HEALTHWATCH SUThON Company No: 08171224 (A Company Limited by Guaran1•• and not having a Share Capital) Charity No: 1151601 FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 IAARCH 2023 MYRUS SMITH Chartered Accountants Norman House. 8 Burnell Road. SLrtton. Surrey. SM1 4BW 'ACIXA J81* 22112r2023 COMPANIES HOUSE A14 HEALTHWATCH su￿ON Company No: 08171224 (A Company Limit•d ty Guarnnte• and not having a Sharn Capit•l) Charfty No: 1151601 TRUSTEES. REPORT AND ACCOUNTS FOR THE YEAR ENDEO 31 IAARCH 2023 Page Reference and Administrative Infwmalv)n Report of Ihe Trustees IrKlependenl Exarninerfs Rep(yl ststement of Finan¢i81 ACtivit￿S Balance Sheet 10 Notes to the Financial Statements 11-13 HEALTHWATCH SUTTON Company No: 08171224 Charity No: 1151601 TRUSTEES, REPORT ANO ACCOUNTS FOR THE YEAR ENDED 31 MARCH 2022 The Board of DireCt￿SIr[uSteeS presents its re￿1 arKI fnancial statements the year ended 31 March 2023. Reference and Admlnlstratlve Informatlon Charity No. Company No. 1151601 08171224 Reg151ered Office and Principal address.. Granfers Communty Centre 7>79 OakhiN Road. SLrtton Surrey SM1 &4A Board of Dirg¢tOf5ffrustees wlw served durfng the y￿r and up to the date of thls ￿POrt. Chalrpernon: Vlce Chalrperson: Vlce Chalrp•rson'. Barbara Mclrrtosh Jar￿t Wngrove Da¥KI Elliman Director and Trust88: Dlrector and Trustee: Director and Trustee: Director and Trustee: D1￿CtOr and Trustee: Dlrector and Trustoe: Dlrector and Trustee: Dlrector and Trustee: Adrian Aliard Adrian Bonner David Elliman Barbara Mclnlosh N￿r Sumun Launa Walson Ja￿1 Wngrove Shiraz Sethna Staff Team: Pete Flavell- Chief Executive Offi￿r Peace Kayode- Health Engagement Projects Officer Colin VAlson- Communications. Engagement and Projects Offi hjyssa Cha5e-Vilchez- Execub"ve Offic Lorraine Davis- Team Administrat Banker5.' Barckys Bank PLC 43 HvJh Street Sutton Surrey SM1 1DR Independent Examiner: Stephen Jones elo Myrus Smith Chartered Accountaftts Norman Hcwe 8 Burnell Road Suiton Surrey SM1 48W HEALTHWATCH SUTTON REPORT OF THE TRUSTEES FOR THE YEAR EMDED 31 MARCH 2023 Structure. governance and management Heallhwalch Sutton IHIfySI is the consumer chaM￿On for healih and soual care in Sutton. HWS was incorporated on the P August 2012 and a¢h￿Ve￿ charitable status on 11th April 2013 rt is therefore both a Company limited by Guarantee (081712241 aThJ a rwstered Charty (11516011. HWS is govemed by a Board of DirectOrs￿rUst￿ meet bivmmthty to oversee the strategic direction and developmenl of the organis8ts"on. There has been no ehan9e in the Trustees during this reporting od. The members of HWS are local volurrtary organisations aN1 individual res￿entS who have an interest in heallh and social care and SUPFOrt the work of ￿￿. Ouring this reporting WK>d. the B0￿d of HWS v•y>￿ed in partnership 2 voluntary sector organisatsons, Ihr(wgh Sv￿COntra￿.ng arrarvjemenls, lo deliver the work of HVIS. The partner organisations are". Community Action Sutton that provides support by direcvy employing Healthwatch Sutton Staff. providing payrc41 and financial serv￿. HR supwl. and a(fvice and guidance on thè delivery of the Healthwalch service. Together for Sutton la partnership of voluntary 8rKI c(xnmunity seclor organisalion5 deliverin9 the Making Infom)ed Cho￿$ contract for the London 8￿QU9￿ of Suitonl provide our HeaMfY4•Atch infomalion and ggnposb'ng seivice. Recrultment and Appointment of new Trustees Trustees are recruited and co-opted on to the Board of Heallhwalth SLrttw during the course of the year to meet the ￿QUireMents of the organisatb)n. At the Annual General Meeting the membership vote as lo decide rf they sttould be elected to the board. Flnanclal Revlew HWS'S core source of incfjme to delwer the organisatson's ststulory dLrties Comes from the