DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Company registration number." 08152970 Charity registration number.. 1148359 Children's Heart Surgery Fund IA company limited by guarantee) Annual Report and Financial Statements for the Year Ended 31 December 2023 HPH 54 Bootham YORK Y030 7XZ DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Contents Trustees, Report 1 to 11 Independent Auditors, Report 12to15 Statement of Financial Activities 16 Balance Sheet 17 Statement of Cash Flows 18 Notes to the Financial Statements 19to35 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Trustees, Report for the Year Ended 31 December 2023 The Trustees (who are also directors of the Charity for the purposes of the Companies Act) present their annual report together with the audited financial statements of the child￿￿'S Heart Surgery Fund (the company) for the year ended 31 December 2023. The Trustees confirm that the company's annual report and financial statements comply with the current statutory requirements, the requirements of the charity's governing document, and the provisions of the Statement of Recommended Practice ISORPI. Since the Charity qualifies as small company under section 383, the strategic report required of medium and large companies under The Companies Act 2006 (Strategic Report and Difeclorfs Report) Regulations 2013 is not required. Objectives and activities Objects and aiTms The Charity's main objective is to enhance the quality of care and support available lo babies, young children, and adult congenital cardiac patients treated al the Leeds Congenital Heart Unit ILCHUI, based at Leeds General Infi'rmary. This objective is presently fulfilled for the benefi't of the public in several ways.. Provision of new and primary equipment not available from NHS reSoUr￿S to improve the care available to the Leeds Congenital Heart Unil beneficiaries. The Charity also awards grants lo Leeds Congenitsl Cardiac staff lo attend specialist courses unavailable to them through the NHS to fvrther their expertise to improve patient care. Supply of equipment and other items makes the children's wards and play areas more user friendly and more conducive to a child's recovery while under the care of the Congenital Heart ward. Funding a small nLJmber of specialist research projects and posts, when the need arises, which enhances knowledge and expertise in the field to benefit future beneficiaries. Funding for the costs of medical, nursing and other health professionals with a view to the positions eventually being funded by LTHT. Funding for family accommodation. Providing Family Support service to give ongoing emotional, financial and praclieal support that is otherwise unavailable. Grant making policies The organisation's objectives are achieved through.. provision of a family support service lo those attending LCHU for Irealmenl. grants provided directly lo families or lo enhance the LCHU world-class service. Page 1 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Trustees, Report for the Year Ended 31 December 2023 Grant maklng pollcles (contlnued) a) Beneflclary Status The Charity will consider relevant applications for grants from.. 1. LTHT clinicians and employees working for the Leeds Congenital Heart Service 2. Congenital heart patients & their families 3. Voluntary organisations 4. Charitable organisalions b) Geographical area The Charity provides regional support, in line with the support given from the Leeds Congenital Heart Unit, which covers Yorkshire & the Humber, North Lincolnshire and North Derbyshire. c) Size of grants The amount of each grant varies, depending on the project. Trustees set budgets for grant expenditure based on anticipated income and the need lo maintain an appropriate level of reserves. d) Assessm9nt process Relevant information is gathered via submitted application forms. Applications are conSide￿d by the Chief Executive Officer and SLT, The Finan￿ and Risk Sub-committee or the Trustee Board, as detemiined by agreed authority levels. Decisions are made based on the exlenl to which the proposal furthers the aims and objectives of the charity, and the scope of available resources. e) Post Award Review The Charity reserves the right to request, from the applicant, confirmation that funds have been spent appropriately. 11 may also, where appropriate, ask applicants for one or more reportlsl to update CHSF Iruslees on the progress of the project and assess the effectiveness of any funding. The report should be submilled lo the Trustees within six months. Volunteers Volunteers play a key and valued role in the charity's fundraising operations. Volunteers are supported in their activities by the Charity's professional fundraising team in accordance with organisalional policies. Page 2 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Trustees, Report for the Year Ended 31 December 2023 Achievements and performance Overall the financial performan￿ was excellent, exceeding largel and delivering more funds lo charitable use than the previous year. Throughout the year there were staff changes.. the Philanthropy Team was enhan￿d with an additional capacity as was the Family Support team. The departure of the CEO in early December was a major change and the Trustees stepped in lo take a more executive role and appointed an Interim CEO in December lo start work in late January. As these new staff members settle