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Annual Report and Accounts
HYWEL DDA
2020- 2021 S¥4"
HeaLth Charities
## **Contents**
## Our purpose, achievements and plans
|Our purpose, achievements and plans||
|---|---|
|Welcome|**3**|
|1. Our purpose|**4**|
|2. The difference we made|**6**|
|3. Our supporters|**15**|
|4. How to support us|**25**|
|5. Our plans|**26**|
|Our finances and governance||
|6. Financial review|**27**|
|7. Structure, governance and management|**32**|
|8. Risk Management|**36**|
|Appendix A: List of designated funds|**37**|
|Appendix B: Annual accounts 2020-2021|**44**|
If you require this publication in printed or alternative formats and/or languages, please contact us:
Hywel Dda Health Charities Ystwyth, Hafan Derwen, St David’s Park Jobswell Road, Carmarthen, SA31 3BB T: 01267 239815 E: Fundraising.HywelDda@wales.nhs.uk www.hywelddahealthcharities.org.uk Registered charity number 1147863
HywelDdaHealthCharities @HywelDdaCharity
## **Welcome**
## from Delyth Raynsford, Chair of the Charitable Funds Committee
I am pleased to present the 2020-2021 annual report and accounts for Hywel Dda Health Charities in what has been an extremely challenging time for the NHS during the COVID-19 pandemic.
This has been a year which, more than any other, demonstrates the impact of our charity in making a positive difference to the health, wellbeing and experience of patients, service users and NHS staff across Carmarthenshire, Ceredigion and Pembrokeshire.
The pandemic has had a significant impact on staff and services across Hywel Dda University Local Health Board over the financial year and is continuing to do so.
But our hard-working staff across the health board have risen to the immense challenge of COVID-19 and each and every one of our colleagues have joined forces to give the best care and support possible to our local communities across Carmarthenshire, Ceredigion and Pembrokeshire.
It has also been humbling and inspiring to witness the outpouring of support for the NHS from within our local communities in response to the pandemic. I am proud of the role our charity has played in being part of the response efforts of our local NHS and for the amazing support we have received which has enabled us to do this.
During 2020-2021, the generosity of our communities has once again enabled us to provide invaluable support to Hywel Dda University Local Health Board, its patients, service users and staff, above and beyond core NHS expenditure.
We are extremely grateful for every donation we receive from patients, their families and the wider community and I would like to take this opportunity to once again thank everyone who has supported our charity throughout the year.
Diolch, thank you for helping us to #makeadifference
## _**‘It has been humbling and inspiring to witness the outpouring of support’**_
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## **1. Our purpose**
Hywel Dda Health Charities is the official charity of Hywel Dda University Local Health Board, registered charity number 1147863. We exist to make a positive difference to the health, wellbeing and experience of NHS patients, service users and staff across Carmarthenshire, Ceredigion and Pembrokeshire.
Our aim is to raise and distribute funds to enhance local NHS services. Every penny we receive from patients, their families and our local communities is spent on enhancing NHS services, above and beyond what NHS funding allows.
## **What we do**
**Provide the most up-to-date medical equipment for diagnosis and treatment**
**Offer additional patient comforts to make time in hospital more comfortable**
**Create more welcoming surroundings for patients, families and staff**
**Support staff learning, development and wellbeing**
**Enhance care in our local communities**
**Deliver healthy living and health promotion initiatives**
**Fund research projects to improve our understanding of new treatments**
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**How we help**
We work closely with Hywel Dda University Health Board to ensure that our charity allocates funding to the areas where it can make the biggest impact to the treatment and care of patients across Carmarthenshire, Ceredigion and Pembrokeshire.
We do not replace NHS funding but use the generous donations we receive from patients, their families and our local communities to support the University Health Board to provide services and activities above and beyond what the NHS can provide.
Hywel Dda University Health Board is the corporate trustee of Hywel Dda Health Charities. The charity is managed independently of the University Health Board through a separate scheme of delegation to its Charitable Funds Committee.
We carry out our aims through the provision of grants to support and enhance the NHS services provided by the University Health Board and its partners.
Hywel Dda University Health Board plans and provides NHS healthcare services for Carmarthenshire, Ceredigion, Pembrokeshire and its bordering counties.
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12,476
Mental health
members Primary In-hospital
and learning
of staff care Community care disabilities
provide: care services
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This is done in partnership with three local authorities and public, private and third sector colleagues, including volunteers, for a population of 387,300, through:
- **-**
- **Four main hospitals** Bronglais General in Aberystwyth, Glangwili General in Carmarthen, Prince Philip in Llanelli and Withybush General in Haverfordwest
- **-**
- **Five community hospitals** Amman Valley and Llandovery in Carmarthenshire; Tregaron in Ceredigion; and Tenby and South Pembrokeshire Hospital Health and Social Care Resource Centre in Pembrokeshire
- **-**
- **Two integrated care centres** Aberaeron and Cardigan in Ceredigion
- **48 general practices** (four of which are Health Board-managed practices); **49 dental practices** (including three orthodontic); **98 community pharmacies** ; **44 general ophthalmic practices** (44 providing Eye Health Examination Wales and 30 providing low vision services); **domiciliary-only providers and health centres**
- **Mental health and learning disability services** at numerous locations
- **Highly specialised services** commissioned by Welsh Health Specialised Services Committee
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## **2. The difference we made**
This year, the continued generosity of our patients, their families and our local communities has enabled us to direct our charitable donations to support a wide range of services and activities for the benefit of patients cared for by Hywel Dda University Health Board.
Our charitable donations are independent of, and are managed separately to the exchequer funds (government funds) of Hywel Dda University Health Board. The Charity Commission has regulatory responsibility for ensuring the proper management of our charitable funds. It is our job to make sure that our donations are spent carefully and for the purposes for which they were given.
We are extremely grateful for the support we receive each year which allows us to support expenditure over and above that provided by the NHS.
T **hanks to the generosity of our communities, along with legacies, grants, funds from NHS Charities Together and investments, our income for 2020-2021 was £2.51 million.**
## Donations £830,973
## Legacies £840,476
## NHS Charities Together £485,000
## Investments £327,381 Grants
£26,385
## **Our expenditure on charitable activities during 2020-21 was £1.037 million:**
> Medical & surgical equipment - 39% £404,430
> Office & computer equipment - 18% £186,660
> Building enhancements and refurbishments - 1% £10,370
> Patient education and welfare - 8% £82,960
> Staff education and welfare - 4% £41,480
> Support costs- 10% £103,700
> Miscellaneous- 20% £207,400
T **his has enabled us to make a positive difference to the health, wellbeing and experience of NHS patients, service users and staff across Carmarthenshire, Ceredigion and Pembrokeshire.**
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## **How we helped**
In the last financial year, the charity spent £1.037 million on making things better. Here are some examples of how we helped to make things better for NHS patients, service users and staff across Carmarthenshire, Ceredigion and Pembrokeshire:
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Winter packs for our
community colleagues
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We are pleased to have been able to purchase over 1,000 winter packs for our NHS colleagues working across our community services, to support their welfare and wellbeing. The packs contain ice and snow shoe grips, an insulated hot/ cold water bottle, a high visibility vest and a torch and have been well-received by health workers.
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£50,000 worth of packages
to help older patients
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Over £50,000 worth of equipment was purchased to help older patients, especially those with dementia and other cognitive difficulties.
RITA memory therapy software encourages social interaction and has been shown to reduce falls; improve the patient experience; help with sleep for dementia patients; improve quality of patientcentred care; alleviate boredom; and improve interaction between carers and patient, and relatives and patient.
The packages include classic TV and music programmes, old films, games and puzzles, karaoke, bingo and other programmes to help older patients in particular feel more relaxed.
It is now being used on inpatient wards across Carmarthenshire, Ceredigion and Pembrokeshire.
The investment was possible thanks to grant funding, a contribution from our Leagues of Friends as well as our charitable donations.
## **£38,000 lung function machine for Withybush Hospital**
A new lung function machine, costing more than £38,000, has been purchased for the Cardio-Respiratory department at Withybush Hospital in Haverfordwest. With demand on the cardio-respiratory service ever increasing, the upgraded equipment is helping with patient diagnosis and treatment times and improving the patient flow through the hospital.
The machine also enables electronic transfer of reports to consultants across Hywel Dda’s sites in Carmarthenshire, Ceredigion and Pembrokeshire, which reduces the need for additional hospital appointments.
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## **Audiology equipment for Ceredigion**
We have purchased new diagnostic equipment for use by audiologists at ear, nose and throat clinics held at Bronglais Hospital in Aberystwyth and Aberaeron Integrated Care Centre. The tympanometer evaluates the functioning of the middle ear and the ear drum and can identify a variety of conditions including glue ear, otosclerosis and Menieres disease.
## **Cerebral function monitor for Glangwili Hospital**
A new bedside monitor has been purchased for the Special Care Baby Unit at Glangwili Hospital.
Costing more than £14,000, the cerebral function monitor records brain activity continuously and is used to help new-born babies who are unwell.
The monitor helps to show if a baby is having abnormal electrical activity such as a seizure.
**Examination couch for the Elizabeth Williams Clinic**
We have purchased a new examination couch for children and young people attending the Elizabeth Williams Clinic in Llanelli.
The outpatients’ clinic caters for children up to school leaving age and the new couch is being used for initial assessments by both nursing and health care staff. This new piece of equipment is adjustable which means it can be lowered to enable a child to get up onto it themselves, rather than a doctor or parent having to lift them up.
It assists with decision-making, to assess whether the baby can remain in Glangwili Hospital or would need to be transferred to a neonatal intensive care unit for more intensive treatment.
**Video conferencing equipment for Ty Bryngwyn**
Video conferencing equipment has been purchased to enable the specialist Ty Bryngwyn palliative care team at Prince Philip Hospital to link up with patients and also with medical specialists all over the UK.
The system enables consultants and clinical staff to talk to patients in their own homes, when the nursing teams are visiting them.
The equipment is also used for meetings and consultations between Hywel Dda teams across Carmarthenshire, Ceredigion and Pembrokeshire, to enhance services for the patients.
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3D goggles for children
at Glangwili Hospital
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We have purchased 3D goggles for children and young people on Cilgerran ward at Glangwili Hospital, which have been a real hit. The goggles act as a great distraction for when children are undergoing procedures such as blood tests and having cannulas fitted. Linked to free apps on a mobile phone, the goggles enable children and young people to be in space, watching planets going past; to be on a virtual rollercoaster ride; in lots of different scenarios or watching moving pictures.
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A monitor for the children’s
ward at Bronglais Hospital
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A new patient monitor has been provided for the children’s ward at Bronglais Hospital. The IntelliVue MX450 monitor is a rapid, painless and non-invasive method of diagnosis, measuring heart rate and cardiac output and is of great benefit to the child, as it enables closer monitoring to take place.
## **Items for the Special Care Baby Unit at Glangwili Hospital**
We have purchased new items for our premature babies at Glangwili Hospital. The Special Care Baby Unit has received 30 supporting nests for premature babies, aiding muscle tone, brain development, weight gain and growth. Also provided have been 24 Frederick T. Frog positioning aids, which help with positioning babies, allowing them to feel contained, soothed and enhancing sleep.
## **Standing frames for physiotherapy services**
Two specialist standing frames have been provided for the Children and Young People’s Physiotherapy Service to be used across Carmarthenshire, Ceredigion and Pembrokeshire. These frames are for children and young people undergoing physiotherapy, to help them develop their ability to stand up and to develop their overall strength.
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Monitors for the
Acute Response
Team
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Mandy Daniels works as a Health Care Support Worker for the health board’s Acute Response Team in Carmarthenshire.
When her husband Steve sadly died of pancreatic cancer in November 2020, at the age of 54, Mandy wanted to support the team in her husband’s memory to say thank you to her colleagues who helped care for Steve at home in Tumble in his final days. A total of £900 was donated by family and friends, including funeral donations and a collection at a quarry where Steve used to pick up aggregate deliveries.
At Mandy’s request, we purchased two Oxygen Saturation Monitors for use in the community. Mandy saw first-hand the difficulties of taking saturation levels via a finger. The new monitors allow measurement of saturation levels via the ear lobe, which can be more effective in palliative patients. The monitors will be used by the 65 members of the team, who carry out acute nursing, out-of-hours district nursing and palliative care.
Mandy said: “If it were not for the Acute Response Team, Steve would not have been able to spend his final days at home, which was his wish.
“Steve wanted to make a donation to the team and I’m pleased we have been able to purchase monitors to help patients.”
## **Comfort cushions for cancer patients at Withybush Hospital**
Cancer patients and the Breast Cancer Services Team at Withybush Hospital say comfort cushions we have purchased have made a big difference to recovery. The 14 heart-shaped cushions promote comfort in the recovery period and patients say they have found them really valuable. Tessa Phillips, Breast Care Clinical Nurse Specialist said: “Patients say that these cushions are a God-send post-surgery. We are pleased to be able to provide this service which is so welcomed by our patients.”
## **Chemotherapy training**
Trainee Macmillan Acute Oncology Nurse Rachel Bran came to the charity for help with her training and we were able to fund a distance learning course on chemotherapy for her. Rachel works within the Acute Oncology Team but also supports the Chemotherapy Day Unit at Bronglais Hospital in Aberystwyth. She has recently undertaken a distance learning module at Newcastle University, focusing
on treatment and the administering of chemotherapy. “I am delighted to have been given the opportunity to take this course in chemotherapy, which will enable me to further strengthen oncology services in Bronglais Hospital in a new role of Trainee Acute Oncology Nurse,” said Rachel.
“There is an amazing team in the Chemotherapy Day Unit and I am happy to be able to support the service there when needed.”
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## **Bladder scanner for Prince Phlip Hospital**
## **Manikins for training at Glangwili Hospital**
We have been able to purchase two manikins to support the training of junior obstetricians.
An extra bladder scanner has been purchased for Prince Philip Hospital in Llanelli. This scanner will be used across the hospital, where needed, to help the medical teams with timely, initial diagnoses.
Clinical Lead Nurse Gareth Phillips said: “This is a very important piece of equipment and is highly-valued. It gives quick access to diagnostics to help us provide the best treatment possible.
“We now have a scanner available for all wards, day or night, a 24-hour service provision, thanks to donations from our local communities.”
One manikin supports training on assisted deliveries and helps with training on six different foetal positions. The other manikin focuses on determining the lie of the foetus.
Dr Roopam Goel, Consultant Obstetrician and Gynaecologist at Glangwili Hospital, said: “These manikins are very effective for use in training sessions held within the department.
