Healthwatch Shropshire
(A company limited by guarantee)
Report and Financial Statements For the Year Ended 31[st] March 2025
Charity number 1151343 Company number 08415314
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Contents
Page
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3 Reference and administrative information
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5 Trustee’s Report for the year ended 31[st] March 2025
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5 Chair’s statement
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Our aims and objectives
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7 Achievements and performance
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16 Independent Health Complaints Advocacy Service
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16 Financial review
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17 Plans for future periods
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18 Structure, governance and management 21 Responsibilities of Board members
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23 Statement of Financial Activities
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A company limited by guarantee
Reference and administrative information
Charity name:
Healthwatch Shropshire
Charity registration number: 1151343 Company registration number: 08415314
Registered Office and 4 The Creative Quarter operational address: Shrewsbury Business Park Shrewsbury Shropshire SY2 6LG
Board of Trustees
Vanessa Barrett, Chair Richard Amos David Crane Steve Price Daphne Simmons Frederick David Voysey (to 01.01.25) Robert Douglas Welch Anne Wignall
Staff Team
Chief Officer Information Officer Enter & View Officer and Health Complaints Advocacy Coordinator
Lynn Cawley Brian Rapson (to 31.03.25) Daphne Simmons (from 3[rd] June 2024 to 30[th] September 2024)
Enter and View Officer Diane Drummond (from 29[th] July 2024) Community Engagement Officer Hannah Davies Communication and Involvement Officer Elizabeth Florendine (from 2[nd] January 2025) Insight and Involvement Officer Kate Hollins-White (to 28[th] November 2024)
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Independent Examiner
Hollies Bookkeeping Services Ltd Bennett’s Business Centre Main Road Pontesbury SY5 0RR
Bankers
NatWest London EC3P 3HX
Contact details
Telephone: 01743 237884 Email: enquiries@healthwatchshropshire.co.uk Website: www.healthwatchshropshire.co.uk Twitter: @HWShropshire Facebook: http://www.facebook.com/HealthwatchShropshire Instagram: https://www.instagram.com/healthwatchshropshire/
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Healthwatch Shropshire Trustee Report for the year ended 31[st] March 2025
The Board of Trustees presents its report and audited financial statements for the year ended 31[st] March 2025.
Chair’s statement for the year ended 31[st] March 2025
“2024-25 has been a challenging year for Healthwatch Shropshire and the whole health and care system across Shropshire and Telford, with significant turbulence and change in local statutory authorities and organisations. The changes in senior personnel make it even more important for us to keep re-building relationships with all these organisations, to alert them to what the public are telling us about their services.
A good example is our report ‘Living Well with Cancer’. Our Community Engagement Officer and volunteers attended numerous different events and cancer support group meetings, speaking with over 350 people to hear about their experiences. Many other people responded to our survey. Their voices come through strongly in our reports, which are really valued by the NHS Trusts and care services, since they don’t often learn about these personal experiences from their own feedback processes. The report was also timely, in contributing to the development of the Cancer Care strategy by NHS Shropshire, Telford and Wrekin. In this context I would also like to pay tribute to our amazing volunteers and in particular to a dear friend of HWS, Fran Robinson, who sadly passed away. We cannot achieve what we do, without the generous commitment of their time and energies.”
Vanessa Barrett, Chair of Healthwatch Shropshire
"The feedback local Healthwatch hear in their communities and share with us at Healthwatch England is invaluable, building a picture of what it’s like to use health and care services nationwide. Local people’s experiences help us understand where we – and decision makers – must focus and highlight issues that might otherwise go unnoticed. We can then make recommendations that will change care for the better, both locally and across the nation.."
Louise Ansari, Chief Executive at Healthwatch England
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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 is informed by our connection to local people. Our sole focus is on understanding the needs, experiences and concerns of people of all ages and backgrounds who use health and social care services and to speak out on their behalf.
From 1st April 2016, Healthwatch Shropshire (HWS) 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:
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To provide information and advice to the general public about local health and social care services
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To make the views and experiences of members of the general public known to health and social care providers
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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
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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 (HWS) has determined its own purpose:
To be the recognised independent voice of the people of Shropshire in seeking to improve their experience of Health and Social Care services.
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Achievements and performance
Review of activities
The following section highlights the achievements of Healthwatch Shropshire in 202425 against the statutory activities for local Healthwatch.