in, we're setting a solid foundation for a successful 2024. Looking ahead, the Charity Is focused on consolidating its re￿nt growth, and delivering on the new roles in Philanthropy and Family Support lo deliver for families across the region and support the core deliverables In Leeds Hospitsl. CHSF published Its fifth Impact report which is available online here. Year on year, we continue to reach a sizeable growing aLJdience on social media and in the regional press. Research tells LJS we have a more extensive community following than some of the larger competitor health care charities on social channels such as Facebook Ipresenlly with 13.6k followers, as opposed to Ljnder 12k followers for peer competitors like Candlelighlers and Tiny Tickers) and in 2023 we averaged al 6 online PR stories per month in local online and printed press. We continue to deliver on agreed projects for the hospital and continue to support Eckersley House as they provide accommodation for some of our families when our rooms on the hospital site are full. Looking ahead: we intend to continue collaboration with other complimentary charities. Supporters welcome Charities working together to reach common aims. Medical equipment and training support In 2023, as well as supporting the LCHU, we extended our support for equipment out into the Regional Hospitsls to allow specialist Cardiac clinics to be run closer to patients, homes, this included an allocation of £87,526 for a cardiac ultrasound machine for a new cardiac outpatienfs Servi￿ at Wharfedale Hospital In Wesl Yorkshire. This has had a very positive impact on members of our community, reducing travel time and costs, and intrusion on daily living. It has also reduced the stress factor for many, of travelling to Leeds for scans. The Medical equipment funded by CHSF is not avai18ble from NHS resources and improves the Care available lo congenital heart patients at LCHU and across the region. In 2023, we continued to supply INR testing kits. These are pieces of equipment that enable patients to eheek their blood levels in the comfort of their homes. These are essential machines for high-risk patients to prevent a blood clot that could lead to a potential stroke. The impact of these devices upon individuals, lives is huge. Primarily, they reduce the amount of lime in hospital for check-ups and empower patients to feel more in control of their condition. Kardia mobile devices and blood pressure monitors have also been a focus of support for adult patients living with Congenital Heart Disease. Being able to make these personal devices available lo those we support, has given them a level of autonomy they have never fell before. Training support for the Leeds Congenital Heart Unit and Cardiac specialist staff across the region increased with us funding a full Training Away Day for 100 staff as well as support for individuals, travel, courses and accommodation. Funding to attend specialist courses, not othe￿iSe available through the NHS, enhan￿S expertise and therefore quality of care. Page 3 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Trustees, Report for the Year Ended 31 December 2023 Non- medical equipment A grant was given to enhance the Echo-cardiogram areas with child-friendly murallwall art and sensory toys and lights which helps to minimise stress for children and thereby optimises the chance for disgnoslic accuracy of scans. Similady, the Neonatal Department received a grant for children's sensory equipment. We continue to supply iPads, toys, craft packs and play resources to the children's cardiac ward and a fish lank. The overall aim is to aid patient recovery. We also funded a patient education video explaining the congenital heart condition 'Transposition of the Great Arteries,. CHSF created books undedining the importance of dental health lo help mitigate the risks of endocarditis amongst CHD patients, one for children with CHD and the other for their parents. These are being given out freely al clinics in Leeds, and across the region. We also produced activity pads and coloured pencils for outpatients clinics across the region, lo help distract young patients during routine visits. Family Support The charity supports patients and families during their hospital stay to ensure their basic needs are mel. We provide various support packages which are relevant to their circumstances and offer this 8t key engagement points to ensure consistency and reassurance. Due to the service becoming more established and the rise in cost of living we are expèriencing an increased demand for poetical and emotional SUPFlOrt where families are struggling to fund their hospital stay. Our financial package includes food vouchers, travel grants and exceptional grants. We are also completing external grants as well as supporting with debts and finan￿S through signposting lo prevent families from experiencing debt and financial crisis due to their child's hospital admission. We continue to network and collaborate with external local Servi￿ providers lo deliver appropriate support and ensure this continues for those families who require il following discharge. We work closely with the clinical teams within the Leeds Congenital Heart unil and peripheral clinics to tailor support to families lo offer continuous care. We are now expanding the support we offer and have newly appointed a full-time family supportlyouth worker to meet the Iransilional needs of patients moving to adult care. In 2023 CHSF Continued lo contribute to the upkeep of our parents, accommodation on Brolherton Wing and provided financial support lo Eckersley House run by the Sick Children's Trust. 