Awyr Las / Blue Sky is the working title of the Betsi Cadwaladr University Health Board Charity and Other Related Charities Registered Charity Number 1138976 **----- Start of picture text -----**
2021 – 2022
Annual Report & Accounts
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## **Contents** |Thank you from the Honorary President|**01**| |---|---| |Highlights of 2021/22|**03**| |About the charity|**06**| |Vision|**08**| |Strategy|**09**| |Awyr Las Support Team|**10**| |The year at a glance|**11**| |The impact of your support|**14**| |Corporate supporters|**20**| |Legacy gifts|**22**| |Awyr Las’ International Partnerships|**23**| |Looking ahead|**25**| |Governance|**26**| |Investment strategy|**27**| |Charitable Funds Committee|**27**| |Grant-making process|**29**| |Financial summary|**30**| |Balance Sheet|**31**| |Risk|**32**| |Reserves policy|**32**| |Accounts|**35**| **A W Y R L A S • A N N U A L R E P O R T 2 0 2 1 / 2 2** **Brightening patients’ lives. Going over and above for service users.** **Supporting transformative change for our NHS services in North Wales. Together.** demonstrate once again how wonderfully generous and supportive our communities across North Wales are, and how accomplished our NHS teams across the region are. Since 2010, Awyr Las, our NHS Charity, has given almost £30million to help enhance the care, treatment and support that patients and service users receive in our hospitals and health centres, community clinics and from our home based services. What a collective achievement for all of us who have donated, fundraised, volunteered and shared the important message about the crucial difference that the charity is making. What an accomplishment for all the dedicated NHS staff who have made this possible through their well-informed ideas and their motivation to do even more to improve the health and wellbeing of our local population. We are fortunate to have such committed supporters of our NHS services, and to have such passionate NHS teams who all want to brighten patients’ and service users’ lives to help create transformative change in our healthcare services, which goes above and beyond what the NHS alone can achieve. Through the years, donations given to Awyr Las have given inpatients a lifeline through providing new state-of-the-art equipment. We have given children with life-limiting conditions invaluable days out with loved ones, and given parents and carers a chance to stay close to their poorly children when they are in hospital. Together, we have given people in crisis a much needed helping hand, we have given people with a cancer diagnosis a reason to smile thanks to the wigs and complementary therapies provided, and through funding innovative research we have given hope when it’s really needed. This year is no different. I am immensely proud of the positive outcomes that the charity has had on the lives of some of the most vulnerable people living in our communities across this region this year, at a time of real hardship. The past year has seen immense pressure being put on our health services here in North Wales. Awyr Las has played a significant role in helping our NHS teams recover from the initial phase of the pandemic, responding to the needs of NHS colleagues through supporting staff wellbeing programmes as well as additional **A W Y R L A S • A N N U A L R E P O R T 2 0 2 1 / 2 2** **0 1** equipment, better facilities, extra patient comforts, special projects and collaborating with partners to help to build resilience in our communities and plan for the future. As we look towards the 75th anniversary of the NHS, Awyr Las plans to do more to shape the future of vital services here in North Wales particularly early years, cancer care and mental health support, and help address health inequalities. We know this can only be achieved through being led by devoted NHS teams, working alongside partners who share our values and mission, and through the continued support of people and organisations who have the resolve to improve the health and wellbeing of our communities. We hope many will choose to support our NHS as we move forward. The compassion of Awyr Las’ supporters, partners and the NHS teams who are the beating heart of the charity is wonderful to see. I feel truly honoured to be part of something so special. Thank you. **FROm THE HONORARY PRESidENT OF AWYR LAS, THE RT HON. LORd BARRY JONES*** Thank YOU, on behalf of all the patients and service users, families and carers, NHS staff and volunteers who all benefit from all those who choose to support Awyr Las, the North Wales NHS Charity. *Lord Barry Jones also holds the following notable positions: National Vice President, Attend – the National Association for Leagues of Friends – and President of the Deeside Hospital League of Friends **A W Y R L A S • A N N U A L R E P O R T 2 0 2 1 / 2 2** **0 2** ## **Highlights of 2021/22** **----- Start of picture text -----**
April 2021
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Maisy Williams, from Pwllglas, completed an epic dance challenge and raised an amazing £675 for Awyr Las in the process. Maisy, who is nine, was inspired to do the challenge by the hard work of the NHS workers during the COVID-19 pandemic. **----- Start of picture text -----**
may 2021
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Ethan ran a lap of his local marine lake every weekday from February 2021 for 100 days to raise money for Awyr Las - inspired by Sir Captain Tom Moore. This incredible challenge finished on April 21, Ethan’s 11th birthday, and with £1,141 raised for the charity! Ethan’s step-mum is a doctor in the NHS here in North Wales and he wanted to do something special to say thank you to her and all of her colleagues. Well done Ethan, we are so grateful for your support! **----- Start of picture text -----**
June 2021
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Dr Abelian, a consultant paediatrician at Wrexham Maelor Hospital, rode 400 miles to raise money towards child health research in North Wales. He said: "Over the last few years, I have been part of a cutting-edge research project with the worldrenowned MRC Laboratory of Molecular Biology in Cambridge to improve the diagnosis of meningitis in new born babies. I wanted to do something to acknowledge this support, and to fundraise to support further high quality child health research here in North Wales”. **----- Start of picture text -----**
July 2021
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Andy Williams and Steve Miles, both from Holyhead, kayaked from Greystones in Ireland to Holyhead in Aid of Awyr Las and Mencap. They raised a very impressive £6,563 in the process. Andy carried out the feat as a tribute to his sister, Yvonne Marion Williams, who had mental health issues and learning disabilities and was diagnosed with incurable blood cancer. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 1 / 2 2** **0 3** **----- Start of picture text -----**
August 2021
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Becky Wyatt-Brown and her husband Chris Brown, who sadly lost their baby girl, raised more than £1,500 to buy a CuddleCot to allow families to spend one more time with their child. The kind donation was given to Ysbyty Gwynedd’s Labour Ward. The CuddleCot, a Moses blanket with a refrigerated base, allows bereaved parents to spend extra precious time with their baby. **----- Start of picture text -----**
September 2021
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Some fantastic moves were on display last September for the Therapeutic Support Services Danceathon! The Learning Disabilities team and all their supporters absolutely smashed it. Over £2,000 was raised, funding musical equipment for patients at Bryn y Neuadd Hospital with learning disabilities and complex needs. **----- Start of picture text -----**
October 2021
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The Rainbow Flower Festival held at Holy Trinity Church, Penrhyndeudraeth raised £620 for Awyr Las. The committee wanted to thank all members of the NHS Staff for their commitment, skill, dedication and support throughout the pandemic. **----- Start of picture text -----**
November 2021
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Two incredible young men raised over £11,000 for Alaw Ward in Ysbyty Gwynedd, to thank the staff there for caring for their mothers. Iago Rhys, from Tremadog, and Tomos Elis of Pant Glas, both aged 17, completed the huge 'Welsh 3000s Challenge', the 15 peaks over 3,000 feet in height in Snowdonia, in 24 hours. Siân, Iago's mother, received special care in the Alaw Ward while battling cancer, before she passed away in June at the age of 49. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 1 / 2 2** **0 4** **----- Start of picture text -----**
december 2021
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Michelle and the team on the Stroke Ward at Ysbyty Glan Clwyd were very grateful to accept a cheque for £3,450 thanks to the kind-hearted staff and customers of Cambria Pub on Cambria Caravan Park in Towyn. All the money went towards Christmas, crafts and other patient wellbeing activities on the ward. Gwalchmai Cycling Club raised an incredible £13,000 which was shared between three local dementia charities - including £4,333.34 for Cemlyn Ward, Ysbyty Cefni, in Llangefni. The group of 17 cyclists set off from Trearddur Bay on a Friday morning, and rode some 200 miles to arrive at Swansea Bay by the following evening! **----- Start of picture text -----**
January 2022
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Big thanks must go to the Whistlestop Bikers Club who donated 10 new portable DVD players for the Ysbyty Glan Clwyd Children's Ward. This incredible donation really makes such a difference for patients receiving care in hospital. **----- Start of picture text -----**
February 2022
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receive boxes of chocolates, biscuits and a £720 donation from three kind-hearted Gwynedd Council refuse collectors. For the whole of December Simon Jones, Darron Roberts and Terry Jones dressed up as Santa and his elves cheering up local residents on their rounds. The donation will help support Long Covid Projects in the local community and additional staff wellbeing programmes. **----- Start of picture text -----**
march 2022
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An incredible £20,000 was raised at the Rainbow Ball in aid of Wrexham Maelor Children’s Ward! Well done everyone! The ball makes a huge difference to the hospital’s Children’s Ward and its hard-working staff. The money raised will buy much needed medical equipment and toys for the ward that the NHS may not be able to provide. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 1 / 2 2** **0 5** ## **About the charity** Awyr Las is the NHS charity for North Wales, the area served by Betsi Cadwaladr University Health Board (BCUHB). The charity’s purpose is to help the NHS do more than it can on its own. ## **in practice, this means that donations to Awyr Las fund things like:** - Brand new equipment and technology - Innovative research projects and trials - Additional services, for example, complementary therapy for patients with cancer - Extra patient comforts, such as more comfortable dialysis chairs. Everything that the charity funds goes over and above what the NHS provides,complementing what the NHS already offers. Awyr Las does not replace the statutory funding for the NHS from the government. Together, the improvements that are made possible by donations to Awyr Las helppeople in North Wales benefit from better NHS services when they need them the most. Everything the charity does is thanks to donations and grants from individuals,organisations and foundations. The charity makes a real difference to the lives of patients and NHS staff in ways that would not be possible without donations and support. The charity funds projects and ideas in hospitals and the community – from emergency departments to community resource teams, maternity wards to eye clinics – and through its 450 designated funds, it supports all areas of healthcare in North Wales. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 1 / 2 2** **0 6** ## **designated funds** Awyr Las is currently comprised of 450 designated funds, representing almost every BCUHB ward, service, department and project across North Wales. Designated fundsare attached to specific wards, departments or services and the money held within them can only be used to benefit the associated healthcare area. When a new fund is established, an objective is set and at least one Fund Advisor named. It is the responsibility of Fund Advisors to ensure that expenditure from their designated funds contributes to the stated objectives. Fund Advisors have an in-depth understanding oftheir ward, service or department. The role is fulfilled by staff at the heart of the NHS – people like Ward Managers, Consultants and Matrons – and they use their knowledge to inform their fundraising and decisions about charitable expenditure. This helps to make sure that designated funds have the greatest possible impact on patients andNHS staff. When you donate to a designated fund, it goes straight to that healthcare area and is made available for multidisciplinary clinical teams to use towards projects and priorities decided at the ward level. ## **Non-designated funds** There are a few wards, services and departments that do not have a designated fund. The Awyr Las Support Team can provide support to establish one, or funding can be requested from the charity’s non-designated fund. When donors give to Awyr Las without specifying where they want the money to go, it is assigned to the charity's nondesignated fund. These donations are important, even though they are in the minority.This is because they allow BCUHB staff who do not have their own fund, or who do not have enough money in their designated fund, to still get support from the charity. Nondesignated donations are often directed to a priority fund – for example, the COVID-19Response Fund. Without a doubt, all donations from the public help dedicated NHS staff in hospitals and in communities across North Wales to go over and above for theirpatients, offering the very best care and treatment available. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 1 / 2 2** **0 7** **----- Start of picture text -----**
Vision
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Patients in North Wales have the best experience in our hospitals and in our communities. **----- Start of picture text -----**
mission
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To enhance Betsi Cadwaladr University Health Board’s ability to improve the health and wellbeing of people across North Wales and deliver excellent care. In other words, the charity’s mission is to help the Health Board to do more for its patients, through funding improvements to healthcare settings, supporting additional staff and patient wellbeing services and providing grants for research and innovation. **----- Start of picture text -----**
Purpose
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To provide a meaningful, impactful means for those who want to support healthcare services to do so, in a way that supports local evidence-based priorities. **----- Start of picture text -----**
Values