“They enable lifelike scenarios for teaching purposes and help us to maintain enhanced clinical skills for obstetricians.”
Consultant Obstetrician and Gynaecologist Letchuman Shankar said: “Simulations have proved to work well in training our doctors. These manikins will certainly benefit our maternity services.”
## **Community midwife bags**
We have supported the purchase of Community Midwife Bags, so every midwife across
Carmarthenshire, Ceredigion and Pembrokeshire will have their own bag, with all the equipment needed to support birthing mothers and their babies.
Community Midwife Lisa Rose got to experience the benefit of the bag first-hand when she gave birth to
baby, Isaac, at home in Aberystwyth. Supported by her partner Graham and colleagues, Lisa was delighted to be able to give birth at home, including time in a birthing pool.
Lisa said, “As a community midwife I have always found the bag really helpful at every home birth I have attended, and felt reassured knowing midwives attending my birth had this excellent kit with them.”
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## **Our COVID-19 response**
As the NHS faced the biggest challenge of its lifetime, we have been overwhelmed by the phenomenal support from our local communities, through our public appeals and grants from NHS Charities Together.
At the start of the COVID-19 pandemic, we launched our Hywel Dda COVID-19 appeal, which raised an amazing £96,000 from those eager to show their support to NHS staff and volunteers. We were also overwhelmed by donations of gifts, including the hundreds of items received through our patient appeal, as well as over 2,000 items to provide care packs for patients unexpectedly admitted to hospital.
This generosity has enabled us to support a wide range of expenditure to make a positive difference to patients, service users and staff.
## **Items on our Patient Wishlist**
Our Patient Wishlist launched at the height of the pandemic to provide essentials for patients when visiting was not possible. Over £20,000 worth of items were donated and distributed to the patients that needed them the most. We provided care packs to help make our patients more comfortable during their stay when they were unable to receive visitors, which included toiletries, eye masks, ear plugs and headphones, and we also supplied nightclothes and other essentials.
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New furniture for
staff rest rooms
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NHS staff deserve calming places to take rest breaks in now more than ever.
We are pleased to have been able to fund many new items for staff rest areas.
Purchases for staff rest rooms and outdoor relaxation areas included comfy chairs and tables; electrical items such as microwaves, fridges, kettles and televisions; cutlery and crockery; and picnic tables and benches. Artwork, artificial plants and other decorative items have also been bought to brighten up rest and relaxation areas, indoors and out.
Items for staff rest rooms included new furniture for the staff room in Glangwili Hospital’s Pathology Department. The staff room has been equipped with 10 new easy chairs, two arm chairs, eight cushioned dining chairs and two dining tables.
Catrina Richards, Blood Science Locality Lead for Glangwili Hospital, said it had been a challenging year for the NHS and the new furniture for the Pathology staff room had been a “real brightener”. “To have new furniture in the staff room in the pathology building has made a real difference to staff comfort and wellbeing,” Catrina added. “Staff are very grateful for the support that has enabled this improvement in their staff room surroundings.”
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## **Electronic items and**
## **patient distraction items**
## **Ethnic minorities outreach team**
Thanks to a £75,000 grant awarded by NHS Charities Together, we have been able to fund a project which is seeing a team of experienced community workers reach out to ethnic minority people living in
We have been able to buy thousands of items to make life better for hospital patients in Carmarthenshire, Ceredigion and Pembrokeshire during the COVID-19 pandemic. From games, activities, arts and crafts and
welcome packs to gardening items, toys and exercise equipment, we have been able to make a real difference.
We are also pleased to have been able to provide electronic equipment to help our patients keep in touch with their families, along with radios, TVs and DVD players to alleviate boredom during hospital stays and washer-dryers for patients who could not receive clean clothes from relatives.
We worked closely with the health board’s Patient Experience Team to make sure items got to patients that need those most.
Carmarthenshire, Ceredigion and Pembrokeshire to help them during the COVID-19 pandemic.
The three-strong outreach team is engaging with communities that have been adversely affected by Coronavirus and the disproportionate impact that COVID-19 has had on people from minority ethnic communities. The team is led by Stepheni Kays, Community Development Outreach Manager (pictured). The team will be reaching out to the 10,000-plus people from minority ethnic communities living in the three counties which make up the Hywel Dda University Health Board area.
## **Medical equipment for community care**
We purchased a range of medical equipment and devices to facilitate discharge from hospital and to enable patients to be cared for in their own homes, including blood pressure monitors, weighing scales and exercise equipment. We also provided equipment for over 100 midwifes across Carmarthenshire, Ceredigion and Pembrokeshire, to help with advice for new mums and mums-to-be.
## **New health and wellbeing programmes for staff**
We successfully applied for grant funding of £242,000 from NHS Charities Together for a range of projects to support staff health and wellbeing, both physically and psychologically.
It is more important than ever to give staff permission to rest to enable their recovery and the restoration of their wellbeing.
Projects will include nature-based eco-therapy, a health and wellbeing champion’s network, bereavement support and training, arts in health and wellbeing activities, along with grants for staff to learn a new skill beyond their professional work requirement.
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Thank you
card for
staff
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We are pleased to have played a part in helping to send a special keepsake to Hywel Dda NHS staff to thank them for their incredible hard work and support during the most difficult of years. In the autumn of 2020, a thank you card, featuring an image generously donated by Welsh artist Rhiannon Art, was sent to all NHS staff across Carmarthenshire, Ceredigion and Pembrokeshire, thanks to funding received from NHS Charities Together. It features a bilingual message from Hywel Dda University Health Board Chair Maria Battle and Chief Executive Steve Moore, thanking staff for their strength, compassion and kindness. Staff were told: “Thank you from the bottom of our hearts for the sacrifices you have made in working for and supporting your local NHS during this historic and most challenging time.” The health board said it wanted to recognise, thank and support every single member of staff in this way. “We considered this to be more than a piece of communication, but a gift, or keepsake, that our staff could proudly display to their friends and family and keep for many years to come,” said Maria and Steve.
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Wellbeing packs for staff
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We provided hundreds of staff wellbeing packs to help with nutrition, hydration and toiletries. Provisions included everyday items such as porridge, tea or hand cream, wash kits and overnight stay kits reusable water bottles and clothing for their immediate needs during the pandemic.
Staff were invited to request the items that would make the biggest difference to support their welfare and wellbeing. That way we were able to prioritise where we could help the most.
Our NHS colleagues told us that these purchases really helped to make a difference and they were grateful for the support and to know they are appreciated.
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DadPads for new fathers
across our three counties
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We have been able to purchase special guides for new fathers to help with the best start for families across the Hywel Dda University Health Board area. Staff in the health board’s Perinatal Mental Health Services are using the 38-page, wipe-clean DadPads® to help new dads to develop the necessary mindset and practical skills, help them to gain confidence and give them the tools to provide the best support for baby. With fewer face-to-face clinics and meetings as a result of the pandemic, the DadPads® have been a valued resource.
New dad Shane Earp, pictured with his wife Emma and new baby Brody, said having the DadPad® had been a great support. “Being able to read the DadPad® has made me feel calmer. There is lots of advice. It is really inspiring.”
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## **3. Our supporters**
We have been overwhelmed by the generosity of our local communities and the eagerness of our public to fundraise for the NHS in new and innovative ways.
We saw new and unique fundraising ideas from children as young as four to those in their eighties and nineties. Many chose to support us because family and friends are working on the front line or in key services. Others wanted to support the NHS to say thank you.
Sportspeople ran, walked and cycled tens of thousands of miles. Charity videos were released and there were lots of virtual quizzes and head shaves. So many children got involved – cycling, walking, roller-skating and decorating pebbles. Here are some of our fundraisers in 2020-2021:
## **Vindya Prabhu, Carmarthenshire**
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Rhythwyn Evans,
Ceredigion
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Rhythwyn Evans did 91 laps around his bungalow on his 91st birthday in April 2020 and raised a phenomenal £51,300 for his local NHS charity.
The daughter of a Hywel Dda hospital consultant spent 10 days climbing Snowdon on her stairs to raise money for charity. Vindya Prabhu, aged 14, climbed the two flights of stairs at her home 20 times a day to reach the 3,560-foot summit. Vindya was raising money for Hywel Dda’s Holistic Acute Recovery Programme. HARP supports head and neck cancer patients across Carmarthenshire, Ceredigion and Pembrokeshire.
The cause is close to her heart, because her dad, Vinod Prabhu, is Consultant Head and Neck Surgeon for the health board. Vindya said: “I am stuck at home anyway, so I thought why not be stuck at home and raise money for a good cause!” Dad Vinod said that he, mum Sumitha, and 10-year-old brother Vismith are all very proud of Vindya, who attends St Michael’s School, in Llanelli.
“She’s always been an inspiration to the whole family,” he said. “She is only counting the steps on the way up, not on the way back, making it more of a challenge.
“Before the 10 days were up, we put up a tent in the garden, so Vindya could spend a night sleeping out to get a feel of what the real climb of Snowdon would be like.”
When grandfather-of-eight Rhythwyn embarked on his challenge, he set himself the modest target of £500! But his story captured the heart of communities, locally and as far afield as America and New Zealand, and donations flooded in. The retired farmer, from Silian, near Lampeter, said he was so pleased to have raised such a large amount for the NHS.” I’m lucky I’m in pretty good health, fairly strong and I eat like a horse, so I was able to do the 91 laps around the bungalow without any real problems on my birthday,” Rhythwyn said.
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## **Martin Lewis, Pembrokeshir e**
Financial adviser Martin Lewis feels he is lucky to be alive after spending eight weeks in intensive care and four months having rehabilitation in hospital. The 51-year-old, of Pembroke, was rushed into intensive care at Glangwili Hospital with an infection and, after five operations, he finally started his recovery. This involved spending four months in South Pembrokeshire Hospital, as a rehabilitation patient on Sunderland ward.
Martin said: “My illness was caused by an infected wisdom tooth, of all things. I will be eternally grateful to the staff at the Intensive Care Unit in Glangwili and the staff at Sunderland ward.”
After coming home, Martin asked friends for donations instead of birthday gifts, raising £230 for Sunderland ward.
## **Gwyndaf Lewis, Carmarthenshire**
When Gwyndaf Lewis of Efailwen lost his mam to coronavirus in April 2020, at the age of 59, he said it was a shock for the family.
Undeg was well known in the locality. She worked in a local shop and was clerk of the community council, as well as being secretary of the local paper Y Cardi Bach.
The family were so grateful to the intensive care staff at Glangwili Hospital, who Gwyndaf said showed his mam amazing dedication and care. Gwyndaf decided to run 50km in a day to raise money for the ICU. He completed the challenge in five hours and 45 minutes, cheered on by his dad Tudur, who cycled half the distance with him; his brother Rhodri, who also did the 50km, part running and part cycling; and his sister Nia. Originally 26-year-old Gwyndaf set himself a target of raising £500, but that was reached in half an hour! In total he raised £37,000.
## **Dewi James Butchers, Ceredigion**
A third-generation butcher produced a fantastic charity cookbook to raise money for the local NHS. Dafydd Davies, of Dewi James a’i Gwmni in Cardigan, wanted to do something to say thank you to local health workers in the Hywel Dda area. So, after a suggestion from a customer, he put together ‘Chefs in Isolation’, a cookbook featuring family recipes from the butchers’ shop and recipes from chefs at restaurants and cafés supplied with their meat. The first print run of 250 books sold out very quickly.
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## **Alfie Chester, Pembrokeshire**
What a great effort by six-year-old Alfie Chester, who cycled 60 miles in a month and raised a fantastic £300 for our charity. Alfie, from Milford Haven, said he wanted to say thank you to everyone in the NHS working so hard. So, he decided to cycle 10 miles for each year of his life. He was supported by mum Sarah Eynon and dad Chris Chester, who are both very proud that Alfie wanted to make a difference. Alfie cycled three miles at a time on a pathway near his home.
## **Alysha Scarrot, Ceredigion**
Alysha Scarrott may be only 10 but ran a mile a day for 65 days and raised a fantastic £8,500 for our charity.
Alysha lives with her parents James and Victoria, five-year-old brother James and sister Sienna, aged three, at Clarach Bay Holiday Village, which the family run. In 2020, she pledged to run a mile a day during lockdown and kept it up for over two months. Originally she set herself a target of £1,000, then £2,000 – but Alysha has been such an inspiration that the money has just kept pouring in.
Alysha said: “I wanted to do my best every single day, just like all the doctors, nurses, care workers and all other NHS workers do.” As well as donations, Alysha received lots of cards and messages of support, and people joined in virtually with a fancy dress Whacky Wednesday.
## **Pendine AFC, Carmarthenshire**
What a fantastic achievement by Pendine AFC, whose Road to Euros challenge raised a brilliant £4,141. Team members originally planned to run and cycle 10,000 miles between them in 32 days, to cover the
distance from their ground around all the 12 host cities of the UEFA Euros over the period the tournament should have been played.
They smashed that target in just 18 days but decided to keep going for the whole 32 days – and travelled 16,252 miles in total.
The club more than doubled their original fundraising target of £2,020, with some of the players notching up more than 1,000 miles each. Player secretary Julian Blewitt, 32, said: “We wanted to do our bit to help the local NHS staff who are doing so much in this pandemic.”
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Eunice O’Hara,
Pembrokeshire
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What an achievement by 79-year-old Eunice O’Hara, who did 100 laps of her street and raised over £2,000.
Eunice, who lives in Fishguard, is a retired Hospital Reserve member and has a number of neighbours who work for the NHS, so she said she knows what a strenuous job it is. She wanted to do something to support them, so decided to do 100 laps of her street where she has lived for 77 years – down the front of the houses and then round the back lane.
Eunice, who has been a volunteer and fundraiser for several charities over 60 years, said: “I wanted to do something to help so decided to do 100 laps on my own around our street. Eunice’s fundraising has even won her an award from the local Round Table.
## **Niamh McCarthy, Carmarthenshire**
What an amazing achievement by eight-year-old Niamh McCarthy, who climbed Everest on her stairs at home and raised a fantastic £3,151. Plucky Niamh of Carmarthen had to do 58,000 steps – the equivalent of 3,871 flights of her stairs.
As if that does not sound hard enough, Niamh only counted when she went upstairs, not downstairs, so it was double the effort!
## **Melanie Phillips, Pembrokeshire**
What an entertaining idea from Pembroke town councillor Melanie Phillips, who wrote a book about her lockdown experiences and raised over £1,000 for the intensive care unit at Withybush Hospital. The retired teacher wanted to keep busy during lockdown, so decided to put pen to paper and write a daily journal of her life.