11 is clear that this is a priority for parents and carerfs lo be close to their child when in hospital and will be considered a priority for the service in planning for future strategies and provisions. Page 4 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Trustees, Report for the Year Ended 31 December 2023 Support for Specialist Medical Posts In 2023 Trustees continued lo focus support on cardiac clinics run by Hospitals across the regions, which fotm part of the Yorkshire and Humber Congenital Heart Network. Specialist Nursing Posts for Rotherham and Hull were funded for 15- 24 months. This allows the impact to be measured and the business case to be made for the NHS lo continue these posts which enable specialist patient follow up lo be delivered closer lo home. Reports from late 2023 showed the regional nurses funded sin 2022 had supported over 3,000 patients across the areas they served. A grant was also given to fund a Cardiac Specialist Speech and Language Therapist at LCHU to address the high number of feeding issues with child cardiac patients, which can prevent them from being able lo eat, leading to the ne￿ssilY of long-lerm lube feeding. This grant will improve feeding and communication outcomes and assist the development of cardiac children, whilst providing evidence for NHS continuation funding of this post. Practical support In 2023 we continued lo provide items lo aid administration, such as giving folders for patients and contact cards for staff lo ensure patients and families had their up-to-dale contact information. We also provided Wi-Fi for the parent accommodation area lo access the intemel while slaying overnight. Publle beneflt The Iruslees confi'rm that they have complied with the requirements of section 17 of the Charities Act 2011 to have due regard to the public benefit guidance published by the Charity Commission for England and Wales. Fundraising Children's Heart Surgery Fund reTrives no statutory funding and relies 100°/o on voluntary donations, grants and legacies. We actively support individuals and groups fundraising in aid of the charity in the community and develop successful corporate partnerships across Yorkshire & the Humber, North Lincolnshire and North Derbyshire to raise funds. In 2023, we did not use a third-party professional or commercial participator. We delivered face to face events with the Superhero Walk, Abseil, Halloween event and the Children's Christmas Paty. We Continued to see an increase in supporters using the JuslGiving plafform, shifting from Facebook giving, which is positive as we Can claim Gift Aid through Just Giving but not through the Social Media plafforms. In 2023, Facebook Fundraising declined from £23k120221 to £12k120231 but Just Giving increased from £160k120221 to £370k120231. Our Philanthropy Team raise funds from Trusts and Foundations, major donors and legacy giving and work closely with the Fundfftising and Marketing Teams to SUPFlOrt and steward donors. The Head of Fundraising left during the year, and the team was managed direcdy by the CEO until January 2024 when the new Head of Fundraising joined. A new Trusts and Foundations Fundraiser joined the Philanthropy team in November 2023. CHSF have a longstanding Marketing and Fundraising committee overseen by IMO Trustees, who oversee governance, provide guidance, and ensure compliance with the Fundraising Code of conduct, and excellent supporter stewardship. Page 5 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Trustees, Report for the Year Ended 31 December 2023 CHSF raised funds dIreC￿Y and by assisting its supporters to raise funds. No professional fundraiser or commercial participator carried out any fundraising aclivilies. CHSF subscribes to the Fundraising regulatory body. Supporters raising funds for the charity have access to information and tools developed by the charity s fundraising team. There is no known failure by the charity, or by any person acting on its behalf, to comply with fundraising standards or scheme for fundraising regulation that the charity or the person acting on its behalf has voluntarily subscribed to. Where the charity is aware of funds being raised on its behalf, the situation is monitored to ensure that funds are re￿iVed by the charity. No complaints were re￿iVed by the charity, or by a person acting on its behalf for the purposes of fundraising, about fundraising acb'vily. The charity adheres to the marketing preferen￿S specified by its supporters. Financial review Going concern Trustees reasonably expect the charity to have adequate resources to continue in operational existen￿ for the foreseeable future. For this reason, they continue to adopt the going concern basis in preparing the financial statements. CHSF delivered substantially in excess of target during 2023. The trustees allocated cost of living salary awards and have designated reserves that will further strengthen the team's resilience, and provide some extra supportlcapacity around systems and a move to a more appropriate office space, and will provide funds to support the new children's hospital in Leeds. Results for the year The attached financial statements show the results of the Charity for the year ended 31 December 2023. The £303,873 nel surplus for the year after investment gains and losses reflected the hard work of the team, and enabled £325,000 of designated reserves to be established. Reserves are now in line with the reserves F)olicy. Overall income was 55.7 /0 above the previous year. Expenditure has been kept under light control. The Charity has spent £413,627 on supporting its beneficiaries. Page 6 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Trustees, Report for the Year Ended 31 December 2023 Resgrves policy The Charity Commission uses the term 'reserves' lo describe that part of a charity's freely available income funds. 