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Awyr Las shares the same set of values that guides the Health Board’s work. These are: - Work together - Value and respect each other - Learn and innovate - Communicate openly and honestly The Awyr Las Support Team and the Board, as well as over 19,000 BCUHB employees who represent Awyr Las, are responsible for ensuring that everything the charity does reflects these ideals. In addition to the shared values, the work of the charity is underpinned by three guiding principles: - Patients are at the heart of Awyr Las - Be true to those who support Awyr Las **A W Y R L A S • A N N U A L R E P O R T 2 0 2 1 / 2 2** **0 8** ## **Strategy** ## **For almost 75 years, NHS charities have worked alongside the NHS, and played a key role in helping to enhance healthcare services.** As we live longer lives, many of us with complicated health conditions and diseases, the demand for the additional support that NHS charities can provide in the pursuit of outstanding healthcare is growing. People receive roughly 90% of their care from primary and community care.* With expected increases in dementia, mental health concerns, cancer, diabetes, and heart disease, these services will face increased demand. Because of health inequalities, those in Wales' least deprived areas can expect to live for longer, and in better health, than those in the country’s most deprived areas. In 2017 to 2019, healthy life expectancy at birth for females living in the most deprived areas was 50.2 years, compared with 68.4 years in the least deprived areas; for males, it was 51.8 and 68.6 years respectively.† For many years, NHS charities have worked alongside the NHS, and played a key role in helping to enhance healthcare services. ## **Add to that the COVid-19 pandemic, which, in addition to the immediate public health crisis and increased burden on the NHS, brought about a slew of negative consequences for communities in North Wales, many of which are enduring** the skills and education of young people, reduced mental health, increased lonelinessand addiction – each affecting individual and community resilience and wellbeing, and each having the potential to cause increased demands on local healthcare and mental health services. *Our plan for a primary care service for Wales up to March 2018, Welsh Government. Available: www.wales.nhs.uk/sitesplus/documents/986/our plan for primary care in wales up to march 2018.pdf †Health state life expectancies by national deprivation deciles - Wales: 2017 to 2019, ONS. Available: www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthinequalities/bulletins/healthstatelifeexpectanciesbynationaldeprivation decileswales/2017to2019 **A W Y R L A S • A N N U A L R E P O R T 2 0 2 1 / 2 2** **0 9** ## **Strategy (continued)** The charity has a two-fold challenge of continuing to provide the support for wards and departments in both primary and secondary care settings, whilst simultaneouslysecuring the financial support needed to address the pressing issues outlined above in the short, medium, and long-term. In light of the above, the charity’s new strategy – to be published in Spring 2023 – will have a focus on making sure the right action is taken at the right time, to help patients to access diagnosis, support, care and treatment in a more timely way, and help build long-term resilience in our local communities. The charity worked with industry experts from January to March 2021 to develop this new strategy for 2023-2026. The Awyr Las strategy will be consistent with BCUHB's priorities as outlined in the "Living Healthier, Staying Well" plan, namely: - Setting up lifestyle services that help people make the right choices and keep well - Tackling health inequalities and promoting equality - Making the most of our partnership working - Strengthening our protection and prevention services - Concentrating on health in the early years ## **The Awyr Las Support Team** Finance, fundraising and engagement, communications and administrative supportstaff make up the charity's support team. It is in place to ensure that the charity can efficiently meet its objectives. The responsibilities of the charity support team are varied, and include: - effectively - Providing direction and practical help to the charity's Fund Advisors, who are the custodians of the charity's designated funds - organise events and activities in favour of the charity to ensure that they have a positive experience - motivated to donate, fundraise, or volunteer - Communicating well with supporters and the wider community, from direct communication with fundraisers to broad messaging via social media - Reclaiming Gift Aid to increase the value of donations to the charity - Supporting independent charities - such as the Leagues of Friends - who provide additional direct philanthropic contributions to BCUHB, adding value to the Health Board's and charity's work **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **10** ## **Income** ## **The year at a glance** In the 2021/22 financial year, Awyr Las received an incredible amount of donations that has, and will, enable us to fund additional research and training, extra equipment and new amenities, special projects and patient and staff wellbeing programmes, which are all designed to help enhance the care and treatment patients and service users receive. **Donations** £746,000 **Legacy gifts** £1,731,000 **Fundraising** £258,000 **Investments** £102,000 **4%** Proportion of income from investmensts **26%** Proportion of income from donations **61%** Proportion of income from Legacy gifts **9%** Proportion of income from fundraising ## **Total = £2,837,000 • Total number of donations = 5,180** ## **Expenditure** Awyr Las has funded some amazing projects that have allowed the NHS to go over and above for patients, families and staff members across North Wales. Here’s how your donations have been spent throughout the year. **----- Start of picture text -----**
8%
Staff Welfare
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**Total expenditure = £1,026,000** **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **11** ## **Background information** Awyr Las covers the whole of North Wales and uses donations to improve health care in acute hospitals and community sites across the region. Wards, departments and services across the region have designated funds within the charity, which can be used to fund things that go over and above what the NHS can provide. **----- Start of picture text -----**
Acute hospitals in 3
North Wales
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450
Number of funds
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45
Community sites in
North Wales
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## **Priority areas** Cancer care, children’s services, mental health and research are some of Awyr Las’ priority areas for improving care, treatment and support for patients and their families. Over the 2021/22 financial year, huge steps have been taken to provide care and support that goes over and above what the NHS can provide. **£41,100** Money spent in mental health **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **12** ## **The impact of your donations** What has been made possible thanks to donations given to Awyr Las? **£10,000** A suicide prevention programme ## **£5,000** ## **£1,000** in towns and rural areas across the region. **£250** Garden furniture for patient rehabilitation ## **£50** One night’s stay in parental accommodation ## **£5** Additional equipment, for example an incubator to store blood products for research projects or a device to enable patients with pulmonary diseases to be mobilised sooner after hospitalisation, aiding their chances of recovery **£500** Wigs for patients with cancer **£100** Breast prosthesis **£10** Toys for children Crafts for patients with dementia **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **13** ## **The impact of your support** Families, organisations, businesses and individuals together made 5,180 donations to Awyr Las in 2021/22. All donations have and will make a difference for patients, their families and for NHS staff, volunteers and partners. The average donation amount in 2021/22 was £224.28. Donations given this year have helped fund small toys and games worth as little as £5, which have helped keep patients and service users entertained for days, and donations have also helped funded large-scale improvements. **----- Start of picture text -----**
Cancer Research Project
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A £52,620 grant awarded in 2021/22 has helped fund a project to help oncologists to identify triplenegative breast cancer patients who are most likely to respond to treatment, whether that be chemotherapy or immunotherapy. The aim of the project is to help identify who will benefit as well as those who will not, saving patients from the unnecessary trauma of chemotherapeutic drugs and allow them to seek alternative treatment best tailored to them. The researchers involved say this project could potentially have a significant impact on the healthcare provision for triple-negative breast cancer patients in North Wales. This project was prioritised because breast cancer remains one of the leading causes of death in women, with over 400,000 estimated deaths globally every year. Triple-negative breast cancer accounts for about 15-20% of all malignant mammary neoplasm, and it disproportionately affects young women who carry the BRCA1 mutation. Currently there is no clinical or scientific test or method that can inform an oncologist if a triple-negative breast cancer patient will respond well to chemotherapy drugs. This grant aims to help identify a means of doing this. **----- Start of picture text -----**
Wigs for Cancer Patients
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In 2021/22 a £75,000 grant was given to help fund the Betsi Cadwaladr University Health Board’s comprehensive wig fitting service for patients with cancer across North Wales. The cost of the wigs start from £90 depending on the length of a patient’s hair. As most chemotherapy treatments is completed in six months, generally one wig is provided, although more can be provided if needed. This service is offered at all three main hospital sites in the region, which means that patients have access to a qualified wig advisor/fitter alongside their hospital appointments. A charitable grant for wigs is given annually because hair loss can have a huge emotional impact on patients. Being able to offer a wig can help mitigate this distress, and it is a service which is hugely appreciated by patients and by staff in cancer services. **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **14** **----- Start of picture text -----**
New markers for screening infections
in post-operative urology patients
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Enquiry into Patient Outcome and Death (NCEPOD) report, 20,000 to 25,000 deaths occur every year in UK hospitals following surgery. A common complication after surgery is infection, which could be hospital acquired or as a result from the operation itself. A £68,000 grant from Awyr Las has funded a research programme aimed at helping with the diagnosis of infections in post-operative urology patients, and to distinguish between viral and bacterial causes of infections to allow the accurate use of antibiotics. This project has been prioritised because postoperative complications are common and can cause extended treatment plans and long hospital stays, and as the NCEPOD report states, these complications can even result in death. **----- Start of picture text -----**
Research study into Parkinson’s disease
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Parkinson’s disease is a progressive neurodegenerative disease that involves not only the primary motor signs of the condition, but also non-motor symptoms, including mental, physical, and psychological complications. A £52,737 grant has been awarded this year to look into the role of caffeine being a possible prognostic biomarker and neuroprotective agent for the condition’s onset and progression. This grant was prioritised because until this year there had only been one investigation in North Wales reporting the prevalence of Parkinson’s disease. That investigation had reported that the region had a fivefold higher incidence of Parkinson’s disease compared to the general population because of the aging population in this region. **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **15** **----- Start of picture text -----**
via Plas Y Brenin Outdoor Centre
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offered outdoor activity sessions with National Outdoor Centre, Plas Y Brenin (PYB), in Capel Curig, to help with their wellbeing. This financial year’s funding of £10,000 was a continuation of these sessions to help with staff decompression following Covid-19. was an excellent opportunity for staff teams to come together again in the outdoors with highly qualified PYB instructors. One of the impacts has been to help team cohesion and to reconnect relationships within the workforce. There is much evidence which supports the use of the outdoors and movement for enhancing wellbeing, resilience and encouraging good working relationships. The SWSS team feels this is another avenue of wellbeing and psychological care in which teams can support each other. experiencing heightened distress. We’d like to mitigate this where we can, and this includes offering these sessions to support our colleagues.” In three weeks 140 enquiries were received to attend the outdoor sessions from a range of departments across BCUHB primary and secondary care. **----- Start of picture text -----**
Small but important extras
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In November 2021, Friends of Colwyn Bay Hospital kindly donated £178.35 to buy confectionery for patients. Other examples of smaller but significant grants include: - A pressure cushion (to relieve pressure and numbness) at £180 - A mental health counselling session for £48 - A £15 jigsaw for patients with dementia - A breast prosthesis for £85 for breast cancer patients - Crayons for a children’s ward **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **16** **----- Start of picture text -----**
North Wales Forensic mental
Health Service
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The BCUHB Forensic Mental Health Service provides long-term care and support for individuals with complex mental and physical health needs, and provides a holistic care package for the patients residing in the medium secure unit and community. The forensic service has invested in a multiuse sports hall and provides a graded programme of physical fitness. These fitness sessions, which are provided by a physical training instructor, focus on essential skills such as personal wellbeing, self-esteem, confidence building, time management, structured day, and social skills and interaction. The equipment in the gym was over 14 years old and needed a refresh this year, so the service was awarded a grant for £1,100.00 for new gym equipment. **----- Start of picture text -----**
menter mon partnership
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There are 1,618 Community Public Access Defibrillators (CPADS) within the BCUHB catchment area, thanks to the success of the Keep the Beats Project, which was established through a partnership between the Ambulance service, the NHS in North Wales and the cardiac charity SADS UK (Sudden Arrhythmic Death Syndrome). When Keep the Beats launched in 2018, the survival rate for patients suffering an out of hospital cardiac arrest (OHCA) in Wales was believed to be around half the survival rate of those recorded in England. North Wales, having exceptionally rural areas, needed to quickly employ a strategy to improve this survival rate. A North Wales Public Access Defibrillator Support (PADS) Officer, Tomos Hughes, was funded through Awyr Las for a two year period so he could be teach lifesaving skills and install a grant of £76,734.40 in 2021 to support the Keep the Beats project. Thanks to this and other donations, Keep the Beats has now doubled the volume of lifesaving equipment available in North Wales’ communities, and Tomos provides support to ensure they are rescue ready. Menter Mon’s grant funded 40 defibrillators around North Wales. If successful, the project should see an increase in survival outcomes from OHCA within the North Wales area. **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **17** **----- Start of picture text -----**
Cardiology diagnostic Vehicle
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In 2021, Awyr Las funded a £66,000 cardiology diagnostic vehicle, the first of its kind in the UK, the purpose-built van has been kitted out with equipment, which is used to assess vulnerable patients who have suspected heart failure closer to their homes. This means many of the patients don’t have to go into hospital. “The idea came to me during the Covid pandemic,” said Liana Shirley, Advanced Imaging Specialist with the Heart Failure Community Clinics. “During the Covid crisis we had nowhere to hold clinics, as the beds had been reassigned for Covid patients. My colleague Hannah and I had to start doing home visits, where we would have to drag a scanner in full PPE into people’s homes. It was hard, but necessary.” Liana’s husband suggested that her job would be made much easier if she had a van that could hold all the necessary equipment that was needed to assess the patient. This cardiology diagnostic vehicle is now seen as ‘the future of cardio diagnostics’. **----- Start of picture text -----**
Therapeutic Support Service Fund
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The Therapeutic Support Service (TSS) is a nurse led activity and non-invasive therapies unit which is part of inpatients for people with learning disabilities at Bryn Y Neuadd Hospital. In 2021, the team spent over £1,000 on replacing and enhancing sports, sensory and musical resources for the unit to improve patients’ engagement and experiences during their hospital stay. Jane Williams, Manager at TSS, said: “As part of the assessment and treatment of patients with learning disabilities whilst in hospital, the TSS offers opportunities to maintain ordinary patterns of daily living. Our activities ensure our inpatients have opportunities to enjoy meaningful activities off the ward giving them someone to talk to, something to do and something to look forward to, and that is the crux of what we do. This enables our nurses to deliver non-invasive therapies, treatment and assessment in a social context rather than ‘over a desk’. Replacing and enhancing our music and sensory resources means we can offer a better patient experience, something which supports and develops their inclusion in their communities once they leave hospital, and their citizenship.” including a 24-hour danceathon at Bryn y Neuadd. Jane said: “Good ideas are not in short supply at TSS. It’s a joyful part of the health service where creativity and having fun alongside our patients is very much part of the job description”. **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **18** **----- Start of picture text -----**
Emergency phone on the
suspension bridge
