**Together we’re making health and social care better Annual Report 2022–23**
## **Contents**
|**Contents**||
|---|---|
|Message from our Chair|3|
|About us|4|
|Year in review|5|
|Highlights from our year|6|
|Ten years of improving care|7|
|Listening to your experiences|9|
|Advice and information|14|
|Finances and future priorities|16|
|Statutory statements|17|
|Acknowledgements|21|
"In the last ten years, the health and social care landscape has changed dramatically, but the dedication of local Healthwatch hasn't. Your local Healthwatch has worked tirelessly to make sure the views of local people are heard, and NHS and social care leaders use your feedback to make care better."
Louise Ansari, Healthwatch National Director
**2** Healthwatch Isles of Scilly Annual Report 2022-23
## **Message from our Chair**
Once again it is my privilege to introduce our Healthwatch Isles of Scilly Annual Report to update our community on what work we have been undertaking representing your views on the health and social care services that many of us use both on the islands and mainland.
In April we welcomed Craig Evans to join Catherine Fuller as our coordinators and manage our workload. I also wish to thank our Directors who volunteer their time to oversee the work we do and represent your views at meetings with health and Social care agencies.
Examples of our work for the past year include managing and chairing of the Medical Travel and Transport group; having input into multi agency planning and discussion groups such as Health and Well-Being; Scrutiny committees and Adult Care services and many other statutory and non-statutory groups.
## **Paul Charnock Healthwatch Isles of Scilly Chair**
It is important, therefore, for us to represent your views on using services but we can only do this if you inform us of your experiences both good and maybe not so good. Please let us know.
“In the near future there are going to be some major changes to the way that health and social care is delivered, both nationally and locally. They are so under pressure to meet the needs of individuals and communities, that improvements need to be achieved. We have many committed and professional people who work in the health and care sector, and they will need our understanding while change is achieved. Locally, we will do our best to keep you up to date.”
**3** Healthwatch Isles of Scilly Annual Report 2022-23
## **About us**
## Healthwatch Isles of Scilly is your local health and social care champion.
We make sure NHS leaders and decision makers hear your voice and use your feedback to improve care. We can also help you to find reliable and trustworthy information and advice.
## **Our vision**
Our local communities across the five islands can all access the health and care services that they need.
## **Our mission**
To ensure that people’s experiences influence health and care provision.
## **Our values**
- **Listening:** We listen to people’s stories and make sure that their views are heard
- **Including:** We listen to the views of people from all areas of the community
- **Analysing:** We look closely at people’s experiences to learn how to improve care
- **Acting:** We use the information provided to drive change
- **Partnering:** We work closely with local and national health and social care and voluntary services
**4** Healthwatch Isles of Scilly Annual Report 2022-23
## **Year in review**
## **Reaching out**
## **91 people**
shared their experiences of health and social care services with us, helping to raise awareness of issues and improve care.
## **44 people**
came to us for clear advice and information about topics such as mental health and the cost of living crisis.
## **Making a difference to care**
We published
## **2 reports**
about the improvements people would like to see to health and social care services.
Our most popular report was
## **Community Health & Care Survey**
in which 187 people gave feedback on health and care services across the islands
## **Health and care that works for you**
The Department of Health and Social Care (DHSC) fund our work. DHSC gives money to local councils so they can commission an effective local Healthwatch service. In 2022-23 we received
**£45,480,** which is 3.4% more than the previous year.
We are lucky to have
## **5 volunteer Directors**
We currently employ
**2 part time members of staff** who help us carry out our work.
**5**
Healthwatch Isles of Scilly Annual Report 2022-23
## **Highlights from our year**
We gave our community the opportunity to meet with service leaders to learn about the service they provide, ask questions and offer feedback.
We produced guides for medical travel and useful numbers, to help residents and visitors to access the services they need.
We submitted recommendations to 17 service providers on how to improve their service, based on feedback from our H&C survey.
We enhanced the reach of information we share with the community by creating digital signs for our office window, providing another way for people to access it.
We helped to reduce patients need to travel for medical appointments by supporting local services to increase the provision of remote consultations.
In partnership with Macmillan, we launched the Cancer Café to help and support island residents affected by cancer.
