Awyr Las / Blue Sky is the working title of Betsi Cadwaladr University Health Board & Other Related Charities Registered Charity Number 1138976 ## **Contents** |Thank you from the Charitable Funds|**01**| |---|---| |Committee Chair|| |Highlights of 2022/23|**03**| |About the charity|**07**| |Vision|**08**| |Strategy|**10**| |Charitable Funds and Charitable|**11**| |Partnerships Team|| |Reaching key milestones and adapting to|**12**| |change in 2022/23|| |Additional heart-warming stories|**13**| |The year at a glance|**15**| |The impact of your support|**18**| |Legacies and Gift in Kind|**20**| |Looking ahead|**22**| |Governance|**22**| |Investment strategy|**23**| |Charitable Funds Committee|**24**| |Grant-making process|**26**| |Financial summary|**27**| |Balance sheet|**28**| |Risk|**29**| |Accounts|**31**| |Audit Report|**60**| |Appendix|**65**| **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** ## **Welcome** Brightening patients’ lives. Going over and above for service users. Supporting transformative change for our NHS services in North Wales. Together. When I recently became the Chair of the Charitable Funds Committee, I was reminded of how and why the charity came to be known as Awyr Las. Over a decade ago, Rhys, a teenager in Bangor, asked what the charity does and was met with the answer: thanks to people like you, the charity brightens patients’ days by going over and above what the NHS can provide. It was Rhys who suggested the name, Blue Sky, because he and his classmates thought it perfectly described what the charity does for patients, service users and communities across the region. Since joining the Charitable Funds Committee last year, I’ve come to understand that Awyr Las does much more than brighten people’s lives. You too can get a sense of how Awyr Las has helped make transformational change for patients and service users through reading this Annual Report, or by receiving regular updates on the charity’s digital platforms. I have also come to realise how fortunate we all are that families, community groups, companies and charities want to show their appreciation for our NHS teams, remember and celebrate loved ones and help make lasting change for their local populations by supporting Awyr Las. As you will see from the stories within this Annual Report and Accounts for 2022/23, across North Wales people like Rhys continue to shape the charity by giving time and money, and sharing suggestions. The facts and figures included in this report once again demonstrate how wonderfully generous and supportive our communities across North Wales are, and how accomplished our NHS teams across the region are. I recently met Lynda, a social care practitioner in the Renal Unit in Ysbyty Gwynedd who has been in the NHS for 37 years. Lynda plays an integral role in the lives of her patients and colleagues as well as in the coordination of the Unit’s charitable fund and charitable partnerships. _Pictured: chemotherapy patient on Alaw Ward, Ysbyty Gwynedd, receiving treatment and cold cap therapy (top); Adra Christmas Carol Concert with Dyfed Jones and Lynda Tomos pictured (bottom)_ **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 0 1 Lynda’s determination to help patients receive the very best care possible made me truly see why so many people want to give back. Thanks to the passion and dedication of folk like Rhys and Lynda, Awyr Las has been able to touch thousands of people’s lives by giving over £30 million since 2010 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. There have been challenges within the NHS in recent years, especially here in North Wales. I am proud to be part of a charity that recognises these challenges and can genuinely help our NHS teams cope better in these times. I have seen how the charity helps NHS teams rise to the challenges they face, and how the funding ensures patients and service users across the region continue to receive the very best treatment, and benefit from the latest innovations in healthcare. On behalf of the Charitable Funds Committee, our esteemed Honorary President Lord Barry Jones, Charitable Funds and Charitable Partnerships Team and all our other NHS colleagues, I would like to thank everyone who has given, volunteered, acted as advocates for our charity, or partnered with us, for your support. Together, with the continued support and involvement of people like Rhys, Lynda and you, I have no doubt that next year we will move another step closer to fulfilling our vision of exceptional care in our hospitals and having healthier communities across North Wales. Thank you **DYFED JONES CHAIR OF THE CHARITABLE FUNDS COMMITTEE JANUARY 2024** The Charitable Funds Committee oversees Awyr Las on behalf of its Corporate Trustee. Read more about the Charitable Funds Committee here: Charitable Funds Committee - Betsi Cadwaladr University Health Board (nhs.wales) **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 0 2 ## **Highlights of 2022/23** ## **April 2022** Over £1,400 has been raised in memory of Cledwyn Williams who sadly passed away in January 2022. The former lorry driver received excellent care at Ysbyty Gwynedd and Ysbyty Alltwen, and donations were split between the pulmonary rehabilitation service and the falls prevention service. **May 2022** A huge thank you and well done to Paul Pryce who completed the Manchester Marathon in 2022 in memory of his beloved dad, Cyril George Pryce. Paul raised £1,250 for Glyndwr Ward at Wrexham Maelor Hospital, where his dad received excellent care. **June 2022** Former Manchester United and Wales footballing legend Mickey Thomas climbed Mount Snowdon with his surgeon and lead nurse to raise money for extra equipment at Wrexham Maelor Hospital in June 2022. Mickey is so grateful for everything that the surgeon and healthcare team has done for him, and managed to raise almost £16,000 to support the surgical team in Wrexham Maelor! **July 2022** Tîm Siw was formed by loved ones in memory of Susannah Woods who sadly passed away in May 2022 after being treated for ovarian cancer and acute myeloid leukaemia at both Alaw Ward, Ysbyty Gwynedd, and The North Wales Cancer Treatment Centre. Family and friends of Susannah described her as “one of a kind”, and climbed Ben Nevis to raise more than £5,000 in her memory. Pictured: Susannah Woods when she qualified as a midwife **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 0 3 ## **August 2022** Primary school children from all over Wales can now learn the skills to save a life thanks to a new ‘CPR song’. The song was officially launched on 18 August 2022 with Welsh Elvis, Wynne Roberts, Chaplain at Ysbyty Gwynedd, and Jess, a secondary school girl who sings the song with Elvis. Each year around 6,000 people suffer a cardiac arrest in Wales and evidence shows that if CPR and defibrillation is performed swiftly then survival rates can be dramatically improved by up to 70%. **----- Start of picture text -----**
September 2022
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A charity ride out by the motorbike club, Kraken’s Fury MCC Pwllheli, raised £392 for Ysbyty Gwynedd’s Special Care Baby Unit. 30 bikes gathered in Pwllheli and rode to Aberystwyth and back again to raise the money. Jon Caswell, the Sargent at Arms at the club, had a very personal reason for organising the ride as his new born son received treatment on the unit after he was born in 2006. **October 2022** Ultra marathon runner, Nia Gwynn, has raised thousands of pounds for Awyr Las: The North Wales NHS Charity since she started fundraising in 2014. In 2022, Nia ran the London Marathon for Ty Enfys in Ysbyty Gwynedd. Since Nia has started fundraising, she has completed eight marathons including the London Marathon four times, and the Berlin Marathon in memory of her father Dr Norman Jones, who was a consultant radiologist at Ysbyty Gwynedd before passing away in 2018. She has raised a total of more than £8,000 for various causes at Ysbyty Gwynedd over the years. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 0 4 ## **November 2022** A cheque for £2,000 was presented to the Cardiology Department in November 2022 in loving memory of Clive Fisk, a former Chief Echocardiographer at Ysbyty Gwynedd, after he sadly passed away earlier in the year. Clive was the Head of Cardiology Investigations from the early 1980s to 2012 and was a pioneer in echocardiography and instrumental in its implementation in North West Wales. **December 2022** After being diagnosed with breast cancer at the end of 2021, Ruth Hogan wanted to thank the teams that cared for her during her treatment and surgeries at Ysbyty Gwynedd and Ysbyty Glan Clwyd. Ruth originally thought the lump she found was from one of her horses bumping into her, but after numerous scans and biopsies, she got the devastating diagnosis of a 6cm tumour. She has undergone three surgeries to have it removed, breast reconstruction and radiotherapy. A glamourous ball was held in December 2022 and an incredible £11,216.47 was raised for the Gwynedd Breast Cancer Research Fund. **January 2023** On New Year’s Day 2022, Sam Johnson woke up and decided to run 1,000 miles in a year to raise money for the North Wales Cancer Treatment Centre where her brother, Simon, had been receiving treatment. As a novice runner, Sam was averaging 19 miles a week. Sam had no time off from her huge challenge, and raised £6,502 for the North Wales Cancer Appeal on behalf of her brother. The team were thrilled to receive the fantastic donation following the end of her challenge in January 2023. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 0 5 ## **February 2023** Thanks to Critical Care staff at Wrexham Maelor Hospital, families are now able to take a bereavement box home to support them through the loss of a loved one. Sarah Anglesea-Davies and Katie Sinclair, both Senior Sisters, and Hayley Whitehead-Wright, Senior Staff Nurse, on the Critical Care Unit at the hospital have created the boxes to support families through an incredibly tough time. They felt it was the “right thing to do” for families. The Unit sadly sees around 12 deaths per month, so the boxes make a difference to a large number of local families. On average the boxes cost £10 each and have only been made possible thanks to donations to the Wrexham Unit. **March 2023** Shaun Loughran has been receiving chemotherapy treatment at the North Wales Cancer Treatment Centre for over two years since being diagnosed with bowel cancer in 2020. His good friend, Gary Eccleston, chose to raise money for the North Wales Cancer Appeal by trekking the Himalayas with the aim of completing three base camps, three peaks and three high passes in 21 days. Gary completed the challenge and raised a huge £2,130 in the process, he said: “I thought I’d raise some money for a good cause and asked Shaun to choose a charity close to his heart, and he chose the North Wales Cancer Appeal. “He’s been going through a lot with cancer, a brain tumour, and cancer again and still remains positive and is an absolute inspiration.” **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 0 6 ## **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 people, especially the most vulnerable people, across the region access the very best healthcare and wellbeing support in a timely way. ## **In practice, this means that donations to Awyr Las fund things like:** Brand new equipment and technology - Specialist training and development opportunities for NHS staff and volunteers 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 enhancements made possible by donations to Awyr Las help make sure that people in North Wales can benefit from better NHS services when they need them the most. Everything the charity can do is thanks to donations and grants from individuals, organisations and Foundations. The resulting improvements have made, and continue to make, a real difference to the lives of patients and NHS staff, in ways that would not have been 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 418 designated funds, can support all areas of healthcare in North Wales. Derived from the geography of North Wales, the Awyr Las heart motif is symbolic of the charity's duty to enhance healthcare for everyone in the region. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 0 7 ## **Designated funds** Awyr Las is currently comprised of 418 designated funds, representing almost every BCUHB ward, service, department and project across North Wales. Designated funds are aligned with 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 of their 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 and NHS 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** Few wards, services and departments do not have a designated fund for their healthcare area. The Charitable Funds and Charitable Partnerships 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 non-designated 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. Non-designated donations are directed to priority projects. 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 their patients, offering the very best care and treatment available. ## **Vision** Patients in North Wales have the best experience in our hospitals and in our communities. