OpenCharities

This text was generated using OCR and may contain errors. Check the original PDF to see the document submitted to the regulator.

2023-03-31-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 2023

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 1

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 2023 3
Administrative details of the charity,
its trustees and advisers 28
Independent auditors’ report 30
Consolidated statement
of fnancial activities 34
Group balance sheet 35
Charity balance sheet 36
Consolidated cash fow 37
Notes to the fnancial statements 38

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 2

The Foundation Trust Network operating as NHS PROVIDERS

REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2023

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 from 1 April 2022 to 31 March 2023. 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) issued on 16 July 2014.

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.

CHAIR’S REPORT

NHS Providers has had another exceptional year as the membership organisation for the 211 NHS acute hospital, mental health, community and ambulance trusts and foundation trusts who provide healthcare to England’s 56 million population. Our members faced unprecedented challenges in dealing with the combined impact of Covid-19, flu and winter pressures, continuing workforce shortages, disruption caused by industrial action and increasing financial concerns. Trusts have, however, made significant progress in addressing backlogs for treatment, and showed a commendable capacity to innovate and collaborate in pursuit of better care for patients and the communities they serve.

They have come under increasing scrutiny as the debate over the current NHS model intensifies ahead of the general election. Public support for the healthservice and its founding principles remains strong,though the pressures and their impact on performance have made it harder to maintain confidence that the NHS will be able to provide the level of service people have come to expect. The commitment and resourcefulness shown by trust leaders and frontline staff through these difficult days and in adapting to the fast-changing health and care landscape give grounds for encouragement, but the challenges are formidable.

As the voice of trusts in systems, we have worked to shape the environment in which our members operate, highlight the challenges they face, provide support, share good practice, and promote success.

We remained on the front foot in our behind the scenes influencing activities, and our media work, providing insight, analysis and commentary on key developments and leading debate through high profile interventions. Our programme of events and networking opportunities, including the Annual Conference and Exhibition, hit new heights as we returned to more face-to-face activities while retaining a busy online schedule.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 3

The Foundation Trust Network operating as NHS PROVIDERS

We made further strides in developing and delivering our support offer across key priorities including provider collaboration, trusts in systems, digital boards, quality improvement, health inequalities and race equality. As the continuing excellent results from our member, stakeholder and staff 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.

This was accomplished amid a period of significant upheaval for our members, during a change of leadership with the appointment of a new chief executive, and the move to a new office in Victoria better suited to accommodate our expanded staff team and the demands of hybrid working. So, a challenging but very rewarding year in which NHS Providers has once again stepped up successfully to make a real difference for members in a fast-changing health and care environment.

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 56 million population. Our members include NHS acute hospitals, community, mental health and ambulance service foundation trusts and trusts that, together, interact with more than five million patients and service users a week, employ 1.4 million people, and account for £115bn of the £150bn spent by the NHS.

The trustees confirm that they have complied with the duty in section 17 of the Charities Act 2011to 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.

We are now in the third year of our organisational strategy which we launched in April 2021. Our strategy is designed to enable us to respond to changes in the external environment, and to act on feedback from our members to deliver our influence, voice and support in the changing context of the move to integrate health and care in local systems.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 4

The Foundation Trust Network operating as NHS PROVIDERS

Our vision

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

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

At NHS Providers, we are:

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 5

The Foundation Trust Network operating as NHS PROVIDERS

KEY ACHIEVEMENTS AND PERFORMANCE

Over the course of 2022/23, we continued to deliver effective influence, voice and support for our membership, with a keen focus on the impact of sustained operational pressures post pandemic and our members’ achievements in unprecedented times. The past 12 months have involved considerable political volatility and been shaped in political and policy terms, by the prospect of an approaching general election. Over the course of the year, we have invested in maintaining constructive relationships with all key political parties, and with national decision makers. This has enabled us to remain an effective voice for our membership on challenging issues including lack of capital investment, care recovery post pandemic, staff burnout and workforce vacancies and the role of trusts in new health and care systems.

It is important to acknowledge the contribution at this time made by Saffron Cordery who, as interim chief executive, provided exceptional leadership, supporting and speaking up for members and offering calm authority, good judgement, and courage that stood us in good stead.

We have also overseen a smooth transition of leadership, welcoming Sir Julian Hartley as our next chief executive on 1 February 2023. We have revisited our approach to engaging in depth with our membership with a re-energised visits programme and a weekly read out of individual trust’s challenges and achievements in our new bulletin ‘Start the week’. We have continued to operate a hybrid working model, celebrating moving into a new, collaborative and modern office space. Our staff have once again gone above and beyond to deliver for the membership in a new context.

The year ahead will bring further change for the NHS, for our membership and for NHS Providers. We recently rearticulated our immediate priorities for the year within our existing strategy framework. These include engaging with our membership, playing a leading role in shaping debate ahead of the general election, advocating for a resolution to industrial action; and a need for us to support provider collaboration and improvement.

Below we set out a short summary of our work and achievements against each of our four strategic objectives: influence, voice, support and excellent organisation, including the priorities we set out for 2022/23 in our previous annual report.

Influence

Over the course of the year, we had demonstrable impact in the following key areas of national policy, as planned:

● Made clear the continuing impact of Covid-19, the flu and winter pressures on the service, both publicly and by engaging directly with decision makers. We remained engaged in policy discussions on winter planning; the elective recovery plan; the urgent and emergency care plan; the wider backlog of care and its impact on mental health, ambulance and community services, staff and patients; national workforce planning; the vaccination programme and additional capital investment linked to winter pressures. Winter watch and our activity tracker continued to generate meaningful commentary about the pressures trusts are facing and their achievements in difficult times.

● Worked in coalition to secure a commitment to a long-term NHS workforce plan (LTWP) to address workforce challenges and skills shortages. One of a small core of partners steering a coalition of over 100 health bodies, we were pleased to secure the chancellor’s commitment to publishing the LTWP, and to engage with NHS England (NHSE) in shaping the final publication.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 6

The Foundation Trust Network operating as NHS PROVIDERS

Our focus remains on ensuring the LTWP is now published, is appropriately funded, and balances short-term action with a medium and longer-term outlook. We continued to highlight the ongoing impact of vacancies on trusts’ staff and services. Our evidence to the pay review bodies was highly valued by members of those committees.

in systems. We engaged extensively with the Hewitt Review to ensure trusts’ perspectives were heard and taken into account. We have influenced a raft of new guidance exploring the leadership

role of trusts at the levels of neighbourhood, place, integrated care system (ICS) and pan-ICS. We highlighted the contribution trusts make to system working in a dedicated Trusts in Systems edition of our Providers Deliver case study series. We launched a dedicated programme of influence and support for provider collaboratives, helping to shape national guidance based on member views and offering a range of peer learning and webinars. We continued to highlight the importance of robust and rigorous answers to questions of governance, accountability, quality improvement and oversight, clinical leadership, and financial flows through a series of blogs and thought pieces.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 7

The Foundation Trust Network operating as NHS PROVIDERS

Sector focus

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 and shadow frontbench, the health and social care select committee, and other senior parliamentarians, as well as the leadership of NHSE, CQC and other national bodies.