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In October 2021, Awyr Las agreed to contribute £10,000 towards the cost of installing emergency phones on the Menai Suspension Bridge, to help increase safety at the site. The phone lines will allow timely access to support services including the Samaritans and local policing services to help those in need. There are now eight emergency phones on the Menai Bridge at key access points. The benefit of the installation is currently being evaluated and the findings will be shared on a national basis to inform similar work across Wales. David Patel, Regional Suicide and Self-Harm Prevention Coordinator for BCUHB, believes that the installation of these phones is an essential tool in supporting safety at the site. David said: “Awyr Las has helped safeguard the safety of users to the site by providing funding to support the installation of crisis phones. These phone lines will give people in need the opportunity to connect with a local Samaritans branch who can offer listening support to those who need it. This is one of the measures introduced to help ensure that people can access support when they need it and it also helps to support increased safety at the site”. **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **19** ## **Thank you to all the companies that have supported Awyr Las this year!** Here are just some examples of how local and national businesses have helped to make **----- Start of picture text -----**
Redrow Ltd
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Redrow Ltd presented Awyr Las with a cheque for more than £15,000 for the North Wales Cancer Treatment Centre (NWCTC) at Glan Clwyd Hospital in memory of their much loved colleague, Karen Thomas, who sadly lost her battle to cancer at the centre back in June 2019. The NWCTC, which provides services for patients from all over North Wales, was selected by staff based at Redrow’s Ewloe headquarters as their chosen charity for 2019/20. Due to Covid, the Charity of the Year partnership was extended to the end of 2021. Employees dedicated themselves to raising funds through different events, including dress down days, raffles, auctions and a Christmas market. to £15,337 thanks to Redrow’s match funding scheme. The company donates £1 for every £2 raised by its employees for their chosen charity of the year. support to Karen and her family during her cancer treatment and end of life care, and we wanted to do something in her memory. “We’re proud of all our employees who have taken part in our fundraising activities and are delighted to have raised more than £15,000. it has been our pleasure to raise funds to support its invaluable work.” **----- Start of picture text -----**
medtronic
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received a £3,000 educational grant from Medtronic. Sally Owen, Chief Cardiac Physiologist Cardiology at Wrexham Maelor, explained the importance of additional funding like this. learning and development. The recent one we have been on gave us the opportunity to learn from renowned Cardiologists across the globe. “We have learnt how to adopt models of best practice and also where the future of our service could be heading. It gave us a chance to review new products from suppliers and get some hands-on training in some of the tech suites which was extremely valuable. We are so grateful for this support.” **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **20** **----- Start of picture text -----**
SP Energy Networks
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The Wrexham Maelor Children’s Ward Rainbow Ball held on Friday 18th March 2022 was a huge success, raising an incredible £20,000. The glittering evening was supported by principal sponsor SP Energy Networks. The supportive company have previously supported two other balls for the Children’s ward, helping to raise over £50,000 to date for children’s services. 195 guests were treated to a champagne reception, hosted by sponsors SG Estates, and a three-course dinner as well as musical entertainment. Lisa Harvey, Lead Nurse for technology dependent children, said: “The night was a huge success and surpassed all our expectations. “The ball had been delayed because of the pandemic three times so it was fantastic to see equipment for the children and young people to enhance their experiences on the ward. It was a huge team effort, and it couldn’t have happened without the support we received from all our sponsors.” Liam O’Sullivan, Director of SP Energy Networks, added: “We were delighted to support the Wrexham Maelor Children’s Ward ball as principal sponsor for the third time running. SP Energy Networks are committed to engaging with and supporting the local communities we serve. We are extremely proud to take part in raising vital funds for the children treated on the ward and their families. support they provide to the local community.” **----- Start of picture text -----**
moneySupermarket.com and the
Asda Foundation
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Other donations from businesses included £1,000 kindly given to the Coed Celyn, Garden Project by MoneySupermarket.com, and a donation of £990 from the Asda Foundation for the same project. The staff on Coed Celyn, an eight-bed, mixed sex mental health rehabilitation unit have been working hard to make the outside area a more pleasant space for patients. Noel Williams, Interim Ward Manager on Coed Celyn, said: “These corporate donations have been extremely helpful in improving and adding to our new re-vamped garden area. This extra money has allowed us to fund activities and equipment to enhance the daily activity of our patients, and has allowed us to make full use of our facilities. Thanks to the charitable support we’ve received, our patients have been more proactive in partaking of outdoor activity, helping improve their mental and physical wellbeing.” **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **21** ## **Legacy gifts** NHS services in North Wales are fortunate to be remembered by so many people each year in their wills. Legacy gifts help fund research, cutting-edge equipment and special projects. The legacy of those who choose to include a healthcare service in their will can be felt for many years by patients and staff who benefit from their generosity. All legacies, large and small, help make a difference for patients. In 2021/22, Michelle Rosemary Oldbury left a significant legacy gift of £126,461 to the North Wales Cancer Treatment Centre at Ysbyty Glan Clwyd, and Peter Jones remembered the centre with a generous legacy gift of £60,000. Gwyneth Young’s legacy of £77,123 to the Alaw Cancer Unit in Ysbyty Gwynedd will help enhance the services available for patients, and receiving treatment in Wrexham Maelor Hospital. Julie Roberts, Oncology Ward Sister, explained why legacies are so important: “Leaving a gift in a will can help us continue to provide extra care for patients. Legacies make a lasting impact on our hospitals and of course on our patients. Donations and legacies of all sizes are gratefully appreciated. They really will help to transform the lives of future patients and their families.” This year Andrew Gairns left a generous legacy of £17,000 to the North Wales Cancer Appeal (NWCA), a dedicated fund which supports the North Wales Cancer Treatment Centre, and another £33,380 will be gifted from his estate in the next financial year. Wales Cancer Treatment Centre who give high quality, compassionate care. We are hugely grateful when patients and families want to recognise this and reward the care they have been given. “It is just wonderful that former patients and people in our local communities choose to give back in this way to help us move cancer services forward here in North Wales. We are truly grateful to those who have left legacies, however large or small.” **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **22** ## **international Healthcare Partnerships** Awyr Las has dedicated funds which aim to support international partnerships between the Betsi Cadwaladr University Health Board (BCUHB) and hospitals in African countries. These long-term partnerships provide BCUHB staff with new clinical skills and knowledge as well as the staff and volunteers in the partner hospitals. Here are two examples of how these funds are making a difference through the partnerships they support. ## **Betsi Kenya Health Link (BKHL)** In 2019, a group of volunteers formed a link between the Betsi Cadwaladr University Health Board (BCUHB) and the Busia County Referral Hospital (BCRH) in Kenya, and the Betsi Kenya Health Link Fund was established. The Wales Council for Voluntary Action (WCVA) donated £14,992 to the Betsi Kenya Health Link the community in Busia County so the healthcare team there can better understand their needs to improve the population’s health and wellbeing. The WCVA funding paid for a Health Needs Assessment (HNA), which was instrumental in identifying some urgent priority health needs for Busia County, for example a lack of bedding in the hospital. The funding paid for Community Health Volunteers (CHVs) to meet over 2,500 community members. These volunteers have completed nearly 900 risk assessments. They now record data on key non-COVID public health threats and have detected a possible case of polio. This work has drawn the interest of Washington University, which plans to fund a scale-up of the project across the whole county. The WCVA funded project has had an impact on the health and wellbeing of the communities in Busia County in the following ways: - **improved surveillance of COVid-19:** The trained healthcare workers are now better equipped to identify health risks in the community and are now more able to relay this information to the public health authorities for further action. - **improved surveillance of other conditions:** Surveillance of other infectious conditions and health threats has also improved and is now reported through a live community event-based surveillance system. - **improved motivation of community health workers** The community health workers who were involved in the project have reported that they are more motivated, having gained knowledge and skills about COVID-19 and received support to deliver on their tasks. - **Faster reporting of health threats** A new online reporting system has reduced reporting time for health threats in Busia County and improved the response from the public health authorities. ## **Betsi Quthing Project** **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **23** The Betsi-Quthing Link (BQL) International Health Partnership is between the Lesotho Ministry of Health, Quthing District, and the Betsi Cadwaladr University Health Board (BCUHB). Awyr Las’ BQL Fund has successfully delivered a number of projects thanks to a series of grants it has received since 2012. In 2021, the BQL Fund committee successfully applied to the Welsh Council for Voluntary Action (WCVA)’s Wales and Africa Grants Scheme and was awarded £66,063 of funding to deliver mental health training to over 400 community leaders and public sector workers across Quthing District. population of over 120,000 people in the remote rural mountainous district. Clinical psychologists from North Wales who are trained in Mental Health First Aid and compassionate leadership approaches have been able to support senior health staff in Lesotho to help address the increased rates of suicide, depression, anxiety, substance misuse and gender-based violence which have been reported in Quthing since the pandemic began. ## **Gifts in kind** In 2021/22 Gifts in Kind worth £5,935 were given to the charity to help enhance patient care and staff wellbeing during what was a challenging period for both patients as staff. These gifts included plants, furniture & other items to update outdoor spaces and gowns for babies born sleeping. Gifts in kind were given by individuals, businesses and community groups, and all were gratefully appreciated by staff and families who benefited from the generous support given. **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **24** ## **Looking ahead** The charity’s focus for 2022/23 will be to continue to support communities as they navigate the ongoing pandemic. Addressing the long-term impact of COVID-19 will remain a priority. This work will be supported by money distributed by NHS Charities Together under its Stage 2 ‘Building Resilience’ and 3 ‘Recovery’ grant programme, funded by their COVID-19 urgent appeal. Projects planned for this work stream will focus on building resilient communities. As well as redoubling the charity’s focus on early intervention, the new strategy will provide a roadmap for addressing several key themes that have emerged during the pandemic, including: - to remain resilient - supported to work well in the challenging and dynamic environment of 21st century healthcare - Encouraging innovation and research to help drive improvements in the quality of care and the patient experience in North Wales - Collaborating with health and social care providers, local charities, our communities, and our patients and their families to build strong relationships that enable us to find creative solutions to the challenges we face The Awyr Las Support Team looks forward with cautious optimism, hopeful that we will soon see the safe return of events and mass participation fundraising. In the meantime, we are continuing to invest in digital and hybrid events. The team has placed a focus on digital and hybrid activities that enable BCUHB staff and external supporters alike to be part of something meaningful remotely, such as the One Million Steps challenge, and the Light up Christmas event. **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **25** ## **Volunteer support** Additionally, we continue to seek to build on the relationships made with local individuals who registered as COVID-19 volunteers, supporting them where possible to transition to become regular volunteers within the Health Board, for example, as part of the valued Robins Volunteer Scheme. ## **Governance** ## **Linked charities** The charity’s registration incorporates a linked charity, the North Wales Cancer Appeal (NWCA). A very active subsidiary, NWCA volunteers work alongside NHS staff in the North Wales Cancer Treatment Centre and raise additional funds for priority projects that benefit patients and families affected by cancer. ## **Trustee recruitment, appointment and induction** The charity has a sole Corporate Trustee, the Betsi Cadwaladr University Health Board (BCUHB). Whilst BCUHB Members undertake responsibility for the administration of the charity’s funds as part of their tenure of the Board, they do not hold trustee status as individuals. The Chair and Independent Members of the Health Board are appointed by the Minister for Health and Social Services of the Welsh Government, with the Executive Directors being appointed in accordance with Health Board policy. New members of the Board are provided with appropriate induction and training on behalf of the Executive Director of Finance. Orientation documentation provided for new members includes the previous year's annual reports and financial statements, copies of the charity's governing documents, and relevant Charity Commission publications. ## charity is delegated to the Executive Director of Finance. Members of the Awyr Las Support Team are employed by the Health Board and then recharged to the charity in accordance with the proportion of their time that has been spent on charity work. ## **Key management personnel remuneration** The trustees have concluded that the Corporate Trustee through the Charitable Funds Committee comprises the key management personnel of the charity as they are in control of directing the charity. The charity does not make any payments for remuneration nor to reimburse expenses to the charity trustees for their work undertaken as trustee. Trustees are required to disclose all relevant interests, register them with the Health Board and withdraw from decisions where a conflict of interest arises. All related party transactions are disclosed in note 2 to the accounts. **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **26** ## **The charity's advisors** Bankers: NatWest Bank, 5 Queen St, Rhyl, Denbighshire, LL18 1RS Investment advisors: Brewin Dolphin, Time Central, Gallowgate, Newcastle upon Tyne, NE1 4SR ## **The charity's investments** Many of the donations received by the charity cannot be spent right away since they must be accumulated, in order to fund the most pressing and relevant items to improve patient care. As a result, Awyr Las invests these contributions in order to earn income and protect their real-world worth. During the financial year 2021/22, Brewin Dolphin Limited was the charity’s investment manager. ## **Ethical investment framework** The Trustee has adopted an ethical framework for investments, with underlying principles supporting an ethical component of the overall investment strategy. ## **investment strategy** This has given direction to the Investment Managers to develop a suitable investment strategy. The investment strategy is consistent with these ethical principles, whilst affording sufficient flexibility to provide the best balance of risk and reward for the charity. During the financial year 2021/22, the portfolio was managed in accordance with this agreed strategy. It is recommended that there is negative exclusion of investment in companies manufacturing and distributing: - Alcoholic products - Tobacco products Investment in companies which have a poor record in human rights and child exploitation and/or which derive their profits from countries with poor human rights records should not be permitted. In addition, investment in companies that demonstrate compliance with the principles of the Equality Act 2010 should be supported. Investment performance is monitored by the Charitable Funds Committee at its quarterly meetings. The committee receives reports from the investment managers explaining the portfolio's performance, the level of risk seen and expectations for the future. ## **Charitable Funds Committee** Operational responsibility for the administration of the charity is delegated to a Charitable Funds Committee, a committee of the full Health Board. ## **Purpose** The purpose of Betsi Cadwaladr University Health Board's Charitable Funds Committee is to make and monitor arrangements for the control and management of the Health Board's Charitable Funds, held within the BCUHB charity, Awyr Las. The committee meets quarterly. **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **27** ## **Corporate Trustee membership in 2021/22** A number of changes to Board membership, including interim and acting up arrangements, have occurred during the year and are reflected in the table at Appendix 1. ## **Performance** University Health Board in accordance with the preferences of supporters. The Awyr Las Support Team and the Charitable Funds Committee undertake a number of key activities. ## To accomplish its goal, the Charity Support Team prioritises actions that promote awareness among Health Board employees, assisting them to learn about fundraising and the money accessible to them from the charity. The team also focuses on simplifying the methods for raising and applying for money, as well as empowering staff to innovate and utilise existing funding (or, in the absence of funding, to proactively raise the necessary monies) to help them to implement their ideas. The charity continues to embrace technology, including video conferencing, to stay connected with staff. ## **Evaluating requests for funding** To ensure that the charity's money is well spent and meets with its objectives, all applications for grants over £5,000 require ratification and/or authorisation from the Charitable Funds Committee (CFC), which is a committee of the full Health Board. The Charitable Funds Advisory Group (CFAG) was established at the start of 2016 to provide further scrutiny of applications. The CFAG is a sub-committee of the Charitable Funds Committee. Because of COVID-19, the CFAG was temporarily stood down until 2021, and it now approves applications online, rather than in person. The CFAG has a remit to consider funding applications from £5,000 to £25,000 from general or specific charitable funds. The group has the authority to approve or reject those applications. The decision to approve or reject an application is undertaken on behalf of the Charitable Funds Committee under the charitable funds scheme of delegation. Membership of the CFAG is varied. Like the CFC, members of the CFAG use their specialist knowledge to make informed decisions on funding, taking into account local needs and organisational priorities. ## **Applying for funding** Applicants must outline their proposed project's outcomes and how they will be measured in order to be considered for funding. They must also show that they have assessed the risks and investigated mitigating factors. All grant applicants must show how their plan would help to reduce health inequalities and promote the Health Board's dementia strategy. ## **Awyr Las Support Team** To help meet the charity’s objectives, the Awyr Las Support Team has transitioned from working geographically to working thematically. In practice, this guarantees that East, West and Central still have a dedicated point of contact, but that individual members of the team can undertake projects that are more defined, and closely aligned with their skills and experience. **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **28** The charity’s Support Team continues to streamline its processes and develop relationships with other teams within the Betsi Cadwaladr University Health Board to ensure it can provide the highest possible level of donor care. ## **Complaints** The Awyr Las Support Team did not uncover any failure to comply with Fundraising Regulation by staff or Awyr Las volunteers in 2021/22. The charity received no official fundraising-related complaints in the past year. ## In planning activities for the year and when considering applications for grant funding, ## **The charity’s grant-making process** Both restricted and unrestricted funds are used to make grants through the charity. These funds are further split into non-designated (general) funds and designated (earmarked) funds. ## **Authorisation and levels of funding** Projects costing less than £5,000 can be authorised by a Fund Advisor – the colleagues that act as guardians for their designated funds – thus enabling NHS staff to gain prompt access to funding. Because of this, staff can quickly implement their ideas, meaning the tangible positive differences they wish to achieve for their patients or colleagues can be realised almost immediately. There is a formal application and scrutiny process for requests of £5,000 or more. The Charitable Funds Advisory Group considers requests of between £5,000 to £25,000. Requests for £25,000 or more must be considered by the Charitable Funds Committee. The application process is designed to be accessible, whilst ensuring projects receive rigorous scrutiny to ensure they are robust, innovative, and realistically able meet the objectives set out by the applicant. ## **Non-designated funds** These funds are given to the charity with no preference expressed by the donor. They are used to fund things that are needed either across the region, or in areas/services that do not have their own fund. The Finance Director - Operational Finance acts as the Fund Advisor on non-designated funds and so can authorise expenditure up to £5,000. Non-designated funds have been decreasing in value significantly over recent years. This is an ongoing challenge for the charity as it limits the things that can be funded where there is no suitable designated fund. ## **designated funds** Within Awyr Las, most donations sit in one of the 450 designated funds, which are aligned to specific wards and departments. Every fund has at least one Fund Advisor, who is the authorised signatory on the fund for purchases up to £5,000. Fund Advisors receive monthly statements outlining the income and expenditure on the fund. For all expenditure over £5,000, a scheme of delegation is in place whereby additional approvals are required from the senior team for that area in the Health Board and the Charitable Funds Committee. This ensures that applications are fully reviewed and assessed alongside the objectives of the charity. **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **29** ## **Financial summary** which carry an unqualified audit report. The accounts should be viewed in full if more details are required. This part of the Trustee’s annual report comments on key features of those accounts. The full accounts have also been logged with the Charity Commission. general public. ## **income 2021/22** **----- Start of picture text -----**
4%
Investment
donations
£746,000
Legacy gifts
26%
£1,731,000
Proportion of
income from
donations
Fundraising
£258,000 61%
Proportion of
income from
investments
Legacy gifts
£102,000
9%
Total income
Fundraising
£2,837,000
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This year, donations generated £746,000 (26%) of the charity's total income. Legacy gifts formed 61% of the charity's income (£1,731,000). Fundraising accounted for 9% of the charity’s total income (£258,000). Investment of funds not immediately required by the charity has generated £102,000 in returns, equating to 4% of Awyr Las' total income. **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **30** ## **Financial health** The assets and liabilities of Awyr Las as at 31st March 2021 are shown below, compared with the position at 31st March 2021. Find further details in the financial statements section. ## **Balance sheet as at 31 march 2022** |||**������������**|**����������**|**�����**|**�����**| |---|---|---|---|---|---| |||**�����**|**�����������**|**�����������**|**�����������**| ||**����**|**����**|**����**|**����**|**����**| |**������������**|||||| |��������������|��|���|�|**���**|���| |�����������|��|�����|�����|**������**|������| |**�����������������**||**�����**|**�����**|**������**|**������**| |**��������������**|||||| |�������|��|���|�����|**�����**|���| |����������������������|��|���|���|**�����**|���| |**�������������������**||**�����**|**�����**|**�����**|**�����**| |**������������**|||||| |������������������������|��|�����|�����|**�����**|�������| |����������������|||||| |**������������������������������**||**���**|**�����**|**�����**|**���**| |**���������������������������������**||**�����**|**�����**|**������**|**������**| |������������������������|��|����|����|**�����**|�����| |�����������������������|||||| |**����������������������������**||**�����**|**�����**|**������**|**������**| |**���������������������**|||||| |���������������������|��|�|�����|**�����**|�����| |�����������������������|��|�����|�|**�����**|�����| |������������������||��|�|**��**|��| |**����������**||**�����**|**�����**|**������**|**������**| The notes on pages 43 to 54 form part of these accounts ## **Signed:** **Name: Jackie Hughes, Chair of the Charitable Funds Committee date: 26th January 2023** **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **31** ## **Risk analysis** As part of the Charitable Funds Committee meetings, which usually take place at least four times a year, the trustees consider the major risks facing Awyr Las. In 2021/22 the Charitable Funds Committee met three times. ## **managing risk** The main risks to the charity are reviewed by the Charitable Funds Committee on a quarterly basis, with the whole risk register being presented and reviewed annually in March. The charity’s Risk Register was most recently reviewed on 18th October 2022 and is available to view here on pages 207 – 226: Bundle Charitable Funds Committee 18 October 2022 (nhs.wales). See below for the full URL. An individual risk analysis is completed for all Awyr Las events and activities, and for new processes and ways of working introduced by members of the Awyr Las Support Team. ## **Reserves** Both restricted and unrestricted funds are used to make grants through the charity. These funds are further split into non-designated (general) funds and designated (earmarked) funds. ## **Authorisation and levels of funding** Reserves are that part of a charity’s unrestricted income funds that are freely available to spend on any of the charity’s purposes. A good reserves policy gives confidence to stakeholders that the charity’s finances are being managed and also provides an indicator of future funding needs and its overall resilience. relevant factors. Deciding on the level of reserves that a charity needs to hold is an important part of financial management and forward planning. Reserves levels which are higher than needed may tie up money unnecessarily. However if reserves are too low then the charity’s solvency and its future activities can be put at risk. The charity, drawing on Charity Commission guidance and examples of best practice from other charities, has adopted a reserves policy that includes a target level of reserves. It is good practice to keep the reserves policy under review to ensure it meets the changing needs and circumstances of the charity. The Charitable Funds Committee reviews the Awyr Las reserves policy and target level of reserves annually, and has historically calculated the target based on the latest audited accounts. In March 2022 it was agreed that the reserves policy would be based on expenditure that has been approved in principle, and that it would also consider the latest audited accounts. ## **Target level of reserves** When developing the recommended Reserves Policy, the following circumstances were considered: a) The Charity’s structure: **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **32** A Reserves policy considers unrestricted funds, the funds that are expendable at the discretion of the trustees in furtherance of the charity’s objects, and not restricted funds, which are subject to specific trusts which may be declared by the donors, or with their authority, e.g., in a public appeal, but still within the objects of the charity. At 31st March 2021, the Charity held £5,274,000 in unrestricted funds, £5,345,000 in restricted funds, totalling £10,619,000. This means 50% of the charity’s income is unrestricted and should be considered in the reserves policy. However, the charity has over 400 different funds, the majority of which are designated funds. At 31st December 2021 the charity’s balance was £11,343,789, but only £980,447, or 9% of the total funds, were undesignated. 91% of the charity’s funds are earmarked to benefit specific patient groups and services in line with what supporters have requested. The designated funds may be unrestricted, but that does not mean they have not been earmarked for a particular project/ward/service in accordance with donor wishes. The designation has an administrative purpose only, and does not legally restrict the trustees’ discretion to apply the fund, but the Charity Commission states that designated funds set aside to meet essential future spending should be excluded from reserves. b) Strategic planning, future needs and opportunities, and the anticipated levels of income and expenditure for the current and future years: A draft 3 year 2022-25 strategy, drawn up in Q3 2021/22 and independently reviewed by an external agency in Q4 of 2021/22, proposed an increase in expenditure on both operational costs and charitable activities and set income targets which reflected the investment in fundraising capability. The independent review recommended that the principles that underpin the strategy be approved. ## Fluctuations in the charity’s investments, which can rise or fall in value on a monthly basis, need to be considered. There needs to be an insurance against the risk of a large fall in the investments. In 2008/09, the investments of Awyr Las’ three predecessor charities fell by 26%, and in 2019/20 they fell by 11%. In addition, the reserves policy needs to ensure the charity can support larger projects that cannot be paid for with one year’s worth of income and, if income was severely reduced, continue to support projects for a minimum of six months. d) Monitoring and reassessing reserve levels: The target level of reserves needs to be reassessed on an annual basis. The Trustees should review the actual reserves held against the target throughout the year on a quarterly basis, to ensure that sufficient funds are held within the charity, whilst also continuing to utilise funds within a reasonable period of receipt. ## **Reserves policy 2021/22** three year income and expenditure goals, which were recommended for in principle approval by an independent review carried out by an external agency from January – March 2022. In November 2021 the charity’s investment managers, Brewin Dolphin, recommended that the reserves requirement be adjusted to reflect future planned expenditure rather than past income and expenditure levels. **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **33** The charity’s target level of reserves is based on the following calculation: - with in principle approval as necessary) strategic plans - years’ of audited accounts - approved (for 2022/23, using the figures included in the draft strategy with in principle approval, as necessary) strategic plans. The reserves target, set by the Charitable Funds Committee in March 2022 is £3,754,000. The available unrestricted balance at 31st March 2022 was £5,375,000 and the restricted balance at 31st March 2022 was £6,937,000. The charity was holding higher reserves than it should have been at the end of 2021/22. It is expected that in 2022/23 the charity will bring the amount of reserves it holds into line with the level of reserves identified by the trustees as appropriate. **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **34** # **BETSI CADWALADR UNIVERSITY HEALTH BOARD CHARITY & OTHER RELATED CHARITIES** ## **ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2022** ## **FOREWORD** The accounts (financial statements) have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) second edition issued October 2019 and applies to reporting periods beginning on or after 1 January 2019. This edition consolidates the changes to the Statement of Recommended Practice (SORP) for Update Bulletins 1 and 2, the Charities Act 2011 and changes to UK Generally Accepted Practice since the launch of SORP (FRS102) on 16 July 2014, as it applies for reporting periods beginning on or after 1 January 2015. ## **STATUTORY BACKGROUND** The Betsi Cadwaladr University Health Board is the corporate trustee of the charity under paragraph 16c of Schedule 2 of the NHS and Community Care Act 1990. The Trustees have been appointed under s11 of the NHS and Community Care Act 1990. Awyr Las, the working name of the