ELusennau lechyd HYWEL DDA Health Charities #MakingaDifference in 2023-24 Annual report and accounts Regisl'ered Charlty Number: 1147863 Thankyou 2023-24 has seen our local communlties in Carfflarthenshire, Cerediglon and Pembrokeshlre continue to go the extra mile to 5UPPOrt their NHS charity. Thankstoyourgenem51ty. HyweLDda Health Charltles was ableto fund a range of Itemsandactlvltie5 aboveand beyond normal NHSexpenditureto enhance theexperlencesof Hywel Dda UnlversltyHeaLth Board patients service usersand staff. Theyear ha5 had so manyhl¥hll8hts.andone I'ILneverforget Is when 5taffacross the health board came togetherto celebrate the NHS'S Y5th blrthday, wlth hundredsappeaTlng In NHS 75 'seifles'acrossthe charity's soclaL medla channels1 It was a truty greatmoment It was also encouragingtosee partnershlpsstrengthe durlng theyear: most notablywlth Starlets Rugbyfor our W15h Fund campalgn, and wlth Actlvlty Waiesfor Longcourse Weekend Wales. Your contlnued support Is so appreclated byeveryone who beneflts from charltabLefunds. To every supporterwho donatedto orfundralsed for U5 tn2023-24.. thankyou for fflaklnga dlffereftcel Chair CharltabLe Funds Commlttee Hyuvel Dda Universlty Health Board Contents l. Our purpose, achievements and plans Ourpurpose Howwe help Who we support Ouryear In numbers The differenceyou made Your fantsstic fundralsing Headllne news 13 15 . Income at a glance Expenditure at a glance Our plans for 2024-25 How to support us 17 18 19 20 l Ourflnances and governance Flnanclal revlew Structure, governance, and management Rlskmanagement AppendlxA: Annualaccounts 202>2024 22 27 32 33 1. Our purpose, achievements and plans Elusennau lechyd HYWEL DDA Health Cliarltie5 ichELusenGIG HVWEI;,PljJ: DDY,MUNIAOAV 1.1 .+4V ,hyts)élddahealthth ARTENIOO ELusennau lecliyd HYWEL DDA klealtli Chai ities Our purpose Hywel Dda Health Charltles Isthe offlcialcharlty of Hy￿l Dda Unlverslty Local Health Bo¥d. reglstered charlty number1147863. We exlst to make a posltlve dlfference tothe . health. wellbelng and experience of NHS patlents servlce users and staff acr05S Carmarthenshlre. Ceredlglon Pembrokeshire. Our aim is to raise and distributefunds to enhance Local NHS servlces. The donations we recelve from pa￿ents, thelrfamilles and our locaLcommunltles are spentori enhancing NHS services, above and beyond what NHS fijndingallows, Our charlty ra5ses and dlstrlbutes funds to enhance our Local NHS servlces through: provldlng the most up-to-date rnedlcaL equlpment for diagnosis and tre3tment Creèting more welcoming 5urroundlngs for patients, thelr famiLies ar)d staff Offering addition31 patient comforts to fflal(e time spent in hospltaL more cotnfortabLe Supporting staff learning and development and welLbeing inltiatlves; Enhanclng care in our local communltles Delivering healthy livlng and health promotlon Initiatlves. How we help Hywet Dda Health Charlties work5 closely with Hywel Dda Unlverslty Health Board to ensure thatourcharlty allocates fundingtothe areas where It can make the blggest Impacttothe treatfflentand care of patlents across Carmarthenshlre. Ceredlglon and Pembrokeshlre. We do not replace NHS fundlng but use the generous donations we recelve from patients, their famllies and our local communltles to SUPPOFt the University HeaLth Board to provide 5ervice5 and actlvlties above and beyond whatthe NHS can provlde. HyweL Dda Universlty Health Board Is the corporate trustee of Hywel Dda Health Charities, The charity15 fftanaged independently of the Unlversity HeaLth Board through a separate scheme of delegatlon to Its Ih3rlL'able Funds Cummittee. We carry out our aims through the provlsion of grants to support and enhance the NHS services provided by the Unlverslty Health Board and Its partners. Who we support Hywel Dda Unlverslty Health Board plansand provides NHS healthcare service5 for Camiarthenshwe Ceredigon, Pembroke5hlre and Its borderkngcountle Over13.000 members of staff provlde: Mentslhealth andlearnth dl¥bllltles servlces 'P.r,imary..'car,e- Communlty care This is done in partnership with three IDcal authoritles and public, private and third sector colleagues, includlngvoiunteers, for a population of 390,000, through; Four main hospitals,, BrongLals HospEtaL in Aberystwyth,. GLangwill HospitaL In Carmarthen; Prlnce Philip Hospltal In LLaneLii, and Wlthybush Hospltal In Haverfordwest Five communlty hospltals. Amman ValLey and Llandovery hospitals In Carmarthenshlre; Tregaron HospStaL In Ceredigion, and Tenby and South Pembrokeshlre hosPitaLs In Pembrokeshire Two Integrated care centres: Aberaeron and Cardlgan In Ceredlglon, and a number of other communlty settlngs, e.g. Bro Pre5ell, Crymych 48 general pr3ctlces Islx of whlch are health board managed practlcesl,. 38 dentaL practlces (Including four orthodontic); 96 communlty pharrnacles; 41 generaL ophthalmic practices; and 7 ophthalmic domiclliary providers Numerous location5 provldlng mental health and learning dlsabiiitles 5ervlces Hlghly 5peci3l15ed servlces commissioned by WeLsh Health Speciallsed Servlces Cofflfflittee {WHSSCI,. WHSCC and the Emergency AmbuLance Servlce5 Cofflmlttee (EASC) were disestablished on 31 March 2024 and replaced by the Joint Cornmisslonlng Committee on1 Aprll2024 Sure Startjolnt services wlth Carfflarthenshire, Ceredlglon, and Pembrokeshire locaL authorities. Ouryear in numbers In 2023-24 145 Over online giving pages were created to support us £2.16 million people left us a gift intheir was donated to the charity Our social media reach was over players won a prize in our charity lottery 350k The difference you made Thanks toyour generosity, in 2023-24 we were able to enhance care, experience and outcomesfor: hospitals community hospitals integrated care centres In the following pages we providejust a few examples ofjust how charitablefunds made a difference... We funded a new eye scannerworth £14,250 forGlangwlLI Hospltal. The new scanner Is used to take eye measurements prlor to surgery to ensure the accuracy of lenses and Implants. It wlll dellver an enhanced level of servlce for patlents during pre- assessment for operatlons such as cataract surgery, especlally those who are fraL and less ffloblLe. Senlor Sister Casey Grlfflths sald: Yhe Tysul Eye Unlt Is of real benetlt to P3tlents who are less rnoblle- for exampLe, those who have nec1( and back PToblems- as they may flnd it dffficult to use the standard seated equlpmerrt wlthln the unlt. The new scanner wlll help us run pre-assessment clinlcs as effectlvely as posslble and provlde an optlmum outcome for patlents.. A newrefie¢tlon garden at Prlnce Phlllp Hospltalwa$ offlclally opened. The garden, which Is located near Ward l at Prlnce PhlLllp H05pltaL wllL alLow both patlents and staff to have a peacefuL prlvate area to reflect and remember. Amber BOIL Senlor Slster, said.. he COVID pandemlc was a difficulttlme for us aLI. The garden wllL allow for Individual5 to.have dedlcated space to reflect, Thankyou to allthe staff from Ward 1 fortheir Involvement In the fundraslng, They worked so hard durfng the COVID-19 pandeffllc and stlLI went above and beyond to fundraise forthe garden.. 10 c:anolfaD:. . EmeYg6ncy, . Canllaw'Adrannau' artm2nt'. A new servlce at Bronglals Hospltsisupportlngvlctlms of domestlc abuse recelved over £59.000 of grantfuftdlngfrom NHS CharltlesTogether. Mandy Nlchols-Davles, Head of Safeguardlng at Hywel Dda Unlver5ity Health Board, sald: he new Service ￿lI offer supportto vlctlms of abuse that attend the emergency department and the Domestic AbLtse Health Advocate wlll be thelr rnaln polnt of contact. Thls health advocate roLe wlii not only provlde an addltlonal layer of support forthose affected by abuse but wlll also support staff to respond as effectlveLy as posslbLe." .I,Y.'l.':L'l *E Thanksto a generous legaty. we purchased new equlpmentcostkngover £200,000 for cardlology patlents at Wllhybush HospltaL The two echocardlography fflachlnes forthe hospltal's Cardlo-Resplratory Department wlll help to reduce waiting Ilsts for scans and also enable echocardlograms for inpatients to be done sooner. whlch WILI help slgnlficantly wlth hospltal dlscharges. Thls extra equlprnent1s1 ddltlon to £110,000 Worth of machines bought from the same bequest for the Chlld Health Department so that under-16 patlents In Pembrokeshlre can contlnue to recelve vltal cardlulogy screenlng as close to home as possible. 