Over the past year, we continued to offer our ‘in conversation with’ programme. We ran our member survey programme on a range of topics including cost of living, trust finances and board remuneration. Our annual stakeholder and member surveys continue to confirm the very positive views that stakeholders and trusts have of NHS Providers and our work.

In total during the year we:

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 8

The Foundation Trust Network operating as NHS PROVIDERS

Voice

Over the past year NHS Providers has consolidated and strengthened its reputation as an authoritative and trusted commentator on provider issues and the wider challenges facing health and care. Trusts and stakeholders value our informed, measured, and insightful commentary, and we have maintained our prominent media stance on an array of concerns while broadening our range of spokespeople and focusing our activities on high impact outlets, including Radio 4’s Today Programme, Sunday with Laura Kuenssberg and Times Red Box.

Once again we have faced the challenge of striking the right balance between reflecting the risks posed by unprecedented pressures at a time of severe and sustained workforce shortages and disruption caused by industrial action while retaining a sense of agency, highlighting trusts’ innovations and achievements in acute, mental health, community and ambulance settings. We underlined the value of collaboration and partnership working, reflecting the evolving system-based landscape in which we and our members operate.

NHS Providers played an important public role in highlighting the consequences of industrial action and urging government and the unions to seek a rapid resolution. Our close dialogue with our members allowed us to offer invaluable insight and updates through successive strikes. While maintaining a neutral stance on the dispute we expressed understanding of the frustrations felt by staff who had seen their pay fall behind inflation and made a strong intervention on trust leaders’ concerns about the growing cost of living crisis.

We also made frequent interventions on the need for a fully costed and funded long term workforce plan and for urgent capital investment across a range of settings.

Over the course of this busy year, we secured more than 30,000 media mentions. We also placed 40 commentary pieces authored by our staff and experts from partner organisations or members. We continued to strengthen our social media engagement on twitter and LinkedIn, and we developed our use of videos and podcasts to increase our reach across digital platforms.

Winter pressures, combined with the continuing impact of Covid-19 saw many trusts stretched as never before prompting quality and safety concerns over urgent and emergency care with a particular focus on ambulance handovers and 12-hour waits after a decision to admit. There was also an increasing media focus on acute mental health and maternity care, and the growing elective waiting list, even as the numbers affected by the longest delays fell. We promoted examples of progress in recovery, and successful innovations to overcome delays.

In an increasingly febrile pre-election climate, it was notable that support for the founding principles of the NHS (reflected in numerous polls) remained strong, though public confidence in the health service has been hit by concerns over performance and service quality. This in turn has prompted increased critical scrutiny of the NHS model, its sustainability and value for money. While working proactively and reactively to defend the reputation of the NHS, we also opened a dialogue with members on future reform to help us frame and lead the debate on its future.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 9

The Foundation Trust Network operating as NHS PROVIDERS

Support

We successfully transformed our development and support programmes for trust boards and governors to a mix of virtual and face-to-face delivery, 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:

on a partnership with the Q Community and funding from NHSE and The Health Foundation.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 10

The Foundation Trust Network operating as NHS PROVIDERS

Excellent organisation

Implementing our four-year strategy

In April 2021, we launched a new four-year strategy for the organisation in response both to the external environment, and to member feedback on the need for us to do more to help shape their role in system working. The strategy was developed in partnership with our elected board and shared with our membership for consultation.

As set out in the strategy, we have continued to increase and diversify our income by:

forward, monitor and measure progress against that commitment. A key part of the process has been the development of a staff group, the Race Equality and Cultural Inclusion Group (RECI) which provides support and challenge to the leadership.

Our staff survey results continue to be positive with 85% saying they are satisfied with their job and 86% commending the culture of the organisation. Alongside those positive results, we are working with our staff team to address areas of improvement with a focus on learning and development and our internal communications.

Office move

The need for more modern, flexible and accessible office space has been a key priority over the last year and we are pleased to have made the move into new office facilities at the end of 2022. We worked closely with the staff team to understand our working needs and how an office space might facilitate those. Our office move has supported the introduction of a new flexible and hybrid working policy which we hope will continue to offer a supportive, inclusive and collaborative environment for all staff, with options to work from home some days in the week, with a clear office base.

Shared values and behaviours

Co-produced with the staff team, our values and behaviours underpin our approach and all our work. Over the last year we have continued to embed those values in everything we do, including in our robust performance management process and reviewing a range of other relevant corporate policies. A values and behaviours staff group continues to meet to ensure the values are taken into account in all our activities and decision making.

We have also progressed a significant work programme to address race equality issues within the organisation and to support capacity in member trusts. Following an independent report on race equality at NHS Providers we have made an explicit commitment to be an anti-racist organisation, have published an anti-racism statement and detailed action plan setting out what we will do to drive

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 11

The Foundation Trust Network operating as NHS PROVIDERS

Feedback from members and stakeholders

During 2022/23 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 2022/23 financial year, NHS Providers had 100% of the 211 eligible foundation trusts and trusts in membership.

With the office move and the adoption of a formal hybrid working policy, there is the expectation that overall satisfaction will continue to increase significantly and be reflected in a future staff survey. This is due to the office environment causing significant discontent previously. There is an increase in staff embracing hybrid and flexible working, although difficult workloads continue to be acknowledged, and staff wellbeing continues to be a priority.

In the most recent members’ survey nearly nine in 10 respondents (88%) were ‘very’ or ‘fairly satisfied’ with our overall offer over the last year. In terms of how we represented the view of trusts in the media 81% of respondents were ‘very’ or ‘fairly satisfied’, however satisfaction levels for this were even higher in particular roles including finance directors (100%) HR directors (100%), chief executives (90%) and chairs (91%). Almost nine in 10 respondents (86%) were ‘very’ or ‘fairly satisfied’ with the work of NHS Providers, and nearly all chairs (97%) and chief executives (97%) were ‘very’ or ‘fairly satisfied’ too – the same percentage of which would speak positively about NHS Providers. Almost all (95%) of respondents feel it is important for their organisation to be a member.