London Borough of Sutton and in 2022r23, £89.979 was received to deliver these activibes of the organisation. This amount predudes the ddivery of the Statutory HealitThv*ch InfcYmat￿n and Signposting service that is delivered under a separate part of the Making Infom)ed ch￿ceS contract (as part of the Together for Sutton partnership's inlomab.on and adv￿ offering). Additional funding has been given lo the value of £40.968 by Swth West London ISWL) InlegTated Care Board IICBI to support GP practsce's Patient Part￿IpatIon Grwps In the London Borough of Sutton, and the Patient Refere￿e Group that has representatNe from the PPGS aeross the Borough. This funding also provides support ￿ Primary Care Nemrk public engagement and other public engagement projects. From S J￿Y 2022. Healthwatch started a w contract to provide represen&*ion Heamhwalch organisalions within South ￿*$1 London at ICB. The contract is for 2 years wth a 1-year polenb.al extension. The annual value of the eontract is £110,000. To delrver this contract an Ex￿Ul1Ve Offi￿r has been employed and a member of supp)rt staff is being recrurted. HWS received £5000 from gJlion Csjuncil to ¢)k". We organised meetings wrth Local Dental Committee Oirecttys (for each borough). NHS England, LDC Confedwalion. IcKal Healthwatch leads and the SVIi Integrated Care System lead f commissioning dentistry lo discuss potential actK)n. Some issues need to be addre55ed al a natKJnal level. Vk made Heamhwatch England aware of our findings, and they have tsken these 1$s￿S fO￿ard with MPS. This has led to some improvements. for example. in the a Derrtist facilty on Ihe NHS websle. S.S Long Covid In February 2023, the govemmenl repyte(I that around 2 milhon people in the UK - th*'s about 1 person in 34 said that they We￿ expenerKing symptoms of Long Covid. Bethen Seplember 2021 to March 2022 we spoke lo 79 local peop￿ about Long Covid. induding NHS stsff and members of a patients. seK- help group. Later in 2022 we W￿l$hed our findings in a reF(xI.3004 people took part. The survey was carried out befv￿n September arKI De¢￿ber 2020. lthat we found". Over a ltrurd of those who had symptoms over a year slill hadny been given a diagnosis. Qlder resFKsndents were less likdy lo have been diagMsed wlh Covi¢>19 when they were originally ill. less likely to have been given a dLagnosis of Long Covid arKI less likely lo have accessed Ireatmenl. Long Covid 15 having a very signffie•rt impact cffl pe4)le's ability to work. on their fina￿e$, relationships. soo81 lives, and mental health. Many people had found rt difficuli lo access support. The majority of people t•4ho accessed trealmenl fourKI it be￿cial Drf1e￿nt F¢ople found drfferenl Irealmenl components helpful. Respondents exwessed considerable for the future. What we recommerrtled". Increased awareness of Lory CovKJ amorvJ the general wA)lic. employers and peopk working in health and S￿la1 care. 8etter access to peer supporL For the Integrated Post COV￿ Assessment Service to coth'nLE offering a range of drfferenl types of support. including support fw emotional and psychc4ogKal as well as phywcal symptoms as this is clearty valued by their pab"ents. HEALTHWATCH SUTTON REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2023 leontd... 5.6 The impact of the cost of living on health The inflation rate fty food and non-alcoholic drinks vras in ¢Jouble figure5 for all of the second haw of 2022. Energy prices rose throughout 2022 and rose further in spring 2023 as government support ended. We wanted to know what effect the rising Cost of INing was having on people's physical and mental heahh. 50 in August we surveyed 108 peop￿ attending a local event. Carshallon Eco Fair. What people told us 41 percent of people trjd they were culling back on heating. 