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2025-03-31-accounts

Elusennau lechyd HYWEL DDA Health Charities

MakingaDifference

in 2024-25 •¥$ 11 # Annual report and accounts Registered Charity Number: 1147863

Thankyou l arn delighted to present our Annual Report for 2024-25. This past year ha5 once again highlighted the incredible generosity and cornmitment of our local comrnunities, whose support continues to make a ffleaningfuL difference to the lives of patients. their families, and NHS staff across Carmarthenshire, Ceredigion, Pembrokeshire, and beyond. It was wonderful to see the new Leri cancer unit at Bronglais Hospltsi take shape In 2024-25, and to See the unit officially opened in May 2025. The unit was made possible thanks to the extraordinary support of locaL communitie& Throughout the year, we've seen inspiring examples of fundraislngand cofflmunlty sptrft. One of the stsndout moments was the exhllaratlng Zlp Line Challenge whlch brought together brave supporters from across the reglon to ralse funds In a truly unforgettable way. We also continued our valued partnership wlth Long Course Weekend Wales. the biggest multisport festival In Europe. and with Scarlets Rugby. whose support for the Wlsh Fund ¢ampalgn has helped us create lastlng memorfes foryoung patlents and thelr loved one& These events. aLong with countless other arts of kindness and generoslty, have enabled usto fund enhancements to NHS servlces that go above and beyond whatthe NHS can provlde. From Improvlng patlent envlronments to supporting staff wellbelng and fundlng Innovative technoLogy, every donatlon has helped us deilver real lrnpact across our health board. To allour supporters- Indlvlduals, groups. and organlsations aUke- thankyou for maklnga dlfference! Chair Charitable Funds Committee Hywel Dda University Health Board

Contents 1. Our purpose. achievements and plans Our purpose Howwe help Who we support Ouryear in numbers The difference you made Your fantastic fundraising Incomeata glance Expenditure at a glance Our plans for2024-25 How to support us 13 15 16 17 18 2. Our finances and governance Financial review Structure, governance. and management Rlsk Management Appendix A: Annualaccounts 2024-2025

  1. Our purpose, achievements and plans Elusennau lechyd HYWEL DDA Health Charities QJ IGIG •>* #YourNHSCho Ir JiechiAV heol Idda.o' . ities.or(, 915 4tIUIJ EliisiJnnau leiinyd HYWEL DDA V6F Ii•fir) 4e3lth I

Elusennau lechyd HYWEL DDA Health Charities Our purpose Hywel Dda Health Charities is the official charity of Hywel Dda Universty Local Health Board. reglstered charity number 1147863. We exist to make a posltive difference to the health, wellbelng and experience of NHS patients, servke users and stsff across Carmarthenshire. Ceredigion and Pembrokeshire. Our aim is to raise and distribute funds to enhance local NHS services. The donations we receive from patients, their families and our Local communities are spent on enhancing NHS services, above and beyond what NHS funding alLows. Our charity raises and distributes funds to enhance our local NHS services through: Providing the most up-to-date medicaL equipment for diagnosis and treatment Creating more welcoming surroundings for patients, their famiLie5 and staff Offering additional patient comforts to make tirne spent in hospital more comfortable Supporting staff Learning and development and wellbeing initiatives Enhancing care in our locaL communities Oelivering heaLthy Living and health promotion Inltiatives. Myi%EL DDI. .HY

How we help Hywel Dda Health Charitles works closely wlth Hywel Dda Universty Health Board to ensure that our charity allocate5 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. i¥¥4ÈtODA YGRONFA DDYMUNIADAU THE WISH . FUND

Who we support Hywel Dda University Health Board plans and provides NHS healthcare services for Carmarthenshire. Ceredigon. Pembrokeshire and its bordering counties. Over13,000 Members of staff provide: Mental health and learning disabilities services Primary care Community care s In-hospital care The health board provides specialised services commissioned by thejoint Commissioning Committee, and Sure Start service5 With Local authorities. It works in partnership with local authorities, as wellas public, prlvate and third sector colLeagues, including valued volunteers. The health board's services are provided in: Four main hospitals: BrongLais Hospital in Aberystwyth,. Glangwili HospitaL in Carmarthen; Prince Philip HospitaL in LlanelLi,' and Withybush HospitaL in Haverfordwest Five community hospitals: Amman Valley and Llandovery hospitaLs in Carfflarthenshire,. Tregaron HospitaL in Ceredigion; and Tenby and South Pefflbrokeshire hospitals in Pembrokeshire Two integrated care centres: Aberaeron and Cardigan in Ceredigion, and Several other community settings 47 general practices15ix of which are Health Board managed practices) 38 dentaL practices (including four orthodontic) 97 community pharrnacies 43 general ophthalmic practices 8 ophthalmic domiciLiary providers Numerous mentaL health and Learning disabiLities services.

Our year in numbers In 2024-25... 133 Over online giving pages were created to support us £1.4 million 20 people left us a gift in their will was donated to the charity No. of times our social media posts were viewed 477 players won a prize in our charity lottery million

The difference you made Thanks to yourgenerosity, in 2024-25 we were able to enhance care, experience and outcomes for: Over 13.000 staff 385.000 populatlon acute hospltals cofflfflunity hospitals integrated care centres In the following pages we providejust a few examples ofjust how charitable funds made a difference

We funded a state-of-the-art uLtrasound system worth over £43,000 for Glangwili HospitaL An ultrasound scan, sometimes c3lLed a sonogram, is a procedure that uses high-frequency sound waves to create an image of part of the inside of the body. The new system features advanced cLinical tooLs which enable fast assessments of patients, support clinical decision making, aid in performing invasive procedures, and help monitor patient progress. The ultrasound system will be used daily for patient care and will aLso be used to train ICU staff and develop their skiLIs. •0 We purchased a cutting-edge probe worth over £46,000 for the Respiratory Medicine service at Prince Philip HospitaL The new Radial EBUS processor is a small and flexibLe ultrasound probe that is passed down through a bronchoscope, which is a thin tube with a light and camera on it. The probe can reach areas of the Lun8 which cannot be accessed by a standard bronchoscope. This makes it easier for clinicians to perform a biopsy on parts of the lung which are hard to reach. The Carmarthenshire Lung Cancer campaign donated £18,000 towards the new probe, and a former patient raised £1,500 towards the expenditure. The remaining £26.500 carne from the Cancer Services fund and was raised by Lung cancer patients.

J¥ 11. In 2024-25 the new Lerl cancer unlt at Bronglals Hospltal took shape. ready for Its official openlng In May 2025. It was made possible by supporters of our Bronglais Chemo AppeaL Speaking at the official openin& Dr Elin Jones, ConsuLtant OncoLogist at BrongLais, said: Yoday, I'm thankingthe tireLess work of the project team who have made this happen, but most of all, I'm thanking. truLy from the bottom of rny heart, the individuals, famiLies. community groups, clubs and organisations, our angels who have been with u5 for the last 25 years, as it is you, who have made this a unit to serve the community as your friends and loved ones have to face their cancer journey." We funded 10 ambulatory heart monltors worth over £13.000 for Withybush Hospltal's Cardio-Respiratory Department. The state-of-the-art monitors wilL help the Cardio-Respiratory Department provide the best possible service, with accurate. efficient and timely arrhythmia recognition provided on site or at home. Rhys Bowen, Advanced Cardiac PhysioLogist, said: Yhey are more patient-friendLy and easierto wearforthe duration of the test. so there WILL be less need for repeat monitoring. They WILL also support quicker in-patient discharge due to an increase in the number of available fnonitors and the fact they can be worn by the patient at home and provide remote monitoring."

We also provlded over £60,000 to support Interactlve arts activities for inpatients with dementia across the health board. including singin& movement, and art and craft sessions. The funding WILI provide 364 sessions across seven settings over two years. These sessions WILL reach over 2,500 patients with dementia in OlderAdult Mental HeaLth Wards and Adult Frailty Wards irb the three counties of Carmarthenshire, Ceredigion and Pefflbroke5hire. rffyttl 11 We provlded £4,000 forten young peopLe receivingsupportfrom mental health services to take part In a ten-session surf therapy programme. The Tonic SurfTherapy programme provides structured surfinstruction and gives young people the opportunity to experience the joy and wellbeing that comes from engaging with the marine environment. The sessions provide an effective way for SpeciaList ChiLd and Adolescent MentaL Health Service (SCAMHSI practitioners to engage with service users in a positive way and heLp prevent mentaL health issues from deveLoping or continuing into aduLthood. ,,12

Your fantastic fundraising In 2024-25 our supporters went the extra mile to make a big difference! Here's a little fiavour of what you achieved for your NHS charity.. Andrew Gittins from Aberystwyth, ran around a one-mile track for 24 hours with only 30 minutes sleep and raised a fantastic £7.750 for the Chemotherapy Day Unit at BrongLais Hospital. Carwyn Evans and a group of supporters ran an incredible 110 miles from St Mlchael's Hospltal, BrlstoL to Llangunnor to raise funds for the Special Care Baby Unit in GLangwili Hospital. Ji The Phll Harrnonics Rock and Pop Choir held a Charity Gala at the DipLomat Hotel in LlaneLli and raised £2,000 for the Breast Care Unit and £2,000 for the Chemotherapy Day Unitat Prince Philip HospltaL ••*

Gerald and Diane Rogers from Saundersfoot ralsed £4.500 for Ward 10 at Wlthybush Hospltal In fflemory of their daughter, Julie Gwendollne Rose Rogers. by organising a sponsored walk I and cllmblng Yr Wyddfa. Reg Mwandlamblra took part In the 112-mile Sportlve at Long Course Vleekend Wales 2024 and ralsed £1.196 for the Wlsh Fund. whlch creates lastlng memorles for choldren and young people across the Hywel Dda region wlth life-threatenlng and Ilfe- Ilmlting condltions. 1-* Over 50 adults and chlldren took park in a 3k sponsored summer stroll at pembrey Country Park to ralse money for the Paediatrlc Dlabetes Servlce wlthln the health board. ralslng a fantastlc £1.667 for the service. 14

Income at a glance In totsl. thanks to the generoslty of our supporters, our Income for 2024-25 was £2.02 million. The Income streams of our charlty were as follows: £672.775 Donatlons £734.38.6 Leg.acies £16.327 Tradlng £570.679 Investments £31.994 Grants Donations were received from patients and theirfamilies 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. In 2024-25, the charity was the grateful beneficiary of a number of legacies totalling £734,386. The trading incoffle reLatesto our charity lottery. Investment income in the form of dividends and interest frorn investment and cash balances heLd by the charity as weLI as rent from our investfflent property was received totaLling £570,679. Grants were received from NHS Charities Together, Tesco Stronger Starts and the Co-op Local Community Fund.