11 In partnershlp wlth the Withybush Hospltsl Cancer Day UnltAppeaL we provlded £165.000 to fund a new halr I05S SUPPOrt servlce for cancer patlents across HywelDda. The 'Heads Upl. Initiatlve, whlch wlll run for an inltial two-year perlod, provides a person- centred, holistlc halr Loss seNlce for cancer patlents. It brlnES together healthcare and halrcare professlonats from local cornmunltles to g5ve patlents the knowledge and products needed to manage thelr halr loss wlth dlgnlty and cholce. The health board Is the first In Wales to run an Inltlatlve to Improve the patlent experlence of cancèr-reiated halr loss. Weaiso fvnded games consoles aftd accessorlesfor the new Bro Myrddln Illeubelftg Hwb %Yale5'5first rnental health crlsls hub for chlldren andyoung people. Angela LodwicK Asslstant Dlrector of Mental Health and Le3rnlng Dlsablllties, sald: Me're Sncredlbly gratefuLthat charltable funds have allowed us to purchase thls new equlpment. The consoles wlll help the young peopLe In crlsls to have Some relaxatlon time. We hope they wlll make a blg dSfference to the weLLbelng of the young people that wllL use the seivlce.. 12 Your fantastic fundraising In 2023-24 you went the extra mile to make a ig difference! ere's a littlefiavour of w atyou achDeved foryour NHS charity Stafffroffl the Intenslve Care unlt at Glangwlll Hospltai ran the cardlff Half Marathon and ralsed £4.200 forthe servkel Team N2S ralsed over £3.000 forthe Chemotherapy Day Unltat Prlnce Phlllp Hospltal In mefflory of Wayne Evans by cycungthe length of Wales. Ileledd Lloyd ralsed over £1.000 forthe Day Suryery Unlt at Dronglals HospltaLby hostlnga coffee and cake morfilng 13 Fatherand dllughterGeoffrey Eynon and Angharad Smlrlglla walked175 rnllesand ralsed £1775 for Pembrokeshlre Cancer Servlces. (Nl DYMU IHEWI5Hf.UND A Charlty Golf Day atGlynhk Golf Club ralsed a fantastlc £l775for the Wlsh Fund whlch supports chlldren andyoung peoplewlth Ilfe-tlmltlngand Ilfe-threatenlng condltlons across Hywel Dda The bluetoken voting scheme at Te5CO stores helped fund Cancer Cloud Kltsforchlldrenandyoung people across HywelDda. helplng them under$tsnd more abouta ancer dlagfiosls In the famlly. 14 Headline news! There are some of our highlightsfrom 2023-24... Elusennau lechyd HYWEL DOA Health Charltles In November2023 we launched our Prfnce Phlllp Hospltal Gardens Appealtocreate new Iherapeutlc gardens atthe hospltal. InternatlonaL rugby unlon refwee Nlgel owens sald: "I know as weLI as anyone how Important It Is for both your physlcal and rnental health to get outslde Into the fresh ar. We're asklng the local communlty to help us provlde soffle of the fralLest patlents In Prln Phlllp Hospital wlth new green spaces whlch WILI gEve thelr weubeing a real boost." ' Long Course Weekend Wales Injune 202J we enjoyed our secondyearasthe "Powered By" partner at Long Course Vleekend Wales, and ourfundralseys ralsed ovey £7.0001 Matthew Evans, CEO at Long Course Weekend, sald: e Wale5 Half Marathon Is 3 5peclaL event for so many people and we are thrilled that together we ralsed funds for such a great cause" 15 NHS75 . L&NHsfJ IIGIG75 *NH575 Hundreds of staffacross HyweiDdaJokned our ceiebratlofi of the NHS'$ 75th blrthdjy by havlnga photDwlth our blrthday5eLfleframesl And a BIG thank you to everyone who generousLy donated and took photos, It was a great d3y of celebratlon across the three countles. VELOCITY 2 In March 2024 a bravegroup of 20 fundralser5 headedto Zlp Vlorid In north Waiesand took on Veloclty- the world'sfastestzlp Ilne, ralslngover£4.5001 Fundralser Laura Hlscox (plcturedl sald:"Everyone.I spolce to after sald they would do It again and I'd hlghly recommend It. It wa5 completely exhlLarating and left me buzzlng, wlth the beneflt of belng a fundralser for Hywel Dda." 16 Income at a glance In total. thankstoyourgeneroslty. our Incomefor2023-24 was £2.68 mllllon.The Income streams of ourcharlty were as follows: £724.519 Donations £14,962 T.r,ading. £451,147 Investfflents £66.412 Grants Donatlons were receSved from patlents and thelrfamlues wantlngto show their appreclatlon for care received. The charity 5s extremely gratefulfor all donatlons recelved to help us reallse our alms. Some donatlons were recelved In memory of a loved one and we are proud to know that the treatment and support recelved has been so v3lued. The charlty was atso the grateful beneficlay of 3 number of legacles totaLtlng £1,424,750. The tradlng Income relates to our charity Lottery, Investment Income In the forrn of dlvldends and Interest from Investment and cash balances held by the charlty 35 well as rentfiom our Investment property was recelved totallln8 £451,147. Grants Were recelved from NHS Charltles Together and the Co-op communlty Fund. 17 Expenditure at a glance The charAtyls prlnclpally a grant maklng body. Durfng2023~24thecharlty has contlnued to supporta wlde range of charftable and health related actlvltles Jcross Hywel Dda Unlverslty Health Board and spenta total of E3.16 rnllllon on maklngthlngs better. Includlngthe followln £1.518,000 £826.000 £94,000 Bulldlng& refurblshment Medlcal& Surglcal e9￿ment Offlre & computer equlprnent £448.000 £203,0,00 £66,000 Staff educatlon & welfare Patlent educatlon & welfare Other Picton Wttrd gt Glung4vili l.losplrol ri 18 Our plans for 2024-25 In 2024-25 we will focus on. achievingthe objecthies identified In our2024-25 workplan: ar,eriess, .impacttheirfundraising has 3. Ensure thatthe charity operates as efficiently as possible .By achlevlngthese goals wwe wlLlprogress towards our longer-term objectlves as . identified In ourflve-yearstrategy. approved by the CharltabLe Funds Cornmlttee, vdhlch provlde a cleardlrectlon forthe charfty so that we can continue to make a positive dlfference to the health. weLlbeingand experience of patients. service users and stsff acrnss Hywel Dda Universlty Health Board: 2. Stabilise our.income levels and convey the impact of our work 3. Make the best use of our resources to maximise our impact 19 How to support us Bea partof our story in 2024-251 Get In touch uslngthe detalls below to flnd out how you can donate. fundralse. or support us In a number of other ways. www.hywelddahealthcharities.org.uk 1267 239815 fun raising.hyweldda@wales.nhs.uk #EichElusenGIG #YourNHSCharity R•#iileMdWltltrKoir•¥iwdgyd*'i Reglstered charlty number: 1147863 FUNDRAISING REGULATOR GIG #wrdd Iqthyd Pdfysgol HYWEI Dd Vnlwr4ty Health Wo8rd FR nH£OLE￿fAbVn¢QfAAH1￿m 20 1. Financial review Incomlng Resources The chart below Shows our maln sources of Income In 2023-24. Incomlng resources for the yeartotaled £2,681,790; our largest source of Income contlnue5 t'o be gifts and donations from the publlc either dlrect or t'hrough corporate glving. Charltable Income 2023-24 • Donatlons 16.52/0 27.02% Legacies Grant inuom8 Investment Oth61 Iradlng income Donatlons (£7241519) Over a quarter of the Charfty's Income comes from the voluntary.efforts of staff J patlents and thelr famllles wantlngto showtheir appreclatlonforthe care and support they have recelved, As expected, thls Incornels less than last year (2022-23 £11542,253) when donations were partlcularly large due to a speclfic appeal forthe Brongla15 Chemotherapy Unlt. We remaln extremely grateful for all the support the publlc and staff have glven us to help reallse our aims. Legacles (£114241750) The charlty was also the grateful beneflclary of a number of legacle5 totalllng £114241750 (2022-23 £1 1920,817). Generous legacles recelved durlng the year Included: A legacy of £113291817 to the General Fund A legacy of £6oJ929 to Mynydd Mawr General Purposes Fund, Carmarthenshlre A legacy of £20,323 to Wlthybush General Hospltal, ICU Fund, Pembrokeshire Grants (£66,412) Grant Income has reducéd thls year (2Q12.23 £101,981). We are grateful to other charities and slmllar organ15atlons that have given us grants to fund projects or purchase pleces of equlpment. This yeari grants were recelved from NHS Charltles Together (L57,081) the Co- Op Communlty Fund (£41956), Groundwork UK (£4p375). 