31 percent told us they were spe￿Iln9 less on food. 33 pefcenl of peop￿ told us they were expenencirKJ stress atout bills. 24 percent of people said that they go ¢JJt wth fn.ends ￿$$ than they used to - we kn¢74V that suFoort from fn.ends and famly is Imp)rtant to mental heallh. What we dld We published our survey findings and eonb.nued to raise a￿d￿nesS of the issue. In December. Steve Tnner from Cittzens Advti Suiton spoke at cvr AGM about healh and cost of Iwing issues, and we pU￿1$hed his talk as a tr￿"effing. In January we wblicised govemmenl reSea￿h about the impact of the cost of living on mentsl health. We worked wlh other bcal organisations tlwh Topther for Sutton networf(irrfJ events and al the Communty ActK>n sutt￿ R&e Equality ccmfWen￿ to highlighl these issues. 5.7 Our Volunteers we'￿ supported by a team of amazing vdunteers are the heart of Heatthwatch Sutton. Thanks to their efforts in the community, we're able to understand what is I￿rk$"ng and what needs improving in NHS and S￿la1 care. This year our volunteers.. Visited lttal care homes to help them improve. Helped promote Healthwalch sutt￿ and what h￿e to offer. Acted as trustees to wovide strategic management for our organtsat4)n. and lo represent us on a wide range of local bodie5. Helped with offKe tssks such as prewing mailings. Next year, we're planning to expand our use of volunteets." To promote Heallhwatch in community venues To ensure that we hear from exduded eommunibes. S.8 Wortt Acrn55 South West London Changes in he•lih and care Healthwatch SL￿on plays an important role In makin9 sure that people's concems shape our health and care services. In the pasl. most of these decisions about our bocal services were made in Sutton. Now many of these deusions are being made by a bLty called the Inlegraled Care System (ICS). The ICS bnngs together NHS, voluntary sector and kKal aulhwity leaders lo make heallh and care decisions that impact people in Sutton, Croydon. V4andsworth. Kingston, Richmond. and Merton. These thange5 means that we need to work differenuy to ensu￿ that your voice continues to make a difference. CoordlnaJng Healthwatch representation The six boroughs covere¢J by the ICS each has a Heallfrmiatch. arKI they are wofkry together lo pr¢)vide representation in the new structu￿. Heatthwatch Sutton has employed an Exeurtive Officer who liaise5 be￿en all these organisalions to ensure pab"ents' voice5 are heard. HEALTHWATCH SUTTON REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2023 Icontd... Alyssa Chase-vilchez began th in this rok in November 2022. Ayssa attends many ICS meetings where imwrtant de0$￿￿S are being made that impact people's lives. to ensure that the voices of local communities are heard. South West London ICS has already laken a￿nI of ovw a hundred local Heathwatch reForts as ils develops its plarts_ 6.9 Advlce and Inlorn)allon If you feel105t and donl know where to tum. Healitwrntch aTNI our partner organisations are he￿ for you. In ts.mes of wory or st￿$$. we can prowde confidenl*al supp)rt and free infomiation to help yoij understand your opt￿n$ and get the help you need. Vthether it's finding an NHS denkn"sl. hcm to make complaint or choosing a good Ca￿ home for a loved one- you can count on us. This year our partner Organisatsons helped people ty.. Providing up lo date infomiation people can trLt5t Helping people access the Ser¥￿S they need Suppyting people lo use the NHS c￿plaInts Procedu￿ to gel the heamh and care ty need Provldlng information and advice Citizens Adw'ce Sutton works V*ith us to provide irrfomiation and advice to local peD￿e about health and care services, including issues invom'ng heawh benefits This ye3r they dealt 383 erNuiries The most common lopic was accessrng c(#nmunrty care servKes for Ly)th adults and Children. Other issues that stcoj oul were queries aixJJt dentists, and aly)ul accesstng courselling or talking therapies. Citizens Advice have noticed a marked decrease in the number of dierrts contacting them regarding complaints about the NHS. espeoally in the last few morrths. Supporting people rnaking complaints Advocacy for All supports Pwe in Sutton makiw fom)al ccthplaints about NHS ser¥w. In 2022-23 they opened 49 new cases The th￿e afeas of Ca￿ at4)ut which Ihey recewed most complaints we￿". 