Her book, called Under House Arrest, catalogues her thoughts and experiences, living through the pandemic with only herself for company.
## **Dic Evans, Ceredigion**
Retired head teacher Richard (Dic) Evans ran a whopping 1,000 miles to raise money for Bronglais Hospital’s Chemotherapy Day Unit after his partner was diagnosed with ovarian cancer. He may be 73, but Dic, who lives in Abermagwr, in the Ystwyth Valley, averaged 10 miles a day to reach his target in 100 days. A keen runner most of his life, Dic has for the last 17 years organised an annual trail race, The Red Kite Challenge, to raise money for Bronglais Hospital. Dic said: “I have seen how much care the staff of the Bronglais Chemotherapy Day Unit give to patients after my partner Liz Hughes was diagnosed with ovarian cancer last summer. They are so good, amazing. I wanted to help them. The running was tough some days. At 73 everything takes longer. But I was determined to finish.”
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Bow Street Football Club,
Ceredigion
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What a great effort by Bow Street Football Club, who raised £1,750 by going around the world in 70 days - outdoing Phileas Fogg who took 80 days!
Around 60 players, committee members and local supporters from the village just north of Aberystwyth took part in the epic feat, which involved cycling, running and walking the equivalent of the earth’s circumference – a whopping 24,860 miles. A huge age range was involved – from children as young as five up to those in their seventies.
Bow Street FC chairman Wyn Lewis said: “We all admire our frontline NHS workers, especially so during this crisis, so we wanted to do our bit to help. It was a terrific effort and brilliant to see so many local people get involved.”
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Llys y Fran YFC,
Pembrokeshire
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Look at this fantastic new mural outside the emergency department at Withybush Hospital which has been created thanks to a donation from Llys y Fran Young Farmers’ Club. The mural was painted by Lloyd the Graffiti to brighten up the seating area at the hospital. During lockdown, the young farmers decided to raise money for Withybush and South Pembrokeshire hospitals. As well as funding the mural, they also purchased a new starter kit for patients using the Cleddau River Day Unit at South Pembrokeshire Hospital, and a kettle and toaster for a new staff rest room at Withybush Hospital.
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Mike Lanfear, Carmarthenshire
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Mike Lanfear, who rode 150 miles in a day over August bank holiday weekend, raised a fantastic £3,322 for the breast cancer and chemotherapy units at Prince Philip hospital in Llanelli.
Mike, who is 51, and a father-of-four, did a solo bike ride from Wrexham to Llanelli, which included riding over Devil’s Staircase, which has a 25 per cent hill climb.
Mike has been completing cycling events over the last year to help the two cancer units after his sister was diagnosed with breast cancer.
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## **Scarecrow Festival, Carmarthenshire**
Wow, what a great tribute to key workers.
Nearly 90 scarecrows popped up in the village of Abergwili, near Carmarthen, to raise money for the local NHS. There were doctors, nurses, carers, shop workers, police, farmers and construction workers. There was even one of Captain Tom Moore and a few of Prime Minister Boris Johnson! Organiser Rachel Moyles said that the village, just outside Carmarthen, wanted to pay tribute to key workers and also to raise money for the intensive care unit at Glangwili Hospital. “It has been a bit of fun and brought some colour to the village, while getting children involved during lockdown,” said Rachel. “We have all been out clapping every week and thought we could lend our support in a different way, to say thank you to all the key workers. “Most of the community has been involved.” Scarecrow Festivals were also held elsewhere in Carmarthenshire, and in Pembrokeshire, as people wanted to pay tribute to the local NHS during the pandemic.
## **Ron Tapping, Pembrokeshire**
Harry Potter actor and entertainer Ron Tapping walked 70km on his 70th birthday to raise money for Withybush Hospital.
Ron, who lives in Milford Haven, walked a circuitous route to Withybush Hospital and back, starting at 2am and with a lateafternoon finish.
He has had an interesting career, starring as a Death Eater in the Harry Potter films and having walk-on roles, including in _Half Light_ with Demi Moore. Ron has also been a singer and musician on cruise ships.
He said he wanted to raise funds for Withybush Hospital because of the great work they do every day. “I’m a fit 69-year-old and wanted to set myself a bit of a challenge,” said Ron, who is also an advanced open water diver. “Celebrating my 70th birthday by walking 70km that day was an amazing achievement for me and made it a birthday to remember!”
## **Ben Williams, Carmarthenshire**
Ben Williams of Llanpumsaint, near Carmarthen, was diagnosed with function neurological disorder in 2020 after collapsing in his kitchen. He has made huge progress after being left initially with little use of his right limbs and is so grateful to the Gwenllian Ward staff, who had “the best positive attitude to recovery you could wish for”.
Ben said: “My life took an unexpected hiccup, which you don’t expect when you are 26 with a small baby and a beautiful wife and your whole life ahead of you.
“At first doctors thought I had had a mini stroke. But scans ruled this out and then FND was diagnosed, for which there is no cure.” Ben decided to raise money for the Stroke Unit to say thank you for the care he received after his shock diagnosis.
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**Sara Hicks, Pembrokeshire**
## **Cai Jones, Carmarthenshir e**
When Cai Jones was diagnosed with a rare disease, he had to undergo a six-hour operation, at the age of just 12.
Cai, of Penygroes, near Cross Hands, was diagnosed with Cholesteatoma, a benign cyst in the ear which only affects one in 10,000 people and can be fatal if left untreated.
The disease was removed and the roof of Cai’s ear drum was replaced with a new one made from his own cartilage. Cai says: “I bought a new headset for my Xbox. I put it to my left ear to hear my friends speak, but I couldn’t hear them.
“I told my dad the headset didn’t work, but dad could hear my friends speaking from halfway across the room.”
Cai was referred to the Ear Nose and Throat Department at Glangwili Hospital and saw ear consultant Dr Anthony Howarth, who is now his “hero”.
To say thank you Cai pledged to walk, run and cycle a total of 130 miles in a month, to raise money for the ENT department.
After being taken very ill in August 2020, with a burst appendix, Sara Hicks of Saundersfoot says she owes her life to the NHS. Sara, 51, an office manager, who lives in Saundersfoot, said: “I dialed 999 in the early hours in excruciating pain. Paramedics soon arrived and off I went to Glangwili Hospital, with them pulling over only to give me some morphine, as I really wasn’t coping well with the potholes! “I was cared for by a team of nurses and doctors who were all so kind and compassionate and I was in surgery by that afternoon, even though it was a Sunday.
“I was in for around a week and experienced quality of care which was second to none, and during a time of COVID challenges. The nurses and doctors were all simply amazing. Support and cherish your NHS. They saved my life and will continue to save many more every day.” Sara decided to raise money to say thank you to the staff at Glangwili Hospital. She asked friends and family to donate money instead of buying her flowers.
## **Emlyn Evans, Ceredigion**
Just before his fourth birthday, Emlyn Evans was very ill and was in Bronglais Hospital, in Aberystwyth, for nearly a week.
He had chicken pox and this progressed to Grade A Strep. Two years later, when the COVID-19 pandemic hit, Emlyn decided he wanted to raise money for the local NHS after hearing from his mum Louisa about how hard staff in Hywel Dda’s hospitals were working, looking after patients. So the now seven-year-old decided to have his head shaved and raised a fantastic £1,769.
Emlyn’s shave was carried out by Louisa, 39, with support from dad Deiniol, 37, and Emlyn’s five-year-old sister Lois.
Louisa, of Llanrhystud, said: “Although only six, Emlyn really wanted to raise money for the NHS when he realised how much they were doing looking after people with coronavirus.
“It was also a chance for us to thank the staff at Bronglais Hospital for what they did for Emlyn in 2018.”
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## **West Wales Freemasons**
The West Wales Freemasons delivered £10,000 worth of goods for patients in our hospitals. Their purchases of much-needed pyjamas, loungewear, dressing gowns and underwear – nearly 1,000 items in total - helped patients at our hospitals across Carmarthenshire, Ceredigion and Pembrokeshire.
## **Church of Latter Day Saints**
A thousand welcome packs were provided for patients in Hywel Dda hospitals. The South West and Mid Wales branch of the Church of Jesus Christ of Latter-day Saints’ £3,000-plus donation paid for zipped bags, containing toothpaste, hand cream, hand wipes, and roll-on deodorant. Hywel Dda Health Charities topped the bags up with toothbrushes, combs, ear plugs, ear phones, lip salves and eye masks.
## **Barclays**
Barclays donated 20 iPads for use by NHS hospital patients and staff. The tablets have enabled patients to keep in touch with family, while receiving visitors was restricted. The iPads have also aided communication in outpatient
appointments where family members are unable to attend to support, and helped with the delivery of virtual groups within mental health and learning disabilities services. In addition, the iPads have been used to deliver virtual support to patients with long-term or chronic conditions.
## **Artists Amanda, Kate, Si** â **n and Sarah**
This fantastic artwork was donated to Withybush Hospital. The pieces are the work of four artists - Amanda Blake, Kate Kekwick, Siân Lester and Sarah Poland (pictured) – who wanted to say thank you to the hospital for all its work.
The framed, abstract works on paper of local flora and fauna are hanging in staff areas in the hospital.
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## **Fundraising by our NHS staff**
## **Maria Davies**
Running 60 miles each for our 60 in September event in 2020 was the challenge taken on by Maria Davies and her husband Adrian of Haverfordwest. Maria works in the Patient Experience Team at Withybush Hospital and Adrian is a work coach at Pembroke Dock Job Centre. Maria, 33, said she enjoyed her job, helping patients to stay connected with their families, while they are in hospital. She said working for the team has made her realise how even a small donation can help so much in improving the care and wellbeing of patients, especially those who do not have immediate relatives to get them essential items while they are in hospital. “My intention in the 60 in September challenge is to raise some money to pay for comfort packs and basic toiletries for our patients who don’t have access to them,” Maria said. Both Maria and Adrian, 52, have done some running before, but wanted to push themselves by running further.
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Trio of lung cancer doctors
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A trio of lung cancer doctors cycled over 200 miles to raise funds and to raise awareness of the illness and its symptoms.
They passed all 11 hospitals and health centres in the Hywel Dda area in one day on 25 July 2020 – starting at Prince Philip, then Amman Valley, Llandovery, Tregaron, Bronglais, Aberaeron, Cardigan, Withybush, South Pembrokeshire, Tenby and finally Glangwili.
For the three lung consultants – Dr Gareth Collier MBE, Dr Mark Andrews and Dr Jonathan Fisher-Black (pictured in 2019) - there was an ascent of 17,500 feet to overcome, the same as climbing to base camp Everest! Dr Collier said: “Our aim was to increase awareness of the symptoms of lung cancer, stress the importance of going to see your GP if you think you have symptoms, and raise money for equipment to aid the early diagnosis of lung cancer in the Hywel Dda area.”
**Donna Reed** Donna Reed from Pembroke Dock has raised over £1,550 in a sponsored challenge with her husband Edd, having been inspired by the support their young niece received as a baby at Glangwili Hospital’s Special Care Baby Unit. Donna works in the Communications Team at Hywel Dda University Health Board and wanted to do her bit to say thanks to everyone who nursed Layla and supported the family for several weeks when she arrived very early in 2012.
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## **Fundraising by our NHS staff**
## **Jamie Evans**
Radiographer and lecturer Jamie Evans cycled 100 miles in a day on his turbo trainer in memory of his mum.
Jamie, 36, complete the challenge in six hours to raise money for the Chemotherapy Day Unit at Glangwili Hospital in Carmarthen and also for the X-ray departments in Glangwili and Prince Philip hospitals, where he trains students.
The dad-of-one from Bronwydd, Carmarthen had been in training for the Carten 100 cycling event, but when that was postponed because of COVID-19, he decided to do a charity event instead. Jamie cycled on his drive, cheered on by his wife Maria, who works in recruitment for Hywel Dda. And he built a wooden stand, so that four-year-old son Archie could pedal alongside him during the feat. Jamie took on the challenge in memory of his mum Gillian, who lost her battle with cancer in December 2017, at the age of 75. Jamie said: “During her treatment mum had multiple sessions of chemotherapy at Glangwili. The unit and its staff are simply outstanding.”
## **Staff Christmas Jumper Day**
Health Board staff got into the spirit with our Christmas Jumper Day and helped us to raise money for mental health patients across our three counties. It was wonderful to see the creative efforts and socially distanced photos. They made us smile and raised a fantastic amount to help bring Christmas cheer to mental health patients this year, with the purchase of resources, crafts, and other goodies.
## **Pembrokeshire student nurses**
What a lovely gesture by eight student nurses, who raised money to pay for iPads so patients at South Pembrokeshire Hospital could keep in touch with loved ones while they were unable to receive visitors. The nursing team - Ruth Morgan, Anna Griffiths, Chloe Thomas, Aneesah
Tamlin, Shanice Riley, Dominika Szwab, Lisa Prest and Shannon John – launched a JustGiving page and also organised a Christmas raffle. Ruth who, along with Anna, is based at South Pembrokeshire Hospital, said they really wanted to help patients speak to family and friends when it was not possible to receive visitors.
“Most of the patients at South Pembrokeshire Hospital are there for rehabilitation, so are in hospital for quite some time,” 40-year-old Ruth, who lives in Pembroke, said.
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## **4.How to support us**
Our charity is made up of more than 270 individual funds each with a specific purpose – from individual hospital wards or departments to research and community care. All donations received are allocated to these funds.
You can choose to support a specific area or donate to our ‘Response Fund’ which allows us to use your gift where it is needed the most. This fund allows our clinical teams to react quickly to the needs of our patients and allocate our resources in the most effective ways possible. Each of our funds is managed by a named fund-holder with in-depth knowledge of the particular field related to the fund.
Your support, big or small, can help us to make huge improvements in the care we offer our local communities.
Our Fundraising Team would love to hear from you to discuss how you can support Hywel Dda Health Charities:
Telephone: 01267 239815 Email: Fundraising.HywelDda@wales.nhs.uk www.hywelddahealthcharities.org.uk
Hywel Dda Health Charities Ystwyth, Hafan Derwen, St David’s Park Jobswell Road, Carmarthen, SA31 3BB
HywelDdaHealthCharities @HywelDdaCharity
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## **5.Our plans**
**The next year will be a crucial time for the charity as we move forward from an extraordinary year having received such unprecedented support from our local communities to say thank you to the NHS when it faced one of the biggest challenges of our lifetime.**
We will use what we have learnt from our experiences of the past year to inform our future grant-making priorities to make things even better for our patients, communities and staff.
