounts (Scotland) Regulations 2006 (as amended).
Basis for opinion
We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.
Conclusions relating to going concern
We have nothing to report in respect of the following matters in relation to which the ISAs (UK) require us to report to you where:
-
the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is not appropriate; or
-
the trustees have not disclosed in the financial statements any identified material uncertainties that may cast significant doubt about the company’s ability to continue to adopt the going concern basis of accounting for a period of at least twelve months from the date when the financial statements are authorised for issue.
Other information
The other information comprises the information included in the annual report, other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other information.
Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.
In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard.
Opinions on other matters prescribed by the Companies Act 2006
In our opinion, based on the work undertaken in the course of the audit:
-
the information given in the trustees’ report, which includes the directors’ report prepared for the purpose of company law, for the financial year for which the financial statements are prepared is consistent with the financial statements; and
-
the directors report included within the trustees’ report has been prepared in accordance with applicable legal requirements.
PAGE 17
INDEPENDENT AUDITORS' REPORT TO THE TRUSTEES AND MEMBERS OF JO’S CERVICAL CANCER TRUST (Continued)
Matters on which we are required to report by exception
In the light of the knowledge and understanding of the charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the directors’ report included within the trustees’ report.
We have nothing to report in respect of the following matters in relation where the Companies Act 2006 and the Charities Accounts (Scotland) Regulations 2006 (as amended) requires us to report to you if, in our opinion:
-
proper and adequate accounting records have not been kept, or returns adequate for our audit have not been received from branches not visited by us; or
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the financial statements are not in agreement with the accounting records and returns; or
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certain disclosures of trustees’ remuneration specified by law are not made; or
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we have not received all the information and explanations we require for our audit; or
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the trustees were not entitled to prepare the financial statements in accordance with the small companies regime and take advantage of the small companies’ exemptions in preparing the directors’ report and from the requirements to prepare a strategic report.
Responsibilities of trustees
As explained more fully in the trustees’ responsibilities statement, the trustees (who are also the directors of the charitable company for the purpose of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.
In preparing the financial statements, the trustees are responsible for assessing the 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 company or to cease operations, or have no realistic alternative but to do so.
Auditor’s responsibilities for the audit of the financial statements
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.
A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council’s website at: www.frc.org.uk/auditorsresponsibilities . This description forms part of our auditor’s report.
Use of our Report
This report is made solely to the charitable company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006 and to the charity’s trustees as a body, in accordance with Section 44(1)(c) of the Charities and Trustee Investment (Scotland) Act 2005 and Regulation 10 of the Charities Accounts (Scotland) Regulations 2006. Our audit work has been undertaken, so that we might state to the charitable company’s members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company’s members as a body, for our audit work, for this report or for the opinion we have formed.
21 December 2020
Simon Goodridge (Senior Statutory Auditor) for and on behalf of Knox Cropper LLP Chartered Accountants and Statutory Auditors
65-68 Leadenhall Street London, EC3A 2AD
PAGE 18
JO’S CERVICAL CANCER TRUST
STATEMENT OF FINANCIAL ACTIVITIES
(INCORPORATING THE INCOME AND EXPENDITURE ACCOUNT)
FOR THE YEAR ENDED 31[ST] JULY 2020
| Notes INCOME FROM Grants and donations 2a Activities for Generating Funds 2b Investments Other TOTAL INCOMING RESOURCES EXPENDITURE ON Raising funds Charitable Activities 3 TOTAL RESOURCES EXPENDED Net Income and Net Movement in Funds for the year BALANCE BROUGHT FORWARD BALANCE CARRIED FORWARD |
Unrestricted Funds Restricted Funds Total 2020 Total 2019 £ £ £ 871,088 511,456 1,382,544 856,321 514,898 - 514,898 768,924 1,016 - 1,016 1,037 1,269 - 1,269 4,012 |
|---|---|
| 1,388,271 511,456 1,899,727 1,630,294 |
|
| 370,926 - 370,926 361,887 788,632 511,456 1,300,088 1,290,952 |
|
| 1,159,558 511,456 1,671,014 1,652,839 |
|
| 228,713 - 228,713 (22,545) 426,256 - 426,256 448,801 |
|
| 654,969 - 654,969 426,256 |
All amounts derived from continuing operations.