'Resetves' are therefore the resources that Children's Heart Surgery Fund has or can make available to spend for any or all the charity's putposes once il has met ils commitments and covered ils other planned expenditure. Responsibility for establishing an appropriate reserves policy lies with trustees, who understand the business of the Charity. Trustees amended the policy in 2019, and agreed the charity should aim to maintain reserves sufficient to cover six months, costs, excluding costs of direct support lo beneficiaries". following a temporary increase to 12 months, costs during the covid pandemic, the permanent policy of six months, costs, excluding costs of direct support lo beneficiaries was re-instated September 2022. This will provide enough reserves to respond to any significant change in the external environment. The Charity will endeavour lo ensure that the reserves remain within the agreed range through., Creation of detailed budgets and plans lo estimate likely cash inflows and ouffiows over the budget year Careful monitoring of the reserves levels through the regular Finance and Risk Committee meetings and Trustee meetings. Al the year end the charity held unrestricted undesignaled funds of £356.788 which is the equivalent of be￿een 6-7 months costs, excluding costs of direct support lo beneficiaries. During the year the Iruslees designated funds of £325,000 for organisalional development and family accomodation. The charity also held restricted funds of £57,91012022 £1,991) see note 22 for more details. Investment policy and objectives The investment manager regularly meets Trustees lo assess portfolio performance, risk management, future market expectations and the long-term investment strategy. The portfolio was valued at £603,217, with income re￿iVed in the period £12,535. Trustees are satisfied with the level of return achieved during the Year. The actual income yield is 2.20A, with income and capital yield received being 7.2Q/o. Plans for future periods Future developments Overall, CHSF'S 5-year strategy continues to support the Leeds Congenital Heart Unit as a World Class centre of ex￿llenCe by carrying on with the funding of equipment, education and some stsff posts, along with many other areas of support. During 2024 the focus remains the four key areas.. The Heart, the Mind, the Family, and the Future. As this is the final year of the existing plan, the charity will be preparing its new long-temi plan in the Autumn. Page 7 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Trustees, Report for the Year Ended 31 December 2023 Structurei governance and management Nature of governing document The charity is registered as a charitable company limited by guarantee and constituted under the articles of association. The registered charity number is 1148359. Recruitment and appointment of trustees The Board of Trustees appoints trustees. Trustees hold office for five years, after which period they may put themselves forward for reappointment. Appointment review dales are slruclured to ensure continuity of experience and to allow for suwession planning. Induction and traiTning of trustees New Trustees are recruited lo ensure that colleelively the Board maintains a broad range of varied backgrounds, skills, and experien￿. We endeavour to provide our beneficiades, needs reflected by the Board's diversity in terms of the skills and inte￿SIS represented. Potential Trustees are briefed to ensure they understand the Charily's objectives, aclivilies, strategy and ethos. Key managementpersonnel remuneration Remuneration for Key Management Personnel is agreed at board level. Organisational structure The Trustees are required lo meet twice as a minimum in every calendar year but meet at least five times a year lo assess grant applications. review fvndraising activity and evaluate ongoing projects and discLJSS any other matters that may arise. Day-to-day management of the Charity is delegated to the Chief Executive. During the inter-regnum, trustees stepped up lo provide interim management for the team. An annual budget is prepared and approved by the Trustees at the b4inning of each year, incorporating the projected costs of agreed commitments under the equipment, research, training, management and family support headings. Page 8 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Trustees, Report for the Year Ended 31 December 2023 Risk management The Trustees have assessed the significant risks to which the Charity is exposed, those related to the operations and finances of the Charity and are satisfied that systems and procedures are in place lo miligale our exposure to the significant risks. The principle risks and uncertainties identified as facing