A priority will be to support staff health and wellbeing. We will work closely with Workforce and Organisational Development colleagues to identify ways that the charity can support the rest, recovery and rehabilitation of Hywel Dda University Health Board staff, focusing on the areas of greatest need.
The next year will also involve the charity reviewing the impact of the pandemic on our income to ensure that we are able to focus our fundraising efforts on areas that will have the most impact.
We will also continue to focus on the objectives of our three-year plan, approved by the Charitable Funds Committee in March 2020, which provide a clear direction for the charity so that we can continue to make a positive difference to the health, wellbeing and experience of patients, service users and staff across Hywel Dda University Health Board:
**Income:** Increase our income levels by 10% on an annual basis from April 2020 to March 2023
**Expenditure: Communications:** Increase charitable Increase our charity’s expenditure by 15% profile and raise on an annual basis awareness of the from April 2020 to positive difference March 2023 we make
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## **6.Financial review**
## **Incoming Resources**
In 2020-21 incoming resources for the year totaled £2,510,216. The income streams of our charity were as follows:
## **Charitable Income 2020/21**
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13.0%
20.4%
33.5%
33.1%
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Grant Income
Donations
Legacies
Investment
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## **Donations (£830,973)**
Many donations were received from patients and their families wanting to show their appreciation for care received. The charity is extremely grateful for all donations received to help us realise our aims. Some donations were received in memory of a loved one and we are proud to know that the treatment and support received has been so valued.
At the start of the COVID-19 pandemic, due to the generosity of the public there was a significant increase in donations together with donated gifts received for both staff and patients. The estimated value of donated gifts was £70,258.
## **Legacies (£840,476)**
The charity was also the grateful beneficiary of a number of legacies totalling £840,476, for funds mainly located at our acute hospitals. Considerable legacies received during the year included:
- A legacy of £238,393 to Ty Bryngwyn Hospice, Llanelli.
- A legacy of £121,782 to Meddygfa Minafon, Kidwelly.
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## **Grants (£511,386)**
Grants were received from the Co-Op Community Fund (£2,840), Groundwork UK (£14,000), Macmillan (£2,700), National Lottery (£4,746), NHS Charities Together (£485,000) and Starbucks (£2,100)
## **Investment income (£327,381)**
Investment income in the form of dividends and interest from investment and cash balances held by the charity was received totalling £327,381.
## **Expenditure**
The charity is principally a grant making body, providing grants to Hywel Dda University Health Board as a contribution to the cost of the provision of healthcare beyond what the NHS
provides. During 2020/21 the charity has continued to support a wide range of charitable and health related activities across Hywel Dda University Health Board.
Our key aim is to serve the NHS patients of Hywel Dda University Health Board for the public benefit. By working closely with the University Health Board, we are able to use our generous donations to provide invaluable support on patient focused expenditure.
Our grant making policy ensures that all expenditure of our charitable funds is in accordance with the charitable purpose agreed for the fund and in the spirit of the donor’s wishes. All charitable expenditure is made with consideration given to the public benefit of improved healthcare.
## **Analysis of expenditure**
In 2020/21 expenditure on charitable activities totalled £1,037,086. The expenditure categories were as follows:
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- Medical and surgical equipment – Equipment for patient benefit.
- Office and computer equipment – Equipment, which supports the provision of healthcare thereby benefiting patient care.
- Miscellaneous – All other expenditure.
- Support costs – Direct administration costs in support of the charity’s objectives.
- Staff education and welfare – Includes training above that which is mandatory to improve patient care
- Patient education and welfare – Expenditure on improving patient education and welfare
## **Management and administration costs: 1st April 2020**
The total management and administration costs for 2020-21 were £320,778 which includes £220,785 fundraising costs and £99,993 support costs. This represents 4.1% of the opening fund balances held as at 1st April 2020.
## **Investments and performance**
The charity retains the services of investment advisors to manage its investment portfolios. Policy is set by the charity trustee in its instruction to their advisor. The advisors have been instructed to manage the portfolios to produce both income and capital returns, and manage those funds within the value they retain on the accounts. The charity also holds funds in short term investments that are not managed by the investment advisor.
During 2020-21, there was realised gain of £1,480,000 due to an increase in the market value of investments held during the year. This combined with investment income of £327,381 gave a total in year gain of 17.28% for investments held by the charity.
Sarasin & Partners LLP provided the services of investment advisor for 2020-21. These investments are managed in accordance with the Trustee Act 2000.
The Charity Trustee has challenged its investment advisers to demonstrate that the decisions they make on behalf of the Charity are aligned with its ethical policy. Sarasin has provided examples of how they use Environmental, Social and Governance (ESG) criteria to measure the sustainable and ethical impact of businesses when making investments on behalf of the Charity. These include –
- DSM, the Dutch science-based company who deliver and manufacture nutrition products are a great example within our portfolio of a purpose-led company. They have recently participated in two innovations – CleanCow, a feed additive designed to reduce methane emissions from dairy and beef cattle by up to 30%, and Veramaris, a JV with Evonik to create algae-based Omega-3 rich feed for aquaculture.
- Bazelgette Finance is an example of a green bond held within the Charity portfolio which is helping to design, build and maintain the Thames Tideway Tunnel. The tunnel will intercept Bazalgette’s Victorian sewerage network, significantly reducing discharges into the Thames – a major feat – which has been awarded the highest green evaluation rating by S&P covering transparency, governance and environmental impact.
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- Motability Operations Group is a Not-For-Profit specialising in car leasing and held within the portfolio. Their Motability Scheme provides recipients of the Disability Living Allowance (DLA) with access to new vehicles (cars, accessible vehicles, scooters and powered wheelchairs) on competitive contract hire terms.
- Home REIT plc is held within our portfolio and invests in a diversified portfolio of assets across the UK to provide good quality accommodation to the homeless. As of May 2021, they acquired 597 properties and were able to provide homes for up to 3,274 residents.
- Octopus Renewable Infrastructure Trust is another example of a holding in our portfolio which has been at the heart of accelerating the transition to net zero. They invest in renewable energy sources with a particular focus on onshore wind farms and solar parks.
## **Overall financial position: 31st March 2021**
The value of the charity as at 31st March 2021 has increased from the previous year by £2,686,000. This is largely due to growth in investments in year for both General & Cardiology Fund.
Furthermore, cash balances held at year-end were higher than normal due to higher than average donations & grants received during latter part of year.
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The graph below indicates the level of funds held as at the end of the year in the last five financial years:
## **Fund Balances 2016-17 - 2020-21**
## **Reserves policy**
The charity has a reserves policy and has defined reserves to be the element of funds that are unrestricted and uncommitted. The charity shall hold reserves of 10% of the value of its fixed asset investments and £500,000, and shall only fall below to cover losses in value of those investments. In order to maintain the reserves as low as possible it is important that expenditure plans are developed for all funds. Reserves are needed where there may be insufficient balances in individual restricted and designated funds to meet the objectives of those funds. There is also a need for reserves where there may be a requirement to incur expenditure which is exclusively charitable, and cannot be funded from revenue, for which there is not a relevant fund. The reserves held by the charity, as at 31st March 2021, is made up as follows:
## **Fund Balances**
## £000’s
3,731,831 Charity Unrestricted Funds
4,154,910 Charity Restricted Funds
2,572,649 Endowment Funds
10,459,390
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## **7. Structure, governance and management**
## **Constitution**
Hywel Dda University Local Health Board holds charitable funds as sole corporate trustee and the board members of the University Health Board (whilst not “trustees” in their own right) are jointly responsible for the management of those charitable funds. The membership of the board was as follows at the time the annual report was approved:
Ms Maria Battle, Chair Mrs Judith Hardisty, Vice Chair
Ms Anna Lewis, Independent Member
Professor John Gammon, Independent Member
Mr Owen Burt, Independent Member
Mr Maynard Davies, Independent Member
Cllr Simon Hancock, Independent Member (Until 31st March 2021)
Ms Delyth Raynsford, Independent Member (Until 31st March 2021)
Ms Ann Murphy, Independent Member
Mr Mike Lewis, Independent Member (Until 31st March 2021)
Mr Paul Newman, Independent Member
Mr Steve Moore, Chief Executive
Mrs Karen Miles, Executive Director of Planning, Performance and Commissioning (Until 11th October 2020)
Mr Huw Thomas, Executive Director of Finance
Mrs Mandy Rayani, Executive Director of Nursing, Quality & Patient Experience
Ms Alison Shakeshaft, Executive Director of Therapies and Health Science
Mrs Lisa Gostling, Executive Director of Workforce and Organisational Development Mrs Ros Jervis, Executive Director of Public Health
Dr Phil Kloer, Executive Medical Director and Deputy Chief Executive
Mr Andrew Carruthers, Executive Director of Operations
Mrs Joanne Wilson, Board Secretary
Ms Jill Paterson, Director of Primary, Community and Long Term Care
Ms Sarah Jennings, Director of Partnerships and Corporate Services (Until 4th September 2020)
The Director of Nursing, Quality & Patient Experience is the Executive Director with lead responsibility for the charity.
The charitable funds linked to the University Health Board are independent of the ‘exchequer’ (Government funded NHS) funds of the University Health Board and must be managed separately, even though they are mainly to be used to support the work and services of the NHS body.
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The Charity Commission has regulatory responsibility for ensuring the proper management of these charitable funds.
The Charitable Funds Committee is appointed by the Board from the Independent Members who act as ‘agents’ of the Board as sole corporate trustee. The Committee is required to:
- control, manage and monitor the use of the fund’s resources;
- provide support, guidance and encouragement for all its fundraising activities whilst managing and monitoring receipt of all income;
- ensure that best practice is followed in the conduct of all its affairs fulfilling all of its legal responsibilities;
- monitor the performance of the appointed investment advisor whilst being aware of ethical considerations;
- keep the University Health Board fully informed on the activity, performance and risks of the charity; appoint the investment advisors to the charity.
## **Objects of the charity**
Hywel Dda Health Charities has registered the following objects with the Charity Commission:
“The trustee shall hold the trust fund upon trust to apply the income, and at its discretion, so far as may be permissible, the capital, for all or any charitable purpose or purposes relating to the National Health Service.”
## **Charity independence**
The charity needs to be independent from, yet supportive of, the University Health Board. The charity therefore focuses on the following charitable purposes, recognised in law (Charities Act 2011):
- The advancement of health or the saving of lives
And to a lesser degree
- The advancement of education
- The relief of those in need, by reason of youth, age, ill-health, disability, financial hardship or other disadvantage
The charity raises monies, holds those monies and commits expenditure through more than 275 local, general and special purpose funds.
The current list of these funds is given at appendix A. Whilst almost all funds are designated for a particular purpose (as described by the donor’s wishes and the local funds title); some funds are restricted by the charitable purpose imposed by the donor.
Within expenditure authorisation limits local fund holders decide on and commit expenditure for the benefit of the area concerned.
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## **Grant making policy**
To achieve its objectives the charity makes grant payments to Hywel Dda University Health Board in accordance with charity law, our constitution and the wishes and direction of donors.
In making grants, we endeavour to reflect the wishes of patients and staff by directing funds towards areas they tell us are most in need.
Hywel Dda Health Charities makes grants from both its unrestricted and restricted funds. Within the unrestricted funds, grants are made from general funds, designated (earmarked) funds. Income generated from endowment funds are held as restricted income and applied within the restricted purpose of that endowment.
In the awarding of our grants, consideration is given to the Charity Commission’s guidance on public benefit. To ensure public benefit and value for money when authorising charitable
expenditure, applications for charitable funds include questions on the purpose of the
application to the charity, why the expenditure is required and how the expenditure meets the aims of the charity.
## **Subsidiary charity**
There is one special purpose subsidiary charity within the Hywel Dda Health Charities – Cardiology Equipment Withybush General Hospital.
## **Address**
The principal address of the charity is Hywel Dda Health Charities, Ystwyth, Hafan Derwen, St David’s Park, Jobswell Road, Carmarthen, SA31 3BB.
## **Our advisors**
## **Bankers**
The charity has retained the banking services during the year from Barclays Bank, 9-10 Guildhall Square, Carmarthen, SA31 1PW.
## **External auditors**
The charity’s auditors during the year was Audit Wales, 24 Cathedral Road, Cardiff, CF11 9LJ.
## **Our trustees**
New members of the Charitable Funds Committee are provided with an induction pack consisting of the charity’s governing documents and policies and procedures as well as previous annual reports and accounts and Charity Commission guidance.
Members of the Charitable Funds Committee also receive regular informal training and briefings on current charity issues at quarterly committee meetings. As the charity is a member of the Association of NHS Charities, committee members also receive regular briefings on areas of interest and details of relevant training opportunities to enhance their skills.
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## **Investments**
The trustees hold the Pembrokeshire Cardiology Equipment fund as a separate investment portfolio, which is managed with the advice of Sarasin & Partners with an objective of the fund to achieve long-term capital and income growth.
The trustees have approved a total returns policy for this fund. Income is credited back to the charity bank account and held as restricted income.
Other investments of Hywel Dda Health Charities are also managed with the advice of Sarasin & Partners with an objective of the fund to achieve long-term capital and income growth. Both portfolios are structured to permit a range of investments intended to yield a competitive rate of return in current market conditions.
The investment advisor actively manages the assets and has delegated authority to purchase and sell when market opportunities arise. The trustees have decided not to invest in companies who are involved in the production of tobacco and will also avoid investment in companies that have more than 10% of their turnover in Alcohol manufacture due to the link with poor health which could make the investments contrary to our charitable aims.
The Charitable Fund Committee on a quarterly basis monitors investment performance.
## **Fundraising activities**
During 2020/21, the University Health Board employed four members of staff (4.4 full time equivalent) to support the fundraising and communications functions of the charity.
The fundraising support team is responsible for increasing the charity’s income to support Hywel Dda University Health Board to provide services and activities above and beyond what the NHS can provide.
The team is responsible for promoting fundraising for and giving to the charity and provides support, advice and guidance to fundraisers to ensure that all fundraising is carried out in line with regulation and best practice.
The team also assists many charitable groups and associations that provide both financial and non-financial support for healthcare services across our three counties.
35
## **8.Risk management**
## **Exposure to risk**
The Chief Executive of Hywel Dda University Local Health Board, together with the other directors, is responsible for ensuring that an effective system of financial control is maintained. The Chief Executive and other directors are also responsible for reviewing the effectiveness of this system and have confirmed that the minimum control standards laid down by the Welsh Government have been in existence throughout the financial year. The minimum control standards apply equally to the management of the charity by officers of the University Local Health Board as to the exchequer funds of the University Local Health Board. In this way, the major risks to which the charity is exposed have been reviewed and systems have been established to mitigate those risks.