We have also maintained high levels of satisfaction among our stakeholders. Our independent survey of 22 health and political leaders and the media – conducted on our behalf by Ipsos – resulted, once again, with very strong and positive feedback that found stakeholders continue to value the regular, direct and informal contact they have with us. Our contributions were viewed as particularly strong in relation to NHS workforce issues and pressures on the system. The most common words used to describe NHS Providers were: ‘insightful, credible, knowledgeable, professional, thoughtful and visible.’

Staff wellbeing and support

Overall job satisfaction has improved by 1% on the previous year, with 85% saying they are satisfied with their job, and staff remain very positive about the culture of the organisation, their line manager and leadership. Most notably the satisfaction with their line manager was exceptionally high at 86%.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 12

The Foundation Trust Network operating as NHS PROVIDERS

OUR PLANS FOR THE FUTURE

We are uniquely placed to work across the key issues that affect trusts from a board perspective, drawing on the views and experience of our membership which includes all of the 211 hospital, mental health, community and ambulance trusts in England. The year ahead will bring change as we work to represent and support our membership amidst the continued turmoil of industrial action, against a backdrop of operational pressure and ahead of the next general election.

We are heartened by public support for the founding principles of the NHS but particularly mindful of the drop in public satisfaction with the NHS and of the need for us to help make the case to address deepening and longstanding fault-lines which threaten the sustainability and quality of services for patients and undermine NHS staff morale. These include: the mismatch between funding, capacity and demand; the lack of national workforce planning; the need to invest in prevention; and the need for political commitment to place social care on a sustainable footing.

Influence

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

As we enter the third year of a four-year strategy, we will continue to make a concerted effort to understand the challenges that trusts are facing to sustain our credibility and relevance and to represent their interests in fast changing times. We will also face a challenging economic environment ourselves with pressure on our costs and other funders including national NHS bodies.

But our strategic priorities, and our laser-like focus on meeting the needs of our membership remain unchanged. Our priorities for 2023/24 are outlined below against each of our four strategic objectives of influence, voice, support and excellent organisation. The strategic objectives set out in our four-year strategy are:

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 13

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:

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 14

The Foundation Trust Network operating as NHS PROVIDERS

capture good practice examples of trusts acting to reduce inequalities in access to, experience of, and outcomes from, the care they provide.

Sector focus

(all priorities run across the year)

Voice

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

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 15

The Foundation Trust Network operating as NHS PROVIDERS

Support

We will continue to help members drive improvement and innovation through effective, shared development, support, and learning with a particular focus on:

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 16

The Foundation Trust Network operating as NHS PROVIDERS

Excellent organisation

Further information and contact details

Sir Julian Hartley, chief executive NHS Providers 157-197 Buckingham Palace Road London SW1W 9SP

Tel: 020 3973 5999 Email: enquiries@nhsproviders.org Web: www.nhsproviders.org

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 17

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 15.7% to £2,969,669 (2022: £2,566,044). This change was driven by a sustained increase in project and course income. In 2022 NHS Providers secured a three-year project funded by Health Education England (HEE) on Digital Leadership Training for ICBs, total value of £1.2m. NHS Providers also secured funding from NHSEI for the Collaborative Improvement programme.

Course income has increased significantly by 27% to £706,150 (2022: £554,467). Courses continued to be delivered in a blend of virtual, hybrid and face-toface which has increased accessibility. The increased income reflects the strategic commitment to grow course income and is reflective of the excellent course ratings which have driven member engagement.

Subscription income grew by 15.8%. The increase is in accordance with the table of percentage fee increases approved in the four-year strategic plan. At year end NHS Providers had 100% of trusts in membership, which represented 211 trusts.

Revenue of the charity’s wholly owned subsidiary, FTN Trading Limited, increased by 183% from £177,359 to £503,349 for the year ending 31 March 2023.

NHS Providers delivered its first face-to-face Annual Conference and Exhibition (ACE) since the Covid-19 pandemic started. The conference was a success and generated £348,785 income; £188,000 in ticket sales and £161,000 in sponsorship income. Other commercial income fell marginally by 6% as FTN Trading strategised to consolidate and strengthen its offer to retained partners post Covid-19 rather than increase partner reach. The overall performance of the trading entity was robust as it generated a profit of £91,225 for year ending 31 March 2023.

Overall expenditure excluding expenditure from FTN Trading Ltd increased by 25% to £8,463,545 (2022: £6,785,181). The increase in costs reflects increased activities across the organisation, evidenced by higher course income and expanding our project delivery. Costs have increased as we have increased our capacity to deliver the expanded programme, resumed more face-to-face delivery post Covid-19 and inflationary pressure. The organisation increased headcount by 20% during the year, and moved to new office premises that support our hybrid working; these factors have contributed to higher operating costs.

NHS Providers realised a surplus of £569,157 for the year, (2022: £878,630). The prior year was marred by the challenges of Covid-19, which yielded some savings on operating costs, most notably due to virtual delivery. The current financial year by contrast demonstrates a strong return to normal at a sustained pace to meet members’ need. This reflects staffing cost to adequately resource secured project work as well as staff investment required to fulfill our four-year strategy. The full-year salary costs of these hires impact finances fully in 2022/23. Operational on-cost from increased headcount and new premises have increased the establishment run rate cost of NHS Providers.

NHS Providers has delivered a strong surplus which strengthens reserves and exceeds budgeted expectation.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 18

The Foundation Trust Network operating as NHS PROVIDERS

Heading into 2023/24 NHS Providers will focus on building increased organisational sustainability as well as creating mitigation strategies for income uncertainty. The reserves policy defines the framework for responsible management of the reserves.

Unrestricted designated funds

Designated funds at year-end total £1,075,516 (2022: £17,565). The designations have been formally agreed prior to year-end by F&GP and noted by the board.

The year-end designations comprise:

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 change in financial circumstances occur, considering potential risks. Reserves are 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 (F&GP). In 2022, the board confirmed the reserve policy for free reserves, excluding designated and restricted funds, as the range from £900k to £1.3m.

At year-end, the group had total reserves of £3,757,634 of which £3,740,967 are unrestricted. At year-end the group had free reserves of £2,242,467. (Free reserves are cash or liquid funds that can be spent freely to support our aims. They exclude fixed assets).

We acknowledge the reserves level is higher than the target range as set out in the policy above. Over the coming three years we will be investing reserves to bring us to within the target range. To achieve this we will invest in key strategic priorities and delivery services to members as we align income and expenditure over the coming three year period.

F&GP will review the policy and level of reserves on an annual basis to ensure that they are sufficient to meet the group’s continuing obligations, commensurate with risks face by the organisation.