Betsi Cadwaladr University Health Board Charity and other related Charities, is a registered charity and is constituted under a trust deed dated 23rd September 2010. Within the charity group registration there are two subsidiary charities: - Betsi Cadwaladr University Health Board Charity; and - The North Wales Cancer Appeal. ## **MAIN PURPOSE OF THE FUNDS HELD ON TRUST** The main purpose of the charity is to apply income for any charitable purposes relating to the National Health Service wholly or mainly for the services provided by the Betsi Cadwaladr University Health Board. **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **35** Betsl Cadwal•dr unNO￿lty Hèalth Board Charty Othor Ro￿tsd ChaTItI Awyr Las Blue Sky EILwGlGGoJbJd&￿￿j statement of Financial Activlties for the year ended 31 March 2022 Tt>tsl Fund5 2021-22 £OLWJ UMestflcted funds £000 Income funds £000 Note Incoming r•sourc•s from g•n•rat•d funds.. Donations and legacies ot￿￿r tradirYJ activitiès Invg*ments Total incoming r•sourc 727 210 2.4n 102 2,837 996 1,841 Expenditure on.. RaBiAg FuThJs CharitatAe activities Total •xp•nditur• 230 747 977 140 370 1.027 1.397 420 Not gairts l (lossès) on investmonts Net income I lexp•nditur•l 15 179 1,S29 1,708 Tran$f•r b•trhwi fvnd$ {63) Oth•r recognis•d gaiThs I Ilossesl Gains l (losses) on revaluation of frAod assèts 14 N•t mowm•nt in fund$ 116 1,692 1.708 R•con¢ilb•tion of Funds Total Fund5 brought loThvard Total Funds carried lorward 21 S.274 5,390 10.619 12,327 6.937 statement of Flnanclal Actlvltles for th• year ended 31 March 2021 Totsl Funds 2020-21 £0 UN•strf¢t•d funds £000 Ineom• funds £000 Inoomlng r•souro•s from g•nernt•d fur￿$.. Donab"ons and legacies Other tradirvJ aCtiv￿aS Investments Total incoming r•sour¢•s 724 312 1.270 1.994 318 1,089 1,312 2,401 Exp•nditur• on.. Raising FuTrds charts1￿$ activ￿Q¥ TotAI •xp•nditur• 164 893 1,067 97 261 1,613 1,774 717 Nel gairts l Oosses) on investments N•t incom• l {•xpenditur•) 15 1,408 915 1,610 2,3ZJ 2.9&1 Transf•r b•1￿•n fvnds (6> Other recognised gains I Ilossesl Gains l (kjssas) on revaluation of f￿ad assots 14 15 15 N•t m¢v•m•nt in fvnds 1A61 2.966 R•conciliation ot Funds Totsl Funds brought loNiard Total Funds carried lorward 21 3,813 6,274 3,841 7,664 10.619 Awyr Las Annual Report 2021122. Registered Charity Number 1138976. @awyrlascharity 36 **Signed:** **Name: Jackie Hughes, Chair of the Charitable Funds Committee date: 26th January 2023** **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **37** Betsi Cadwaladr Universty HeaMh Board Charty Other Related Charitios Awyr Las Blue Sky T￿￿j￿wa￿N￿SCh￿ty statement of Cash Flows for the year ending 31 March 2022 Total Funds 2021-22 £000 Totsl Funds 202￿21 £oco Note Cash flows from operating activities: N•t ¢Ash provid•d by lused in) op•rating a¢tiviti•s 19 163 14 Cash flows from investiny activities: Dividend, interest and rents from investments Proceeds from the sale of investments Purchase of investments {Increasa) I decreasg in cash awaiting investment Net cash provided by lused in) investing activitie5 89 959 (7￿) (2EQI 28 15 15 15 (8,2751 311 Change in cash and cash equivalents in the reporting peritxl 193 42 Cash and cash •quivalents at th• b•ginning ol th• reporting period 17 926 Cash and cash equivalents at the end ofthe reporting period 17 1,119 926 Awyr Las Annual Report 2021122. Registered Charity Number 1138976. @awyrlascharity 38 Betsi Caolvakdr Universty Health Board Charty Other Related Charities Awyr Las Blue Sky T￿￿j￿wa￿N￿SCh￿ty Note on the accounts 1 Accounting Policies lal Basis of pr•paration The financial statements have been prepared under the historic cost convertion. with the excopt'on of investments wh￿h are included al fair vabje. The accounts (financial ststements) have been prepared in accordance vrith the Ststemgrrt of Rocomm$ndod Pradice.. Accounting and ReFQrting by Charitigs wèparing thoii ac¢ourrts in accordance Wbth the Financial Reporting Standard applicable in the UK and RepublK of Ireland (FRS 1021 second edrtp)n issued October 2019 aThJ applies to fewrting period5 beginning on or after 1 January 2019. T￿S edition consolidates the changes to the Statement of Recommended Practice {SORP) for Update Bulletins 1 and 2. the charit￿s Art 2011 aTr changes to UK Generalty Accepted PractKe since thfj launch of SORP {FRS102) on 16 Ju 2014. as it apples for rew)rtiry perlods beginnlng on or after 1 Jan￿ry 2015. Thè accounts {flnan¢ial statèmènts) have boen prèpared to a Irue and falr. vigw and ha departed from the Charithes (Accounts and Reports) Regulations 2C4)8 onty to the extent requred to provide a 'true and fair V￿w.. This departure has involved following Accounting and Re￿rtIr@ by Charities preparing their accounts li accordance with th& Financi81 Reporting Stsndard applicable in the UK and RepuE4ic of Ireland (FRS 11r2) issued on 16 Jufy 2014 and as amended ift thé second edition i%sued October 2019. The Trustees consKler that there are no matsrial uncertainties at￿ut the Charrtys abilty to continuo as a going ¢oncern. There are rKJ matenal uncertaint￿5 affecting the Current year's accounts. In future years. the key risks to the Charity are a fall in inMme Irom donations or invfrstrnont Income but the trustees have a{ran￿MentS in ￿a¢¢ to mitigate those risks (see the risk management and reserves seclsons of the ann￿1 report for more information). The Charty meets the definition of a public benefit entity under FRS 102. {bl Funds ytructur• Wh9ro thorg is a legal roStr￿tIOn on the pwposo lo which a fund may bg put, tho fund 15 classified either as.. A restricted fund or An endowment fund. ReSt[￿ted funds are those whgro the donor has wovidgd for the donatKJn to be spent in furtherance of a SP¢cff￿d charitable PUfPOSg. Tho Charivs ￿¥tri￿￿d fund¥ tend to resum from appeals or le9acios for specified purpose$. Endowmerrt fijnds arise when the donor ha5 exFYesS￿1 provided that the grft ts to be irwèsted and onty the incomè ol the fund may be spont. Thèse funds aré sub-anatysed t￿￿￿en thosè where the Trustees have tho di8crotion to spend th¢ capital {expendable endowment) and those whore there is no dtscretion to expend the capital (permanent endowment). The chaity has no parmanent or expendablè endowmert fuNSs. Thosé funds which are nèÉthèr èndowment nor roStr￿tod income funds. arè unrQStrkt￿ incomé funds which are suttranaty5ed be￿een designated {eaimafked) funds where the Trustees have set aside amounts to be used for specffic purposes or which reflect the non-binding wishes of doTh)rs and unrestricted funds which are at the Trustees, di%retion, including the general fund which represents thg ¢harity'5 reserves. The maitir funds hold in each of these categoriBS are dtsclosed in note 21. Awyr Las Annual Report 2021122. Registered Charity Number 1138976. @awyrlascharity 39 Bgtsi Cathvaladr UnNersty Hgatth Board Charity Other Related Charities Awyr Las Blue Sky (c) Incoming resources T￿￿j￿wa￿N￿SCh￿ty Income consists of donations.l0gac￿. incomo from charitablo activtiies and invoslment income. Donations are accounlad for whgn iecgivgd by tho charty- All olher in¢omg is rewnis9d 0￿9 the charity has entit￿ment to th¢ resourcos. it probablo (rnre likety than not) that the rosourcgs will be rocgwed and thg monetary va￿9 of incoming ro$1)urcgs can bg mgasured suffici•nt rgliabih'ly. Imiere there are terrrts or conditp)ns attathed to incoming resources. FOrt1￿J1arty grant5. then these terms or conditions must be mel before the income is re¢ognised as the entitlement Condit￿n wll not be satisfied unlil that pts￿t_ Where temis or condr<￿)n$ have not been met or uncertainty exists as lo W￿ther they be met then the relevant Income is not recognised In thg ￿ar and def¢rrgd and sho¥km on thè balancg shgel a$ defgrr¢d irKoma. (dl IncomlrKJ resources from legacles Legaaes are accounted for as incoming resources e*her upon receipt or vknera tho rocoipt of the legacy is probable. vthichever falLs sooner. Receipt is probabk then.. Confirmation has boen reCe￿d from th• ye￿$•ntatiVeS ofthe •stat•ls> that probato has been granted Tho executors have estab1Bh￿ Ihat ther• are Suff￿￿nI assets in the estate to pay t legacy and All conditions attached to tho ￿gaCY havo beon fUr￿led or aro V+ithin tho chartys control. If there Is uncertainty as to the amount of the legacy and it cannot b8 rehabty estimated then the legacy Is shoM as a 0)ntIr￿ent asset untll all of the 0)ndit￿$ for in¢om6 recognitlon are met. (e) Resources expended and Irrecoverabl• VAT Al expenditure 15 accounted for on an accruals basis and has been da3Srf￿d urKler headingj that aggregate an ¢osts ièkted to eath ¢ategory of expense sh¢vM in th¢ Statem*nt of Finan¢kl1 ktivrtyas. Exp¢ndf(ure is rocognisgd vth9n Ihe folowng ¢riterH arg m&t.' There is a present legal or constructive obligation iesuAing Irom a past evont It mora likgty than not that a transfgr of bangfits (usualty a cash payrnnt) ￿11 ￿ required in settlement The amount of the ObIga￿On can bè rr*asumd or estimatèd r8lAbly. Irre¢overabl8 VAT is tharged against the category of resources expendèd for knhi¢h it vms incurred. (fj Recognltlon of expendlture and assoclated liablllties as a result of grants Grants payable are paymants mado to linked, party or third party NHS bodies and NHS bod￿S. in furtherance of the charitablo objedives of tho funds hokl on trust. primarty r¢lief of those are 5￿k. Grant Pl￿r￿rIt5 are re￿gnIsed as eXPen￿rture ￿en the conditions for thew Pa￿nI have been met or there there is a constru¢tNe oblKJation to make a payrtsnt. A ¢onstru¢tive oblbJatton arises ￿eTh.. We have COMMUn￿ted our intent￿n to al￿rd a grant to a rewient ￿0 thon has a rèasonable expe¢tatton that they ￿11 receive a grant We have made a publ¢ announcement about a ¢ommilment is spocik enough for the rec￿lent to have a reasonablè expectallon that thèy ￿11 recefve a grant There Is an establishd F4ttern of pradKe wh￿￿ *idicates to recipient ￿￿1 honour our ¢ommitrThnl. Awyr Las Annual Report 2021122. Registered Charity Number 1138976. @awyrlascharity 40 Awyr Las Blue Sky Betsi Cadwaladr UnNersty Health Board Charity Other Rehtsd CharIt￿S In R•cognition of •xp•nditur• and Associat•d liabiliti•s as a r•sult of grants Icontl The Trustees have control over tho amount arvj timing of grant payments aThJ consequenty where approval has been given by the Trustees and any of t￿ ab)v8 criteria have been met thèn a liabiknty is rec¢gntsed. Grants are not usually awarded conditKJns attached. However. when they are those condit￿n$ havo to bo met t¢foro tho liat4lity is recognised. Where an w)tentk)n has not been comMun￿at6d. then no expenditure Is recognised bLrt an apwopriate designatbJn 15 made in the appropriate furKI. If a grant ha5 been offered but there is un¢ertainty as to whether it will bo aceeptad or whothor cornlf(Dns will bo metthgn rb) Igl Allocation of support Costs Supp)rt costs are those costs Nthich do not rekt¢ dwectly to a single activty. These include staff costs, costs of administr8tion. intsmal arKI external audit costs. SuH)ort costs have been app)rtioned beknwn fundraising costs and charitable activibes on an appropriate basis. The anatysis of support costs and tho basos of appoitionmert applied ar8 shown in noto 11. {hl Fundraising ¢Josts Thg Costs of generating funds are th)se costs attributablg to generating income for tho chaTty, other than those cosls incurred in undertaking charilab￿ activit￿$ or Ihe costs ￿¢￿Ired in undertaking trading actNrt*s in futherance of the charit*s Obje￿$. The costs of generating funds represent fundraKsing costs together with investment management fees. Fundraising costs includ9 oxpgnsès for fundraising activitios and a fge paxl to a ralatgd paty, thg Heatth Board, under a fuTrdraising agreement. Tho feo is usod to pay the salaries and ovorhoad costs of the Health Boards. fundraising offKe. li) Charitabl• aetivitl•s Costs of chaitabk actNities comprise all costs ir￿U[red in the pursuit of the charitable objects of tho charity. Thgsg costs. whorè not wholly attTibutablg, are apportionod botsyegn the categories of charilablg expenditure in addition to thg dir&rt wsts. The totsl costs of gaGh category of charitat4e expenditure include an apportionmgrrt of supp)rt costs as $l￿wn in note ti) Tangibl• ass•ts Tarwjible fixed assets are stated at cost less accumulated depreciat￿n and accumuktsd impairment losses. Cost includes the or¥inal purchase price (or value of the asset on a lull ropkcemont cost basis rf donated). costs dwecdy attributatAe to bringing the asset to its working condttKJn for its intended use, dismantling and rostoration costs. Tangible fixed assets aro capitalised rfthey are Capab￿ of bgin9 used for morg than one ￿aT aThJ have a wst equal to or greater than £5.￿. Land is stated at opon markol valuè. ValuatKJns are carried out by a F*ofossional valuèr at ast every fwe years w*h an impairmerrt review undertaken in all other years. No depreciation is applied to kind. Tangible ￿ed assets are derecogni8ed on disposal or when no future econom￿ benefrts are èxpected. On disposal. differencè bètween thé net disposal procèods and the Carryi amount is reco9nised in the Statement of Financial Activities (SoFA)- Awyr Las Annual Report 2021122. Registered Charity Number 1138976. @awyrlascharity 41 Betsi CadMladr Univeisty Health Board Charity Other Rolated Chariti93 Awyr Las Blue Sky T￿￿j￿wa￿N￿SCh￿ty Ikl Investments Invostmonts a fom) of basle fknanelal Instiumant. Flxod assot Invttknènts ara Inttfalty rneognlsad at th¢ir transaction valuè and aro subs8qu•ntly mèasurèd at thoir fair valuo (maikèt valuè) at thè baLancè sheet date. The Ststement of Fina￿la1 Actsvitsgs includey the net gains a￿11953¢3 arising on Tevaluation and disposals throughout the year. Th• makn fomi ol financial risklac•d by tho eharty is that of volalilty in oquty math•ts and oth•r Investment markets due to w¥Jer economic condrtKJns, the attitude of investors to investsnent risk and ¢hangg$ in sontim¢nt ¢on¢¢ming equit195 and wfthin particular 5g¢tors. Furth9¥ informalK•n on th& charW¥ Investments can be found in note 15. (11 l)eL*ors Dèbtor$ ar¢ amounts 0￿d to th• ehartty. Th•y aro mog$urèd on tha t0sL8 of tholr récovorabb omount. (m) Cash and cash equivalents Cash at bank and Ki hand is held to meet the day to day running Costs ofthe Charty as they fall due. Cash •quwalvnts ar• short temi. hvJhty114￿d invo$tments. usualty #i not￿# intèrèst ￿arfft9 saY￿9s aceourts. In) Creditors Creditors are amounts owed by the Charity. They are measuied at the amount that the Charty expecas to hovè to pay to Sétt￿ thè debt. Amolmts wh￿h are owed ￿ more ttBn a ypar are shown as bng term ¢reditots. lo) Re411$ed galn$ and lo$seo All and bss•s ar• tak•n tts stst•m•nt of Financlal #s thèy arisè. R•alis•d gains and 105¥es On in￿stMents are ￿1¢y￿ted as the differe￿ befr￿en 58les prgceeds and opgn4n9 Carr￿n9 value Ipuiehasè datè rf latèr). Unrèaligtd galns and lossès arè caleuL4tèd as thè drfference ￿￿8¢n the closing and opeThnq ¢arryir4 values. adjusted for purchases and sales. Z Related party transactions During the ￿ar none of the Trustee's Representatives or members of the key marngement staff or their elosè it￿tiV•S hav¢ urthrtakon any material transa¢tb)ns with tl* B¢tsi Cathwdladr Urriv¢r*ty H¢alth e¢•rd Charitabl8 Funts. Board Mernters la￿1 other s¢nior staff) tako decis￿n$ both on Charity and Exchoquer rnatte￿ Ixrt e￿leavOUr to keep the interests of each dirycrete and *lo not seek to be￿frrt personally from such decisKJns. Do¢laratK*ns of ￿rsOnal irrtorsst have boon mad• in both capacitiès and ar• availabk tts bo irtspèctod by the wblt. The Chafty hag made g¥ant payThents for revenue and cawtal to the Betsi Caithvaladr Unwersty Health Board. Such paymènts ar• for koms whkh aro Hi furth•ranc• of th• Charitys Obj￿$. The B•tsl Ca{hYa￿￿r UnNersty Hèakh Board prepares lis accounts In accordance with the Government Financial R•pJrtin9 Manual IFReMI and IrEternational Financial Reporting Standards IIFRSI, whereas the Charity pre￿réS ts 2eeourts In aeeordance with FRS 102. The Charty. therelore. reeognlses a eonstrudvè ot4yati)n Vtt￿n * awards a grant. wh?reas Iho HeaAh Board re¢ogni5es it when the grant is recgived. Th creates a timiThJ ISS￿ as thè Charty rewgnises expenditure telore the H•alth Board does. In its aeeounts and uThJèr FRS 102. thè Char4ty recognlsès that it has mad• gyant ￿Yments to tho 8etsl Ca(hYaLadr Unwersty Heatth Board totslting £0.94 miMion120J>21'. £1.41 millKJnl. UtKler the FReM aThJ IFRS. grant payments to thè ￿51 Cao%Yaladr Univ8rsty Heath Board tolaled £1.24 million12020-21.. £1.82 million). The Charty reported liabil1￿8 of £0.29m wdih the Heath 8oard as at 31st March 20221202(F21.' £0 1*n). The audlted accourts of the Betsi Cathmladr Univorsty Hoahh Board ar• includod in thor annual rgport aceounts ara 8vailablè from thew websits. Awyr Las Annual Report 2021122. Registered Charity Number 1138976. @awyrlascharity 42 Betsi Cadwaladr University Health Board Charity Other Related Charities A number of the Health Board's members have declared interests in related parties as follows: |A number of the Health Board's member|s have declared interests in relate|d parties as follows:|| |---|---|---|---| |**Name**|**details of positions held**
**during the fnancial year**|**dates positions held**|**details of interest declared**| |**independent Board members**|||| |J Whitehead|Chief Executive|01.04.21 - 31.03.22|Spouse is on the GP Perfomers List and works as a locum
in GP practices and the Health.