## **Financial control**
A financial procedure, expenditure guideline, governance framework and strategy have been developed to ensure that there are sufficient management controls in place to:
- ensure that spending is in accordance with objects and priorities agreed by the Charitable Funds Committee;
- ensure the criteria for spending charitable monies are fully met;
- ensure that the accounting records are maintained;
- ensure devolved decision-making is within specified parameters. Internal Audit also undertake annual reviews to evaluate the adequacy of procedures and controls, to ensure compliance, and to provide reasonable assurance over:
- achievement of management objectives for the systems;
- use of resources in accordance with donors’ requirements;
- compliance with policies and procedures;
- safeguarding assets. The Internal Audit reports are presented to both the Charitable Funds and Audit Committee, and this is a key measure of control.
## **Investment risk**
The risk is minimised by agreeing an investment policy with the nominated investment managers. This policy includes ethical consideration where investments in the production, manufacturing or supply of tobacco or alcoholic beverages conflict with the charitable objects.
In assessing companies’ involvement in these sectors the following limits have been set:
- investment in the production or manufacture of tobacco products at any level;
- investment in the production, manufacture of alcoholic beverages where more
- than 10% is derived from this source.
Further to the above, the investment manager’s performance is reviewed in each Charitable Fund Committee meeting and compared to charitable investment benchmarks.
36
## **Appendix A: List of designated funds**
## **CORPORATE - HYWEL DDA WIDE**
**Fund Cost Centre Fund Name Fund Type** T556 Macmillan Support - Palliative Care OpenOpen T560 NHS Charities Together **Open** T561 NHS Charities Together (Stage 1 Second Wave) Open Open T562 NHS Charities Together (Stage 2) Open Open T563 NHS Charities Together (Stage 3) Open Open T600 Support for Life Response Fund Open Open T601 Hywel Dda Volunteering for Health Open Open T603 Mental Health & LD Services Corporate Open Open T604 Hywel Dda Chiropody Fund Open Open T605 Charity of the Year 14/15 Surf Tonic Open Open T606 Charity of the Year 1516 (Paeds Play Srv) Open Open T608 Charity of the Year 17/18 HARP Open Open T609 HD Brain Injury & Complex Neurological Therapy Open Open T614 Hywel Dda Colorectal Fund Open Open T615 Hywel Dda Upper GI Open Open T616 Hywel Dda Audiology Open Open T617 Hywel Dda Paediatric Diabetes OpenOpen
## **CARMARTHENSHIRE – ACUTE**
T001 Ceri Ward LegacyLegacy T002 Cleddau Ward Legacy Legacy T003 Urology Cancer Fund Legacy Legacy T006 Preseli Ward Legacy Legacy T008 Teifi Ward Legacy Legacy T022 Endoscopy Fund Legacy Legacy T025 Osteoporosis Fund Legacy Legacy T039 Prince Philip Hospital Breast Centre Legacy Legacy T043 Prince Philip Hospital Wrd 6 Legacy Legacy T050 Steffan Ward Legacy Legacy T059 Cardiac Legacy Legacy T061 Cardiac Rehabilitation Legacy Legacy T062 Diabetic Education Legacy Legacy T067 Dialysis Patients’ Amenities Legacy Legacy T075 Carmarthen Oncology Fund Legacy Legacy T091 Prince Phillip Hospital Cancer Fund Legacy Legacy T093 Prince Phillip Hospital Cardiac Fund Legacy Legacy T129 Prince Phillip Hospital Rheumatology Fund Legacy Legacy T131 Carmarthenshire Lung Cancer Fund Legacy Legacy T134 Special Care Baby Unit Legacy Legacy T156 Intensive Care Unit LegacyLegacy
37
**Fund Type**
## **Fund Cost Centre Fund Name**
|T156|Intensive Care Unit|Legacy
Legacy|
|---|---|---|
|T191|Haematology Fund|Legacy
Legacy|
|T196|Out Patient Staff|**Legacy**|
|T213|Carm Park Dis Serv Dev Fnd|**Legacy**|
|T253|Mynydd Mawr General Purposes|**Legacy**|
|T267|Eliz Williams Children’s Clinic|**Legacy**|
|T289|Glangwili General Hospital General Purpose|**Legacy**|
|T300|Prince Phillip Hospital General Purposes|**Legacy**|
|T318|Prince Phillip Hospital Nurses Legacy Fund|**Legacy**|
|T587|Minafon Surgery (R)|**Legacy**|
|T688|Carmarthenshire Liver|**Open**|
|T700|Carmarthenshire Pharmacy Fund|**Open**|
|T701|Glangwili General Hospital General Purposes|**Open**|
|T702|Glangwili General Hospital Rehabilitation Fund|**Open**|
|T703|Glangwili General Hospital Cardiology Fund|**Open**|
|T704|Glangwili General Hospital Dermatolgy Fund|**Open**|
|T705|Glangwili General Hospital Oncology|**Open**|
|T706|Carmarthenshire Gastroenterology|**Open**|
|T707|Glangwili General Hospital General Medicine|**Open**|
|T708|Glangwili General Hospital General Surgery|**Open**|
|T709|Carmarthenshire Urology|**Open**|
|T710|Glangwili General Hospital Orthopaedics|**Open**|
|T711|Glangwili General Hospital ENT|**Open**|
|T712|Carmarthenshire Ophthalmology|**Open**|
|T713|Glangwili General Hospital Obstetrics & Gynaecology|**Open**|
|T714|Glangwili General Hospital Anaesthetics|**Open**|
|T715|Glangwili General Hospital A&E|**Open**|
|T716|Prince Philip Hospital General Purposes|**Open**|
|T717|Prince Philip Hospital Pharmacy|**Open**|
|T718|Prince Philip Hospital Rehabilitation|**Open**|
|T719|Prince Philip Hospital Cardiology|**Open**|
|T720|Prince Philip Hospital Oncology|**Open**|
|T721|Prince Philip Hospital Rheumatology|**Open**|
|T722|Prince Philip Hospital General Medicine|**Open**|
|T723|Prince Philip Hospital Surgical|**Open**|
|T724|Prince Philip Hospital Orthopaedics|**Open**|
|T725|Prince Philip Hospital Anaesthetics|**Open**|
|T726|Prince Philip Hospital Minor Injuries Unit|**Open**|
|T727|Carmarthenshire/Ceredigion Breast Care|**Open**|
|T728|Prince Philip Hospital AMAU|**Open**|
|T742|Mynydd Mawr General Purposes|**Open**|
|T754|Carmarthenshire Community Midwifery|**Open**|
38
|T762|Carmarthenshire Clinical Support Outpatients|Open
Open|
|---|---|---|
|T763|Carmarthenshire Clinical Support Histopathology|**Open**|
|T764|Carmarthenshire Clinical Support Radiology|Open
Open|
|T765|Carmarthenshire Infectious Diseases|Open
Open|
|T766|Carmarthenshire Clinical Support Haematology|Open
Open|
|T767|Carms Clinical Support Audiology|Open
Open|
|T772|Carmarthenshire Clinical Support Neurophysiology|Open
Open|
|T780|Carmarthenshire Childrens Services General Purposes|Open
Open|
|T781|Carmarthenshire Childrens Services Paediatric Oncology|Open
Open|
|T782|Carmarthenshire Children Services Neonatal|Open
Open|
|T784|Carmarthenshire Sexual Health Services|Open
Open|
|T785|Carmarthenshire Dental Services Fund|Open
Open|
|T791|Carmarthenshire Respiratory Research|Open
Open|
|T792|Prince Philip Hospital Respiratory Services|Open
Open|
|T793|Carmarthenshire Diabetic Services Fund|Open
Open|
|T794|Minafon Surgery|Open
Open|
|T796|Meddygfa Sarn|Open
Open|
## **CARMARTHENSHIRE - COMMUNITY**
|T206|Physiotherapy & Gymnasium|Legacy
Legacy|
|---|---|---|
|T214|Llandovery General Purpose|**Legacy**|
|T216|Palliative Care Nurses|**Legacy**|
|T219|Cross Hands Comm Nurses|**Legacy**|
|T247|AV General Purposes|**Legacy**|
|T274|Ty Bryngwyn Fund|**Legacy**|
|T285|Amman Valley OPD + Physio|**Legacy**|
|T288|Acute Response Services Base Carmarthenshire|**Legacy**|
|T602|Chronic Disease Management|**Open**|
|T740|Llandovery General Purposes|**Open**|
|T741|Amman Valley General Purposes|**Open**|
|T743|Continuing Care Team Carmarthenshire|**Open**|
|T744|Acute Response Team Carmarthenshire|**Open**|
|T746|Carmarthenshire Community Ty Cymorth Hospice|**Open**|
|T747|Carmarthenshire Community Ty Bryngwyn|**Open**|
|T748|Carmarthenshire Community Palliative Care|**Open**|
|T749|Carmarthenshire Community Ty Bryngwyn Inpatient|**Open**|
|T750|Carmarthenshire Community General Community|**Open**|
|T751|Carmarthenshire Comm District Llanelli Team|**Open**|
|T752|Carmarthenshire Comm District Amman/Gwendraeth|**Open**|
|T753|Carmarthenshire Comm District Carmarthen Team|**Open**|
|T768|Carmarthenshire Clinical Support Chiropody|**Open**|
39
T769 Carmarthenshire Clinical Support Physiotherapy OpenOpen T770 Carmarthenshire Clinical Support Dietetics OpenOpen T771 Carmarthenshire Clinical Support Occupational Therapy OpenOpen T773 Carmarthenshire Clinical Support Speech and Language OpenOpen
## **CEREDIGION – ACUTE**
|T323|FE Smith Leg Income (Ceredig Ward)|Legacy
Legacy|
|---|---|---|
|T330|Bronglais General Hospital (G)|Legacy
Legacy|
|T333|Pathology (S)|Legacy
Legacy|
|T336|Endoscopy Fund|Legacy
Legacy|
|T338|XRay Equipment (S)|Legacy
Legacy|
|T342|I.C.U (S)|Legacy
Legacy|
|T343|Ophthalmology (S)|Legacy
Legacy|
|T345|Ceredig Ward (OG)|Legacy
Legacy|
|T346|Ceredig Ward (Ll)|Legacy
Legacy|
|T349|Meurig Ward (S)|Legacy
Legacy|
|T352|Cardiac Rehabilitation|Legacy
Legacy|
|T367|Accident & Emergency (S)|Legacy
Legacy|
|T370|Diabetic Care Fund|Legacy
Legacy|
|T376|Leri Day Hospital|Legacy
Legacy|
|T377|The Osteoporosis Fund|Legacy
Legacy|
|T392|BGH Chemotherapty Day Unit Appeal|Legacy
Legacy|
|T800|BA Jenkins Bronglais|Open
Open|
|T802|FE Smith Legacy (Capital in Perpetuity)|Open
Open|
|T804|Ceredigion Staff Training|Open
Open|
|T805|Ceredigion Postgraduate Funds|Open
Open|
|T807|Ceredigion Childrens Services General|Open
Open|
|T808|Ceredigion Clinical Support Haematology|Open
Open|
|T809|Ceredigion Clinical Support Biochemistry|Open
Open|
|T810|Ceredigion Clinical Support Radiology|Open
Open|
|T815|Ceredigion Clinical Support Outpatients|Open
Open|
|T818|Ceredigion Medicines Management|Open
Open|
|T819|Rees Eirwyn Evans Capital Fund|Open
Open|
|T820|Rees Eirwyn Evans Inc (Meurig Ward)|Open
Open|
|T851|Bronglais Hospital General Fund|Open
Open|
|T856|Ceredigion Theatres & Critical Care|Open
Open|
|T857|Ceredigion General Surgery|Open
Open|
|T858|Ceredigion Ophthalmology|Open
Open|
|T859|Ceredigion Endoscopy|Open
Open|
|T860|Ceredigion Orthopaedic & Rheumatology|Open
Open|
|T861|Ceredigion Emergency Care|Open
Open|
|T862|Ceredigion General Medicine|Open
Open|
|T863|Ceredigion Diabetes Services|Open
Open|
|T864|Ceredigion Renal Services|Open
Open|
40
T865 Ceredigion Cancer Services T866 Ceredigion Cardiovascular Services T867 Ceredigion – Obstetrics & Gynaecology T868 Ceredigion Maternity Services
OpenOpen **Open** OpenOpen OpenOpen
## **CEREDIGION - COMMUNITY**
|T321|BA Jenkins Aberaeron|Legacy
Legacy|
|---|---|---|
|T322|BA Jenkins BGH|**Legacy**|
|T357|Physiotherapy Dept|**Legacy**|
|T380|Aberaeron Hosp (G)|**Legacy**|
|T381|Cardigan Hosp (G)|**Legacy**|
|T382|Tregaron Hospital (G)|**Legacy**|
|T559|Ty Geraint Palliative Care|**Legacy**|
|T801|BA Jenkins Aberaeron|**Open**|
|T803|Home Ground (Big Lottery)|**Open**|
|T811|Ceredigion Clinical Support Physiotherapy|**Open**|
|T812|Ceredigion Clinical Support OT|**Open**|
|T813|Ceredigion Clinical Support Speech and Lang|**Open**|
|T814|Ceredigion Clinical Support Chiropody|**Open**|
|T817|Ceredigion Clinical Support Dietetics|**Open**|
|T852|Aberaeron Hospital General Fund|**Open**|
|T853|Cardigan Hospital General Fund|**Open**|
|T854|Tregaron Hospital General Fund|**Open**|
|T855|Ceredigion County Community Services|**Open**|
|T870|Ceredigion Palliative Care|**Open**|
|T878|Ceredigion CRT and ART Fund|**Open**|
## **PEMBROKESHIRE - ACUTE**
|T431|Withybush General Hospital A&E Fund|Legacy
Legacy|
|---|---|---|
|T440|Withybush General Hospital Cancer Day Unit|**Legacy**|
|T442|Withybush General Hospital Cardiac Unit Fund|**Legacy**|
|T445|Withybush General Hospital Chest Unit Fund|**Legacy**|
|T450|Withybush General Hospital Diabetic Unit Fund|**Legacy**|
|T456|Withybush General Hospital Outpatient Equipment|**Legacy**|
|T458|Withybush General Hospital General Purpose Fund|**Legacy**|
|T460|Cardiology Equip Income Fund|**Legacy**|
|T467|Withybush General Hospital ICU Fund|**Legacy**|
|T470|Withybush General Hospital JI Page|**Legacy**|
|T473|Withybush General Hospital Renal Fund|**Legacy**|
|T482|Withybush General Hospital Ophthalmology Fund|**Legacy**|
|T493|Withybush General Hospital Rheumatology|**Legacy**|
|T498|Withybush General Hospital Surgical DH Fund|**Legacy**|
41
|T505|Withybush General Hospital Ward1 General Purpose|**Legacy**|
|---|---|---|
|T507|Withybush General Hospital Ward 3 Fund|**Legacy**|
|T509|Withybush General Hospital Ward 4 Equipment Fund|**Legacy**|
|T511|Withybush General Hospital Ward 7 Fund|**Legacy**|
|T514|Withybush General Hospital Coronary Care Fund|**Legacy**|
|T516|Withybush General Hospital Ward 9 Fund|**Legacy**|
|T517|Withybush General Hospital Ward 10 Fund|**Legacy**|
|T518|Withybush General Hospital Ward 10 Refurbishment Scheme|**Legacy**|
|T519|Withybush General Hospital Ward 11 Fund|**Legacy**|
|T521|Withybush General Hospital Ward 12 Fund|**Legacy**|
|T558|NOF Cardiac Rehabilitation|**Legacy**|
|T588|Goodwick Surgery (R)|**Legacy**|
|T900|Withybush Hospital Fund|Open