Expenditure at a glance The charlty Is prknclpally a grant maklng body. Durlng 2024-25 the charlty has contlnued to support a wlde range of charltable and health related activitles across Hywel Dda Unlverslty Health Board and spent a total of £2.65 mlulon on making things better. Includlng the foUowin8• £161.000 £2.178.000 £70.000 Bullding a refurblshment Offlce & computer equlpment Medlcal & Surgkal equlpment £164.000 £71.000 Patlent educatlon & Stsff educatlon & welfare welfare H¥alh Chirflp.. •4 Elch elusen GIG Your NHS charity 16

Our plans for2025-26 In 2025-26 we wlll focus on achieving the objective5 identified in our 2025-26 workplan: 1., Raisea,w'are.ness of the, charity internally and empower health board stafftoaccess ou,r fun.ds in line w,ith our charitable objectives 2. Provide a comprehensive range of opportunities and support to our fundraisers and powerfully communicate the impact their fundraising has 3. Ensure that the charity operates as efficiently as possible By achieving these goals we wiu progress towards our longer-term objective5 a5 identified in ourfive-yearstrategy. approved by the Charitable Funds Committee. which provide a clear direction forthe 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: l.. Fund services and activities aboveandi beyond what the 2. Stabilise our income levels and convey the impact of our work 3. Make the best use of our resources to maximise our impact 17

How to support us Be a part of our story in 2025-261 Get In touch using the details below to find out how you can donate. fundralse. or support us in a number of other ways. www.hywelddahealthcharities.org.uk 01267 239815 fundraising.hyweldda@wales.nhs.uk -l--1, l A:

EichElusenGIG-#YourNHSCharity

Re9iStered witwcolr*Strwyd gyda'r Registered charity number: 1147863 GIG Bwfdd lethyd PTifysg01 Hywel Dd Universlty Health Board FUNDRAISING REGULATOR FR ￿￿£OLE100JWfft CODI ARIAPI 18

  1. Financial review Incoming Resources The chart below shows our main sources of income in 2024-25. Incoming resources for the year totalled £2,026,161; our largest source of income continues to be g￿tS and donations from the public either direct or through corporate giving. Charitable Income 2024-25 0.81Y. Donation5 28.17% 33.20% Legacies Grant income Investment 1..58Y. Other trading income 36.24% Donatlons (£6721775) One thlrd of the Chariws income comes from the voluntary efforts of staffi patients and thelr farnilies wanting to show their appreciationforthe care and support they have recelved. As expected, thls Income is le55 than last year (2023.24 £724,519) when donatlons were higher due to a specific appeal for the Bronglals Chemotherapy Unit. We remaln extremely grateful forall the 5UPPOrt the publlc and staff have given us to help realise ouralms. Legacles (£7341386) The charity was also the grateful beneficiary of a number of legacies totalling £734,386 (2023-24 £1,424,750). Legacy income was lower than last year, when a slgnificant £1.3million legacy was received. Generous legacles received durlngthe year Included: A legacy of £267,408 to the GGH Oncology Fund A legacy of £191,394 to the Cardigan Hospital- General Fund A legacy of £80,000 to the Bronglals General Hospltal CDU Outpatients Area Grants (£31p994) Grant income has reduced this year (2023-24 £66,412). We are grateful to other charities and Similar organisations that have given us grant5 to fund projects or purchase pieces of equipment. This year, grants were received from NHS Charltles Together (£26,642), the Co- Op Community Fund (£5,227), and Groundwork UK (£2,125).

Other Trading Actlvitles (£16p327) other trading actlvltles relates to income from Hywel Dda Health Charities Lottery. Investment income (£570,679) Investment income totalling £570,679 was received in the year, this conslsts of dividends and interest from investment and cash balances held by the charltyi as well as rental income. Investment income equates to 28.17% of total income. Expenditure The charity is principally a grant maklng body, provldlng grants to Hywel Dda Unlversity Health Board a5 a contrlbution to the cost of the provlslon of healthcare beyond what the NHS provldes. During 2024-25 the Charity has continued to support a wide range of charitable and health-related activitie5 across Hywel Dda Universlty Health Board. Our key alm Is to serve the NHS patlents of Hywel Dda Unlversity Health Board for the public benefit. By worklng closely with the Universlty Health Board, we are able to use our generous donatlons to provide invaluable 5UPPOrt on patlentfocu5ed expendlture. Our grant maklng pollcy ensures that all expenditure of our charitable funds is in accordance wlth the charltable purpose agreed for the fund and In the splrlt of the donorfs wlshes. All charltable expenditure Is made with conslderatlon glven to the publlc benefit of Improved healthcare. A rlgorous process of revlew and evaluatlon 55 carried out on all funding requests to ensure they are of the highest standard. Analysls of expenditure In 2024-25 expenditure on charitsble actlvltles totalled £2,646,887. The expendlture categorles were as follows: Charitable Expenditure 2024-25 5.41. •Building and refurbIshr￿nt 2.44% 9.98% 5 60Yo Medical & surgical equiprnenl Miscellanoouts expenditure n ORY. Office and computer equipment Patient education & welfare staff education and welfare 74.04% *Supporl costs 20

• Building & refurbishrnent- Enhancements made to buildings to provide additional patient benefit and care Medical and surgical equlpment- Equipment for patient benefiL MiscellaneoLrs- All other expenditure. Office and computerequipment- Equipment, which support5 the provision of healthcare thereby benefiting patient care. Patlent education and welfare- Expendtture on Improvlng patient education and welfare Staff education and welfare- Includes training above that which is mandatory to lrnprove patient care Support costs- Direct adminlstration costs In support of the Charity's oblectives. Management and admlnlstratlon costs The total management and admlnistration cost5 for 2024-25 were £547,221 (2023-24: £551,025) whlch Includes £283,181 fundraisingcosts and £264,039 Support Costs. This represents 4.6% of the opening fund balance5 held as at 1 April 2024. The charity improved the apportionment of staff time between fundraising, support and governance role5 In 2024-25. Investments and performance The charity retains the servlces of investment advlsors to manage Its Investment portfollos. Pollcy Is set by the charity trustee In Its instruction to thelr advisor. The advisors have been instructed to manage the portfolios to produce both income and capital returns, and manage those funds withln the value they retain on the accounts. The charlty also holds funds In short term Investments that are not managed by the investment advlsor. Durlng 2024-25, there was an unrealised loss of £375,754 due to a decrease in the market value of Investments held during the year. This combined with investment Income of £570,679 gave a total In year gain of 2.1%for Investments held bythe charlty. CCLA provided the servlces of Investment advlsor for 2024-25. These Investments are managed In accordance with the Trustee Act 2000. Overall flnanclal position: 31 March 2025 The value of the charity as at 31 March 2025 has decreased frorn the previou5 year by £1,279,661. This is largely due to the Charity Spending brought forward restrlcted funds. At 31 March 2025,The chariVs total reserve5 We￿ £10,714,574. This figure Includes £1,082,605 of restricted funds, £2,365,918 of endowmentfunds and £7,266,052 of unrestricted reserves. The unrestricted reserves figure includes £6,157,655 of designated funds and £1,108,397 of free reserves. 21

The graph below indicate5 the level of funds held a5 at the end of the year in the last five flnancial year5: Fund Balances 2020-21 to 2024-25 2024-25 ,715 2023-24 ,994 2022-23 ,946 2021-22 774 2020-21 10,4 £7,000 £8,000 £9,000 £10,0(X) £11,0(K) £12,0(K) Funds 8alance3 £000'8 Reserves pollcy The charity has a reserves policy and has deflned free reserves to be the element of funds that are freely available for it5 general purposes. Free reserves are the resources the charlty can make available to spend for any or all of the Charity's purposes once it has met Its commltments and covered its other planned expenditure. Thls means It excludes Pernianent endowment, restrlcted funds and designated funds. Free reserve5 are needed where there may be insufficient balances In Individual restrfcted and designated funds to meet the objecttves of those funds. There Is also a need for free reserves where there may be a requirement to incur expenditure whlch Is exclusively charftable, and cannot be funded from revenue, for which there is not a relevant fund. The charfty shall hold a separate ftxed asset investment reserve based on 10% of the value of its fixed asset Investments retained and a minimum of £500,000 to ensure there is sufficient funds for on- going commitments. The fixed asset investment reserve shall only fall below io% to cover losses In the value of fixed assets. 22

In orderto maintain the reserves a5 low as possible it is important: expenditure plans are developed for all the relevant fund5 • monthly financial reports are produced to monitor level of expendlture the value of flxed asset investments performance is reviewed quarterly. The total free reserves held by the charlty as at 31 March 2025 was £1,108,397. This is in excess of our reserves policy. The excess has arisen in the year due to a significant legacy that wa5 gifted for general purposes. Expenditure plans are being reviewed and since the year end the Corporate Trustee has agreed to make £400,000 available for grants applications. 23

