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2021-03-31-accounts

The Foundation Trust Network operating as NHS PROVIDERS

The Foundation Trust Network operating as NHS PROVIDERS

TRUSTEES’ ANNUAL REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 1

The Foundation Trust Network Charity registration number: 1140900 Company registration number: 07525114

The Foundation Trust Network operating as NHS PROVIDERS

Charity registration number: 1140900 Company registration number: 07525114

CONTENTS

Trustees’ report for the year ended
31 March 2021 3
Administrative details of the charity,
its trustees and advisers 26
Independent auditors’ report 28
Consolidated statement
of fnancial activities 32
Group balance sheet 33
Charity balance sheet 34
Consolidated cash fow 35
Notes to the fnancial statements 36

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The Foundation Trust Network operating as NHS PROVIDERS

REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2021

The trustees are pleased to present their annual trustees’ report together with the consolidated financial statements of the charity and its subsidiary for the year ended 31 March 2021. The financial statements have been prepared in accordance with the Charities Act 2011, the Companies Act 2006, the organisation’s memorandum and articles of association, and Accounting and Reporting by Charities: Statement of Recommended Practice (SORP) applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (Second edition).

Strategic report

The information below, including the review of activities, financial review, risk management statement and summary of future plans forms the strategic report for the purpose of the Companies Act 2006.

The report and financial statements also meet the requirement for a directors’ report and accounts under the Companies Act.

About us

The charity’s objects are: the relief of sickness and the preservation and protection of public health through the support of its members as providers of healthcare within the NHS .

During the year NHS Providers had one wholly owned trading subsidiary company: FTN Trading Limited trading as NHS Providers Trading Limited (company ref 07940647) to operate its annual conference.

About the period covered by this report

CHAIR’S REPORT

NHS Providers has had an extraordinary year acting as the membership organisation for the 215 NHS acute hospital, ambulance, community and mental health foundation trusts and trusts who provide healthcare to England’s 56 million population.

The trusts we represent have faced enormous challenges in dealing with repeated waves of COVID-19 while treating millions of patients with other conditions and playing a leading role in the biggest vaccination programme in the history of the NHS.

The response to the emergency by trusts and NHS staff has reinforced public gratitude and support for the health service. It showed how trusts, working with partners, are well placed to play a leading role in the evolving integrated health and care landscape. But the pandemic has also created additional demands on the health service, the extent of which are only now starting to become clear.

NHS Providers moved quickly and effectively to provide trusts with the support they needed during the pandemic. Core activities were adapted to provide alternative solutions for members, with a focus on addressing central concerns in the media while working to influence key decisions, particularly over funding and the development of system working. Our programme of events and networking opportunities, including the Annual Conference and Exhibition, went ahead online seamlessly and successfully.

As the continuing excellent results in our member, staff and stakeholder surveys show, NHS Providers has once again delivered for our members and the wider service across all four elements of our strategy – voice, influence, support and excellent organisation. However, recognising the changes wrought by the pandemic and the fast evolving landscape of integrated care, we brought forward our new strategy, mapping out our journey from the voice of NHS providers to the voice of NHS providers working in local systems.

This report covers all the group’s activities from 1 April 2020 until 31 March 2021.

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The Foundation Trust Network operating as NHS PROVIDERS

This strategy, now approved by members, underlines our continuing commitment to be an outstanding membership organisation and trade association, unrivalled in the influence voice and support we offer our members. Throughout this very difficult year, I have had many occasions to be grateful to my fellow trustees – 20 busy trust chairs and chief executives – for their time and commitment. The board as a whole would also like to thank our staff team for their hard work and our members for their continuing support.

Sir Ron Kerr Chair, NHS Providers

OUR OBJECTIVES AND ACTIVITIES

NHS Providers is required by charity and company law to act within the objects of its memorandum of association.

The purpose of the charity, as stated therein, is to enable our members to provide high quality healthcare within the NHS, thereby relieving sickness and protecting public health.

We uphold our duty of public benefit by being an outstanding membership organisation supporting the NHS trusts and foundation trusts who provide frontline healthcare to England’s 53 million population. Our members include NHS acute hospitals, community, mental health and ambulance service foundation trusts and trusts that, together, interact with more than 5 million patients and service users a week, employ more than 1.1 million of its 1.2 million staff, and account for £65bn of the £110bn spent by the NHS.

The trustees confirm that they have complied with the duty in section 17 of the Charities Act 2011 to have due regard to the Charity Commission’s guidance on public benefit. NHS Providers’ public benefit is enshrined in its charitable objectives as outlined above.

Over the course of 2020/21 we refreshed our organisational strategy to respond to changes in the external environment, including the coronavirus pandemic, and to respond to feedback from our members to deliver our influence, voice and support in the changing context of a rapidly increasing move to integrate health and care and system working at a local level. We therefore launched a new four year strategy in April 2021, as set out below.

Our vision

An outstanding membership organisation and trade association for all NHS providers, unrivalled in the influence, voice and support we offer our members.

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The Foundation Trust Network operating as NHS PROVIDERS

Our mission

To enable high quality care for patients and service users, and a reduction in health inequalities, by supporting members to work collaboratively within and across local health and care systems.

Our strategic objectives

Our four strategic objectives drawn from our four-year (2021-25) strategy, are:

Our values

This year we co-produced and launched our new organisational values which reflect the behaviours we seek to model and drive and underpin all of our work. At NHS Providers, we are:

KEY ACHIEVEMENTS AND PERFORMANCE

Delivering voice, influence and support for our membership in response to the coronavirus pandemic and supporting the wellbeing of our own staff during lockdown and the shift to virtual working, took precedence throughout 2020/21.

We significantly increased our media profile during the year as a ‘go to’ organisation willing and able to comment authoritatively on the rising pressures on trusts and frontline staff. We played a key and new role in the early days of the pandemic in facilitating direct, timely dialogue between national policy makers and trust chairs and chief executives, continuing to shape policy constructively throughout the year including to embed innovation and learning from the experience of the pandemic. We also pivoted our development, engagement and events offer to virtual platforms swiftly and effectively with excellent feedback which will inform how we manage our support offer going forwards.

Despite the primacy of the pandemic throughout the year, a raft of wider health and care policy development restarted in the summer of 2020, and we have delivered significant achievements in maintaining our influence and voice on the sustainability of the sector, the development of system working and the linked legislative proposals, as well as tackling workforce challenges –alongside a sustained public narrative on the risks and impact created by the coronavirus. We also continued to offer bespoke member support to trust boards, restarting our full offer of networks and engagement on a virtual basis when trusts had sufficient capacity to engage.

We redeployed staff quickly in the early days of the pandemic to focus almost entirely on supporting our members in their response to unprecedented times. As ‘core’ activities restarted in pockets over the course of the year, our staff have often gone above and beyond to manage the additional work created by the pandemic context with limited additional resource.

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The Foundation Trust Network operating as NHS PROVIDERS

Below we set out a short summary of our work to support trusts during the pandemic, and summarise key achievements against each of our four strategic objectives: influence, voice, support and excellent organisation, including the priorities we set out for 2020/21 in our previous annual report.

Shaping policy and supporting communication during the pandemic

All of our work over the last year has been set against the backdrop of the challenges created by the pandemic, making our objectives of influence, voice and support more closely intertwined than ever before. We facilitated regular communication between trusts and NHS England and NHS Improvement, highlighting challenges arising from national policy approaches such as the supply and distribution of PPE, the support needed to deliver the vaccination programme, the risk facing care homes, the government’s testing strategy and the test and trace regime. We also highlighted the impact of the pandemic on frontline staff, its very concerning deepening of race and health inequalities and the way it has created pent up and rising demand for particular services.

We sustained our impact over the year, repeatedly calling on government to be cautious in easing the lockdown, emphasising the need to look at ‘data not dates’ and setting four key tests – an approach strongly echoed in the Prime Minister’s subsequent roadmap. Our core focus has been on reflecting trusts’ achievements, sharing learning from the innovations introduced during the pandemic, and supporting trusts to protect their staff and patients as they recover the care backlog.

In total during the year we:

Influence

In addition to our work on the impact of coronavirus, and informed and infused by the experience of the pandemic, we had impact in the following key areas of national policy, as planned:

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The Foundation Trust Network operating as NHS PROVIDERS

Sector focus

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The Foundation Trust Network operating as NHS PROVIDERS

All of our influencing activities are underpinned by constructive relationships with key stakeholders and a robust evidence base. We sustained our stakeholder engagement with key decision makers including the Secretary of State for Health and Social Care, the ministerial team, the health and social care select committee, and other senior parliamentarians, as well as the leadership of NHS England and NHS Improvement, the CQC and other national bodies. Over the past year, we successfully moved our dinner programme for members and key stakeholders online into a new online format and developed a ‘Spotlight on…’ briefing series for parliamentarians and the media. We completed our annual survey programme, with a greater focus on short, flash surveys to enable trust leaders to engage. Our annual stakeholder survey continues to confirm the very positive views that stakeholders have of NHS Providers and our work.

Voice

‘The past year has been pivotal in cementing NHS Providers as not just the ‘go to’ authority on provider issues but also as a key media commentator on wider NHS issues, willing and able to contribute to national discourse on the impact on the NHS as the pandemic unfolded. Trusts are keen that we sustain our increased presence in the media which has focused on setting out the pressures facing providers and the frontline and promoting trusts’ achievements in unprecedented times. This will continue to be important as we approach a public inquiry into the government’s response to the pandemic.

From the early stages of the pandemic we were able to draw on our unrivalled access to insightful, up-to-date information from members to address a worrying information gap that could – on occasion – be filled by other less reliable sources. This, combined with our close connections with national NHS leaders, allowed us to present a credible and authoritative picture of what was happening on the ground, on a range of pressing issues including testing, ventilators, PPE, COVID-19 and non-Covid care, support for staff and the vaccination programme.

We pivoted our resources to ensure we were primed to comment proactively and reactively to developments day by day. Our willingness to acknowledge shortcomings, to discuss the reasons behind them, and our ability to anticipate and explain frontline concerns cemented our standing in the eyes of journalists. The regular, assured and knowledgeable media contributions from our Chief Executive and Deputy Chief Executive enhanced NHS providers’ profile, and has been highly commended in feedback from members, parliamentarians, and frontline staff.

We have had 36,782 media mentions – more than a fivefold increase on last year - and placed 47 commentary pieces authored by our staff and experts from partnership organisations or members (an increase from 35 last year). We have been a leading commentator on the impact of the pandemic, funding for the NHS, governance and system working.

Engagement with our digital activities has continued to grow and we have seen both NHS Providers’ and Chris Hopson’s Twitter accounts increase to more than 23,000. We are using video, podcasts and LinkedIn to NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021further increase our reach across digital platforms. 8

The Foundation Trust Network operating as NHS PROVIDERS

Support

We successfully pivoted all our development and support programmes for trust boards and governors to a virtual format, with an increase in demand and outstanding feedback from those taking part. The use of virtual platforms and blended models will inform our delivery going forwards. In summary we:

Continue to develop and deliver a range of additional tailored support programmes for boards, some of which are supported by external funding where possible and appropriate.