Teaming up with local services, we helped tackle the cost of living crisis by sharing and distributing information about the financial support available to residents.
We supported the Healthwatch England #BecauseWeAllCare campaign which saw 54,000 people come forward to tell Healthwatch about issues they faced with services.
**6**
Healthwatch Isles of Scilly Annual Report 2022-23
## **10 years of improving care**
This year marks a special milestone for Healthwatch. Over the last ten years, people have shared their experiences, good and bad, to help improve health and social care. A big thank you to all our Healthwatch Heroes that have stepped up and inspired change. Here are a few of our highlights:
## **How have we made care better, together?**
## **Adult mental health**
We created a focus group to look at models of provision , long term planning and making recommendations to improve the support provided. Our local council and NHS Kernow Clinical Commissioning group, commissioned a post to facilitate improved and coordinated access to mental health services.
## **Patient transport**
In 2014 we established the IOS Medical , Travel and Transport group, bringing together service providers to improve the medical travel experience for people across the five islands. This is still a bi-monthly meeting.
## **Off-island and access to x-rays**
We voiced the concerns of those living on off-islands having to pay a high premium for travel to St Mary’s for an x- ray. The day was changed to make it more accessible through cheaper travel.
## **Virtual consultation clinics**
We worked with the transformation team, at the Royal Cornwall Hospital Trust and progress was made to enable video consultations to happen for follow-up appointments. The first visual consultation clinic started in February in the speciality of orthopaedics, with the plan to offer virtual consultation in this speciality to IOS patients.
## **Travelling to a medical appointment**
.
We recommended that travel for urgent treatment for Isles of Scilly patients to be included in the NHS Nonemergency funded patient transport policy and that escorts for 20 week maternity scans should not be means tested. As a result, our recommendations were accepted by NHS Kernow Clinical Commissioning Group and included in the Isles of Scilly section of this policy.
**7**
Healthwatch Isles of Scilly Annual Report 2022-23
## **Listening to your experiences**
Services can’t make improvements without hearing your views. That’s why over the last year we have made listening to feedback from all areas of the community a priority. This allows us to understand the full picture, and feed this back to services and help them improve.
**8**
Healthwatch Isles of Scilly Annual Report 2022-23
## **Making Cancer Experiences Count**
**Living on a remote island and facing a cancer diagnosis can add far greater levels of stress and anxiety. You must cope with crossing 28 miles of sea, sometimes without family or a friend travelling with you, and then use public transport to access treatment and support which can at times, seem an impossible challenge. No one should face cancer alone.**
## **Support**
We have partnered with Macmillan Cancer Support and The Cove (Macmillan Support Centre, Treliske Hospital), to help support Isles of Scilly patients through their cancer journey and beyond. We host quarterly Cancer Cafés, where patients and their families can access support staff, connect with others affected by cancer and share experiences. We are working together to provide resources, for example a wellness pack to take to hospital. This will have useful items to use during treatment. We have collected feedback from patients to help design a ‘top tips’ leaflet, that gives some practical ideas, especially for newly diagnosed patients, to help them through travel and treatment. We are talking to our local fitness provider to organise wellbeing sessions that are bespoke to cancer patient's needs.
- 35 people have attended the last 2 cafes on St Mary’s
- We chatted to 20 people about what would have made their cancer experience a better one
- There are now 36 members of the Scilly Isles Cancer Support Group Facebook page
## **What difference will this make?**
- **Local health services can signpost patients to the local support that is available.**
- **We provide a safe space for people to talk, if they wish to, with others in similar situations and somewhere to get information and support.**
- **Providing items to take to hospital will help manage some of the unpleasant side effects of treatment, like nausea and cold hands and feet.**
- **Offering well-being classes will help with social interaction, mental wellbeing and support, as well as gaining strength and fitness.**
- **The Facebook page connects patients to each other and enables them to keep up to date with events and participate in any feedback relating to cancer care.**
- “The coffee mornings are a great success, thank you.” **S adie, Island resident**
**9**
Healthwatch Isles of Scilly Annual Report 2022-23
## **Improving access to healthcare appointments**
**Getting to healthcare appointments can be both difficult and expensive for the island's residents, and with the cost of living crisis, more people are expressing concerns about travelling to the mainland for medical care. Changes to the way in which these healthcare appointments are delivered will make it easier for people to access support and reduce their need to travel.**
For many people living on the Isles of Scilly, needing to travel to the mainland for medical appointments often means that they miss out on vital care. Travel disruptions on the outbound journey can prevent them from attending appointments, whilst disruptions on the return journey can mean that the person is stranded on the mainland, often for several days at a time, leaving them to find accommodation. This risk of increased difficulty and costs creates a significant health inequality, causing many to re-evaluate their medical needs.