Legacy|
|T902|Cardiac/ Respiratory Fund Pembs|**Open**|
|T903|Cardiology Equipment Withybush General Hospital||
||(Capital in Perpetuity)|**Open**|
|T904|Surgical Services Fund Pembs|**Open**|
|T905|Cancer Services Pembs|**Open**|
|T906|Medical Services Fund Pembs|**Open**|
|T912|Pembrokeshire Clinical Support Radiology|**Open**|
|T914|Pembrokeshire Clinical Support Biochemistry|**Open**|
|T915|Pembrokeshire Clinical Support Haematology|**Open**|
|T916|Pembrokeshire Clinical Support Microbiology|**Open**|
|T917|Pembrokeshire Clinical Support Outpatients|**Open**|
|T921|Pembrokeshire Childrens Services General|**Open**|
|T922|Pembrokeshire Childrens Services Childrens Wards|**Open**|
|T924|Pembrokeshire Medicines Management|**Open**|
|T925|Pembrokeshire Maternity & Gynaecology|**Open**|
|T926|Pembrokeshire Renal Fund|**Open**|
|T928|Elly’s Ward 10 Flag Appeal|**Open**|
## **PEMBROKESHIRE - COMMUNITY**
|T528|South Pembrokehshire Hospital General Purpose Fund|**Legacy**|
|---|---|---|
|T535|Tenby Cottage Hospital General Purpose Fund|**Legacy**|
|T545|Pembs Community General Purposes|**Legacy**|
|T557|NOF Palliative Care Data Base|**Legacy**|
|T901|Pembrokeshire Community Services|**Open**|
|T910|Pembrokeshire Clinical Support Physiotherapy|**Open**|
|T911|Pembrokeshire Clinical Support OT|**Open**|
|T918|Pembrokeshire Clinical Support Chiropody|**Open**|
|T919|Pembrokeshire Clinical Support Dietetics|**Open**|
|T920|Pembrokeshire Clinical Support Speech Therapy|**Open**|
|T927|Fishguard Health Care Centre Fund|**Open**|
|T930|Pembs Care at Home Team|**Open**|
42
## **MENTAL HEALTH & LEARNING DISABILITIES**
|T397|Enlli Ward|**Legacy**|
|---|---|---|
|T403|St Non’s|**Legacy**|
|T407|Cwm Seren Ward Fund|**Legacy**|
|T415|Wellfield RC Fund|**Legacy**|
|T419|Bryngofal Ward Fund|**Legacy**|
|T427|Brynmair Fund (R)|**Legacy**|
|T429|Bryngolau Fund|**Legacy**|
|T549|Bro Cerwyn DH Fund|**Legacy**|
|T552|Childrens Services - Child and Adolescent Psychiatry|**Legacy**|
|T586|Low Secure Unit, MH & LD|**Legacy**|
|T612|Integrated Psychological Therapies Services|**Open**|
|T613|Crisis Resolution & Home Treatment|**Open**|
|T691|Bryngolau Ward Prince Philip Hospital|**Open**|
|T692|Swn Y Gwynt Adult Mental Health Fund|**Open**|
|T693|Brynmair Adult Mental Health Fund|**Open**|
|T694|North Carmarthenshire Older Adult Mental Health Services|**Open**|
|T695|Bryngofal Ward Prince Philip Hospital|**Open**|
|T697|South Carmarthenshire OAMH|**Open**|
|T698|Ty Bryn Learning Disabilities Unit Fund|**Open**|
|T699|Morlais Ward Glangwili General Hospital|**Open**|
|T783|Childrens Services Child and Adolescent Psychiatry|**Open**|
|T790|Mental Health Services Carmarthenshire|**Open**|
|T795|Low Secure Unit, MH & LD|**Open**|
|T797|Carmarthenshire Community Substance Misuse|**Open**|
|T798|Carmarthenshire Community Learning Disabilities Team|**Open**|
|T799|Cwm Seren Psychiatric Intensive Care Unit|**Open**|
|T869|Mental Health Services Ceredigion|**Open**|
|T871|Enlli Ward BGH Fund|**Open**|
|T872|Ceredigion Older Adult Mental Health Services|**Open**|
|T873|Gorwelion Adult Mental Health Fund|**Open**|
|T874|Ceredigion Primary Mental Health Support Service|**Open**|
|T907|Mental Health Services Pembs|**Open**|
|T923|Pembrokeshire Childrens Services Sandy Bear Fund|**Open**|
|T931|St Non Ward Fund|**Open**|
|T935|Pembrokeshire Community Learning Disabilities Team|**Open**|
|T937|Bro Cerwyn Adult Mental Health Fund|**Open**|
## **Key**
## **‘Open’ Funds**
Funds, which are open for new donations for a designated purpose. They mainly comprise
‘unrestricted’ donations but may also in some cases include ‘restricted’ monies by virtue of the terms of a donation or legacy.
## **‘Legacy’ Funds**
Funds, which are maintained to manage significant Legacies, usually restricted monies for a
particular purpose and may include ‘Capital in Perpetuity’ funds where only the investment income can be spent. Not used for new donations.
43
**Appendix B: ANNUAL ACCOUNTS 2020-2021**
## **HYWEL DDA HEALTH CHARITIES ACCOUNTS FOR THE YEAR ENDED 31st MARCH 2021**
## **FOREWORD**
The accounts (financial statements) have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued on 16 July 2014 and the Charities Act 2011 and UK Generally Accepted Practice as it applies from 1 January 2015
## **STATUTORY BACKGROUND**
The Hywel Dda University Local Health Board is the corporate trustee of the charity under paragraph 16c of Schedule 2 of the NHS and Community Care Act 1990.
The Trustee has been appointed under s11 of the NHS and Community Care Act 1990.
## **MAIN PURPOSE OF THE FUNDS HELD ON TRUST**
The main purpose of the charity is to apply income for any charitable purposes relating to the National Health Service wholly or mainly for the services provided by the Hywel Dda University Local Health Board.
44
Hywel Dda Health Charltles
statement ol Flnanclal Aetivlties for the year ended 31 March 2021
Restricted
Total
Unrestrlcted Income Endowment Funds
funds
funds
funds 2020-21
£000
£000
£000
£000
Noto.
Incoming resources from generated funds:
Donalions and eS
Investments
Total incoming resources
Expenditure on-
RaisirHJ FurKJs
Charilable activities
Total expenditur•
817
127
944
1,366
116
1,482
2,183
327
2,610
84
126
519
645
121
491
612
20
27
47
267
1,037
1,304
Net gain on investrnenls
Net income l (expenditure)
Transfer between fuThJs
13
569
516
395
1,480
2,686
868
1,386
432
18
(97
71
26
Net mov•mont in funds
n1
1,457
468
2,686
Reconciliation of Funds
Total Funds brougm forward
Total Funds carried forward
19
2,961
3,732
2,698
4,155
2,114
7,773
2,572 10,459
Hywel Dda Health Chariti•$
statsment of Flnancial Actlvities lor the year ended 31 March 2020
Restricted
Total
Unrestricted Income Endowment Funds
funds
funds
funds 2019-20
£000
£000
£000
£000
Incoming resources from generated funds:
Donations arKJ legacies
Investments
Total incoming resourc?s
619
138
757
1,189
110
1,299
1,808
331
2,139
83
83
Expenditure on-
Raising Funds
Charitable athvities
Totsl expenditure
126
1,154
1,280
102
1,435
1.537
12
141
240
2,585
2,825
Net loss on irNestrnents
Net income l {expenditurel
(145)
1668)
{114)
(3521
(100}
(369)
1251 11,0461
Reconciliation of Funds
Total Funds brought fOard
Totsl Funds carried forward
3,629
2,961
3,050
2,698
2,139
2,114
8,818
7,773
45
The notes on pages 44-64 form part of these accounts.
Signed: ………………………………………………………… Name: Miss Maria Battle (Chair of the Corporate Trustee) Date: 30th November 2021
46
## **Hywel Dda Health Charities**
## **Statement of Cash Flows for the year ending 31 March 2021**
|**Note**
**Cash flows from operating activities:**
**Net cash used in/(provided by) operating activities**
17
**Cash flows from investing activities:**
Dividend, interest and rents from investments
5
Proceeds/(loss) from the sale of investments
13
Purchase of investments
13
**Net cash provided by investing activities**
**Change in cash and cash equivalents in the**
**reporting period**
**Cash and cash equivalents at the begining of the**
15
**reporting period**
**Cash and cash equivalents at the end of the**
15
**reporting period**|**Total**
**Funds**
**2020-21**
**£000**
**929**
327
3
(15)|Total
Funds
2019-20
£000
**(18)**
331
2
(14)
**319**
**301**
1,392|
|---|---|---|
||**315**
**1,244**
1,693||
||**2,937**|**1,693**|
||||
47
lal Bas1$ of preparatlon
The financial slalemenls have boen prepared under tho hislonc cost corNention, with the exception of
Investments which are Induded al fail value_
The accounts Ilinancial stalemenls} have been prepared in accordance with the Statement of
Recommended Prathce" Accounting and Repothw by Chaiilies prepanng theii accounts In
accordance with the Financial Roporting Standard applicable in the UK arKI Ropublic of Ireland IFRS
1021 Issued on 16 Juty 2014 ar the Ghaiilies Act 2011 ar UK GeT)eralty Accepted PiaLtice as it
applies from 1 January 2015
The accounts (financial statements} have been prepared to give a Irue atvj fair wew atvj have
departed from the Charities (Accounts and Reports) Regulations 2008 onty lo the oxtenl required to
provide a 'lrue and fair wew,. This departuie has Invoed following Accounts. and Reporting by
Charities prepanng their accounts In accordance with the Financial Reporting Standard applicable in
the UK and Republic of Ireland IFRS 1021 issued on 16 Juty 2014 rather than the Accauntng ar
Repoth"w by Charities." Statement of Recommended Piadice effedive from 1 April 2005 which has
since been withdrawn.
The TnElee considers that there are no material uncertainties about the Charity's ability to continue as
a goiro concern_ There are no material uncertainties affecting the current year's accounts_
In future years, tho key risks lo the Chanty are a fall in income from donaliors or IrNestmenl income
but the Trustee has arrangemer)Is in place to mitigate those nsks (see the nsk managemerll a
reseNes sections of the annual report for more Infotmalionl.
The Chaiity meets the definition of a public benefit errtity UTKler FRS 102.
Ibl Funds 8tructure
Where there is a legal reslrith.on on the purpose lo which a fund rrkgy be put, the fund is cLqssified
eithei as".
A restiicted tUTKJ 01
An endowment fu.
Restricted futKls are those wheie the donor has piomded for the donath'on to be sperrt in furtheran
of a specified charitable purpose. The Chanty's restncted funds le lo resutt from appeaLs or
legacies lor specilied purposes.
Endovmient funds arise when the donor has expressty provided that the gift Is to be irwesled and on
the income of the fund may be spent. These funds are sub anatysed between those where the
Trustee has the disuelion lo spend the capital (expendab elOwment1 those where there is no
disciebon to expend the capital Ipeimanent endowmenl).
The charity has one permanent endowment fund, the Pembrokeshire Cardiology Equipment Fund_
This fur is managed on a total retuins basis. This means that the funds are Invested lo maximise
the return on Investment wilhoth regard lo whether that return Is in the form of income from dividends
or Interest or capital appreciation (where the market value of the investnTrent Increases). Ah0h a
total ielurns approach has been appioved by the Trustee, no funds have been released as at the
ba&n sheet dale.
Those furKls which are neither endowmont nor restricted Income funds, are unrestricted incomo fuThls
which are sub anatysed belween designated learmarked} funds wheie the Tiustee have sel aside
amounts lo be used lor specific purposes or which reflect the norFbinding wishes of donors and
unrestn.ded funds which are al the Trustee's discreb"on, including the general fund which represents
the charity's iesetves. The major futKls hekj in each of these calegoiies are disclosed in note 19.
48
Ic) Incoming resources
Incorre consists of donabons, grants, legacies, income from charitable actiwlies and irNestment income.
Donations are accounted for when received by the chaTity All other income is recognised once the chanty has
enlillement to the resources, il is probable (more like than not) that the resources will be received and the
monetary value of incomirrfJ resources can be measured with sufficient reliability.
Where there are terms or conditions attached to incoming resources, particulaty grants, then these terms or
conditions must be met before the income is recognised as the entitlement condition wll not be satisfied until that
point. Where terms or condiknons have not been mel or uncertainty exists as lo whether they can be met then Ihe
ielevanl income is not recognised in the year but deferred and shown on the balance sheet as deferred Income.
Id} Incoming resources from legacies
Legacies are accounted for as incoming resources either upon receipt 01 where the receipt of the legacy Is
probable, whichever falls sooner.
Receipl is probable when..
Confirmation has been received from the representatives of eslatels) that
probate has been granted
• The executors have established that there are sufficient assets in the eslate to pay
the legacy and
• All conditions attached lo the legacy have been fUilled or are within Ihe chanty's
control.
there is uncertainty as to the amount of the legacy and It cannot be reliabty estimated then the legacy is
shown as a contingent asset unbl all of the conditions foi income recognition are met.
le} Incoming resources from endowment funds
The incoming resources received from the irNested endowment fvnd are Whol reslricted.
lfj Resources expended and irrecoverable VA T
All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all
cosls related to each category of expense shown in the Stalement of Financial Actimlies. ExperKlituie is
recognised when the followrNJ cnteria are mel.