Excellent organisation

New four year strategy

Over the course of 2020/21 we developed a new four year strategy for the organisation in response to the external environment, and in response to feedback from members who want to see us do more to help shape their role in system working. The strategy was developed in partnership with our board, which is reflective of our membership.

In February 2020, we consulted the membership on our proposals for a new strategy underpinned by a revised business model to increase and diversify our income by:

In testament to the organisation’s performance over the past year, members were supportive of the new strategy and business model, which launched in April 2021, providing a clear framework for NHS Providers and its staff to build on the strengths of the organisation in coming years.

Shared values and behaviours

The launch of our organisational values this year is an important moment for the organisation. Co produced with the staff team, our values and behaviours underpin our approach and all of our work. we have already undertaken a range of activities in support of this new approach including offering a confidential survey for all staff on internal communications, and updating our appraisal process to integrate full reflection on our shared values.

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The Foundation Trust Network operating as NHS PROVIDERS

Feedback from members and stakeholders

During 2020/21 we continued to deliver high professional standards across all our work, ensuring that as an organisation we are fit for purpose and offer outstanding value for money to our members. By the end of the 2020/21 financial year, NHS Providers had 100% of the 214 eligible foundation trusts and trusts in membership.

In the most recent members survey 95% of respondents were ‘very’ or ‘fairly satisfied’ with the work of NHS Providers; with 57% indicating they are ‘very satisfied’ - the highest ever figure from five years’ worth of surveys. 97% felt it was ‘very’ or ‘fairly important’ for their organisation to be a member of NHS Providers. Overall, 92% felt it was ‘very’ or ‘fairly important’ for them individually, rising to 97% for chairs and chief executives. 96% would speak positively about NHS Providers.

We have also maintained high levels of satisfaction among our stakeholders. Our independent survey of 20 health and political leaders and the media – conducted on our behalf by Ipsos MORI – found that stakeholders regard engagement with NHS Providers as extremely valuable. They recognise that we are the go-to organisation for the views of the provider sector.

Staff wellbeing and support

We have continued to invest in support and recognition for our staff and receive positive feedback that staff feel valued and would recommend NHS Providers as a place to work. This year has seen a particular focus on staff wellbeing, supporting staff through the challenges of virtual home working and managing some difficult individual circumstances. We have adapted key policies to provide additional support and maintained excellent communication within and between teams. We have put in place plans to transition back to office based working when Government guidelines allow but will continue to support a desire from many staff to maintain a flexible approach to our ways of working.

OUR PLANS FOR THE FUTURE

We are uniquely placed to work across the full range of issues that affect trusts, drawing on the perspectives and experience of our membership which includes all of the 215 hospital, mental health, community and ambulance trusts in England. Our priorities for 2021/22 are outlined below against each of our four strategic objectives of influence, voice, support and excellent organisation.

The strategic objectives set out in our new four year strategy are:

Influence

To shape the environment and culture in which our members operate – with a dedicated focus on finances, quality, workforce, governance, regulation, digital transformation, integration and system working.

Voice

To be the collective voice of NHS providers working in local systems, reflecting the diversity of our membership, and championing their interests in the media, government, the NHS and wider health and care community.

Support

To help our members and their local system partners drive improvement and innovation through effective, shared development, support and learning.

Excellent organisation

To provide outstanding value for money to our members, create a supportive environment for staff and continually improve, driven by our values.

In support of our strategy, this year we will make concerted effort to mirror the challenges that trusts are facing to sustain our credibility, relevance and to represent their interests in fast changing times. We will build on our success to date to refresh our approach and move from the voice of NHS providers to the voice of NHS providers in local systems, working with relevant partners to add value for our membership.

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The Foundation Trust Network operating as NHS PROVIDERS

Influence

Over the year ahead we will sustain our stakeholder engagement programme, and our evidence based approach, to underpin the following portfolios of work:

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The Foundation Trust Network operating as NHS PROVIDERS

Voice

We will continue to be the collective voice of NHS providers, reflecting the diversity of our membership, and championing your interests in the media, government, the NHS and wider healthcare community focusing on:

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The Foundation Trust Network operating as NHS PROVIDERS

Support

We will help providers drive improvement and innovation through effective, shared development, support and learning. With a particular focus on:

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The Foundation Trust Network operating as NHS PROVIDERS

Excellent organisation

We will strive to provide outstanding value for money, create a supportive environment for our staff and continually improve. With a particular focus on:

Further information and contact details

Chris Hopson, chief executive NHS Providers (registered as Foundation Trust Network)

One Birdcage Walk London SW1H 9JJ Tel: 020 7304 6977 Email: enquiries@nhsproviders.org Web: www.nhsproviders.org

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The Foundation Trust Network operating as NHS PROVIDERS

FINANCIAL REVIEW

NHS Providers, as a membership organisation, receives the majority of its recurring income from membership subscriptions. Additional annual income is derived from providing workshops and training services to members - as well as from commercial agreements, including (but not limited to) event sponsorship. NHS Providers also generates project income by working collaboratively with partners to develop specific areas of support for members. NHS Providers does not raise funds directly from the public, although it does accept unsolicited donations. All of these funding sources enable the charity to deliver its objectives of voice, influence, support and excellent organisation.

Under its current strategy, NHS Providers aims to:

Income from charitable activities increased by 54% to £1,213,408 (2020: £787,044). This is due to a substantial increase in project income. NHSP secured a three-year project with NHSI/E on digital transformation, total value £2.6m. In 2021 service delivery continued on developing a peer support offer for local systems funded by using brought forward restricted funds of £167k. Although course delivery under the Board development programme was relatively uninterrupted despite the impact of the Covid pandemic, there was a relatively small decline in income of 15% due to a “transitioning period” from face to face to more hybrid ways of working. However the decline in income was also offset by a reduction in delivery costs.

Subscription income was stable across 2019/20 and 2020/21 with all trusts still in membership. Membership fees were increased by a small amount to fund the last year of the three-year strategic offer, but the overall subscription income increase averaged 1% due to income loss through trusts merging. At year end NHS Providers had 100% of trusts in membership, which represented 215 trusts.

Revenue of the charity’s wholly owned subsidiary, FTN Trading Limited, decreased by 46% from £395,350 to £212,852 for the year ending 31 March 2021. Due to the Covid pandemic, NHSP transitioned to hosting its annual conference virtually. Exhibition stand rates and ticket sales were market adjusted to reflect the virtual delivery format, resulting in a decline in income compared with 2020. However, the overall profit margin actually increased, from 27% to 46% as delivering the conference virtually created very significant cost savings.

Other commercial income streams, such as the connect programme and associate income showed progressive growth of 35% from £51,812 in 2020 to £70,458 in 2021. In 2020. The trading entity delivered a surplus of £39,995 for the year (2020-nil).

Overall expenditure increased by 10% to £5,376,009 (2020: £4,900,939). However, included in total expenditure is spend on the digital transformation project of £572k. Excluding this project related spend and spend on restricted funds, which distort the comparatives, the 2021 spend is 3% lower than 2020 levels. This percentage decline is more reflective of the impact that Covid had on variable costs in particular variable office overhead costs and variable costs of course delivery. The full extent of these savings is somewhat offset by the continued growth in salary costs, (staff growth of 58 to 66 in year), to support the expanded offer to members.

NHS Providers realised a surplus of £294,507 for the year, (2020: £313,600). This aggregates, a surplus on unrestricted funds of £448,900 and a deficit on restricted funds of £154,393. The surplus reflects the agility of our organisation to adapt at speed to the rapidly changing environment caused by the Covid pandemic. As a result, we did not suffer any significant loss of income and where we did, we achieved savings on expenditure. Total reserves for the year ending 31st March 2021 are £2,309,848.

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The Foundation Trust Network operating as NHS PROVIDERS

Reserves policy

In the trustees’ view, the charity’s reserves should provide the charity with adequate financial stability and the means for it to meet its charitable objectives should a shortfall in income occur, considering potential risks. Reserves are also maintained to further the strategic aims of the charity and to maximise business growth opportunities, subject to approval by the finance and general purposes committee. If the charity was to cease operating, reserves are set at a level that allows the charity to meet all necessary obligations and commitments to staff and third parties.

To meet the above objectives, it has been agreed by the board that free reserves should not fall below £1,300,000. This was set at a level sufficient to meet our statutory obligations in the event of an orderly winding up. The level of free reserves for the group is defined as general unrestricted funds excluding tangible fixed assets which cannot be readily liquidated.

At year-end, the group had a level of free reserves of £2,156,833, well in excess of the reserve level set. Free reserves are higher than the agreed minimum level due to current and prior year surpluses. These were achieved through cost control and higher project income in recent years. NHS Providers will utilize excess reserves in the delivery of the new four-year strategy 2021-2024 and to achieve sustainable growth.

The finance and general purposes committee will review the amount of reserves on an annual basis to ensure that they are sufficient to meet the group’s continuing obligations.

Going concern

We have adequate financial resources and are proactive in identifying and mitigating business risks. Our planning process, including financial projections, considers the current economic climate and its potential impact of various sources of income and expenditure. NHS Providers has been pro-active in adapting to the changes brought about by the Covid pandemic. To ensure uninterrupted support to members we are continuing to deliver a hybrid

of face to face and virtual conferences and events. Endorsement of our members support is evidenced by retention of 100% of our membership at year end. Additionally, we continue to diversify income by developing commercial income streams and securing new areas of project funding. These measures safeguard our revenue and cashflow enabling us to provide assurance about our financial stability notwithstanding any unexpected challenges. The charity has a strong balance sheet with a high level of net current assets due to the cash reserves held.

We believe there are no material uncertainties that call into doubt the charity’s ability to continue as a going concern.

Fundraising

The Trustees take their responsibility under the Charities (Protection and Social Investment) Act 2016 seriously and have considered the implications on their activities. The charity does not raise funds directly from the general public and does not actively solicit donations. The Charity does not work directly with commercial sponsors but where commercial sponsorship is arranged for an event, a clear contract is in place between the trading company and the commercial sponsor. The trustees are not aware of any complaints made in respect of fundraising during the period.

Principal risks and uncertainties

NHS Providers is committed to effective risk management as an integral part of ensuring good corporate governance. Risk management provides the framework and process that enables NHS Providers to manage uncertainty in a systematic way. Our risk management processes are designed to enable us to adequately identify review and mitigate risks.

The risk management strategy comprises:

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The Foundation Trust Network operating as NHS PROVIDERS

All risks are documented in a risk register which scores risks according to their impact and likelihood of risk crystallising. It identifies potential impacts and documents control measure and actions. The score profile is updated quarterly.

