2024-03-31-accounts

hoalthwètch Shropshire Healthwatch Shropshire (A company limited by guarantee) Report and Financial Statements For the Year Ended 31st March 2024 Charity number 1151343 Company number 08415314

hoalthwètch Shropshire A comrKJny limited by guoranlee Contents Page 3 Reference and administrative information 5 Trustee's Report for the year ended 31 St March 2024 Chair's statement Our aims and objectives Achievements and performance 13 Independent Health Complaints Advocacy Service 14 Financial review 15 Plans for next year 15 structure, governance and management 18 Responsibilities of Board members 21 Statement of Financial Activities 22 Statement of Financial Position 23 Notes to the Financial Statements

hoalthwètch Shropshire A company limited by guoronlee Reference and administrative information Charity name: Charity registration number: Company registration number: Registered Office and operational address: Healthwatch Shropshire 1151343 08415314 4 The Creative Quarter Shrewsbury Business Park Shrewsbury Shropshire SY2 6LG Board of Trustees Vanessa Barrett. Chair Richard Amos David Crone {from 26th February 20241 Michael Terrence Harte. Deputy Chair Ito 20th September 2023) Mark Lacey (to 20th November 20231 steve Price Daphne Simmons (from 20th November 2023) Frederick David Voysey Denise Walker (to 20th November 2023) Robert Douglas Welch Anne Wignall staff Team Chief Officer Lynn Cawley Brian Rapson Alli Sangster-wall Information Officer Enter & View Officer and Health Complaints Advocacy Coordinator Administrative Officer fto 315t January 2024) Patricia Mclnnes (to l Olh Apn'l 2023J ffrom 17Jh July 2023 to 14th December 2023J (from 18th July 2023) (to 71h September 2023J (Fixed term contract from I I Ih January 2024J Community Engagement Officer Rachel Cox Community Engagement Officer Communication and Involvement Officer Hannah Davies Elizabeth Florendine Insight and Involvement Officer Kate Hollins-white

healthwètch Shropshire A comFyJny limited by guaionlee Independent Examiner Hollies Bookkeeping Services Ltd Bennett's Business Centre Main Road Pontesbury SY5 ORR Bankers Natwest London EC3P 3HX Contact details Telephone: [phone] Email: [e-mail] Website: www.healthwatchshropshire.co.uk Twitter: @Hwshropshire Facebook: http://www.facebook.com/HealthwatchShropshire Instagram: https://www.instagram.com/healthwatchshropshire/

healthwètch Shropshire A compony limited by guoronlee Healthwatch Shropshire Report of the Board for the year ended 31 st March 2024 The Board of Trustees presents its report and audited financial statements for the year ended 31 sl March 2024. Chair's statement for the year ended 31 st March 2024 "Building on our successful bid to continue to offer Healthwotch services to the people of Shropshire for another three years, we have undertaken a number of new initiatives to enable us to continue to listen to what those people are telling us. We seek to act as a 'critical friend, to our local service providers. so they know what people are telling us. often including detail which they don't learn from their own feedback processes. This year we celebrated l O years of Healthwatch Shropshire. It is important to keep our board relevant and refreshed, so l am delighted to welcome three new Trustees to our board this year. Their very varied life experience5, and interest in the people of Shropshire and their health and social care needs. offer great scope for Healthwatch Shropshire to develop further. As well as Healthwatch services. Healthwotch Shropshire has for the last eight years offered support to people who are unsure about how to complain about the healthcare services they have received. This is the Independent Health Complaints Advocacy Service. Com laints Advocac Service Healthwatch Shro shire. Drawing on what we have learnt over the years we invited feedback, both on our service and people's experiences in making complaints more generally, which 15 referenced on poge l O. Our findings were shared with local service providers. who did not always understand the difficulties local people experienced when raising concerns and complaints. NHS Shropshire Telford & Wrekin invited our Chief Off icer to lead an important group to look at the quality of services and patients, experiences involving people with 'lived experience, as both users of services and their carers." Vanes50 Barrett {Chair of Healthwatch Shropshire "Over the last year, local Healthwatch have Shown what happens when people speak up about their care, and services listen. They are helping the NHS unlock the power of people's views and experiences. especially those facing the most serious health inequalities. Louise Ansari. Chief Executive at Healthwatch England