The eight statutory activities of Healthwatch Shropshire are:
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Promoting and supporting the involvement of local people in commissioning, provision and scrutiny of local care services
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Enabling local people to monitor the standard of provision of local care services and whether and how local care services could and ought to be improved
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Obtaining the views of local people regarding their need for, and experiences of, local care services and importantly to make these views known
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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.
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Providing advice and information about access to local care services so choice can be made about local care services.
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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.
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Making recommendations to Healthwatch England to advise the Care Quality Commission to conduct special reviews or investigations (or, 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.
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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.
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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 2024-25 please see our Annual Report for Healthwatch England.
https://www.healthwatchshropshire.co.uk/report/2025-07-14/unlocking-powerpeople-driven-care-healthwatch-shropshire-annual-report-2024-25
On page 16 we report on our additional activity under the Independent Health Complaints Advocacy Service for 2024-25.
Our year in numbers
We’ve supported more than 1,320 people to have their say and get information about their care. We currently employ five part-time staff, and our work is supported by 20 volunteers.
Over 20,000 people accessed the information and reports on our website this year.
Reaching out:
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1,052 people shared their experiences of health and social care services with us, helping to raise awareness of issues and improve care
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274 people came to us for clear advice and information in person, over the phone or via email, on topics such as raising a concern about care and treatment and finding a service provider (including carers support, advocacy and independent medical advice).
Championing Local voices:
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We produced and presented six reports about the improvements people would like to see in areas like pharmacy, living with and beyond cancer and urgent and emergency care.
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Our most popular report was ‘Living Well with Cancer in Shropshire’, highlighting the importance of personalised care and good communication, and the value of support post-diagnosis, particularly Cancer Support Groups.
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 (ICS) 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.
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Examples of our work:
1. Holding services to account .
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This Spring we attended a meeting with the NHS and local authority to share your experiences of crisis mental health services for children and young people – reiterating our findings and key recommendations from our 2022 report.
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Following the launch of ‘Pharmacy First’ in February 2024 we followed up conversations with the Local Pharmaceutical Committee to ask for their support to engage with community pharmacists and the public.
2. Influencing
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. For example:
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To follow up our 2023 Ambulance report and continue our involvement in the Hospital Transformation Programme, we joined discussions about how services can work together to reduce the need for people to go to A&E.
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We continued to support the community engagement for the localised Joint Strategic Needs Assessments being produced by Shropshire Public Health and joined the first Rural Health Strategy Workshop with community leaders.
3. Involving
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 Trustees of the Board who help ensure we are fulfilling our duties and 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. This year we:
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contacted all 6th Forms and Further Education Colleges in Shropshire and attended welcome events for new students. We spoke to 1,272 young people aged 16+ to ask them where they go for medical advice.
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continued our long-term engagement with health providers and people in HMP Stoke Heath to find out what progress the new mental health provider is making.
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went back to The Redwoods Centre to find out people’s current experiences on the acute mental health wards, joining Patient Community ward meetings to hear directly from patients and taking part in the PLACE visit.
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supported Armed Forces Outreach by joining veteran and serving personnel engagement events across the county.
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attended cancer support groups in communities across Shropshire to hear people’s differing experiences of accessing cancer treatment and support and how informed they feel about what is on offer.
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4. Communicating .
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.
This year we launched the ‘Share for Better Care’ campaign, led by Healthwatch England and picked up by the network or local Healthwatch, to let people know how quick and easy it is to share their experiences of health and social care services with us and how their feedback can make things better for all. This is an on-going campaign and will continue to run throughout 2025-26 so please share your experiences today at:
https://www.healthwatchshropshire.co.uk/news/2025-02-10/share-better-care
Sample impact and reports:
1. “Living Well with Cancer in Shropshire” – finding out what matters to people living with and beyond cancer in Shropshire.
We met over 350 people at cancer support groups and events across Shropshire to hear their views and experiences so we could share them with NHS Shropshire, Telford & Wrekin to inform the implementation of the local Cancer Strategy.
40 people who answered our survey had received NHS care and treatment for a total of 17 different types of cancer but less than 40% had accessed other types of support available to help them live well with cancer.