  1. Structure, govemance and management Constitution Hywel Dda University Local Health Board holds charitable funds as sole corporate trustee and the board members of the Univer51ty Health Board (whllst not'trustees" In their own rlght) are lolntly responsible forthe management of those charitable funds. The membershlp of the board during the reporting perlod and up to the date the annual report was approved was as follow5: Votingmembers: Neil Wooding, Chair (from 01.06,2024) Judith Hardisty, Interlrn Chair (until 31.05.2024) Eleanor Marks, Vice Chair Philip Kloer, Chief Executive (from 22.10.2024)' Interim Chief Executive (until 21.10.2024) Anna Lewis, Independent Member Ann Murphyi Independent Member Chantal Patel, Independent Member Delyth Raynsford, Independent Member (until 31.03.2025) Iwan Thomas, Independent Member Maynard Davies, Independent Member Michael Imperato, Independent Member Rhodrl Evans, 5ndependent Member Sarah Harraway, Independent Member (from 06.05.2025) Winston Weir, Independer)t Member Andrew Carruthers, Chief Operating Officer Ardiana Gjini, Executive Director of Public Health Huw Thornas, Executive Director of Finance James Severs, Executive Director of Allied Health Prof esslons and Health Science Lee Davie5, Executlve Director of Strategy and Planning Lisa Gostling, Executive Director of Workforce and OD and Deputy Chief Executive (from 02.12.2024), Interim Deputy Chief Executive (until 01.12.2024) Mark Henwood, Executive Medical Director (from 22.05,2025), Interim Executive Medical Director (until 21.05.2025) Sharon Daniel, Executive Director of Nursing, quality & Patient Experience (from 01.04.2025), Interim Executive Director of Nursing, quality & Patient Experience (until 31.03.2025) 24

The Director of Nursin& quality & Patient Experience is the Executive Director with lead responsibility for the charity. Key Management Personnel Remuneration The Corporate Trustee (through the Charitable Funds Committee) comprise the key management personnel of the Charity a5 It is in control of directingthe Charity. The Charity does not make any paymentsfor remuneration nor to reimburse expenses to the Board members for thelr work undertaken as Corporate Trustee. Board members in their role as Corporate Trustee are required to dlsclose all relevant interests, reglsterthem with the Health Board and withdraw from decisions where a confllct of Interest arises. All related party transactions are disclosed in note 2 to the accounts. (There were no such transactlons in 2024125.) Trustee Recruitment, Appointment and Induction The Chalr and Independent Members are appointed by the We15h Government, and together wlth the Executive Dlrectors are the Corporate Trustee of the Hywel Dda Health Charities. New members of the Board are provlded wlth an Induction pack consistlngof the Charlty's governing documents and policies and procedures as well as previous annual reports and accounts and Charity Commission guidance. Charitable Funds Committee The Charltable Funds Committee 15 appointed by the Board from the Independent Member5 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. provlde support, guidance and encouragementfor all Its fundraislng activities whllst managing and monltorlng receipt of all income; • ensure that best practice is followed In the conduct of all Its affairs fulfllling all of It5 legal responslbillties; monltor the performance of the appolnted Investment advi50rwhllst being aware of ethical conslderatlons. keep the University Health Boardfully informed on the activityp performance and risks of the charity; appoint the investment advlsors to the charity. Members of the Charitable Funds Committee also receive regular Informal training and briefings on current charity issues at quarterly committee meetings. As the charfty Is a member of the Association of NHS Charitles, commlttee members a150 receive regular briefings on area5 of interest and detai15 of relevant tralning opportunities to enhance their skills. 25

Objects of the charity Hywel Dda Health Chartties has registered the following oblects with the Charity Commission: 'The trustee shall hold the trust fund upon trust to apply the income, and at Its discretion, so far a5 may be permissible, the capital, for all or any charttable purpose or purposes relating to the National Health Servlce." Charity Independence The charltable funds Ilnked to the Unlverslty Health Board are independent of the'excheque (Governmentfunded NHS) funds of the Unlversity Health Board and rnu5t be managed separately even though they are malnly to be used to support the work and servlces of the NHS body. The Charity Commlssion has regulatory responsibllSty for ensuring the proper management of these charltable funds. The charfty needs to be Independent from, yet supportlve of, the Unlverslty Health Board. The charlty therefore focuses on the followlng charitable purposes, recognised In law (Charltles Act 2022): The advancement of health or the saving of Ilve5 And to a lesser degree The advancement of educatlon The relief of those in need, by reason of youth, age, ill-health, dlsability, financlal hardship or other dlsadvantsge The charfty ralses monles, hold5 those monles and commlts expenditure through more than 198 local, general and special purpose funds. Within expenditure authorlsation Ilmits local fund managers declde on and commlt expenditure forthe benefit of the area concerned. Our staff and advisors Bankers The charity has retalned the banking services duringthe year from Barclays Bank, 9-10 Guildhall Square, Camiarthen, SA311PW. External auditors The ChariW5 auditors during the yearwas Audit Wales. 1 Capital Quarter> Tyndall Street, Cardiff, CF10 4BZ. Investment managers CCLA Investment Management Ltd, One Angel Lane, London, EC4R 3AB 26

Fundraislng activitie5 During 2024-25, the University Health Board employed nine members of staff (8.71 full-tlme equivalent) to supportthe fundraising and communications function5 of the charity. The fundraisingsUPPOrt team is responsible for increasing the Charity's income to support Hywel Dda University Health Board to provide services and actlvltles above and beyond what the NHS can provide. The team is responsible for promotingfundraislngfor and givingto the charfty and provides support, advlce and guidance to fundralsers to ensure that all fundraislng Is carried out In line wlth regulation and best practice. The team also a5SlSts many charitable groups and assoclations that provide both flnancial and non-fSnanclal supportfor healthcare services across our three counties. Grant making policy To achleve its objectlves the charity makes grant payments to Hywel Dda Universlty Health Board in accordance wlth charity law, our constitutlon and the wishes and direction of donors. In maklng grants, we endeavourto reflectthe wlshes of patlents and staff by dlrectlng funds towards areas theytell us are most In need. Hywel Dda Health Charltles makes grants from both Its unrestricted and restrlcted funds. Wlthln the unrestricted funds, grants are madefrom general fund5, designated (earmarked) funds. Income generated from endowment funds are held a5 restricted Income and applied within the restricted purpose of that endowment. In the awardlng of our grants, conslderatlon Is gfven to the Charfty Cornmlsslon's guldance on publlc beneflt. To ensure publlc benefit and value for money when authorising charitable expendlture, applications for charitable funds include questions on the purpose of the application to the charltyi why the expenditure 15 requlred and how the expendlture meets the aims of the charity. Investments The Corporate Trustee holds the Pembroke5hire Cardiology Equipmentfund as a separate investment portfolio,which is managed with the advice of CCLA with an oblectlve of the fund to achieve long-temi capital and Income growth. The Corporate Trustee has approved a total retums policy forthls fund and the FE Smith Legacy Fund. Income is credited back to the charity bank account and held as restricted income. 27

Other Investments of Hywel Dda Health Charities are also managed with the advice of CCL4with 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 competitlve rate of return in current market conditions. The investment advisor actively manages the assets and has delegated authorityto purchase and sell when market opportunltles arlse. The Corporate Trustee has decided not to Invest in companles who are: Involved in the production or manufacturing of tobacco supply tobacco products where turnover or rnore that 5% is derived from thi5 source involved in the production, manufacturfng of alcoholic beverages, where more than 25% is derived from this source. Investment managers are required to present In person to the Charltable Funds Committee at least quarterly. The Charitable Funds Commlttee will con51derthe reports and presentations from the Investment manager(s) together wlth current cashflow reports and forecasts. 28

  1. Riskmanagement Exposure to risk The Chief Executive of Hywel Dda Unlverslty Local Health Board, together with the other directors, is responsible for ensurlng that an effective system of financial control is maintained. The Chief Executive and other directors are also responsible for reviewlngthe effectiveness of thls system and have confirmed that the mlnimum control standards laid down by the Welsh Government have been in existence throughout the financial year. The minimum control standards apply equally to the managernent of the charity by officers of the Unlversity Local Health Board as to the exchequer funds of the University Local Health Board. In this wayi the major risks to which the charity Is exposed have been revlewed and systems have been established to mitigate those rlsks. 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 prioritles agreed bythe Charitable Funds Committee" ensure the criteria for spending charltable monles are fully met; ensure that the accountlng records are malntained. ensure devolved declslon-making Is wlthln specified parameters. Internal Audit a150 undertake annual reviews to evaluate the adequacy of procedures and controls, to ensure compllance, and to provlde reasonable assurance over. achievement of management oblectlvesfor the system5; use of resources In accordance with donors requlrementS' compliance wlth pollcles and procedures; safeguarding a55et5. The Intemal Audlt reports are presented to both the Charitable Funds and Audit Committee. Investrnent risk The risk is minimised by agreeing an Investment policy with the nomlnated investment rnanagers. This policy includes ethlcal conslderatlon where Investments In the productlon, manufacturing or supply of tobacco or alcohollc beverages conflict with the charltable objects. In assessing companles, Involvement in these sector5 the following Ilmits have been set: investment in the production or manufacture of tobacco products at any level. investment in the productlon, manufacture of alcoholic beverages where more than 10% Is derived from this source. Further to the above, the investment managerfs perforniance is reviewed in each Charltable Fund Committee meetlng and compared to charitable investment benchmark. 29

HYWEL DDA HEALTH CHARITIES ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2025 FOREVKJRD The arLounts IfiTranci81 st8tementsl have been prep8r8d In sccordanco ¥￿th the $18tsm8nt of Re¢ommend8d Praclic8'. Accounting and Reporting by Charities preparing th&ir accounts in accordanc8 with ihe Finanrial Reporting Standard 8ppIic8bl8 in the UK and Republi¢ of Ireland IFRS 1021 second edition issued October 2019 and applie5 to report periods beginning on or af18r 1 January 2019. This edition con501idales the change5 tv the Slalemenl of Recommended PrHcti ISORPI for Update BullBtins 1 and 2, the Charities Act 2022 and changes to UK Generally Acc8Pt8d Accounting Prdclicg Since the kgunch of SORP IFRS1021 on 1S July 2014, 88 118pplies for 18POtting periods beginning on or after 1 J8nuHry 2015. STATUTORY BACKGROUND The Hywel Dda University Local H9alth Board 18 the co￿Orate trustto of th8 charlty under paragraph 16¢ of Schedu18 2 of th8 NHS and Community Care Act 1990. The Trustee hag been appoinlèd under 611 of the NHS and Community C8r8 Act 1990. MAIN PURPOSE OF THE FUNDS HELD ON TRUST The main purp￿8 of tho charity18 lo apply income lor any charllob18 purp058s r8lallng lo the Nallonal Health Servlcfj wholly or mainly for the servic88 provlded by the Hywel Dda Unlversity Local Hoallh Bo8rd. Page ao