Responsibility for risk management is undertaken at every level of the organisation. Day-to-day responsibility for operational risk lies with the managers and staff responsible for the organisation’s operations. The risk register is reviewed and updated on a regular basis by the senior management team of the organisation and the finance and general purposes committee. The full board of trustees review the risk register twice a year and are responsible for considering the overall strategic risks and for monitoring the status of any significant operational risks.

The key risk areas facing the charity and its subsidiary and a summary of the plans and strategies to manage those risks are listed below:

The four-year strategic plan 2021-2025 is designed to future proof the membership structure and adequately support service delivery to members. The strategic plan, along with the annual business plan, ensures NHS Providers remains responsive and representative of member need in a rapidly changing environment. Other external factors such as competition are regularly reviewed and appropriate offerings and or alliances are created to mitigate their effect.

It should be noted that any risk management system can only manage risks and not eliminate them and can provide only reasonable, and not absolute, assurance against material misstatement or loss.

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The Foundation Trust Network operating as NHS PROVIDERS

STRUCTURE, GOVERNANCE AND MANAGEMENT

This is the tenth annual report and audited financial statements of the Foundation Trust Network, operating as NHS Providers, since it became an independent organisation on 1 April 2011. Details of the organisation’s incorporation as a private company limited by guarantee and registration as a charity are given on page 3. The company is governed by its articles of association, the latest version of which was approved by members in March 2017.

It should be noted that during 2014/15 the organisation changed its operating name to NHS Providers in a rebranding exercise. Its registered name is still the Foundation Trust Network and it can be found under this name at both Companies House and the Charity Commission.

GOVERNANCE

Appointment and induction of new trustees

NHS Providers is governed by a board of elected trustees. Trustees who served during the period 2020/21 and to the date of this report are listed on page 20 , Senior executive staff and external advisors are detailed on page 26.

During 2020-21 the board comprised of 22 trustees :

Due to Alan Foster’s resignation as chief executive of North Tees and Hartlepool NHS Foundation Trust to focus on leading his regional ICS, he could no longer serve as a trustee of NHS Providers in the acute trust category. However, in order to ensure appropriate focus on and input from the ICS/STP perspective, at its meeting in May 2019 the Board approved Alan’s co-option to the Board, as permitted by the Articles of Association. This appointment was ratified by members at the Annual General Meeting in December 2019 and extended for a further year at the AGM in 2020. He therefore continues as a co-opted trustee.

On 1 January 2020, Sir Ron Kerr took over from Dame Gill Morgan as chair of NHS Providers. He was appointed following open competition and a national search in line with Article 20 of the organisation’s articles of association.

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The Foundation Trust Network operating as NHS PROVIDERS

The other trustees are drawn from chairs and chief executives of member organisations. They are therefore already familiar with both board procedures and the activities of NHS Providers. Upon election, trustees go through an induction process coordinated by the chair and the executive to ensure that they are up to date with the activities of NHS Providers and that they understand the specific duties and responsibilities of being a charity trustee - in particular the importance of acting as trustees of a charity and representing the views of all members, not the views of their own organisation.

In addition to the induction process, from time to time external training is provided to trustees specifically on the role of the trustee in a charity and the associated legal obligations. Such training was last provided by Hempsons Solicitors in a session following the 2019 July board meeting. This was very well received by trustees, particularly those newly elected to the Board. It is anticipated that this session would be repeated every 3 – 4 years as required.

The governance standards of the organisation are continuously monitored to assure compliance with the Charity Governance Code. In 2019, a full review of the governance standards of the organisation was carried out, with a board sub-committee convened to take this work forward. This group tasked an external, expert consultant to carry out a review of the board’s governance arrangements against the 7 principles of the Charity Governance Code 2017. The resulting report concluded that there exists sound evidence of compliance with the charities code across the full range of principles and from this it is fair to infer detailed compliance. There was just one recommendation in the area of risk. Specifically, it suggested that the board should agree a process to escalate and de-escalate risk and to evidence better that strategic horizon scanning takes place. This has been incorporated in to the process by which the board reviews and monitor the organisation’s risk.

The governance review also considered the organisation’s membership to explore how it might adapt to reflect the changing NHS environment as the focus shifts to integrated local health and care system working. It was agreed that free associate membership would be offered to STPs/ICSs to enable them to access, as appropriate, our support offer. This offer has now been rolled out and a significant number of ICSs have opted to become associate members.

The organisation maintains a register of interests for trustees, as well as senior executives. The trustees’ and senior executives’ interests registers are reviewed annually and when there are substantial changes to the registers, such as following trustee elections. Additional oral declarations of interest are taken at the start of each meeting of the NHS Providers board and board sub committee meetings.

During the period covered by this report, the NHS Providers board met a total of six times. Details of trustees and their attendance at Board meetings and at board sub committees where relevant up until the date of this report are listed below. It should be noted that, under the normal trustee appointment cycle, there should have been elections carried out in June 2020. However, due to the COVID-19 crisis, the board took a decision at its May meeting that these elections would be delayed by 3 months. The 6 trustee’s terms of office were coming to an end, all agreed to remain in post for this period. The elections were carried out successfully in September but with the terms of office of the elected trustees adjusted to terminate in June 2023 to maintain the usual annual cycle.