21 other Tradlng Activlties (£141962) Other tradlng actlvltles relate5 to Income from Hywel Dda Health Charltles Lottery. Investment income {£45lp147) Investrnent Income totallng £4511147 wa5 recelved In Ihe year, thls conslsts of dlvldends and Interest from Investment and cash balances held by the charityi as well as rental Income. Investment Income equates t0 16.8% of total Income. Expenditure The charlty Is princlpally a grant maklng bodyi provldlng grhnts to Hywel Dda Unlverslty Health Board a5 a contrlbutlon to the cost of the prov151on of healthcare beyond what the NHS provlde5. Durfng 2023-24 the charlty has wntlnued to support a wlde range of charltable and health-related actlvltles across Hywel Dda Unlverslty Health Board. Our key alm Is to serve the NHS patients of Hywel Dda Unlverslty Health Board forthe publlc beneflt. y working closely wlth the Unlver51ty Health Board, we are able to use ourgenerous don3tlons to provlde Invaluable support on patlent focused expendlture, Ourgrant m3klng pollcy ensures that all expendlture of our charll'able funds15 in accordance wlth the charltable purpose agreed for the fund and In the splrft of the donorts wlshes. All charltable expendlture Is made wlth conslderatlon given to the public bene*lt of Improved healthcare. A rlgorous process of revlew and evaluatlon Is carrled out on all fundlng requests to ensure they are of the highest standard. Analysls of expendlture In 2023-24 expendtture on charltable actlvitles totalled £3)1541189, The expendlture categorles were as follows: Charitable Expenditure 2023-24 Building 4nd refurbishm?nl 5.92% .09% Medical & surgical equipment Mlscellaneous expenditure '. 13.04% . 44.22 .' offle￿ 8nd computer equlpmenl Patlent oducation & w8lfare 2,73% 1,94%. staff ¢duG4lion and wglfare Sur4)orl costs 22 Bulldlng VA refurblshment- Enhancements made to bulldlngs to provlde addltlonal patlent beneflt and care Medlcal and surgical equlpment- Equlpment for patlent beneflt. Miscellaneous - All other expendlture. Offlce and computerequlpment- Equlpment,whlch supportsthe prov151on of healthcare thereby benefltlng patlent care, Patlent educatlon and wellare- Expendlture on Improving patlent educatlon and welfare staff educatlon and welfaro- Includes tralnlng above that whlch Is rnandatory to lrnprove patlent care Support costs- Dlrect admln15tratlon costs In support of the Charlty's oblectlves. Management and admlnlstratlon costs The total management and adm11￿StratIoft costs for 2023-24 were £551,025 (2022-23: £5181725) whlch Includes £296,003 fundralslng costs and £3551022 SUPPOrt costs. Thls represents 4.6% of the openlngfund balances held as at 1 Aprll 2025. The charlty Improved the apportlonment of staff tlme betweeii fundralsin& support and governance roles In 2023-¥. Investments and performance The charlty retaln5 the 5ervlces of Investment advisor5 to manage It5 Investment portfollos. Pollcy Is set by the charlty trustee In Its Instructlon to thelr advlsor. The advlsors have been Instructed to manage the portfollos to produce both Incorne and capltal returns, and maiiage those funds wlthln the value they retaln on the accounts. The charlty also holds funds In short term Investments that are not managed bythe Investment advlsor. Durlng 2023-241 there was an unreallsed galn of £8161796 due to an Increase In the market value of Investments held durlngthe year. Thls comblned wlth Investment Income of £4511147 gave a total In year galn of 15.3% for Investments held by the charfty. CCLA provlded the servlces of Inve5trnent advlsorfor 2023-24. These Investments are managed In accordance wlth the Trustèe Act 2000. Overall financlal posltlon: 31 March 2024 The value of the charlty as at 31 March 2024 has Increased from the prevlous year by £481394. Thls Is largely due to an increase In the retum on (bur Investment5. At31 March 2024,The charlty'S total reserves were £111994p235, Thls figure Includes £51181,412 of restrlcted fund5, £2,5741780 of endowment funds and £412y8,043 of unre5trlcted rese￿es. The unrestrlcted'reserves flgure Include5 £31026•772 of de51gnated funds and £1,211R71 of free reserves. The graph below Indlcates the levol of funds held a5 atthe end of the year in the last flve flnanclal years: Fund Balances 2019-20 to 2023-24 2023-24 ,994 2022-23 1,946 2021-22 774 2020-21 10,4 2019-20 773 £7,000 £8,000 £9,000 £10,000 £11,000 £12,000 Funds Balances £OOO's Reserves policy The charlty has a reserves policy and has deflned Iree re5eNe5 to be the element of funds that are freely avallable for Its general purpose5, Free reserves are the resources the charlty can make avallable to spend for any or all of the Charitys pyrposes once It has met tts Commltments and overed Its other planned expendlture. Thls mean5 It excludes Permanent endowmen¢ restrlcted funds and uncommltted deslgnated funds. Free re5erve5 are needed where there may be Insufflclent balances In Indlvldual restrlcted and deslgnated funds to meet the oblectlves of those funds. There 15 also a need for free reserves where there may be a requlrement to Incur expendlture whlch Is excluslvely charftable, and cannot.be funded from revenue, forwhlch therels not a relevant fund. The charfty shall hold a separate flxed asset Investment reserve based on io% of the value of Its fixed asset Investments retalned and a mlnlmum of £500,000 to ensure therq Is sufflclentfunds for on- golng commltments. The flxed asset Investment reserve shall only f311 below io% to coverlosses IM the value of flxed assets, 24 In orderto malntaln the reserves as low as p05s1ble It Is Important: expendlture plans are developed for all the relevant funds monthly flnanclal report5 are produced to monltor level of expendlture the value of flxed asset Investments performance Is revlewed quarteriy. The total free reserves held by the charity as at 31 March 2024 was £1,211,271. Thls Is In exce55 of. our reserves pollcy. The excess has arlsen In the year due to a signlflcant. legacy that was gifted for general purposes. A rerfew 15 due to take place shortly to declde how best to utlllse the excess funds. 