• There is a present legal or constructive obligation resutting from a past event
It is more Iikety than not that a transfer of benefits (usually a cash payment) wll be
required
in settlement
• Tr amount of the obligation can be measured or estimated ieliabty
IrTecoverable VAT is charged against the category of Tesources expended for which it was incurred.
49
{gl Recognltlon of expenditure and a$sodated Ilabilrfe$ as a result of grants
Grants payabk are paymems made lo linked, related party or third paty NHS bodies aThJ n( NHS b(M*es, in
fUrtherae of the Charitab otpcbves of the fuThJ5 hekj tr, primanty relid of those who are &ck.
Granl paynErts are rec(*Jnised as expeThJilwe coTrJtits for Iheii payn*nl hal been or fftre
there is a constructve obiigats'on lo make a paymert
A constsuthe obligatson arises wlEn".
We have communicated our Intention lo award a grant lo a reapient who then ha5
ieasonable expectation that they wll ieceNe a giatrt
We have made a public anrKsurKement about a colIMent which Is specific
enOh lor the feopient lo have a reasonab eypeclalion that ty 11 recewe a
grart
• There Is an estabshed pattern of Pfacbce whch iThJcales lo recipiert that we
11 nour our CCInlMent.
The Tree Fos control over amount and IimirKJ of grant paymerts and cotEequerrtty Wre approval has
been given by the Trustee aThJ any ol the above criteria have been then a hability Is iecconised. Giants ale
not qual awaided with ColOnS attached. HoWer, when they are then thosè corQiliong have lo be 1
before the liability is reccxjnised.
Wlwe an intention Iws t)1 been conNnuThcaled. then expendrtuie is rec[1$ed an appiLwiiale
designation Is made in the appropriale fu W a grant has been offered but there is utKertainty as lo whetr rt
11 be accepted or wfkttkr corNAibon5 will be mel no Is iec(xJnised a conbrgenl hatMIIty Is
digck>sed.
Ihl Allocation of support costs
Support costs are those costs which do not relate difecty lo a sirole acbwty Trse slaff costs, cosls c
administiaknon, inteinal atKI exteinal a11 costs. Swort costs have been apportio(j between fundraistKJ
costs and chanlable actimlies on an appropriate bags. The anatygs d swport cosls aThJ Ihe bases ol
apportionment applied ale shown in note 1 Q.
111 Fundralslng costs
The costs ol geneialing futmts are those costs atttibthabk Io geaknJ inconE foi IIE clwrity. than trse
costs incurred in undertakiru Charitab actiwbes or the costs Incwred In UNrtakr0 tradir¥J actrmlies In
furtheiance of the chaiity's objeds. TIE costs ol getEialitu fut5 iewesenl fvThJraisiryJ costs together with
1rNestEnt managemeN fees. Fu1raisirO costs Indude expereS ID[ lundraisiro acttwlies and a lee paid10 8
related party, the Heatth Board. uThJer a fundraising agreefnert. The lee Is used lo pay the salanes and
ovethead costs of the Heatth Boardg's fuThJraisirKJ c4fice.
Ul Charltable a¥'e5
Costs of Charitab actiwbes ccKnprise all costs Iued in thè pursuit ol Ihè Chantab obpcts ol the charity.
These cosls, where not wholty attribulabk. are apportioned belween the c81egones of chalilab expenditure in
addition lo the direct costs. The total costs of each category of Critab expeThJibJe Incknje an apportsonn*rt
of support costs as shown In note 7.
Ikl Debtorn
Deblois are amounts 0Ed lo the chatty. They ale ffleaswed on the bass d IkEii iecoveiabte awn0}1.
50
{11 Fixed Asset Investments
Irwestments are a fOn of basic finanaal instrutrÉnt Fixed Asset itwesltnents are inilialty [ecnISed al th[
transadion value and are subsequenlty measured al their fair value Imarkel vabjel al the baknce skel date. The
StatenI of Financial Actimlies includes the nel gains a] losses ansiro on reva111&0n and disposal thiowhixrt
the year. Quoted stocks and shares are incltxled in the BaLgnce Sheet al cuiienl mid price rNqikel value
quoted by the investment anaw, eXdudi[ divide[. The SORP [econNnetS Ihal bid pllce nTriket pnce be
used in valuitvJ stocks a1 shales, athowh the difference beeen the bid aThJ mid mikel tfflce is not malenal.
Other itNestments are Inc1ed al the Tr'S best ethrrkgle of matkel val.
The main form offinancial nsk faced by ttE chanty is that of vdabhty In Uty matkels aThJ IrweslI martets
due lo the wider economic coThJilions, the atblude of irNestois lo itEnt risk ChaeS sentinEnl
conceming equities and within parbcukqi sectors 01 sub sectors. Furt1 inf0MlsOn on thgnty's Investh*rts
can be fourKI in rK)le13.
Im) Cash and cash equivalents
Cash al bank and in harnl is hekl lo Eet the day lo day runni costs of cKg1ity as tY fall due. Cash
eqUiVants are short lenn, highty liquid irNestments, usualty in g) day tiCe irteiest beanw samws accnts.
Inl Creditors
Ciedilois are amounts owed by the chanty They are measured atthe amount that the thanty expects to have to
pay to settle the debt
Arnounts which are owed in mre than a year are shovm as k)rKJ temi creditors.
lol Realised gains and losses
Al gains and losses are taken to the SlaterrEnt of Finanaal Athmlies as they anse. Realised gains aTrJ losses on
irNestsnents are calculated as the difference between saS proceeds and openirNJ carrwng value Ipurchase date
if later) Unrealised gains and losses are calculated as the differen befften the market value at the year end
and opening carryirrfJ value lor purchase date if later).
51
2 Rd•*d party
ye41 ofthe TrusteB"sRtyrosertalves rnnb5 oftho keYM4mPnl5l•tt or pwl•b
enwe t nere¥tsol ate ke0 dtmle¥rf *¥0 b [tIh¢Y woon¥yb•iefnffom
Dtlr£ ofperxffialirternslh te mHdB bdh ate 81blE loi
WW-21 Ihe (*&rily rf*L* ganl ptym&ils d e7,[ro4 lo Bo¥d.A••t31 Fl41th
2021 th• iofv Hèath £39239. •)do¥*J ty th• H••th EO.
LW*l• of
Po•l¥(m H•ld
Fl*wd•lY•4r
DI11$0111*•f D*l¥•d
M•mt•rof R41 Col49¢¢fNuFry IRCXI
mn
na Lthii¥
804td MBmiYr,
L•1•
InthF¢nthnl M•nbEr, Qty 11 cty olSwsrweB
Ck¥ef4vndyrnorf)w VethThJ NHS Tw•1
vai ri
Ck•• Farrity mnbIr in lraityOfafo1 Trnty&
grrnn
M*nberof PemLw*eth•p
Part IMÈ anpljpo of &uBsIL¥lle Ltd
Tts•l W480fts*14•8 4rg*ith¢ri*i• atwtrxh nvJfflb•r• ar k¢y8¢nw)r4wY irn¢tgstsin 20WQ1'.
EKp•ryllttw• wlh Afflwrt•4y*•(I
its r•knlBd party
EOOQ
Irwm•frtyn
IBd pll
rdotyjd pDrty
£oDo
Lknmoity
25
Tot¥
20a)41
Tot
Xll&X)
EThJ¢Jwm•nt
£0
EOOO
£000
EOOQ
*lths
817
14
LogHa
511
511
417
i.J
*tsJ ty¢•ts*dto th• v*J• of£70258 bxtyJd•da* Tr)Ib)rnl LW¥iitrkx•J t*)r*t*M.
52
4. Role of volunteers
Hyivel Dda Heath Charrties Is extrernety fortunate lo have ttE support of so rnany wonderful people who give
their time. energv aT%J dedication to iaise ftmds for the chanty on a voluntary basis year after year Out
supporters Ivndraise lor us lor many different reasons Marry ace lOmr patiettts aThJ families wantiThJ to
show their appreciatson lor care received while many wish to support ItE deveh)pmenl of the latest heafthcare
technolooies In their local conwnunity.
We are abo extremely fortunate to have thè support of League of FrierKls grows who raise money our
)spitals aThJ heatthcare in Iheii local communilies In addibon to our hospital and comm4Jnity LeagLE ol FrieTrJs,
we have mary vokffitary 0upS vtho support aNJ attivety furkyraise lor treir kxal heattlKare semces
In accordance with the SORP, due to the absence of any reliab meaSurert basis. the cortnbution of these
volurrteeTS Is not recogThsed In the accounts.
S. Gro$* Inv•*tm•nt Inc4)m•
Rostrlctod
Income Endowment
funds
Fund¥
£000
Total
2020-21
Total
2019-20
Unrestrleted
fund¥
£000
Fixed asset equty arm1 similar Iestments
127
116
327
331
127
116
327
331
53
6. Analysls of exp•ndltur• on ralslng funds
Restricted
Income Endowment
funds
Funds
£000
£000
Total
2020-21
Total
2019-20
Unr•strlctsd
funds
£000
£000
£000
Fundfaisir¥J office
Investment managefrEnt
109
17
105
16
222
45
12
44
126
20
267
240
7. Analysls of charltable acllvlty
Grant funded
actlvlty
£000
Support
¢osts
£000
Total
2020-21
£000
Total
2019-20
£000
Purchase of medical surgical equipment
Purchase of office computer equipment
Building and iefurbishment
Staff education and weware
Patsent education and wellaro
Other
404
183
43
20
447
203
499
301
1.446
93
88
158
39
89
216
98
239
23
937
100
1.037
2.686
Donaled gifts received to value of £70,258 are incbjded as notional expetNJitLwe. This is split btheen Pab'ent1£49,705)
and Staff Weifare1£20,553)
. Anatysis of grants
The Charty does not make grants to indmduals. AJI grants are made to the Heath Board to prowde for the care of NHS
patTren¢s in furtherance of our Charitab aims The tot* cost of makirrfJ grants. In¢ludiro suppofl Costs. is disclosed on ihe
face ol the Statemwft of Financial Aciivities ihe a¢iual funds on each ¢ategory of charnable actlty, is disclosed
In note 7
The Trustee operates a scheme ol delegation lor the maiorrty of the charrtable funds, ¢Jnder which fund rnanagers manage
the day lo day disbursements on Iheir deleg*ed funds In accordance v4rth the directions sel oul in Ihe Healih Board's
standing orders and standirbg financial inStruCtn5 Funds managed U[er the xherne 0fdelegaD0 represenl ongo
actmties and not possibk to segmentthese activrt]es into discrde sndMdu81 orant awards The Trustee does make
Indmdual grant awards based on inmted applications trom the Heath Board
54
9. Movements in funding commitments
Totsl
2020-21
Total
2019-20
Current
liabilities
£000
£000
£000
Opening balance at 1 April (see note 161
Movement in babililies
995
141
995
141
23
972
Closing balance at 31 March (see note 161
1.136
1,136
996
As described in notes 7 and 8, the charity awards a number of grants in the year. Many
grarts are awarded and paid cHJt in the sarne financial year. However, some grarrts,
especialty those relab.ng to research ar development of for tutmjij a specific posts are
muttt-yeai gfants paid over a longei peFlOd.
10. Alloeatlon of support costs
Supk)Ort arKI OVead costs are allocated bets¥een lundraisir¥J actimlies and chantab
athmlies. Govemance costs are those support costs whith reLqte lo strategic aThl day
lo day rnanagement ol a charity.
Charltsble
acllvltles
£000
Total
2020.21
£000
Total
2019-20
£000
Basls
Govèmaneè Co>ts
External audit
Finance and administiab-on
Total gov•rnanc•
9 Average fvnd balance
38 Aveiage fund balance
47
31
31
Support Co$ts
Finan and administiabon
60
50 Aveiage furKJ balance
100
100
97
Restricted Endowment
Income
Funds
funds
£000
Total
Funds
2020.21
£000
Total
Funds
2019.20
£000
Unrestricted
lunds
£000
£000
Charitable athvibes
50
47
100
97
47
100
97
11. Trugtee's remuneratlon, beneffts and expenses
The Charity does not make any payments lor remuneration nor lo rein*Jurse experBes lo
men*)ers of the Corporate TrLStee of the Charity for their work undertaken as Iruslee.
55
11 Auditors remuneration
auditors iernufftiatson cl £9,(K)01201920. £9,Crt)01 ieL41ed s(*ty lolhe athlrt of IfE
slattrtory annLkql report accourls.
13. Fixed assetinvestments
Movement in fixed as$¢ts inve$tments
Total
Total
2020-21 2019-20
marf(elYa1 broNICld
Abj. a(*Jilions lo IrNestrTr atcost
Less disposab al carrrfJVahJe
1ncreasejlcIeasel on cash awaib-r¥J 1rNeSth
Aihj rEI gainl Ibssl on reVaIaOn
7,156
15
7,502
14
131
1,480
121
Marketyal as at31st March
8,647
7,155
Fixed Asset Investments bytype
2020.21 2019-20
£000
Picwty
Fixed Inteiesls
UK Equibes
(knIseaGI0bal Equitses
AernatNeS
393
410
954
1,231
3,4%
691
1,655
4,441
681
Totsl Listsd Intsstsnents
Cash on Interestbeanrg posIt
8,114
533
6,742
413
Totsl
8,647
7,165
Al irhEslnwts are carried at fair WdlLE.
Significat of finanaal instruments lo the Oroing fir0al sustairdbihty of Hy Dda Healh Chaiilies is corsitsied in
nsk marogefftrt secbon ol the lilees. a95 rep)
nkqin nskfrcrfn finanoal In*umerrts lies ITr ts corrtiinab'on of Uertain irNestnErrt mrkets aNJ vc491ilty in waj.
tkja Healh Chaiilies, iwtrnenls are mainty Irad8J in martets wth good ligjithty arnj thgh tradiro vokffls. Dda
Heath Charibes twve no rnalenal IrNestsnent hokjiws In rnarkets subied lo exchawe contids 01 tradit%J reskncbor6.