Board's GP Out of Hours Service.| |Prof A Guha|Interim Executive Medical
Director|01.04.21 - 22.08.21|Chair or the Wirral Asian Association, that promotes the
culture and heritage of people of Asian heritage. The
Charity also works for the community at large. Sits on a
number of key committees at Health Technology
Assessment Wales, All Wales Medical Strategy Group
and Health Education and Improvement Wales.| |N Lyons|Executive Medical Director|23.08.21 - 31.03.22|Spouse is employed by Macmillan Cancer Charity and
works with the Health Board.| |A Thomas|Executive Director Therapies
and Health Sciences|01.04.21 - 31.03.22|Spouse is employed by Boots UK as an Accuracy
Checking Technician. Son is employed by the Health
Board(nature of the role has not been disclosed)| |G Evans|Acting Executive Director
Therapies and Health
Sciences|01.03.22 - 31.03.22|Member of the Welsh Allied Health Professions
Committee (WAHPC). Member of the National Joint
Professional Advisory Committee.
Spouse is employed as a nurse by the Health Board.| |M Wilkinson|Executive Director Planning
and Performance|01.04.21 - 24.08.21|Associate at Mtech Access| |**independent Board members**|||| |M Polin OBE QPM|Chair|01.04.21 - 31.03.22|Spouse employed by Betsi Cadwaladr University Health
Board as a health visitor| |L J Reid|Independent Member and
Vice Chair|01.04.21 - 31.03.22|"Committee Chair for the Primary Care Appeals
Services, NHS Resolution. Specialist advisor for the Care
Quality Commission. Justice of the Peace for HMCTS,
North Wales Central. Director of Anakrisis Ltd which
provides specialist training and advisory services to NHS
England| |Prof N Callow|Independent Member|01.04.21 - 31.03.22|Pro Vice-Chancellor Learning and Teaching and Head of
College of Human Sciences, Bangor University.| |Cllr C Carlisle
|Independent Member|01.04.21 - 31.03.22|County Councillor for Colwyn Ward, Conwy County
Borough Council. Cabinet Member for Children Families
and Safeguarding (to May 2021). Cabinet Member for
Social Care and Safeguarding (from May 2021).
Deputy Chairman (political) Clwyd West Conservatives.
Governor at Ysgol Bryn Elian.Member of the Conwy and
Denbighshire Joint Adoption Panel.Panel member of
Conwy and Denbighshire Public Services Board.| |J Cunlife|Independent Member|01.04.21 - 31.03.22|Director of Abernet Ltd.
Member of the Joint Audit Committee, North Wales Police
and Crime Commissioner.| |J F Hughes|Independent Member|01.04.21 - 31.03.22|Daughter is employed by the Health Board's District
Nursingteam at Plas Pawb Caernarfon.| |Cllr R Medwyn Hughes|Independent Member|01.04.21 - 31.03.22|Director of Meditel Limited. Local Authority member for
Plaid Cymru, Gwynedd County Council. Member of the
Care Scrutiny Committee and the Audit and Governance
Committee at Gwynedd Council.Councillor - Bangor City
Community/Town Council.| |L Meadows|Independent Member|01.04.21 - 31.03.22|Trustee of Wirral Hospice St Johns, in a voluntary
capacity.| |L Tomos CBE|Independent Member|01.04.21 - 31.03.22|Trustee for Cyngor Llyfrau Cymru/Books Council of
Wales.
| |J Gallanders BEM|Independent Member|01.11.21 - 31.03.22|Former Chief Ofcer at the Association of Voluntary
Organisations in Wrexham(AVOW)| |**Associate Board members**|||| |M Edwards|Associate Board Member|01.04.21 - 31.03.22|Corporate Director and Statutory Director of Social
Services at Gwynedd Council.
Lead Director for ADSS Cymru on the Welsh Language.
Member of the Welsh Language Partnership Board.
Chair of the Regional Integrated Commissioning Board.
Member of the Regional Partnership Board| |G Evans|Associate Board Member|01.04.21 - 28.02.22|See above| |Ff Williams|Associate Board Member|01.04.21 - 30.04.21|Chief Executive of Adra (Tai) Cyfyngedig/ Housing
Association.| |C Budden|Associate Board Member|01.06.21 - 31.03.22|Chief Executive of Clwyd Alyn Housing Association| |**material transactions between the**
**Charity**
**and related parties disclosed during**
**2021-22 were as follows:**|**Expenditure**
**with**
**related party**
**£000**|**Amounts**
**owed to**
**related party**
**£000**|**income**
**from**
**related party**
**£000**|**Amounts**
**owed by**
**related party**
**£000**| |---|---|---|---|---| |Bangor University
Cyngor Gwynedd/Gwynedd|20
0|3
0|3
1|0
0| **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **43** 80ts1 Cadwaladr Unl￿[$￿ Hèalth ￿8rd Charty Other Rèlattd Charitles Awyr Las Blue Sky 3. Income from donatlons and legacles T￿￿j￿wa￿N￿SCh￿ty Total 2021-22 Total 2021>21 Unr•stiicted funds £000 Income funds £000 £000 Donations Lega¢ie$ 727 19 1.731 1,731 727 1,760 2,477 1,994 4. Role of volunteers Like all charities. the 89tsi Cothladr University Hoahh Board Charty b3 rebnt on a team of volunteers for our srrKJoth running. Our volunteers perfomi ￿ roks: Fund a￿lSor5 - Within th• Charity there are 435 (2020-21.. 414) desb3naled fvnds which are identffied to specific areas andlor serv￿9s. Every fund has at least one fund advisor, who acts as the authori50d svJnatory on the fund for purchases up to £5,C(Q and receives monthly statements as to the income arKI expenditure on the fuThJ. Fund advisors are responsible for onsuring ttrAt the expendrbJre they authorise from their funds is appropriate and frts in with the objects of the fund and the Charty. They aro also responsiblo for ensuring that their designated fund is never in a deficit wsitK)n. FundraK%ors- A number of volunteers actively support thè Charity by runnw)g èverts such as coffee momings, sponsored wdlk¥ and sports toumaments, as w911 as supporting events dir•ctty organised by the ¢harity. In accordance with SORP, due to the absencg of any reliable measurement basis, the ¢ontribulh)n of theso voknnteers is r￿t recogni5ed in the accounts. 5. Other trading activities Income from other tradlng activities arises Irom fundraising events that are organi%ed by the Charity, or by voluntsers in aid of the Charty. These include events such as coffee momings. Cake bakes, sPort￿g challenges and sponsored walks. Tha Charity ganerated £258,(￿ incomg from 0th8r trading actNitios dwing tho financial ygar12¢T20-21 £318,CO)). Awyr Las Annual Report 2021122. Registered Charity Number 1138976. @awyrlascharity 44 Botsi Cadwaladr UnNersty Health Board Charity Olher Related Charities Awyr Las Blue Sky T￿￿j￿wa￿N￿SCh￿ty 6. Gross Investment income R•stricted Income funds £000 Total 202142 Totol 2020.21 Unr•strl¢t•d funds £000 £000 £￿0 Fuéd ass•t ¢quty and sirrilar invostmonts Short t•mi inwstmonts. d•p)srts and cash on deposit 59 102 89 59 102 89 7. Analysis of expenditure on raisirwJ funds Restrlcted Income funds £000 Totsl 2021-22 To101 202￿21 Unr•5tr1cted furbjs £000 £000 £wo Fundraising oifice Fundraising èwnts Investmnt nxnag6Thnt Support costs 137 104 241 67 38 201 20 22 22 1S 16 19 230 140 370 261 8. Analysis of expenditure on charitable activity Grnrt lunded actlvlty £000 Tc*al Tclal 2020-21 et)sts £000 Grant5 for NHS Capital expendi￿re Stsff ¢duc411on arKI w*lf#re Ilndudlng glft In klrvj) PatY&nt education fjnd Medical rosearch 136 57 597 144 17 21 163 78 63S 160 74 450 838 1S1 16 934 92 1,026 1.513 Gifts In kind worth £5.935 wgro ro¢0ivgd and usod forlho bgnefrt of slaff In 2021-22 C2￿2￿21 £134.64S). 9. Analysis of grants Tho Charity d¢4s r￿t mako grnnts lo ￿)diV￿lu81s. All grants aro mad• lo th* B¢lsi Ca¢Jwakdr UnNersity Healh B¢*ard to provid¢ for the ¢8r¢ of NHS p8t*nl$ in further8n¢o ol our charitable aims. lotsl ¢ost 01 making grants. in¢ludlng supp)rt ¢osts. is dtsdos¢d on the fa¢0 01 th¢ state￿nt of Finandal and tho a¢tual furth swnt on ea¢h c4tsgory ol ¢hartsblo art￿lty, 19 dtsc4¢s¢d In nots 8. Th8 Trustaas 0￿rat& a schom8 of dèlègation for1￿ Charitab￿ fur)as, Und￿ wh￿h fur￿ acfvtsors manag• day to day disbursèmènts on théir piojècts, in accordarbC• vthh tha directions sèt out by thè Tiustè•s in t￿ Charity Standing Financral Instructiorts. managèd uThJèr thè schèmè of d81ègatrJn rèprèsènt ongoing a¢tivitio5 it is not Fossiblo 10 $09mènl th•s• a¢tfvili¢s intr* dis¢rots indivKlual grant awafd$. Tho Trustses do m¥k¢ gr#nt awaids based on invit*d applI¢8t￿n$ from th¥ Betsi C8thv#Lgdf Univtrrsty Hgalth Board. Awyr Las Annual Report 2021122. Registered Charity Number 1138976. @awyrlascharity 45 8•tsi Cadwaladr Un￿e1Sty H•atth Boarfl Chorfty Other R•lat•d Charlties Awyr Las Blue Sky 10. Movements in funding commitments T￿￿j￿wa￿N￿SCh￿ty Total 31 March 2022 £000 Total 31 March 21T21 £wo Current NO1￿cU￿*￿t Il&bllllles £000 £000 Op8ning balanc• at 1 hwil {5oe note 181 Increase I (decrease) in IHbilrties 101 (20) 1,010 (2691 1.361 13511 1249) Closing balarK¢ at 31 March (see note 181 660 81 741 1,010 As doscrfbod in notos 8 and 9, tho charty ava4rd5 a number of giarts in tho yoar. Many grants aro ¥wardod and paid OLrt in the saTh financval year. HO￿Ver, grants, gspecialty lI￿se reFaling lo s•w¢h at)d d•vobpm6nt or for funding wsts ar¢ Mull.￿•[ grnnts pehl ovèr a lotvJ•r ￿rK)d. 11. All)rt •nd a¢¢¢¥unts. Awyr Las Annual Report 2021122. Registered Charity Number 1138976. @awyrlascharity 46 Caimeladr Vr￿versty Hgallh Bjord CtArity Cxhèr Rglat•d Charit￿5 Awyr Las Blue Sky T￿￿j￿wa￿N￿SCh￿ty 14. Tanglblo 1Sxad assets Fr••hokl14￿l Fr4thkJ 2021.22 2Q2t>21 Cost and valuation galafKX brougtrrtlowid AddlK>ns Revaluati)ns C¥sp)5a15 at 31 IAarth Iso 15 D•pr•¢l8tlw Imwlrn*rt$ 9*￿￿￿+ brougtrrtforv￿r0 ImpAirm•nt eftlRnce at 31 Mar Net bDOk valL* at I Ppril N•t book v•lu• at 31 March 150 180 135 160 2017.18. a k¥tr• vfL*nd knatod ￿ Portlwnadou wa¥ donatgd lo thg rt*rfty. for th• bgntsfl of thp Comrnunty& Hospital lu￿. Th• llnd anLI profes￿￿rIal￿ valued Jt op•n mjtkel lfve tistrid Valuor n MaKh ￿1. Th•ro b••n Th) Thwwrnertto 2￿11.22. Th• thBrityirrt•nds to disp)x bnd on th* m•rt¢t 15. Flxed asset In￿Stments Movlmtrt In fix•d ai*•t$ Invttim•nl8 Tot 2tr21-22 Totsl 202¢>21 IA•rk•t v•kn) brOu￿t01¥￿￿d Add.. •ddrtityns ￿ inv•$lft*nts at ¢Qgt Los¥ dlspo¥*P& at (arryirw vak Increa5* 1 Idecreasel in cDsh Mw•slrn*nt Add t)•t gain I Ilossl on r•valLMtk)n 10.OS7 8.276 17,9021 2.323 valu•a$ •t 31 M*r¢h 10.387 10.067 Al instrnents ar•rarrnd atthoKfaT valw. Al ofthe Charty5 investrnerts hell a pNUolo now monoged by Linled ufter takno ovei from Rothschdd WpaNh Pknagoment Lwnited on 15tAwl 2021 Wth offe¢* from 1stApril 2021. of Ihv mv•stm•Dt •rnl try Xlh Juny i)fth• porttslio Ixon trnnsforr•d. Th9 19maviw g￿rn9nt￿W$ Iransfvrrgd on 1*h Augu5t2021. Tlw t9y ol4p¢lrig offv pDrtlalK> $ tty os•N¢ and grow tho Irivostm¢rrts' valuo in foaltomis. in oidor ￿ ¢ontin￿ t¢ supw ¢haitabb d*trFbEthns o¥*r tho ksno tom. In ¢rdor 10 m99t thi$ oiry'g¢tivfr. th9 TNs*95 ha%* agroèd on *'ba￿n(•rf approa¢h fort Ne¥tmentstrthgy. A'b4￿n¢￿& porffolio 16 ithndgd to a¢hvJwè stgarty growtrl ovei th8 low tsim through dhersCi•rt ¥pproath to In￿lMOnt. thntboD k% p•ld ¢0 *¥Ok1￿￿j th¢ wF$i of Iho¢Yownglds *N1 ¢•ptunng 5¢m•. n¢t 01. olh of finarK*l markol r*fvm$. CapNal pr•8*fV•tK)n Ki r*•1 t*irr* oY#r * PJrn4tirr* hon2on th• K¥iTh*ry oW*¢tiY•. arrtl $om• a¢e•O¥Nv in ordol to $¢hkn￿ Thé t*)Mronm•rtfoi iYrt8tthrs ¢•malrYd ¢halJNJiDu. hig1*v0￿￿O ihd ￿l￿tiOnS ar• In mawing wrtfoli?