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 0 8 ## **Mission** 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 NHS teams in the region do more for their patients, through funding improvements to healthcare settings, supporting additional staff and patient wellbeing services and providing grants for research and innovation. ## **Purpose** 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. ## **Values** Awyr Las shares the same set of values that guides the Health Board’s work. These are: - Put patients first - Work together - Value and respect each other - Learn and innovate - Communicate openly and honestly The Charitable Funds and Charitable Partnerships 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 - NHS staff are the lifeblood of Awyr Las - Be true to those who support Awyr Las I wanted others to benefit from the excellent care I had, and I wanted to say thank you to those who have taken such good care of me. Taking on the challenge and smashing my target was a great feeling. Seeing the gratitude from the nursing staff, and knowing I’ve helped others, is something that will stay with me forever. Half marathon runner, Denbighshire **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 0 9 ## **Strategy** For 75 years, NHS charities have worked alongside the NHS, and played a key role in helping to enhance healthcare services. A great deal has changed since Aneurin Bevan introduced the National Health Service: technology and new treatments are transforming healthcare and our lifestyles, most of us are living longer and our expectations are different. Modern health and social care, which focuses on keeping people healthy and well, is fundamentally different from the hospital-based NHS of 75 years ago. Arguably, the pressure that the NHS faces now, post Covid-19 pandemic, are greater than ever. In March 2023, there were about 576,000 individual patients on treatment waiting lists in 1 Wales. One-year survival rates for most cancer types has decreased. The picture looks bleak,2 but the response at a national level gives hope, with the introduction of plans to address challenges in both primary and secondary care.3 In 2021, as everyone began to reflect on the impact that the Covid-19 pandemic had on North Wales, it became evident that the charity has a two-fold challenge. The charity needed to continue to provide the support for wards and departments in both primary and secondary care settings, whilst simultaneously securing the financial support needed to address the pressing issues outlined above in the short, medium, and long-term. The charity worked with UCS Consultants in 2020/21 and then with Fundraising Training Ltd in 2022/23 to develop a new strategy for 2024-2027 and a long-term plan for Charitable Funds and Charitable Partnerships, which will be published in 2024. 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 charity’s new strategy 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 timely way, and help build long-term resilience in our local communities. Where possible, the charity will seek to support the programme for transforming and modernising planned care in Wales and 4 reducing waiting lists by supporting the transformation of outpatient services, improving communication with patients and help minimise health inequalities. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 1 0 The strategic planning and research that has taken place since 2021 has demonstrated the continued importance and relevance of both volunteering and philanthropic support - giving time and giving money – in enhancing patient care and experience. In recognition of this, Awyr Las is making a commitment to support the Health Board in North Wales to become a volunteer and supporter centric organisation by 2050. Instilling a culture within our NHS services that celebrates and encourages voluntary activity will help strengthen our healthcare services here in North Wales. This ambition aligns with the milestones laid out in Wales’ Well-being of Future 5 Generations (Wales) Act (2015). This Act puts in place seven well-being goals, which will underpin the principles of the charity strategy for 2024-2027. 1 NHS activity and performance summary: March and April 2023 | GOV.WALES 2 Official statistics show impact of pandemic on cancer survival rates - Public Health Wales (nhs.wales) 3 See: Strategic Programme - Primary Care One (nhs.wales) and A Healthier Wales (gov.wales) 4 Our programme for transforming and modernising planned care in Wales and reducing the waiting lists (gov.wales) 5 Well-being of Future Generations (Wales) Act 2015: the essentials [HTML] | GOV.WALES ## **The Charitable Funds and Charitable Partnerships Support Team** Finance, fundraising and engagement, communications and administrative support staff make up the charity's support team. This is in place to ensure that the charity can efficiently meet its objectives. The responsibilities of the charity support team are varied and include: Managing the charity's finances, investment portfolio, and grant programmes effectively Providing direction and practical help to the charity's Fund Advisors, who are the custodians of the charity's designated funds Offering help, advice, and encouragement to fundraisers who generously choose to - organise events and activities in favour of the charity to ensure that they have a positive experience Raising the charity's profile in hospitals and the community so that more people are 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. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 1 1 ## **Reaching key milestones and adapting to change in 2022/23** During the first six months of 2022/23, the charity focussed on sustaining income generation whilst reviewing its strategic planning. The charity sought to develop its strategic and operational priorities over this period and NHS Wales Shared Services Partnership (NWSSP) at this time carried out an internal audit. From September 2022 to March 2023, the Charity drew up a two-year development plan to address recommendations, with a particular focus on improving systems and introducing new processes to enhance effectiveness, especially around impact monitoring and reporting so the benefits and outcomes of charitable activities are shared more effectively. The recommendations included: - Impetus on increasing awareness of the charity at all levels of the organisation. - Policies and procedures associated with all aspects of the charity reviewed, to include grants management and reporting the impact of all charitable activity, fundraising, voluntary activity and governance effectiveness Notably the following was achieved in 2022/23: - A wide range of strategic programmes received funding and others were identified to receive charitable funding over the next five years to help enhance and transform patient services. - Existing partnerships were nurtured and new relationships were created with potential donors to help ensure ongoing charitable funding for priority patient services, particularly in the areas of cancer care and mental health. - The development of new communications and grants coordination work streams and successful recruitment to affiliated roles within the Charitable Funds support team. As well as supporting with a range of successful challenge activities, special events and corporate sponsorship opportunities throughout the year, planning for a memorable NHS 75th Anniversary event involving staff from across the region and raising substantial additional funds. There were changes in the Charitable Funds Committee membership and in the Corporate Trustee Board membership in December 2022 and February 2023. The internal audit report presented in 2022/23 provided reasonable assurance on all aspects of the Charity that were reviewed apart from governance arrangements, which were given a limited assurance rating, with the cancellation of Charity Committee meetings being cited as a reason for this. The governance recommendations have and are being addressed with the new members. A number of agreed actions will be completed by the end of 2023/24, which include: - New charity governance procedures including: Charitable Funds Committee Terms of Reference, Financial Procedures and Policies; Fundraising and Donation Guidance; Volunteer co-ordination - New systems including: Support Care package; Charitable Grants monitoring New plans including the Strategy for 2024-2027 **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 1 2 The feedback from patients, service users and staff who have benefitted from the charity, and who have chosen to help make a difference for patients through supporting the charity, demonstrates that, whilst improvements will always be made to how the charity operates, in 2022/23, the charity made a significant difference for communities across North Wales and is greatly appreciated across the region. ## **More heart-warming stories** Thirty-five hardy souls braved the cold in January 2022 and walked 25km and 50km in aid of the Conwy Child Development Centre in Ysgol y Gogarth, Llandudno. The walk was organised by Tom Prytherch and the team raised an incredible £3,715 for the centre to help provide added extras for children in the local area, including adding a new sand pit for the children to enjoy. Tom said: “Noah, my four-year-old grandson, goes to Conwy Child Development Centre and he loves it there. “We walked around Llandudno and the Great Orme, we had a fantastic day and I’m organising another walk next year for the same cause.” Kind-hearted bikers donated over 100 Easter eggs to the Children’s Ward at Ysbyty Gwynedd, and presented Alaw Ward with a £1,312 cheque! The Anglesey Motorbike Club hold an annual Easter egg run around Anglesey, and over 230 motorbikes joined in the fun in 2022. Each rider donated at least £5, and many also donated Easter eggs to go to the Children’s Ward at the hospital. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 1 3 Fundraiser John Parry walked 17 miles from Caernarfon Castle to the summit of Yr Wyddfa with a group of 15 friends to raise money for the Urology Unit at Ysbyty Gwynedd. The team also chose to wear catheters to highlight urology causes. John and his team raised an incredible £2,700 for the unit to help provide added extras for patients that go over and above what the NHS can fund. Linda Williams, Uro-Oncology Clinical Nurse Specialist, said: “The staff on the Urology Unit are extremely grateful for Mr Parry’s efforts in raising money for the unit, and also for raising awareness of urology issues.” A former health care worker from the Ablett Ward retired after 23 years and raised £1,270 for patients on the ward. Roger Clayton felt it was time to pursue new challenges but wanted to do something as a parting gift for his former colleagues and patients, so walked the entire Anglesey Coastal path in nine days, a total of 144 miles! The Flying9’s Car Club drove 300 miles to all 14 castles located in North and Mid Wales in aid of the Friends of Renal Care at Ysbyty Glan Clwyd. Justin Humphries, one of the organisers, wanted to thank the Friends of Renal Care and the staff at the hospital for the amazing care he received during and after his kidney transplant in 2016. The Flying 9’s Club started at Flint Castle, drove down to Powis Castle and Castell y Bere in Mid Wales, coming back to Conwy Castle all in one day, raising over £2,500! **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 1 4 ## **The year at a glance** In the 2022/23 financial year, Awyr Las received an incredible amount of donations that has, and will, enable us to fund research, equipment, training, and patient and staff amenities. ## **Income** **----- Start of picture text -----**
10%
Investments
Donations
£1,104,000 11%
Other trading
activities
Legacy gifts (fundraising)
£452,000
Fundraising 56%
£210,000 23% Income from
Income from Donations
Legacy Gifts
Investments
£194,000
**----- End of picture text -----**
## **Total income: £1,960,000** ## **Expenditure** Awyr Las has funded some amazing items that have allowed the NHS to go over and above for patients, families and staff members across North Wales. Below show where donations have been spent throughout the year. **----- Start of picture text -----**
43%
Patient Patient welfare*
welfare &
£642,000
Medical
Research
Staff welfare
£513,000
22% 35%
Capital Staff Capital projects
expenditure education
and welfare £334,000
**----- End of picture text -----**
## **Total expenditure: £1,489,000** *Total Patient Education & Welfare and Medical Research expenditure is made up of Patient Expenditure and Welfare £688,000, however this is offset by a negative expenditure of £46,000 against Medical Research due to a breast cancer related research project being withdrawn by the applicant due to a change in circumstances. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 1 5 ## **Background information** Awyr Las covers the whole of North Wales and uses donations to improve healthcare in acute hospitals and community sites across the region. Almost every ward, department or service has a designated fund that can be used to fund things that go over and above what the NHS can provide. **----- Start of picture text -----**
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 2022/23 financial year, huge steps have been taken to provide care that is
over and above what the NHS can provide.