25 2. Structure,govemance and management Constltution Hywel Dda Unlverslty Local Health Board holds charltable funds as sole corporate trustee and the board Tnembers of t'he Unlverslty Health Board (whllst not'trustees" In thelr own right) are lolntly responslble for the management of those charftable funds, The membershlp of the board durlng the reportlng perlod and up tothe date the annual report was approved was asfollows: Votlngmembers: Marla Battle, Chali- (untll 31,10.2023) Juditli Hard15tyJ' Interlm Chalr (from o1.11.2U23 untll 31.05.2024) Independent Member and Vice Chalr (untll 31.10.2023) Nell Woodin& Chair (from i9.03.2V24) Eleanor Marks, Vlce Chalr (from 01.02.2024) steve Moore, Chlef Executlve (untll 31,01.2024) Phlllp Kloer, chlef Executlve (f'rom 22.10.2024),, Iiiterim Chlef Executlve (from 01,02.2024 I'o 21,10.2024), Executlve Medical Dirertor and Deputy Chlef Executive (untll 31.01.2024) Anna Lewls, Independent Member Ann Murphyi Independent Member Chantal Patel, Independentmember Delyth Raynsford, Ittdependent Member Iw3nThomas, Independent Member Maynard Davles, Independent Member Mlchael Imperato, Independent Member Rhodrl Evans, Independent Momber (from 15.11.2023) and Interlm Vice chalr (from 27.11.2023 until 31.01.2024) Wlnston Welr, Independent Member A1150n Shakeshaft, Executive Director of Theraples and Health Science (untll 31,07.2023) Andrew Carrut'hers, Chlef Operatlng Offlcer Ardlana Gllnl, Executlve Dlrector of Publlc Health (from 01,07.2023) HuwThomas, Executlve Dlrector of Flnance James Severs, Execut5ve t>lrector of Therapies and Health Sclemce (from 06.11.2025) Lee Davles, Executlve Dlrector of Strategy ènd Plannlng Llsa G05tllngi Executlve Dlrector of Workforce and OD and Interlm Deputy Chlef. Executlve (trom 01.02.2024) Mandy Rayani, Executive Dii'ector of Nurslngi Quality & Patlent Experlence (untll 31.12.2023) Mark Henwood, Interlm Executlve Medlcal Dlrector (from 05.02.2024) Shèron Danlel, Interim Executlve Dlrector ol Nurslng, quallty & Patlent Experlence (from 01.01.2024) 26 The Dlrector of Nursln& quallty & Patlent Experlence Is i.he Executlve Dlrector wlth lead responslblllty forthe chèrlty. Key Management Personnel Remuneration The trustees have concluded that the Corporate Trustee through the Charltable Funds Committee comprlses the key management personnel of the Charlty as they are In control of dlrectlng the CharSty. The Charfty does not make any payments for remuneratlon norto relmburse expenses to the Charlty trustees for thelr work undertaken a5 trustee. Trustees are requlred to dlsc105e all relevant Interests, register them wlth the Health Board and wlthdraw from declslons where a confllct of Interest arlses. All related part'y trnnsactlons are dlsclosed In note 2 to the accounts. Trustee Recrultmentp Appointment and Inductlon The Chalr and Independent Members are appolnted by the We15h Government., and togetherwlth the Executive Dlrectors are trustee5 of the Hywel Dda Health Charlties. New members o* the Board are provlded wlth an Inductlon pack conslstlng of the Charlty'5 governlng documents and pollcles and procedures as well as prevlous annual reports and accounts and Charlty Commlsslon guldance. charltable Funds Committee The Charitable Funds Cornmlttee Is appolnted by the Board from the Independent Member5 who act a5'agents' of the Board as sole corporate trustee. The Cornmlttee Is required to: control, manage and monltor the use of the fundjs resources, provlde supportj guldance and encourngement for all Its fundralslng actlvltles whllst managlng and monltorlng recelpt of all Income. ensure that best practlce Is followed In the conduct of all It5 affalrs fulfllllng all of Its legal re5pon51bllitle5' rnonltorthe performance of the appolnted Investment adv55or whllst belng aware of ethlcal conslderatlons,. keep the Unlverslty Health Board fully InfonYJed on the actlvltyl perform4nce and rlsk5 of the charltyj appolnt the Investment advlsors to the charity. Members of the Charltable Funds Cornmlttee a150 recelve regular Informal tralnlng and brleflngs on current charlty Issues at quarterly commlttee meetlngs, As the charlty Is a member of the A5soclatlon of NHS Charltles, commlttee members also recelve regular brleflngs on areas of Interest and detalls of.relevant tralnlng opportunltles to enhance thelr skllls. 27 Objects of the charity Hywel Dda Health Charltles ha5 reg15tered the followlng oblects wlth the Charlty Comm15510n: 'The trustee shall hold the trust fund upon trust to apply the Income, and at Its dlscretlon, go,far ès may be permlsslble, the capltal, for all or any charitable purpose or purposes relatlng to the Natlonal Heatth Servlce," Charlty Independence The charltable funds Ilnked to the Unlverslty Health Board are Independent of the'exchequer, (Governmentfunded NHS) funds of the Unlverslty Health Board and must be m3naged separatelyi even though they are malnly to be used to support the work and se￿[ce5 of the NHS body. The Charfty Commlsslon has regulatory re5pon51bllltyfor en5urlng the proper management of these charltable funds. The charlty needs to be Independent fromi yet supportlve of, the Unlverslty Health Board. The charlty therefore focuse5 on thÈ followlng charltable purposes, recognlsed In law (Charftles Act 2022): The advancement of health or the savlng of Ilves And to a lesser degree Theadvancement of educatlon The rellef of those In need, by Teason of youth) age 111-health, d15ablllty, financlal hardshlp or other dlsadvantage The charlty ralses monles, holds those monles and commlts expenditure through more than 287 local, general and special purpose fund5. Withln expendlture authorlsation limlts,local fund manager5 declde on and commlt expendltureforthe benefit of the area concerned. Our staff and advlsors Bankers The chartty has retalned the banklng servlces during the yearfrom Barclays Banki 9-10 Gulldhall Square, Carmarthen, SA311PW. External auditors The Charlty'5 audltor5 during the year was Audtt Wales, 1 Capltal quarteri Tyndall Street, Cardlff, CF10 4BZ. Investment managers CCLA Investment Management Ltd, One Angel Lane, London, EC4R YAB 28 Fundralsing activitle5 Durlng 2023-241 the Unlverslty Health Board employed nlne members of staff (8.71 full-tlme equlvalent) to support the fundralslng and communlcatlons functlon5 of the charlty. The fundralslng support team Is responslble for Increaslng the Charlty's Income to support Hywel Dda Unlver51ty Health Board to provlde services and actlvltles above and beyond whatthe NHS can provlde. The team Is responslble for promotlng fundralslng for and givlng to the charlty'and provldes suppo 3dvlce and guldance to fundralsers to ensure that all fundralslng Is carrled out In Ilne wlth regulatlon and best practice. Theteam also asslsts niany charltable groups and a550datlons that provide both financlal and non-flnanclal support for healthcare servlce5 across ourthree countles. Grant maklng policy To achleve It5 oblectlves the charfty makes grant payments to Hywel Dda Unlverslty Health 803rd In accordance wlth charlty law, our constltutlon and the wlshe5 and dlrectlon of donors. In making grants, we endeavourto reflect the w15hes of patlents and staff by dlrectlngfund5 towards area5 they tell us are m05t In need. Hywel Dda Health Charltles rnakes grants from both ItS.Llnrestrlcted and restrlcted funds. Wlthln the unre5trlcted funds, grants are made from general fund5, de51gnated (earmarked)funds. Income generated from endowment funds are held as restrlcted Income and applled wlthln the restrlcted purpos.e of that endowment. In the awardlng of our grants, conslderatlon15"given to the Charlty Comm1551on's guldance on publle beneflt. To ensure publlc benoflt and value for money when 3uthorlslng charitable expendlture, applicatlons for charitable funds Include questlon5 on the purpose of the appllcatlon to the charlty, why the expendlture Is requlred and howthe eXpendI￿re meet5 the alms of the charlty. Investments The trustees hold the Pernbrokeshlre Cardlology EquSpmentfund as a'5eparate Investment portfollo, whlch Is managed wlth the advlce of CCLA wlth an oblectlve of th'e fund to achleve long-term capltal and Income growth. The trustee5 have approved a total returns pollcy forthls fund. Income Is credlted back to the charlty bank account and held a5 restrlcted Income. 29 other Investments of Hywel Dda Health Charftles are also managed wlth the advlce of CCLA wlth an oblectlve of the fund to achleve long-term capltal and Income growth. Both portfolios are structured to permlt a range of Investment5 Intended to yleld a competltlve Yate of return In current market condltions. The Investment advisor actlvely manage5 the assets and has delegated authorlty to purchase and sell when market opportunltles arlse, The trustees have declded not to Invest In companles who are: Involved In the productlon ormanufacl'urlng of tobacco supply tobacco products where tumover or more that 5% Is derlved from thls source Involved In the productlon, manufacturlng of alcohollc beverages, where rnore than 25%15 derlved from thls source. Investment managers wlll be requlred to present In person to the Charltable Funds Comrnlttee at least quarterly (via Vldeoconferenclngj and In person at least twlce a year). The Charltable Funds Cornmlttee will conslder the reports and presentstlons from the investment manager(s) togetherwlth current C35hflow reports and foreca5t5. 