He1 Dda Heath Chanlies rnanages se irNeslment nsks by taInErj expert athsois a1 cpeiats'ng an irNestrrEnt polirv that
promdes for a high degree (K dNersificabon of hoklit¥Js thIn irNestrnent asset dasses. I[WestNIS cotsisted ol coNpanies listed
on b(Ih UK st¢xk exthrKJe aThJ In gbbal ÈN]uiles1£4.441ml
14. Analysis of currentdebtorn
Dèbtors undèr 1 yèar
Total
Total
2020.21 2019.20
£000
£000
Accrwl income
39
47
39
47
15. Analysis of cash and cash equivalènts
Totsl
Total
202041 2019-20
£000
£000
Cash in haTrJ
1937
1,693
2,937
1,693
The mbce deposits are sums he on irrterest beanNJ deposit Mlh Bardays Bank arKI represent rostnded appeals lo
rurKI specificequipmenl or fuThls hekl lo laolilale cash flow and the fvlment of (*Jligalions lo mako grant payTr*nts
The funds are held on a 90 day notsce account and are Iheiefoie classified as cash and cash equivalents.
No cash or cash eqUialents or current asset irwestments were k1 in no1caSh istnntS or outside ofthe UK
AJI cl the amounts hekl on irterest beanrrfJ deposits a ayalLqb lo spend on chanty acbmlies.
16. Anatysis of liabilities
Totsl
Total
2020.21 2019-20
£000
£000
Creditors under1 year
Trade credito
Ott[ creditors
ACUUa INole 9)
28
114
13
995
1,136
Total cr•ditoryJ
1,164
1,122
57
17. Reconciliab'on of not income l•xpenditur• to cash Ilow from
operating a¢tivibes
Total
Total
20221 2019-20
£000 ' £000
Net incorne I lexperrflittKel Iper Ststement
Financial Aclivitiesl
Adjustmentfor:
(Gairsl l on prStrner
Dmdetxls. inteiest atKi rettts frotn IrNestmerts
Decreasel olrease) In debtors
IDecreasell ease In credtors
2,686
11,0451
11,4801
132n
359
13311
131
1,1)02
42
Net cash lused knyprovkled by operallng aclvlttes
929
18. Translerbetrween fvnds
The openiro balance ofcarthology EquipmentIome FUNJ £26,410 was Iransfeiredfrcffl Restntted Fundslo ErnjOwnnnl Functs lo
theliarGathorE wthinthis accourrt ieigtsThJ lolhe Interest eatrEdfrorn t Pethokeshire Cardiolchjy EquiprrEnt Endownment Ftt.
£97.364 was transfetred from CefedigiC caer SCe IUNestnded)lo BGH cherreTapY Day Unil pear (Re*nctedlfol(thiw ILe
creati of a [EW[uj.
19. Anatysis offunds
& Anatysls ofendovmientlund movements
Balanc•
Balance
Transler Inccthe Expendlbjre Galn 31 March
2021
2020
£000
FE Smrth Legacy
Rees Eirwyn Evans
PerOkethre CardidcrfJy
EqUIpn
pel0kere Cardiokoy
Equipmentlncome FurKI
79
22
2,013
11611
395
2.247
187
26
84
14n
1471
224
2,672
2,114
395
Thè c+)ieds cllhe Fennanert Nent funds afe as loknK%'.
FE Smith Legacy Ful obieds are lo appty IncorrE generated IIE perot endoweil gift lor the bfil of
the (aIn Gtynthvr Ward in Bfongkis General Hospital.
Rees Eitwyn Ewdns FUTVJ objeds are lo appty the inc(Yne gelated from perllwnert etKlowed gtft lortt*
purchase ol equipNEnt for Meurig Ward In Brorglais GetEral Hospitsl
Pert)rokeshire CardiY EQpEnt Furnj arelor pchase 0lcar¢JolJY equip In
couty ol Petnbrokeshire.
58
b. Anaty818 of r•$td¢t•d fvnd mov•monts
Balance
I Apfll
2020
£000
Balance
31 March
2021
£000
Transfer
Income
Expenditure
Gain
£000
Hywel Dda General Funds
Carrnarthenslure Locality Futyjs
Ceredigion L(tality Funds
Pertjrokeshire Locality Funds
Pembrokeshire CaidiolLXJy Equipment
Income Furvj
494
718
193
71
322
1,381
2,146
306
744
1,658
270
12331
11241
1831
752
316
97
126
2,698
71
1,482
16121
516
4155
The bcality ft$ 15 a co10 of iestn.ded furKJs which have distin(t iestrithor6 irtwsed on the chaiity. Wtttun
Cannarthersmre kKality there are 44 restricted fu1$, In cerj1g10n Ihere are 24 restrided fuThts and In Petrtirokeshire
there are 29 resliitted luThJs.
Anaty8i8 of unrestllcted and material designated fund movements
Balanc•
1 Aprll
2020
£000
Balance
31 M4r¢h
2021
£000
Transfer
In¢om¢
EXp1ndre Galn
£000
£000
£000
Hywel Dda General FurKts
CarmarthenstHre Locality Furnls
Ceredigion Funds
Pembrokeshire Locab"ty FutK
131
1,689
447
269
148
80
12781
11991
1115}
1531
569
869
1,759
623
481
1971
2,961
197
569
3,732
The Ch9nty does hohj malenal [JS the general purpose ofthe Who Chanty Most westrided frS have
been earmafked a1 designated lor a speofic purpose wthiTr the Clb9rity area.
Forpieserrfalion ttE desIgnth"or Imve been groyd atNJ ieported perhJcah"ty.
Wilhn the chanty thefe are 86 carr[Artherire designated fuTrJs, 49 Ceredlgldèslgnaled frJThts arrtj 37
Pen*)rokesttire dltell fdS aThJ 17 Wel Dda designated fvThJs.
59
20. Totsl rotum on Inv•stm•nt
On 4 March 2014. the Corporate Trustee made a resolution urKler section 104AI2} of the Chanlies
Act 2011 to adopt a total relufn on Investment approach lo the Pembrokeshire Cardiology
Equipmenl furvj and the FE Smith Legacy furKJ. The Corporate Trustee identified the value of Ihe
gifts of petmanent endowment received since fijnd was established to that date. This set tt
baseline Val of the gift component ol the endowment to which any subsequent gifts of
endowment are added. The difference between the total of endowment funds as at 31 March 2015
aThJ the value oflhe gift component represented the opening balare of unapplied total return.
The powei of total retum petwnits the Cotporale Tiust& to invest permanerty endowed furwjs to
maximise iotal retum and to appty an appropriate potton of the unapplied total return lo Income
each year
Unts'l the power is exercised to transfer a pO.on of unapplied total return to Inco, the unapplied
total return remains Invested as part of the pemanent endowment. The power allows the trustees
to decide In each year how much of the unapplied lolal return is transferred lo Income funds
so available for expenditure. As al the balance sheet dale the Corporate Trustee had not made
any resOl"0ns to pass any part of the urbapplied total ieturn to incortE fuFKls lo be spent.
Trust for
Unapplied
Total
Investment total retum endovmient
£000
£000
At beglnnlng of the reporting perlod
Gift component ol the permanent endowment
Unapplied total return
Total
Movemènt* In th• rèportlng lIDd
Investment retum" realised and unrealised
Ilossesl
Less.. IrNestment management costs
N•t movement in the r•porting yrtod
At end of the reporting period
Gift component of the petmanent endowment
Unapplied total return
Total
1,505
1,505
587
1092
587
687
1.506
478
12
466
478
121
466
1,505
1.505
1,053
2.658
1,053
1.053
1,505
Not• - Rees Eiry#yn Evans eThJowment doesn't fom part ofthe Return on IrNestmerrt calculalion above
21. Po¥t Balanc• She•t Event8
There are no Post Balan Sheet Events
22. Other Ilems for Informatlon
Impact of COVID 19
Donated gifts received to the value of £70.258 by the Fundraising Team duiirig the COMD-19
pandemic are included as notional income Bnd expendilLJre within note 3 and note 7. The basis of
measurement for such was the matket value of the item donated. Peiishable rtems have not been
recognised in the accounts due to malenalily and the absence of any ieliable measurement bas1S.
Hywel Dda Health Charrties ieceNed 'COMD-19 urgent response, grants fiom NHS Charth"es
Together lotslling £484,500. Thesa grants f(Kus&d on urgènt 8nd Immediate needs Ihal
enhanced the well-being of NHS staff, volunteers and patients irnpaded by COVID-19 As per the
temis and conditions of the grant award. a new ieslricled chaiilable fund was opened lor the
purpose of the funding received.
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## **STATEMENT OF TRUSTEE’S RESPONSIBILITIES IN RESPECT OF THE ACCOUNTS**
The law applicable to charities in England and Wales requires the trustee(s) to prepare financial statements for each financial year which give a true and fair view of the charity’s financial activities during the year and of its financial position at the end of the year. In preparing financial statements giving a true and fair view, the Corporate Trustee should follow best practice and:
- select suitable accounting policies and then apply them consistently;
- make judgements and estimates that are reasonable and prudent;
- state whether applicable accounting standards and statements of recommended practice have been followed, subject to any departures disclosed and explained in the financial statements; and
- prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in operation.
The Corporate Trustee is responsible for keeping accounting records which disclose with reasonable accuracy financial position of the charity and which enable them to ascertain the financial position of the charity and enable them to ensure that the financial statements comply with the Charities Act 2011, the Charity (Accounts and Reports) Regulations and the provisions of the trust deed. The Corporate Trustee is responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.
**By order of the trustees**
**Signed:**
**Chair of the Corporate Trustee**
30th November 2021
**Ms Maria Battle Financial Trustee Representative**
**Mr Huw Thomas** 30th November 2021
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## **The independent auditor’s report of the Auditor General for Wales to the members of Hywel Dda Health Charities**
## **Opinion on financial statements**
I have audited the financial statements of Hywel Dda Health Charities for the year ended 31 March 2021 under the. Charities Act 2011. These comprise the Statement of Financial Activities, the Balance Sheet, the Statement of Cash Flows and related notes, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).
In my opinion the financial statements:
- give a true and fair view of the state of affairs of the charity as at 31 March 2021 and of its incoming resources and application of resources for the year then ended;
- have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and
- have been prepared in accordance with the Charities Act 2011.
## **Basis of opinion**
I conducted my audit in accordance with applicable law and International Standards on Auditing in the UK (ISAs (UK)) and Practice Note 10 ‘Audit of Financial Statements of Public Sector Entities in the United Kingdom’. My responsibilities under those standards are further described in the auditor’s responsibilities for the audit of the financial statements section of my report. I am independent of the charity in accordance with the ethical requirements that are relevant to my audit of the financial statements in the UK including the Financial Reporting Council’s Ethical Standard, and I have fulfilled my other ethical responsibilities in accordance with these requirements. I believe that the audit evidence I have obtained is sufficient and appropriate to provide a basis for my opinion.
## **Conclusions relating to going concern**
In auditing the financial statements, I have concluded that the use of the going concern basis of accounting in the preparation of the financial statements is appropriate.
Based on the work I have performed, I have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the body’s ability to continue to adopt the going concern basis of accounting for a period of at least twelve months from when the financial statements are authorised for issue.
My responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.
## **Other Information**
The other information comprises the information included in the annual report other than the financial statements and my auditor’s report thereon. The trustees are responsible for the other information contained within the annual report. My opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in my report, I do not express any form of assurance conclusion thereon. My responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If I identify such material inconsistencies or apparent material misstatements, I am required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work I have performed, I conclude that there is a material misstatement of this other information, I am required to report that fact.
I have nothing to report in this regard.
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## **Report on other requirements**
## **Matters on which I report by exception**
I have nothing to report in respect of the following matters in relation to which the Charities (Accounts and Reports) Regulations 2008 require me to report to you if, in my opinion:
- the information given in the financial statements is inconsistent in any material respect with the trustee’s report;
- sufficient accounting records have not been kept, or returns adequate for my audit have not been received from branches not visited by my team;
- the financial statements are not in agreement with the accounting records and returns; or
- I have not received all of the information and explanations I require for my audit.
## **Responsibilities**
## **Responsibilities of the trustees for the financial statements**
As explained more fully in the statement of trustee’s responsibilities set out on page 61 the trustees are responsible for preparing the financial statements in accordance with the Charities Act 2011, for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.
In preparing the financial statements, the trustees are responsible for assessing the charity’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 deemed inappropriate.
## **Auditor’s responsibilities for the audit of the financial statements**
I have been appointed as auditor under 150 of the Charities Act 2011 and report in accordance with regulations made under section 154 of that Act.
My objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes my 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 non-compliance with laws and regulations. I design procedures in line with my responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud.
My procedures included the following:
- Enquiring of management, the Hywel Dda Health Charities head of internal audit and those charged with governance, including obtaining and reviewing supporting documentation relating to its policies and procedures concerned with:
- identifying, evaluating and complying with laws and regulations and whether they were aware of any instances of non-compliance;
- detecting and responding to the risks of fraud and whether they have knowledge of any actual, suspected or alleged fraud; and
- the internal controls established to mitigate risks related to fraud or non-compliance with laws and regulations.
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- Considering as an audit team how and where fraud might occur in the financial statements and any potential indicators of fraud. As part of this discussion, I identified potential for fraud in the following areas: revenue recognition and posting of unusual journals.
- Obtaining an understanding of Hywel Dda Health Charities framework of authority as well as other legal and regulatory frameworks that the Hywel Dda Health Charities operates in, focusing on those laws and regulations that had a direct effect on the financial statements or that had a fundamental effect on the operations of Hywel Dda Health Charities.
In addition to the above, my procedures to respond to identified risks included the following:
- reviewing the financial statement disclosures and testing to supporting documentation to assess compliance with relevant laws and regulations discussed above;
- enquiring of management, the Charitable Funds Committee and legal advisors about actual and potential litigation and claims;
- reading minutes of meetings of those charged with governance
- in addressing the risk of fraud through management override of controls, testing the appropriateness of journal entries and other adjustments; assessing whether the judgements made in making accounting estimates are indicative of a potential bias; and evaluating the business rationale of any significant transactions that are unusual or outside the normal course of business.
I also communicated relevant identified laws and regulations and potential fraud risks to all audit team and remained alert to any indications of fraud or non-compliance with laws and regulations throughout the audit.
The extent to which my procedures are capable of detecting irregularities, including fraud, is affected by the inherent difficulty in detecting irregularities, the effectiveness of the controls of Hywel Dda Health Charities, and the nature, timing and extent of the audit procedures performed.
A further description of the auditor’s responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website www.frc.org.uk/auditorsresponsibilities. This description forms part of my auditor’s report.
Adrian Crompton 24 Cathedral Road Auditor General for Wales Cardiff CF11 9LJ 2 December 2021
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