¥. Biffl*in [kilph￿ Limleda?ses8 thew rinks and the wttnbal hayo on tho porflolKI on an on•kyJ b•$ks. Th*yaltso *dJ"ust Inw*m¢rtsto m8ketr* most ¢f opwrtunth$ •ndtg rKot*¢t•g•knst ssthty $e¢ them. Rilks promt>le un¢¢rthinty and m•k¢ markets unwedid•bb sh(>rt wrfods. A dryorJrfm a3¥•ts Ind wot¢¢bon ￿$th0￿10r0 i*on miir1w￿d. In t lo h¥KJ•r•Wy txpJd•r TMtk•ls Awyr Las Annual Report 2021122. Registered Charity Number 1138976. @awyrlascharity 47 Betsi cadwa￿dr Unwersty Health Board Charity Other Related CPorfiies Awyr Las Blue Sky 16. Analysis of current debtors T￿￿j￿wa￿N￿SCh￿ty Debtors under 1 yoar Total 31 March 2022 £000 Total 31 March 2021 £oco Accrued income Prepaymerts Other debtors 1,807 791 26 1,833 17. Analysis of Cash and Gash equivalents Total 31 Mar¢h 2022 £000 Total 31 March 2021 £0 Cash in har¥J 1,120 926 1,120 926 No cash or cash equivalents or current asset investment5 were held in noTrczsh investments or outside of the UK. 18. Analysis of liabilities Total 31 March 2022 £000 Total 31 March 2021 £000 Creditors under 1 year Trade creditors Creditors owed to 8etsi Cathvakdr University Health Board A¢¢ruals for grants owed to NHS bod￿$ other a¢¢ruaL8 Doferred Income 296 675 45 66 996 1,209 Cr•ditor$ ov•r 1 y•ar Accruals for grants ow8d to NHS bodigs 166 166 101 101 Total creditors 1,162 1,310 Awyr Las Annual Report 2021122. Registered Charity Number 1138976. @awyrlascharity 48 8•t¥ Ca(kn*hM* Uni￿rsty If••lb Bo•rd Ch•rty(kn•r Rg*1od Ch•iit*s Awyr Las Blue Sky 19. Reconciliation of net income l expenditure to net cash flow from OForating aEtivitles T￿￿j￿wa￿N￿SCh￿ty Tctal 2021-22 £000 Tatsl 2ty20-21 Net income Ilexpenditurel (per Statement of Financial Activiti•sl Adw5trnent for IGalft&l l thses on IN0strn•¢)t8 DDlhlen&. interest and f•nts fvorn Imftstrntrnls Donatèd fix•d a8Stts Ilncreasel I deryease th debtor¥ In¢rea*o I Id•¢rsas•1 ￿ ry•(Sitors 1,708 {2681 11021 (2,3231 1891 11.0371 11181 (2531 12711 N*t eatsh prosAd*d by (used Inl *)p*r*tlno ae11￿11** 14 20. Transfer between funds Thèm hav• Iho foll)￿￿4 transftr8 bètr*on matorol d•s*nakd lurth". £63.X) VA5 trftroferrfrdfrom Genèrnl Funds lunrestrk*9dl to v•rious r•strict•d fund¥ to rolrrtAX5• not 0￿141 thanty costs. ￿55 ncovr* frominterest and ￿Vestr￿Trt gairfflvJs. ThrJ 15 Ir￿Uded m Other FurK15 n Note 21.b., (Yfset by the tran5fois in tola¥ino £2,800 Ih•tar• no¢od bobw. £1.4CQwas translerned f¥Dm Cancer ChatitaE4• Fund- c￿ lunMstrKhd) to th• North WaknCknx*l R•s•ar¢h C•ntf• (uri￿lf￿1*dj tofvnd th• ENT R•s•ar¢h Prol•¢t . £1.41K)w*s tr*nslètt•d from Can¢•i Sumrt Group- lum8trthdl to thè North Wèkns R•S￿rth C•rlig lunrostrKt•O to fund thg ENT R050aith Fr0￿cL 21. Analysls of fvnds Al￿1y$l0 of re$trlct•d fund movemer Gainx nd Iloss&sl EO Balanc• 31 March 2022 I April 2021 £000 Incom• Exp¢nditur• Tran$f•r¥ £0 £000 £000 L?uh•nwal￿Iw￿d YMW Cardbh)qy Fund- East lthxh•rn Moebr Ge￿r•I Fund xh•rn ￿ed￿lI Ir6ltrAe Pjtholggy Leukaerri&H•¢rr¢tobw- Gbr Canc4rCharitoble Fund. Gknn C Gon•fal Fund- GLJn CN North Can¢wCortro W•al U L•ga<¥ès FL￿d Y$tytyG%￿￿￿d Gomral FlJrpo888 LLand￿0 Gen¢ral PyrpowJ Ruthin Convryjnty Hospital G*ngrn1 F￿r?1 O￿tha1￿ Unit- H M Stsnh7y R&n81 Unrt. YG OrKokngy Fund- Gtsn C Othèr FurvJJ 197 187 125 (91 251 324 127 324 131 472 347 16 23 $51 1.756 221 181 1131 181 240 245 174 923 11661 1,841 14201 63 107 6,937 The ot40¢ts 016￿h oltho 18strKl•d funds are to th• F4tknnt8 oltho ar•a. departtrnrt or#•M¢• *at•d kn th• fur¥J n0r￿, in ￿1th ts Ch•iWs ovgr¥l obj4¢*￿$. Th¢r* 15 ?￿fvnd I￿t¢d •bow ItrAt 15 Tr)t 4I9ngd to ar•a.' Tho BCU L•pugs fund hJld5 Hc%rua15 for hgaci•s thro ￿￿bIt# has bg•n grant•d. but va haw not y ro¢*i4èd thè Cash. luNJ &% u80d to prot8¢t the dtsvwatwj furxls from flL¢tuatK)ns in the f￿*1 legaty io¢èNed. on th• is ro¢•v4•d it ¥%ill u•dil•d to d•synat•d fuTra sF•¢hd in andtho *euual r•vèrsod from thè BCU Loga¢iws fuThY. Thg T￿￿￿9$ h•v• s•t an op*n￿9 or¢b¥rwJ Of£1￿.(￿) Or•bO￿ •* tt* forthg 5gp•r•t* rgporbry of nole¢itil de*gnBted funtls. In thè w*erti￿$ of ￿oUnts￿1ty Ind trnTrgpJrenty th tsjrry)￿ts kn*akdtswi of all ¥uthfuNIs avatsbkn witt•n wu•st. Awyr Las Annual Report 2021122. Registered Charity Number 1138976. @awyrlascharity 49 Calme￿dr V￿ver&ty Hgallh Bjord CtArity (xh￿ Relat•d Charit*S Awyr Las Blue Sky b. Analysi¥ of u￿re¥t￿¢t*d and m*t•rial d*sSgnattd fund movement$ lance Awil Gains 8alance 31 Ma￿h 2027 Iwme Expenditwt Tr•rvJfe Ilo$$•$l £wo £000 £000 £000 C•ni*r support Group. YMW C•rdK)bgy D••rtrr•nt C•rrtr*l- P*lwn¢¥ Fun Cancer Charitable FuThY- Gknn CK kladog Corf*YllAnty & Ho¥F4101 Fund. L•nd Jan•t Jon•5 {A)aYfj- YG Gyn4* S4ry1¢•$. W•st G•D¢o1 Fvnds-wo G•nornl ￿nth. Uandudno G¢ne￿I Fynd¥- InvvJt￿nl Gain¥ l Lt)%VJ Cthor Fun&¥ 373 122 746 135 119) 107 57 135 1341 108 132 131 1.979 857 1.740 129) 785 186BI 1611 (1 S,269 19781 ￿ts3) S,376 Th• obi•¢ts of •8¢h of tho m¥tri¢t•d ru￿j¥ *r• to L*n•rrtth• ￿t￿rrtS ol tr* *re*. dgWrtm•nt or$•rvi¢v $tst•d ￿ thtrknds. a￿Ord￿￿* Y•lh Ih CtoriV$ o¥otall tsbfvdNQS. Th•M fthd l&t•d abovo tr*t is I￿n￿d tty • s9￿1¢ •f••. Th4 I￿ant Galns fund holts lh• unaIkn￿t•d •Ad unré¥lk•d plng and ￿5$0$ ¢ft th• knwslm•ntportrth. lurAI us•Jto P￿11¢*th* ¢t￿r d•slan•tsd fU￿ts1r0M IKKlu•tyo￿ kn th• kn¥wkn•rt Th¢ Gtrn¢r•l Funds t*)Mt*)N th>nor not*xpms#od any wtf*r¢n¢* as tr) Mwthe fut￿ Jhill t* spert Thts*fthds •re aFpW forany chBrit$ble purFrt)x to the oltrt patErts Oft￿ Heath 8oard. gtthe dwelk)n ollhe Trths. Th• Trustees havo setan Of trO￿nCe of£lL4£¥M) or as thè threthJ* lor tho sèpjrnta repothg of mat•ral des turbts. In th• ￿r•S1S ol *ccourrt*tilty trarw4ney a comF44h of*H suc* l￿d5 Ls *v•lkbl• wTrwntt•n r•qu•st. 22. Post 5h¢et evtt •CCOUTrting *tom•nts ale r•¢wirod condrfior¢5 apptyinll atth• end oftrm finarKial 140 •4'wtm•rrt5 Ihwdorv b••Tr m•de in resp¢¢t of¢h•tvJes lo the m•rtetvdlu¢ d imstments ft>lovity the erKI oftr* •¢¢ourknry per￿d. Th• Chrty r•e•lw¥ a qu*rt•ty r¥portfrom ts inwsthi•rrt m*n•9•ts and oflr%wslrn•NS h•kl tyih• Charty Iw d•¢r•¥s•d by £1.129.rrnt& th• •rKI tyfS•irt•nb•r 2022. •$ d•tskd b•kiw.' 31 March go S•F*•rnber 2022 2022 Movernu* Plovefflent Éo(wJ v•¥tnxnl¥ 10.388 9,257 11.129) -10.87% Awyr Las Annual Report 2021122. Registered Charity Number 1138976. @awyrlascharity 50 **Signed: Name: Steve Webster, interim Executive director of Finance date: 26th January 2023** **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **51** Betsi Cadwaladr University Health Board Charity Other Related Charities ## **Statement of the Trustee's Responsibilities in Respect of the Accounts** The Trustee's Representatives are required under the Charities Act 2011 to prepare accounts for each financial year. The Welsh Government, with the approval of HM Treasury, directs that these accounts give a true and fair view of the financial position of the Charity. In preparing those accounts, the Trustee's Representatives are required to: - apply on a consistent basis accounting policies laid down by the First Minister for Wales with the approval of HM Treasury. - make judgements and estimates which are reasonable and prudent. - state whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the accounts. The Trustee's Representatives confirm that they have complied with the above requirements in preparing the accounts. The Trustee's Representatives are responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the Charity and to enable them to ensure that the accounts comply with requirements outlined in the above mentioned direction by the Welsh Government. They are also responsible for safeguarding the assets of the Charity and hence or taking reasonable steps for the prevention and detection of fraud and other irregularities. By order of the Trustees Jackie Hughes Trustee's Representative 26th January 2023 Steve Webster Trustee's Finance Representative 26th January 2023 **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **52** 8etsi Ca¢knladr UnNersty Health 8oard Charty Othèr Related Charknes Awyr Las Blue Sky T￿￿j￿wa￿N￿SCh￿ty The independent auditor report of the Auditor General for Wales to the trustees of the Betsi Cadwaladr University Health Board Charity Opinion on finan¢ial stat•m•nts I have audited the financtal ststements of the Betsi Cattwaladr UnIve￿ty Health Board Charty for the 8r ended 31 March 2022 under the Charities Act 2011. These comprFse the Statement of Financial A¢tivibes. the Balance Sheet, the Ststemert of Cash Flows le￿ted notes. including a summary of signfficant o¢¢ounting polKios. The f￿anCial reportirvj framework that has been applied in thoir preparatb)n is appIl￿b￿ law aThJ United Kingdom Accounting Stsndards, including Finan¢ial Reporting Standaid 102, the Financ￿1 Rewrting SlarKlard apF4icabie in Ihe UK ar￿ Republic of Ireland (Unil Kingdom Generalty Acceptsd Accounting Practin). In my opinion the finar￿la1 statements.. ' give a trug and fair viow of the state of affars of the charity as at 31 Ma￿h 2022 of ts incomi resources and applKatK*n of resources for tho year then onded., . love teen propety prepared in accordance with Unf(ed Kingdom Generally Accepted A¢￿ur￿1n9 Practice., and • havg bgen prepared in a¢¢ordanrn WFth thg Charibes Art 2011. Ba$is for opinion I conducted my audrf( in a¢¢ordan¢e wkh applKable law and International Stsndards on A￿litIng in the UK (ISAS {UK)) and Practice Note 10 'Audrt of FinancHI Statements of Public Sector Entities in tho United Kingdom,. My responsibilthe5 under those standards arg fUrt￿r described in the auditor's resportsibililies for the audit of the financial statements section of my report. l am independent of the Charity in ac￿rdar￿a wrth the ethical rgquirgments that are relgwant to my audit of tho fina￿la1 statements in the UK including the Financial Reporting Council's Eth￿al Standard, and I hve fuifdièd my other ethical Tesponsibilities in accordance with thèse requirèments. I believe that thé audit ewdence I have obtsined is SuffiC￿nt and appropriate to provide a bast5 for my OFinK)n. Con¢lusions r•l4tinq to qoing ¢on¢•m In oudibng th¢ firrancial statements, I havo concludod that the use of the goirw corKem basis of accounting in the preparation of the financial 5ts1ements 15 appyopriate. Based on the work I have performed. I have not Njentffied any material uncertainties relating to events or Condit￿n$ that. indiv*Jualty or CollectNe￿. may east significant doubt on thè bodWs abilty to ontinue to adopt the going wnogm basis of accounting for a period of at kast tsvglv¢ months from vthon the financial stat•monts aro authori50d for issug. My responslbilitiey and thè rèsponsibllities of tho trustees Wbth resp¢ct to going concém arè dèscrfb•d the r8b8vart soctions of this rop)rt. Oth•r inforniotion The otheT infOrMa￿n Comprises the infomiation included in the annual rep)rt othor than the financial Statements my auditor's rewrt thereon. The trustees are responsible for the other inforniath)n contained wrthin the annual reFXJrt. My OFxnion on the financial statemerts ¢kns not cover the other Yrfomiation and. exceFI to the gxtent otherwise eX￿1¢￿ty stated in my ieport, I do rnt expross any form of assu￿nCe conclush)n thereon. My responSi￿lity is lo read the ot￿r information and. in d(Mng so, conshlei vthether the other infomiation is materially Inconsistent with the financial statements or knO￿ed￿ obtained in the coursè of tho audit. or otherwise appears to be materralty misstated. 11 I ljéntify such matèrial Inconsistencios or apparènt malerial misstatements, l am rèqulred to determlné whether thi5 gNes rise to a material misstatement in the ffinanchql statements themsetves. If. based on the work I have performed. I conclude that there is a material misstatement of this other infomiation, I am required to r•p)rt that fact. I PAve nothlng to mport In thls regard. Awyr Las Annual Report 2021122. Registered Charity Number 1138976. @awyrlascharity 53 8etsi Ca¢knl8dr Unlvetsty Health Board Charity Ot￿r Related Chaths Awyr Las Blue Sky T￿￿j￿wa￿N￿SCh￿ty Report on other requirements Matters on *thich I report by •xo•ption I have nothing to rewrt in respect of tho foNowtro matters in relalKsn to wh￿h the Chariknes (Accounts and Rep)rts) Regulat•)ns 2(K)8 require mo to rep)rt to yrju rf. in my opinion: - the information gw6n in the linancial statements is inconsistent in any materMI respact wih thè trustee$, report.. - suffic￿nt accouthg rg¢ords have not bgen kept, or rotums adequatg for my gudit havg not been rocowed from bran¢hg5 not visrted by my tsam; - the fina￿￿1 statements are not in agreement with the accounting rgcords and Teturns,. or I have Mt received all of the information and explanations I requ¥e for my audit. Responsibilities Rtsponsibilities of the trustees lor the financial 3tat¢ments As explained mor8 fulty in the statoment of trusteo fesponsibilities, tha tfust80s ar8 reswrtsibla for preparing the financial statements in accordance with the chart￿5 Act 2011. for being sat15fied that they give a true and fail view. and for su¢h intemal control as thè trustees détermine is necessary to enable the preparation of financial statements that are free from material m15Statement. whether duo to fraud or error. In preparing tho financHI statèments. the trustees are responsible for assossing th• charitys atrAlty to continue as a going CO￿eM, dlsclosing as apF4kat4e. matters related to golng concern arKI using the goirvJ concern basis of accounting unless deemed inapproFKiate. Auditor's responsibilities for the audit of the Tinanoial stat•m•nts I have been aptx)inted as auditor under sectK>n 150 of the Charities Act 2011 and rgwrt in accordance wilh regulations made under section 154 of trtat Act. My objectives are to obtsln reasona￿• assurance alx*Ut whether flnanchl statements as a *thole are free frorn material misstatement. whether due to fraud or error. 