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~~The Foundation Trust Network operating as~~
NHS PROVIDERS
TRUSTEES
TERM
ATTENDANCE
AT BOARD
ATTENDANCE
AT FINANCE
AND GENERAL
PURPOSES
COMMITTEE
ATTENDANCE
AT
REMUNERATION
COMMITTEE
TracyAllen
Appointed 07/10/2020
6/6
Ingrid Barker
Appointed 14/10/2013,
Re-appointed 01/07/2018,
Retired 30/06/2021
7/7
2/2
Ann Beasley
Appointed 25/05/2020
9/9
1/2
Susan Brain England
Appointed 01/07/2017
Re-appointed 07/10/2020
8/9
MaryElford
Appointed 30/06/2021
2/2
0/0
Daniel Elkeles
Appointed 28/06/2019,
Retired 01/09/2021
7/8
Alan Foster
Appointed 01/07/2015, Re-appointed
01/07/2018, Co-opted 03/12/2020
3/9
Beatrice Fraenkel
Appointed 06/11/2019
7/9
5/8
William Hancock
Appointed 02/07/2014,
Retired 07/10/2020
1/3
2/4
Angela Hillery
Appointed 01/07/2017,
Re-appointed 07/10/2020
5/9
2/8
Nicholas Hulme
Appointed 01/07/2018,
Re-appointed 30/06/2021
9/9
Sir Ron Kerr
Appointed 01/01/2020
9/9
2/2
Brent Kilmurray
Appointed 06/11/2019
Retired 30/09/2021
3/9
Heather Lawrence
Appointed 06/11/2019
8/9
Deborah Lee
Appointed 30/06/2021
1/2
0/0
Harriet Llewelyn-Davies
Appointed 10/01/2018,
Re-appointed 07/10/2020
8/9
8/8
Lance McCarthy
Appointed 06/11/2019
Retired 12/09/2021
7/9
3/3
KathyMcLean
Appointed 30/06/2021
2/2
Patricia Miller
Appointed 01/07/2016,
Re-appointed 01/07/2019
7/9
2/2
Christine Outram
Appointed 02/11/2016,
Re-appointed 30/06/2019
6/9
Therese Patten
Appointed 30/06/2021
2/2
Linda Pollard
Appointed 30/06/2019
6/9
2/2
Helen Ray
Appointed 07/10/2020
5/6
Colin Scales
Appointed 08/01/2018,
Retired 07/10/2020
1/3
Jagtar Singh
Appointed 01/07/2016, Re-appointed
01/07/2017, Reappointed 07/10/2020
8/9
2/2
Karamjit Singh
Appointed 30/06/19, Retired 16/04/2021
5/6
6/6
Tracy Taylor
Appointed 01/07/2015, Re-appointed
01/07/2018, Retired 30/06/2021
7/7
2/2
Melanie Walker
Appointed 01/07/2018,		 ~~The Foundation Trust Network operating as~~
NHS PROVIDERS
TRUSTEES
TERM
ATTENDANCE
AT BOARD
ATTENDANCE
AT FINANCE
AND GENERAL
PURPOSES
COMMITTEE
ATTENDANCE
AT
REMUNERATION
COMMITTEE
TracyAllen
Appointed 07/10/2020
6/6
Ingrid Barker
Appointed 14/10/2013,
Re-appointed 01/07/2018,
Retired 30/06/2021
7/7
2/2
Ann Beasley
Appointed 25/05/2020
9/9
1/2
Susan Brain England
Appointed 01/07/2017
Re-appointed 07/10/2020
8/9
MaryElford
Appointed 30/06/2021
2/2
0/0
Daniel Elkeles
Appointed 28/06/2019,
Retired 01/09/2021
7/8
Alan Foster
Appointed 01/07/2015, Re-appointed
01/07/2018, Co-opted 03/12/2020
3/9
Beatrice Fraenkel
Appointed 06/11/2019
7/9
5/8
William Hancock
Appointed 02/07/2014,
Retired 07/10/2020
1/3
2/4
Angela Hillery
Appointed 01/07/2017,
Re-appointed 07/10/2020
5/9
2/8
Nicholas Hulme
Appointed 01/07/2018,
Re-appointed 30/06/2021
9/9
Sir Ron Kerr
Appointed 01/01/2020
9/9
2/2
Brent Kilmurray
Appointed 06/11/2019
Retired 30/09/2021
3/9
Heather Lawrence
Appointed 06/11/2019
8/9
Deborah Lee
Appointed 30/06/2021
1/2
0/0
Harriet Llewelyn-Davies
Appointed 10/01/2018,
Re-appointed 07/10/2020
8/9
8/8
Lance McCarthy
Appointed 06/11/2019
Retired 12/09/2021
7/9
3/3
KathyMcLean
Appointed 30/06/2021
2/2
Patricia Miller
Appointed 01/07/2016,
Re-appointed 01/07/2019
7/9
2/2
Christine Outram
Appointed 02/11/2016,
Re-appointed 30/06/2019
6/9
Therese Patten
Appointed 30/06/2021
2/2
Linda Pollard
Appointed 30/06/2019
6/9
2/2
Helen Ray
Appointed 07/10/2020
5/6
Colin Scales
Appointed 08/01/2018,
Retired 07/10/2020
1/3
Jagtar Singh
Appointed 01/07/2016, Re-appointed
01/07/2017, Reappointed 07/10/2020
8/9
2/2
Karamjit Singh
Appointed 30/06/19, Retired 16/04/2021
5/6
6/6
Tracy Taylor
Appointed 01/07/2015, Re-appointed
01/07/2018, Retired 30/06/2021
7/7
2/2
Melanie Walker
Appointed 01/07/2018,		 ~~The Foundation Trust Network operating as~~
NHS PROVIDERS
TRUSTEES
TERM
ATTENDANCE
AT BOARD
ATTENDANCE
AT FINANCE
AND GENERAL
PURPOSES
COMMITTEE
ATTENDANCE
AT
REMUNERATION
COMMITTEE
TracyAllen
Appointed 07/10/2020
6/6
Ingrid Barker
Appointed 14/10/2013,
Re-appointed 01/07/2018,
Retired 30/06/2021
7/7
2/2
Ann Beasley
Appointed 25/05/2020
9/9
1/2
Susan Brain England
Appointed 01/07/2017
Re-appointed 07/10/2020
8/9
MaryElford
Appointed 30/06/2021
2/2
0/0
Daniel Elkeles
Appointed 28/06/2019,
Retired 01/09/2021
7/8
Alan Foster
Appointed 01/07/2015, Re-appointed
01/07/2018, Co-opted 03/12/2020
3/9
Beatrice Fraenkel
Appointed 06/11/2019
7/9
5/8
William Hancock
Appointed 02/07/2014,
Retired 07/10/2020
1/3
2/4
Angela Hillery
Appointed 01/07/2017,
Re-appointed 07/10/2020
5/9
2/8
Nicholas Hulme
Appointed 01/07/2018,
Re-appointed 30/06/2021
9/9
Sir Ron Kerr
Appointed 01/01/2020
9/9
2/2
Brent Kilmurray
Appointed 06/11/2019
Retired 30/09/2021
3/9
Heather Lawrence
Appointed 06/11/2019
8/9
Deborah Lee
Appointed 30/06/2021
1/2
0/0
Harriet Llewelyn-Davies
Appointed 10/01/2018,
Re-appointed 07/10/2020
8/9
8/8
Lance McCarthy
Appointed 06/11/2019
Retired 12/09/2021
7/9
3/3
KathyMcLean
Appointed 30/06/2021
2/2
Patricia Miller
Appointed 01/07/2016,
Re-appointed 01/07/2019
7/9
2/2
Christine Outram
Appointed 02/11/2016,
Re-appointed 30/06/2019
6/9
Therese Patten
Appointed 30/06/2021
2/2
Linda Pollard
Appointed 30/06/2019
6/9
2/2
Helen Ray
Appointed 07/10/2020
5/6
Colin Scales
Appointed 08/01/2018,
Retired 07/10/2020
1/3
Jagtar Singh
Appointed 01/07/2016, Re-appointed
01/07/2017, Reappointed 07/10/2020
8/9
2/2
Karamjit Singh
Appointed 30/06/19, Retired 16/04/2021
5/6
6/6
Tracy Taylor
Appointed 01/07/2015, Re-appointed
01/07/2018, Retired 30/06/2021
7/7
2/2
Melanie Walker
Appointed 01/07/2018,		 ~~The Foundation Trust Network operating as~~
NHS PROVIDERS
TRUSTEES
TERM
ATTENDANCE
AT BOARD
ATTENDANCE
AT FINANCE
AND GENERAL
PURPOSES
COMMITTEE
ATTENDANCE
AT
REMUNERATION
COMMITTEE
TracyAllen
Appointed 07/10/2020
6/6
Ingrid Barker
Appointed 14/10/2013,
Re-appointed 01/07/2018,
Retired 30/06/2021
7/7
2/2
Ann Beasley
Appointed 25/05/2020
9/9
1/2
Susan Brain England
Appointed 01/07/2017
Re-appointed 07/10/2020
8/9
MaryElford
Appointed 30/06/2021
2/2
0/0
Daniel Elkeles
Appointed 28/06/2019,
Retired 01/09/2021
7/8
Alan Foster
Appointed 01/07/2015, Re-appointed
01/07/2018, Co-opted 03/12/2020
3/9
Beatrice Fraenkel
Appointed 06/11/2019
7/9
5/8
William Hancock
Appointed 02/07/2014,
Retired 07/10/2020
1/3
2/4
Angela Hillery
Appointed 01/07/2017,
Re-appointed 07/10/2020
5/9
2/8
Nicholas Hulme
Appointed 01/07/2018,
Re-appointed 30/06/2021
9/9
Sir Ron Kerr
Appointed 01/01/2020
9/9
2/2
Brent Kilmurray
Appointed 06/11/2019
Retired 30/09/2021
3/9
Heather Lawrence
Appointed 06/11/2019
8/9
Deborah Lee
Appointed 30/06/2021
1/2
0/0
Harriet Llewelyn-Davies
Appointed 10/01/2018,
Re-appointed 07/10/2020
8/9
8/8
Lance McCarthy
Appointed 06/11/2019
Retired 12/09/2021
7/9
3/3
KathyMcLean
Appointed 30/06/2021
2/2
Patricia Miller
Appointed 01/07/2016,
Re-appointed 01/07/2019
7/9
2/2
Christine Outram
Appointed 02/11/2016,
Re-appointed 30/06/2019
6/9
Therese Patten
Appointed 30/06/2021
2/2
Linda Pollard
Appointed 30/06/2019
6/9
2/2
Helen Ray
Appointed 07/10/2020
5/6
Colin Scales
Appointed 08/01/2018,
Retired 07/10/2020
1/3
Jagtar Singh
Appointed 01/07/2016, Re-appointed
01/07/2017, Reappointed 07/10/2020
8/9
2/2
Karamjit Singh
Appointed 30/06/19, Retired 16/04/2021
5/6
6/6
Tracy Taylor
Appointed 01/07/2015, Re-appointed
01/07/2018, Retired 30/06/2021
7/7
2/2
Melanie Walker
Appointed 01/07/2018,		 ~~The Foundation Trust Network operating as~~
NHS PROVIDERS
TRUSTEES
TERM
ATTENDANCE
AT BOARD
ATTENDANCE
AT FINANCE
AND GENERAL
PURPOSES
COMMITTEE
ATTENDANCE
AT
REMUNERATION
COMMITTEE
TracyAllen
Appointed 07/10/2020
6/6
Ingrid Barker
Appointed 14/10/2013,
Re-appointed 01/07/2018,
Retired 30/06/2021
7/7
2/2
Ann Beasley
Appointed 25/05/2020
9/9
1/2
Susan Brain England
Appointed 01/07/2017
Re-appointed 07/10/2020
8/9
MaryElford
Appointed 30/06/2021
2/2
0/0
Daniel Elkeles
Appointed 28/06/2019,
Retired 01/09/2021
7/8
Alan Foster
Appointed 01/07/2015, Re-appointed
01/07/2018, Co-opted 03/12/2020
3/9
Beatrice Fraenkel
Appointed 06/11/2019
7/9
5/8
William Hancock
Appointed 02/07/2014,
Retired 07/10/2020
1/3
2/4
Angela Hillery
Appointed 01/07/2017,
Re-appointed 07/10/2020
5/9
2/8
Nicholas Hulme
Appointed 01/07/2018,
Re-appointed 30/06/2021
9/9
Sir Ron Kerr
Appointed 01/01/2020
9/9
2/2
Brent Kilmurray
Appointed 06/11/2019
Retired 30/09/2021
3/9
Heather Lawrence
Appointed 06/11/2019
8/9
Deborah Lee
Appointed 30/06/2021
1/2
0/0
Harriet Llewelyn-Davies
Appointed 10/01/2018,
Re-appointed 07/10/2020
8/9
8/8
Lance McCarthy
Appointed 06/11/2019
Retired 12/09/2021
7/9
3/3
KathyMcLean
Appointed 30/06/2021
2/2
Patricia Miller
Appointed 01/07/2016,
Re-appointed 01/07/2019
7/9
2/2
Christine Outram
Appointed 02/11/2016,
Re-appointed 30/06/2019
6/9
Therese Patten
Appointed 30/06/2021
2/2
Linda Pollard
Appointed 30/06/2019
6/9
2/2
Helen Ray
Appointed 07/10/2020
5/6
Colin Scales
Appointed 08/01/2018,
Retired 07/10/2020
1/3
Jagtar Singh
Appointed 01/07/2016, Re-appointed
01/07/2017, Reappointed 07/10/2020
8/9
2/2
Karamjit Singh
Appointed 30/06/19, Retired 16/04/2021
5/6
6/6
Tracy Taylor
Appointed 01/07/2015, Re-appointed
01/07/2018, Retired 30/06/2021
7/7
2/2
Melanie Walker
Appointed 01/07/2018,
~~The Foundation Trust Netw~~
NHS PROVIDERS		 ~~ork operating as~~ ATTENDANCE
AT FINANCE
AND GENERAL		 ATTENDANCE
AT
TRUSTEES TERM ATTENDANCE
AT BOARD
PURPOSES
COMMITTEE
REMUNERATION
COMMITTEE
TracyAllen Appointed 07/10/2020 6/6
Ingrid Barker Appointed 14/10/2013,
Re-appointed 01/07/2018,
Retired 30/06/2021		 7/7 2/2
Ann Beasley Appointed 25/05/2020 9/9 1/2
Susan Brain England Appointed 01/07/2017
Re-appointed 07/10/2020		 8/9
MaryElford Appointed 30/06/2021 2/2 0/0
Daniel Elkeles Appointed 28/06/2019,
Retired 01/09/2021		 7/8
Alan Foster Appointed 01/07/2015, Re-appointed
01/07/2018, Co-opted 03/12/2020		 3/9
Beatrice Fraenkel Appointed 06/11/2019 7/9 5/8
William Hancock Appointed 02/07/2014,
Retired 07/10/2020		 1/3 2/4
Angela Hillery Appointed 01/07/2017,
Re-appointed 07/10/2020		 5/9 2/8
Nicholas Hulme Appointed 01/07/2018,
Re-appointed 30/06/2021		 9/9
Sir Ron Kerr Appointed 01/01/2020 9/9 2/2
Brent Kilmurray Appointed 06/11/2019
Retired 30/09/2021		 3/9
Heather Lawrence Appointed 06/11/2019 8/9
Deborah Lee Appointed 30/06/2021 1/2 0/0
Harriet Llewelyn-Davies Appointed 10/01/2018,
Re-appointed 07/10/2020		 8/9 8/8
Lance McCarthy Appointed 06/11/2019
Retired 12/09/2021		 7/9 3/3
KathyMcLean Appointed 30/06/2021 2/2
Patricia Miller Appointed 01/07/2016,
Re-appointed 01/07/2019		 7/9 2/2
Christine Outram Appointed 02/11/2016,
Re-appointed 30/06/2019		 6/9
Therese Patten Appointed 30/06/2021 2/2
Linda Pollard Appointed 30/06/2019 6/9 2/2
Helen Ray Appointed 07/10/2020 5/6
Colin Scales Appointed 08/01/2018,
Retired 07/10/2020		 1/3
Jagtar Singh Appointed 01/07/2016, Re-appointed
01/07/2017, Reappointed 07/10/2020		 8/9 2/2
Karamjit Singh Appointed 30/06/19, Retired 16/04/2021 5/6 6/6
Tracy Taylor Appointed 01/07/2015, Re-appointed
01/07/2018, Retired 30/06/2021		 7/7 2/2
Melanie Walker Appointed 01/07/2018,
Retired 30/06/2021 4/7
Mike McEnaney
- co-opted to F&GP		 NHS Providers TRUSTEES’ REPORT AND ACCOUNTS FOR T HE YEAR ENDED 31 MA
3/3

The Foundation Trust Network operating as NHS PROVIDERS

In addition to the trustees (who have full voting rights at board meetings), the NHS Providers board is also attended by the chief executive, deputy chief executive, interim chief operating officer, director of policy and strategy, director of communications, assistant director of corporate services and the head of the chair and chief executive’s office as non-voting attendees. A scheme of delegation clearly lays out the respective responsibilities of the trustees, directors and management. This, together with a full set of operational policies and procedures, determines the conduct of all executives and other employees.