PAGE 19
JO’S CERVICAL CANCER TRUST BALANCE SHEET
AS AT 31[ST] JULY 2020
| Notes FIXED ASSETS 8 CURRENT ASSETS Debtors 9 Cash at Bank and In Hand CREDITORS: Amounts Falling due within one year 10 NET CURRENT ASSETS Total assets less current liabilities CREDITORS: Amounts Falling due after more that one year 11 NET ASSETS FUNDS Restricted Funds 13 Unrestricted Funds : General Reserve 14 |
2020 £ 190,502 1,150,055 1,340,557 (450,693) |
£ 8,701 889,864 898,565 (243,596) 654,969 - 654,969 654,969 |
2019 £ £ 7,712 239,413 635,165 874,578 (417,231 ) 457,347 465,059 (38,803) 426,256 - 426,256 426,256 |
2019 £ £ 7,712 239,413 635,165 874,578 (417,231 ) 457,347 465,059 (38,803) 426,256 - 426,256 426,256 |
|---|---|---|---|---|
| 465,059 (38,803) |
||||
| 426,256 | ||||
| - 426,256 |
||||
| 426,256 |
The financial statements have been prepared in accordance with the special provisions of Part 15 of the Companies Act 2006 relating to small companies and with Financial Reporting Standard 102.
Approved on 16[th] December 2020 and signed on behalf of the board
Clodagh Ward Hugh Grootenhuis
Registered Company Number: 07111375
PAGE 20
JO’S CERVICAL CANCER TRUST
STATEMENT OF CASH FLOWS
AS AT 31[ST] JULY 2020
Statement of Cash Flows
| OPERATING ACTIVITIES Net income/(expenditure) for the reporting period Depreciation charge Interest payable Investment income (Increase)/decrease in debtors Increase/(decrease) in creditors (Increase)/decrease in stock Net cash provided by/(used in) operating activities INVESTING ACTIVITIES Investment income Purchase of equipment Net cash provided by/(used in) investing activities FINANCING ACTIVITIES Loan advance Cash flows from financing activities Change in cash and cash equivalents in the reporting period Cash and cash equivalents at the beginning of the reporting period Cash and cash equivalents at the end of the reporting period |
2020 £ 228,713 6,309 - (1,016) 48,912 38,254 321,172 1,016 (7,298) (6,282) 200,000 200,000 514,890 635,165 1,150,055 |
2019 £ (22,545) 6,309 - (1,037) (32,221) 21,104 - |
|---|---|---|
| (28,390) | ||
| 1,037 (2,160) |
||
| (1,123) | ||
| - | ||
| - | ||
| (29,513) 664,678 |
||
| 635,165 |
| Analysis of changes in Net Debt Cash and cash equivalents Recovery and Resilience Loan Fund |
At 1.8.19 Cash Flows At 31.7.20 £ £ £ 635,165 514,890 1,150,055 - (200,000) (200,000) |
|---|---|
| 635,165 314,890 950,055 |
PAGE 21
JO’S CERVICAL CANCER TRUST
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31[ST] JULY 2020
1. ACCOUNTING POLICIES
(a) Basis of Preparation of Accounts
The financial statements of the charitable company have been prepared under the historical cost convention in accordance with the Charities SORP (FRS102 second edition – effective January 2019), Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland' and Companies Act 2006.
The charitable company constitutes a public benefit entity as defined by FRS102. The financial statements are presented in pounds sterling.
Judgements and key sources of estimation uncertainty.
Judgements and key sources of estimation uncertainty are detailed in the accounting policy where applicable.
(b) Going Concern
The Trustees have assessed whether the use of the going concern assumption is appropriate in preparing these financial statements. The Trustees have made this assessment in respect to a period of one year from the date of approval of these financial statements.