the charity have been identified within the risk register along with plans and strategies for managing those risks.. Loss of key personnel or shortage of staff. Key personnel are contracted lo adequate noti￿ periods to facilitate adequate transitions. Investment is being made in team building and staff wellbeing. Poor HR practices. The services of an external HR advisory service are retained. . Grant approval over commitment. The grant-making pro￿$8 is lo be reviewed. CHSF does not meet beneficiaries, needs adequately. A workforce plan is lo be developed to grow the Family Support Service to meet need. This will be funded by investment in the fvjndraising team lo increase income. Factors that are likely to affect the financial performance or position going forward include cost of living pressures on donations and on running costs. The trustees monitor the position regularly via appropriate reports and forecasts, 8nd proportionate measures are taken. Reference and Administrative Details Charity Registration Number". Company Registration Number.. 1148359 08152970 The charity is incorporated in England and Wales. Suite D17, Joseph's Well Hanover Walk LEEDS LS3 1AB Registered Office.. Auditor". HPH S4 Boolham YORK Y030 7XZ Page 9 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Trustees, Report for the Year Ended 31 December 2023 Trustegs and officers The trustees and officers serving during the year and since the year end were as follows". Trustees.. J Oliver (resigned 19 October 20231 S J Robinson C A M Van Doorn C W Clewes W M Haigh P A Goodwin C L Daniels M J Fidler M Bissell A Conchie K J Brady Senior Management l Leadership H Watson, Chief executive officer (resigned 6 December 20231 Team.. K Hainsworth, Interim Chief Executive Officer lappoinled 22 January 20241 Statement of trustees. responsibilities The Iruslees Iwho are also the directors of Children's Heart Surgery Fund for the purposes of company lawl are responsible for preparing the trustees, report and the financial statements in accoidance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Praclicel, induding FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland The report and accounts have been prepared in accordance with the provisions in the Companies Act 2006 relating lo small companies. Company law requires the Iruslees to prepare financial statements for each financial year. Under company law the Iruslees must not approve the financial statements unless they are satisfied that they give a true and fair view of the stale of affairs of the charitable company and of the incoming reSoUr￿S and application of resources, including its income and expenditure, of the charitable company for that period. In preparing these financial statements, the trustees are required to.. select suitable accounting policies and apply them consislenuy, observe the methods and principles in the Charities SORP., make judgements and eslimales that are reasonable and prudent., state whether applicable accounting standards, comprising FRS 102 have been followed, subject to any material departures disclosed and explained in the financi81 stalemenls", and prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charitable company will continue in business. Page 10 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Trustees, Report for the Year Ended 31 December 2023 The trustees are responsible for keeping proper accounting records that can disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other ir￿guIar1ties. The Iruslees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company's website. Legislation governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions. Disclosure of infomiation to auditor Each trustee has taken steps that they ought to have taken as a trustee in order to make themselves aware of any relevant audit information and lo estsblish that the charity's auditor is aware of that information. The trustees confirm that there is no relevant information that they know of and of which they know the auditor is unaware. ReapF>ointment of auditor In accordance with section 485 of the Companies Act 2006, a resolution for the re-appointment of HPH as auditors of the charity is to be proposed at the forthcoming Annual General Meeting. Small companies provision statement This report has been prepared in accordan￿ with the small companies regime under the Companies Act 2006. The annual report was approved by the trustees of the charity on 9 May 2024 and signed on its behalf K J Brady Trustee Page 11 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Independent Auditor's Report to the Members of Children's Heart Surgery Fund Opinion We have audited the financial statements of Children's Heart Surgery Fund Ilhe 'charity'l for the year ended 31 December 2023, which comprise the Slalement of Financial Aclivilies, Balan￿ Sheet, Statement of Cash Flows, and Notes to the Financial Slatemenls, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is United Kingdom Accounting Standards, comprising Charities SORP FRS 102 'The Financial Reporting Standard applicable In the UK and Republic of Ireland. and applicable law (United Kingdom Generally Accepted Accounting Practicel. In our opinion the financial statements.. give a true and fair view of the slate of the charity's affairs as at 31 December 2023 and of its incoming reSoUr￿S and application of resources, including ils income and