hoalthwètch Shropshire A comrKJny fimiled by guorontee Our aims and objectives Introduction The Health and Social Care Act 2012 established Healthwatch as the independent consumer champion for health and social care in England, with a local Healthwatch in every Local Authority area in England. Our role is to ensure that local decision makers and health and care services put the experiences of people at the heart of their work. Everything we say and do 15 informed by our connection to local people. Our sole focus is on understanding the needs, experiences and concern5 of people of all ages and backgrounds who use health and social care services and to speak out on their behalf. From I st April 2016, Healthwatch Shropshire IHWSI has also held the contract for the Independent Health Complaints Advocacy Service {IHCAS) for people who receive NHS services in Shropshire and for Shropshire residents who receive NHS services outside the county. Purpose and aims The purposes of Healthwatch Shropshire are set out in the Articles of Association: To provide information and advice to the general public about local health and social care services To make the views and experiences of members of the general public known to health and social care providers To enable local people to have a voice in the development, delivery and equality of access to local health and care services and facilities, and To provide training and the development of skills for volunteers and the wider community in understanding. scrutinising, reviewing and monitoring local health and care services and facilities. Based on the Articles and guidance from Healthwatch England {HWE), Healthwatch Shropshire IHWSI has determined its own purpose: To be the recognised independent voice of the people of Shropshire in seeking lo improve thelr experience of Heatth and Social Care services.

hoalthwètch Shropshire A comrKJny limited by guarantee Achievements and performance Review of activities The following section highlights the achievements of Healthwatch Shropshire in 202& 24 against the statutory activities for local Healthwatch. The elght slatulory activlties of Healthwalch Shropshlre are: Promoting and supporting the involvement of local people in commissioning, provision and scrutiny of local care services Enabling local people to monitor the standard of provision of local care services and whether and how local care setvices could and ought to be improved Obtaining the views of local people regarding their need for, and experiences of, local care services and importantly to make these views known Making reports and recommendations about how local care services could or ought to be improved. These should be directed to commissioners and providers of care services and people responsible for managing or scrutinising local care services and shared with Healthwatch England. Providing advice and information about access to local care services so choice can be made about local care services. Formulating views on the standard of provision and whether and how the local care services could and ought to be improved," and sharing these views with Healthwatch England. Making recommendations to Healthwatch England to advise the Care Quolity Commission to conduct special reviews or investigations lor, where the circumstances justify doing so. making such recommendations direct to the CQC); and to make recommendations to Healthwatch England to publish reports about issues. Providing Healthwatch England with the intelligence and insight it needs to enable it to perform effectively. When agreeing our priorities each year and identifying relevant projects the Board of Trustees for Healthwatch Shropshire demonstrates due regard for the Charity Commission's public benefit guidance and ensures our activities centre on the views and experiences of the people of Shropshire of health and social care services. These views are then shared directly with providers and commissioners. or included in our public reports. with the aim of them being used to influence and inform service design and improvement.

hoalthwètch Shtopshire A compony limited L)y gvoronlee At Healthwatch it can be difficult to show the impact that we make within one financial year as, quite often. the difference that we make does not happen straight away but over a period of time. For a more detailed report on our activities and impact in 202>24 please see our Annual Report for Healthwatch England. htt www.healthwatchshro shire.co.uk re healthwatch-shro shire-annual-re ort-202>24 ort 2024-07-16 value-listenin On page 13 we report on our additional activity under the Independent Health Complaints Advocacy Service for 202>24. Our year in revlew Reachlng outr. 1 ,084 people shared their experiences of health and social care services with us, helping to raise awareness of issues and improve care. 2,499 people came to us for clear advice and information about topics such as finding an NHS dentist, 1378 people. and help getting to hospital, 284 people. Maklng a difference to care: We published 13 reports about the improvements people would like to see in health and social care services. Our most popular report was 'Diabetes Care and Support, which highlighted the issues people face accessing the care processes recommended by Diabete5 UK. Ensuring the voice of Shropshire residents is heard at a wider level We collaborate with other organisations to ensure the experiences of people in Shropshire influence decisions made about services at Shropshire. Telford and Wrekin Integrated Care System IICS) level. This year we've worked with organisations across health, social care and the voluntary and community sector to make sure what people tell us is listened to. Examples of our work: l. Holdlng servlce5 lo accounl. This year we have been invited to present all of our reports to the Shropshire. Health and Wellbeing Board. This is a public meeting which is co-chaired by the Chief Executive Officer of NHS Shropshire, Telford & Wrekin and the Council member who is portfolio holder for Adult Social Care, Public Health and Communities. This meeting is attended by senior leaders and decision makers for NHS Trusts. Shropshire Council, Public Health and the VCSE and enables us to follow-up on our recommendations and outcomes.