Hyw81 Dd8 H881th Charitie5 Statement of Financial Activitie8 for the year ended 31 March 2025 Total Fund8 2024.25 £000 Unrestricted Restricted Endowment funds funds funds £000 £000 £000 Note Incoming r8sourc88 ftom genernted funds: Donations, legac￿$ & grants Other trading aclivi118S InvesbM8nts Income Total Incornlny resourc48 Expondlturo on: Raising Funds Charrtable gctivitie8 Total èxpendrture 1.141 18 287 298 1,439 16 570 2,02S 216 614 67 67 162 590 121 2,056 283 2,646 Net Ilossl on investments Net Incom6 I lexpendltlrrel Tran5f&r betrween funds 13 157 11181 11,7811 12,318 14,0991 101 13761 1341 11,2801 175 535 18 2.493 N•t movement In lund• 3,028 12091 11.2801 Retontillation of Fund# To181 Funds brought forward 35 811 Aprfl 2024 Total Funds ¢8rrlèd forward 88 at 31 March 2025 19 4.238 7,266 5.181 1.082 2.575 2,366 11,994 10.714 Hyv4•1 Dda Hoalth Ch•rltla8 Stat•ment of Flnancial ActivlU8s for tho year ended 31 MarGh 2024 Totsl Funds 2023-24 £000 Unrg•trictsd Restricted Endowment fund$ fund$ fundq £000 £000 £000 Incomlng ro•our¢o8 Irom gonernted funds: Donations ond legacies Other tr8ding activities InveslmÈnls In￿rne Totsl Incomlng r••ouree• 1,910 15 152 2.077 308 2,218 IS 451 2,682 232 538 87 87 Exp•nd5tur• on: R8i8ing Fund8 Chantable acliv111e8 Total gxpendituro N81 Ios8 on investrn8nli Not Income I14xp&ndltur•l 117 1,242 1,359 179 1,859 2.038 296 3.155 3,461 237 955 363 11,1371 217 230 817 Transfer be￿￿en funds {131 1291 42 Not mov•m•nt in fund$ 11,1661 272 Re¢on¢lllotlon of Funds Total Fund5 brought foward a5 at 1 April 2023 Total Fund$ ¢8rrl•d forward as at 31 Marth Z024 6.347 5,181 2.303 2,575 11,946 11,994 4,238 PaKe31

Hyw81 Dda Health Charitigs Hywel Dd8 Hèalth Charfties Balance Sheet as at 31 March 2026 Totsl Unr8strlctètl Restrfcted Endowment 2024-25 fund$ funds funds £000 £DOO £000 Total 202&24 Note £000 £000 Flxed a888ts'. Inveslmanls Total flxed assets 13 5,622 S,622 837 837 2,289 2,289 8,748 8,748 9.124 9.124 Current ass8ts.' Debtors Cash al b8nk and in hand Total current 14 15 58 2,855 2.913 16 61 77 138 4.986 ,124 1S6 6,148 6.304 2.070 2.134 Creditors falllng due w￿h1n one year 490 2.509 2.999 3,192 Not ¢urrent a88•t8 1,644 404 77 2,126 3,112 Totsl a88ets le88 curront liabllltl•• Creditors f8lllng due after moro than on8 y8sr 16 159 159 242 Totsl ngt 888Ot8 7,268 1,082 2,366 10,714 11,994 The fund5 of thfj Ghar6ty'. Endowment fund5 Re$irl¢t8d funda Unrestricted funds 19 19 2,366 2.366 1,082 7,286 2,S75 5,181 4,238 1,082 7.266 Total funds 7,268 1,082 2,366 10,714 11,994 Th8 note8 on p8g84 3444 form p4rt of them accounts Slgned N￿$ .' Eleanor Mark4 Ivlce-chalr of tho Corporate Truste81 Dat• 21 P4e a2

Hywel Dda Health Charities Statement of Cash Flows for the year ending 31 March 2025 Total Total Funds Funds 2024-25 2023-24 £000 £000 Note Cash flows from operating activities: Nat cash provlded byllused in) operatlng activities 17 {1.732} 266 Cash flows from Investing actlvltles: Dividend, interest and rents from inveslm&nts Proceeds from the sale of investments Purchase of investments Nèt ca8h provlded by Investing activities 570 451 13 13 570 451 Change In cash and cash 8qulvalents in the repoitlng period (1,1621 717 Cash and cash equivalents at the beginning of the reportlng perlod 15 6,148 5,431 Cash and cash equlvalents at the end of the reportlng period 4,986 6,148 The notes on pages 34-44 form part of these a¢¢ounts Page 33

Note on the accounts l A¢¢ounlng Pollcl85 lal Basis of prepardtlon The finanaal statements hav8 be8n prepared under the histori¢ cost conventr'on, wilh th8 8xceptkon of invèstments which ar8 included at fair value. The accounts (financial ststementsl have been prepared in accordance with the Statement of Recommended Pra¢tice'. Accounting and Reportlng by Chaiitses preparing their accounts In 8Gcordance with th& Financial Reporting Standard appli¢able in th8 UK and Republic of Ireland IFRS 1021 second 8dition i5suod October 2019 and appli88 lo report Pefiods beginning on or after 1 January 2019. This edition con$olQates the chsnges lo the Slalemonl ol Recommendad Practic8 ISORPI for Update Bu118tins 1 and 2, the Charitie$ Act 2022 and changes to UK Generally Accepted Accounting Practice since the launch of SORP IFRS1021 on 16 July 2014. a5 il applps for reporting periods beginning on or after 1 Janvery 2015. Th8 8ccoun18 lflnancial slaternonlsl have bven prepared lo give 8'truo and fairf view ttnd hove depart8d frem the Chaffti85 IA¢¢oun18 and R8POrtsl R8gu18tion8 2008 only lo the extent rtyuir8d to provlde s 'lru• 8NJ faSr vS8W. Thi8 departur? h88 involved following A￿￿￿ting and R8Parting by Ch8rits'88 pr¢pgthng th8lr accounts In accordance with Ihe Financial Reporting Standard applicable in the UK and REpubli¢ ol Ireland IFRS 1021 Issued on 16 July 2014 rather than th8 Accounting and Rèportin9 by Charities.. St8t8menl of Recomm8nd8d Piaclice eff8Ctive from l April 2005 which has sinc8 b8en withdrawn. The Tru$lee ¢onsid8r8 that there are no material uncsrtalnties about the Charity's ability lo continue a3 gdng concern. There sre no malemal uncgrtalnU88 8ffacllng the current year$ o¢¢ounl$. In future y88rs, th8 key risks to th8 Charity a￿ a fall in incom8 from donations or investment income bul the Trustee h88 8riangemenls in place to mitigate those risks IsEe the ll5k management 8nd re8erv88 sections ol the 8nnu81 report for more inform8tlonl. The Charity meets Ihg definth'on of a public b•n•fil •ntify under FRS 102. Ibl Funds 8tructuro lfvhgre there 15 a kg81 reslriclion on the purp08e lo which 8 fund m8y be put, the lund18 classifled 8￿her 88., A reslricled fund or An endowmant fund. Restricted funds are those where th? donor h8s provided for lh8 donation to ba spent in furtherance ol 8 $p•crfiod ¢harSlable purpoB•. The Charity'8 r8slrided fund8 ttrnd te fesull from appeals or legacies for specified purpoBaS where a tru81 has been imposed. Endowment fund$ 8ri8e when the donor ha5 expre551y prov￿ell Ihol tha grft is lo be inves18d and only the incom8 of the fund may be spent. These funds are 8ub an8ly8ed bètween thoso whore the Twslee has the di5crelion 10 spend the capital lexpendablg endowment) and IhoEO where th8r8 is no discretson lo expond the capitsl (permanent endcwrnenll. The Charity h86 four permanent endowrnent lund,two of which (the Pernbrokeshir8 Cardiology EquSpm8nl Fund and th£ F E Smilh Legacy (Capital in Perpetuilyl Fund) are Tn8n8ged on a total relums basis. Thi5 means that tho funds are invested lo maxirnise the return on Inveslmenl without regard to whethgr that r8turn 18 in the form of incDm& trom dlvidend8 or Intsrest or capital apprao8tion Iwhefe tho market value of the investrnent in¢￿8$e$l. Tho$8 funds which A￿ neither 9ndowmenl nor re$iricied incom6 funds. are unrestricted income funds which a￿ sub an8lysed between designated learmarkedl fund8 wh8r8 the Trustee has set 8svJe @mounts to be used for 5pBcIIic pu￿05e5 Dr which ref￿cl th8 non-binding wishes of donors and unrestricted funds whi¢h are 81 the Tru&tse's diBcrelion, including the genero1 which repre88nt8 the Charity'$ re5em8. The major funds held In each of these catagories ar8 di8clos$d in note 19. Page34