The board has two standing committees: the Finance and General Purposes Committee (incorporating the Audit Committee); and the Remuneration Committee. The chief executive of the organisation is responsible for the operational delivery of the strategy set out by the board.

The Finance and General Purposes Committee’s membership during 2020/21 comprised six trustees and a co-opted finance director member, Mike McEnaney, who was appointed in October 2020 to replace Sandra Betney whose term of office came to an end on 31 March 2020. The committee met five times during the period of this report. It is responsible for providing scrutiny and advice to the NHS Providers board on the oversight of:

The NHS Providers chair has the right of attendance at the committee. Meetings are also usually attended by the chief executive.

The Remuneration Committee met twice during the period of this report. A detailed remuneration report including further information on the role of the remuneration committee and its work can be found on pages 22 to 24.

Other board sub-committees are formed periodically on a ‘task and finish’ basis, carrying out specific pieces of work as delegated by the NHS Providers board.

Partnerships

The organisation must maintain a high quality staff team in order to best serve its members but, as a charity, it also seeks to provide services in the most efficient and cost effective way for members. In many cases this means working with external expert partners to deliver all or part of some of the activities undertaken. In accordance with good governance principles, as far as practicable, such work is put out for tender.

Employees

As a membership organisation, NHS Providers is a service-based business, and its employees are at the core of all the organisation’s activities.

To support its members, in line with the strategic objectives set out on page 4 the organisation needs to maintain a team of expert specialist staff covering areas as diverse as governance, benchmarking, clinical and functional networks, healthcare policy and economics.

Alongside recruiting high quality individuals NHS Providers is keen to promote continuous development to ensure employees have the opportunity to develop their skills. Employee training and development needs are reviewed at least twice a year as part of an annual appraisal cycle and a learning and development plan for the organisation as a whole is produced every year.

A full remuneration report is set out below.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 21

The Foundation Trust Network operating as NHS PROVIDERS

REMUNERATION REPORT

Statement of general approach to remuneration and governance

NHS Providers ensures that its staff are remunerated fairly and in a way that allows the organisation to attract and retain people with the skills needed to deliver its charitable objects. To ensure this report meets the requirements of both the Charities SORP and the guidance published by the National Council for Voluntary Organisations it has been reviewed against these requirements by the chair, chief executive, directors and the Finance and General Purposes Committee.

Remuneration committee

NHS Providers has a Remuneration Committee which, in 2020/21, met once. This committee is chaired by a trustee and comprises five additional trustees, including the organisation’s chair who is an ex-officio member of the committee. The NHS Providers chief executive is invited to attend but, along with other members of the executive in attendance, is excluded from discussions of their individual pay. Likewise, the chair is not present for any discussion relating to their fees.

The main responsibilities of the committee are to:

The remuneration policy aims to ensure that the chief executive, directors and other staff have appropriate incentives to encourage enhanced individual performance and are, in a fair and responsible manner, rewarded for their contributions to the success of NHS Providers. This recognises that delivery of NHS Providers’ charitable vision and purpose is almost wholly dependent on the performance of its staff, with staff remuneration being the largest single element of charitable expenditure.

The remuneration policy is reviewed regularly. This includes comparisons with similar membership organisations and the wider charitable sector as well as being sensitive to the remuneration approach of our members, pay and employment conditions in the NHS and general approaches to charitable sector pay.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 22

The Foundation Trust Network operating as NHS PROVIDERS

2020/21 Approach to pay

Staff Pay

Staff are primarily policy and communications experts, recruited from these sectors, with administration, support, event management and corporate services staff recruited from a wide range of different sectors. The organisation recruits relatively few of its staff directly from NHS frontline organisations. NHS Providers is committed to paying all staff the London living wage, currently set at £19,890. The organisation’s lowest salary in 2020/21 was £23,000.

In line with the criteria agreed by the remuneration committee for determining an annual salary increment, staff meeting the appropriate conditions were awarded a pay rise of 1.5.% to take effect from April 2021.

Salaries, at all levels, are benchmarked every two to three years against those offered by similar organisations to ensure competitiveness. The last review carried out by CELRE in December 2020 indicated that NHS Providers’ staff salaries are largely in line with or below market rates. The next benchmarking review will take place during 2022/23 unless there are compelling reasons to bring this forward. No bonuses are paid to any members of staff nor to directors.

The ratio of salary between the organisation’s highest and lowest paid member of staff is 1:9.5 with the ratio between its highest and median salary being 1:5.

Chief executive and director pay

The remuneration committee sets chief executive and director pay individually each year, taking account of individual and organisational performance. The remuneration committee is provided with information to ensure awareness of published salary rates for roles in similar organisations such as the Local Government Association and the NHS Confederation and, in the case of the chief executive, the salaries paid to chief executives of member organisations and relevant arms length bodies. Director salaries are benchmarked every two to three years against those offered by similar organisations to ensure competitiveness. The last review carried out by CELRE in December 2020 indicated that directors’ salaries were significantly below the market rate. Trustees were concerned that this may result in retention issues and an uplift for the 3 permanent directors was agreed. In 2019, at his suggestion, it was agreed that the chief executive’s pay would be frozen. This freeze remains in place.

The results of the pay policy in relation to total remuneration, including salary and pension contributions, for 2019/20 and 2020/21 are reflected in the table on page 25.

Chair’s fees

The fees paid to the chair of NHS Providers are reviewed annually by the remuneration committee and reflect both personal and organisational performance. They are benchmarked against:

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 23

The Foundation Trust Network operating as NHS PROVIDERS

Pensions and total remuneration package

The organisation has an auto enrolment pension for all employees, provided through our existing defined contribution group scheme. Currently NHS Providers makes a contribution of 3% of gross salary to those who have been auto-enrolled. An enhanced contribution scheme is also offered (once the six month probationary period has successfully been completed) under which the organisation makes a contribution of 9% (staff contributing 6%) of salary. There are also a range of other benefits available to all employees including non-contributory life-assurance cover; season ticket loans; childcare vouchers (via a salary sacrifice scheme); free health checks; and a cycle to work scheme.

Impact of remuneration policy

NHS Providers has built and maintained a strong team of expert specialist staff who deliver a diverse and wide range of work. The success of the team, and NHS Providers as an employer, is reflected in a range of different evidence including:

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 24

The Foundation Trust Network operating as NHS PROVIDERS

Summary of remuneraton - individual highest paid staff

The trustees regard the chair, trustees (who are not remunerated), chief executive and directors as the key management personnel.

2020/21 remuneration
2019/20 remuneration		 2020/21 remuneration
2019/20 remuneration		 2020/21 remuneration
2019/20 remuneration		 2020/21 remuneration
2019/20 remuneration
Salary Pension
contribution		 Salary Pension
contribution
Dame Gill Morgan, chair*
–		 – £41,250 –
Sir Ron Kerr, chair*
£55,000		 – £13,750 –
Chris Hopson, chief executive*
£218,436		 £19,659 £218,436 £19,659
Adam Brimelow, director of communications
£96,331		 £8,670 £94,443 £8,500
Safron Cordery, director of policy and strategy and
deputy chief executive
£123,342		 £11,101 £120,923 £10,883
Kevin Rennie, interim chief operating ofcer*
£105,000		 £5,250 £6,058 £182
Mark Stevenson, chief operating ofcer*
–		 – £51,125 £4,601
Miriam Deakin, director of policy and strategy
£96,331		 £8,670 £94,443 £8,500

*pro-rata amount for portion of year worked/ since appointment

Please note: Aside from Dame Gill Morgan and Sir Ron Kerr no other trustees received remuneration or were reimbursed for expenses incurred in the course of acting on behalf of the charity.

Ron Kerr was appointed from 1 January 2020.

From April 2020, Chris Hopson has agreed voluntarily to freeze his pay. This freeze will be permanent for the duration of his employment at NHS Providers subject to exceptional circumstances such as a significant increase in the inflation level. The remuneration committee and the board supported this proposal.

For information, Chris Hopson, Adam Brimelow, Saffron Cordery, Kevin Rennie and Miriam Deakin, were all employees of the company during 2020/2021.

Banding

Banding
The number of employees whose emoluments
exceeded £60,000 for the period was:
2021		 2020
£60,000 – £70,000
4		 5
£70,001 – £80,000
2		 1
£80,001 – £90,000
1		 –
£90,001 – £100,000
2		 2
£100,001 – £110,000
1		 –
£120,001 – £130,000
1		 1
£210,001 – £220,000
1		 1

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 25

The Foundation Trust Network operating as NHS PROVIDERS

REFERENCE AND ADMINISTRATIVE DETAILS

Trustees/non-executive directors

Refer to page 20.

Senior executive staff/directors

Chris Hopson Chief executive Saffron Cordery Deputy chief executive Adam Brimelow Director of communications Miriam Deakin Director of policy and strategy Kevin Rennie Interim chief operating officer (appointed 10 March 2020)

Independent Auditors

Saffery Champness LLP 71 Queen Victoria Street London EC4V 4BE

Principal and registered address

One Birdcage Walk London SW1H 9JJ

Bankers

The Co-operative Bank 80 Cornhill London EC3V 3NH

Barclays Business 1st Floor, 27 Soho Square London W1D 3QR

Solicitors

Hempsons The Exchange, Station Parade Harrogate HG1 1DY

The Foundation Trust Network

Charity registration number: 1140900 Company registration number: 07525114

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 26

The Foundation Trust Network operating as NHS PROVIDERS

STATEMENT OF TRUSTEES’ RESPONSIBILITIES

The trustees (who are also directors of the charitable company, for the purposes of company law) are responsible for preparing the trustees’ report and financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

Company law requires trustees to prepare financial statements for each financial year to provide a true and fair view of the state of the affairs of the charitable company and the group and of the incoming resources and application of resources, including the income and expenditure, of the group for that period. In preparing these financial statements, the trustees are required to:

In so far as the trustees are aware:

The trustees are responsible for the maintenance and integrity of the corporate and financial information included in the charitable company’s website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

The Report of the Trustees and incorporated strategic report was approved by the NHS Providers board on 3 November 2021 and signed on its behalf by:

Sir Ron Kerr Chair, NHS Providers

The trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company and group and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and group, and taking reasonable steps for the prevention and detection of fraud and other irregularities.