healthwètch Shropshire A compjny fimiled by guorontee 2. Influenclng. We have a seat at the table at key meetings across health and social care where we can highlight what you tell us about services, the importance of listening to you when evaluating services and looking at impact and the need to prioritise outcomes for people when designing and transforming services. For example. we continue to be involved with the Hospital Transformation Programmes and most recently the Local Care Transformation Programme. 3. Involvlng. Despite the increasing need for volunteers across health and social care we continue to attract people who want to be involved in our work as Enter & View Authorised Representatives, Engagement Volunteers to help us to reach out to communities across Shropshire, and TnJstees of the Board who help ensure we are fulfilling our duties ond statutory functions. We encourage our volunteers and members of the public to get involved in meetings and focus groups to share their views and experiences of services. 4. Communlcallng. Healthwatch Shropshire is a member of the Integrated Care System Communication and Engagement Group, working with partners to promote and share information and engage with people across Shropshire. Social media is one of the best tools we have to communicate with large parts of the population, including working people. This year we have seen a 14% increase in followers on Facebook and use of our website to access information continues to grow with over 21.C(Q hits this year. Sample reports and impact: 'Diabetes Care and Support- A report Inlo people's experlences of dlabetes care and support In Shropshlre, (publlshed October 2023) https://www.healthwatchshropshire.co.uk/report12023-10-30/diabetes-care-and- support Diabetes UK identified Shropshire as the area having the lowest proportion of diabetes patients receiving the recommended care processes in the country. The local NHS were aware of the problem and are working to improve things and we wanted to ensure that the voice of the patient and their suggestions for improvements were at the centre of developments. Over 2C() people got in touch with us. We were told that a significant number of patients were not receiving Diabetes UK 'Care Essentials,, for example 23% were not receiving glucose tests or eye screening. How was the report used? NHS Shropshire Telford & Wrekin told us that the results of our survey would help 'inform how we best design new pathways, with those people with both Type l and Type 2 diabetes at the heart of our work,.

healthwètch Shropshire A comwny limited by guoronlee Public Health Shropshire told us: 'We will work with Healthwatch to ensure that this report and its recommendations is received by the Health and Wellbeing Board in Shropshire. and that this Board takes ownership of monitoring actions that ore agreed. Adding that the feedback about the lifestyle support needed will 'be used to inform the further development of preventative offers through Primary Care Networks and the Healthy Lives Social Prescribing Service, and action plan of the Healthier Weight strategy,. 'NHS and Soclal Care Complalnts - a report Into people's experlences of maklng formal complalnts aboul NHS and social care services. (pvblished October 2023) https://www.healthwatchshropshire.co.uk/report1202>11>181nhs-and-social-care- complaints-report In addition to delivering local Healthwatch Services. Healthwatch Shropshire has been providing the Independent Health Complaints Advocacy SeTvice {IHCAS) for Shropshire residents and people using NHS services in Shropshire since 2016. This means we often hear directly about people's experiences of making a complaint about health and social care services. Some people have described the process as being confusing and disappointing. sometimes resulting in people deciding not to complain at all. As well as sharing the views of the 78 people who shared their experiences with us we also wanted to highlight the NHS Complaints Standards Framework published in 2022 to let the public know what they should expect when making a complaint let organisations across the Shropshire, Telford & Wrekin Integrated Care System know the role they can play in making the process easier for the public and the importance of a consistent and more joined up approach to complaints handling across services "I never had a person who was my point of contact to tell me what they were doing for me.. The whole process felt like a battle just to speak to someone at PALS. It's a flawed system in my experience., {Member of the publicl Our report and recommendations were presented to and discussed at the Shropshire Health and Wellbeing Board where all providers are represented. From the minutes: 'It was felt that the idea of using a person-centred approach had not previously been considered in relation to complaints but that it may help the public in the way they view. use and consider health services. It was felt that the complaints process was not always the right thing for the public whereas more investment in bereavement and psychological support would also assist., It was 'agreed to take foward the link be￿een bereavement provision and complaints., 10

hoalthwètch Shropshire A comrKJny fimiled by guorontee Healthwatch Shropshire continues to use this report to evidence the need for a more joined up and coordinated approach to managing and simplifying the process of making a formal complaint across Shropshire. Telford & Wrekin Integrated Care System. Hearing from our communities Over the past year, we have worked hard to make sure we hear from everyone within our local area. We consider it important to reach out to the communities we hear from less frequently to gather their feedback and make sure their voice is heard. and seNices meet their needs. This year we have reached different communities by: Going to speak to people face-to-face. either in the community or at the point of receiving services Expanding our use of social media to engage on a range of issues, promote local activities and raise awareness le.g. local and national campaigns) Supporting Public Health to develop the Shropshire's Joint strategic Needs Assessment of the current and future health and wellbeing needs of the local population. Advice and information For example, this year we've helped people by.. Providing up-to-date information people can trust Helping people access the services they need by signposting. e.g. NHS dentistry "I took up your suggestion and contacted the Dental Practice in Bridgnorth. They responded very promptly: my daughter and I have appointments there next weekl (Member of the publicl "Thank you so much for your help. I have successfully registered today for NHS treatment with the Dentist YOU suggested.. (Member of the public) Supporting people to access the Independent Health Complaints Advocacy Service we provide or signposting to their local service. li