3. Riskmanagement Exposure to rlsk The Chlef Executlve of Hywel Dda Unlverslty Local Health Board, together wlth the other dlrectors,1s respon51ble for ensurlngthat an effectlve system of flnanclal control Is malntalned, The Chlef Executlve and other dlrector5 are also responslble for revlewlng the effectlvene55 of thls system and have conflrmed that the mlnlmum control 5tsndards lald down by the Welsh Government have been In exlstence throughout the f.Inanclal year. Tho rnlnlmum control ' standards apply equally to the management of the charfty by offlcers of the Unlverslty Local Health Board as to the exchequer funds of the Unlver51ty Local Health Board. In thls Wayi the malor rlsks to whlch the charlty Is exposed have been revlewed and Systems have been establlshed to tnltigate those r15ks. Financial control Aflnancla5 procedure, expenditure guldellnei govemance framework and strategy have been developed to ensure that there are 5uffident management controls In place to: ensure that spendlng Is Irl accordance wlth oblects and prioritles agreed by the Charltable Funds Commlttee; ensure the crfterla for 5pendlng charftable monles'arefully met. ensure that the accountlng records are malntained. ensure dovolved declslon-maklng15 wlthln speclfled parameters. Internal Audlt a150 undertake annual revlews to evaluate the adequacy of procedures and controls, to ensure corripllance, and to provlde reasonable assurance over: • achlevement of management oblectlves for the systems. use of resources Iryaccordance wlth donor5, requlrements. compllance wlth pollcle5 and procedure5" 5afeguardlng asset& The Internal Audlt report5 are presented to both the Charitable Funds and Audlt Commlttee, and thls Is a key measure of control. Investment risk The rfsk Is mlnlmlsed by agreelng an Investment pollcy wlth the nomlnated Investment managers.Th15 pollcy Includes ethlcal conslderatlon where Investments In the productlon, manufacturlng orsupply of tobacco or alcohollc beverage5 confllctwlth the charftable oblects. In a55e551ng companles, Involvement In these sectors the followlng Ilmlts have been set 1, Investment In the productlon or manufacture of tobacco products at any level. 2. Investment In the productlon, manufacture of alcohollc beverages where more than io% Is derlved from thls Source. Furtherto the above, the Investment manage￿5 performance Is revlewed In each Charitable Fund Commlttee meetlng and compared to charltable Investment benchmark. 31 HYWEL DDA HEALTH CHARITIES ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2024 FORÉWORD ThÈac¢oiinl¥s lflnandalslal4monlsl ￿fjn piepgred In a0oDrdanofy￿lIh Ihr4 Sl8iem¥nl of Rocotnwended P¥acUcè'. Accouiillno and Repomlnu by Cliatlllets prepp￿lIg th￿ra¢ctrun1& In tcord8Dcevllh Hnanolal Raportlng Slandard 8ppNcable In the UK and Republlo t>f Irela￿1 IFRS 021 second edklvn IsBuod 0clober2019gnd8ppibs to reporf pttrlods beglNlw orb oralter l Jan￿ary 2019. Th16 8dltlon Goll8olldaleg tha oh&ng08 to Ihe Slg10(nonlof Rècommwded Pr8cAko ISORPI for Up(kle Bullallnr4 1 and 2. 1110 CharllbBAo12022 gnd chmnupg to UK Gener￿lyACCeptedAc￿Un1lng Proclitto slnt#thg of SORP IFRS1021 on ffj Jvly2014, aB11 appllOB fvrF¥portlng pedodB on orafter 1 January2015, STATVTORY BACKGROUND Tho Nyw81 Pda Un￿mmY Local ￿￿1th 8oard IB Ihu Goipurate bu?￿Ofth&Ch51lty underparagwh I￿O[sChedul& 2 of the NHS and Communlfy C￿reA01 1990. The Tru81¥9 h8s been 8ppOInt￿ undèr811 ofthè NFIS Énd CommunllyC8ra Art 1990. MAIN PURPOSE OF THE FUND8 HELD ON TRUST Th purposo oflh9 chertty Is Io 8pply Ineomè forafjythfiriiablo purpoae8 releUDo to tho N#llonal H8&1tyi SBrvk8wholly or malnly for lh8 sapAc?￿ provld&d bylhg Hywel Di18 Unlv?rdty Loc81 Heollh Bogrd, P¥4oèZ HY￿BI Dd8 Hpallh Ch?rliloS stglenignt of Flnanclal A¢tlvlll&s for tho yaar pndod 31 M￿rG￿ 2D24 Yotol Funds 2D23.24 £OUD Unr¢slilctod Restrl¢led ÉndowrnBnt funds funds funds £ODO eooo £000 No10 Iiicomlng r¢souMè¥ from gonèralodfunds: Don81lons, legoolas & oranl OlhprlrgrJng ￿l￿tIeS Inveslm9nl3 Iiicom Total In¢omlng ro$ourcoy ExpeTrdltum on,. Rglslng Fun(lB' CliarilalAb ¥¢t1V￿¥S Tot81 expenJllure 1,910 15 152 2,077 308 2.216 232 53 67 67 I￿1 16D2 117 1,242 17 2116 3.153 64 ,03 Net oaln un InveslThgnlB ' Notlncome I1oxpBndlturBI Transf& belwaBn fu￿1$ 13 237 303 217 817 11,1971 29 230 411 18 13 42 Nèt mDvBrnBnt In fund8 942 2T2 46 Re¢onc1112tlon L)1 Funds Tolol Fund8 brauglit 08 911 Aptll 2023 totRI FLIDd8 tsarrled fotW8rd ￿ 4t 3q MarGh 2024 6,347 5,1fj1 2,303 2,B75 'ql,B46 ql,094 4,238 HYWDI Dda Hthalth ChgTItIès statgmenl of Fliianclal Ac(IvltlÈs forthÈ yefjrènded 31 Naroh 21123 TotMI Funds 2D2Z.23 £000 Unr¥slrlcted Rosirl¢ted Eridowmonl fund5 futhds £000 £000 £DOD Inoomlnu Yesouro05 from gtrnoratqd fund¥: DonaHons 8nd leqades Inv8simenlg Iwes¢mBnls InLy)[￿ Total InEomlng roBouroè$ 507 13 138 6511 a.066 3,56 Ix 40$ 3,983 171 3,228 96 Expondiiure on.. Raldw FundE Chaillable AolI￿tl&S Totgl gxpendlturE Net IloÈs)on lfive81m8nts Not Intrtsmel Ipxpondltuwl 197 248 220 471 12 t77 109 452 788 q,250 560 2,173 590 q82 11141 225 2,533 IS3 1246} Tmn*fvrbets¥8an furul8 161 Nèt movBmont In fvllds 11091 2,SZ8 2,173 RecDn¢lllotloo DI Funds Tolsl Funds brwthtfotward 011 APAI 2022 Total Fur(d5 Garrlfjd fDwward as 4t31 M6roh 2023 3,405 3,2U6 8,81 8,347 2,303 11,946 Hyw61 Dda HBBllh CligrltleB Hywel Dda He4ltli CliqrltltsB PalaMfA Sheef as Bt 31 Ma￿￿ 2024 Total Unregfrl¢lod Reslrlcted Enda￿￿￿￿t 2022Qd funds lunds ruDds £000 £000 £000 Total 202243 Not goo £000 Flxqd a$sèls: Inve&lm8nt8 Totil Ilxed 1888ts 13 5,02 3,029 9.704 3,TD4 2,3SI 2,391 0,114 ,124 11,307 11,307 Curr9rit 4ssBts',. Debl(Ks Cash ol bank8nd In h&nd Tot•1 currant asBal8 14 51 3,214 J,26S 17 168 105 156 6,148 6,304 150 2.76e 2,854 6,5B1 Credllom fallkng d￿&￿thIn on8 year 16 1,998 1.198 3,192 1.398 Netcurr8nt A54els 1.26Y q,661 4,183 TO1￿1 atssè19 lefrs curront Ilabllltles Cred61or8 follkng du& 8tt8f morp than year 1S 58 ia4 242 544 TDt&l nBt US8el¥ 4,238 5.181 2,675 ,946 Th&funds of tho oh0rity.' EndowM8ntfun￿6 R&slrt¢led f￿ndS Ur￿e$￿I￿￿d funds 2.676 2,675 6,181 ,23B 2,203 6.347 3,206 19 19 5.181 4.236 4.238 TDt41 ,101 2,675 11,994 11,M6 Thg noleg on -46 IDrrn part oflhe88 B¢counts Slwtrd., Name.. Dr No11 Wotrdlng Ichglrolthts Cfxpotate TruBl8el Do18; VaBo34 Hywel Dda Hèalth Gharltlos statoment of Cash Flows fortho year endlng 31 MHrGh 2024 Total Total Funds Funds 2023.24 2022-23 £000 £000 Note Cash flows from operatlng actlvltles: Net cash provlded byllusod Inl operating actlvltlg5 17 266 1,861 Cash flows from investlng aotlvltles: Divld9nd, Inlgfesl and rents from Inv6slmenl8 Proceeds from the sale of Inveslments Puroha8e of Investments Net cash provlded by Investlng actlvltles 451 405 8,055 8,070) 390 13 13 451 Chang¢ In cash and cash equlvalonts in the raporllng perlod 717 2,251 .Cash and Ga6h aquivalents at the b?ginnlng of Ihe r8portlng pgrlod 15 5,431 3,180 Cash and cash oqulval8nt$ at the gnd of the reporting perlod 15 6,148 5,431 The notes on pages 38-46 rom part of these accounts Pa￿ 35 Nole on the 8Kounts 1 AccourrtlDg Pollclgs Iql of prBpHrallon Yh¢>lll￿￿l4al $latemenl$ hsve begn prepared un(k)rlhg hl8lul¢ c06lconven1laft,￿tI1lI18 excepuon or Investrnerilbwlilcli ¥r¥ IndudEd al falrvJu8. Th9 9ecountA UlrJaiido1 $t81?meniglhava bèen pr9tiared1Th 4cc(*danou YAlh Ili#Slal8m8nlor Re(xxnmfjnthed