## **Our recommendations:**
1. Offer a hybrid model of medical appointments that include different options, such as video, telephone and face to face consultations/appointments, that give the patients’ choice and personal preferences that meet their needs, and not just based on clinical need.
2. Implementing remote consultations for those without the technological means to access this, particularly on the off islands, must be considered and solutions sought to give everyone the opportunity to have equal access to health and care.
3. To work closely with the local health and care providers who can work together to provide the technological and personal support that will be needed for those who may have limited or no access to electronic devices, or the understanding of how to connect to digital appointments.
## **What difference will this make?**
Working together with service providers we hope to reduce this requirement for travel, by expanding the availability of remote consultations offered and increasing the clinics provided locally.
More than 1,600 medical consultations took place between April 2022 and March 2023. Our recent survey revealed that many patients would like the option of a remote consultation if possible.
These changes should ensure that people don’t need to skip their appointments simply because they can’t afford to travel there, enabling them access to the care they need.
“I need information on transport for someone attending regular dialysis. They can’t travel on public transport. It would require two buses and they are too ill. They also do not have anyone who can drive them there.” Patient’s representative
**10**
Healthwatch Isles of Scilly Annual Report 2022-23
## **Three ways we have made a difference for the community**
Throughout our work we gather information about health inequalities by speaking to people whose experiences aren’t often heard.
## **Creating empathy by bringing experiences to life**
## It’s important for services to see the bigger picture. Hearing personal experiences and the impact on people’s lives provides them with a better understanding of the problems.
We shared the personal experiences of patients having issues with needing to sit in a certain seat on the aircraft when travelling to the mainland for medical appointments, and turning up for check-in to find that this was not possible. The transport company understood the situation, they identified that if patients need to sit in a certain seat, then they should contact them directly and ask if that seat can be reserved, and not to wait until they are checking in for the flight. This will now benefit many patients who may have aircraft accessibility issues.
## **Getting services to involve the public**
Services need to understand the benefits of involving local people to help improve care for everyone.
One of our recommendations to the health centre was that their website provided regular updates of available services or signposting to services. The health centre now has a website where you can easily navigate to different areas of support. This enables people to have more direct access to information.
## **Improving care over time**
Change takes time. We often work behind the scenes with services to consistently raise issues and bring about change.
We held a public meeting with the commissioners of patient transport where people shared their stories about the experiences of travelling to the mainland for a hospital appointment and the difficulties that they faced. This gave the decision makers a true picture of the difficulties that were faced by islanders when arranging travel for a medical appointment. The commissioners are now in the process of addressing some of these issues.
**11**
Healthwatch Isles of Scilly Annual Report 2022-23
## **Hearing from all communities**
Over the past year we have worked hard to try to 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 services meet their needs.
This year we have reached different communities by:
- Having Community Voices forum events that are also accessible remotely
- Providing information leaflets and posters to the off-islands
- Reaching out to local services to share information and events
- Holding cancer café events to gather feedback about cancer care
**12**
Healthwatch Isles of Scilly Annual Report 2022-23
## **Cancer support -Wellness activity sessions**
We received feedback from members of the community at our cancer café telling us they would like to be able to access wellness sessions, like those available through The Cove, the Macmillan Information and Support Centre in Truro. We met with the Macmillan Engagement Lead for Devon, Cornwall and the Isles of Scilly and staff from The Cove, to identify the types of sessions that would be beneficial to those people whose lives are affected by cancer. We are now in the process of talking to our local activity provider and finalising plans to enable people to access funded sessions.
“To be able to access wellbeing sessions here on Scilly would be amazing! All the doctors I've seen have recommended these to help with recovery during and after treatment and also to help deal with the mental toll cancer takes on people’s lives.”