hoalthwètch Shropshire A compony limited by guoranlee Volunteering and Enter and View In 202>24 we were supported by 20 volunteers and Board members who gave up102 days to make care better for our community. Thanks to their efforts in the community, we're able to understand what is working and what needs improving. Thls year our volunteers: Completed eight Enter & View visits {e.g. care homes. hospital wardsl and made 23 recommendations Visited communities to promote their local Healthwatch and what we have to offer Collected experiences and supported their communities to share their views Helped us to plan and cary out Enter and View visits to local services to help them improve Represented us a meetings and events across the Shropshire, Telford & Wrekin Integrated Care System Attended volunteer meetings and shared their views and suggestions on our work and future activities Completed internal and external training to support them in their role The way we work Involvement of volunteers and lay people In our govemance and declslon-maklng Our Healthwatch Board consists of eight members (we can have up to 121 who work on a voluntary basis to provide direction, oversight and scrutiny of our activities. They meet in public and ensure that decisions about priority areas of work reflect the concerns and interests of our diverse local community by drawing on information from the four sub-committees IBusiness. Intelligence. Enter & View and Engagement and Marketingl. All of our volunteers have the option to join one or more of the committees and apply to be a member of the Board. Throughout 2023/24 the Board met four times and made decisions on matters such as our work programme and budget. It also has an important role in monitoring our performance. Melhods and systems used across the year lo obtaln people's experfences We use a wide range of approaches to ensure that as many people as possible have the opportunity to provide us with insight about their experience of using services. We are available by phone four-days a week and people can email us, use the webform on our website and direct message us through social media. We continue to promote our Freepost address. We ensure that the annual report is made available to as many members of the public and partner organisations as possible. We will publish it on our website and share it with people signed up to receive our newsletter and via social media. 12

healthwètch Shropshire A comwny limited by guoianlee Responses to recommendations All providers delivering services in Shropshire responded to our requests for information or recommendations and these were added to our reports under the section Service Provider / Commissioner Response. There were no issues or recommendations escalated by us to the Healthwatch England Committee. Taklng people's experfences lo declslon makers We ensure that people who can make decisions about services hear about the insight and experiences that have been shared with us. In our local authority area for example we take information. reports and presentations to the Shropshire Health and Wellbeing Board IHWBBI. Shropshire Health and Adult Sociol Care Scrutiny Committee of Shropshire Council and the Joint Health Overview Scrutiny Committee attended by elected members of Shropshire and Telford and Wrekin Councils. We have an open invitation to take all of our reports to the Shropshire HWBB and Shropshire Integrated Place Partnership Board IShlPPI of the Integrated Care System IICSJ, as well as the ICS Quality and Performance Committee attended by all provider organisations across health and social care. Independent Health Complaints Advocacy Service (IHCAS) Healthwatch Shropshire provided the Independent Health Complaints Advocacy Service IIHCASI for Shropshire residents and those using Shropshire NHS services. 2023-24 saw a reduction in the number of people contact is for guidance and support with making their complaint12022-23 122 people. 2023-24 97 people. We provided l O people with an Advocate. helping them to put their complaints in writing, supporting them to feel heard in complaints meetings, and chasing up responses on their behalf. 13

hoalthwètch Shropshire A comtx]ny fimiled by guarantee Financial review a. Principal funding sources Healthwatch Shropshire receives grant funding to deliver Healthwatch functions 1£144.192) and the Independent Health Complaints Advocacy Service {£17,808) from Shropshire Council. Due to widespread cuts in Healthwatch budgets nationally and the 25% cut in the Healthwatch Shropshire budget when we were recommissioned in 2018 there is a need for us to seek additional funding. including from the Local Authority. Shropshire, Telford & Wrekin Integrated Care Board and Healthwatch England. This year there was no additional funding available to us. b. Reserves policy It is good policy for a charity to hold a contingency reserve to protect the charity from disruption to its charitable work and from insolvency. The Board has determined that it will aim to hold 3 months core operating costs as a free reserve. The reseNe policy is monitored and reviewed annually as part of the budget setting process and when a significant event may trigger the need for a review. At 31 st March 2024 the total free reserve of Healthwatch Shropshire was £66,146 (2022-23 was £61,980. 2021-22 was £88.084). After making appropriate enquiries, the Board Members have a reasonable expectation that the company has adequate resources to continue in operational existence for the foreseeable future. For this reason they continue to adopt the going concern basis in preparing the financial statements. Further details regarding the adoption of the going concern basis can be found in the Accounting Policies. c. Principal risks facing the charity In December 2022 we were notified that our tender to continue providing both Healthwatch and IHCAS services for the next three years was successful. The new contract Istarting April 2023) offers only the same income as for the previous five years. With the anticipated increases in the cost of living and staff salaries, the Board decided on a range of back office economies that would be expected to enable HWS to have adequate resources to maintain its range of services, and sufficient reserves. 14