Income in 2022/23
Population served by
BCUHB
spent on transforming
children’s services
£1.96m
£79,250
698k
449
£242,136
funds
spent making a
difference to cancer
care
3
45
£21,874
£36,950
spent on improving
mental health
support
spent on innovative
research
Acute hospitals in
North Wales
Community services
in North Wales
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**A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 1 6 ## **What can be funded with your donations?** **£10,000** A suicide prevention programme ## **£5,000** ## **£1,000** The installation of three defibrillators in towns and rural areas across North Wales Additional equipment for wards and departments to support patients through their treatment and recovery ## **£500** Wigs for cancer and dermatology patients ## **£250** Garden furniture to support with patient rehabilitation ## **£100** Breast prothesis ## **£50** One nights’ stay in parental accommodation ## **£10** Crafts and activities for dementia patients ## **£5** Toys for children **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 1 7 ## **The impact of your support** Families, organisations, businesses and individuals together made 4,052 donations to Awyr Las in 2022/23. All donations have and will make a difference for patients, their families and for NHS staff, volunteers and partners. The average donation amount in 2022/23 was £318.85. Donations given this year have helped fund small comforts to big projects including toys and games for children and dementia patients, to large-scale capital projects to improve services across the Health Board. ## **Magic table for rehabilitation** Patients living with cognitive challenges including dementia, learning disabilities and those going through long-term rehabilitation in Llandudno were supplied with a new Magic Table thanks to funding from The North Wales NHS Charity. **----- Start of picture text -----**
Dementia activities
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A new table was funded in the 2022/23 year, and the interactive light technology has been helping to stimulate physical cognitive engagement with excellent results. The table is lightweight meaning it can be moved between social spaces and rooms to benefit all patients in rehabilitation. Gardening is an activity proven to alleviate stress, anxiety and boredom for people living with dementia, and throughout summer 2022, patients at Colwyn Bay Community Hospital and Llandudno General Hospital were able to receive tabletop sessions thanks to your donations. Tabletop sessions were provided by The King’s Fund following an approved grant for the two community hospitals to help stimulate senses and memory in dementia patients. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 1 8 ## **First in Wales bladder treatment** A new cutting-edge technology using lasers to treat bladder cancer and other bladder issues was approved in 2022/23. The laser treatment is now offered at Wrexham Maelor Hospital, the first in Wales to be able to offer this treatment thanks to charitable funding of £14,275. The Trans Urethral Laser Ablation (TULA) has been proven to be highly effective in treating earlystage bladder cancer with minimal side effects and a high success rate. More importantly, the treatment can be done through outpatients reducing the amount of time patients need to be in hospital for procedures. Surgeon Professor Iqbal Shergill, Urology Clinical Lead at the hospital, said: “You can have TULA under local anaesthesia in urology procedures and in most cases you should be able to go home the same day following the procedure, and it only takes between 10 and 20 minutes to complete.” ## **Preventing hair loss with cold caps** Cold caps are incredible pieces of equipment that are offered to chemotherapy patients throughout North Wales to help prevent hair loss during treatment. In 2022/23 new cold caps were funded at each cancer unit to ensure that all patients wanting to try using cold caps are able to throughout their chemotherapy treatment. Over £100,000 has been spent on increasing the amount of cold caps available throughout the region meaning more patients can be offered a cold cap at their appointments. The treatment has been proven to work incredibly well for some patients. The cold cap reduces the temperature of the scalp, making blood vessels smaller and reducing the blood flow to the scalp which can stop some chemotherapy drugs from affecting hair follicles. The caps are worn throughout each chemotherapy treatment and is an optional treatment that goes over and above what the NHS would usually offer. The treatment wouldn’t be made possible without incredibly kind donations to our cancer units. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 1 9 ## **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. In 2022/23, Awyr Las received a total of £452,000 in legacy gifts, making a huge difference to patients and services across North Wales. All legacies, large and small, help make a difference for patients. ## **Gifts in Kind** Gifts in Kind worth £1,859 were received and used for the benefit of patients and staff in 2022/23. This figure is considerably lower than the 2021/22 value of Gifts in Kind, which stood at £5,935. There are plans to introduce a new system to record Gifts in Kind from 2024/25 so all donated items and services, including food, toys, gardening supplies and other equipment are: Recorded and reported effectively Reviewed by infection prevention and/or all relevant internal service teams so all necessary risk assessments can be completed in advance of receipt Appropriately acknowledged so those donating receive the recognition they deserve Grateful thanks to everyone who chooses to donate items and services for the benefit of patients and staff. Your support is hugely appreciated by all who benefit! **----- Start of picture text -----**
Star Box
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Thanks to incredible sponsors including Shooting Star Cancer Support, NetWorld Sports, Yorkshire Tea, Morrisons Wrexham, Asda Wrexham, Lyan Packaging, Gresford Craft Group, Love Hope Strength Foundation, Bidfood and Kevin Longley Chocolatier, the Star Box was formed in 2023. The box is made up of comforting and useful items for new chemotherapy patients and is there to offer a little bit of extra support and comfort at the start of treatment. The Shooting Star Unit at Wrexham Maelor Hospital see around 40 new chemotherapy patients per month and have been providing all new patients with a Star Box since launching in early 2023, this wouldn’t have been made possible without organisations offering gifts to help create the boxes. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 2 0 **----- Start of picture text -----**
Vara Sports
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Just before Christmas 2022, Vara Sports made a festive trip to Ysbyty Glan Clwyd’s Children’s Unit to spread some festive cheer with a huge delivery of toys! The team delivered over £400 worth of toys to the Children’s Unit to help children who sadly had to spend time in hospital over the Christmas period, to have a little bit of fun on the ward. A huge thank you goes to everyone at Vara Sports who contributed to this incredible donation. **----- Start of picture text -----**
Penrallt Baptist Church
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Wards and departments at Ysbyty Gwynedd received an amazing donation of Christmas goodies from Penrallt Baptist Church in Bangor. Minister John delivered the sweet treats to be delivered to wards and departments throughout the hospital so they can enjoy a little bit of festive cheer this year! A huge thanks goes to all that donated at Penrallt Baptish Church. **----- Start of picture text -----**
RAF Valley
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The team at RAF Valley have donated hundreds of items over the years to benefit patients at Christmas time. Padre Mike, Reverend at RAF Valley who leads on the donations, said: "We are so happy to donate to staff and patients in Ysbyty Gwynedd to bring a little festive cheer at Christmas. We hope everyone enjoys their treats this year." The gifts were given to wards throughout Ysbyty Gwynedd to help bring a little bit of Christmas spirit to the hospital over the festive period. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 2 1 ## **Looking ahead** The charity’s focus for 2023/24 will be to draw up and lay the foundations for the charity’s 20242027 strategy. The charity will also ensure the 75th anniversary year of the NHS is recognised with celebration and with investment that will help to ensure that the people of North Wales will receive excellent care in hospitals and in the community for decades to come. As well as redoubling the charity’s focus on early intervention, a new strategy for 2024-2027 will provide a road-map for addressing several key themes that emerged during the pandemic, including: - Supporting staff health and wellbeing, making sure they are cared for and supported to remain resilient - 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. ## **Volunteer support** Additionally, we continue to seek to build on the relationships made with local people and community groups which have chosen to support Awyr Las in recent years. ## **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. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 2 2 ## Charity staff The charity does not directly employ any staff. The day-to-day management of the charity is delegated to the Executive Director of Finance. Members of the Charitable Funds and Charitable Partnerships 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. ## 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 Registered auditors: Audit Wales, 1 Capital Quarter, Tyndall Street, Cardiff, CF10 4BZ ## 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 2022/23, 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 The Ethical Framework 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 2022/23, 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 **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 2 3 Any products which may be considered in conflict with the Health Board’s activities, 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. All voting members of the Health Board can act as corporate trustees of the charity. The committee ordinarily meets quarterly. In 2022/23 exceptional circumstances led to some significant changes within the Health Board’s Executive and Non-Executive teams, which meant that some planned meetings needed to be postponed or cancelled altogether. The meeting agendas, minutes and attendance of the meetings held in 2022/23 can be found here: Charitable Funds Committee - Betsi Cadwaladr University Health Board (nhs.wales). ## Membership Members: Up to four Independent Members, including the Chair and Vice Chair of the committee and three Executive Members Chair: An Independent Member Vice Chair: Another Independent Member Executive Members: Executive Director of Finance (Lead Director) Executive Director of Nursing Executive Medical Director ## Charitable Funds Committee membership 2022/23 A number of changes to Committee membership occurred during the year and are reflected in the table at Appendix 1. ## BCUHB Board Membership 2022/23 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. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 2 4 ## Performance The overall goal of the charity is to benefit staff and patients at Betsi Cadwaladr University Health Board in accordance with the preferences of supporters. The Charitable Funds and Charitable Partnerships Team and the Charitable Funds Committee undertake a number of key activities. ## Connecting with staff 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. The CFAG now reviews applications online, rather than in person. The CFAG has a remit to consider all funding applications over £5,000 from general or specific charitable funds and recommend them for approval or rejection to the Charitable Funds Committee. The Charitable Funds Committee then approves, rejects or requests more information for the applications. 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. ## Complaints The Charitable Funds and Charitable Partnerships Team did not uncover any failure to comply with Fundraising Regulation by staff or Awyr Las volunteers in 2022/23. The charity received no official fundraising-related complaints in the past year. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 2 5 ## Charitable Funds and Charitable Partnerships Team To help meet the charity’s objectives, the Charitable Funds and Charitable Partnerships Team works thematically, with dedicated communications, partnership and finance support roles within the team. 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 and partner care. ## Public benefit In planning activities for the year, and when considering applications for grant funding, the trustees consider the Charity Commission's guidance on public benefit. ## **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 (CFAG) has a remit to consider all funding applications over £5,000 and recommend them for approval or rejection to the Charitable Funds Committee. The Charitable Funds Committee then takes the decision based on the information provided in the applications and from the CFAG members. 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 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. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 2 6 ## Designated funds Within Awyr Las, most donations sit in one of the 418 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. ## **Financial summary** The following figures are taken from the full accounts, 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. Almost all the charity's income comes from the voluntary efforts of NHS staff and the general public. This year, donations generated £1,104,000 - 56% of the charity's total income. Legacy gifts formed 23% of the charity's income (£452,000). Fundraising accounted for 11% of the charity’s total income (£210,000). Investment of funds not immediately required by the charity has generated £194,000 in returns, equating to 10% of Awyr Las' total income. ## Financial health The assets and liabilities of Awyr Las as at 31st March 2023 are shown below, compared with the position at 31st March 2022. Find further details in the financial statements section. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 2 7 The notes on pages 36 to page 59 form part of these accounts. 15/04/2023 **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 2 8 ## **Risk analysis** As part of the Charitable Funds Committee meetings, the trustees consider the major risks facing Awyr Las. ## Managing risk The main risks to the charity are usually reviewed by the Charitable Funds Committee on a quarterly basis. The charity’s Risk Register can be viewed here, pages 207–226: Bundle Charitable Funds Committee 18 October 2022 (nhs.wales). 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 Charitable Funds and Charitable Partnerships Team. ## **Reserves** Reserves are the 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 provides an indicator of future funding needs and its overall resilience. The reserves policy takes into account the charity’s financial circumstances and other 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. 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. As is good practice, the reserves policy is kept 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 the target level of reserves annually. In March 2022, it was agreed that the target level of reserves would be based on expenditure that has been approved in principle, as well as considering the latest audited accounts. The charity’s target level of reserves is based on the following calculation: - One year’s operational costs - 25% of the 3-year average value of investments held - 25% of the 3-year average value of charitable activity (grants) expenditure The reserves target for 2022/23, set by the Charitable Funds Committee in March 2022 is £3.754 million. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 2 9 Total funds of the Charity at 31 March 2023 were £11.8million (2021-22: £12.3million) of which £7.1million is restricted and £4.7million is unrestricted (2021-22: £6.9million and £5.4million). The Charity is therefore holding reserves (£4.7million) at a higher level than the target value (£3.754million). The unrealised investment losses during 2022-23 are £0.702million. An element of these unrealised losses have already corrected in the first half year of 2023-24. This highlights the importance of generating unrestricted donations for the Charity so that the Trustee has the maximum flexibility to respond to future needs of patients as they arise. One of the charity’s reserves can only be realised by disposing of tangible fixed assets (see tangible fixed assets, note 14 in the Accounts) **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 3 0 ## **Accounts for the year ended 31 March** ## **2023** ## 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. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 3 1 Statement of Financial Activities for the year ended 31 March 2023 R•strict•d Incom• funds Total Funds 2022-23 Unr•stn"cted funds £000 Note Incomlng resources from generated funds: Donations and legacies Other tradiThJ athwties Investments Totsl incoming resources 1.002 150 98 1,250 554 60 1,556 210 194 1,960 710 Expendlture on: Raising Funds Charitable activtbes Total expendlture 146 999 1,146 149 490 639 295 1,489 1,784 Net gains I (losses) on investrnents Net income l {expenditure) 15 1350) 1245) 1352 (281) 702 15261 Transfer between funds 20 (458) 458 Other recognls•d galns l (losses) Gair61 (losses) on revalualion of fixed assets 14 Net movement In funds 1703) 177 16261 Reconclllallon of Funds Total Funts broughl fonvard Totsl Funds carrfed forward 21 6,937 12,327 11.801 4,687 AWYR LAS ANNUAL REPORT 2022123 Statement of Flnanclal Actlvltles for the year ended 31 March 2022 Restricted Income funds Total Fund5 2021-22 £000 Unrestricted funds £000 Incoming resources from generated funds: Donalions aThJ legacies Other tradirNJ acliwbes Investments Total incoming resources 727 210 59 996 1,750 48 43 1,841 2,477 258 102 2,837 Expendlture on: RaisirKJ Funts Charitable actiwlies Total expendlbjre 230 747 977 140 280 420 370 1,027 1,397 Net gains I Ilossesl on lrNest￿￿nts Net income l (expenditure) 15 160 179 108 1,529 268 1,708 Transfer between funds (63) 63 Other recognlsed galns I Ilossesl Gains l (losses) on rwdluation of fixed assets 14 N•t movement In lund8 116 1,692 1,708 Reconclllatlon of Funds Total Funds brought forward Total Funds carrl•d forward 21 5,345 6,937 10,619 12.327 6,390 AWYR LAS ANNUAL REPORT 2022123 The notes on pages 36 to page 59 form part of these accounts. 15/04/2023 **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 3 4 Statement of Cash Flows for the year ending 31 March 2023 Total Funds 2022-23 £000 Total FuThJs 2021_22 £000 Nots Cash flows from operating activities: Net cash provided by (used in) operating activities 19 313 163 Cash flows from investing activities: Dividend, Interest and rents from irwestrnents Proceeds from the sale of investments Purchase of inVe￿mentS (Increase) I decrease In cash awaitsrwJ Irr￿str￿ent Net cash provlded by (used In) Investlng acllvltles 194 1,541 (1,805) 122 52 102 7,902 (8,275) 311 15 15 15 Change in cash and cash equivalents in the reporting period 365 193 Cash and cash equlvalents at the beglnnlng ofthe 17 reporting period 1,119 926 Cash and cash equlvalents at the end of the reporting period 17 1,119 AWYR LAS ANNUAL REPORT 2022123 ## Note on the Accounts ## 1 Accounting Policies ## **a) Basis of preparation** The financial statements have been prepared under the historic cost convention, with the exception of investments which are included at fair value. 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. The accounts (financial statements) have been prepared to give a ‘true and fair’ view and have departed from the Charities (Accounts and Reports) Regulations 2008 only to the extent required to provide a ‘true and fair view’. This departure has involved following 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) issued on 16 July 2014 and as amended in the second edition issued October 2019. The Trustees consider that there are no material uncertainties about the Charity's ability to continue as a going concern. There are no material uncertainties affecting the current year’s accounts. In future years, the key risks to the Charity are a fall in income from donations or investment income but the trustees have arrangements in place to mitigate those risks (see the risk management and reserves sections of the annual report for more information). The Charity meets the definition of a public benefit entity under FRS 102. ## **b) Funds structure** Where there is a legal restriction on the purpose to which a fund may be put, the fund is classified either as: - A restricted fund or - An endowment fund. Restricted funds are those where the donor has provided for the donation to be spent in furtherance of a specified charitable purpose. The Charity’s restricted funds tend to result from appeals or legacies for specified purposes. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 3 6 Endowment funds arise when the donor has expressly provided that the gift is to be invested and only the income of the fund may be spent. These funds are sub-analysed between those where the Trustees have the discretion to spend the capital (expendable endowment) and those where there is no discretion to expend the capital (permanent endowment). The charity has no permanent or expendable endowment funds. Those funds which are neither endowment nor restricted income funds, are unrestricted income funds which are sub-analysed between designated (earmarked) funds where the Trustees have set aside amounts to be used for specific purposes or which reflect the nonbinding wishes of donors and unrestricted funds which are at the Trustees’ discretion, including the general fund which represents the charity’s reserves. The major funds held in each of these categories are disclosed in note 21. ## **c) Incoming resources** Income consists of donations, legacies, income from charitable activities and investment income. Donations are accounted for when received by the charity. All other income is recognised once the charity has entitlement to the resources, it is probable (more likely than not) that the resources will be received and the monetary value of incoming resources can be measured with sufficient reliability. Where there are terms or conditions attached to incoming resources, particularly grants, then these terms or conditions must be met before the income is recognised as the entitlement condition will not be satisfied until that point. Where terms or conditions have not been met or uncertainty exists as to whether they can be met then the relevant income is not recognised in the year and deferred and shown on the balance sheet as deferred income. ## **d) Incoming resources from legacies** Legacies are accounted for as incoming resources either upon receipt or where the receipt of the legacy is probable, whichever falls sooner. Receipt is probable when: - Confirmation has been received from the representatives of the estate(s) that probate has been granted - The executors have established that there are sufficient assets in the estate to pay the legacy and - All conditions attached to the legacy have been fulfilled or are within the charity’s control. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 3 7 If there is uncertainty as to the amount of the legacy and it cannot be reliably estimated then the legacy is shown as a contingent asset until all of the conditions for income recognition are met. ## **e) Resources expended and irrecoverable VAT** All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to each category of expense shown in the Statement of Financial Activities. Expenditure is recognised when the following criteria are met: - There is a present legal or constructive obligation resulting from a past event - It is more likely than not that a transfer of benefits (usually a cash payment) will be required in settlement The amount of the obligation can be measured or estimated reliably. Irrecoverable VAT is charged against the category of resources expended for which it was incurred. ## **f) Recognition of expenditure and associated liabilities as a result of grants** Grants payable are payments made to linked, related party or third party NHS bodies and non NHS bodies, in furtherance of the charitable objectives of the funds held on trust, primarily relief of those who are sick. Grant payments are recognised as expenditure when the conditions for their payment have been met or where there is a constructive obligation to make a payment. A constructive obligation arises when: - We have communicated our intention to award a grant to a recipient who then has a - reasonable expectation that they will receive a grant. - We have made a public announcement about a commitment which is specific enough for - the recipient to have a reasonable expectation that they will receive a grant. - There is an established pattern of practice which indicates to the recipient that we will - honour our commitment. The Trustees have control over the amount and timing of grant payments and consequently where approval has been given by the Trustees and any of the above criteria have been met then a liability is recognised. Grants are not usually awarded with conditions attached. However, when they are those conditions have to be met before the liability is recognised. Where an intention has not been communicated, then no expenditure is recognised but an appropriate designation is made in the appropriate fund. If a grant has been offered but there is uncertainty as to whether it will be accepted or whether conditions will be met then no liability is recognised but a contingent liability is disclosed. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 3 8 ## **g) Allocation of support costs** Support costs are those costs which do not relate directly to a single activity. These include staff costs, costs of administration, internal and external audit costs. Support costs have been apportioned between fundraising costs and charitable activities on an appropriate basis. The analysis of support costs and the bases of apportionment applied are shown in note 11. ## **h) Fundraising costs** The costs of generating funds are those costs attributable to generating income for the charity, other than those costs incurred in undertaking charitable activities or the costs incurred in undertaking trading activities in furtherance of the charity’s objects. The costs of generating funds represent fundraising costs together with investment management fees. Fundraising costs include expenses for fundraising activities and a fee paid to a related party, the Health Board, under a fundraising agreement. The fee is used to pay the salaries and overhead costs of the Health Boards' fundraising office. ## **i) Charitable activites** Costs of charitable activities comprise all costs incurred in the pursuit of the charitable objects of the charity. These costs, where not wholly attributable, are apportioned between the categories of charitable expenditure in addition to the direct costs. The total costs of each category of charitable expenditure include an apportionment of support costs as shown in note 8. ## **j) Tangible assets** Tangible fixed assets are stated at cost less accumulated depreciation and accumulated impairment losses. Cost includes the original purchase price (or value of the asset on a full replacement cost basis if donated), costs directly attributable to bringing the asset to its working condition for its intended use, dismantling and restoration costs. Tangible fixed assets are capitalised if they are capable of being used for more than one year and have a cost equal to or greater than £5,000. Land is stated at open market value. Valuations are carried out by a professional valuer at least every five years with an impairment review undertaken in all other years. No depreciation is applied to land. Tangible fixed assets are derecognised on disposal or when no future economic benefits are expected. On disposal, the difference between the net disposal proceeds and the carrying amount is recognised in the Statement of Financial Activities (SoFA). **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 3 9 ## **k) Investments** Investments are a form of basic financial instrument. Fixed asset investments are initially recognised at their transaction value and are subsequently measured at their fair value (market value) at the balance sheet date. The Statement of Financial Activities includes the net gains and losses arising on revaluation and disposals throughout the year. Investments are included in the Balance Sheet at the current mid price market value quoted by the Investment Managers, Brewin Dolphin. The SORP recommends that the bid price market value be used in valuing stocks and shares, although the difference between bid and mid market price is not material, the difference as at 31st March 2023 being £3.8k. The main form of financial risk faced by the charity is that of volatility in equity markets and other investment markets due to wider economic conditions, the attitude of investors to investment risk and changes in sentiment concerning equities and within particular sectors. Further information on the charity's investments can be found in note 15. ## **l) Debtors** Debtors are amounts owed to the charity. They are measured on the basis of their recoverable amount. ## **m) Cash and cash equivalents** Cash at bank and in hand is held to meet the day to day running costs of the Charity as they fall due. Cash equivalents are short term, highly liquid investments, usually in notice interest bearing savings accounts. ## **n) Creditors** Creditors are amounts owed by the Charity. They are measured at the amount that the Charity expects to have to pay to settle the debt. Amounts which are owed in more than a year are shown as long term creditors. ## **o) Realised gains and losses** All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and losses on investments are calculated as the difference between sales proceeds and opening carrying value (purchase date if later). Unrealised gains and losses are calculated as the difference between the closing and opening carrying values, adjusted for purchases and sales. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 4 0 ## 2 Related party transactions During the year none of the Trustee's Representatives or members of the key management staff or their close relatives have undertaken any material transactions with the Betsi Cadwaladr University Health Board Charitable Funds. Board Members (and other senior staff) take decisions both on Charity and Exchequer matters but endeavour to keep the interests of each discrete and do not seek to benefit personally from such decisions. Declarations of personal interest have been made in both capacities and are available to be inspected by the public. The Charity has made grant payments for revenue and capital to the Betsi Cadwaladr University Health Board. Such payments are for specific items which are in furtherance of the Charity's objectives. The Betsi Cadwaladr University Health Board prepares its accounts in accordance with the Government Financial Reporting Manual (FReM) and International Financial Reporting Standards (IFRS), whereas the Charity prepares its accounts in accordance with FRS 102. The Charity, therefore, recognises a constructive obligation when it awards a grant, whereas the Health Board recognises it when the grant is received. This creates a timing issue as the Charity recognises expenditure before the Health Board does. In its accounts and under FRS 102, the Charity recognises that it has made grant payments to the Betsi Cadwaladr University Health Board totalling £1.38million (2021-22: £0.94 million). Under the FReM and IFRS, grant payments to the Betsi Cadwaladr University Health Board totalled £1.16 million (2021-22: £1.24 million). The Charity reported liabilities of £0.26m with the Health Board as at 31st March 2023 (2021-22: £0.29m). The audited accounts of the Betsi Cadwaladr University Health Board are included in their annual report and accounts and are available from their website. All Board Members are required to submit an annual Declaration of Interests covering the following seven areas: - Interest in a company which may compete for an NHS contract to supply goods and services to Betsi Cadwaladr University Local Health Board - Any self-beneficial interest in a private care home, hostel or independent health care provider - Any relevant outside employment, including self employment, whilst employed by the Health Board - Interest in the Pharmaceutical Industry or Allied Commercial Sector - Personal links to, or relationships with, individuals in local or national government / AMs / MPs **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 4 1 - Councillorships, Directorships or any other relevant position - Any other matters to declare (including issues relating to personal relationships and maintaining clear professional boundaries) Declarations are also required where an individual Board member does not have any interests to declare. The following tables details all interests declared by Board Members during the 2022-23 financial year including any material transactions with related parties. ## Directors/Executive Directors **----- Start of picture text -----**
Details of positions
Dates
Name held during the Details of interest declared
positions held
financial year
**----- End of picture text -----**
|Name|Details of positions
held during the
financial year|Dates