## **Island resident**
## **Physiotherapy**
Accessibility to physiotherapy services has always been an area where we received negative feedback. After managing to secure the service for a Thursday so that off-island patients can access it, the islands gained a resident physiotherapist. This has meant that the service is reliable and accessible for more patients and not reliant on someone travelling from the mainland, which was often disrupted due to the weather.
Our biennial survey identified that people wanted to be able to self-refer for physiotherapy and that the form had to be collected from the health centre. We recommended that the health centre put the form on their website. This has now become available, along with other information to support the patient with physiotherapy.
“It is great to be able to see a physiotherapist more quickly, so I didn’t have wait for what could have been quite a long time for one to come from the mainland.”
**Local resident**
**13**
Healthwatch Isles of Scilly Annual Report 2022-23
## **Advice and information**
If you feel lost and don’t know where to turn, Healthwatch is here for you. In times of worry or stress, we can provide confidential support and free information to help you understand your options and get the help you need. Whether it’s finding out information about patient transport, booking an optician appointment, or making a complaint, you can count on us.
## This year we’ve helped people by:
- Providing up to date information people can trust
- Helping people access the services they need
- Helping people access medical travel
- Supporting people to look after their health during the cost of living crisis
**14**
Healthwatch Isles of Scilly Annual Report 2022-23
## **Helping to enable single day medical travel**
In our health and care survey 50 people rated the hospital appointment time provided to fit with flight times as poor or satisfactory. We work with RCHT to help ensure that, where possible, mainland travel for medical appointments can be achieved in a single day, reducing the barriers to patients accessing medical care.
Patients not able to return within the same day are forced to find accommodation on the mainland, often at significant cost.
A patient informed us that they had been unable to get an appointment with the audiologist at a time they were able to attend, as the 9:00am Monday morning appointment would have required two nights stay over the weekend before the Monday appointment.
“My last appointment was at 8:00am on a Monday morning, wintertime, so had to leave Scilly on a Friday afternoon.”
## **Islands resident**
We contacted the Referral Management Service who then brought it to the attention of the referral team and service providers, to supply appointment times for Isles of Scilly residents between 11:00 and 14:00, where possible.
## **Helping residents to understand mainland travel**
With guidance from Patient Transport, we produced a medical travel guide to help island residents with travel to mainland appointments and shared this with our community digitally as well as having a hard copy available. The guide offers information on booking travel for medical appointments both to and from hospital, along with guidance on medical escorts, amendments and cancellations.
In the past year 75% of feedback was about medical travel. Many residents are not familiar with the unique system the islands share when it comes to travel for medical appointments., and navigating this process can be difficult, especially when the patient is feeling unwell.
One elderly resident had expressed a high degree of anxiety about travelling to an appointment on the mainland, being particularly concerned about maintaining their specific medical needs while travelling.
“I’m not yet sure whether I’ll attend. It all just seems such a bother.”
## **Islands resident**
After contacting us with these concerns we were able to supply a copy of the guide, which provided them with both the reassurance that their needs would be met, along with an understanding of the process.
**15**
Healthwatch Isles of Scilly Annual Report 2022-23
## **Finance and future priorities**
**To help us carry out our work we receive funding from our local authority under the Health and Social Care Act 2012. Some of this funding is from the Department of Health and Social care, who give the money to our local council so that they can commission an effective Healthwatch service.**
## **Our income and expenditure**
|**Income**||**Expenditure**||
|---|---|---|---|
|Annual grant from|£45,480|Expenditure on pay|£30,500|
|Government||||
|||Non-pay expenditure|£10,998|
|||Office and management|£3,120|
|||fee||
|**Total income**|**£45,480**|**Total expenditure**|**£44,618**|
## **Next steps**
In the ten years since Healthwatch was launched, we’ve demonstrated the power of public feedback in helping the health and care system understand what is working, spot issues and think about how things can be better in the future.
Services are currently facing unprecedented challenges and tackling the backlog needs to be a key priority for the NHS to ensure everyone gets the care they need. Over the next year we will continue our role in collecting feedback from everyone in our local community and giving them a voice to help shape improvements to services.
We will also continue our work to tackle inequalities that exist and work to reduce the barriers people face when accessing care, regardless whether that is because of where they live, their income or race.