healthwètch Shropshire A CCKllF)ony limited by guorontee Plans for next year Over the next year, we will keep reaching out to every part of society, especially people in the most deprived areas, so that those in power hear their views and experiences. We will also work together with partners and our local Integrated Care System to help develop an NHS and social care culture where. at every level. staff strive to listen and learn from patients to make care better. Top three priorities for 2024-25 l . Inequalilies and their impact on access to services, experience and outcomes (including rural inequality) 2. Carers and social care 3. 111 health prevention and raising cjwareness of conditions, and the range of help and support available structure, Governance and Management . Constitution Healthwatch Shropshire {HWS) is a charitable company limited by guarantee and was set up and is governed by its Articles of Association, which established the objects and powers of the charitable company. Its registered charity number is l 151343 and its company number is 08415314. Members of the charitable company are required to contribute an amount not exceeding £1 to the assets of the charitable company in the event of its winding up. The Board Members are the trustees of the chority and directors of the company and have no beneficial interest in the charitable company. b. Method of appointment or election of Board Members Board Members. who are volunteers. are recruited with appropriate acknowledgement for the need for diversity in membership, from the people of Shropshire in an open and transparent process. Vacancies are advertised as widely as possible. All candidates for Board Membership are: Sent a Board Recruitment Pack or sent the link to access it through our website and complete their application online. Invited to speak to the Chief Officer and/or Chair of the Board prior to interview. This is to ensure that any new Board Members fully understand the 15

healthwètch Shropshire A company limited by guaianlee responsibilities that are being taken on and have an insight into the work of Healthwatch Shropshire IHWS). Invited lo a formal interview with the Chair or Vice Chair of the Board. another Board member and the Chief Off icer. Invited to attend a Board meeting as an observer to gain further insight. Board Members are elected for a period of three years. All potential candidates to become Board Members must: live in Shropshire, OR work forlrepresent a voluntary or community group in Shropshire. OR be registered with a GP Practice in Shropshire. I'BY 'Shropshire' we mean the area covered by Shropshire Council) c. Policies adopted for the induction and tralnlng of Board Members New Board Members are: Invited to spend some time with the staff team and the Chair and are given key documents about HWS. e.g. policies. Asked about their induction and training needs and can attend training provided through the Healthwatch Ne￿Ork and Shropshire Council's Joint Training. Board members are encouraged to go out with Community Engagement and other officers to leam at first hand about the work we do. Board Members have adopted a process of appraisal of individual Board Members on an annual basis and regularly review the structure and effectivene55 of the Board and its Committees. d. Organisational structure and decision making The governance of the charity is the responsibility of the Board Members. They are lay people and volunteers who are elected and co-opted under the terms of the Articles of Association. The maximum number of Board Members is 12. At the end of the year in March 2024 the Board comprised eight members. All members have equal voting rights. A Decision-making policy is available through the website, www.healthwatchshro shire.co.uk The relevant decisions are included in Board meeting minutes and published on the web site. There are four hybrid Board meetings in public during the year. Any members of the public who wanted to observe these meetings were asked to contact Healthwatch Shropshire to request the MS Teams link due to the limited space in our meeting room. There are four Committees of the Board, each with its own Terms of Reference, to which the Board has delegated some of its responsibilities to enable the business of HWS to be delivered in a timely manner but the Board remains accountable. The Committees are: 16

healthw tch Shropshire A compony liniled by guoronlee Business Enter & View Intelligence Engagement and Marketing Board Members are required to complete a 'Declaration of Interest, form and declare any conflicts of interest at the beginning of Board and Sub-committee meetings. The staff complement at the end of the year was four (3 WTE), a reduction from seven {4.7 WTEI for 2022-23. The Chief Officer is responsible for: Ensuring that the charity delivers the services specified in the contract with Shropshire Council and that key performance indicators are met The day-to-day operational management of the charity, supervision of the staff team and encouraging and supporting staff to continue to develop their skills and working practices in line with good practice lincluding responding to requests for training within budget constraintsl. At year end Healthwatch Shropshire {HWS) had a team of 20 volunteers (including Board Members) to support its work programme. The volunteer roles are: Enter & View Authorised Representative (131- conduct and report on Enter & View visits Engagement Volunteers13) - help to raise awareness of HWS in their communities throughout Shropshire including representing HWS at information stands at locations across the county Volunteers are invited to join Committees of the Board and encouraged to consider what skills and insight they could bring if they joined the Board. There are many people of Shropshire who are interested in the work of Healthwatch Shropshire IHWSI and appreciate receiving our newsletters and social media posts but do not wish to be actively involved as volunteers. At the end of March 2024 477 people and organisations were signed up to receive our email newsletter and 3.833 followed us on our various social media platforms. e. Risk management Healthwatch Shropshire has a Risk Management Matrix to enable it to identify and manage effectively the external risks faced by the charity. Annual reviews take place involving Board Members and staff and the Matrix is updated for Business Committee and Board meetings when necessary. 17