We launched a survey to better understand people’s experiences, what is working well and how services/support from pre-diagnosis and beyond can be improved. Then we went out to hear from as many people as possible in their communities to explain the benefits of them sharing their stories and views to improve local services for all.
Key things we heard:
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The importance of personalised care and treatment, and value of clear and timely communication from all professionals to patients and their carers.
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How important it is for people to feel they have access to doctors and other specialist staff before and after diagnosis, treatment and discharge for ongoing support and reassurance.
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The positive impact of community support groups and a wide range of wellbeing and support services on people’s quality of life.
What difference did this make?
Our work showed the need for a Shropshire Cancer Network to promote and support local cancer support groups, establish new ones and offer advice, e.g. on funding and partnership working.
Our findings were shared at NHS Cancer Engagement Events in Shropshire and Telford & Wrekin where members of the public and professionals agreed with our recommendations and Lingen Davies offered to take a lead on the development of
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a network. Our Chief Officer went on BBC Radio Shropshire to highlight the need to improve waiting times for diagnostic tests and results.
2. “Pharmacy First” – Finding out how people are using their pharmacy
In early 2024 community pharmacies began to offer a range of enhanced services for an additional 7 medical conditions with the aim of providing quicker and more convenient access to advice and treatment and freeing up GP appointments. We knew that some pharmacies in Shropshire were closing due to difficulties with recruitment and increasing business costs, so we wanted to understand people’s experiences of accessing pharmacy services and the challenges faced by pharmacies themselves to meet increased demand.
We met with the Chief Officer of the Community Pharmacy Committee to design our survey and ask their help to engage with Pharmacy staff. Our volunteers visited their local pharmacies to ask them to put up posters and take part. We spoke to over 1,200 college students aged 16+ and asked them where they go for medical advice.
Key things we heard:
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2% of college students said they would go to their Pharmacy first for medical advice.
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30% of survey respondents were aware of the Shropshire, Telford and Wrekin ‘Think which service’ campaign.
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83% of people who had asked their local pharmacy for advice and help with a medical condition rated it ‘good’
What difference did this make?
NHS Shropshire, Telford & Wrekin committed to:
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streamline processes and integrate services to ‘improve capacity in primary care, including reducing delays in dispensing impacted by the increased number of patient consultations.’
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‘work with community leaders, youth organisations and others... to design promotional materials that resonate with all groups.’
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Work with pharmacies to ‘address concerns about consultation privacy and comfort, with investment already being made to improve these spaces.’
3. Listening to people living and working in HMP Stoke Heath in Market Drayton
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In December 2022 we visited the prison and heard about the challenges faced in getting the right support for people when they were released and the impact on their mental health.
We raised concerns with Public Health and members of the Shropshire Health and Wellbeing Board. Midlands Partnership University Foundation NHS Trust now provide mental health services in the prison with an increased team to provide wider support. We continue to attend Health and Wellbeing Champion (HAWCs) meetings to hear directly from people using services in the prison.
What difference did this make?
Raised the profile of HMP Stoke Heath (the only prison in Shropshire) across the local health and social care system and increased the understanding of the role of providers to meet the needs of those people in the prison and the staff working to support them.
As we continue to build a relationship with the HAWCs we have offered to work with them to hear the voices of the wider prison population, so far, they have highlighted concerns about waiting times, diabetes and mental health, and given positive feedback on the Social Prescribing Programme.
4. Raising the voices of people using acute inpatient mental health services - The Redwoods, Shrewsbury.
This is one of the most seldom heard groups in Shropshire, not least due to their fear of stigma.
Autumn 2024, to let them know their voice matters, we started to attend Community Meetings for patients at The Redwoods to hear their experiences on the wards and what issues they raised. We will continue to attend these meetings and maintain a dialogue with users, managers and inspectors.
What difference did this make?
We learned how important food and choice is to these patients in their recovery and how valued they feel. We met with Staff at The Redwoods to understand the challenges and what they can do to make improvements. This led to discussions with NHS Shropshire, Telford & Wrekin and Care Quality Commission Inspectors on how the quality of food and nutrition across inpatient services and care homes is monitored and reviewed and how they involve the public.