8rKI to issue an auditor's rep)rt that includes my Opin￿n. Reasonable a$suian¢e B a high1oVg1 of assuran¢¢ bLrt 1$ not a guaranleé that an a￿aIt Conducted ￿ a¢cordancg with ISAS (UK) wll a￿yE dgtgct a material misststsment whon il exists. Mi%statements Can arise from fraud or error and are consKlered material rf. iThJividualty or ¢n the aggregate, they could reasonaw be expected to influence the ecorKJmic decisions of usets taken on the basis ol these firAnci818tatem6nts. Irregularities, ndu¢Jng fraLvJ. are instances of non*omplance wth law5 and regula￿n$. I dosyn pro¢edures in line wth my responsi￿1￿19S, Qutlned above, to detect material misstatsm•nts in respect of irregularibes, including Iraud. My procedures included the following-. . Enquiring of management and those Gharged wtth g)vernance, induthng ot*aining and le￿6w1ng SUFporting documentation rekting to the Betsi Cathwaladr Universty Health Board Charity's polrios and procedures concerned with.. . identrfwng. evaluating comptying WFth laws and iègulath)ns and whether they were aware of any instances of non-compliance,. . detecting and responding to the risks of fra￿￿ and whots￿r thoy havo knowledge of any aC￿al, suspocted or alkged fraud: and • the internal controls established to mityts ri8ks rebated to fraud or noncompliance wlth lav* and regu￿tior￿. Considering as an audit team how arHI where fraud might occur in the financial statements and any potential ind￿atOrS of fraud. As part of this discussion. l identif￿d ptstential for fraud in management override. . Obtaining an understanding of Betsi Ca¢knladr Universty Health Board Charity's framework of authority as well as other legal ar•1 regulatory Irameworks that the Betsi Cadwakdr UnIver￿ty Heatth B¢)ard Charty op8rates in. focusing on those laws and rogulations that had a direct effect on th8 financial statements or that had a fundamentsl ¢ffect on the operations of the Charty. In addition lo the above. my procedures lo respond to Klentified risks included the followirvJ'. ' revigwng the financial ststement dkgck¢sures and testing to supporting d¢xumentslion to assess Awyr Las Annual Report 2021122. Registered Charity Number 1138976. @awyrlascharity 54 Adrian Crompton Auditor General for Wales 24 Cathedral Road Cardiff CF11 9LJ 27th January, 2023 **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **55** ## **Appendix 1: BCUHB Board membership 2021/22** |**Name**|**Position**|**Area of expertise /**
**representation role**|**Board committee**
**membership**|**Champion**
**roles**| |---|---|---|---|---| |Mark Polin|Chairman||• Chair of the Board
• Chair
Remuneration and
Terms of Service
Committee
• Chair Finance and
Performance
Committee|| |Lucy Reid|Independent
Member
Vice Chair|Community
Primary Care & Mental
Health|• Board Member
• Chair Quality,
Safety and
Experience
Committee
• Chair Mental
Health Act
Committee
• Chair Mental
Health and
Capacity
Compliance
Committee
• Member
Remuneration and
Terms of Service
Committee|• Concerns| |Lyn Meadows|Independent
Member|Community|• Board Member
• Acting Chair
Strategy,
Partnerships and
Population Health
Committee
• Vice Chair Audit
Committee to
14/12/21
• Vice Chair Quality,
Safety and|• Nutrition
• Cleaning,
Hygiene and
Infection
Management| **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **56** |**Name**|**Position**|**Area of expertise /**
**representation role**|**Board committee**
**membership**|**Champion**
**roles**| |---|---|---|---|---| ||||Experience
Committee
• Member
Partnerships,
People and
Population Health
Committee to
09/12/21|| |Cllr Cheryl
Carlisle|Independent
Member|Community|• Board member
• Member Quality,
Safety and
Experience
Committee
• Member Mental
Health Act
Committee
• Member Mental
Health and
Capacity
Compliance
Committee
•**member Charitable**
**Funds Committee**|• Carers
• Children and
Young
people| |Cllr Medwyn
Hughes|Independent
Member|Local Authority|• Board member
• Chair Audit
Committee
• Vice Chair
Remuneration and
Terms of Service
Committee
• Member Digital &
Information
Governance
Committee to
October 2021|• Patient and
Public
Involvement
• Welsh
language| **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **57** |**Name**|**Position**|**Area of expertise /**
**representation role**|**Board committee**
**membership**|**Champion**
**roles**| |---|---|---|---|---| |Prof Nichola
Callow|Independent
Member|University|• Board Member
• Member Digital &
Information
Governance
Committee
• Member Strategy,
Partnerships and
Population Health
Committee
• Vice Chair
Partnerships,
People and
Population Health
Committee|| |Jackie Hughes|Independent
Member|Trade Union|• Board Member
• Member Audit
Committee
• Member
Remuneration and
Terms of Service
Committee
• Member Quality,
Safety and
Experience
Committee
**• Chair Charitable**
**Funds Committee**
• Ex Ofcio Local
Partnership Forum|• Violence and
Aggression
• Equality| **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **58** |**Name**
|**Position**|**Area of expertise /**
**representation role**|**Board committee**
**membership**|**Champion**
**roles**| |---|---|---|---|---| |John Cunlife
|Independent
Member|Community|• Board Member
• Chair Digital &
Information
Governance
Committee
• Chair Finance and
Performance
Committee
• Chair Performance,
Finance and
Information
Governance
Committee
• Member Strategy,
Partnerships and
Population Health
Committee
• Member
Partnerships,
People and
Population Health
Committee|| |Eifon Jones|Independent
Member
to 31/08/21|Community|• Board member
• Vice Chair Finance
and Performance
Committee
• Member Mental
Health Act
Committee
• Member Audit
Committee|| |Jo Whitehead|Chief Executive||• Board Member
• In attendance
Remuneration and
Terms of Service
Committee
• In attendance Audit
Committee (at least
annually)
• Joint Chair /
Member, Local
Partnership Forum|| **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **59** **----- Start of picture text -----**
Name Position Area of expertise / Board committee Champion
representation role membership roles
Linda Tomos Independent Community • Board member
Member • Member Finance
and Performance
Committee
• Member
Performance,
Finance and
Information
Governance
Committee
• Member Strategy,
Partnerships and
Population Health
Committee
• Chair Partnerships,
People and
Population Health
Committee
• member Charitable
Funds Committee
**----- End of picture text -----**
**Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **60** |**Name**|**Position**|**Area of expertise /**
**representation role**|**Board committee**
**membership**|**Champion**
**roles**| |---|---|---|---|---| |Gill Harris|Executive
Director Nursing
and Midwifery /
Deputy Chief
Executive||• Board Member
• Lead Director / In
attendance Quality,
Safety and
Experience
Committee
• Member Local
Partnership Forum
• In attendance
Mental Health Act
Committee
• In attendance
Finance and
Performance
Committee
• In attendance
Performance,
Finance and
Information
Governance
Committee
• In attendance
Partnerships,
People and
Population Health
Committee
• In attendance Audit
Committee|| **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **61** |**Name**|**Position**|**Area of expertise /**
**representation role**|**Board committee**
**membership**|**Champion**
**roles**| |---|---|---|---|---| |Sue Hill|Executive
Director of
Finance||• Board Member
• In attendance Audit
Committee
**• Lead director /**
**member,**
**Charitable Funds**
**Committee**
• Lead Director / In
attendance,
Finance and
Performance
Committee
• Lead Director
Performance,
Finance and
Information
Governance
Committee
• Member Local
Partnership Forum
• In attendance
Digital and
Information
Governance
Committee to
October 2021|| **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **62** |**Name**|**Position**|**Area of expertise /**
**representation role**|**Board committee**
**membership**|**Champion**
**roles**| |---|---|---|---|---| |Teresa Owen|Executive
Director of Public
Health||• Board Member
• In attendance
Quality, Safety and
Experience
Committee
• In attendance
Strategy,
Partnerships and
Population Health
Committee
• In attendance
Partnerships,
People and
Population Health
Committee
• Lead Director / In
attendance Mental
Health Act
Committee
• Lead Director / In
attendance Mental
Health and
Capacity
Compliance
Committee|| **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **63** |**Name**|**Position**|**Area of expertise /**
**representation role**|**Board committee**
**membership**|**Champion**
**roles**| |---|---|---|---|---| |Sue Green|Executive
Director of
Workforce &
Organisational
Development
(OD)||• Board Member
• Lead Director/In
attendance,
Remuneration and
Terms of Service
Committee
• In attendance
Finance and
Performance
Committee
• In attendance
Performance,
Finance and
Information
Governance
Committee
• In attendance
Strategy,
Partnerships and
Population Health
Committee to
October 2021
• In attendance
Partnerships,
People and
Population Health
Committee
• Lead Director /
Member|| **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **64** |**Name**|**Position**|**Area of expertise /**
**representation role**|**Board committee**
**membership**|**Champion**
**roles**| |---|---|---|---|---| |Mark Wilkinson|Executive
Director
Planning and
Performance
to 24/08/21||• Board Member
• Lead Director / In
attendance,
Strategy,
Partnerships and
Population Health
Committee
**• member Charitable**
**Funds Committee**
• In attendance
Finance and
Performance
Committee
• Lead Director / In
attendance
Stakeholder
Reference Group|| |Prof Arpan
Guha|Acting Executive
Medical Director
to 11/07/21||• Board member
• In attendance
Quality, Safety and
Experience
Committee
• In attendance
Digital and
Information
Governance
Committee
• In attendance
Finance and
Performance
Committee
**• member Charitable**
**Funds Committee**
• In attendance
Remuneration &
Terms of Service
Committee
• In attendance
Strategy,
Partnerships and
Population Health
Committee|| **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **65** |**Name**|**Position**|**Area of expertise /**
**representation role**|**Board committee**
**membership**|**Champion**
**roles**| |---|---|---|---|---| |Nick Lyons|Executive
Medical Director
wef 12/07/21||• Board member
• In attendance
Quality, Safety and
Experience
Committee
• In attendance
Digital and
Information
Governance
Committee
• In attendance
Finance and
Performance
Committee
**• member Charitable**
**Funds Committee**
• In attendance
Remuneration &
Terms of Service
Committee
• In attendance
Strategy,
Partnerships and
Population Health
Committee|| |Adrian Thomas|Executive
Director
Therapies &
Health Sciences||• Board member
• Lead Director / In
attendance
Healthcare
Professionals Forum
• In attendance
Quality, Safety and
Experience
Committee|| |Louise Brereton|Board Secretary||• Board Members
• In attendance at
Audit Committee|| **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **66** |**Name**|**Position**|**Area of expertise /**
**representation role**|**Board committee**
**membership**|**Champion**
**roles**| |---|---|---|---|---| |Dr Chris
Stockport|Executive
Director Primary
and Community
Services||• Board member
• In attendance,
Quality, Safety and
Experience
Committee
• Lead Director / In
attendance
Strategy,
Partnerships and
Population Health
Committee
• Lead Director / In
attendance
Partnerships,
People and
Population Health
Committee
• Lead Director / In
attendance Digital
and Information
Governance
Committee|| **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **67** |**Associate Board members**|**Associate Board members**|**Associate Board members**|**Associate Board members**|**Associate Board members**| |---|---|---|---|---| |**Name**|**Position**|**Area of expertise /**
**representation role**|**Board committee**
**membership**|**Champion**
**roles**| |Morwena
Edwards|Associate
Member|Director of Social
Services,
Gwynedd|• Associate Board
Member|| |Ffrancon
Williams|Associate
Member|Chair Stakeholder
Reference Group|• Associate Board
Member|| |Claire
Budden|Associate
Member||• Associate Board
Member|| |Gareth
Evans|Associate
Member|Chair Healthcare
Professionals Forum|• Associate Board
Member
• In attendance
Quality, Safety &
Experience
Committee|| The maintenance and integrity of the BETSI CADWALADR UNIVERSITY HEALTH BOARD CHARITY’s website is the responsibility of the Accounting Officer; the work carried out by auditors does not involve consideration of these matters and accordingly auditors accept no responsibility for any changes that may have occurred to the financial statements since they were initially presented on the website. **Awyr Las Annual Report 2021/22.** Registered Charity Number 1138976. @awyrlascharity **68** **----- Start of picture text -----**
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M e m b e r o f This document is also available in Welsh at awyrlas.org.uk The photos and quotes in this document are used with the permission of those who appear within them. Please note: photographs were taken at various points throughout the year when different guidance was in effect regarding facemasks and distancing.