PraBll*.' AGcounllng and Reportlmg by Ghartlle3 w8pwlng UielrBccounls Iii BfyL'DrdonGB w]111 Ihe Flnonchl Reportlnu Sland8rd AppIl¢ab￿ In iho Ul< 9nd Republlc of Irbland IFRS 1021 s8 edlllon Oolpber2019 and fjpp¥gB lo r9POrt Porlodts bolllml￿ on oraft8r l 2019. Th edllloTr G￿￿OlIdateS tha challueg lo Ihe Sla¢gtTrenlof R8cotnmended Pror.Uo818<)RPI ftrrupdate Bu1￿1n$ 1 and 2, Ihe Chartllos Acl 2022 8nd lo UK GeneralWA￿0p¢9dA¢rolffl1IDll Pracll(* th 18unth olSQRP IFR5102101118July2014, a&11 ap￿1¢5 forreportlntt Pe￿r￿&￿￿OI￿nInU Oh 018llar 1 JonuAry2U15. Tho 8¢counis lflnsnclal staiemenisl havebgun prepared loglye g'liue end(gllwiew and have depwitxl framlh8 Cliarflleg IAcGisunls ￿nd R8POrts1 Rgoulallun5 2008 erdy ltsth&gxlenl requlred lo provlde 8'1ru and ffjTrrvlew'. Thb d8pBrture has Involv￿ followln9 Accounllng and Rfpotilng bycharmes preparlng Ihgll 8C(x)untg In Bccordgnre the Fln8n¢181 Reportlng Slandard appllcsblp In UK and RepubllG ol IIBIE IFRS IQ?.) L%$u8don 16 July2014 I&￿1￿rIhan the AccountlD9 And RBporflng byCh9dl￿S.' sial91￿e￿IQf RetoinThndÉd PrÈcUe& eflecllvB Irom 1 Ap￿1 20D5 whlch ho8 dn¢9 b8en vAlhdrawn. The Truets8¢onslder£ 111811*ore d18 nu In818dal unL*itaknlles aboullhe ttbllliylo ¢onllnu&8È 11 golng r￿￿08m. ThBtB are no material unc8HalDllos iafl(>Lllng Ih(t curreiil ytrdrf¥ abLxuniE, In fuiurB yaar$, IhB kgy rtsks lo Ihe Gharlly are a loll kn InB(¥ne frornifonallDnBorlnv9%1mènl Inc￿8 bulth Trvslee h8s0rr4ngemnls In ￿a¢& lo mlllgal8 Iliosg rl$ks (S￿ lh& rf9k m8n8ubmenlqnd i£$trrvèÈ Ger￿0n orthF> annvMlr¢port lor morg Info[[n￿1onI. Th9 CheiKy maels th9 detthlllon ofa publbbemfitgnlfty under FR8 102, (b) Fur¢d$ strutslure WherB Dbere IE a bgfil reBtdclbn ￿ the purposBto whlth B fund mÉybo put, tho fuTrJ1s dasdlled ellher • A r8slrlcted-fund or . AD tsndowmontfu￿. R98tdcl8d funds arp Ihos8 whère lh8 donorh&s provlded forthe dorTralbn lo ba$wl Infththpr8*¢0 018 spodllodoharflable PUfP080. Th8 Chartly'8 restrkted fun(18 18nd lo re8uII from 8ppaal$ orfeggcl85 fi* 8poeJlbd pwposo8. EndowmelllfundBarf8e %then thè donorh&B exprgssty provkled Ihalthp 91ft18 lo b81nvtrsltrd and On￿ Iho In¢oM8 Otlhe Iuhd May be 8penl.Th6sefunds ere Sub Analy60d boiwegn Iho8gwhie Ihe TruBIFe th8 dl$ErÉllon t05pond Ihe capllal lexpendBble 8ndowmenll Ènd Iho¥e vthère Ihorels no dl8cr6llon to expend Ihe r8pltal ￿{Man9￿lendoWrnethtl. Tha Charftyhay fourperman*nl endowrnentfynd.trpmofwhl¢h Ilhe Pembr()ke&hlr8 C8rdlologyEqulpmeDI Fund and th8 VE Smllh LegaDy IC8ptt81 In P8rpBlultyl Fund) artrmanafjed on a to181 rfi￿￿8 bas14. 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ExpBr￿rtUre ￿ 19c0llnb8d￿II?n th8 [di￿rn9 ￿1¢￿￿8 Bf¢ mol-, Thare18a pro5¥￿11egalor coMtruc1￿ ON￿at1(￿l rosU1￿ from o PR518vent 4 1118 IPABty Ih&n nollhal8 Ir8rn6foruf bue￿1&(u9￿a1IY a ￿¥17 pqyrnJnll b? rewilréd IR sallkm*l • The amomtoflhe obllo8llon can bè mèosured oro&llinBt8d rdlaw. Ifiecovaraiie VAT18 tharo8d 8goln51 Ihè 0918goryofrgsou￿￿s 8xpeNJ6d lorwhk* IIWB3 Iwurred. Igl Recognltlon DfBxpvndllu￿ and 2S$OGI*t￿ IIRbllltles a¥ A resultol Drants Grants poy8blg aTp paymen15 ￿￿de10 Iliikvd. 1glBted pzrlyorlhtrd party NHS bDdlo8a￿￿ non NH8 badleB. In rurlherancgof Ihe ¢harllabl8 obSgGIIve8 of Ihefunds h￿d ori IruEI. prknarly ral￿f oflhoBewho èro 8IG Qrant pgvm8nl8 are rgcogtlsed a¥ eXpen￿lUre w￿n Ihe condlltonNforlhÉ1rpByrne￿I hBvg b&6n nial Drwhie lh￿15 A wns1iud￿0 oblg8Non ad8B5when'. • We IwvacaThmuiilialBdourlnleDUon to award B grdntlo a Fe￿￿￿tW￿) then hB8& roa$(M9￿0 gxpeolatlun Ihal Ih8yM41 T*Q8tve a gr*nl . weh9￿ Th8dB a publlc announcèmenlaboula Gvtnrnllmgnlwhkhlg SPe￿nCen0￿91) lorth8 r8olp4enl io hdve e r8HeDnablB expaalallon IhAllh&y Wll reoblvo 8 grant •Ther41oBn Bstabllghed p4tt6mof praBIth wllrh Indlcales to re￿PIe￿I Ihatwewlll honourour TheTntsteehfi$ control ovwtha Bmoun18nd tlmlnu of9raol p9yfflents and consewenlWwh8re fipprovBI h45 b8E en by Ihe Twsts88nd 8ny of the Bbovo ty]1gilB have b&9n metllioTh 8 lalivlty F5 Gr•n19 gré not uaually 9W8rdodwlth condllk)n5 ettach8d. However. they arg Ihen IhoB& condllbn& ￿¥tt io bB rnotbolore thè Ilab1151y Is recognlsed. Whoroon Inienuon h* noEbeon c(kmmunloaied, IhBn no expendlture Is r￿￿9￿1$ed bul an 8pproFN%&iedeglgn8110rn18 madts In Il* epproprtalè lund. If8 gr&nlhoBbeon oWprÈd but1h8￿ Is vn¢eil9l￿ BS lovthelhgr Ilwll be awgplèd f alheicondllloThs￿ll be metlhen no Nsbl11ty IB ￿ts09n190d bul B 0)N￿ngentl&b1ItyI3 dlsclosed. Illl Aloco*loR ofsuppvtlcDSt¥ SuppDrt rtyats tr8 Ihose COBls wlkli do fjot rg181o dlr6dty lo a Elngle 9dl￿V. Tlig$e Inc￿￿&￿1￿[(¢0￿lts, of admlnL8tralIo￿, Inlernal 9nd 8xtwnal Sudll CD$19. SupportCD318 hava beeii dPPOrtlonod b$lweenlundfyllfig ￿S[S An¢J charliobl8 actbAl￿5 on qnapproprtèlfi bas18. The analysis of81t￿Ori￿o￿IS ihu basts oftyppod1oJ¥nghtèpplled ar8 IiDWn Iii n(Ae fo. 111 Fundralslllg costs The cosis DfpeDBIAllng fun(15ar8 Ih05D coslg uttrlbuloble lo generallDg Income forlhe Clitrilty, other1h9￿ IhosB cosls Incurred In undgtiaklng charll*hlD llGtivlllo$ or Ilie¢og16 IncU￿e￿ In undertaklng IradlThg 0¢ll￿Ve¥ In furUTrEIDn¢B Df Ilio C1i8rlVsoblBBl8. Thecosts of uonwauny funds reproseiil fvndraTsthgeo¥ts logalhgrvllh InvoslffleJilmBnaygmFiitloos. FJndr8lslng ¢08ts In¢DJ. 2. p¥rtYwiny*lon ¥fnu DotsMDDI HwYknrA (*ppIddo￿alJ1nLw¥2OI1I i) ¥, R&&trki•d yo￿1 202&21 Totsl orl fundi ZOD op 4DO 31 li￿$j 4. Rolo olwblunt4ors H￿¥ts1 Ddè Chsillk8 ￿ eX￿e￿alY{0j1Uno1o io Iiav6 iho¥v5VQrtolsts mAiiywndèrfulpèO￿ÈVhiU olvo Ihdr Iltn&, gnèroy End d£dIcAl￿fi to 1918&funds r￿lho Ch4rltyM g vdunigry basls yaof *[br￿ar. Ourgi¥pwle fundrals9 loriis JwmanydlL1¥•nlrw(￿￿. Manyatg I￿rng[pa118￿I&￿id Ill￿[la￿lIleSW￿n￿n￿I0&1oWthO1￿ SP5Kada*on fvoa19 w¢dlved, vAINa mallyvAbh lo Eupportihodcveloptn¥rilof tho lates1 hodtho&ielBr.IinokyJle8 thetrbr.el ComM￿lIV. Wfj aro also oA4rornetylortunalg1o haw•the supporlof Leaoua of fABnd$aroiipswho rals$ mon&yloroui hospMg19 ond heBllhc&roln Ihelrlocd tomnmifilllos. Ill addllloD ia ourhospliBI communltyl wo Iwve M?nyIoG81 voluntsryur4up$ wlio suppDrt8nd acllvalyfundra￿a fartli¥lrIoc￿h8￿llh￿&rasHnAea5. In Ihg SQRP, dug10 Ihe abggnca 018tiyr811obkn tn0asurgmFnlb8￿5. the CO￿lI1b￿l￿ tsfihese V0￿￿8L¥9 IB notrgcognL%gd In #C￿UntS. S. Oro88 Inve51mDntlncom¢ Roslrlclod To141 T(Agl Unrfjslrklad Income Endowmont 2023-24 202¥23 funds Funds £000 £0 £00 £000 xed 8680te0￿1Y￿d dmllorlnvo$lmqn 152 232 451 405 152 232 IJ7 451 405 6. An¥ly8ls D1gxpend51￿re on ralGlngtunds Ae8trlttsd Tol&l ljnrestrlfjtod Inoomo Endowhiont 202344 2022-23 Fund¥ ROOQ £00 Eoofy £0 F￿d￿L81n9 c051# ' Inv&%l¢nomlin8nauthm8nt 179 2PB 407 45 117 179 452 L&g8Epend IB 8081M￿fu￿1r81s1nU El￿15 In 202&24 dug io I￿p￿Y￿d apportlonmenlofsialfilrnebBt4Y88n fundK6L4w, auppor1a￿JODVfjm&n￿8 rth8. 7.Analy8lJ ol¢h4rllgblo actI￿ty tknntfundBd Supptsrt tmty £DOO Total. Yo￿[ 2D23.24 .202U8 £000 £000 £0 Pu￿h￿se DIHvadluHl4Nd s￿rg￿￿1 wulpmwl Purehaso Dloffi¢B9￿ ￿m￿tereqUIpm9￿¢ Bulthng onl refU￿£hmM1 2laff edwllon •nd wdfaro Pollented￿Da10D WAd￿lIar Othar 826 94 1.395 107 412 61 123 16 36 r8 118 146 20 440 66 2,gUQ 265 8,15 798 .Analy*l$ o1grani6 All gr8nts qrg to ihg H6ENh bo￿t9 provkkn lorthaLwoINHS paU8ntsln further4nce ofourchHrfiable olms. ThotoWouslof rnBkhg grani8. kndudlng wpportcosls. IB dBclosed onthe f8(x of the8lote￿pntofRn￿￿d￿I AC￿￿U95 ond IhBEi*uAlfuftd4 spwlcth ooch o41￿￿￿f￿jthbI0 adMty,18dlgdo$8d In wte 7. Th#TfusI8èopbialBsB ichpmevldelegauonfarlli6mglarftyof lh8 ohBrfl&L40 fund¥. underwNth M4n8galha day lodayd5iLwrBpM&￿15Qn Ihglrd&legA19dfundsln BOGordance lh4 dlrodonssotoiitln th8 Hbollh Board* ordgr&gnds18Thdlng finan¢W InBlrucUons. funds tnaDEu8d und¥ihp¥thBm9 01491goHlan ropr95onlongdng &¢Uvlll88 and IIIB not pD&8lNÈ t¢ ÉÈgm£nllhe38 3cU¥llles Inlo dlBorele Indlvldu91 graniawaidB. ThpTruslBgmth5 groniavr4rds bas￿ on Invll8d BppM¢glkin8fr(xTrlhe Heallh 809rd. g. MovtymBnls ITh fundlng GommltmeDIs Toia 2022.fd Curront Non Currènt 202344 £000 £000 £0 OpèAng balBTrcg Al 1 APAI (see nDte 161 MovemEnilii Ilab1th9S 1,310 i.rJ07 S4 1,863 13V2) 1.205 2,20Jr 13421 Closlng balBncg al 31 M8rth15ge not¢ 16) 42. 