1. Qualty of secon¢Yary care- 11 complaints 2. Mental healih serNices- 8 cc#m￿a1nts 3. Malemity services- 5 eomplaints 73 percent of compkqinanls wefe women. Of those who disclosed their ethnicity. ju* under fv4trthirds were whrte and British. Complairwits were qurte evenly disth"bLrted in terms of age. 5.10 Our priorities for 2023.24 We're currently developing our of work for nexl year. Key topics indude.. 1. Access lo GP services 2. Matemty and women's heatt 3. Lifestyle behaviours SLKh as smoking and drin￿"r￿j 4. Risky behaviours in young people 5. Home and domiuliary ￿re 6. Care after hospital discharge 7. Homelessness 8. PAental wellbeing of leaming disabled children aThJ young peOe Approved by the Board of Tr￿lee$ on 1 No¥emLv 2023 and sbgned rts behalf by.. Janel Trust grove Indepgndgnt Examlnerfs Report to the Trusteos of: HEALTHWATCH SUThON I rewrt to the charity trustees ￿ my exammatiM of ￿ accounts of the company for the year ended 31 March 2023, %*Mch are Set out on pages 9 to 13. Responsibilities and basis of report As the charity trustees of the company land also its direclors for the purposes of company lawl you are responsible for Ihe preparation of Ihe aCC￿nts in accordance with the requirements of the Companies Act 2006 Ilhe 2006 Act'l. Having satisfied mysdf Ihat the accounts of the company are not required lo be audited under Part 16 of Ihe 2006 Ac* and are eligible for independent examinati￿, I rewrt in respect of my examination of your company's accounts as carried OLrt under Section 145 of Charitrès Act 2011 I'the 2011 Act'l. In carrying out my examination I fove followed the Direcbons 9wI by the Charity Commission under section 14515)Ibl of the 2011 Act. Independenl examinerfs statement I have completed my examinatson. I confimi tr￿ no matters have Come to my attenkn.on in connection Mlh the examination giving me cause to bdieve tIBt in any matenal ￿Spect". accounb.ng records were not keFrt wi respect of the company as required by secthm 386 01 the 2(X6 Act", or 2. the accounts do not accord with those records." or 3. the accounts do N)t coM￿Y wth the accounting Wu1￿ments of section 396 of the 2006 Act olhef than any requirement that the accounts gNe a 'true and fair vievl which is not a matter Conside￿ as part of an independent examinati￿", or 4. the accounts have not been yepared in accc*dance wrth the methods and principles of the Slalemenl of RecommerKJed prath.￿ for accounb.ng and repryting by charitie5 applicab6e lo charities preparing Ihwr accounts in accudance wrth the Finanual ReFQrtirKJ Slarthrrl applicable in the UK and Rewblic of I￿land (FRS 1021. no concerns and have come &ross no other matters in connection with the examifk*ion lo which nlion should be drawn in tfM"s report in order to enable a proper Underst￿dIr￿j of the accounts lo be att re S.A. Jones FCA % Myrus Smith Chartefed Accountants Norynan House 8 Burnell Road Sutton. Surrey SM148W 1 November 2023 HEALTHWATCH SUTTON STATEMENT OF FINANCIAL ACTMnES (Incorporating Income and Expenditure Account) FOR THE YEAR ENDED 31 MARCH 2023 Notes 2023 2022 INCQME Donats'ons Incoming resources from tharitable activibes 244 288,021 169,288 288,265 169.755 EXPENDITURE Charitable acts'vilies 235,612 