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Information and Signposting
This year 274 people have reached out to us for advice, support or help finding services. we’ve helped people by:
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Providing up-to-date information people can trust
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Helping people access the services they need
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Supporting people to look after their health
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Signposting people to additional support services, including NHS Complaints Advocacy
Volunteering and Enter and View
Our fantastic volunteers have given 575 hours to support our work. Thanks to their dedication to improving care, we can better understand what is working and what needs improving in our community.
This year our volunteers:
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Collected experiences and supported their communities to share their views at stands and events, e.g. at The Robert Jones & Agnes Hunt Orthopaedic Hospital
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Carried out Enter and View visits to local health and care services to help them improve
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Brought their skills and experience to support the staff team with project planning, social media and survey development and analysis
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Raised our profile by telling people and other groups they are involved with about their work with us, e.g. veterans and people with disabilities/care and support needs
“I always believed that the work of Healthwatch can make a difference for us all and so I decided to get involved.
I was warmly welcomed as a Trustee and volunteer. I have enjoyed joining the staff at events and stands to speak to people of all ages and record their experiences of using services. and taking part in Enter & View visits with other volunteers. I have represented Healthwatch on an NHS committee to remind people running services of the need for them to be accessible to all and think this is an important part of the role of Healthwatch.
It’s been a whirlwind at times with lots to learn and remember but it’s been great to feel part of the team." Daphne (Trustee/Volunteer)
Our volunteers are out in the community everyday listening to people to find out if health and care is working for them.
We have a duty to involve people in the work we do, from finding out how services are performing to sharing their experiences and views to inform service redesign and development. Whether you want to gain valuable work experience, help improve care in your community, use your skills or learn new ones, there are lots of ways you can join us to make a real difference.
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Enter and View:
Enter & View visits are one of the most important ways we involve volunteers in our work. These volunteers complete additional training and a DBS check to become Enter & View Authorised Representative. The are involved in the planning of visits, conducting visits and reporting on what is seen and heard during the visit.
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The Royal Shrewsbury Hospital, Accident and Emergency Department – Attended in response to Channel 4 Dispatches Programme “Undercover A&E: NHS in Crisis”. Wrote a report evidencing improvements made following the programme.
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Ward 28 (Frailty) – The Royal Shrewsbury Hospital – Attended in response to comments we had received regarding discharge and to follow up a previous visit to the ward. The Trust responded to our report providing and action plan for improvements.
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Swan Hill House – Report in draft
From July 2025 we will be recruiting to all of our volunteer roles to build on and strengthen the team.
The way we work
Involvement of volunteers and lay people in our governance and decisionmaking
The Board of Healthwatch Shropshire consists of eight members who work voluntarily to provide direction, oversight, and scrutiny of our activities.
Our Board ensures that decisions about priority areas of work reflect the concerns and interests of our diverse local community.
Throughout 2024-25, the Board met three times and made decisions on matters such as reducing the number of Committees of the Board from four to two to align aspects of our work. The Intelligence and Engagement Committee includes volunteer representatives and agrees how will use all our engagement tools to increase public and professional engagement with projects, and priorities in the Forward Plan (including the Enter &View visit programme). The Governance and Assurance Committee focuses on raising our profile, volunteer involvement and managing the budget. The Board have also made decisions to ensure the ongoing sustainability of Healthwatch Shropshire.
We have held Volunteer Meetings throughout the year, open to all Board members and volunteers, to listen to their views, ideas and feedback
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Methods and systems used across the year to obtain people’s experiences
We use a wide range of approaches to ensure that as many people as possible can provide us with insight into their experience of using services.
During 2024-25, we have been available by phone and email, provided a web form on our website and through social media, held regular stands in libraries and hospitals and attended meetings of community groups and forums to speak to people directly.
We ensure that this 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 directly with people signed up to our newsletter.
Responses to recommendations
All providers responded to our formal requests for information or recommendations this year. There were no issues or recommendations escalated by us to the Healthwatch England Committee, so there were no resulting reviews or investigations.
Taking people’s experiences to decision makers
We ensure that people who can make decisions about services hear about the insights and experiences shared with us.
For example, in our local authority area, we take information to the Joint Health Overview and Scrutiny Committee of Shropshire Council and Telford & Wrekin Council as a co-optee.