As detailed in note 2, the Trustees have considered the impact of Covid-19 on the charity and have concluded that there are no material uncertainties about the Trust’s ability to continue as a going concern.
(c) Tangible Fixed Assets and Depreciation
Tangible fixed assets are stated at cost less depreciation. Depreciation is provided on a straightline basis as follows:
Equipment: 33.33% on Cost
(d) Gifts in kind
Gifts in kind are included in the Statement of Financial Activities at the economic value to the charity where this is qualifiable and measurable.
(e) Income recognition
All income is recognised once the charity has entitlement to the income, it is probable that the income will be received and the amount of income receivable can be measured reliably.
Grants are recognised when the Trust has been notified in writing of both the amount and settlement date.
In the event that a grant is subject to conditions that require a level of performance before the charity is entitled to the funds, the income is deferred and not recognised until either those conditions are fully met, or the fulfilment of those conditions is wholly within the control of the charity and it is probable that those conditions will be fulfilled in the reporting period. This is estimated in the case of multi-year grants.
(f) Expenditure recognition
Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the charity to that expenditure, it is probable that settlement will be required and the amount of the obligation can be measured reliably.
PAGE 22
JO’S CERVICAL CANCER TRUST
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31[ST] JULY 2020
All expenditure is accounted for on an accrual basis. All expenditure including support costs and governance costs are allocated or apportioned to the direct expenditure headings.
(g) FUNDS
Restricted funds are funds which are to be used in accordance with the specific restrictions imposed by the funder.
Unrestricted funds comprise those funds which the trustees are free to use for any purpose in furtherance of the charitable activities.
Further details for each category of fund are disclosed in Notes 13 and 14 respectively.
2. GOING CONCERN – COVID-19
Jo’s Cervical Cancer Trust, was significantly affected by the pandemic and the impact was immediate on our fundraising plans for summer 2020. This was due to face to face fundraising stopping, events being cancelled and the financial situation of many of our supporters sadly impacted. We acted quickly to try and secure the future of the charity. This included stopping projects, placing staff on furlough, salary cuts, giving up our office space and cutting back on every possible cost.
To enable the charity to act quickly, a sub group consisting of the charity’s Chair, Vice Chair, Treasurer, Chief Executive and Deputy Chief Executive met weekly to review the current financial situation in order to make speedy decisions and implement them to best protect the charity. Although the charity has now come through the initial crisis, this group continues to meet weekly. The full board of trustees agreed that the sub group should continue to meet regularly, with approval to make decisions if required without having to refer to the entire board.
To recoup the large loss of income the charity had to innovate, quickly launched an urgent emergency appeal, revamped our traditional annual face to face fundraising into a virtual format, and created a new campaign to encourage supporters to donate the cost of something they were not spending due to working from home. Many funders agreed to unrestrict existing grants, and we were successful in applying for emergency grants from both corporate and trust funders. This included financial support from the Department of Digital, Culture, Media & Sport, who supported our information and support services at such a critical time.
Additionally, the charity was successful in applying for a £200,000 loan from the Recovery and Resilience Fund (RRLF) in order to provide extra financial back up if required. The RRLF is part of the Government’s Coronavirus Business Interruption Loan Scheme and the loan is for 3 years, unsecured with no capital repayable or interest charged in the first 12 months. After the 12 month period the charity can decide whether to return the full loan with no financial penalty, or if it was felt funds were need, it can utilise some or all of the funds, which will be paid back over two years on a low interest rate. The board of trustees are confident that the funds will not be required and have until July 2021 before a final decision needs to be taken.