expenditure, for the year then ended., have been properly prepared in accordance with United Kingdom Generally Accepted Accounb'ng Practice,. and have been prepared in accordance with the ￿quirementS of the Companies Act 2006. Basis for opinion We conducted our audit in accordance with Intemalional Standards on Auditing IUKI IISAS IUKII and applicable law. Our responsibilities under those standards are further described in the auditor responsibilities for the audit of the finsncial statements section of our report. We are independent of the charity in accordance with the ethical requirements that are relevant to our audit of the financial ststemenls in the UK, including the FRC'S Ethical Standard, and the provisions available for small entities, in the circumstances set out in note lo the financial statements, and we have fulfilled our other ethical responsibilities in accordan￿ with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate lo provide a basis for our opinion. Conclusions relating to going concern In auditing the financial statements, we have concluded that the trustees use of the going concem basis of accounting in the preparation of the financial statements is appropriate. Based on the work we have performed, we have not identified any material Un￿rtaIntieS relating to events or conditions that, individually or collectively, may cast significant doubt on the charity's ability to continue as a going concern for a period of at least ￿e1ve months from when the original financial statements were aulhorised for issue. Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report. Other Infomiatlon The trustees are responsible for the other information. The other information comprises the information included in the annual report, other than the financial statements and our aLJdilor's report thereon. Our opinion on the financial statements does not cover the other information and, except lo the extent otherwise explicitly stated in our report, we do not express any form of assurance conciusion thereon. Page 12 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Independent Auditor's Report to the Members of Children's Heart Surgery Fund In connection with our audit of the financial slateTnents, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other informstion. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard. Opinion on other matter prescribed by the Companies Act 2006 In our opinion, based on the work undertaken in the course of the audit.. the Infomialion given in the Trustees, Report for the financial year for which the financial statements are prepared is consistent with the financial stalemenls., and the Trustees, Report has been prepared in accordan￿ with applicable legal requirements. Matters on which we are required to report by exception In the light of our knowledge and understanding of the charity and ils environment obtained in the course of the audit, we have not identified material misstalemenls in the Trustees, Report. We have nothing to report in respect of the following matters where the Companies Act 2006 requires us to report to you if, in our opinion.. adequate awounling records have not been kept, or returns adequate for our audit have not been received from branches not visited by us,. or the financial statements are not in agreement with the accounting records and returns., or certain disclosures of Iruslees remuneration specified by law are not made., or we have not received all the infotmalion 8nd explanations we ￿qUIre for our audit. Responsibilities of trustees As explained more fully In the Statement of trustees, responsibilities Isel out on page 10 and 111, the trustees are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such inlemal control as the Iruslees determine is necessary lo enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. In preparing the financial stslemenls, the trustees are responsible for assessing the charity's ability lo continue as a going concern, disclosing, as applicable, matters ￿lated to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charity or to cease operations, or have no realistic alternative bul to do so. Auditor responsibilities for the audit of the financial statements Our objectives are to obtsin reasonable assurance about whether the financial statements as a whole are free from material misslatemenl, whether due to fraud or error, and lo issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAS IUKI will always detect a material misstatement when il exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected lo influence the economic decisions of users taken on the basis of these financial slatemenls. Page 13 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Independent Auditor's Report to the Members of Children's Heart Surgery Fund The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below". We obtained an understanding of the legal and regulatory frameworks within which the company operates, focusing on those laws and regulations that have a direct effect on the determination of material amounts and disclosures in the financial slatemenls. The laws and regulations we considered in this context were the Companies Act 2006 together with the Charities SORP {FRS1021. We assessed the required compliance with these laws and regulations as part of our audit procedures on the related financial statement items. In addition, we considered provisions of