We also take insight and experiences to decision-makers in Shropshire, Telford & Wrekin (STW) Integrated Care System through regular provider information sharing meetings and committees/groups. For example, both Healthwatch Shropshire and Healthwatch Telford and Wrekin, attend:
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The Quality and Performance Committee for the local system
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The System Quality Group (also attended by NHS England)
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The Urgent and Emergency Care Delivery Group (also attended by NHSE)
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We also share our data with Healthwatch England to help address health and care issues at a national level.
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Healthwatch representatives
Healthwatch Shropshire is represented on the Shropshire Health and Wellbeing Board by Lynn Cawley (Chief Officer), deputised by Trustees or staff members as appropriate.
During 2024-25, our representative has effectively carried out this role by delivering presentations on our engagement reports and providing constructive challenge and sharing feedback from the public about their experiences of local services to inform discussions.
Lynn Cawley (Chief Officer) also represents Healthwatch Shropshire on the Shropshire, Telford & Wrekin Integrated Care Partnership and Shropshire, Telford & Wrekin Integrated Care Board.
Independent Health Complaints Advocacy Service (IHCAS)
Healthwatch Shropshire continues to provide the Independent Health Complaints Advocacy Service (IHCAS) for Shropshire residents and those using Shropshire NHS services.
2024-25 saw an average of 23 people per quarter contact us for guidance on making an NHS complaint and the majority of these received the support from an advocate to put their complaint in writing, attend a meeting or understand their options.
Financial review
a. Principal funding sources
Healthwatch Shropshire receives grant funding to deliver Healthwatch functions (£145,500) and the Independent Health Complaints Advocacy Service (£16,500) 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.
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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 reserve 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 31st March 2025 the total free reserve of Healthwatch Shropshire was £74,842 (2023-24 was £67,240, 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 (starting 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.
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 2025-26
- To improve the sustainability and resilience of Healthwatch Shropshire, from the 1[st] July 2025 Healthwatch and the Independent Health Complaints Advocacy Service we provide, will operate as independent services within Community Resource. We hope this relationship will help us to develop our partnership working across the ICS, including with the voluntary and community sector.
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Continuing to tackle inequalities by highlighting the challenges faced by different communities and groups in Shropshire and championing their voice, including reaching out to farming and rural communities.
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Promoting and supporting public engagement and involvement in service change and redesign as part of the local Hospital Transformation and Community Transformation Programmes (integral to the Shropshire, Telford & Wrekin Integrated Care Strategy and Joint Forward Plan).
Structure, Governance and Management
a. 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 1151343 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 charity 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:
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Sent a Board Recruitment Pack or sent the link to access it through our website and complete their application online.
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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 responsibilities that are being taken on and have an insight into the work of Healthwatch Shropshire (HWS).
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Invited to a formal interview with the Chair or Vice Chair of the Board, another Board member and the Chief Officer.
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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:
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live in Shropshire* OR
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work for/represent a voluntary or community group in Shropshire* OR
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be registered with a GP Practice in Shropshire*
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(*By ‘Shropshire’ we mean the area covered by Shropshire Council)
c. Policies adopted for the induction and training of Board Members
New Board Members are:
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Invited to spend some time with the staff team and the Chair and are given key documents about HWS, e.g. policies.
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Asked about their induction and training needs and can attend training provided through the Healthwatch Network and Shropshire Council’s Joint Training. Board members are encouraged to go out with Community Engagement and other officers to learn 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 effectiveness 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 2025 the Board comprised eight members.
All members have equal voting rights. A Decision-Making policy is available through the website, www.healthwatchshropshire.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:
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Business
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Enter & View
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Intelligence
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Engagement and Marketing
From Quarter 4 it was agreed to streamline the work of the committees and reduce the demand on Board members and the staff team by combining them into two committees:
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Intelligence & Engagement Committee (including Enter & View) focusing on our operational activities
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Governance and Assurance Committee focusing on governance and quality and performance against our Kep Performance Indicators (KPIs)
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 five (3.4 WTE) compared to four (3 WTE) at the end of 2023-24. From 1[st] April 2025 this will reduce to 4 (2.8 WTE).
The Chief Officer is responsible for:
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Ensuring that the charity delivers the services specified in the contract with Shropshire Council and that key performance indicators are met
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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 (including responding to requests for training within budget constraints).