hoalthwètch Shropshire A comrKJny limited by guoranlee f. Related parties In so far as it is complementary to the organisation's objectives, Healthwatch Shropshire is guided by local and national priorities. We continue to base our priorities on those of: Healthwatch England Shropshire's Health and Wellbeing Board Shropshire Council and Public Health NHS Shropshire, Telford & Wrekin Shropshire. Telford & Wrekin Integrated Care System {ICSI. This ensures that the comments we receive from the public and the reports we publish can have a direct impact on the improvement work being undertaken across the ICS. g. Healthwatch Trademark Llcence Agreement We can confirm that Healthwatch Shropshire has signed and returned to Healthwatch England the Healthwatch Trademark agreement (which covers the logo and the Healthwatch brand) and that we are using this trademark when undertaking work on our statutory Activities as covered by the licence agreement. Responsibilities of the Board of Trustees Company law requires the Board of Trustees to prepare financial statements for each financial year which give a true and fair view of the state of the affairs of the charitable company as at the balance sheet date and of its incoming resources and application of resources. including income and expenditure, for the financial year. The Board of Trustees is responsible for maintaining proper accounting records which disclose with reasonable accuracy at any time the financial position of the charitable company and to enable them to ensure that the financial statements comply with the Companies Act 1985. Board of Trustees is also responsible for safeguarding the assets of the charitoble company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. Independent Examiners The Hollies Bookkeeping Services were appointed during the year as Independent Examiners for Healthwatch Shropshire. The Board of Trustees confirm that the annual report and financial statements of the company comply with the current statutory requirements. the requirements of the company's governing document and the provisions of the Statement of Recommended Practice {SORP), applicable to charities preparing their accounts in 18

healthwètch Shtopshire A cc4npany limited by guaronlee accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 102) (effective I st January 20151 as amended by Updated Bulletin l {effective l st January 2015). Since the charitable company qualifies as small under section 383. the strategic report required of medium and large companies under The Companies Act 2Crf)6 (strategic Report and Directors Report) Regulations 2013 is not required. Declarations The Board of Trustees declare that they have approved the report above. Signed on behalf of the Board Signaturels) xJEA*. Full name{s) Position Date Vanessa Barrett Chair 19th December 2024 19

HE HOLLIES KEEPING SERVICES B￿kkeePIng . Accounting . Payroll . VAT Inde endent Examinerfs Re For the ort to the Trustees of Healthwatch Shro ear ended 31st March 2024 shire I report on the accounts for the year ended 31" March 2024 which are set out on the following pages. Respertive responsibilities of the Trustees and Independent Examiner The charivs trustees are responsible forthe preparation of the accounts. The chariws trustees consider that an audit is not required for this year under Section 144 of the Charities Act 2011 (the Charitie5 Act) that an independent examination is needed. It is my responsibility to examine the accounts under section 145 of the Charities Act to follow the procedures laid down in the General Directions given by the Charity Comrni55ion (under section 14515){b) of the Charities Act, and to state whether particular matters have come to my attention. Basls of Independent Examlnerfs Statement My examination was carried out in accordance with the General D1￿ctionS given by the Charity Commission. An examination includes a review of the accounting records kept by the charity and a comparison of the accounts presented with those records. It also includes consideration of any unusual items or disclosures in the accounts and seeking explanations from the trustees concerning any such matters. The procedures undertaken do not provide all the evidence that would be required in an audit, and consequently no opinion is given as to whether the accounts present a "true and fairf, view and the report is limited to those Matters set out in the statement below. Independent Examinerfs 5taternent In connection with my examination, no material matters have come to my attention, other than that disclosed on the following page, which gives me cause to believe that in any material respect: accounting records were not kept in accordance with section 130 of the Charities Act or the accounts do not accord with the accounting records I have come across no other matters in connection with the examination to which attention should be drawn in order to enable a proper understanding of the accounts to be reached. Julie Williams MIC8 PM.Dip th 17 December 2024 01743 790086 e.. [e-mail] t www.holliesbookkeeping.co.uk Suite 6 . Bennetts Business Centre The Old Bakery Main Road . Pontesbury , Shropshire SY5 ORR 24 VATR N..2