## **Top three priorities for 2023-24**
## **Cancer support**
Improving the experiences of cancer patients
## **Medical travel**
Improving access to medical transport
## **Children & young people**
Making their voices count
**16**
Healthwatch Isles of Scilly Annual Report 2022-23
## **Statutory statements**
Healthwatch Isles of Scilly Unit 1 Gleaner House, Buzza Street, St Mary’s, Isles of Scilly, TR210HW.
Healthwatch Isles of Scilly uses the Healthwatch Trademark when undertaking our statutory activities as covered by the licence agreement.
**17**
Healthwatch Isles of Scilly Annual Report 2022-23
**The way we work**
## **Involvement of volunteers and lay people in our governance and decision-making**
Our Healthwatch Board consists of 5 members who work on a voluntary basis to provide direction, oversight and scrutiny to our activities. Our Board ensures that decisions about priority areas of work reflect the concerns and interests of our diverse local community. Throughout 2022/23 the Board met 5 times and made decisions on matters such as priorities for the year, roles and responsibilities, policy and budgetary setting.
We ensure wider public involvement in deciding our work priorities.
## **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 are given the opportunity to provide us with insight about their experience of using services. During 2022/23 we have been available by phone, email, social media, meetings of community groups, forum events, and through our webform on our website.
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 it will also be available at Mumford's newsagent, the Post Office on St Mary’s and at the 4 off-island shops/post offices.
## **Responses to recommendations**
There were not any providers who did not respond to our requests for information or recommendations. There were no issues or recommendations escalated by us to Healthwatch England Committee, so no resulting reviews or investigations were necessary.
**18**
Healthwatch Isles of Scilly Annual Report 2022-23
## **Taking people’s experiences to decision 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 to our Medical, Travel and Transport Group meeting, Patient Experience Group meeting (RCHT), and Safer Scilly. We also take insight and experiences to decision makers in the Cornwall and Isles of Scilly Integrated Care System. For example, we share information at the Health and Wellbeing Board. We also share our data with Healthwatch England to help address health and care issues at a national level.
We have met with the following people this year to share patient feedback and stories and to collaborate on how to improve the health and care services that are accessed by our local community:
- Steve Williamson, Chief Executive Officer (CEO) of Royal Cornwall Hospital Trust
- Kate Shields, CEO of the Integrated Care Board (ICB)
- Debbie Richards, CEO of Cornwall Partnership NHS Foundation Trust
- Anita Cornelius, ICB West Area Director
## We regularly attend the following meetings:
- Council of the Isles of Scilly Scrutiny
- Cornwall and the Isles of Scilly Joint Health and Well-being Board
- Isles of Scilly Integrated Health and Care Partnership
- Involving People and Communities, Cornwall and the Isles of Scilly Integrated Care Board
- Safer Scilly
- Patient Experience Group (RCHT)
- Isles of Scilly Belonging and Inclusive Group
- The Cove Forum
- Healthwatch South-West Network
**19** Healthwatch Isles of Scilly Annual Report 2022-23
## **Healthwatch representatives**
Healthwatch Isles of Scilly is represented on the Cornwall and the Isles of Scilly Health and Wellbeing Board by Paul Charnock, Chair of the Board. During 2022/23 our representative has effectively carried out this role presenting our report to the Board and raising any health and wellbeing concerns.
Healthwatch Isles of Scilly is represented on Cornwall and the Isles of Scilly Integrated Care Partnerships by Steve Manning and Integrated Care Boards by the CEO of Healthwatch Cornwall, who at present, is our representative.