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The Foundation Trust Network operating as NHS PROVIDERS

INDEPENDENT AUDITORS’ REPORT TO THE MEMBERS OF NHS PROVIDERS FOR THE YEAR ENDED 31 MARCH 2020

Opinion

We have audited the financial statements of NHS Providers (the ‘parent charitable company’) and its subsidiaries (the ‘group’) for the year ended 31 March 2021 which comprise the consolidated statement of financial activities, the group and charity balance sheets, the consolidated cash flow statement and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102, the Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In our opinion the financial statements:

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the group and parent charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions related to going concern

In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the group or the parent charitable company’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

Other information

The trustees are responsible for the other information. The other information comprises the information included in the annual report, other than the financial statements and our auditor’s report thereon. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information; we are required to report that fact.

We have nothing to report in this regard.

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The Foundation Trust Network operating as NHS PROVIDERS

Other matters prescribed by the Companies Act 2006

In our opinion, based on the work undertaken in the course of the audit:

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the group and the parent charitable company and their environment obtained in the course of the audit, we have not identified material misstatements in the Trustees’ Annual Report and Strategic Report.

Responsibilities of trustees

As explained more fully in the Statement of Trustees’ Responsibilities set out on page 27, the trustees (who are also the directors of the parent charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of the financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the trustees are responsible for assessing the group and the parent charitable company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the group or the parent charitable company or to cease operations, or have no realistic alternative but to do so.

We have nothing to report in respect of the following matters where the Companies Act 2006 require us to report to you if, in our opinion:

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The Foundation Trust Network operating as NHS PROVIDERS

Auditor’s responsibilities for the audit of the financial statements

We have been appointed as auditors under the Companies Act 2006 and report in accordance with regulations made under that Act.

Our objectives are to obtain reasonable assurance about whether the group and parent financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of noncompliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The specific procedures for this engagement and the extent to which these are capable of detecting irregularities, including fraud are detailed below.

Identifying and assessing risks related to irregularities: We assessed the susceptibility of the group and parent charitable company’s financial statements to material misstatement and how fraud might occur, including through discussions with the trustees, discussions within our audit team planning meeting, updating our record of internal controls and ensuring these controls operated as intended. We evaluated possible incentives and opportunities for fraudulent manipulation of the financial statements. We identified laws and regulations that are of significance in the context of the group and parent charitable company by discussions with trustees and updating our understanding of the sector in which the group and parent charitable company operate.

Laws and regulations of direct significance in the context of the group and parent charitable company include the Companies Act 2006 and guidance issued by the Charity Commission for England and Wales.

Audit response to risks identified:

We considered the extent of compliance with these laws and regulations as part of our audit procedures on the related financial statement items including a review of financial statement disclosures. We reviewed the parent charitable company’s records of breaches of laws and regulations, minutes of meetings and correspondence with relevant authorities to identify potential material misstatements arising. We discussed the parent charitable company’s policies and procedures for compliance with laws and regulations with members of management responsible for compliance.

During the planning meeting with the audit team, the engagement partner drew attention to the key areas which might involve non-compliance with laws and regulations or fraud. We enquired of management whether they were aware of any instances of noncompliance with laws and regulations or knowledge of any actual, suspected or alleged fraud. We addressed the risk of fraud through management override of controls by testing the appropriateness of journal entries and identifying any significant transactions that were unusual or outside the normal course of business. We assessed whether judgements made in making accounting estimates gave rise to a possible indication of management bias. At the completion stage of the audit, the engagement partner’s review included ensuring that the team had approached their work with appropriate professional scepticism and thus the capacity to identify noncompliance with laws and regulations and fraud.

There are inherent limitations in the audit procedures described above and the further removed noncompliance with laws and regulations is from the events and transactions reflected in the financial statements, the less likely we would become aware of it. Also, the risk of not detecting a material misstatement due to fraud is higher than the risk of not detecting one resulting from error, as fraud may involve deliberate concealment by, for example, forgery or intentional misrepresentations, or through collusion.

A further description of our responsibilities is available on the Financial Reporting Council’s website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.

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The Foundation Trust Network operating as NHS PROVIDERS

Use of our report

This report is made solely to the parent charitable company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the parent charitable company’s members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the parent charitable company and the parent charitable company’s members as a body, for our audit work, for this report, or for the opinions we have formed.

Claire Wills (Senior Statutory Auditor) For and on behalf of Saffery Champness LLP

Date: 12 November 2021 Chartered Accountants Statutory Auditors 71 Queen Victoria Street London EC4V 4BE

Saffery Champness LLP is eligible to act as an auditor in terms of section 1212 of the Companies Act 2006

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The Foundation Trust Network operating as NHS PROVIDERS

CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES

(Incorporating the consolidated income and expenditure account) for the ear ended 31 March 2021 y


for theyear ended 31 March 2021
Note £
Unrestricted
funds		 £
Restricted
funds		 £
Total
2021		 £
Total
2020
Income from
Charitable activities
2		 1,183,408 30,000 1,213,408 787,044
Subscription income 4,351,083 – 4,351,083 4,317,290
Other trading activities
3		 212,852 – 212,852 395,350
Investments
4		 7,275 – 7,275 3,581
Total income 5,754,618 30,000 5,784,618 5,503,265
Expenditure on
Trading activities
3		 114,102 114,102 288,726
Charitable activities
5,6,7		 5,191,616 184,393 5,376,009 4,900,939
Total expenditure 5,305,718 184,393 5,490,111 5,189,665
Net income/(expenditure) and net
movement in funds for the year		 448,900 (154,393) 294,507 313,600
Total funds brought forward
16		 1,847,448 167,893 2,015,341 1,701,741
Total funds carried forward
16		 2,296,348 13,500 2,309,848 2,015,341

All gains and losses arising in the year are included in the statement of financial acitivites and relate to continuing operations.

The notes on pages 36-50 form part of these financial statements.

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The Foundation Trust Network operating as NHS PROVIDERS

GROUP BALANCE SHEET 31 MARCH 2021

GROUP BALANCE SHEET
31 MARCH 2021
Note £
2021		 £
2020
Fixed assets
Intangible fxed assets
12		 84,249 162,231
Tangible assets
12		 55,266 66,461
139,515 228,692
Current assets
Debtors
14		 516,526 252,761
Cash at bank and in hand 2,361,370 2,033,777
2,877,896 2,286,538
Creditors
Amounts falling due within one year
15		 (707,563) (499,889)
Net current assets 2,170,333 1,786,649
Net assets 2,309,848 2,015,341
Funds
Restricted funds
16		 13,500 167,893
Unrestricted funds
16		 2,296,348 1,847,448
2,309,848 2,015,341

The notes on pages 36-50 form part of these financial statements.

The total income of the charity as an individual entity for the year was £5,571,766 (2020:£5,107,915) and its net income was £294,507 (2020: £313,600). A statement of financial activities for the charity as an individual entity is not included using the exemption given in section 408 of the Companies Act 2006.

These accounts have been prepared in accordance with the special provisions of Part 15 of the Companies Act 2006 relating to small companies.

Approved and authorised for distribution by the board of trustees on 3 November 2021 and signed on its behalf by:

Sir Ron Kerr Chair

Registered Company No. 07525114

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The Foundation Trust Network operating as NHS PROVIDERS

CHARITY BALANCE SHEET 31 MARCH 2021

CHARITY BALANCE SHEET
31 MARCH 2021
Note £
2021		 £
2020
Fixed assets
Intangible fxed assets
12		 84,249 162,231
Tangible assets
12		 55,266 66,461
Investments
13		 1 1
139,516 228,693
Current assets
Debtors
14		 525,227 329,863
Cash at bank and in hand 2,266,411 1,901,510
2,791,638 2,231,373
Creditors
Amounts falling due within one year
15		 (621,307) (444,726)
Net current assets 2,170,331 1,786,647
Net assets 2,309,847 2,015,340
Funds
Restricted funds
16		 13,500 167,893
Unrestricted funds
16		 2,296,347 1,847,447
2,309,847 2,015,340

The notes on pages 36-50 form a part of these financial statements.

These accounts have been prepared in accordance with the special provisions of Part 15 of the Companies Act 2006 relating to small companies.

Approved and authorised for distribution by the board of trustees on 3 November 2021 and signed on its behalf by:

Sir Ron Kerr Chair

Registered Company No. 07525114

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The Foundation Trust Network operating as NHS PROVIDERS

CONSOLIDATED CASH FLOW STATEMENT FOR THE YEAR ENDED 31 MARCH 2021

CONSOLIDATED CASH FLOW STATEMENT
FOR THE YEAR ENDED 31 MARCH 2021
Note £
2021		 £
2020
Cash fows from operating activities
Net cash provided by operating activities
21		 353,432 381,685
Cash fows from investing activities
Interest income		 7,275 3,581
Purchase of tangible fxed assets (27,707) (59,096)
Disposals of fxed assets – –
Purchase of intangible fxed assets (5,407) (25,830)
Net cash used in investing activities (25,839) (81,345)
Change in cash and cash equivalents in the reporting period
Cash and cash equivalents at the beginning of the reporting period		 327,593
2,033,777		 300,340
1,733,437
Increase in cash and cash equivalents in the year 327,593 300,340
Cash and cash equivalents at the end of the reporting period 2,361,370 2,033,777

The notes on pages 36-50 form part of these financial statements.

Analysis of changes in net debt
£
As at 1 April 2020		 £
Cash fows		 £
Other non-
cash changes		 £
As at 31
March 2021
Cash and cash equivalents
Cash
2,033,777		 327,593 – 2,361,370
2,033,777 327,593 – 2,361,370

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The Foundation Trust Network operating as NHS PROVIDERS

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2021

1. Accounting policies

Company Information

The charity is a registered charity (number 1140900) and a company ( number 07525114) limited by guarantee. The registered office is One Birdcage Walk, London, SW1H 9JJ.

Basis of accounting

The financial statements have been prepared on the going concern basis under the historical cost convention. The financial position, liquidity and management of risk as outlined in the strategic report indicate that the Group has adequate resources and that there are no material uncertainties relating to events or conditions that may cast significant doubt about its ability to continue as a going concern.

The 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 (SORP FRS102) and the Companies Act 2006. The Trustees confirm that the charity is a public benefit entity.

Group Accounts

The Statement of Financial Activities (SOFA) and balance sheet consolidate the financial statements of the charity and its subsidiary undertaking. The results of the subsidiary are consolidated on a line by line basis.