Restricted funds

Restricted funds can only be used for the purpose and in accordance with the terms agreed by the funder. In 2023 restricted funds are £16,667, (2022: £61,914); these are funds provided by NHSE to deliver on a peer support offer for local systems. Further details are given in note 16.

Designated funds will be released upon completion of the investment project and or securing investment funds.

Further details are given in note 16.

The designations are excluded from funds available to underwrite operational risk.

General unrestricted funds

Reserves excluding designated and restricted funds total £2,665,451.

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 is agile in its delivery to

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 19

The Foundation Trust Network operating as NHS PROVIDERS

members harnessing the advantages that platforms such as hybrid delivery affords. 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 and strengthening 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. The trading entity realised a surplus in 2023 with the expectation of maintaining profitability.

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:

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 mitigation measures 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 F&GP. 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:

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 20

The Foundation Trust Network operating as NHS PROVIDERS

retention. We strive to diversify our income mix and expand commercial and external funded income. External funding for projects introduces a significant level of volatility to planning and increases financial risk exposure to the organisation. Contingency planning for downside risk and escalation plans for upside and downside risk provide mitigation. The reserve policy underpins management of financial risk around project volatility. Lack of alignment of operational costs with budgets undermines long-term planning and commitment to the agreed reserve policy. Mitigations are on-going commitment to cost savings, cyclical reporting, quarterly reforecasting, and clarity around budget accountability.

Additionally, our strategy aims to develop commercial income and project income to further mitigate the risk of reducing subscription income. 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 needs 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.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 21

The Foundation Trust Network operating as NHS PROVIDERS

STRUCTURE, GOVERNANCE AND MANAGEMENT

This is the 12th 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 December 2021.

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 2022/23 and to the date of this report are listed on page 28. Senior executive staff and external advisors are detailed on page 28.

In line with the articles of association, the board comprises up to 21 trustees, made up as follows:

There is provision in the articles to co-opt additional trustees to the board. To provide the board with appropriate focus and input from the perspective of ICBs, Patricia Miller, chief executive at Dorset ICB was co-opted to the NHS Providers board in February 2022, Patricia stepped down from this co-opted position on 31 March 2023. Similarly, Alan Foster, who was originally co-opted to the board in 2019 and served two further terms of co-option in 2022 and 2021, stepped down in December 2022.

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 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.

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 seven 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.

However, the organisation has grown significantly since this review was undertaken and there is a risk that the current corporate services infrastructure needs to strengthen its capacity to meet increased business demand and information complexity that have arisen from such growth. A further independent review of the organisational corporate governance has been commissioned to take place early in the financial year 2023/24.

The organisation maintains a register of interests for trustees, as well as senior executives. The trustees’

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 22

The Foundation Trust Network operating as NHS PROVIDERS

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 subcommittee meetings.

During the period covered by this report, the NHS Providers board met a total of six times.

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, interim director of funded programmes, director of policy and strategy, director of communications, and the head of the chair and chief executive’s office as nonvoting 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: Finance and General Purposes Committee (F&GP) (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 F&GP Committee’s membership during 2022/23 comprised six trustees and a co-opted finance director member, Mike McEnaney, who was appointed in October 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 three times 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 24 to 27.

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. Originally established in 2021 as a time limited sub-committee, to provide support and challenge on the development of the race equality programme, the board’s race equality advisory group continues to meet. A key piece of work arising from this group was the commissioning of external training for the board to take place early in 2023.

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 5 the organisation needs to maintain a team of expert specialist staff covering areas as diverse as media, brand and communications, a breadth of healthcare policy issues, governance, development, engagement and event management and corporate functions including human resources, organisational development, financial management and ICT support.

Alongside recruiting high quality individuals NHS Providers is keen to promote continuous

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 23

The Foundation Trust Network operating as NHS PROVIDERS

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 on pages 24 to 27.

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 F&GP.

Remuneration committee

NHS Providers has a Remuneration Committee which, in 2022/23, met three times. 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.

2022/23 Approach to pay

Staff pay

Staff include policy and communications experts, recruited from those sectors, with administration, development and 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 £22,370. The organisation’s lowest salary in 2022/23 was £24,500.

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 4.5% to take effect from April 2023.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 24

The Foundation Trust Network operating as NHS PROVIDERS

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 Reward Connected CELR in January 2022 indicated that NHS Providers’ staff salaries are in line with or below market rates. There were significant difficulties in recruitment during the year and a number of leavers cited the competitiveness of the salaries as a primary reason for leaving. In order to attract and retain high calibre staff, in the context of the rising cost of living, a higher than usual percentage increase was awarded. 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 1:11 with the ratio between its highest and median salary being 1:6.

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 LGA and NHS Confederation and, in the case of the chief executive, the salaries paid to chief executives of member organisations and relevant arm’s length bodies. Director salaries are benchmarked every two to three years against those offered by similar organisations to ensure competitiveness. This year, it was agreed the chief executive and directors’ pay would be frozen.

The results of the pay policy in relation to total remuneration, including salary and pension contributions, for 2021/22 and 2022/23 are reflected in the table on page 26.

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 sixmonth 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:

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 2023 25

The Foundation Trust Network operating as NHS PROVIDERS

Summary of remuneration: key management personnel

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

2022/23 remuneration 2022/23 remuneration 2021/22 remuneration 2021/22 remuneration
Salary Pension
contribution		 Salary Pension
contribution
Ron Kerr
chair
£55,000		 – £55,000 –
Chris Hopson*
chief executive
£50,268		 £4,524 £218,436 £19,659
Sir Julian Hartley*
chief executive
£46,061		 – – –
Safron Cordery
deputy chief executive
£186,204		 £16,758 £149,059 £13,415
Adam Brimelow,
director of communications
£107,109		 £9,640 £102,497 £9,225
Miriam Deakin
director of policy and strategy
£114,173		 £10,231 £102,497 £9,091
Kevin Rennie*
interim chief operating ofcer
–		 – £85,848 £7,726
Alexis Chapman*,
interim chief operating ofcer
£81,154		 £4,835 £1,154 £35
Joanne Whyte*,
assistant director of corporate services
£92,724		 £8,345 £86,715 £7,804
Linda Asamoah*,
interim assistant director (HR)
£19,154		 £575 – –
Jenny Reindorp,
interim director of funded programmes
£101,887		 £14,254 £16,250 £488

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

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

For information, C Hopson, J Hartley, S Cordery, A Brimelow, M Deakin, A Chapman, J Whyte, L Asamoah and J Reindorp were all employees of the company during 2022/23.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 26