178.605 NET MOVEMEIIT IN FUNOS 52,653 18,8501 Reconcllbatlon of Funds Fund balances brought fcffward 41,C63 49.913 Fund balances canied forward £93,716 £41,063 Al funds a￿ unrestricted. All income and expendrture is derived frun conlinury actNrties. The notes form part of these Financaal Statements HEALTHWATCH SUTTON (Company No- 08171224) BALANCE SHEET AS AT 31 MARCH 2023 Notes 2023 2022 CURRENT ASSETS Debtors Cash at Bank 317 99.257 204 51.194 99,574 51,398 CREDITORS: Amounts falling due wlhin one ye 5.858 10,335 NET ASSETS £93.716 £41.063 FUNDS Unrestricted l￿d$ £93,716 £41,063 The company is entitled to exeMpl￿n from aLMJf( under Section 477 of Ihe C(xnpanie$ Ad 20C15 for the year erKled 31 March 2023. The members have not required the company to obtsin an audit of its financial ststemenls the year ended 31 March 2023 in accord8rtt wrth Seth"on 476 ofthe oynwies Act 2006. The directors acknowledge Ih*r responsits"lrties for. {a} ensuring that the company keeps aceounting ￿torts ccffipty with secb.on 386 8nd 387 of the CoMpan￿S Act 2006 and Ib) preparing financial statements whth give a true and fair view of the stsle of affairs of the company as at the end of each finarrial year of rts profft for loss for each financtal year in accordance with the requirements of Sedion5 394 and 395 and wh￿h othernvise comply wrth the requirements ofthe Compan￿$ Act 2006 relating lo fina￿al Ststements. so far as applicable to the company. These Financial Statements have been p￿pa￿d in acc￿￿nCe with the Speual Provisions of Part 15 of the Companies Act 2006 relatirvj to small companw. Approved by the Board of Trustees on 1 November 2023 and swJne(J ￿ rts behalf by.. ngrove Trustee The notes f￿M part of these Fwncial Statements. 10 HEALTHWATCH SUTTON NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2023 ACCOUNTING POLICIES Basb of prepaTatlon and as$ossment of golng ￿Tr¢¢m The financial statements have been prepa￿￿ under the historical cost Convertlion with item$ cognL%ed al cost or transaelj.on value unless otherwise ststed. The financial statements have been prepared in accordance with the Statement of Recommended Practice.. Accounting and Repx)rtiry by Charibes preparing their acccxjnts in accordance wlh the Financial Reporb'ng Standard applicable in the UK and Republic of Ireland IFRS 1021 issued in October 2019, the Finanetal Reporting Standard awlc8b￿ in the United Kingdom Republ￿ of I￿land IFRS 1021. the Charities Act 2011. Ihe Companies Act 20(E and UK Ge￿ralty Accepted Accounting Practi￿. The Chanty constitute5 a publtc benefft enb'ty as defined ty FRS 102. The trustees congder th* Ihere are no malwial uncertaintbes abwl the Charity's ability lo conb'nue as a goirvj corKem. The significant accountirwj policies have been crThislentty appl*d to all years presented unless othemise stated. bl Fund Aecounting Unrestricted funds are a￿lIab* ￿ use al the discre11￿ ol ihe Iru*ees in furtheran¢e of the general oty'ectives of lh8 thanty. Restricted funds are thxe funds %thi¢h are to be used in accordance wth specific reStrict￿n$ Imp￿ed by donors or wthich have be￿ ratsed by the charity kn specffic purposes. Company Status The charity is a compary limited by guarantee and is registered in England and Wales. The members of the company are the Irustees In the event of the tharity being wound-up, the liability in respect of ihe guarantee is limrted to £1 per member of the cl￿rty. The address of the registered Off￿ is given in tite Reference and Administrative Irrformal￿n on page 1. dl Incoming Resources Al incoming resources are i￿luded in the Slalement of Financial Activities when the charity is le9ally entrtled to the income and the amount can be quantified with reasonable accuracy. In￿rne from contra¢ls which are rdated lo