At year end Healthwatch Shropshire (HWS) had a team of 20 volunteers (including Board Members) to support its work programme. The volunteer roles are:
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Enter & View Authorised Representative (13) – conduct and report on Enter & View visits
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Engagement Volunteers (3) - 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 (HWS) and appreciate receiving our newsletters and social media posts but do not wish to be actively involved as volunteers. At the end of March 2025 505 people and organisations were signed up to receive our email newsletter (up 28 on last year) and 3,862 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.
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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:
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Healthwatch England
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Shropshire’s Health and Wellbeing Board
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Shropshire Council and Public Health
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NHS Shropshire, Telford & Wrekin
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Shropshire, Telford & Wrekin Integrated Care System (ICS).
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 Licence 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 charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.
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A company limited by guarantee
Independent Examiners
The Hollies Bookkeeping Services are still appointed 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 accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1[st] January 2015) as amended by Updated Bulletin 1 (effective 1[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 2006 (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
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|---|---|
|a|Signature(s)|
|Full name(s)|Vanessa Barrett|
|a|
|Position|Chair|
|es|
|Date|02/10/2025|
|es|
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A company limited by guarantee
HEALTHWATCH SHROPSHIRE
STATEMENT OF FINANCIAL ACTIVITIES
FOR THE YEAR ENDED 31 MARCH 2025
| Unrestricted | Restricted | 2025 | 2024 | ||
|---|---|---|---|---|---|
| Funds | Funds | Total | Total | ||
| £ | £ | Funds | Funds | ||
| £ | £ | ||||
| INCOME AND | Notes | ||||
| ENDOWMENTSfrom | |||||
| Charitable Activities | |||||
| General Funds | 2 | 162,000 | 1,109 | 163,109 | 162,000 |
| EXPENDITURE ON | |||||
| Charitable Activities | |||||
| General funds | 3 | 154,398 | 1,109 | 155,507 | 156,740 |
| NET INCOME / | |||||
| (EXPENDITURE) | 7,602 | - | 7,602 | 5,260 | |
| RECONCILIATION OF | |||||
| FUNDS | |||||
| Total funds brought | 67,240 | - | 67,240 | 61,980 | |
| forward | |||||
| TOTAL FUNDS | |||||
| CARRIED FORWARD | 74,842 | - | 74,842. | 67,240 |
CONTINUING OPERATIONS
All income and expenditure has arisen from continuing activities.
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A company limited by guarantee
HEALTHWATCH SHROPSHIRE (REGISTERED NUMBER: 08415314)
STATEMENT OF FINANCIAL POSITION
31[ST] MARCH 2025
| 2025 | 2024 | ||
|---|---|---|---|
| £ | £ | ||
| CURRENT ASSETS | Notes | ||
| Debtors and prepayments | 8 | 14,595 | 2,057 |
| Cash at bank and in hand | 67,845 | 74,281 | |
| 82,440 | 76,338 | ||
| CURRENT LIABILITIES | |||
| CREDITORS | |||
| Amounts falling due within one year | 9 | (7,598) | (9,098) |
| NET CURRENT ASSETS | 74,842 | 67,240 | |
| TOTAL ASSETS LESS CURRENT | 74,842 | 67,240 | |
| LIABILITIES | |||
| NET ASSETS | 74,842 | 67,240 | |
| FUNDS | 11 | ||
| Unrestricted Funds | 74,842 | 67,240 | |
| Restricted Funds | - | ||
| TOTAL FUNDS | 74,842 | 67,240 |
The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31[st] March 2025.
The members have not required the company to obtain an audit of its financial statements for the year ended 31[st] March 2025 in accordance with Section 476 of the Companies Act 2006.
The Trustees acknowledge their responsibilities for
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(a) ensuring that the charitable company keeps accounting records that comply with Sections 386 and 387 of the Companies Act 2006 and
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(b) preparing financial statements which give a true and fair view of the state 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 accordance 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 ………………………………… and were signed on its behalf by:
………………………………..
Mrs V J Barrett - Trustee
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A company limited by guarantee
HEALTHWATCH SHROPSHIRE
NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31[ST] MARCH 2025
1. ACCOUNTING POLICIES
Basis of preparing 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) ‘Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance 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 Reporting Standard 102 – reduced disclosure exemptions
The charitable 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
All 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 classified 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.
Taxation
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 funds 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
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A company limited by guarantee
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.