The Foundation Trust Network operating as NHS PROVIDERS

Banding

Banding
The number of employees whose emoluments
exceeded £60,000 for the period was:
2023		 2022
£60,000 – £70,000
7		 4
£70,001 – £80,000
4		 –
£80,001 – £90,000
2		 5
£90,001 – £100,000
1		 –
£100,001 – £110,000
2		 2
£110,001 – £120,000
1		 –
£140,001 – £150,000
–		 1
£180,001 – £190,000
1		 –
£210,001 – £220,000
–		 1

Fluctuations are due to changes in the senior management team.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 27

The Foundation Trust Network operating as NHS PROVIDERS

REFERENCE AND ADMINISTRATIVE DETAILS

Trustees/non-executive directors

Tracy Allen (until 30 June 2023) Ann Beasley (until 30 June 2023) Susan Brain England (until 30 June 2023) Nick Carver (from 1 July 2023) Mary Elford Alan Foster (until 31 December 2022) Beatrice Fraenkel (until 30 June 2022) Richard Henderson (from 1 July 2023) Angela Hillery (until 30 June 2023) Elliot Howard-Jones (from 1 July 2023) Nicholas Hulme Sir Ron Kerr Chris Lawrence (from 1 July 2023) Heather Lawrence (until 30 June 2022) Deborah Lee Harriet Llewelyn-Davies (until 30 June 2023) Sharon Mays (from 1 July 2023) Kathy McLean Patricia Miller (until 31 March 2023) Peter Molyneux (from 1 July 2023) Christine Outram (until 30 June 2022) Therese Patten Linda Pollard Helen Ray (until 30 June 2023) Jagtar Singh (until 30 June 2023) Karen Taylor (from 1 July 2023)

Senior executive staff/directors

Chris Hopson Chief executive (resigned 10 June 2022) Sir Julian Hartley Chief executive (appointed 1 February 2023) Saffron Cordery Deputy chief executive Interim chief executive (13 June 2022 to 31 January 2023) Adam Brimelow Director of communications Miriam Deakin Director of policy and strategy Interim deputy chief executive (1 July 2022 to 31 January 2023)

Interim chief operating officer (resigned 14 July 2023) Interim director of funded programmes Assistant director of corporate services (resigned 2 March 2023) Assistant director HR (appointed 16 January 2023) Interim director of finance and IT (appointed 17 July 2023)

Alexis Chapman Jenny Reindorp Jo Whyte

Linda Asamoah Tom Stanford

Auditors

Saffery Champness 71 Queen Victoria Street London EC4V 4BE

Bankers

The Co-operative Bank 80 Cornhill London EC3V 3NH

Principal and registered address 157-197 Buckingham Palace Road London, SW1W 9SP

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 2023 28

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 4 October 2023 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.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 29

The Foundation Trust Network operating as NHS PROVIDERS

INDEPENDENT AUDITORS’ REPORT TO THE MEMBERS OF NHS PROVIDERS FOR THE YEAR ENDED 31 MARCH 2023

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 2023 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).

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.

In our opinion the financial statements:

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 12 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.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 30

The Foundation Trust Network operating as NHS PROVIDERS

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.

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 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.

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:

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 31

The Foundation Trust Network operating as NHS PROVIDERS

Responsibilities of the trustees

As explained more fully in the Statement of Trustees’ Responsibilities set out on page 29, 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.

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 non- compliance with laws and regulations or knowledge of any actual, suspected

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 32

The Foundation Trust Network operating as NHS PROVIDERS

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 non- compliance 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.

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 Date: 11 October 2023

Chartered Accountants Statutory Auditors 71 Queen Victoria Street London EC4V 4BE

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

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 33

The Foundation Trust Network operating as NHS PROVIDERS

CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES

(Incorporating the consolidated income and expenditure account) for the year ended 31 March 2023


for the year ended 31 March 2023
Note £
Unrestricted
funds		 £
Restricted
funds		 £
Total
2023		 £
Total
2022
Income from
Charitable activities
2		 2,729,669 240,000 2,969,669 2,566,044
Subscription income 5,878,987 – 5,878,987 5,076,441
Other trading activities
3		 503,349 – 503,349 177,359
Investments
4		 25,069 – 25,069 1,635
Total income 9,137,074 240,000 9,377,074 7,821,479
Expenditure on
Trading activities
3		 344,372 – 344,372 157,668
Charitable activities
5,6,7		 8,178,298 285,247 8,463,545 6,785,181
Total expenditure 8,522,670 285,247 8,807,917 6,942,849
Net income/(expenditure) 614,404 (45,247) 569,157 878,630
Transfers between funds
16		 – – – –
Net movement in funds 614,404 (45,247) 569,157 878,630
Total funds brought forward
16		 3,126,563 61,914 3,188,477 2,309,847
Total funds carried forward
16		 3,740,967 16,667 3,757,634 3,188,477

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

The notes on pages 38 to 52 form part of these financial statements.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 34

The Foundation Trust Network operating as NHS PROVIDERS

GROUP BALANCE SHEET 31 MARCH 2023

GROUP BALANCE SHEET 31 MARCH 2023
Note £
2023		 £
2022
Fixed Assets
Intangible Fixed assets
12		 2,146 6,900
Tangible assets
12		 420,843 101,314
422,989 108,214
Current assets
Debtors
14		 810,298 837,882
Cash at bank and in hand 3,741,978 3,512,425
4,552,276 4,350,307
Creditors
Amounts falling due within one year
15		 (1,217,631) (1,270,044)
Net current assets 3,334,645 3,080,263
Net assets 3,757,634 3,188,477
Funds
Restricted funds
16		 16,667 61,914
Designated funds
16		 1,075,516 17,565
Unrestricted funds
16		 2,665,451 3,108,998
Total funds 3,757,634 £3,188,477

The notes on pages 38 to 52 form part of these financial statements.

The total income of the charity as an individual entity for the year was £8,873,666 (2022: £7,644,120) and its net income was £410,120 (2022: £858,939). 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.