perfrffiiance is re¢ognised as the ¢hartty eam5 the right to ￿nSIderatIOn by its perf￿nce. ReSoU￿e5 Expended All experKliture 15 accwnled for on an basis. Chanta￿e aetiwties eomwse those costs incurred ty the ehanty in the delivery of its activibes and Services ftjr its beneficiaries. It indudes both costs that can be alltxated direetly to such acb"vilie5 and those ￿¥ts of an indir￿t nature necessary to support them. Governanee costs indude those eosts assoerdled wrth meeting the eL)nslitulional and slalutory reqUI￿rnents of the chanty and include independent examination fees and costs linked lo the Strateg￿ management of the chty. Penslon Costs The tharity operates a defined conlritxrtic￿ pension scheme for the benefrt of ils employees. The cost of contribub.ons a￿ charged to the Statement of Finanual Activibes in the year they are payalAe. HEALTtrIWATCH SUThON NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 IAARCH 2023 Icontd... ACCOUNTING POUCIES {conVd) gl Lgases Operatsng lease rentals are charged to the Statement of Finartial Acb"vth"es on a straight line basis over the penod of the Jease. h) Debtors and credilors receivablelpayable wlthln one year Debtors an￿ creditors wnlh no stated Int￿St rale and vthith are receivable or payable wlhin one yeaf a￿ recof(Je(J al transa(*on price. Any105ses arising impairment are recognised in expeTrJrture. INCOME FROM CHARITABLE ACTMnES 2023 2022 Contracts London Borough of Sutton NHS Sutton Clinical Commiswning Group NHS Soulh Wesl Londm Integrated Care Board NHS Core 20 Plus Funding Other organisations 94,979 40,968 82.500 52,690 16,884 109,962 40,966 18,358 £288,021 £169,288 All of the £169,288 recognised in 2022 related to ￿reStr￿ed funds. CHARITABLE ACTMTIES Direcl Grdnt fundin9 Support of actlvities TOTAL 2023 TOTAL 2022 Staff arKI volunteers CO*$ Sut¢ontractors Propety cost$ General running costs Management ¢¢￿ts ICT costs Finance costs Other support costs Govemance eosls (note 4) 121.402 121,402 82,459 6,388 7,740 5,200 4,709 2.800 3,680 1,434 128,357 20,000 6,028 8,287 5,200 2,980 2,600 3,727 1.426 82.459 6,388 7,740 5.200 4.709 2.600 3.680 1.434 121.402 £82,459 £31.751 £235,612 £178,605 All of the £178.605 expenditure re￿anISed in 2022 related to unrestricted fiJnds. l of the above costs relate to the sde ath.ty of the Chanty vthich is lo offer people a chance lo have their say arKI hdp Improve local health and S￿al Care services. 12 HEALTHWATCH SUTTON NOTES TO THE FINAIICIAL STATEMEKrs FOR THE YEAR ENDED 31 MARCH 2023 Iconvd.... GOVERNANCE COSTS 2023 2022 Independent Examinerfs fees Board MeelirvJs and AGM Other costs 1,434 1,362 51 13 £1,434 £1.426 STAFF COSTS 2023 2022 Wages and salanes Stxial Secunty costs Pension costs Other direct cosls 105.135 10,684 3.765 1.818 109,833 11,006 5,536 1,982 £121.402 £128,357 No: Average number of employees based ￿ full-lime equivalents and on employee numbers No empbyee receNeil remuneration amounting to more than £60.000 in either perioLI. Total employee benefrts received by key management amounted to £55.600 (2022 . £54,380). Undèr FRS 102. emph)yee benefits indude gross salary, beneffts in kind, employer's national insurance and eM￿0yer,5 pensKM t))sls. DEBTORS 2023 2022 Other debtors and Prepa￿ents £317 £204 CREtXTORS'. Amounts falling due withln one year 2023 2022 Other ueditors and accruals £5,858 £10.335 STATEMENT OF FUNDS At 31 March 2022 At 31 March 2023 Incoming Resources Resources Expended Un￿StrICted funds General frJnds £41.IX3 £288.265 £1235,612) £93.716 The General Fund reyesents the free resources of tr* thanty whth are not deygnated for particular PUfFoses. RELATED PARTIES Dumg the year. O trustees (2022.. 01 We￿ feimbursed lor expenses12022.' £Nil}. The trustees received rn reMl￿*[a￿￿ in either yw. 13