PAGE 23
JO’S CERVICAL CANCER TRUST
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31ST JULY 2020
3a. GRANTS AND DONATIONS
| The analysis of grants and donations for the year is as follows: Government grants UK Government : Department of Health Department for Digital, Culture, Music and Sport Coronavirus Job Retention Scheme Scottish Government : Glasgow West Scotland Over 50’s Other grants Companies and organisations Trusts Public donations and fundraising Donation-in-Kind - Google Adwords (See Note 18) |
2020 2019 £ £ 69,534 95,583 143,963 - 79,244 - 43,404 46,026 53,952 - 45,704 63,585 - 211,662 186,642 80,156 66,302 336,097 308,568 255,243 153,200 |
|---|---|
| 1,382,544 856,321 |
3b. ACTIVITIES FOR GENERATING FUNDS
The analysis of activities for generating funds for the year is as follows:
| Tribute Funds Challenge Events Christmas Cards HARITABLE ACTIVITIES Support Services Information, Education and awareness Eradicate Cervical Cancer Campaign COVID 19 Support |
17,089 17,390 497,583 751,048 226 486 514,898 768,924 ------------------- 2020 ---------------- Direct Costs Administrative Support Costs Total 2020 Total 2019 £ £ £ £ 208,908 20,253 229,161 264,421 587,286 56,928 644,214 864,074 245,044 23,753 268,797 162,457 143,963 13,953 157,916 - |
|---|---|
| 1,185,201 114,887 1,300,088 1,290,952 |
4. CHARITABLE ACTIVITIES
PAGE 24
JO’S CERVICAL CANCER TRUST
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31ST JULY 2020
4. CHARITABLE ACTIVITIES (continued)
For the prior year
| Support Services Information, Education and awareness Eradicate Cervical Cancer Campaign |
------------------- 2019 ---------------- Direct Costs Administrative Support Costs Total 2019 £ £ £ 230,574 33,847 264,421 753,468 110,606 864,074 141,662 20,795 162,457 |
|---|---|
| 1,125,704 165,248 1,290,952 |
5. ADMINISTRATIVE SUPPORT COSTS
| Legal and Professional Premises and Office Facilities Office costs Governance (Note 6) |
------------------- 2020---------------- Support Services Informatio n Services Eradicat e Cancer COVID1 9 Support Total 2020 Total 2019 £ £ £ £ £ 1,236 3,469 1,447 849 7,001 4,238 10,128 28,471 11,880 6,979 57,458 94,338 5,812 16,338 6,817 4,005 32,972 41,674 3,077 8,650 3,609 2,120 17,456 24,998 |
|---|---|
| 20,253 56,928 23,753 13,953 114,887 165,248 |
Administrative Support Costs are analysed between charitable activities and included in Note 3 above.
For the prior year
| Legal and Professional Premises and Office Facilities Office costs Governance (Note 6) |
------------------- 2019 ---------------- Support Services Information Services Eradicate Cancer Total 2019 £ £ £ £ 868 2,837 533 4,238 19,323 63,143 11,872 94,338 8,536 27,894 5,244 41,674 5,120 16,732 3,146 24,998 |
|---|---|
| 33,847 110,606 20,795 165,248 |
6. GOVERNANCE
| Salaries Trustee Expenses Audit Fee |
2020 2019 £ £ 14,573 21,776 663 1,122 2,220 2,100 |
|---|---|
| 17,456 24,998 |
PAGE 25
JO’S CERVICAL CANCER TRUST
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31ST JULY 2020
7. STAFF COSTS
| Wages and Salaries Social Security Costs Pension Costs Redundancy costs The average number of staff employed during the period was: |
2020 2019 £ £ 778,183 790,035 78,006 79,108 57,082 46,000 - 5,000 |
|---|---|
| 913,271 920,143 |
|
| No No 24 24 |
At 31 July 2020 Jo’s Cervical Cancer Trust had 23 employees.
In 2020, one member of staff received remuneration of between £80,000 - £90,000 (2019 – one between £80,000-£90,000).
The remuneration of Key Management Personnel amounted to £335,293 (2019: £397,586).
8. TRUSTEES
The Trustees do not receive any benefits or remuneration for their services.