Approved and authorised for distribution by the board of trustees on 4 October 2023 and signed on its behalf by:

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

Sir Ron Kerr Chair

Registered Company No. 07525114

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 35

The Foundation Trust Network operating as NHS PROVIDERS

CHARITY BALANCE SHEET 31 MARCH 2023

Note £
2023		 £
2022
Fixed assets
Intangible fxed assets
12		 2,146 6,900
Tangible assets
12		 420,843 101,314
Investments
13		 1 1
422,990 108,215
Current assets
Debtors
14		 847,747 869,315
Cash at bank and in hand 3,525,324 3,203,344
4,373,071 4,072,659
Creditors
Amounts falling due within one year
15		 (1,129,654) (982,922)
Net current assets 3,243,417 3,089,737
Net assets 3,666,407 3,197,952
Funds
Restricted funds
16		 16,667 61,914
Designated funds
16		 1,075,516 17,565
Unrestricted funds
16		 2,574,224 2,683,331
Total funds 3,666,407 3,197,952

The notes on pages 38 to 52 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 4 October 2023 and signed on its behalf by:

Sir Ron Kerr Chair

Registered Company No. 07525114

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 36

The Foundation Trust Network operating as NHS PROVIDERS

CONSOLIDATED CASH FLOW STATEMENT FOR THE YEAR ENDED 31 MARCH 2023

CONSOLIDATED CASH FLOW STATEMENT
FOR THE YEAR ENDED 31 MARCH 2023
Note £
2023		 £
2022
Cash fows from operating activities
Net cash provided by operating activities
21		 602,956 1,245,757
Cash fows from investing activities
Interest income		 25,069 1,635
Purchase of tangible fxed assets (398,472) (94,036)
Disposals of fxed assets – –
Purchase of intangible fxed assets – (2,301)
Net cash used in investing activities (373,403) (94,702)
229,553 1,151,055
Change in cash and cash equivalents in the reporting period
Cash and cash equivalents at the beginning of the reporting period		 3,512,425 2,361,370
Increase in cash and cash equivalents in the year 229,553 1,151,055
Cash and cash equivalents at the end of the reporting period 3,741,978 3,512,425

The notes on pages 38 to 52 form part of these financial statements.

Analysis of changes in net debt
£
As at
1 April 2022		 £
Cash fows		 £
Other
non - cash
changes		 £
As at 31
March 2023
Cash and cash equivalents
Cash
3,512,425		 229,553 – 3,741,978
Cash equivalents
–		 – – –
Overdrafts
–		 – – –
3,512,425 229,553 – 3,741,978

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 37

The Foundation Trust Network operating as NHS PROVIDERS

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023

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 157-197 Buckingham Palace Road, London, SW1W 9SP.

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.

Fund accounting

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.

Incoming resources

Subscription and other incoming resources are accounted for on a receivable basis.

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:

Accrued and deferred income

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

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

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 38

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.

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.

Tangible fixed assets and depreciation

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

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.

Operating leases

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

Taxation

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.

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
min-max UEL		 Over three (min)
and 10 (max) years
straight line basis
Ofce equipment Over three years
straight line basis
Computer equipment Over three years
straight line basis

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 39

The Foundation Trust Network operating as NHS PROVIDERS

2. Income from charitable activities

£
Unrestricted
funds		 £
Restricted
funds		 £
2023		 £
2022
Award agreement
The Health Foundation		 130,490 – 130,490 124,063
Projects and other income
Digital transformation		 933,091 – 933,091 933,091
NHSE/I 590,000 – 590,000 590,000
Community Network – – – 17,500
Peer Support – 240,000 240,000 230,000
ICS Digital 286,915 – 286,915 –
Collaborative improvement 59,000 – 59,000 –
Other income 24,023 – 24,023 116,923
Total projects and other income 1,893,029 240,000 2,133,029 1,887,514
Foundation trusts and trusts
Course fees		 706,150 – 706,150 554,467
Total income from charitable activities 2,729,669 240,000 2,969,669 £2,566,044

In 2022 total restricted income was £247,500 comprising £17,500 Community Network income and £230,000 Peer Support income.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 40

The Foundation Trust Network operating as NHS PROVIDERS

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 performance summary of the subsidiary:

£
2023		 £
2022
Turnover 503,349 177,359
Cost of sales, administrative costs and taxation (344,372) (157,668)
Interest receivable 59 –
Management charge (58,334) (29,168)
Net proft/(loss) 100,702 (9,477)
Loss b/f (9,477) –
Proft/(loss) 91,225 (9,477)
The fnancial position of the subsidiary:
Current assets		 311,310 543,905
Current liabilities 311,309 (553,381)
Total net assets 1 (9,476)
Share capital 1 1
Retained earnings 91,225 (9,477)
Total shareholder’s equity 91,226 (9,476)

FTN generated a profit of £100,702 for the year after paying a management fee to its parent, NHS Providers.

A gift aid distribution of £91,225 will be transferred to the parent after accounting for the brought forward loss from last year of £9,477.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 41

The Foundation Trust Network operating as NHS PROVIDERS

4. Investment income

4. Investment income
£
2023		 £
2022
Interest 25,069 1,635

5. Analysis of expenditure on charitable activities

£
Direct
costs		 £
Support		 £
Governance		 £
Total
2023		 £
Total
2022
Infuence
1,763,315		 688,840 8,417 2,460,572 2,437,791
Voice
1,039,370		 380,888 4,655 1,424,913 1,035,801
Support
3,185,597		 1,375,653 16,810 4,578,060 3,311,589
Total expenditure
5,988,282		 2,445,381 29,882 8,463,545 6,785,181

Expenditure on charitable activities was £8,463,545 (2022: £6,785,181). In 2023 £285,247 (2022: £199,086) of these costs were restricted.

Support and governance costs of £2,445,381 (2022: £2,093,631) and £29,882 (2022: £33,554) are analysed in note 6, totalling £2,475,263 (2022: £2,127,185). They relate to overhead costs incurred on the fourth strategic objective, professional organisation, which supports the activities of influence, voice and support.

£
Direct
costs		 £
Support		 £
Governance		 £
Total
2022
Infuence
1,566,415		 857,631 13,745 2,437,791
Voice
753,885		 277,469 4,447 1,035,801
Support
2,337,696		 958,531 15,362 3,311,589
Total expenditure
4,657,996		 2,093,631 33,554 6,785,181

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 42

The Foundation Trust Network operating as NHS PROVIDERS

6. Analysis of governance and support costs

£
Infuence		 £
Voice		 £
Support		 £
Total 2023		 £
Total 2022
IT
37,943		 20,980 75,775 134,698 105,287
Premises
102,548		 56,703 204,794 364,045 206,482
Human resources
491,799		 271,936 982,151 1,745,886 1,589,262
General ofce costs
39,001		 21,565 77,887 138,453 159,716
Legal
661		 366 1,321 2,348 5,101
Irrecoverable VAT
13,947		 7,712 27,852 49,511 26,986
Professional fees
2,941		 1,626 5,873 10,440 15,400
Governance
8,417		 4,655 16,810 29,882 18,950
Total support
697,257		 385,543 1,392,463 2,475,263 2,127,185

*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 overlaps in activities.