3,0fj8 AB degcrfw ID noios7 olld il. Ihe Charttyaw8rdÈ È numberolgranLg In lh& yoar. Manyglgnlb Br6 awgrdBd unrt pll￿ outln lh86￿M0 nn&nrlglyBRr. HDw8v#r, sornts orqn19, e8p8dgJlylhoyo roPalkno to re&aaroh and d*A￿0pm￿nt￿f0rrUnd1lk9 bpuLlllc po￿5 aro mulll-yeargrBrrts pald overll longer v81￿d. 10.AJloGallon oftsupportcosts s￿pp￿rt and wihead co4tg aTB BIID¢altyd belWg8n fvndralglng Ac11￿11&8 and th111ablv ￿di￿lI*s. C3D¥ern8nc8 ¢0%ts8Fe I￿se wpport COBIB whlth rfA8la lothe tslralegl¢ manapei1*filof￿fi Qhjrky. IwèBs8d wend18 shown ag&lnBI BUPPOrtafidgov9man¢é ¢0sf8 In 202W4 due lo Improv p￿1￿￿0n101￿t&ll11r￿ baiwbènlund181slngi ?Upporlsodgov8m￿￿S rolb8. CIHrllabl ecllvlllqs Total 2Q23.24 EDDO TDlal 2022-23 B¥gls £000 Ouvernonco Cos1$ Exiernalau FthRncagnd8dmlnl¥irallon YDtol oovemonQa 1¥ 16 16 Avorau? balafft¢ 38 A￿21}￿f￿& balwct iy SupportCoB*B FknBncb fidmll￿Btr￿l￿￿ 178 178 64 Avwage lund balanc• 255 265 112 Reslrlct4d Endowmer Uwe¥trlGtgd Inoom? Fundg lunds funds £00 Total fotal Furndg Funds 2ts2344 2022-23 00 £ODfj Chwrllsblp BdlvMI8$ 206 265 11. Tru$t0B% Tèmun•rAllon. bén•iil$ and exp•n6•0 The Gh8rlty does nolmakagny pRymoni8 loriemun8ralkn￿ norto rolmlwrge Bxpangegty mFinb$rs of the CorporataTtU8¢geof Ilp Gharlty r(rlhBtr%4)rkundert&k8n ostWStge. IZ AudlloY& l•muthDTlltln 13. F￿0•￿•￿¢1r$Yl1I￿l11 Mwimpiilln LI4￿d Inybxfm￿I ?.D22Q3 tuuD PIOPèrfha Tot 2Q224? 202 £or¥J 202U4 £ODO 2QZ3Q4 Elloo 6,JD7 ,070 ,oyo L•y5 dbpDsp1sploanyhioya eaEelO￿G0sb AdOnoly&1nllbsvloThrev&luolhxi Iseoi 193 9,124 21 317 JllnYgsi*wlllsDmcJthudo1tholrmgikolwlill.ThalnvaskneTrtVdudllVn￿￿￿p0rfthTh￿rfhYccLA, 8¥C4b)noliholDJBl¢o*9nnu91 r¢po Ftywgl VdqHealhClwllhs'knsknth&aieln¥estedYAthh theu1<￿I￿￿tV￿IWO￿￿w￿IB-aoIFc￿II9ÈEt￿ IiwÈ#imBrdFund.H￿4Dda FWB1 DdaHtallliChai11198manauo51Iieiolnw61menlrfok4 byi8lqknlng oxvert0dvbu￿￿rlQp￿e1lng8￿1nv￿MènlpOThOy￿WD¥tsJ*81Cr￿ bylhoVBluolon olll¢•A8gn¢ywlhgnoifvlYqdH￿¢I I ANI MxodA•¥•l In￿￿O￿ty bvty 2023Q4 £00 Equmy frDy￿￿GiVIO&0p0￿e1lNnknaB1 FIAgd IIAI$ 637 Yiy ty3 29Y 44f io EoLliy&Qlh#r CfiBh&NqurCu¥h 170 Valva 14. ADfilyslE DFoDrrnnt dablor¥ Poblorts und8r l yBqr Tolal Tolal 202344 2022-2J £uoo £000 AcGruedthwD Olhprdobiors 117 Isa so Total 2023-24 2W22.23 £OOD £000 Cqsli atbank¥nd In hBD ,14 6.4J1 Tho depDSN8are sumB h8ld an Inlerapl bethg dopCbBIt￿lh B*dayÈ Bank CCLA nd repres8nl ro8lriclpd &ppbH181ofund 6pedllQ¥4ulpmBnl<*fui￿l h81& lofAcllhal8cash fknwMd Iho Iiimhwnlof Obl￿￿1￿￿$10 makagr4nlpeym9nl$.Thty Bre hpld ln InBiaThl accessa￿￿oI9￿ 910 ihgrèfDrgdassill¢d B& sh ondtt8h oqufvo1wl8. Nocash oroaBh JBEgllnv8slmenlBworg hold In non*rt¥h Iw881m6Th18ofoui8ldtyof tlieUK. I pfiiia oiwn18hddon Inl6rg6lbgartnyd8poBlls ire avall8W21D 5pFndTri Cliarly &clMlle8. 10.A#klysl$ of lknblllllos Tolol Tol 2023.24 2Q22-28 £ooo GreLllloy8 fplllny dubwllhkn l year 8Y 12 f,319 olhBrC￿d1lo￿& AcGru￿8 INo1891 327 2.B20 3,lQ2 1,39B CfedltQl5falllng attermoyg th4n 1 yg4r Acwalg (Nolg 91 Total Qrgdlto 4434 1.942 lT.ROQV￿II1lltsM ofnotlryoornolbxpDi￿ltsr4I0￿toDuI1llDWlr0rn Dpprullfjg pq¢lYIll￿5 T*1 +4dJuJfmontf¢l'. 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Yhv IheTrugttt81o d8ddè heAoliyeÉÉhow unfippl￿dI1d¥1rduMls Incr￿0￿41[￿￿￿nd60a¥AI1Ebref0raXp￿Thd1th¥È.A> Èllh• balgtKèghpgfdotothgCotporilg TEUBlaghadnolrnad8 eTry $oiullolls io pagB anypailtiihD unaprAW10141 iaiuin 1olttco￿• 5pgDI. Tr4$llor ￿n￿p110d Investmpnl totsl rAtuin ¢￿￿tyWmfjTrt £000 £000 Al bèu5nnlng otlhTr roy4rtlnui)Vrtod GlntDmpunBnl oflh8 ro￿￿n¥￿terdo￿￿ll 1,505 i.ioo 1,100 Teknl Mov8monts répijrflng p&ilod I￿￿1￿￿ntr&IUfn'.I0oIl￿I 0ndunre￿9ad 2,B05 ZU4 Alond oflho rapDrtlllg peylod f4uiegrnponqalollh¥ peinsonèiilendvwmanl Un&pplBd tololréknin Tolol 1,00 I,eB4 I￿05 1.204 Noi•-Th$ Ev￿r￿￿￿oI5)r￿n1&nd GGHActWÈ#l&ErTramowleap1￿ IliPe[p8￿11Yl dowmJhtdO￿￿ilOMIpartulIhè PFluinon InyoE1mertcak#Jla￿O￿￿￿jv6 21. ¥hu•l gwntg ThBrgsr&nu YostBalnnce8hBBIXvBrA 22.Olh•rllomslorlRfonnétlty OhBolnu Eovlewaffun￿8 #If￿LI￿re In Mar(*120231ha Chori18trfo Fwid$Coi￿l#SO9pp¢OVe￿ a propoBgllo ralon8NsgthB numbBrtyfQ￿￿lOb￿ Furthhgld.The [￿BWC[¥nMa￿C0rt1￿ 29-24., Utg purposvofU￿￿BWlS1O.' IIM8ke11 Bseaby*yp0￿1b1&lO3GTr5$fV￿O8I0 lurtherowEhBrti8&lèibl8rJlves 21 Eosur8tho¥lwcluFeofth¢fund8 rènaollhè ouriBnlE&Nlllèlm)nagornont¥It￿IL￿QSwèll 1olh4*IBhei ofourdwB 8lÈnRiJn>don￿thB>rPÉpty[1v￿thkn ￿ trgHsgnHblE'Um4fféffl9 41DBY6bpbng tetFll oxpendtture￿8nF 40 SYATFMENT OF YRusfEE'S RF4POIISIBILITtES IN RESPECTOF THEA¢COUNT8 Th&law appllcable lochBdlbBln England ond Wales iequlios Ihg IIu81eelBI lopreparefflnanolal slalomen15 f(>r ea¢h flTraiuJialwrwhlch glve 8 truè Dnd Id1r￿eW orth8 chailLWs ffn&ndal aclfvllles dudnu lh8 yeuT gnd of lls nancLsl poslllon atllio end Df Ih8yeHr, Inprepailng flnsnclal 61818mgnlaglvlng D true and lalrvlbw. the c(KpordgTrus￿& should foloW￿¥t￿r￿￿I￿ and.. . 891901 sull8bleacoounllng pold&¥ and Ihen apply thgm oongl&tgntty,' MpkBludggm¢n18 and e811Th181gy th&1 $ie IpBsunobl8 ond prudenL' 51#18 ¥Athelher8pplloeble gwounllng slAndHrd5 snd Btaiomgnts DI rw(Knm8ndJd praDIIc8 hav8 beon fdowed, subled lo Hnydep8rtur85 dl3oloÈod and ex￿61￿8￿ In Ik(e flnaDcTBI Èlalgrnenis.. and ' bygparo Ihw *ln8ncl81 ÉtEl8mfynlson thd oolno conotrm ba?18 unlBs$1116 Sngppwtlat8 Io Wa8￿n9 that tho. horftyv4111 ￿hlIn￿8 In 0￿rat￿r￿. Tlio CoiporatoTru818F>ls réspon61blB forke9plng aott(KJnllw F8CDrdswhloh wlih NaÈonablg OQCUIQBY Ilngna5HI posluon of Ihè Gha￿Y Ènd wllch en8bl8 Ih8m Io Bscertqln lh8 lln&Ddal poslllon of thu chaAW Hnd enobla Ih&m10 9n¥ure Ihal tho11Th8nclal Blatemanls COM￿yVI￿ th9 ChBrflle8 Ac12022, th8 Charfly (Acw'unl¥' . snd Reporis) R8gulaibng 8nd IheprDvl$lmg of the Irusl dt6d.Th8 Corporab fruslee Is re8pDnslblefgr Bofeguordlnglhts &889fs¢fihg ¢lwrlty h8ncg forthkho ro850nab16 Steps forlho prevenllon and &l?tsifon Df frllud end alherlriggu18rlllo5. By order of ¢h8 trustgvs 81gngd: ChlllT of th orpor Pv Nall Woodlng an pre¥ont•tlvè Mr HuwTlioma$ pw47 Thg Indèpèndeht audltor's roport of thè Audltor General for Walès to the trusteès of Hywel Dda Heallh ChaYltl•s Report tsn Iha audlt of thb flnanclal s14tèmBnt8 .1 have audited the flnanelgl siatemallls of Hywel Dd9 He*lh Chadlles for the year ended 31 March 2024 under the Ch8rflles Ad 2011. Th8 flnan¢lal slalèm6nls comprlse the 8lalerrienl of Flnandal Acllvlll88, Ihg Balance Sheet. tha S181Èmenl of Cash Flows and ielaled notes, Includlng 8 yummary ol glgnlffcgnl atcounllng pollcles. The flnanclal reportlng framework that ha8 been applled In thdr prgparallon Is 4pplloable law and nlled Klnudom Accounllng Slandardg, Includlng FlnanclBI Reportlng Standard 102 The Flnanelal Reportlng Standard appllcable In the LIK and R8publlc of Ireland (Unlled Klngdorn Gener811y. Accepled Aeeounllng Pr&cilcel. In my.oplnlon Ih8 flnan¢lal statements.. glv8 a true ond falr vlew of the st4tè of affalrs of tho ¢harily as at 31 March 2024 and of Ils Incomlng resources and applloatlon of resources fÉ>r tho yearlhen ended., have been property prtspared In 4CGordance Wlh Unlled Klngdom Generally AcGept¢d Accounllng Pracllce., and have been prepared In accordance wllh the Charllles Act 2011. Ba818 for oplnlon l Gondu¢led my audll In accordance wllh applleable18w and Inlernallonal Standards on Audlllng In the UK (ISAS (UK)) and Praclkne Nol8 10 'A(Klll of Fln8nclal Slalemenls of Publlc Seolor Enutles In the Unlled Klngdom,. My r8sponslblllllo8 underthose standards are further d8scrlbed In Ihe'audllor's .respon81bllllla8 forlhe 4udll of Ihe Iln3nolal 8ialemen18 Sectlon ol my report. y staff and l are Independenl ol the chai'51y In accordance with Ihè elhlcal requlramenls thal are rèlevant lo my audll ol the flnancl&l slaleiiianls In ihs UK Includlng Ihe Flnanclal Reportlng Councll's Elhlcal Standard, aMI'I havè fulfllled my olhgT.elhtcal re8po.nslbllllles In accordan￿ ￿th these requlr&ments. I belleve Ih81 the audll evld¢n¢e I have obl￿ned Is suflldent and approprlats to provlde a ba$ls for my oplnlon. 