other laws and regulations that do not have a direct effect on the financial statements bLJt Complian￿ with which might be fundamental to the charitable ompanys ability to operate or to avoid a material penalty. The laws and regulations we onsidered in this context were Health and Safety legislation, Employment legislation, Charity Commission regulations and General Data Protection Regulation IGDPRI. Auditing standards limit the required audit procedures lo identify non-compliance with these laws and regulations lo enquiry of the Trustees and other management and inspection of regulatory and legal correspondence, if any. We also considered the opportunities and Incentives that may exist within the charitable company for fraud. We identified the greatest risk of material impact on the financial ststemenls from irregularities, including fraud, to be the override of controls by management and income recognition. In response lo the risk of irregularities and non-complian￿ with laws and regulations and risk of fraud, we designed procedures which included bul were not limited to.. sample testing on the posting of journals, timing of recognition of income, review of trustee's minutes and any Corresponden￿ with regulators. Owing lo the inherent limitations of an audit, there is an unavoidable risk that we may not have detected some material misstalemenls in the financial statements, even though we have properly planned and perfomied our audit in accordance with auditing standards. We are not responsible for preventing non-compliance and cannot be expected to detect non-compliance with all laws and regulations. These inherent limitations are particularly significant in the case of misststemenl resulting from fraud as this may involve sophislicaled schemes designed to avoid detection, including deliberate failure lo record transactions, collusion, or the provision of intentional MIS￿p￿sen￿lIOns. We are not responsible for preventing fraud and cannot be expected to delecl all fraud. Use of our report This report is made solely lo the charitable company's Iruslees, as a body, in accordan￿ with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might slate to the charity's trustees those Matters we are required to slate to them in an auditor's report and for no other purpose. To the fullest exlenl permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and its Iruslees as a body, for our audit work, for this report, or for the opinions we have formed. Page 14 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Independent Auditor's Report to the Members of Children's Heart Surgery Fund Sarah Wearing, FCA, DChA (Senior Statutory Auditor) For and on behalf of HPH, Statutory Auditor 54 Bootham YORK Y030 7XZ 9 May 2024 Page 15 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Statement of Financial Activities for the Year Ended 31 December 2023 Ilncluding Income and Expenditure Account and Ststement of Totsl Recognised Gains and Losses) Unrestricted funds Restricted funds Total 2023 Total 2022 Note Income and Endowments from: Donations and legacies Other trading activities Investment income 877,819 131,365 12,535 302,459 1,180,278 131,365 12,535 678,199 161,697 10,656 Total income 1,021,719 302,459 1,324,178 850,552 Expenditure on: Raising funds Charitable activities 1361,6911 445,020 1361,6911 691,560 1344,0601 737,399 246,540 Total expenditure Gainsllosses on investment assets 1806,7111 1246,5401 11,053,2511 11,081,459) 32,946 32,946 67,8291 Net incomellexpenditurel 247,954 55,919 303,873 298,736 Net movement in funds 247,954 55,919 303,873 1298,7361 Reconciliation of funds Total funds brought forward 433,834 1,991 435,825 734,561 Total funds carried forward 22 681,788 57,910 739,698 435,825 All of the charity's activities derive from continuing operations during the above periods. The funds breakdown for 2022 is shown in note 22. The notes on pages 19 to 35 form an inlegfftl part of these financial statements. Page 16 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund (Registration number: 08152970) Balance Sheet as at 31 December 2023 2023 2022 Note Flxed assets Intangible assets Tangible assets Investments 13 14 124 12,195 603,217 168 20,666 664,246 615,538 685,080 Current assots Stocks Debtors Cash at bank and in hand 16 17 14,540 263,017 222,827 500,384 16,849 31,616 170,615 219,080 Creditors: Amounts falling duo Within one year 18 376,222 468,335 Net current assetsllliabilitiesl 124,162 249,255 Net assets 739,698 435,825 Funds ofthe charity- Restricted funds Designated Funds General Funds 57,910 325,000 356,788 1,991 433,834 Total unrestricted funds 681,788 433,834 Total funds 22 739,698 435,825 These financial statements have been prepared in accordan￿ with the special provisions relating lo companies subject lo the small companies regime within Part 15 of the Companies Act 2006. The financial statements on pages 16 to 35 were approved by the Iruslees, and authorised for issue on 9 May 2024 and signed on their behalf by.. ntsttQLW f,l(LY M J Fidler Trustee K J Brady Trustee The notes on pages 19 to 35 form an inlegfftl part of these financial statements. Page 17 DoGuSign Envelope ID". 6941W013-EDC14500-80AfkA060A4A00926 Children's Heart Surgery Fund Statement of Cash Flows for the Year Ended 31 December 2023 2023 2022 Note Cash flows from operatlng actlvltles Net cash incomellexpendilurel 303,873 1298,7361 Adjustments to cash flov￿ from non