Accrued and deferred income

Fund accounting

Unrestricted funds are available for use at the discretion of the trustees in furtherance of the general objects of the charity. Designated funds are unrestricted funds of the charity which the trustees have discretion to set aside for a specific purpose.

Restricted funds are funds which are only to be used for the purpose as determined by the donor.

Classification of expenditure

Liabilities are recognised as resources expended as soon as there is a legal or constructive obligation committing the charity to the expenditure and it can be reliably measured.

All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category:

Expenditure is shown net of VAT and any irrecoverable VAT is charged as a cost against the activity for which the expenditure was incurred.

Income is recognised in the SOFA in accordance with the Charities SORP FRS 102 income recognition criteria of entitlement, probability and measurement. Subscription income is invoiced in the associated subscription year and therefore recognised in full within the financial year. Income relating to the financial year which has not been received or invoiced is recognised as accrued income. Grant and donation income are recognised when the SORP income recognition criteria are fulfilled.

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The Foundation Trust Network operating as NHS PROVIDERS

Allocation of support and governance costs

Support and governance costs are allocated between the expenditure categories of the SOFA on a basis designed to reflect the use of the resource. Costs relating to a particular activity are allocated directly.

Support costs include back office costs, finance, personnel, payroll and governance costs which support the charity’s activities. The bases on which support costs have been allocated are set out in note 6.

Support and governance costs are divided between the unrestricted and the restricted funds, with the restricted funds being charged with expenses specifically incurred in fulfilling the restrictions imposed; all other expenses are charged to the unrestricted funds.

Governance costs are those incurred in the governance of the charity and are primarily associated with the constitutional and statutory requirements.

Tangible fixed assets and depreciation

Tangible fixed assets, where the value is over £500, are capitalised at cost.

They are then depreciated at rates calculated to write off the cost less estimated residual value of each asset over its expected useful life, as follows:

Short leasehold property
improvements		 20%
straight line basis
Fixtures and fttings Over three years
straight line basis
Ofce equipment Over three years
straight line basis
Computer equipment Over three years
straight line basis

Intangible fixed assets and depreciation

Intangible fixed assets include IT development and software and enhancements to the website. Intangible fixed assets with a limited useful life are amortised using the straight-line method over three years.

Pension costs

The charity contributes to a defined contribution scheme for the majority of its members of staff. The charge in the accounts represents the contributions payable to the scheme in the financial period.

Operating leases

Rentals payable under operating leases are charged to the SOFA over the term of the lease.

Taxation

The charity contributes to the NHS pensions scheme in relation to one member of staff. This is an unfunded scheme and contributions are calculated so as to spread the cost of pensions over employee’s working lives with NHS providers in such a way that the pension cost is a substantially level percentage of current and future pensionable payroll. The scheme is considered to be a multi-employer defined benefit scheme as the charity is unable to identify its share of the underlying assets and liabilities. Therefore, the contributions, which are fixed annually and payable monthly, are charged to the SOFA when payable and the charity has no further potential liability. The date of the most recent actuarial valuation is the 31 March 2021.

No provision for taxation is included in the accounts as the charitable company is entitled to exemption from tax afforded by current legislation to the extent that income is applied to charitable objects.

Key assumptions and estimation uncertainty

The trustees have considered whether there are any key assumptions concerning the future or other key sources of estimation uncertainty that have a risk of causing a material adjustment to the carrying amount of assets and liabilities. They consider that there are none which would impact the next reporting period.

Financial instruments

The group has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value.

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The Foundation Trust Network operating as NHS PROVIDERS

2. Income from charitable activities

2. Income from charitable activities
£
Unrestricted
funds		 £
Restricted
funds		 £
2021		 £
2020
Projects & other income
Digital transformation
755,950		 755,950 20,000
Community Network
–		 30,000 30,000 –
Peer Support
–		 – – 187,000
Trust wide Improvement
–		 – – 57,648
Network Integrated Project
71,578		 – 71,578 116,822
Other Income
21,339		 – 21,339 10,010
Total projects &other income
848,867		 30,000 878,867 391,480
Other sundry income
–		 – – 1,244
Foundation trusts and trusts
Course fees
334,541		 – 334,541 394,320
Total income from charitable activities
1,183,408		 30,000 1,213,408 787,044

In 2020 Peer Support income of £187,000 was restricted.

3. Income from trading activities

The wholly owned subsidiary FTN Trading Limited is incorporated in the United Kingdom ( company number 07940647) and pays all of its taxable profits to the charity under the gift aid scheme.

FTN Trading Limited operates the Annual Conference and all commercial sponsorship associated with that event.

The summary perfomance of the subsidiary is:

The summary perfomance of the subsidiary is:
£
2021		 £
2020
Turnover
212,852		 395,350
Cost of sales and administration costs
(172,856)		 (395,350)
Net proft
39,995		 –
The assets and liabilities of the subsidiary were:
Current assets
191,608		 188,698
Current liabilities
(£191,607)		 (188,968)
Total net assets
1		 1
Aggregate share capital and reserves
1		 1

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4. Investment income

4. Investment income
£
Unrestricted
funds		 £
Restricted
funds		 £
2021		 £
2020
Interest
7,275		 – 7,275 3,581

All 2020 investment income was unrestricted.

5. Analysis of expenditure on charitable activities

£
Direct
costs		 £
Support		 £
Governance		 £
Total
2021		 £
Total
2020
Infuence
1,300,319		 773,276 11,730 2,085,325 1,765,836
Voice
590,710		 286,395 4,345 881,450 808,926
Support
1,566,082		 830,552 12,600 2,409,234 2,326,177
Total expenditure
3,457,111		 1,890,223 28,675 5,376,009 4,900,939

Expenditure on charitable activities was £5,376,009 (2020: £4,900,939) . In 2021 £184,393 (2020: £125,303 ) of these costs were restricted.

Support and governance costs of £1,890,223 (2020: £1,723,860) and £28,675 (2020: £38,320) are analysed in note 6 below, totalling £1,918,898 (2020: £1,762,180).

They relate to overhead costs incurred on the fourth strategic objective, professional organisation , which supports the activities of influence, voice and support.

£ £ £ £
Direct Total
costs Support Governance 2020
Infuence 1,097,420 653,881 14,535 1,765,836
Voice 565,870 237,771 5,285 808,926
Support 1,475,469 832,208 18,500 2,326,177
Total expenditure 3,138,759 1,723,860 38,320 4,900,939

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The Foundation Trust Network operating as NHS PROVIDERS

6. Analysis of governance and support costs

£
Infuence		 £
Voice		 £
Support		 £
Total 2021		 £
Total 2020
IT 51,017 18,895 54,796 124,708 117,249
Premises 83,981 31,104 90,201 205,286 210,050
Human resources 546,561 202,429 587,046 1,336,036 1,186,144
General ofce 65,945 24,423 70,829 161,197 184,404
Legal 836 309 897 2,042 669
Irrecoverable VAT 8,746 3,239 9,394 21,379 25,344
Professional fees 16,190 5,996 17,389 39,575 –
Total Support 773,276 286,395 830,552 1,890,223 1,723,860
Governance 11,730 4,345 12,600 28,675 38,320
Total Support 785,006 290,740 843,152 1,918,898 1,762,180

*Each cost category is prorated based on staff full time equivalents. Staff are allocated to the respective strategic objectives of influence, voice and support based on the underlying nature of their activities, there is an element of subjective judgement in the allocation as there are some overlap in activities.

£
Infuence		 £
Voice		 £
Support		 £
Total 2020
44,474 16,172 56,603 117,249
79,675 28,972 101,403 210,050
449,918 163,605 572,621 1,186,144
69,947 25,434 89,023 184,404
254 92 323 669
9,613 3,496 12,235 25,344
653,881 237,771 832,208 1,723,860
14,535 5,285 18,500 38,320
668,416 243,056 850,708 1,762,180

7. Total expenditure

£
2021		 £
2020
Net income/expenditure is stated after charging:
Auditor's remuneration:
Audit
15,590		 13,400
Tax advisory, secretarial services
2,920		 1,960
Depreciation
122,291		 126,500
Operating leases
204,532		 204,532

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8. Trustees

Sir Ron Kerr was appointed a trustee and NHS Providers’ chair on the 1st January 2020. For his services as an independent chair over and above his normal trustee duties he received remuneration of £55,000 for the year. (The 2020 remuneration comparative was £55,000 - split £13,750 to Sir Ron Kerr and £41,250 to Gill Morgan.) There is no contribution to a pension fund. The legal basis for conferring authority to make this payment is provisioned for in the articles of association. This was ratified at an EGM on 10 September 2013 following consultation and agreement from the Charity Commission. No other trustees received remuneration for services rendered or reclaimed expenses during the year ending 31.03.21. The company incurred a cost of £587 in respect of annual indemnity insurance for trustees year ending 31.03.21. In 2020 travel and accommodation costs of £5,367 were claimed. The company incurred a cost of £587 in respect of annual indemnity insurance for trustees.

9. Key management personnel

The trustees regard the trustees ( who, with the exception of Sir Ron Kerr, are not remunerated ), the chief executive and the directors as key management personnel. Key management personal emoluments do not include employer’s national insurance.

£
2021		 £
2020
Key management personnel emoluments
747,790		 693,799

Four of the directors were in the NHS Pension scheme which is a defined benefit pension scheme (2020-5) and one was in a personal defined contribution pension scheme to which the charity contributes (2020-1).

10. Staff costs

10. Staf costs
£
2021		 £
2020
Wages and salaries
2,986,460		 2,517,950
Social security costs
335,949		 286,273
Defned contribution pension costs
342,320		 303,357
Defned beneft pension costs - NHS pension scheme
8,985		 8,809
3,673,714 3,116,389

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The Foundation Trust Network operating as NHS PROVIDERS

11. Staff numbers

The average monthly number of employees during the year analysed by activity was:

2021 2020
Infuence
27		 22
Voice
10		 8
Support
29		 28
66 58

The bandings for employees who receive more than £60,000 are set out on page 25.

12. Fixed assets – group and charity

£
Intangible
fxed assets		 £
Leasehold
property
improvements		 £
Fixtures
and fttings		 £
Ofce
equipment		 £
Computer
equipment		 £
Total
Cost
At 1 April 2020
460,317		 52,571 92,039 26,688 128,855 760,470
Additions
5,407		 – – – 27,707 33,114
Disposals
(216,533)		 – – (21,855) (7,750) (246,138)
At 31 March 2021
249,191		 52,571 92,039 4,833 148,812 547,446
Depreciation
At 1 April 2020
298,086		 49,527 88,096 26,688 69,381 531,778
Charge for the year
83,389		 956 2,544 – 35,402 122,291
Disposals
(216,533)		 – – (21,855) (7,750) (246,138)
At 31 March 2021
164,942		 50,483 90,640 4,833 97,033 407,931
Net book value
at 31 March 2021
84,249		 2,088 1,399 – 51,779 139,515
Net book value
at 31 March 2020
162,231		 3,044 3,943 – 59,474 228,692

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The Foundation Trust Network operating as NHS PROVIDERS

13. Fixed assets investments

The charity’s investment at the balance sheet date in the share capital of companies is made up of the following:

FTN Trading Limited

FTN Trading Limited
Nature of business To establish and run a conference for members of NHS Providers
Country of registration England and Wales
Class of share Ordinary - £1
% - holding 100

The financial results of the subsidiary for the year are summarised in note 3.