Icl Incomlno ￿tsurGe$ Income ¢on$i$ts of donatlon$, grants, leg8ci88, Incon from charilabk activ￿88 and lnves1rn￿t inGoTn•. Donations are accounted for when rEGEived by the Chanty. All other income is ￿tOgniSed once th8 Charity ha$ Bnlitlemenl to the resources, il is proba￿8 Imore likely than noll that th8 rasourc&s will ￿ re￿IVed and the monetary value of incomlng ￿$D￿[Ce$ Can be measured with sufficient reliability. Where Ihere are lérn￿ or conditions allachèd lo incoming resou￿$. p8rt￿ul8rtY grant5, then these temis or conditions must be mat befofe the Income Is recognised as the enlillernent condition will not be 8811sf￿d unlil that point. Where terms or conditions have not been mel or uncertalnly axists as to whelhar ihey Can b8 m8t Ih8n th8 relevant In￿Me is not re¢ogni$ed in thg year but def8rr8d and shown on the balan￿ $he8188 defeired Incom8. Idl Incomlng rèsources frorn 18gacl85 L8g8c188 are 8ccoun18d for as incomlng ￿sOurc8S either upon r8C8iPt Orwhe￿ the r8rlpt of the legacy18 prob8blè, whichever falls sooner. Re￿IptI8 probable wh8n'. Confirmation has been re￿1V8d from th8 repr&8entallv85 of the esiat&(sl that probate h88 b88n gr8nled • The 8x&culor8 h8ve establlshed thal there afe sufficient assets in th8 esl81è lo pay the legacy and All condlllon$ ÈttaEh6d lo th• ￿8¢Y hsve boon fumlled or ara wllhln ¢he Charity's control. If there & uncertainty as lo thè amount of Ihe legacy and Il cannot b& r81Iably estkngt8d then the leg8cy is shown a6 contingent 88sel until 811 of th8 conditions for Income r8COgnltlon 8re mel. lol Incomlng resources from ondowment funds The incoming resourc8$ retslved from the invested endowm8nl fund are wholly r8slrlcied. If) Re80urc88 expbnd•d and Irre¢ov8rabl• VAT All Oxpendilure is accounted lor on an 8ccru818 bas15 and ha5 b8en classmed under h8adlng5 that 8ggragate all costs related lo each category ol expense shown in thg Ststem8nt of Fln8nd81 Aciivlts"08. Expendllur81s racognked when the following criteria are met.. • Thera Is a prasenl logal or con$trucllve obllgallon re&ulling from a past event It 18 more likely th8n not that 8 Iransf8r of ben&frt$ IuBually 8 ¢8sh payment) wlll be r6qulr8d Sn 8etllernent The amount of the obligatbn can b8 m885ured or eslirnaled re118bty Irrecoverab￿ VAT 18 ch8rg&J 8g8lnsl the c8t8gory of re8ourceg ¢xpondgd for which 11 was incurred. Igl R•cognltlon of ex￿ndItUr0 and 88soclated llablllt1￿ as a result of 9rants Grants payable are paymBnl$ made lo linked, related pariy or third party NHS bed￿8 and non NHS bodies, in furtherance of the charitablè objectives ol the fvnds hgld on Iru81, primarily relief of Ihoso who are Sick. Grant paymènt$ ara iecognise(J 89 expenditure whgn the ¢￿dItIonS lor Ihelr payment hav8 b88n rn81 or wh8r8 Ihare18 g Constructive obllgalion to Make a paymènt. A construct￿e obllgation arlses when.. INe have cornmunicAled our inlenli## 10 aw3rd a grant to 8 r8clpk?nl who then h88 a reasonable expectation that Ihay will receive a grant We have rnad& a publi announcement about a commitment which ￿ 5pecifjc onou9h for r8eipiant have a ￿a$¢nable 8xpeclalion that they will receivo a grani There 15 8n established pattern Df praGts'c6 which Indicate8 to the reCip￿nt thatwe wlll honour our commltment. Tho Trustee has ¢onlrol over the amount and lirning of grant payment$ and consequently where apprDv&I has been given by the Trustee and any ol the above criteria have been met Ih8n a liability is recognised. Grants are not Usually awarded with condition5 attached. However. when they are then thos& conditions have lo be mel before the liability 15 recognised. Wnere an intention has not been Eommunlcated, then no expenditure 15 recvgnlse¢J but an approprièle designation is made In the appropri218 fund. If a grant has b8en offered but Ihore Is uncertainty as to whether it will be attepled or whether conditions will be met then no ILqbility recognised bul a contlngent liability Is discloswj. 1È35

Ihl Allocatlon ol support costs Support rusts are those ¢osl$ whi¢h do not relate diiectty lo a Bingle aelivily. Thas8 include staff cost5, costs of administr8tion, internal and external audit costs. Support costs have been apportltsned b￿￿Éen fundraBing costs and charitable activilès on an 8ppropriate basis. Th8 8naly5is of support C051y and the basis of apportiontnent applied a shown in nots 10. lil Fundraising costs The costs of generating fund5 ai8 those costs sllribut8bl8 to genaiatlng Income for the Charity. other than those costs in¢urred in undeneking ¢harit8ble 8ciiwlie$ or the costs incurred In undertsking Iradlng acliviliB5 in furthgranTr of the Charity'5 objects. The costs Df generating funds represent fJndral3ing costs ItsG8thèr.. Fundroising costs indude 8xpen585 for fundraising aclivi118s and a fe& Pa￿ lo a related party, the Health Board, under a fundralsing agreement. The f88 is used lo pay the salaries and ov8rh8ad costs of th8 Health Board's fundraising offic8. 111 Charltablo actlvltl8S Costs of charitable aclivlties comprise all ￿91$ incurred In the puisuil of the charitabl8 obj8Ct5 of the Charity. These costs, where not wholly allribut8ble, are apportioned be￿een the calegories of charitable expendlture In Bddilion to th8 diraci costs. The to121 costs of each cal89ory of charitabl8 exp8ndilur8 Include an appcrtlDnrnenl o15UPPOrt costs a5 shown In note 7. Ikl D•btors D&biors are amounts owed to the Chadly. They are me8sur8d on the baslB of Ihair recoverable amount. Flx•d A8SOt Investmonts Inve51rnen15 are a forrn cf basic financi81 instrument. Fixéd Asset Investments are inidally recogni38d at Ih8lr tr8n58cllon value and are subsequ8nlly measured al their fslr value Im8rkel v8luel at the balanTh 5h861 dale. The Ststsmenl of Flnontial Aclvltl8s Includ88 th8 n81 gains and1088e8 8rising on r8valuatlon di5PO881 throughout th year. Quoted stocks and sh8re5 are included in the ealance Sheet al the Swlng Pfice on the v8lu8lion d8t8. Inv88lm&nl pioperlie8 ara valued 81 fair value (market valu?) and are Mvalu￿ every 5 years. Other inveslrnnls arg InGludEd al the Tru51ee's best e$Umai& Df martel value. Th8 main forn of fin8nci81 rlsk f8ced by the Chsrity 15 th8t of volalillly in equlty rnafkots gnd inve$lmenl m8rkat8 due lo thé wi¢Jer economic conditions. IhÈ ottitvde of investors lo inv8slment risk and changes in sentiment concerning equilles 8nd within partlcular 50Ctor5 or sub seGlor5, Further infoimabon on the Charlty's Inveslm¢nl$ can be found In note 13. ImlCa$h and ¢o&h oqulval8nts Ce$h 81 tiank 8nd in hand 18 held to m&&t the day to d8y running costs 01 the Ch8rily 8s they fall du8. Cash aqulvalenls ara short iem, hpjhly liquid invo$lmtrnts, usually in bMI day notice or bB$ Intere&¢ be8rlng savlngs accounts. Inl Crodltors Creditors are smounts owed by the ch8rily. They are measured al thè 8mounl that Ihe Charity expects lo heve to pay to settle the debt. Amount8 which ar8 OW8d In morè than a y88r are Bhown as long le￿ credltors. lol R8allsed g8lns and 105888 All gain5 8nd losses Ore taken to the StaleTnent of Financi81 Activities 88 they arise. Realised gains and losses on inveslments are calcul8led as the drfference bBiween sab$ pr#￿ed$ and opening carrying value Ipurcha8e dale if 12terl. Unr8alis&d gains and Ioss88 are c21culated as thè diffar8neo be￿een thè rnathèt ¥alutr at the year end and openlng carrying value lor purchase date rf lalerl. 36

l RÈlatèd patytranEacllon any ffliWaltrans￿￿l￿￿1Ih theFt￿ Dth He&lh ChBrflles. Bowd rthetJellN]r51am Chgrty and ex¢heqLwDwttersaDduDtrds4R In ￿Jon￿re Iho a￿kOPid￿cto￿d h>qn8urthbydonrtpetqOn￿￿ bWilf¢om oed$lr•lS. of persanHliThteiest beqn In bDknC4PQCikn¢8 endwe for pubk5Dvction. ￿L￿nI 203+25 Ihe cMity madsErfaDL4 ￿d(On￿b￿￿OdCo￿ of£2,•JD,066 I￿2￿24. £a450,11 Dda WV8tEtyHaa￿ 8o&rd. Asal 31 Marth 2025 lheiow￿d by the Chywas£431.$421202&24. £338.￿41￿rI ¢hBritywuStnil1202>24.. £9.WI. ThllrqvKrtno Int•i•itsiTh >)2425. Totsi 201428 Incorn• fundB £000 Eno￿￿rn•￿t fund• EOOO EOOO DorlliOhl L•oad Oranls OthqrTi•dknq 673 7S4 725 1.423

  1. Ro19 of volunto0r8 HwhEI Dda ￿ealth Charitles Is fortunate to have thè support of so m8ny wonderful peoplè who glv8 Ihelr limè. ènergy And dedication lo raise funds for Ihe Ch8rity on 8 vDluDlary basis yéar 8ft8r year. Qur supportgrs fundraise for us lor many dTFfereni fya$on6. Many aTr form8r patsents and their fsmilies wanling to show thelr 8ppreci8iion for care received, whik manywish lo support the developmènt of Ihe lalesl hea￿MCare technologie5 in their local comffjunily. We are also exlreTnely fortun818 lo h8¥e 8UPPOrt of League of Friend5 gTOUPS who rnlse rnoMy for our hospllals and heatthcare In Iheir local communilEs In addition to our hospiial gnd cornmunity Lea9ue of Frknd$, we have many local voluntary groups whD SUPPOrt and adively fundraise for Iheir local he81lhc8￿ seNlces. In gccordance vAlh the SORP, due io Iha abs8nce of any rellable mea5uiemenl basls, the conlrfbuuon of these volunlaer818 not recognlsed In the accounts.
  2. GroB8 Investment InGom• Rthrytrfct•d Total Income Endovmignt 20220 fund¥ Fund¥ £000 £000 Totsl 2023-24 Unr08trlcted lundB £000 £000 £000 Fix•d $￿tt equity and 81mllar 5nv88lrrnt8 287 216 87 870 451 287 216 67 570 451 6, An8ty•l8 01 oxp8ndlturo on val•lng lund8 Totql Incorn• Enrfowmont 2024-26 lundi Fund8 £000 £000 Tolal 2023-24 Unrg8trlct8d lund• £000 £000 £000 Fundral8lng ¢o$l$ Inveslrnenl managemtrnl 182 283 298 162 283 296
  3. Anatyall of charltablo ilctlvlty Grant lunded 8uppDrt COSti £000 Total Total 202425 202>24 fooo £000 £000 Purchase of medical and surgitAI equipment Purcha8e ot offlce an¢J CDmpuier eavlpmeni Buikjiny and r8furblshmenl Staff Educallon and welfare Patient edutAllon and ￿Kara Other 1.960 83 145 64 148 218 2,178 70 826 94 1.518 203 16 71 1e4 16 66 2,382 204 2,646