Financial 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
| 2025 | 2024 | |
|---|---|---|
| General | General | |
| Funds | Funds | |
| £ | £ | |
| Local authority grants | 162,000 | 162,000 |
| Other public sector grants | 1,109 | - |
| 163,109 | 162,000 |
3. CHARITABLE ACTIVITIES COSTS
| Direct | |||
|---|---|---|---|
| Costs (see | Support | ||
| note 4) | Costs | Totals | |
| £ | £ | £ | |
| General funds | 145,509 | 9,998 | 155,507 |
| 4. DIRECT COSTS OF CHARITABLE ACTIVITIES | |||
| 2025 | 2024 | ||
| £ | £ | ||
| Staff Costs | 119,766 | 115,483 | |
| Staff training, recruitment, expenses | 1,753 | 2,644 | |
| Professional, Legal and Other | 6,215 | 2,729 | |
| Volunteer Costs | 396 | 621 | |
| Premises Related Costs | 13,063 | 14,219 | |
| Advertising and Marketing | 592 | 1,984 | |
| Administration / IT / Equipment | 3,724 | 5,015 | |
| 145,509 | 142,695 |
4. DIRECT COSTS OF CHARITABLE ACTIVITIES
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A company limited by guarantee
5. TRUSTEES’ REMUNERATION AND BENEFITS
There was £1,161 worth of trustees’ remuneration for one Trustee who was employed temporarily for the year ended 31[st] March 2025 and none for the year ended 31[st] March 2024 .
Trustees’ expenses
During the year 4 Trustees (2024: 5) received reimbursement of expenses amounting to £769. (2024: £1,060)
6. STAFF COSTS
| 2025 | 2024 | |
|---|---|---|
| £ | £ | |
| Wages and salaries | 110,150 | 107,149 |
| Social security costs | 4,209 | 3,612 |
| Other pension costs | 5,407 | 4,722 |
| 119,766 | 115,483 | |
| The average monthly number of employees during the year was as follows: | ||
| 2025 | 2024 | |
| General | 5 | 5 |
The average monthly number of employees during the year was as follows:
No employee received remuneration amounting to more than £60,000 in either year.
7. COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES
| Unrestricted | Restricted | Total | |
|---|---|---|---|
| Funds | Funds | Funds | |
| £ | £ | £ | |
| INCOME AND ENDOWMENTS from | |||
| Charitable activities | |||
| General Funds | 162,000 | - | 162,000 |
| EXPENDITURE on | |||
| Charitable activities | |||
| General Funds | 156,740 | - | 156,740 |
| NET INCOME / (EXPENDITURE) | 5,260 | - | 5,260 |
| RECONCILIATION OF FUNDS | |||
| Total funds brought forward | 61,980 | - | 61,980 |
| TOTAL FUNDS CARRIED FORWARD | 67,240 | - | 67,240 |
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A company limited by guarantee
| 8. | DEBTORS | ||||
|---|---|---|---|---|---|
| 2025 | 2024 | ||||
| £ | £ | ||||
| Amounts falling due within one year: | |||||
| Trade Debtors | Trade Debtors | 13,500 | - | ||
| Prepayments | 95 | 1,057 | |||
| 13,595 | 1,057 | ||||
| Amounts falling due after more than one | Amounts falling due after more than one | ||||
| year: | |||||
| Other debtors | Other debtors | 1,000 | 1,000 | ||
| Aggregate amounts | 14,595 | 2,057 | |||
| 9. | CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR | CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR | CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR | ||
| 2025 | 2024 | ||||
| £ | £ | ||||
| Trade creditors | Trade creditors | 451 | 2,521 | ||
| Social security and other taxes | Social security and other taxes | 5,032 | 2,956 | ||
| Accruals and deferred income | 2,115 | 3,621 | |||
| 7,598 | 9,098 | ||||
| 10. | ANALYSIS OF NET ASSETS BETWEEN FUNDS | ||||
| Unrestricted | Restricted | 2025 | 2024 | ||
| Funds | Funds | Total | Total | ||
| £ | £ | Funds | Funds | ||
| £ | £ | ||||
| Current Assets | 82,440 | - | 82,440 | 76,338 | |
| Current Liabilities | 7,598 | - | (7,598) | (9,098) | |