positions held|Details of interest declared| |---|---|---|---| ||||| |J Whitehead|Chief Executive|01.04.22 -
15.11.22|Spouse is on the GP Performers List and
works as a locum in GP practices and
the Health Board’s Out of Hours service.| |N Lyons|Executive Medical
Director|01.04.22 -
31.03.23|Wife works for the Health Board as an
Allied Health Professional (AHP) in
Cancer Services.| |G Thomason|Executive Director
of Nursing and
Midwifery|01.04.22 -
31.07.22|Director of Regency Circle Ltd, a
provider of management consultancy
services.| |A Wood|Executive Director
of Nursing|01.08.22 -
31.03.23|Member of the Royal College of Nursing| |R Nolan|Acting Executive
Director of
Finance|01.09.22 -
30.11.22|Wife is Regional Assurance Director for
Mersey Internal Audit Agency
Stepson works for Meditech as a
software developer
Director and Trustee, BMC access and
Conservation Trust| |S Webster|Interim Executive
Director of
Finance|03.01.23 -
31.03.23|Director, Respiratory Innovation Wales
Limited| **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 4 2 |J C Stockport|Executive Director
Transformation
and Strategic
Planning|01.04.22 -
31.03.23|Director, Great Selection Trading Ltd| |---|---|---|---| |A Thomas|Executive Director
Therapies and
Health Sciences|01.04.22 -
16.10.22|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|01.04.22 -
31.03.23|Wife is an employee of the Health Board
as a Nurse on an Intensive Care Unit| ## Independent Board Members |M Polin OBE QPM|Chair|01.04.22 -
27.02.23|Wife is employed by the Health Board as
a Health Visitor| |---|---|---|---| |D Edwards|Chair|27.02.23 -
31.03.23|Llond Bol Foodbank - Volunteer
Non-Executive Director - Antur Nantlle
Cyfyngedig
Former Non-Executive Director - Welsh
Finance Authority (to 27.02.23)
Former Non-Executive Director - Public
Health Wales NHS Trust (to 27.02.23)
Commissioner - Northern Transport
Commission
Member - Welsh Language Partnership
Council, Welsh Government
Member - Plaid Cymru
Member - CND Cymru
Member - Institute of Welsh Affairs
Member - Calfaria Chapel, Penygroes
Wife is employed by the Health Board as
a Lead Practice Education Facilitator
Sister-in-law is employed by the Health
Board as a Sonographer| **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 4 3 |L J Reid|Independent
Member and Vice
Chair|01.04.22 -
27.02.23|Committee Chair for the Primary Care
Appeals Service, 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
Husband is a GP in St Asaph,
Denighshire| |---|---|---|---| |Prof N Callow|Independent
Member|01.04.22 -
27.02.23|Pro Vice-Chancellor Learning and
Teaching and Head of College of
Human Sciences, Bangor University| |Cllr C Carlisle|Independent
Member|01.04.22 -
27.02.23|County Councillor for Colwyn Ward,
Conwy County Borough Council
Cabinet Member for Social Care and
Safeguarding
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 Cunliffe|Independent
Member|01.04.22 -
27.02.23|Director of Abernet Ltd
Member of the Joint Audit Committee,
North Wales Police and Crime
Commissioner| |H Hesketh Evans OBE|Independent
Member|01.04.22 -
27.02.23|Councillor for Denbighshire County
Council
Founder Chairman and Member North
Wales Economic Ambition Board| |J F Hughes|Independent
Member|01.04.22 -
27.03.23|Daughter is employed in an
administrative role for the Health Visitor
Team in Caernarfon| **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 4 4 |Cllr R Medwyn
Hughes|Independent Member|01.04.22 -
27.02.23|Director of Meditel Limited
Local Authority member of Plaid Cymru,
Gwynedd County Council
Member of the Care Scrutiny Committee
and the Audit and Governance
Committee at Gwynedd County Council
Councillor - Bangor City
Community/Town Council| |---|---|---|---| |R Micklewright|Independent Member|01.04.22 -
27.02.23|Fellow of the Chartered Institute of Public
Finance and Accountancy (CIPFA)
Member of the Institute of Directors
Director, Dairyscroft Ltd
Wife works in the NHS| |J Gallanders BEM|Independent Member|01.04.22 -
27.02.23|Clerk at Maelor South Community
Council
Chair at Wrexham Warehouse Project| |L Tomos CBE|Independent Member|01.04.22 -
27.02.23|Trustee for Cygnor Llyfrau Cymru/Books
Council of Wales| |G Williams|Independent Member|27.02.23 -
31.03.23|Welsh Government - Chair of the expert
panel supporting the Independent
Commission on the Constitutional Future
of Wales
Director - Galdeford Investments Ltd
Director - Ludlow and District
Community Association Ltd T/A Ludlow
Assembly Rooms
Chair and Director - Mid Wales Opera
Ltd| |K Balmer CPFA|Independent Member|27.02.23 -
31.03.23|Member of the Chartered Institute of
Public Finance and Accountancy (CIPFA)
Chief Executive Officer Groundwork
North Wales
Board Member Natural Resources Wales
Founder and Trustee Cycling 4 All
Director, IK Tech Limited
Director, Nant Mill Community Trust
Director, Skill Hive CIC| |R Watcyn Jones|Independent Member|27.02.23 -
31.03.23|Trustee and Chair of Hanes Llandoch| **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 4 5 ## Associate Board Members |M Edwards|Associate Board
Member|01.04.22 -
25.06.22|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| |---|---|---|---| |F Roberts|Associate Board
Member|29.07.22 -
31.03.23|Director of Social Services and Head of
Children's Services Isle of Anglesey
County Council
Leadership Group Member ADSS Cymru
Chair Person Dawns i Bawb| |C Budden|Associate Board
Member|01.04.22 -
31.03.23|Chef Executive of Clwyd Alyn Housing
Association
Director, Tai Elwy Limited
Director, Tir Tai Limited
Director, Penarian Housing Finance plc
Welsh Government Housing Support
National Advisory Board Member
Vice Chair of the North Wales and
Mersey Dee Business Council
Fellow of the Chartered Institute of
Housing| |J Wild|Associate Board
Member|01.04.22 -
31.03.23|Trustee and Officer of the British Society
of Audiology
Sister is a GP| **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 4 6 ## Footnote * No other Health Board members who served during the 2022-23 financial year disclosed any related party interests. Where Directors had made declarations in previous years but these had not been updated in 2022-23 the most recent available information, including the year of declaration, has been included in this note. The following Directors made nil declarations in 2021-22 but these were not updated or confirmed for 2022-23: |Name|Details of position|Date position held| |---|---|---| |A L Brereton|Board Secretary|01.04.2022 - 03.04.2022| |G Harris|Executive Director of Integrated Clinical
Delivery/Deputy Chief Executive
Acting Chief Executive|01.04.2022 - 15.11.2022
16.11.2022 - 31.03.2023| H Hesketh Evans joined and left the Health Board during the year and did not make a declaration. Information within the note was published on the Health Board's website during the term of office. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 4 7 ## 3 Income from donations and legacies ## 4 Role of volunteers Like all charities, the Betsi Cadwaladr University Health Board Charity is reliant on a team of volunteers for our smooth running. Our volunteers perform two roles: - Fund advisors – Within the Charity there are 449 (2021-22: 435) designated funds which are identified to specific areas and/or services. Every fund has at least one fund advisor, who acts as the authorised signatory on the fund for purchases up to £5,000 and receives monthly statements as to the income and expenditure on the fund. Fund advisors are responsible for ensuring that the expenditure they authorise from their funds is appropriate and fits in with the objects of the fund and the Charity. They are also responsible for ensuring that their designated fund is never in a deficit position. - Fundraisers – A number of volunteers actively support the Charity by running events such as coffee mornings, sponsored walks and sports tournaments, as well as supporting events directly organised by the charity. In accordance with the SORP, due to the absence of any reliable measurement basis, the contribution of these volunteers is not recognised in the accounts. ## 5. Other trading activities Income from other trading activities arises from fundraising events that are organised by the Charity, or by volunteers in aid of the Charity. These include events such as coffee mornings, cake bakes, sporting challenges and sponsored walks. The Charity generated £210,000 income from other trading activities during the financial year (2021-22 £258,000). **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 4 8 ## 6. Gross investment income ## 7. Analysis of expenditure on raising funds ## 8. Analysis of expenditure on charitable activity Gifts in kind worth £1,859 were received and used for the benefit of staff in 2022-23 (2021-22 £5,935). **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 4 9 ## 9. Analysis of grants The Charity does not make grants to individuals. All grants are made to the Betsi Cadwaladr University Health Board to provide for the care of NHS patients in furtherance of our charitable aims. The total cost of making grants, including support costs, is disclosed on the face of the Statement of Financial Activities and the actual funds spent on each category of charitable activity, is disclosed in note 8. The Trustees operate a scheme of delegation for the charitable funds, under which fund advisors manage the day to day disbursements on their projects, in accordance with the directions set out by the Trustees in the Charity Standing Financial Instructions. Funds managed under the scheme of delegation represent ongoing activities and it is not possible to segment these activities into discrete individual grant awards. The Trustees do make grant awards based on invited applications from the Betsi Cadwaladr University Health Board. ## 10. Movements in funding commitments As described in notes 8 and 9, the charity awards a number of grants in the year. Many grants are awarded and paid out in the same financial year. However, some grants, especially those relating to research and development or for funding specific posts are multi-year grants paid over a longer period. ## 11. Allocation of support costs Governance costs are those support costs which relate to the strategic and day to day management of a charity. Support and overhead costs are allocated between fundraising activities and charitable activities based on the proportion of expenditure incurred against them both during the year. These support and overhead costs are then further allocated to unrestricted and restricted funds based on the balance held in these funds. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 5 0 ## 12. Trustees' remuneration, benefits and expenses The Charity does not make any payments for remuneration nor to reimburse expenses to the Charity Trustees for their work undertaken as Trustees. ## 13. Auditors remuneration The auditors remuneration of £24,174 (2021-22: £20,937) related solely to the audit of the statutory annual report and accounts. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 5 1 ## 14. Tangible fixed assets During 2017-18, a piece of land located in Porthmadog was donated to the charity, for the benefit of the Madog Community & Hospital fund. The land was independently and professionally valued at open market value by the District Valuer in March 2021. There has been no impairment to the land in 2022-23. The charity is reviewing options on the use of the land and intends to decide on plans for its future sale or use in 2024/25 ## 15. Fixed asset investments **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 5 2 All investments are carried at their fair value. All of the Charity’s investments are held within a portfolio which is managed by Brewin Dolphin Limited. The key objective of the portfolio is to preserve and grow the investments' value in real terms, in order to continue to support charitable distributions over the long term. In order to meet this objective, the Trustees have agreed on a 'balanced' approach for the investment strategy. A 'balanced' portfolio is intended to achieve steady growth over the long term through a diversified approach to investment. Attention is paid to avoiding the worst of the downside and capturing some, but not all, of the upside of financial market returns. Capital preservation in real terms over a long time horizon is the primary objective, and some volatility is acceptable in order to achieve this. The environment for investors remains challenging, highly volatile and valuations are much lower. In managing our portfolios, Brewin Dolphin Limited assess these risks and the potential impact they will have on the portfolio on an on-going basis. They also adjust investments to make the most of opportunities and to protect against risks as they see them. Risks promote uncertainty and make markets unpredictable over short periods. A solid allocation to diversifying assets and portfolio protection has therefore been maintained, resulting in risk within the portfolio being considerably lower than the broader equity markets. ## 16. Analysis of current debtors ## 17. Analysis of cash and cash equivalents **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 5 3 No cash or cash equivalents or current asset investments were held in non-cash investments or outside of the UK. ## 18. Analysis of liabilities 19. Reconciliation of net income / expenditure to net cash flow from operating activities **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 5 4 ## 20. Transfer between funds There has been the following transfers between material designated funds: £457,716 was transferred from General Funds (unrestricted) to various restricted funds to reimburse net overall charity costs, less income from interest and investment gain/loss. This is also included in Other Funds in Note 21.b. ## 21. Analysis of funds a) Analysis of restricted fund movement The Trustees have set an opening or closing balance of £100,000 or above as the threshold for the separate reporting of material designated funds. In the interests of accountability and transparency a complete breakdown of all such funds is available upon written request. The objects of each of the restricted funds are to benefit the patients of the area, department or service stated in the funds' name, in accordance with the Charity's overall objectives. There is one fund listed above that is not aligned to a specific area: The BCU Legacies fund holds the accruals for legacies where probate has been granted, but we have not yet received the cash. This fund is used to protect the designated funds from fluctuations in the final legacy received. When the legacy is received it will be credited to the designated fund specified in the Will and the accrual will be reversed out from the BCU Legacies Holding fund. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 5 5 - **The negative £205,000 income reported against BCU Legacies Holding Fund is the net movement of entries on that fund. New Legacy income of £294,000 has been accrued in 2022-23, which is offset by a reversal of previous years legacy accruals of £359,000 which have now been received in year and moved to the applicable funds as income received, and a £140,000 reduction in values due to changes to the accrued Debtor Legacy from previous year. - During 2022-23 Legacies cash of £359,000 was received and the original accrual reversed within the BCU Legacies Holding fund, with the income disclosed against the appropriate restricted funds in the year that it has been received, being £68,000 Cancer Charitable Fund - Glan Clwyd, £84,000 Ysbyty Glan Clwyd General Fund, £84,000 Llandudno Hospital General Fund, £33,000 North Wales Cancer Centre Appeal, £2,000 Wrexham Maelor General Fund and £88,000 other various funds. - The below table provides an analysis of the £359,000 Legacies income received and allocation of the income disclosed against the appropriate fund in 2022-23. **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 5 6 ## b) Analysis of unrestricted and material designated fund movements The objects of each of the unrestricted funds are to benefit the patients of the area, department or service stated in the funds' name, in accordance with the Charity's overall objectives. There is one fund listed above that is not aligned to a specific area: The Investment Gains fund holds the unallocated and unrealised gains and losses on the investment portfolio. This fund is used to protect the other designated funds from fluctuations in the investment values. The General Funds include all donations for which a donor has not expressed any preference as to how the funds shall be spent. These funds are applied for any charitable purpose to the benefit of the patients of the Health Board, at the discretion of the Trustees. The Trustees have set an opening or closing balance of £100,000 or above as the threshold for the separate reporting of material designated funds. In the interests of accountability and transparency a complete breakdown of all such funds is available upon written request. ## 22. Post balance sheet events The accounting statements are required to reflect conditions applying at the end of the financial year. No adjustments have therefore been made in respect of changes to the market value of investments following the end of the accounting period. The Charity receives a quarterly portfolio report from its investment managers and the market value of investments held by the Charity has increased by £256,000 to the end of November 2023, as detailed below: **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 5 7 ## Statement of the Trustee's Finance Representative's ## Responsibilities As the Trustee's Finance Representative for the Charity, I am responsible for: - the maintenance of financial records appropriate to the activities of the funds. - the establishment and monitoring of a system of internal control. - the establishment of arrangements for the prevention of fraud and corruption. - the preparation of annual financial statements which give a true and fair view of the Charity and the results of its operations. In fulfilment of these responsibilities I confirm that the financial statements set out on pages 1 to 16 attached have been compiled from and are in accordance with the financial records maintained by the Trustee and with applicable accounting standards and policies for the NHS. Russell Caldicott Trustee's Finance Representative Date of sign off 15/04/2024 **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 5 8 ## 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 for taking reasonable steps for the prevention and detection of fraud and other irregularities. By order of the Trustees Dyfed Jones Trustee's Representative / Date 15/04/2024 Russell Caldicott Trustee's Finance Representative / Date 15/04/2024 **A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 5 9 Audit Report The Independent audltor's report of the Auditor General for Wales to the trustees of Betsl Cadwaladr Unlverslty Health Board Charity Report on the audit of the financial statements Oplnlon on flnanclal statom•nts I have the financ4al statements of 8etsi Cadwaadr UnNersty Health Board for th• ￿r •Thl•d 31 2023 md•f lh• Chwths kt 2011. Tho finanaal sial•iiients cn. Tho trusloos arn r•sw￿$1bh tho other Informalm ¢￿taIn0d wilhin th• annual rwl on the financial expth'ally stateAI In my rwrt I do exw•ss ￿ f￿rn of asswanrn c(￿Clusk￿ thfnon. ty rospcm*x'thty 18 lo read the ollxr inf(￿rna￿ wd. in dory so. c(mKlw whethw th• other lnfNmats.¢￿ * makn'aly ¥￿￿￿￿10n1 vnth the financial statements or kn(rwledge oblaln&J in the course of the authL ￿ olhervA'80 aFwr5 lo be matenally misslated. If I identsfy suth mater￿1 or apparent rnalenal mis8tatenwnts. l am required io detemiln• ￿ettr￿ gNes Tr6• to a rnat￿al ￿￿$￿tement finan¢wl statorym￿tS Ih8mselve$. N. bawj on lh• ￿ I havé perf4xm•J. I c￿Clud• that ts• w a n4torial misststsm•nt of this othor inf(rniK>n. l ¥n rewreAJ 10 r•p(xt that f&L I hav• rKth'ng to rep￿ in tIMs r•gard. Paatters on whlch I r•port by exceptlon I have rKth'ng to rerth kn respxt of the matws in rdatm to ¥rt¥ch IIKI Cawts'es (kn￿nts R•txxts) R•gulalKXlS 2Crf)8 wuir• IM lo rep(￿l PA> rf. in rrry opmK)n: I hm nol roc•iv•d all of th• and explan￿ I roquirn for my *Klit Jfficlent xC{￿ntIng rK(Yds have not be￿ kesl rebJrThs adequate for my audit finan1￿1 stal•rmits ¥• rKx in •yrnii tho xc1x1nts￿ r￿￿0$ and (ettjms.. ( AWYR LAS ANNUAL REPORT 2022123 Responsibilities of the trustws for the financial statements As explaned rnm fuly in Ihe slatemont of Inisloe's ie¥#)nst**lKA. Ihe trustoes arn r•sponsible for.. reFMyllng framewort b￿j Sats￿J thal they give a Ir￿ and fay view. inl8mal ccffitrols as the trustees delemiine M nocessary kn ￿able tho preparation of financial slal•m•nts lo b• fr•• frffii malw￿1 nxssLitoménC ￿eth•[ du• to fraud or ror; assessing the chwity's abllty lo contlnue as a C￿Com. dsdoskng, a8 licabl•. mattcn rdated to g(xrvJ (X)r￿•M and using the t(￿@M basis of xc(MJntsn9 unless truslees ￿t￿pate Ihal Ihfr s•r¥Kes wov*Jed by Ihe charity (Kbt conlYx* to be provmlod in the future. Audltor's r•sponslbl1ltl￿ for th• audft of th• financlal statsm•nts I hav• b8•n appowrt￿l as ￿K*•r ieclitin 150 of ch￿￿.•$ Act 2011 and réwi In ￿nce ￿1h rogulatKXM undor 8•ctM)n 154 of thal kt. My are to obtam r&#(xwble asgJRnc* ab￿ whother the fin￿al slaternnls a wholé ar• fr•• from mater￿ ffisstat•mènL whethw du8 lo fraud or ern. *)d lo Issue an a￿*1￿,8 rewl Ihal inck#Jes my o￿K￿. Rea￿*￿•18 assurance 18 a ts'gh lev•1 of assurawi tMJI is not a guarantoe that an audrt Cond￿ wth ISA8 (UK) ill akvays det￿t a malerial M￿51a18m8nI w￿n it exists. m￿statemen1$ can arise frc*n error con8K￿ malenal rf. iThkndualy the aggregate. thty c(MJkl r•asonaW be eXped￿j to inlkwKe the ecThK￿ deca8ions of user3 l*n ￿ the basls of Ihose financ4.al statem•nts. Irrngul*rtl•s. In¢￿d￿g fr￿d. w• insL¥￿8 of n(ThcuWianc• laws and r•gulatKJns. I dewgn prwedures ry resp(￿S￿l￿￿. ¢xrflY￿d abo￿. to d8t•cl matw mIsstatem￿ts in r•spocl of irr•guI￿. knckmliry frwd. Er￿Uthg of m¥w•nc the of Inlwrbal knit and thos• Ch￿ad *4rth tw aThl rrfiKx)diThJ kj the n&ks of fr*MI hav• compkanc• vnlh lavts and r•a￿t￿XIs. AWYR LAS ANNUAL REPORT 2022123 C(￿S￿￿lng as an ￿di1 team h(Av and ¥knen fra￿1 myit in tho f￿a￿All slalements ￿K1 any wnlkql ind•catLYs of fraud. As part of l *JenIlfi￿1 'al ts fraud n managern￿l (Ynmde. ObtaiMvJ an Underst￿￿l￿g of Be￿ C*lwaknJr Urww Hoalth Chartls Cadwaladr UnNwsty Heatth Bo¥d Chffj opwatss in. fwsing on ttM)s• laws WKI regulats'ons that had a direcl efféct on the fin￿JaI slatam8ntS Of that had Charty Oblair#w an undersLwKlkng ol relatod pty r￿alK￿lp8. In additK)n to th• knv•. my W￿•dur•S lo lo Kl•nlff￿ th• lo*Mng.' um•nlalM)n lo assess wth l•ws re9ulalwJis dl8oJs8•d lual ¥MI tstydatK￿ and davTX. rtyk ol fraL41 Ihrow I￿1￿18 of cthrd8. 18thg I ludgom•nts made In acc4xmling ests'mates are indicatNe of a potential bias. *¥J ￿akjab.ng Ihe tW'ThJ5s ratK)nale ol ￿nrf￿1 that wo wmmual OU￿.de the KKrnal of t￿￿t$s. l also ¢C*Thn￿Ca￿j rdevant kl0n1rf￿d IM rwdalK*is frat#J ri$k¥ lo all th8 a￿11 team at￿ r•mained al8rt to any of fraud or non4xJmK*anc8 ￿tkn Th8 exl•nl to wttith my yocAlur•8 ¥• capatA• of dotadry iN*Mling fraud. exlent of audrt w￿•d￿re$ A lurthor d0b(ryIk￿ aud1￿8 r•sp¢￿*bIrt￿ for lh• autht of th• fin￿￿ slaternents Is k￿léd C￿ lh• FYW￿la1 Rap￿Ing c￿n(#1'S wabsrte .uklaudrtmrns Other auditor's responslbilities planned scw and ts'ming of Ihe ￿drt and audrt findings. inc￿dir¥a any swknnl defK4•￿ m inlwnal c￿trol Ihal l #lentsfy durng my aud nan Cromp 1 C¥xtal ￿art AWYR LAS ANNUAL REPORT 2022123 Tyrnlall Str•8t 29 Awll 2024 CF10 48Z AWYR LAS ANNUAL REPORT 2022123 ## **Appendix 1: Board and Committee Membership 2022/23** A number of changes to Board membership, including interim and acting up arrangements, have occurred during 2022/23 and are reflected in the table below. **----- Start of picture text -----**