£
Infuence		 £
Voice		 £
Support		 £
Total 2022
IT 37,943 20,980 75,775 105,287
Premises 71,814 39,709 143,416 206,482
Human resources 491,799 271,936 982,151 1,589,262
General ofce costs 39,001 21,565 77,887 159,716
Legal 661 366 1,321 5,101
Irrecoverable VAT 13,947 7,712 27,852 26,986
Professional fees 2,941 1,626 5,873 15,400
Governance 8,417 4,654 16,810 18,950
Total support 666,523 368,548 1,331,084 2,127,185

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 43

The Foundation Trust Network operating as NHS PROVIDERS

7. Total expenditure

7. Total expenditure
£
Total 2023		 £
Total 2022
Net income/expenditure is stated after charging:
Auditor's remuneration:
Audit
21,300		 16,000
Tax advisory, secretarial services
2,500		 3,150
Payroll costs
5,500		 4,725
Depreciation
71,415		 126,131
Operating leases
176,717		 204,532
Loss on disposal of fxed assets
12,282		 1,506

8. Trustees

One trustee, Ron Kerr was reimbursed for expenses relating to travel and accommodation of £259, (2022: £292) and received remuneration of £55,000 for the year. (2022: £55,000). There is no contribution to a pension fund. The legal authority conferring authority to make payment is provisioned for in the articles of association. The clause was ratified at an EGM on 10 September 2013 under consultation with the Charity Commission. No other trustees received remuneration for services rendered or reclaimed expenses. The company incurred a cost of £833, (2022: £833) in respect of annual indemnity insurance for the 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.

£
2023		 £
2022
Key management personnel emoluments
922,896		 884,898

Key management personnel emoluments for 2022 has been re-stated with a pro-rata adjustment applied for comparability purposes.

Seven of the directors were in the workplace pension scheme which is a defined contribution pension scheme (2022:7) and one was in a personal defined contribution pension scheme to which the charity contributes (2022:1).

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 44

The Foundation Trust Network operating as NHS PROVIDERS

10. Staff costs

10. Staf costs
£
2023		 £
2022
Wages and salaries
4,904,731		 4,077,652
Social security costs
542,565		 425,568
Defned contribution pension costs
301,152		 232,353
Defned beneft pension costs - NHS pension scheme
–		 8,154
5,748,448 4,743,727

Staff costs have been re-calculated to include holiday accrual element for the 2022 financial year.

There was a termination payment during the year but as there is an NDA in place no amount has been disclosed here.

11. Staff numbers

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

2023 2022
Infuence
28		 25
Voice
16		 11
Support
57		 47
101 83

The bandings for employees who receive more than £60,000 are set out on page 27.

In 2023 staff allocation was revised. The analysis for 2022 has been restated for comparability purposes.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 45

The Foundation Trust Network operating as NHS PROVIDERS

12. Fixed assets – group and charity

£
Intangible
fxed assets		 £
Leasehold
property
improvements		 £
Fixtures
and fttings		 £
Ofce
equipment		 £
Computer
equipment		 £
Total
Cost
At 1 April 2022
251,492		 53,967 96,832 5,528 175,788 583,607
Additions
–		 6,644 369,145 – 22,683 398,472
Disposals
–		 (60,611) (62,580) (5,528) (12,273) (140,992)
At 31 March 2023
251,492		 – 403,397 – 186,198 841,087
Depreciation
At 1 April 2022
244,592		 51,184 92,906 4,987 81,724 475,393
Charge for the year
4,754		 1,524 14,515 – 50,622 71,415
Disposals
–		 (52,708) (62,580) (4,987) (8,435) (128,710)
At 31 March 2023
249,346		 – 44,841 – 123,911 418,098
Net book value
at 31 March 2023
2,146		 – 358,556 – 62,287 422,989
Net book value
at 31 March 2022
6,900		 2,783 3,926 541 94,064 108,214

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

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.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 46

The Foundation Trust Network operating as NHS PROVIDERS

14. Debtors

14. Debtors 14. Debtors 14. Debtors 14. Debtors
Group
Charity
£
2023		 £
2022		 £
2023		 £
2022
Debtors
500,155		 480,626 416,442 325,496
Other debtor
165,170		 147,500 165,170 147,500
Prepayments
144,973		 209,756 134,030 130,061
Amounts due from FTN Trading Limited
–		 – 132,106 266,258
810,298 837,882 847,748 869,315

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.

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
£
2023		 £
2022		 £
2023		 £
2022
Trade creditors
538,153		 562,581 532,025 437,487
Social security and other taxes
180,802		 242,542 175,999 240,639
Other creditors
48,885		 41,608 48,886 41,609
Accruals
160,958		 237,617 155,328 233,617
Rent free period creditor
109,107		 – 109,107 –
Deferred income
179,726		 185,696 108,309 29,570
1,217,631 1,270,044 1,129,654 982,922

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
£
2023		 £
2022		 £
2023		 £
2022
Brought forward
185,696		 167,680 29,570 99,663
Deferred
179,726		 185,696 108,309 29,570
Released
(185,696)		 (167,680) (29,570) (99,663)
Carried forward
179,726		 185,696 108,309 29,570

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 47

The Foundation Trust Network operating as NHS PROVIDERS

16. Restricted and unrestricted funds

Group
£
Balance
1 April 2022		 £
Incoming
resources		 £
Resources
expended		 £
Resources
expended		 £
Transfers		 £
Transfers		 £
Funds
31 March 2023
Peer support review
61,914		 240,000 (285,247) – 16,667
Total restricted funds
61,914		 240,000 (285,247) – 16,667
Community Network fund
17,565		 – (60,928) 55,890 12,527
Fixed asset reserve
–		 – – 422,989 422,989
Digital investment reserve
–		 – – 340,000 340,000
Digital boards
programme reserve
–		 – – 300,000 300,000
Designated funds
17,565		 – (60,928) 1,118,879 1,075,516
General other unrestricted
3,108,998		 9,137,074 (8,461,742) (1,118,879) 2,665,451
Total unrestricted funds
3,126,563		 9,137,074 (8,522,670) – 3,740,967
Total funds
3,188,477		 9,377,074 (8,807,917) – 3,757,634
Charity
£
Balance
1 April 2022		 £
Incoming
resources		 £
Resources
expended		 £
Transfers		 £
Funds
31 March 2023
Peer support review
61,914		 240,000 (285,247) – 16,667
Total restricted funds
61,914		 240,000 (285,247) – 16,667
Community Network fund
17,565		 – (60,928) 55,890 12,527
Fixed asset reserve
–		 – – 422,989 422,989
Digital investment reserve
–		 – – 340,000 340,000
Digital boards
programme reserve
–		 – – 300,000 300,000
Designated funds
17,565		 – (60,928) 1,118,879 1,075,516
General other unrestricted
3,118,473		 8,692,000 (8,117,370) (1,118,879) 2,574,224
Total unrestricted funds
3,136,038		 8,692,000 (8,178,298) – 3,649,740
Total funds
3,197,952		 8,932,000 (8,463,545) – 3,666,407

During the year NHS Providers was engaged with a peer support offer for local systems working in partnership with relevant membership bodies.