14. Debtors

14. Debtors 14. Debtors 14. Debtors 14. Debtors
Group
Charity
£
2021		 £
2020		 £
2021		 £
2020
Debtors
368,476		 133,418 301,425 116,287
Other debtor
2,438		 14,957 2,439 14,940
Prepayments
145,612		 104,386 116,018 65,101
Amounts due from FTN Trading Limited
–		 – 105,345 133,535
516,526 252,761 525,227 329,863

The amounts due from FTN Trading Limited represent the net position of subscriptions income received by FTN Trading on behalf of the charity. The balance also includes any donations due to the charity from its subsidiary.

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The Foundation Trust Network operating as NHS PROVIDERS

15. Creditors – amounts falling due within one year

15. Creditors – amounts falling due within one year 15. Creditors – amounts falling due within one year 15. Creditors – amounts falling due within one year 15. Creditors – amounts falling due within one year
Group
Charity
£
2021		 £
2020		 £
2021		 £
2020
Trade creditors
193,511		 85,850 191,304 71,684
Social security and other taxes
136,885		 90,878 125,798 89,119
Other creditors
31,521		 24,486 31,521 24,484
Accruals
177,966		 197,728 173,021 172,873
Deferred income
167,680		 100,947 99,663 86,566
707,563 499,889 621,307 444,726

Any income which relates to a period after year end has been deferred. Analysis of the movement in deferred income is set out below:

Group
Charity		 Group
Charity		 Group
Charity		 Group
Charity
£
2021		 £
2020		 £
2021		 £
2020
Brought forward
100,947		 276,402 86,566 266,739
Deferred
167,680		 100,947 99,663 86,566
Released
(100,947)		 (276,402) (86,566) (266,739)
Carried forward
167,680		 100,947 99,663 86,566

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 44

The Foundation Trust Network operating as NHS PROVIDERS

16. Restricted and unrestricted funds

16. Restricted and unrestricted funds
Group
£
Balance
1 April 2020		 £
Incoming
resources		 £
Resources
expended		 £
Transfers		 £
Funds
31 March 2021
Community Network
–		 30,000 (16,500) – 13,500
Peer support review
167,893		 – (167,893) – –
Total restricted funds
167,893		 30,000 (184,393) – 13,500
Designated STP fund
79,780		 – (59,501) (20,279) –
Designated Community Network fund – – (23,944) 61,509 37,565
Designated Funds
79,780		 – (83,445) 41,230 37,565
General unrestricted
1,767,668		 5,754,618 (5,222,273) (41,230) 2,258,782
Total unrestricted funds
1,847,448		 5,754,618 (5,305,718) – 2,296,348
Total funds
2,015,341		 5,784,618 (5,490,111) – 2,309,848
Charity
£
Balance
1 April 2020		 £
Incoming
resources		 £
Resources
expended		 £
Transfers		 £
Funds
31 March 2021
Community Network 30,000 (16,500) – 13,500
Peer support review
167,893		 – (167,893) – –
Total restricted funds
167,893		 30,000 (184,393) – 13,500
Designated STP fund
79,780		 – (59,501) (20,279) –
Designated Community Network fund – – (23,944) 61,509 37,565
Designated Funds
79,780		 – (83,445) 41,230 37,565
General unrestricted
1,767,667		 5,640,516 (5,108,171) (41,230) 2,258,782
Total unrestricted funds
1,847,447		 5,640,516 (5,191,616) – 2,296,347
Total funds
2,015,340		 5,670,516 (5,376,009) – 2,309,847

NHS Providers has restricted, and designated funds;

A portion of the funding for the community network is restricted. It is jointly run with the NHS Confederation who provided restricted funding of £30,000 to the network during the year, £13,500 was not spent at year end.

NHS Providers continued to deliver Peer support in partnership with relevant membership bodies. This was funded by brought forward restricted funds of £167,893. There are two designated funds, STP and community network. The STP designated fund was closed during the year by transferring the balance of £20,279 to general reserves as this work is now complete.

Work to support community network trusts is also funded from a designated fund. To fund this work, £61,509 was designated in year. The unspent balance of £37,565 is carried forward to 2022 to fund future support.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 45

The Foundation Trust Network operating as NHS PROVIDERS

Group
£
Balance
1 April 2019		 £
Incoming
resources		 £
Resources
expended		 £
Transfers		 £
Funds
31 March 2020
167,893
167,893
79,780
1,767,668
1,847,448
2,015,341
Peer support review
106,196		 187,000 (125,303) –
Total restricted funds
106,196		 187,000 (125,303) –
Designated STP fund
132,031		 – (52,251) –
General unrestricted
1,463,514		 5,316,265 (5,012,111) –
Total unrestricted funds
1,595,545		 5,316,265 (5,064,362) –
1,701,741 5,503,265 (5,189,665) –
Charity
£
Balance
1 April 2019		 £
Incoming
resources		 £
Resources
expended		 £
Transfers		 £
Funds
31 March 2020
Peer support review
106,196		 187,000 (125,303) – 167,893
Total restricted funds
106,196		 187,000 (125,303) – 167,893
Designated STP fund
132,031		 – (52,251) – 79,780
General unrestricted
1,463,513		 5,027,539 (4,723,385) – 1,767,667
Total unrestricted funds
1,595,544		 5,027,539 (4,775,636) – 1,847,447
1,701,740 5,214,539 (4,900,939) – 2,015,340

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The Foundation Trust Network operating as NHS PROVIDERS

17. Analysis of net assets between funds

Group £
Restricted
funds		 £
Unrestricted
funds		 £
Total
2021		 £
Total
2020
Intangible fxed assets – 84,249 84,249 162,231
Tangible fxed assets – 55,266 55,266 66,462
Net current assets 13,500 2,156,833 2,170,333 1,786,648
13,500 2,296,348 2,309,848 2,015,341
Charity £
Restricted
funds		 £
Unrestricted
funds		 £
Total
2021		 £
Total
2020
Intangible fxed assets – 84,249 84,249 162,231
Tangible fxed assets – 55,266 55,266 66,461
Investments – 1 1 1
Net current assets 13,500 2,156,832 2,170,332 1,786,647
13,500 2,296,348 2,309,848 2,015,340
Group £
Restricted
funds		 £
Unrestricted
funds		 £
Total
2020
Intangible fxed assets – 162,231 162,231
Tangible fxed assets – 66,462 66,462
Net current assets 167,893 1,618,755 1,786,648
167,893 1,847,448 2,015,341
Charity £
Restricted
funds		 £
Unrestricted
funds		 £
Total
2020
Intangible fxed assets – 162,231 162,231
Tangible fxed assets – 66,461 66,461
Investments – 1 1
Net current assets 167,893 1,618,754 1,786,647
167,893 1,847,447 2,015,340

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 47

The Foundation Trust Network operating as NHS PROVIDERS

18. Financial commitments

As at 31 March 2021 the charity was committed to making the following payments under non-cancellable operating leases in the following periods:

£
2021		 £
2020
Payable in respect of leases expiring:
Within the year
204,540		 204,540
Between the second and ffth year inclusive
78,077		 282,617

19. Liability of members

At 31 March 2021 the charity had 215 members. The liability of each member to contribute to the assets of the charity is limited to £1.

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The Foundation Trust Network operating as NHS PROVIDERS

20. Related party transations

For this year , FTN Trading Ltd paid a donation under gift aid to NHS Providers of £39,995 ( 2020: nil) . FTN paid a management charge of £58,758 to its parent charity during the year (2020: £106,640) . At the year end NHS Providers was owed £99,345 ( 2020:£133,535) by FTN Trading Limited.

Transactions between the holding and subsidiary company are conducted at arms length. For membership organisations that are represented on NHS Providers elected board of trustees, preferential rates are not applied to subscription fees or attendance at NHS Providers events.

All elected board members are either chairs or chief executives of member organisations. Ron Kerr is the remunerated chair.

NHS Providers occasionally takes on temporary staff to provide extra assistance at short notice. During the period of this report, the son of a senior executive was contracted on a temporary basis following a competitive process. The senior executive played no part in this process, setting of terms and conditions or the management of their son’s work. The value of the contract for services was £6,608 over a 4 month period.

There are no other related party transactions during the year.

21. Reconciliation of net income/(expenditure) to net cash flow from operating activities

21. Reconciliation of net income/(expenditure)
to net cash fow from operating activities
£
2021		 £
2020
Net income for the reporting period ( as per the statement of fnancial activities)
294,507		 313,600
Add back: depreciation
122,291		 126,500
Deduct interest income shown in investing activities
(7,275)		 (3,581)
(Increase )/decrease in debtors
(263,765)		 249,015
Increase /(decrease) in creditors
207,674		 (303,847)
Net cash infow from operating activities
353,432		 381,685

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The Foundation Trust Network operating as NHS PROVIDERS

22. Comparative statement of financial activities 2020

£
Unrestricted
funds		 £
Restricted
funds		 £
Total
2020
Income from
Charitable activities		 600,044 187,000 787,044
Subscription income 4,317,290 – 4,317,290
Other trading activities 395,350 – 395,350
Investments 3,581 – 3,581
Total income 5,316,265 187,000 5,503,265
Expenditure on
Trading activities		 288,726 288,726
Charitable activities 4,775,636 125,303 4,900,939
Total expenditure 5,064,362 125,303 5,189,665
Net income/(expenditure) and net movement in funds
for the year		 251,903 61,697 313,600
Total funds brought forward 1,595,545 106,196 1,701,741
Total funds carried forward 1,847,448 167,893 2,015,341

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 50

The Foundation Trust Network operating as NHS PROVIDERS

NHS Providers is the membership organisation and trade association for the NHS hospital, mental health, community and ambulance services that treat patients and service users in the NHS. We help those NHS foundation trusts and trusts to deliver high-quality, patient-focused care by enabling them to learn from each other, acting as their public voice and helping shape the system in which they operate.

NHS Providers has all trusts in membership, collectively accounting for £84bn of annual expenditure and employing more than one million staff.

One Birdcage Walk, London SW1H 9JJ 020 7304 6977 enquiries@nhsproviders.org www.nhsproviders.org @NHSProviders

NHS Providers is the operating name of the Foundation Trust Network Registered charity 1140900 Registered in England and Wales as company 7525114

Registered Office One Birdcage Walk, London SW1H 9JJ

Foundation Trust Network operating as NHS PROVIDERS

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2021 51