healthwètch Shropshire A company limiled by guarantee HEALTHWATCH SHROPSHIRE STATEMENT OF FINANCIALACTIVITIES FOR THE YEAR ENDED 31 MARCH 2024 Unrestricted Funds Restricted Funds 2024 Total Funds 2023 Total Funds INCOMEAND ENDOWMENTS from Charitable Activities General Funds Notes 162.000 162.000 165,679 EXPENDITURE ON Charitable Activities General funds 157 834 157834 194 993 NET INCOME I EXPENDITURE 5.260 5,260 (29,314) RECONCILIATION OF FUNDS Total funds brought forward TOTAL FUNDS CARRIED FORWARD CONTINUING OPERATIONS All income and expenditure has arisen frorn continuirb3 activities. 21

healthwètch Shropshire A comr)ony fimiled by guoronlee HEALTHWATCH SHROPSHIRE REGISTERED NUMBER: 08415314 STATEMENT OF FINANCIAL POSITION 31ST MARCH 2024 2024 2023 CURRENT ASSETS Debtors and prepayments Cash at bank and in hand Notes 2,057 16,318 76.338 74,418 CURRENT LIABILITIES CREDITORS Amounts falling due within one year NET CURRENT ASSETS TOTAL ASSETS LESS CURRENT LIABILITIES 67 240 61980 NET ASSETS FUNDS Unrestricted Funds Restricted Funds TOTAL FUNDS 11 The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 * March 2024. The members have not required the company to obtain an audit of its financial statements for the year ended 31 St March 2024 in accordance with Section 476 of the Companies Act 2006. The Trustees acknowledge their responsibilities for {a) ensuring that the charitable company keeps accounting records that comply with Sections 386 and 387 of the Companies Act 2006 and (b) preparing financial statements which give a true and fair view of the stste of affairs of the charitable company as at the end of each financial year and of its surplus or deficit for each financial year in accordan￿ with the requirements of Sections 394 and 395 and which otherwise comply with the requirements of the Companies Act 2006 relating to financial statements. so far as applicable to the charitable company. These financial statements have been prepared in accordance with the provisions applicable to charitable companies subject to the small companies regime. The financial statements were approved by the Board of Trustees and authorised for issue on 14 November 2024 and were signed on tts behaff by: Ms V J Barrett - Trustee 22

healthwètch Shropshire A company limiled by guoranlee HEALTHWATCH SHROPSHIRE NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31ST MARCH 2024 1. ACCOUNTING POLICIES Basis of preparlng the financial statements The financial statements of the charitable company, which is a public benefit entity under FRS 102, have been prepared with the Charities SORP (FRS 102) 'Accounling and Reporting by Charities.. Statement of Recommended Practice applicable to charities preparing their accounts in accordan￿ with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1st January 2019),. Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland. and the Companies Act 2006. The financial statements have been prepared under the historical cost convention. Financial Reportlng Standard 102- reduced disclosure exemptions The charitsble company has taken advantage of the following disclosure exemptions in preparing these financial statements. as permitted by FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland.., the requirements of Section 7 Statement of Cash Flows; the requirement of paragraph 3.17(d)- the requirements of paragraphs 11.42, 11.44. 11.45. 11.47. 11.48(a){iii), 11.48{a)(iv}. 11 .48(b) and 11.48(c)', the requirements of paragraphs 12.26. 12.27. 12.29(a), 12.29(b) and 12.29A., the requirement of paragraph 33.7. Income l income is recognised in the Statement of Financial Activities once the charity has entitlement to the funds. it is probable that the income will be received and the amount can be measured reliably. Expenditure Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the charity to that expenditure. it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is accounted for on an accruals basis and has been dassffied under headings that aggregate all cost related to the category. Where costs cannot be directly attributed to particular headings they have been allocated to activities on a basis consistent with the use of resources. Taxatlon The charity is exempt from corporation tax on its charitable activities. Fund accounting Unrestricted funds can be used in accordance with the charitable objectives at the discretion of the trustees. Restricted funds can only be used for particular restricted purposes within the objects of the charity. Restrictions arise when specified by the donor or when fijnds are raised for particular restricted purposes. Further explanation of the nature and purpose of each fund is included in the notes to the financial statements. Pension costs and other post-retirement benefits The charitable company operates a defined contribution pension scheme. Contributions payable 23

healthwètch Shtopshire A compony limited by guoronlee to the charitable company's pension scheme are charged to the Statement of Financial Activities in the period to which they relate. Debtors Trade and other debtors are recognised at the settlement amount after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due. Cash at bank and In hand Cash at bank and in hand includes cash and short-term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account. Financlal Instruments The charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value. 2. INCOME FROM CHARITABLE ACTIVITIES 2024 General Funds 2023 General Funds Local authority grants Other public sector grants 162,000 162,000 3.679 165,679 162,000 3. CHARITABLE ACTIVITIES COSTS Direct Costs {see note 4) Support Costs Totals General funds 142,695 14,045 156,740 4. DIRECT COSTS OF CHARITABLE ACTIVITIES 2024 2023 Staff Costs Travel, recruitment. training Professional, Legal and Other Volunteer Costs Premises Related Costs Advertising and Marketing Administration / IT l Equipment 115.483 2.644 2.729 621 14,219 1,984 5,015 142,695 143,264 2,752 4,292 796 12,899 2,937 4,786 171,726 24