| 74,842 | - | 74,842 | 67,240 |
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A company limited by guarantee
HEALTHWATCH SHROPSHIRE
NOTES TO THE FINANCIAL STATEMENTS - continued FOR THE YEAR ENDED 31[ST] MARCH 2025
11. MOVEMENT IN FUNDS
| At | At | Net | Net | At | |||
|---|---|---|---|---|---|---|---|
| 1.4.24 | Movement | 31.3.25 | |||||
| £ | In funds | £ | |||||
| £ | |||||||
| Unrestricted funds | |||||||
| Unrestricted | 67,240 | 7,602 | 74,842 | ||||
| Restricted Funds | |||||||
| Restricted | - | - | - | ||||
| TOTAL FUNDS | 67,240 | 7,602 | 74,842 | ||||
| Net movement in funds, included in the above are as follows: | Net movement in funds, included in the above are as follows: | ||||||
| Incoming | Incoming | Resources | Movement | ||||
| Resources | Expended | In Funds | |||||
| £ | £ | £ | |||||
| Unrestricted Funds | |||||||
| Unrestricted | 162,000 | (154,398) | 7,602 | ||||
| Restricted Funds | 1,109 | (1,109) | - | ||||
| Total Funds | 163,109 | (155,507) | 7,602 | ||||
| Comparatives for movement in funds | |||||||
| Incoming | Resources | Movement | |||||
| Resources | Expended | In Funds | |||||
| £ | £ | £ | |||||
| Unrestricted funds | |||||||
| Unrestricted | 162,000 | (156,740) | 5,260 | ||||
| Restricted Funds | |||||||
| - | - | - | |||||
| - | - | - | |||||
| Total Restricted | - | - | - | ||||
| TOTAL FUNDS | 162,000 | (156,740) | 5,260 |
Net movement in funds, included in the above are as follows:
Comparatives for movement in funds
12. EMPLOYEE BENEFIT OBLIGATIONS
During the year Healthwatch Shropshire paid pension contributions of £5,407 (2024: £4,722). There were contributions payable at the year end of £1,525 (2024: £1,314)
13. RELATED PARTY DISCLOSURES
There were no related party transactions for the year ended 31[st] March 2025.
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A company limited by guarantee
HEALTHWATCH SHROPSHIRE DETAILED STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31[ST] MARCH 2025
| 2025 | 2024 | ||
|---|---|---|---|
| £ | £ | ||
| INCOME AND ENDOWMENTS | |||
| Charitable activities | |||
| Local authority grants | 162,000 | 162,000 | |
| Other public sector grants | 1,109 | - | |
| - | |||
| Total Incoming Resources | 163,109 | 162,000 | |
| EXPENDITURE | |||
| Charitable Activities | |||
| Salaries and National Insurance | 1 | 114,359 | 110,761 |
| Pension costs | 2 | 5,407 | 4,722 |
| Insurance | 3 | 1,590 | 1,540 |
| Telephone and Broadband | 4 | 1,928 | 1,094 |
| Postage | 5 | 49 | 440 |
| Marketing and Publicity | 6 | 572 | 1,984 |
| Travel and Subsistence | 7 | 1,514 | 2,384 |
| Volunteer & Trustee expenses | 8 | 396 | 621 |
| Recruitment (including DBS) | 9 | 110 | 133 |
| Training & development | 10 | 129 | 127 |
| Consultancy | 11 | 4,624 | 5,091 |
| Publications / subscriptions | 12 | 0 | 58 |
| Venue Hire and Events | 13 | 20 | - |
| Printing and Stationery | 14 | 212 | 445 |
| Office Stationery | |||
| Equipment | 16 | 1,033 | 97 |
| Website & software | 17 | 502 | 73 |
| Office rent | 18 | 7250 | 8,865 |
| Premises costs | 19 | 5813 | 4,260 |
| 145,508 | 142,695 | ||
| Other | |||
| Sundries | 20 | 35 | 64 |
| Financial administration | 21 | 8,796 | 13,096 |
| Trustees’ expenses | 769 | 578 | |
| Trustee Indemnity Insurance | 8,23 | 398 | 307 |
| 3,24 | 9,998 | 14,045 | |
| Total Resources expended | 155,506 | 156,740 | |
| Net Income / (Expenditure) | 7,603 | 5,260 |
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A company limited by guarantee
This page does not form part of the statutory financial statement
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