Name Position Term
**----- End of picture text -----**
|Name|Position|Term| |---|---|---| |||| |Chris Stockport|Executive Director of
Transformation, Strategic Planning
and Commissioning|N/A| |Gareth Evans|Acting Director of Therapies and
Health Services|N/A| |Adrian Thomas|Executive Director of Therapies and
Health Services|Until 16 October 2022| |Teresa Owen|Executive Director of Public Health|N/A| |Sue Green|Executive Director of Workforce
and Organisational Development|N/A| ## Committee membership **----- Start of picture text -----**
Area of expertise
Champion
Name Position / representation Board Committee membership
roles
role
Chair of the Board
Chair
Mark Polin Chair Renumeration and Terms of
(to 27.02.23)
Service Committee
Board Member
Chair Quality, Safety and
Independent Community
Experience Committee
Member Primary Care
Lucy Reid Chair Mental Health and Capacity Concerns
Vice Chair and Mental
Compliance Committee
(to 27.02.23) Health
Member Remuneration and
Terms of Service Committee
**----- End of picture text -----**
**A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 6 5 **----- Start of picture text -----**
Area of
expertise /
Name Position Board Committee membership Champion roles
representation
role
Board member
Member Quality, Safety and
Experience Committee Carers
Independent
Cllr Cheryl Member Mental Health and Children and
Member Community
Carlisle Capacity Compliance Young
(to 27.02.23)
Committee People
Member Charitable Funds
Committee
Patient and
Cllr Board member
Independent Public
Richard Local Chair Audit Committee
Member Involvement
Medwyn Authority Vice Chair Remuneration and
(to.27.02.23) Welsh
Hughes Terms of Service Committee
Language
Independent Board member
Prof
Member Vice Chair Partnerships, People
Nicola University
(to and Population Health
Callow
27.02.2023) Committee
Board Member
Member Remuneration and
Terms of Service Committee
Independent Member Quality, Safety and Violence and
Jackie Trade
Member (to Experience Committee aggression
Hughes Union
27.02.2023) Chair Charitable Funds Equality
Committee
Ex Officio Local Parternship
Forum
Board Member
Chair Performance, Finance
Independent and Information Governance
John
Member (to Community Committee
Cunlifee
27.02.2023) Member Partnerships, People
and Population Health
Committee
Board Member
Independent
Hugh Member Audit Committee
Member (to Community
Evans Member Quality, Safety and
27.02.23)
Experience Committee
**----- End of picture text -----**
**A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 6 6 **----- Start of picture text -----**
Area of
expertise /
Name Position Board Committee membership Champion roles
representation
role
Board Member
Richard Independent Member Audit Committee
Micklewri Member Community Member Performance, Finance
ght (to 27.02.23) and Information Governance
Committee
Board Member
Member Performance, Finance
and Information Governance
Independent
Linda Committee
Member Community
Tomas Chair Partnerships, People and
(to.27.02.23)
Population Committee
Member Charitable Funds
Committee
Independent
Board Chair
Dyfed Member
Community Chair Remuneration and Terms
Edwards (from
of Service Committee
27.02.2023)
Area of
expertise /
Name Position Board Committee membership Champion roles
representation
role
Board Member
Chair Quality, Safety and
Independent
Rhian Experience Committee (from
Member
Watcyn Community 19.05.23)
(from
Jones Member Remuneration and
27.02.23)
Terms of Service Committee
(from 28.04.23)
Board Member
Chair Audit Committee (from
15.05.23)
Independent
Member Remuneration and
Karen Member
Community Terms of Service Committee
Balmer (from
(from 28.04.23)
27.02.23)
Member Performance, Finance
and Information Governance
Committee (from 12.05.23)
**----- End of picture text -----**
**A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 6 7 **----- Start of picture text -----**
Area of
expertise /
Name Position Board Committee membership Champion roles
representation
role
Board Member
Chair Performance, Finance
and Information Governance
Independent
Committee (from 12.05.23)
Gareth Member
Community Member Remuneration and
Williams (from
Terms of Service Committee
27.02.23)
(from 28.04.23)
Member Audit Committee
(from 15.05.23)
Board Member
In attendance Remuneration
and Terms of Service
Chief
Jo Committee
Executive (to
Whitehead In attendance Audit Committee
15.11.22)
(at least annually)
Joint Chair / Member Local
Partnership Forum
Deputy Chief
Executive (to Board Member
15.11.22) In attendance Quality, Safety
and Experience Committee (to
Executive July 2022)
Director Member Local Partnership
Integrated Forum
Gill Harris Clinical In attendance Performance,
Delivery Finance and Information
(from Governance Committee
01.04.23) In attendance Partnerships,
People and Population Health
Acting CEO Committee
(from 16.11.22 In attendance Audit Committee
to 27.03.23)
Board Member
Lead Director / in attendance
Interim
Quality, Safety and Experience
Executive
Committee (to August 2022)
Gaynor Director
Member Local Partnership
Thomason Nursing and
Forum
Midwifery (to
In attendance Performance,
31.07.22)
Finance and Information
Governance Committee
**----- End of picture text -----**
**A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 6 8 **----- Start of picture text -----**
Area of
expertise /
Name Position Board Committee membership Champion roles
representation
role
In attendance Partnerships,
People and Population Health
Committee
Board Member
Lead Director / in attendance
Quality, Safety and Experience
Executive Committee (from August 2022)
Director Member Local Partnerships
Angela Nursing and Forum
Wood Midwifery In attendance Performance,
(from Finance and Information
01.08.22) Governance Committee
In attendance Partnerships,
People and Population Health
Committee
Board Member
In attendance Audit Committee
Lead Director / in attendance
Charitable Funds Committee
Executive
Lead Director / in attendance
Sue Hill Director of
Performance, Finance and
Finance
Information Governance
Committee
Member Local Partnership
Forum
Board Member
In attendance Audit Committee
Acting Lead Director / in attendance
Executive Charitable Funds Committee
Director of Lead Director / in attendance
Rob Nolan
Finance Performance, Finance and
(from 12.10.22 Information Governance
to 12.11.22) Committee
Member Local Partnership
Forum
Interim
Executive Board Member
Steve Director of In attendance Audit Committee
Webster Finance Lead Director / in attendance
(from Charitable Funds Committee
03.01.23)
**----- End of picture text -----**
**A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 6 9 **----- Start of picture text -----**
Area of
expertise /
Name Position Board Committee membership Champion roles
representation
role
Lead Director / in attendance
Performance, Finance and
Information Governance
Committee
Member Local Partnership
Forum
Board Member
In attendance Quality, Safety
and Experience Committee
Executive In attendance Partnerships,
Teresa
Director of People and Population Health
Owen
Public Health Committee
Lead Director / in attendance
Mental Health and Capacity
Compliance Committee
Board Member
Lead Director / in attendance
Remuneration and Terms of
Executive Service Committee
Director of In attendance Performance,
Workforce Finance and Information
and Governance Committee
Sue Green
Organisation In attendance Partnerships,
al People and Population Health
Development Committee
(OD) Lead Director / Member Local
Partnership Forum
In attendance Quality, Safety
and Experience Committee
Board Member
In attendance Quality, Safety
and Experience Committee
Member Charitable Funds
Executive
Committee
Dr Nick Medical
In attendance Remuneration
Lyons Director /
and Terms of Service
Deputy CEO
Committee
In attendance Strategy,
Partnerships and Population
Health Committee
**----- End of picture text -----**
**A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 7 0 **----- Start of picture text -----**
Area of
expertise /
Name Position Board Committee membership Champion roles
representation
role
Board Member
In attendance Quality, Safety
Executive and Experience Committee
Director of Lead Director / in attendance
Dr Chris
Transformati Partnerships, People and
Stockport
on and Population Health Committee
Planning In attendance Performance,
Finance and Information
Governance Committee
Executive
Board Member
Director
Lead Director / in attendance
Adrian Therapies
Healthcare Professionals Forum
Thomas and Health
In attendance Quality, Safety
Sciences (to
and Experience Committee
16.10.22)
Acting
Board Member
Executive
Lead Director / in attendance
Gareth Director
Healthcare Professionals Forum
Evans Therapies
In attendance Quality, Safety
and Health
and Experience Committee
Sciences
Board Member
Interim In attendance Audit Committee
Molly
Board In attendance Remuneration
Marcu
Secretary and Terms of Service
Committee
**----- End of picture text -----**
**A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 7 1 ## Associate Board Member **----- Start of picture text -----**
Area of
expertise /
Name Position Board Committee membership Champion roles
representation
role
Associate Representative
Morwena
Member (to of Directors of Associate Board Member
Edwards
25.06.22) Social Services
Chair
Clare Associate Stakeholder
Associate Board Member
Budden Member Reference
Group
Chair
Associate Board Member
Associate Healthcare
Jane Wild In attendance Quality, Safety
Member Professionals
and Experience Committee
Forum
Associate
Representative
Fôn Member
of Directors of Associate Board Member
Roberts (from
Social Services
29.07.22)
**----- End of picture text -----**
**A W Y R L A S • A N N U A L R E P O R T 2 0 2 2 / 2 3** 7 2 **T h e a d d r e ss o f the ch a ri ty an d t h e C o r p o r a t e T r us t ee ' s p ri n c i pal o ffi c e i s:** A w y r L a s Y s b y t y G w y n e dd P e n rh o s g ar ne dd B a ngo r G w yn e d d L L 5 7 2 P W **A w y r L a s : T h e N o r t h W al es N H S Ch ar i ty** R e g i s te r e d C h ar it y N um be r 11 38 97 6 w w w . aw y rla s .o rg. u k M e m b e r o f _This document is available online. 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._ _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 face masks and distancing._