9. FIXED ASSETS
| Cost: At 1stAugust 2019 Additions At 31stJuly 2020 Depreciation: At 1stAugust 2019 Charge for the period At 31stJuly 2020 Net Book Value: 31stJuly 2020 31stJuly 2019 EBTORS Prepayments Accrued Income Other debtors |
Equipment £ 2020 37,654 7,298 44,952 29,942 6,309 36,251 8,701 7,712 2020 £ 188,212 1,100 1,190 190,502 |
2019 £ 195,054 1,100 43,259 |
|---|---|---|
| 239,413 |
10. DEBTORS
PAGE 26
JO’S CERVICAL CANCER TRUST
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31ST JULY 2020
11. CREDITORS : Amounts falling due within one year
| EDITORS : Amounts falling due within one year |
||||
|---|---|---|---|---|
| 2020 | 2019 | |||
| Deferred income | £ | £ | £ | £ |
| Department of Health | 19,142 | 85,275 | ||
| Scottish Government (Glasgow) | 50,186 | 58,187 | ||
| Scottish Government Statutory Fund | 125,495 | 99,478 | ||
| Scottish Government (Over 50’s) | 104,592 | - | ||
| Department of Digital, Culture, Media and | 39,690 | - | ||
| Sport | ||||
| Masonic Charitable Foundation | 6,320 | 8,408 | ||
| St James’s Place Charitable Foundation | 31,320 | 33,408 | ||
| City Bridge | 7,357 | - | ||
| Shanly Foundation | 1,500 | - | ||
| James Tudor | - | 1,570 | ||
| Rayne Foundation | - | 3,408 | ||
| UCLH | - | 19,828 | ||
| Grocers | - | 10,000 | ||
| Greensill Capital | - | 20,000 | ||
| William Allen | - | 10,000 | ||
| Schroders | - | 5,000 | ||
| 385,602 | 354,562 | |||
| Accruals | 2,040 | 22,496 | ||
| Other Creditors | 38,697 | 14,732 | ||
| Payroll Taxes | 24,354 | 25,441 | ||
| 450,693 | 417,231 |
| 12.CREDITORS : Amounts falling due after more than one year Deferred income - Department of Health Scottish Government Statutory Fund St James’s Place Recovery and Resilience Loan Fund (see below) |
2020 £ - 33,596 10,000 200,000 243,596 |
2019 £ 3,400 35,403 - - |
|---|---|---|
| 38,803 |
The Loan was advanced to the charity from the Recovery and Resilience Loan Fund (RRLF) as part of the Government’s Coronavirus Business Interruption Loan Scheme. It is a 3 year unsecured loan and no capital is repayable or interest charged in the first 12 months. After the 12 month period the charity can decide whether to return the full loan with no financial penalty, or if it was felt funds were needed, it can utilise some or all of the funds, which will be paid back over two years on a low interest rate.
PAGE 27
JO’S CERVICAL CANCER TRUST
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31ST JULY 2020
| 13.DEFERRED INCOME Department of Health Scottish Government (Glasgow) Scottish Government Statutory fund Scottish Government (Over 50’s) Dept for Digital, Culture, Media and Sport Other: St James’s Place Charitable Foundation Masonic Charitable Foundation Greensill UCLH Grocers William Allen Schroders Rayne Foundation James Tudor City Bridge Shanly Foundation To be released within one year (see Note 11) To be released after more than one year (see Note 12) |
Balance 1/8/19 Released to Statement of Financial Activities Deferred £ £ £ 88,675 (69,533) - 93,590 (43,404) - 99,478 (53,952) 113,565 - - 104,592 - - 39,690 33,408 (17,088) 25,000 8,408 (17,088) 15,000 20,000 (20,000) - 19,828 (19,828) - 10,000 (10,000) - 10,000 (10,000) - 5,000 (5,000) - 3,408 (3,408) - 1,570 (1,570) - - - 7,357 - - 1,500 |
Balance 31/7/20 £ 19,142 50,186 159,091 104,592 39,690 41,320 6,320 - - - - - - - 7,357 1,500 |
|---|---|---|
| 393,365 (270,871) 306,704 |
429,198 | |
| 385,602 43,596 |
||
| 429,198 |
PAGE 28
JO’S CERVICAL CANCER TRUST
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31ST JULY 2020
14. RESTRICTED FUNDS
| For Support Services For Information Services Eradicate Cervical Cancer Campaign COVID 19 Support Coronavirus Job Retention Scheme Prior year For Support Services For Information Services For Fundraising Eradicate Cervical Cancer Campaign |
Balance 1/8/19 Incoming Resources Resources Expended Transfers Balance 31/7/20 £ £ £ £ - 37,585 (37,585) - - - 38,070 (38,070) - - 212,594 (212,594) - - 143,963 (143,963) - 79,244 (79,244) - - |
|---|---|
| - 511,456 (511,456) - - |
|
| Balance 1/8/18 Incoming Resources Resources Expended Transfers Balance 31/7/19 £ £ £ £ - 65,574 (65,574) - - - 100,421 (100,421) - - 5,000 (5,000) 141,609 (141,609) - - |
|
| - 312,604 (312,604) - - |
Restricted funds represent donations and grants restricted for use on particular areas of the Trust’s work.