  4. Analyols tsf grnnts All grant8 are made lo the Health Board lo wovide for the care of NHS paI￿nIS in fUrth¥an￿ of (xjr ¢h8rit8ble aim&. The lolal cost of making gran18, indudiThJ support costs, is disclosed on the f8ce of the Slaletnent of Finsncl&l Actlwlies Ihe aclual futyjs spent on each calegory of charilabk aclivity. is disdD5ed In note 7. The Tru$ie¢ orerates a sChery￿ of d8legatlon lorthe malorbty of the charliable furK1s, under whlch fund managers manage the day to d4y disbutsemenis on their dèlegated funds In accordance wlh dlreclions sel out In Ihe HÈatth BDard'$ stdndlng orders and slandiTrJ finan￿31 Instructions. Fmds martaged under the scheme of delegation represent ongoing activthes And11 is not potssiNe lo segment Ihese achvil￿5 Into di6crele Indlvldu81 grant awards. The Trustee make5 indimdual grant awardÈ based on Invited appllcalion5 from the Health Board. P4¢38

  5. Movements In lunding ¢ommltm&nts Total Current Non Current 2024-25 l￿bIlItIeS Total 2023-24 £000 £000 £000 O￿nIng balance at 1 April Isee note 161 Movament In liabilitles 2,826 13261 242 1831 3,068 14091 1,863 1,205 CIo8lng balanc8 at 31 MarGh Is89 not9 161 2.500 169 2,6S9 3,068 As described in note 8. Ihe Charily awards a number ol grants in the year. Many grants are arded and paid trut In th& same financial year. Howewer, sorne gran15, especially thos& ielaling lo ie$oarch and davalopmenl orfor fundlng 8p8clfic pogt$ aro mulll.yéAr grants pabj over a longer peilDd.

  6. Allocatlon of 8LlPPOrt Costs Support ènd overhead cosls are allocBlad bolween lundrai5ing a¢tlvttlg6 and charilable activilyas. Governance ¢o$t• •r8 Ih088 8upport Costs %thich relalo to Ihe $trolegl¢ managemant ofthe Chartty. Chafltabl• Totsl 2024-25 £000 Total 2023-24 Ba•1• £000 £DOO Oov•rnanc8 Co•ts Éxternal audll FinanGe gnd 8dmlnSslralbn Total governance 16 66 15 Average fund balance 62 Avarage bolance 77 66 82 Support Cct$t• Flnance And admlnlslrglbn 182 182 178 Avero9e fun¢ bbl8nc4 264 284 26S ReBtrtctod Endowrn¢nt Unr8sthct8d Income Fund8 lund¥ funda £000 £000 Total Total Funds Fun(Js 2024.25 2023-24 £000 £000 £000 Chadlabkn actIvK￿9 150 114 255 150 114 256
  7. Trustee's remun•r•tion, beneffts and ÈxpenJes The Charity does not make any payments for remungr81ion nor lo reirnburse expenses lo members of tho Gorpomto Trustee orthe Chadty for theirwork underf8ken a$ Iru$leÈ. Pye39

11 Audltors Mmunerduon Tr• audltors romunernwon ore16A021202&24.. £10,128) r•latsd iolfjly lolh8audhollhethluknry rEPDrf and k¢ttsJnts. 13. Flx•d •948t lThvqytm#n MDwM•nt1￿ flx4d u$•ts InwtsNnts Ll¥t•d Inv•8lmvnt prapErties 2024-26 £wo Llstsd ItNeslmentS 202>24 £CN)O InvBstyDeDI prope￿81 202>24 £000 Total 2024-26 £0 rotsl 2023-24 £Doo 2024-26 EQOO Mark?t v&luÈ brouBhl fotwaid Add Hddltlons10 Inveslments kico¥t Le￿ dispo￿15 at r￿tryI￿p vBlue Incre&selldecreHsel on cash awahing In¥Tr¥tm¢i Add npt 9Hln l 00s1} re￿1￿&￿0 193 9.124 18e 8.307 1)78 817 M•th•l valu• OD 4131¥tM•rch 8,718 8.931 193 9.124 All Invèltmonli oro 01 tWrNrt4t￿U•. The Inv•8hmeDlV•￿1IknDW1• pfjrtoffrwd by CCL The 8wJninunc&of financlal knsirulnènis to the finMthI su8tain•bnity ￿ HywrA Oth Heallh ill¢¢nsid•i•d w th• ilk oflh•tTUkto•'¥$mu•I rg Tht rnryin Irom Ilnirtrial lnitrum￿￿ In cvrnbinitkjn ofun￿￿1￿ Irv••knèThtm•rk•ts •nd V￿￿¢￿1ty In ¥lebJ. klywvl Od• Hmllh Chwrtbry•' irpJ1nv&BdwNhln lh• UK ￿1￿c￿V8 ¢OIF ChAillai EthIC￿ Invaitmont Fund. Hkw•l O He￿th Charltle6 hawj rn mats1￿1 Inwjslmant h￿￿1￿93 in market•?ubject lo 8xch4nga conirrAi Drtradln9 re#th¢ltshi. Hywol Dda H•allh CMrfUo• manllgeiih••o Inve¥tm•nl by rot41Dkn9 è%Pgrt 4dviwi8 qnd yr4lng IDWStrngnl WWlho1 ywid•sfor# 19h of dNaisrfic4boD of hddingb éilhin In￿￿tman1 d11￿1. IhwAbnliltprtsp•rt￿ w•f•vdud by th• (M• Ag•ncy An off￿1Ve aAt4 of l Apill 2022. Tho Y41wiknn b••D pr•p4Md In lluordancewllh thv wimjol Llelutssl￿r￿on ofih• Royql ol Chlrterthi Valulllon sthnd*dA. Flx•d I￿••t Inv•etrn•nt• bytyp• 202MO £000 202>14 Eooo Equ Flxed IDwr•Bt• C4•h & Nur C••h 071 869 717 664 593 Jg4 815 03 297 p￿partY Prfyqle Equty & ¢•ntr&ctu•i & oih•r Ineom• 9,124 P4W

  1. Analys18 Ot curront debtors Debtors undor 1 yoat Total Totsl 202&25 2023-24 £000 £LNJO Accrued income Otherdebto 134 152 138 1S6
  2. Anatysl8 of cash and cash frqufvalints Tolal Total 2024-25 2023-24 £000 £(M)o C•8h 81 bank In hand 4,988 6,148 4,986 6,148 The deposlls are sum8 held on Inter•51 be8dng deposit wlh 8arclays Bank 8nd CCLA ond iepr888nl reslrlcled appe•ls ID fund sp8c1￿C aquipmonl or funds held10 la¢1151$18 cash now and the fU￿rm￿nI of obligations lo ffjake grani payments. The funds are held in an In&l8nt 8cce88 account and are Iherefora classified a? cash and ¢8$h equlv816nt8. No cash or cjsh equivalents or current 8s8el Investments were held In rnrpC88h Inveslmenis or out8k1e of the U All of the armunls held on Ini•ro¥t beariftg deposits are 8¥8il8ble ID ¥pend on Ch8rlly 8Ctiv-rtieE.

  3. Analy•l• of Il•bllltl•• Tot•1 TDI81 202&20 2023-24 £000 £coo Cr•ditor• f•lllng dvo wlthln 1 yegr Trade credilor$ Other credllor6 Accruals (Nole 91 65 434 2.500 39 327 2.826 2,999 3,192 Crgdltoys lalllng 1ft0r mor• than 1 y•ar Awru815 (Note 91 109 242 Tot•1 ¢rodlto 3.158 3.434 P¥6e41