## **2022–2023 Outcomes**
|**2022–2023Outcomes**||
|---|---|
|**Communication**|**Changes made to services**|
|Digital display boards|Accessible information on health and
care services provided 24 hours a day.|
|Booklet of useful numbers. Information
provided about different health and
care services, including contact details
|The directory enables easy access of
health and care contact information
available to most members of the
|
|(Electronic and hard copy available).|community.|
|Hospital discharge guide to support
staff on hospital wards within the Royal
Cornwall Hospital Trust, with the
discharge process of an Isles of Scilly
patient.|This guide will mean that there will be
less opportunity for a patient to be
discharged from hospital without the
appropriate medication and travel
arrangements organised so that they
able to travel back from the mainland
the same day.|
**20**
Healthwatch Isles of Scilly Annual Report 2022-23
## **Thank you**
# **Over the past year we have also had many positive comments about local health and care services.**
**We would like to thank everyone who is helping us to put people at the heart of care.**
**21**
Healthwatch Isles of Scilly Annual Report 2022-23
h althwètch
Isles of Scilly
O Unit I, Gleoner House
Buzza Street
stmarys
Isles of Scilly
TR21 OHW
Open Mon- Thu, 9.'30-13'.30
01720 423037
contact@healthwotchislesofscilly.co.uk
www.healthwatchislesofscilly.co.uk
Focebook.comlHeolthwotch-Isles-of-Scilly
Registration number: 08321886
## Healthwatch Isles of Scilly
Annual Report and Unaudited Financial Statements
for the Year Ended 31 March 2023
Mrs Rachel Keeley Accountant Carriacou Pilots Retreat St. Mary's Isles of Scilly TR21 0PB
## **Healthwatch Isles of Scilly**
## **Contents**
|Company Information||1|
|---|---|---|
|Directors' Report||2|
|Accountants' Report||3|
|Profit and Loss Account||4|
|Balance Sheet||5|
|Notes to the Unaudited Financial Statements|6|to 8|
|Detailed Profit and Loss Account|9 to 10||
## **Healthwatch Isles of Scilly**
## **Company Information**
## **Directors**
## **Registered office**
## **Accountants**
Mr C Douglas Jane Hurd Paul Charnock Mr Timothy David Jones Mr Stephen Philip Manning Unit 1 Gleanor House Buzza Street St Mary's Isles of Scilly TR21 0HW Mrs Rachel Keeley Accountant Carriacou Pilots Retreat St. Mary's Isles of Scilly TR21 0PB
Page 1
## **Healthwatch Isles of Scilly**
## **Directors' Report for the Year Ended 31 March 2023**
The directors present their report and the financial statements for the year ended 31 March 2023.
## **Directors of the company**
The directors who held office during the year were as follows:
Mr C Douglas
Jane Hurd
Paul Charnock
Mr Timothy David Jones
Mr Stephen Philip Manning
Penelope Penn-Howard (ceased 22 May 2023)
## **Principal activity**
The principal activity of the company is to help local people get the best out of their local health and social care services.
## **Small companies provision statement**
This report has been prepared in accordance with the special provisions relating to companies subject to the small companies regime within Part 15 of the Companies Act 2006.
Approved and authorised by the Board on .................... and signed on its behalf by:
.........................................
Mr Stephen Philip Manning Director
Page 2
## **Accountants' Report to the Board of Directors on the Preparation of the Unaudited Statutory Accounts of Healthwatch Isles of Scilly for the Year Ended 31 March 2023**
In order to assist you to fulfil your duties under the Companies Act 2006, we have prepared for your approval the accounts of Healthwatch Isles of Scilly for the year ended 31 March 2023 as set out on pages 4 to 8 from the company's accounting records and from information and explanations you have given us.
This report is made solely to the Board of Directors of Healthwatch Isles of Scilly, as a body, in accordance with the terms of our engagement letter. Our work has been undertaken solely to prepare for your approval the accounts of Healthwatch Isles of Scilly and state those matters that we have agreed to state to the Board of Directors of Healthwatch Isles of Scilly. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than Healthwatch Isles of Scilly and its Board of Directors as a body for our work or for this report.
It is your duty to ensure that Healthwatch Isles of Scilly has kept adequate accounting records and to prepare statutory accounts that give a true and fair view of the assets, liabilities, financial position and profit of Healthwatch Isles of Scilly. You consider that Healthwatch Isles of Scilly is exempt from the statutory audit requirement for the year.
We have not been instructed to carry out an audit or a review of the accounts of Healthwatch Isles of Scilly. For this reason, we have not verified the accuracy or completeness of the accounting records or information and explanations you have given to us and we do not, therefore, express any opinion on the statutory accounts.
......................................
Mrs Rachel Keeley Accountant Carriacou Pilots Retreat St. Mary's Isles of Scilly TR21 0PB Date:.............................