15. UNRESTRICTED FUNDS
| General Reserve Prior year General Reserve |
Balance 1/8/19 £ 426,256 426,256 Balance 1/8/18 £ 448,801 448,801 |
Net Incoming Resources £ 228,713 228,713 Net Incoming Resources £ (22,545) (22,545) |
Balance 31/7/20 £ 654,969 |
|---|---|---|---|
| 654,969 | |||
| Balance 31/7/19 £ 426,256 |
|||
| 426,256 |
16. COMMITMENTS UNDER OPERATING LEASES
The Trust has amended the licence agreement for its office accommodation on September 2020 to reflect the reduction in desks used. The licence has a 3 months notice. Under the revised agreement the annual fee charge is £14,094 (2019-20: £94,700).
PAGE 29
JO’S CERVICAL CANCER TRUST
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31ST JULY 2020
17. ANALYSIS OF NET ASSETS BETWEEN FUNDS
| Tangible Fixed Assets Cash Debtors Liabilities Prior year Tangible Fixed Assets Cash Debtors Liabilities |
Unrestricted £ 8,701 1,150,055 190,502 (694,289) 654,969 Unrestricted £ 7,712 635,165 239,413 (456,034) 426,256 |
Restricted £ - - - - - Restricted £ - - - |
Total 2020 £ 8,701 1,150,055 190,502 (694,289) |
|---|---|---|---|
| 654,969 | |||
| Total 2019 £ 7,712 635,165 239,413 (456,034) |
|||
| 426,256 |
18. DONATED SERVICES
In 2019-20 and the previous five years, the Trust received free advertised space on Google search pages under the Google Awards Scheme amounting to £255,243 (2018-19: £153,200).
19. RELATED PARTY TRANSACTIONS
There were no related party transactions in the year (2019: none).
20. TRADING SUBSIDIARY
Jo’s Cervical Cancer Trust Trading Limited (Company number 08158265) was incorporated in the UK as a wholly owned subsidiary of the Jo’s Cervical Cancer Trust, with an issued share capital of £1. The company has not undertaken any activities in the current or previous year.
PAGE 30
JO’S CERVICAL CANCER TRUST
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31ST JULY 2020
21 . COMPARATIVE FIGURES FOR THE STATEMENT OF FINANCIAL ACTIVITIES
| Income from Grants and donations Activities for generating funds Investment income Other income Total incoming resources Expenditure on Raising funds Charitable activities Total resources expended Net Income/(Expenditure) before transfers Transfers to/(from) Restricted Funds Net Income/(Expenditure) after transfers Balance at 1stAugust 2018 Balance at 31stJuly 2019 |
Unrestricted Restricted Total Funds Funds 2019 £ £ £ 543,717 312,604 856,321 768,924 - 768,924 1,037 - 1,037 4,012 - 4,012 |
|---|---|
| 1,317,690 312,604 1,630,294 |
|
| 361,887 - 361,887 978,348 312,604 1,290,952 |
|
| 1,340,235 312,604 1,652,839 |
|
| (22,545) - (22,545) - - - |
|
| (22,545) - (22,545) 448,801 - 448,801 |
|
| 426,256 - 426,256 |