  4. R￿0￿clI1￿<30 tsf nèt In¢om• i•xp•ndthi• tonrfcash fl¢>wfrom Totsl 202446 202S24 £CN) £OOD Nbt Incom•1 lèxpènllftur•l (par Stat•m•ntof AdjU￿￿￿•￿tIor'. {Gaknsll￿8￿5 on Investmems ena5, Intere￿ 8nd rentsfrom 1nVethE￿¥ OecreasE Illnrfeasei in debtors IDeue88el I in cted¢or$ 376 18171 18) 1.492 1278} Nbt¢ah lu••d Inllprovlded byOp•r•￿n9 1.732 IB. Tr4Th1f•¢ fund• Duihg Ihe y6BrlhB ChBttty undertook • revW of IMfundJ held wwh a¥ltwto'. 11 ￿￿ke11 u easyas p0S￿b1¢tO ewoJ$fvnd5 iofurthèrour &)aritablobpctvK 21 ED¥V￿thtt olthèluna8 renectlhe cur?n1?erv￿thlln￿9emÈth •iructLYe$ BiwpII 41 th•￿¥h￿s0[0UraOTrJl& 31 Eniuredon4lion¥8Te &"r14wnBbwiimelram• 41 Dqviknp b)W tèrm èxpen4rtUTe Duih)J Ihi8fovleww• |oDk4d Ft gIc￿l￿niC￿ haa been 4BrtrktrlLtsd AndlouThd mal In 4 numboi rfu¥v¥the ￿lId￿j n hyovj q w6t IhEter4rÈ thi1• irfAd•È rebirfc1•d Transf¥r4lu￿IIlnv £2.482.391 hovo bwn madefrom t4 Unrestr￿ed fundi. Tr￿sta￿ vMr• mwd• lo tho cth11￿￿Iion ollh• Pembtokè4hh ewabicw EqU5pM￿ Irmme F￿0 Ind Re• Evani kncom• Fwd. All￿￿1r￿£97,2to w41m•l•from endowmnl Fundilv R•￿￿21 Funds1n r•￿8￿ cl lln•p￿bd Wal ¢tb2m •v•l￿b￿ io be openl. UnF••trfct•d f¢•iirfct•d Endowrn•nt £000 £oDu Éooo 2,494 1?,4941 108 T¢¢•1 £000 Tr4Th$l•r￿rnbr0k•1￿￿T￿C￿rdI0￿vÉqUwr4n11￿co￿lWd Tr¥rthrft••itlryJynE¥Dnf lffEIMwr4Wirdl 11081 S7 2,515 2,49J 1?.An•1y•￿ •f fvnd• . Analy•l• Qt•nd(wm•ntfu￿d moyim•nts 8A14nc• IAprf ?024 Tr*n•l¥r Incom• Exp1nd￿￿T• (Loss )1 M•rc 202S £000 £000 £000 £000 FE Smlm L•9 Rees E￿y￿ EvBffl QGH AC¢Adenl & Emerwncy IC•pK•l Prytpetyiyi P•m￿KO¥h1rtc￿￿lQlffjY Equipment PemtrKoktthlr47C•rdlalugy Equipmènt Inwm• Fund 74 21 42 2,J28 72 42 2,232 19n 101 2,38 The obleds DIthB èndtyémentfvndB or•ai lollm"

  5. FE Smlh Leqacy Fund oblqcis &rJ 10 applythe inccthe generaledkntrg pIm￿n•￿t gifl lorltro bqnelltof Iho Gtyrth ￿rd Ls nowlh¢ ¢Erediq In 8ronghlg Ggnerydl H05pito1.
  6. Rge8 ElpNyn Evqns Fund Obieth aMtOAP￿yl￿Q InWmgener4wdfft)mih• piM￿nen1 enJtr*ed gvltrthe ¢hequlpm￿tfÈ￿MeUr￿ Ward In 8rw91•i¥ Gtner81 Huspilbl
  7. GGH Act￿1￿nI% Enw8nEyICa￿ In pwpa￿rtY1 Fund obl¢d$ greioapwyth•inwm$ (•r￿ted from glftforlhe benein of￿8 Gl¥gI11 GBn8ral HDspital Acddent ¥nd emwgen¢y dtpartm#nl
  8. PEmtrokeshlre CwdEobuy É4UlPtnenl In(thnE Funtt OOject8are lorth$ purch¥¥q Of c4rdithgy ewlwiert h th?￿nty oip#morc*•9hlie

b. Analys18 of restricted luno movomonts BalanGo 1 April 2024 £000 Balance Expenditure IL0551 31 March 2025 £0 Transfer Income £000 £000 £000 £000 Hywel Dd8 General Funds CarmarthenshlrÈ Locality Funds Ceredigion Lucality Funds Pèmbrokètshire Lo&qlity Fund8 57 3.454 1.345 325 1601 11,8231 12471 1471 29 290 521 242 11.5071 17841 1471 243 218 21 1771 5,181 12, 514 77 1.082 Th& lotallty funds are a collection of re5triGted funds wh￿h have distinct restrictions imp088d on th? Ch8rfty. There are 7 Hywel Dda wlde r881rlcled funds. In Carrnarthtrnshlre locality there were 49 reSt￿(ted funds durlng the year, whSGh h4$ redu￿￿ to 26 followlng tho funds restructure. In C8redlglon th8re w8re 27 r85tricted fvnds durlng th8 year, which has reduced to 10 following tho lund8 r981ructure. In Pembrokeshire thera were 33 restricted funds durlno the year whlch ha5 r8ducad to 19 following th& funds r88lructure. c. Anily$lA ot unre8trlcted and rnatorlal dwlgnatsd fund mov8m8r Balance 1 Apfll 2024 £000 Balanco Exp•ndlture ILo••l 31 March 2026 £000 Tr•n•lgr Income £000 £000 £000 £000 Hyw¢l Dd8 G8ner81 Fr•a Fundi Hywel Dda Designated Fund$ C8frn8rthenshire Locality FundB Ceredigion LocAlfty Fund$ Pembrokèshlre Loc£lty Funds 1,210 330 33 619 13091 11571 1,108 772 3,170 1.595 e21 622 1,005 1.834 572 488 12881 1721 1661 78 4,238 2,493 752 157 1,444 7,266 M￿t vnre8trlct8d funds have been earynarked 8nd design8t8d for a 5peGlflt purpo8¢ wllhln tha Ch8rKy area. For pres&n181ion th8 designstiony have been oroupod and reported per locality. wrthln the ¢horty there Bre 29 Hywel Dda wide dosignated funds and 2 Hywel Oda General frae reserv88 funds. Th6 ware 89 Carmarthen$hlre desigrtaled funds during the year which ha$ reduced lo 55 after the fuDd$ restructure Ther8 wera 44 Cerèdwion designated funds durlng the year which ha$ réduced to 23 after the funds r0$1nJ¢ture Th8r& were 36 Pembrokeshire design81È6 fvnd8 dudng the y¢aF which has redu¢ed to 23 8fter th8 funds restruGture PaEe43

  1. Total rBtsm aTr I￿v￿￿kn￿t On 4 March 2014, lh8 co￿rat& TiuBtEO msde 4 (eaoiubon undersecloD 104AI2) lll ChBiibES Act2011 to Jdop14 total reknm on IDvg$fvnEllt 5pprouch to the Pembrokeshlr• Cardiology EgUl￿entIVnd Bntt the FE Smith Leg4Cyfu￿. Th&¢￿rat TTus109 Idéntfied th vèluè ollhègth ol p•rmangntendowMent tÈcdved Since tho fund w9$ eslabllshBd to thatdite. Thls setlbe bas81￿￿ valu8 ttubegrft EamponEntof endo4¥rnenl to which any Bubsaqu@nt gifiA of endowmeni are add•d. The differEnEe bEiwEen thé iotal of 8Ddowrnertfun¢s Bt JI March 2015 and the valueul thE cumponent rtwaEented the rycnina bglyncÈ ol tow return. Th? rth¥•rof total rgtutn ￿rMit5 the Cotwr4te Tmstèe w Invest yrmanEDdy Èndowèofunds to rn&mlse knt41 iElum Ond to wlyan Ippropriats oflha uThapFl￿d total retuin * ifico￿¢ eath y&ai. thB PDwar114xerds¢d to tran&lera Porti￿ of unappliBd tota neom, the unapp1￿￿ toL4 re￿rn rem&ns lThesiod Purt of Ihe pèrmanent eThJowm•nl. Thg ￿Wer 1114w¥ the TruStÈè to deC￿e kn each yeji how rnuth pf th? iotsl mturn istraDsfeTltrJ t¢ Income fwd$ 50 pyaWÈbl2 for èxpendrture. DuiiryJ the￿￿r]he Croornta Trustee•rawfved to p8g8£67.267 otthe un•pplled told to funds to be sp￿1 Trust for Unappll TotAI Inv•stmènt total r•turn •ndo¥nnllnt £000 tooo £OCp) At b￿l￿nIn0 olth• rnporung p•rfod cdmpoThènt41 tho peimanenlendTh¥menl UnBppiiÈd rebJrn Yvt41 Movèmint In th• r•portlng p•rtDd InvèitmnirabJrn.' dl¥idend$ and Inroit In￿￿t￿ni(•bJrn'. ioallfjod Hnd uni•4lkn•d 1.505 Re•t•i•d 899 899 899 1,605 Lg11 Inv98tmfrnl mhag•mintcoits N•t rnov•rn•nt In tho r•portln9 p•rlod Unapplieo total reium 4llaÈbttd tts In th• peijOO N•trnav•rn•nt In thB r•p￿￿n9 perlDd lJ21 At•Thd of th• r•portlng per￿d (4rft Compongnivft￿ p•1m4￿nI￿TrdthmenI Un•pplled total reiwn Totsl 1.50 79è 7B9 798 2,304 Nol•. The Ree8 Elrwyn andLrt¥mèntind GGH A¢chYonl & EmTo•nty ICApIIAI In Perpgluftyl •ndtywM•ntawi no¢ lomi p4n Rètum on Inv•4tm•nt C4cU￿tIon Abov•
  2. p￿t6&1￿nE• Bhq•t Ev•nl Thyr•4r• Poll Balanc4 Sh••l Event• Ptr44

STATEMENT OF TRUSTEE'S RESPONSIBILITIES IN RESPECT OF THE ACCOUNTS The law applicable lo charrties In E￿land ar￿ W81e5 requires the tru8teel81 to prepare fin8n¢ial statem8nts for each financial year whlch glva a true and fairmew of thè charity's financial actiwties duriry the year and of its financial position at the end of the y8ar. In preparing financial 8talementS giving a true and fair view. the Corporate Tnjstee Should follow best practi￿ gnd. • select suitsble accounting policip5 and then apply thEm conslslentty., mak&iud9ements and e51imate$ that are reasonable and prudent., ' state whether applicsblo a¢¢ounting Standards and statsments of recommended practice h8ve been followed. subj&ct to any departure$ disclosed and expl?ined in the financial stat8m*nls', and prepare the financial 8ta18ment5 on the going concern ba518 unless It Is Inappropriate to presume that th8 charty will continue in operation. Tho Ccryorate Tru5teo 15 Trsponsible for keeping aceountlng re(x)rd8 which dl$close wlth re880n8bLe acLuraGy financial p08ilion of tha charity and which enable them to astertain th8 financial position of the charity and enable them lo trn$ure thal the financial 5taternenls comply with th8 Charitles Act 2022, th8 Charity (A￿oUnts and Reports) Rogulations and the provisions of th8 Irusl deed. The Corpor8te Trustee 15 rpsponsible for 8afeguardinG the assets of th8 Gharlty and hence for taking reasDnabl& stsp8 for the prèvention and detection of fraud 8nd other Irrègulgdtles. y order ot th• tru•tso• Slgn•d,. Vlce£halr olthf oipor•te Tru8tO elèanor Ma￿9 01 Tru•t•• RePr￿+n￿tly• Huw Thoma• PW45