'Coftcluslons relÈtlng to.golng conc&rn In audlllng the fina￿[81 slaléments, I havo Gbnduded that the u$e of tho golng concem ba$18 of accounllng In the preparallon ol the financlal slaltmenls Is 8pproprfate. Based on IhÉ WOTk I hav& pèrformed.'I have not Idenllfl8d any maierfal un¢ertalnlie8 relallng lo events or ¢ondlllons.Ihal, Indfvldually or colleclfvely, may ca818ignlficanl doubl on thè body'8 aNllty to conllnuè to adopt th8 golng con¢¢rn bas18 of 8ccounllng for a perlod of 81 lÉasl 12 months from when th¢ ￿nar￿la¢ 8ts1emenls are aulhorlsed for Issue. My responslbllllle$ and llie re8ponslbllllo$ ol Ihe.truslee9 respedlo 90&)g con¢em are descr[b￿l Sn the relevant $6cllon$ ol th￿ report. other Informatlon The other Informallon ¢omprS868 the Inlormallon Included In the annual re￿rt otherlhan the flnanclal .stalemonl8 and my auditor's r&port thereon. Th'9 Iru$lee8 are responslbl& forlho other Infomallon contained wllhln Ihp annual report. My oplnlon ori Ihe flnanclAI 8lalèments does not cover the other Informallon and, except lo the exlw)l olhorwtse explldlly 81ated In my reporl, I dts not exwess any form of asGur8nee con¢luslon Ihereon. My responslblllly Is lo read ihe other Informallon and, In dolng 80, conslderwhelhai the other Inf￿￿allOn Is malerlally In¢onslst¢nl wllh tho flna￿la1 slalements or knowled￿ obtalned In Ihti course of Ihè audll, or olherwlse appèar$ lo'be malerlally mlsslaled. If I Idenllfy such malerlal In¢onslstencles oi apparent malerlal m￿statem¢￿t8,.I am r8qulred lo delermlno whether Ihls glves rlsè to 8 mBlerlal mlsstalemenl In the flnanclal slalom8nlg themselv8s. If, b886d on tho work I hBve I￿rforMa￿. I conBlud8 Ihal Ihorg1¥ 4 Inalerlal mls8lal8menl ol th13 olhèr Ihformalion, I m requlred lo rtsporl that fact. I h'av8 nothlng tp leport In Ihls regard. Matters on'whltsh I report by oxe•ptlon I havtr nolhlng to report In re8peot (If tho folltswlnd ma118rs In rolalton to whlGh th& Charllles IAccounl3 and Reports) RègulatlDryS a008 roqulre mg to report'lo you If, In n)y opknlon.. I have not recelved all of thè Informallon anrl axplanallons I requlre for my audit; sulflolenl Bccounllng recoids have rol been kept, or relums adèquate for my audll havo nol been roG¢lved from branches not vlslled.by my188m', the flnandal slatemsnls aT8 not In agreem&hl wllh Ihe aCC￿￿tIng￿ecords *)d Yelurns; or the Inforrnallon glven In thè flnantslal 8lalemenls Is Incon8lBlenl In aTry, matèrlal respect ￿th the Iriislèes, Teport. Ro$pohslbllltlés.of the tru8totrs loi the financlHI statements As expla1￿d more ful￿ In tho SIBlemenl of Iruslég's r8sponslbllltlo3 88t out on P8ge 47, tho Iruslees. are re8ponslble for malnlalnlnu 8ufflclenl accttunllng records., the prep8rolksn of tho Ilngnclal slatemon18 In a¢corda¢7c8 vllh the Applloablo ￿nancIal reportlrtg framowork and for bolnuxallslied lhal.they 9Sve a true and fAl¥ wlew,. hlornal Cont￿18 a8 the trustees d&larmlne18 necessary to enable lh8 preparallon of flnanclal.". stalemenls lo be free from materlal mlsstalemenl, whether due tri fratsd oy èrror., and. 8sse9skng thè chgrlly's ablllly to conllnu6 as a golng concgm, dlscloslno, a8 gppllcable, matter8 rolaied lo ￿n0 concern and u8lng the golng concèrn basls olac¢ounllng unless the tru¥le65 8nllolpole that tho s?￿ceS provlded by the chadly wlll not conttnu8 lo be provlded In the future. Audltor'0'responslbliiiig8 for thèoudlt of tho flnanclal slatomènts .1 have beèn appolnled as audSlor under 88Ctlon.160.uf the ch3rltlB9 Act20.11 &n(i rgport In 8¢¢0rdonce vAlh r8gulgllonB madg under sectlon 164 of ihatAot. My oblectfves aTe lo oblaln reasoneble ossurance aboulwhelher the Ilnan¢lal 8lalemen18 as a whole ar8 free from malerfBI mlsstal¢rnenl whelh8rdu8 lo frBud or error, and to1sgu& an audllor.'8 rowrt that Includ88 my vplnlon, Reasonable 886urancg13 a hlgh lev61 of agsurancg bul Is not a guaranl¢g. Ihal an audll conduded In accordance wllh ISAS KUK) wlll always delect a malerlal m185lalomenl 'when11 exlsls, M18slalemenls can ailse from fraud (w6rroT ond ate conssdered materlal11, Indlvldually. cr In the aggregalo, they could rea80n4bly be expacted lo Ihfluenc¢ the economlo doc191ons of usurs tak&n on the baBI8 of Ihp¥e flnanclal slol8manls. ITiégul8rlll8s, Indudlng frgud. ar8 Instancès of non-¢ompllan¢è wlih laws and reuulallonB. I deslgn proGedure5 In Ilna ￿th my responslbllM188, ouiillled abovè, lo delécl ma18rlal mls$ialemgnis In respect of Irregltlarftleè, Includlng fraud. My wocedure8 Included the followlng.. enqulrfng ofman8gemenl,' Head of Internal Audll and Ihbse chargad wtlh governan¢8, InGludlng oblalnlng and re￿¥WIng supportlng docunentall¢)n relaung'lo Hywel Dda Health Charille5' pollolos and procedure6 ¢oncorned wllh.. Idonllfylng, evaluallng ahd complylng wllh law8 and regulAllons and whelherlhRy wero awdrg ofany knslanceB of noTruompllance- dOI￿lIng and respondlng lo Ibo flsks'of fraud and whether they have knowledge Df any atlu81. suspegled Dr alleged fraud., and Ihe Internal conlrols estab119hed lo mlttgale rJsl(s relat￿1 lo fraud or non-compllance wllh laws and regulallons. conslderlng an audll team how and where Iraud mlghl occw In Ihe fln?nclal' slalemenis and any polenNal Indlcalors of fraud. As part of ihls dlsGus81on, I Identiffed polenllal lor fraud In respect of.the posllng oflournal$, ohlalnlng an underslarKllng of Hywel Dda,Heallh Charllles, framework of qulhorlly as well as other legal and règvlalory frameworks that Hywel'Dda Health Charllles operates In, foouslng on Ihosts laws and re9ulallons that had a dlrecl offe¢l on the fln8nGlal stalemenls or that h£KI 8 fundamqntal eflecl on tho operallong ol Hywel Dda Health Ch4rllle8. oblalnlng underslandlng ol rolaled party rèlallonshlps, In addlllon lo th8 above, my prO￿dUreS1o respond to Idenllllod rlsks Included the followlng.. revlew5ng tme financlal slalemènl dlsc108ur0s 8nd te511ng lo supportlng docjjmenlallon to a8$e88 ¢ompllonc& wllh r¢levanl laws and mgttlalions discu$$ed abovè,. enqulrfng.ol management, the Charftable Funds Commlttotr and legal gdvl$or8 about aclual d ptstenllal Illlgallon and clolmy., readlng mlJ)ule8 of m8etlngs ol those charged wlih govoinaJKe and the Iruslè8B', In addr836Sng the rlsk of fiaud through management ovetTlde of ¢ontrol8, 18sllng th6 approprlaleness oflournal énlrles and oiher gdluslmenls,. 8s$es$lng whelheT the l(Klgement8 mado In mal(Ing accounllng esllrriateB artr Indkallve of a polenllal blas; and evslu8Un9 the bu￿ne58 rationale of any slgnlflcanl IransacUon8 that are unusual or outslde the normal'cour3e of bu8fno85. '1 also communlcatèd r81evanl Idenllfted laws and regulall(InÈ and polenllal fraud rlsk81o all audft team members and renialned 818rt10 any Indlcallons ol fraud or non-(x)mpllance vAlh law8 and regulallons throughout the audll. Thé exlenl lo whlch my wocedure8 are capablei)f d61È¢llng Irregularlll¢8, Includlng fraud, Is affeoled by the Inherent dlfflciilly In dèlecllng Irrggularllies. Ihe effectlveness ol the Hywél Dda Health Charllles, ¢onlrols,"and Ihe ngluia,.Ilmlng and exlenl ol the audit procedures PBrformed. A further descrlpllon of the o1idllor'B responylbllllles for tha 8udil of the tlnancSal st8lements18 located on Ihe FInar￿131 Raporting Council's webslle ww4.fro. Ilor8re8 n5 e$. Thls d08crlpilon form& part ol my audlior'8 report. Other 8udltor'$resp¢nslb115tles I communloate wllh tho80 charged wllh govtrrnanc¢ regardlng, among other maller8,. the planned $¢iip8 and iimlng of the 8vdll and slgnlficanl audll flndlngs, IndudSng any 81gnifl¢anl (Jeft¢len¢l88 In Inteinal control that I ￿entIfY durtng my audll. Adrlan Cromplon Audllor Goneral for Wales 1 Capllal Quarter Tyndall Slreel Cgrdlff CF104BZ ' 31 danuary 2025