It received restricted funding from NHSE to lead on the project in 22/23 of £240,000 with delivery to continue into the 23/24 financial year.

A designated fund to support Community Network trusts has a £12,527 carried forward balance to provide future support.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 48

The Foundation Trust Network operating as NHS PROVIDERS

A fixed asset reserve designates the current level of investment in fixed assets classed as non-free reserves.

A digital investment reserve ringfences the required investment level in IT infrastructure.

A digital boards programme reserve designates funds to ensure seamless project delivery on digital as a risk mitigation for any time delay in securing income.

Group £
Balance
1 April 2021		 £
Incoming
resources		 £
Resources
expended		 £
Transfers		 £
Funds
31 March 2022
Community Network 13,500 17,500 (31,000) – –
Peer support review – 230,000 (168,086) – 61,914
Total restricted funds 13,500 247,500 (199,086) – 61,914
Designated Community
Network fund		 37,565 – (35,723) 15,723 17,565
Designated Funds 37,565 – (35,723) 15,723 17,565
General other unrestricted 2,258,782 7,573,979 (6,708,040) (15,723) 3,108,998
Total unrestricted funds 2,296,347 7,573,979 (6,743,763) – 3,126,563
Total funds 2,309,847 7,821,479 (6,942,849) – 3,188,477
Charity £
Balance
1 April 2021		 £
Incoming
resources		 £
Resources
expended		 £
Transfers		 £
Funds
31 March 2022
Community Network 13,500 17,500 (31,000) – –
Peer support review – 230,000 (168,086) – 61,914
Total restricted funds 13,500 247,500 (199,086) – 61,914
Designated Community
Network fund		 37,565 – (35,723) 15,723 17,565
Designated funds 37,565 – (35,723) 15,723 17,565
General unrestricted 2,258,782 7,425,786 (6,550,372) (15,723) 3,118,473
Total unrestricted funds 2,296,347 7,425,786 (6,586,095) – 3,136,038
Total funds 2,309,847 7,673,286 (6,785,181) – 3,197,952

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 49

The Foundation Trust Network operating as NHS PROVIDERS

17. Analysis of net assets between funds

Group
£
Restricted
funds		 £
Unrestricted
funds		 £
Total
2023		 £
Total
2022
Intangible fxed assets
–		 2,146 2,146 6,900
Tangible fxed assets
–		 420,843 420,843 101,314
Net current assets
16,667		 3,317,978 3,334,645 3,080,263
16,667 3,740,967 3,757,634 3,188,477
Charity
£
Restricted
funds		 £
Unrestricted
funds		 £
Total
2023		 £
Total
2022
Intangible fxed assets
–		 2,146 2,146 6,900
Tangible fxed assets
–		 420,843 420,843 101,314
Investments
–		 1 1 1
Net current assets
16,667		 3,226,750 3,243,417 3,089,737
16,667 3,649,740 3,666,407 3,197,952
Group
£
Restricted
funds		 £
Unrestricted
funds		 £
Total
2022
Intangible fxed assets
–		 6,900 6,900
Tangible fxed assets
–		 101,314 101,314
Net current assets
61,914		 3,018,349 3,080,263
61,914 3,126,563 3,188,477
Charity
£
Restricted
funds		 £
Unrestricted
funds		 £
Total
2022
Intangible fxed assets
–		 6,900 6,900
Tangible fxed assets
–		 101,314 101,314
Investments
–		 1 1
Net current assets
61,914		 3,027,823 3,089,737
61,914 3,136,038 3,197,952

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 50

The Foundation Trust Network operating as NHS PROVIDERS

18. Financial commitments

As of 31 March 2023 the charity was committed to making the following payments under non-cancellable operating leases in the following periods:

£
2023		 £
2022
Payable in respect of leases expiring:
Within the year
150,982		 78,077
Between the second and ffth year inclusive
765,544		 –
Over fve years
837,845		 –

19. Liability of members

On 31 March 2023 the charity had 211 (2022: 212) members. The liability of each member to contribute to the assets of the charity is limited to £1.

20. Related party transactions

FTN paid a management charge of £58,334 to its parent charity during the year (2022: £29,168). At the year-end NHS Providers was owed £132,106 (2022: £266,285) by FTN Trading Limited.

Transactions between the holding and subsidiary company are conducted at arm’s 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 and also member of the board.

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 51

The Foundation Trust Network operating as NHS PROVIDERS

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
£
2023		 £
2022
Net income for the reporting period (as per the statement of fnancial activities)
569,157		 878,630
Add back: depreciation
71,415		 126,131
Add back: loss on disposal of asset
12,282		 1,506
Deduct interest income shown in investing activities
(25,069)		 (1,635)
Decrease/(increase) in debtors
27,584		 (321,356)
(Decrease)/increase in creditors
(52,413)		 562,481
Net cash infow from operating activities
602,956		 1,245,757

23. Comparative statement of financial activities 2022

£
Unrestricted
funds		 £
Restricted
funds		 £
Total
2022
Income from
Donations and legacies
–		 – –
Charitable activities
2,318,544		 247,500 2,566,044
Subscription income
5,076,441		 – 5,076,441
Other trading activities
177,359		 – 177,359
Investments
1,635		 – 1,635
Total income
7,573,979
Expenditure on
Trading activities
157,668		 247,500
–		 7,821,479
157,668
Charitable activities
6,586,095		 199,086 6,785,181
Other
–		 – –
Total expenditure
6,743,763		 199,086 6,942,849
Net income/(expenditure)
830,216		 48,414 878,630
Transfers between funds
–		 – –
Net movement in funds
830,216		 48,414 878,630
Total funds brought forward
2,296,347		 13,500 2,309,847
Total funds carried forward
3,126,563		 61,914 3,188,477

NHS Providers | TRUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023 52

The Foundation Trust Network operating as

NHS PROVIDERS

NHS Providers is the membership organisation 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 highquality, 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 England in voluntary membership, collectively accounting for £115bn of annual expenditure and employing 1.4 million people.

157-197 Buckingham Palace Road London SW1W 9SP

020 3973 5999 enquiries@nhsproviders.org www.nhsproviders.org @NHSProviders

© Foundation Trust Network 2023

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

Foundation Trust Network operating as NHS PROVIDERS

NHS Providers | ~~T~~ RUSTEES’ REPORT AND ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2023157-197 Buckingham Palace Road, London SW1W 9SP 53