The independent auditor's report of the Auditor Goneral for Wales to th• trustees of Hywel Dda Hèalth Charltlès Opinlon on flnanclal statements I have audited the financial sl8lemenls ol Hywel Dda Health Charities for the year ended 31 March 2025 under the Charities Act 2011. The financSal slalements comprise the Staterllenl of Financlal Acllvllle8, tho Balance Shaat, th8 Statement of Cash Flows and related not8s. including the material accounting polici8S. The financial reporting framework that has been applied in their preparation is appllcable law and United Kingdom Accountlng Standards. including Financial Reporting Slandard 102 The Flnanclal Reporting Standard applicable in the UK and Republ1¢ of Ireland Iuniled Kingdom Generally Accepled Accounting PraGticel. In my opinion the financial statements.. giv8 a tru8 and faiT view of the $18le of 8ffair$ ol the charty as at 31 March 2025 and of Incoming rasources and application of resources for the year then 8nded.' have been properly prgpared in aC￿rdanCe wllh Unbt8d Kingdom Generally Accgpled A￿OUntIng Practice.. and hav8 been prepared in accordance with the Charlll88 Act 2011. Basls for oplnlon l ¢tsnduded my audit In Bccordanca wlth 8ppllcable law and Inlemation81 Standards on Audlllng in the UK (ISA5 IUKII and Pr8dc8 Nole 10 'Audll of financial stal8m8nls and regularity ol public $8¢ttsr bodies in the United Klngdorn,. My rgSPOll5ibililies LJnd8r those standards are further descrbbed in the auditorfs responslbllltles for the audlt of Ihe15n8ncl81 glatemen18 sec￿On of my report. My staff and l are indèpandenl of th6 charfty in accordan¢g wllh the glhical requlremenls that are relevant to my audll of the flnandal st8lern8nls In the UK Includlng the Flnanckal Raportlng Councll'8 Ethical Standard, and I hav8 fulfilled my other ethical responsibilities in accordance with these requirements. I beli8v8 that the audit gvid8nco I have obtained ly suffKlenl and 8pproprfale to provide bas18 for my oplnlon. Concluslons relating to golng Concern In auditin9 the financial statement6, I have Concluded that the usè of the golng rK*noern ba858 01 8ccountlng In the preparation of the financlal slalemenl8 18 3ppropri81e. Based on Ihe work I have performed, I have not idenlrfied any material uncertainties relating lo events or condlllons that, indlvldually or collectively, may c881 stranificanl doubl on the brxly's ability to continue to 8dopl the going ¢on¢¢rn basi$ of accounting for a period of al lea81 twelve months from when the finandal slalemenl3 are aulhorlsed for Issue. My responsibilities and the responslbllltles ol tha trustees wlth respect lo golng concern are descrSbed In the relevant sections of this ieport. Other Informallon The olh8r InfomiatMJn compris95 the information included In the annual report olh¢r than Ihe financial statsments and my auditor's rgport thereon. Th9 Irusl8es are responsible for the other Inform8Jon contained within the annual ieport. My opinion on th8 financial statements does not cover the other information and, except lo the extent otherwise expllcilly slated In my report, I do not express any fomi of assurance conclusion thereon. My re8pon8ibllily Is lo re8d the other informalion and, in doing so, consldar wh8thèr th8 Other informabon is materialty inconsislenl with the financial statoments or knowledge obtained in thg course of thg audit, or otherwise appears lo be rnaleiially misstsled. If I identify such m8lerial incons13lencies or apparent material misstaternents, l am required lo delennine whether this gives rise to a material misstslement in the financlal $18lements themselves. If, based on the work I have performed. I conclude that there is a material misstslemenl of this other information, I arn iequi18d lo raport Ihat fact.

I h8ve nothing to report In this rogard. Matters on whlch I rèport by exceptlon I have nothing lo report In respect of the following matters In Telalion to which the Charilles IA¢counl$ and Reports) Regulations 2008 require me to report to you rf. in my opinbn.. I have nol rècÈivad all of the information and 8xp13nations I r8quir8 for my audil., sufficient 8ccounllng records havo not been kgpl, or relums adgquale for my audit hava not been received frorn branches not visited by my team-, the finandal Slatgmgnls are not In agrgemgnl with the accountin9 records and returns., or the inlormallon given In the llnancLg18lalemenls Is InconsSslenl in any material r&spe¢t with the trusteos. reporL Responsibilities of the trustees for the flnanclal ststemènts As èxplBin8d mor@ fully in tho statement of InJsle&'s responsibilities, the Iruslees are responsible for.. malntalnin9 sufficignl a¢￿untIng records., the preparallon ol the financial statements in accordan¢tt whh the appllcable flnanclal reportlng framework and lor b&ing $ali$fi&d that Ihey give a Irue and fair viaw., Intern81 controls as the Iruslees determin& is necèssary lo enabl8 the prgparalSon of ffinancSal statements to be free from malerial misstalemenl. whether due lo fraud or error., 888essln9 the ch8flty'8 ablllty lo conJnue a8 a golbYJ concern, dlscloslng. as appllcable. matters related lo going concern and uslng Ihe going concern basls of accounting unless the trusle8S anllclpalg th81 th9 serv￿$ providgd by th& ¢harSly will not continu8 lo b8 pro￿dad In th8 future. Audltor's rogponglbllltles lor the audlt of the flnanclal statements I have been appointed as auditor under section 150 of the Charities Act 2011 and report in a¢cordan¢e wllh regulatlons made under sedion 154 of that A¢t. My objectives are lo obtain rèasonable 8ssuranc8 about whether the flnancial slalemenls as a whole are free from m81erlal misstolemenl. whether tjue lo fraud or error. 8nd lo Issue an gudS10rfs report that includes my oplnion. Reasonable assurance Is a high1gvg1 ol assuranca bul Is not a guafantao that an audit conducted in accordance with ISAS IUKI will ahY8y8 delecl 8 malerlal mlsslalemenl when il exists. Misslalements can arise from fraud or error and are consldered material il, Indlvillually or In th8 aggregate, they could reasonably b8 expectsd to Influence the economic decision5 of users tsken on the basls of these financlal stslemgnls. IrregularKies, Includlng fraud, a￿ Inslaneeg of non-compllance with laws and regulations. I dgsign proc6dures Sn line with my re8pon8ibS1ili86. oulllned 8bove, lo deleci malerlal mSsslalemenls In resp9¢1 of Irregularit￿$, Including fraud. My procedures included the following-, Enquiring of management, the Head of Intern81 Audll and those ¢h8rg8d with governance. Including obtaining and revlewing suppothng documentation re1811ng lo Hywel Dd8 Health Charities policAes and procedures CDncemed with.. Idenbfylng, evaluating and complylng with laws and regulations and whelhgr they were aware of any instances of non-¢ompli8nce', deleding and responding lo the risks of fraud and whether they have knowledge of any actual, suspected or alleged fraud,. and the internal controls eBtablished to mits'gate risks related lo fraud or non-compli8nce with laws and regulations.

Considering as an audit team how and where fraud might oocur in the financial statements and any pot8ntial indicators of fraud. As part of this discussion, l identified potenlial for fraud in the posting ol unusual journals., Obtaining an underslanding ol Hywel Dda Heatth Charities framework of authority as wdl as other le9al and regulatory frameworks that the Hywel Dda Health Charities operates in, focusing on those laws and rggu18tions that had a direct effect on the finanual slalements orthal had a fund8mental effect on the operation8 Of Hywel Dda Heatth Ch8rllles. Obtsining an undgrslan¢Jing of related paty relationships. In addition lo the above, rny procedures to respond lo identified risks included the following.. reviewong the finandal slatefflent disclosures and testing lo supportlng documentslion lo assess compliance with relevant laws and regulations discussed above; enquiring of manauemenl. the Charitable Funds Committee and ￿gaI advlsors aboth actu81 and polenllal lftigation and clalms.. reading minut8s of mèètings of thos• chargèd wlth govornance and th6 trusl88S,' in addressing the risk ol fraud through managernenl override of controls, lesling the appropriateness of journal entries and other adjuslrnents.. assessing whether the judgements madg in making accounting eslimales are indicative of 8 Potgnlial bias., and evaluating the buslness ralbonale of any slgnlllcant tran8acllons that are unusual or oul8Sde the nomial course of buslnes5. l also communicated relevant identified laws and regulations and polanlial fr8ud rf6ks to all audit team embers and remained alert lo any Ind￿alKIn$ of fraud OT non-compliance with laws and regulations throughout the audit. The gxlont to whl¢h my procedure$ aro capoble of deleollng Irregularities. Indudlng fraud, is affected by the Inherent dlfficully In delectlng Irrggularflies. Ihfj e￿CtIv&n8sS of Hyw81 Dda Haatth CharflSos controls, 8ntJ the n8lur&, Ilmlng and extent of the au(Jll procedures performed. A further descdptlon of the audllorfs responslbllitles for the audot of the ftnancl81 ststements Is l¢xatsd on the Financial Reporting Council'$ websrte www.frc.o .uklauditorsres onsibilities. This description forms part of my audlior'8 report. Other audltor'8 responslbllltlos I cornmunicale with those charged with governanc6 règardlng, among other matters, th8 planned scope and liming of the audit and slgnificanl audit hndings, Including any slgnificant deficiencies In intem81 Control that l identify during my aud￿, Adri8n Cromplon Audllor General for Wales 30 January 2026 1 Capi181 Quarter Tyndall Street Cardiff CF10 48Z