healthwètch Shropshire A comwny fimiled by guoranlee 5. TRUSTEES, REMUNERATION AND BENEFITS There were no trustees, remuneration or other benefits for the year ended 31 St March 2024 nor for the year ended 31 St March 2023. Trustees, expenses During the year 5 Trustees (2023.. 5} received reimbursement of expenses amounting to £1,060. (2023.. £577) 6. STAFF COSTS 2024 2023 Wages and salaries Social security costs Other pension costs 107,149 3,612 4,722 115,483 133,662 4,196 5,406 143,264 The average monthly number of employees during the year was as follows: 2024 2023 General No employee received remuneration amounting to more than £60.000 in either year. COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES Unrestricted Funds Restricted Funds Total Funds INCOME AND ENDOWMENTS from Charitable activities General Funds 162,000 162,000 EXPENDITURE on Charitable activities General Funds NET INCOME I {EXPENDITURE) 5,260 5,260 RECONCILIATION OF FUNDS Total funds brought forward TOTAL FUNDS CARRIED FORWARD 25

healthwètch Shtopshire A company limited by guoranlee DEBTORS 2024 2023 Amounts falling due within one year. Trade Debtors Prepayments 13,500 1,057 15.318 Amounts falling due after more than on• year: Other debtors Aggregate amounts CREDITORS.. AMOUNTS FALLING DUE WITHIN ONEYEAR 2024 2023 Trade creditors Social security and other taxes Accruals and deferred income 2,521 2,956 6.706 2,987 10. ANALYSIS OF NET ASSETS BETWEEN FUNDS Unrestricted Funds Restricted Funds 2024 Total Funds 2023 Total Funds Current Assets Current Liabilities 76,338 76,338 74.418 26

hoalthwètch Shropshire A ccmnpony fimiled by guoronlee HEALTHWATCH SHROPSHIRE NOTES TO THE FINANCIAL STATEMENTS- continued FOR THE YEAR ENDED 31ST MARCH 2024 11. MOVEMENT IN FUNDS At 1.4.23 Net Movement In funds At 31.3.24 Unrestricted funds Unrestrided 61.980 5.260 67.240 Restricted Funds Restricted TOTAL FUNDS 61.980 5.260 67,240 Net movement in funds. included in the above are as follows: Incoming Resources Resources Expended Movement In Funds Unrestricted Funds Unrestricled Restricted Funds Total Funds 162.000 (156.740) 5,260 162,000 1 $6,740 5,260 Comparatives for movement in funds Incomlng Resources Resources Expended Movement In Funds Unrestricted funds Unrestricted Restricted Funds Help2Change Shropshire Healthy Ltving Shaping Places for Healthier Lives Total Restricted 165,679 (191,783) (26,104) {3,117) 93 3,210 (3,117) 93 3,210 TOTAL FUNDS 191,993 29,314 12. EMPLOYEE BENEFIT OBLIGATIONS During the year end charitable company paid pension contributions of £4,722 {2023: £5,406). There were contributions payable at the year end of £1.314 (2023: £1,075) 13. RELATED PARTY DISCLOSURES There were no related party transactions for the year ended 31 St March 2024. 27

healthwètch Shropshire A C￿panY limited by guoranlee HEALTHWATCH SHROPSHIRE DETAILED STATEMENT OF FINANCIALACTIVITIES FOR THE YEAR ENDED 31ST MARCH 2024 2024 2023 INCOME AND ENDOWMENTS Charitable activities Local authority grants other public sector grants 162,000 162,000 3,679 165.679 165,679 Total Incoming Resources 162,000 EXPENDITURE Charitable Activities Salaries and National Insurance Pension costs Insurance Telephone and Broadband Postage Marketing and Publicity Travel and Subsistence Volunteer & Trustee expenses Recruitment (including DBS) Training & development Consultancy Publications I subscriptions Venue Hire and Events Printing and Stationery Equipment Website & soflware Office rent Premises costs 110,761 4.722 1,540 1,094 137,858 5,406 1,222 1,074 514 1.568 2,221 796 99 432 3,070 91 1,369 902 1,233 2,046 6,898 4,927 171,726 1,984 2,384 621 133 127 5,091 58 445 97 73 8,865 4.260 142,695 Other Sundries Financial administration Independent Examination Fee Trustees, expenses Trustee Indemnity Insurance 64 13,096 5,197 15,929 1,260 577 304 23,267 194,993 578 307 14,045 156.740 Total Resources expended Net Income l (Expenditure) 5.260 29,314 This page does not form part of the statutory financial ststement 28