Page 3
## **Healthwatch Isles of Scilly**
## **Profit and Loss Account for the Year Ended 31 March 2023**
|||**2023**||**2022**|
|---|---|---|---|---|
||**Note**|**£**||**£**|
|Turnover||47,811||43,528|
|Gross profit||47,811||43,528|
|Administrative expenses||(46,617)||(36,214)|
|Operating profit||1,194||7,314|
|Profit before tax|4|1,194||7,314|
|Profit for the financial year||1,194||7,314|
The above results were derived from continuing operations.
The company has no recognised gains or losses for the year other than the results above.
The notes on pages 6 to 8 form an integral part of these financial statements. Page 4
## **Healthwatch Isles of Scilly**
## **(Registration number: 08321886) Balance Sheet as at 31 March 2023**
|||**2023**||**2022**|
|---|---|---|---|---|
||**Note**|**£**||**£**|
|**Current assets**|||||
|Debtors|6|978||799|
|Cash at bank and in hand||22,344||19,948|
|||23,322||20,747|
|**Creditors**: Amounts falling due within one year|7|(2,301)||(920)|
|**Net assets**||21,021||19,827|
|**Capital and reserves**|||||
|Retained earnings||21,021||19,827|
|Shareholders' funds||21,021||19,827|
For the financial year ending 31 March 2023 the company was entitled to exemption from audit under section 477 of the Companies Act 2006 relating to small companies.
Directors' responsibilities:
- The members have not required the company to obtain an audit of its accounts for the year in question in accordance with section 476; and
- The directors acknowledge their responsibilities for complying with the requirements of the Act with respect to accounting records and the preparation of accounts.
These financial statements have been prepared in accordance with the special provisions relating to companies subject to the small companies regime within Part 15 of the Companies Act 2006.
Approved and authorised by the Board on .................... and signed on its behalf by:
......................................... Mr Stephen Philip Manning Director
The notes on pages 6 to 8 form an integral part of these financial statements. Page 5
## **Healthwatch Isles of Scilly**
## **Notes to the Unaudited Financial Statements for the Year Ended 31 March 2023**
## **1 General information**
The company is a private company limited by share capital, incorporated in England and Wales.
The address of its registered office is: Unit 1 Gleanor House Buzza Street St Mary's Isles of Scilly TR21 0HW
These financial statements were authorised for issue by the Board on ........... .
## **2 Accounting policies**
## **Summary of significant accounting policies and key accounting estimates**
The principal accounting policies applied in the preparation of these financial statements are set out below. These policies have been consistently applied to all the years presented, unless otherwise stated.
## **Statement of compliance**
These financial statements have been prepared in accordance with Financial Reporting Standard 102 Section 1A smaller entities - 'The Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland' and the Companies Act 2006 (as applicable to companies subject to the small companies' regime).
## **Basis of preparation**
These financial statements have been prepared using the historical cost convention except that as disclosed in the accounting policies certain items are shown at fair value.
## **Going concern**
The financial statements have been prepared on a going concern basis.
## **Revenue recognition**
Turnover comprises the fair value of the consideration received or receivable for the sale of goods and provision of services in the ordinary course of the company’s activities. Turnover is shown net of sales/value added tax, returns, rebates and discounts.
The company recognises revenue when:
The amount of revenue can be reliably measured; it is probable that future economic benefits will flow to the entity; and specific criteria have been met for each of the company's activities.
## **Tangible assets**
Tangible assets are stated in the balance sheet at cost, less any subsequent accumulated depreciation and subsequent accumulated impairment losses.
The cost of tangible assets includes directly attributable incremental costs incurred in their acquisition and installation.
## **Depreciation**
The Depreciation policy is to write off all capital expenses in the year they occurred.
Page 6
## **Healthwatch Isles of Scilly**
## **Notes to the Unaudited Financial Statements for the Year Ended 31 March 2023**
|**Asset class**|**Depreciation method and rate**|
|---|---|
|Computer equipment|100% in year|
|Office equipment|100% in year|
## **Cash and cash equivalents**
Cash and cash equivalents comprise cash on hand and call deposits, and other short-term highly liquid investments that are readily convertible to a known amount of cash and are subject to an insignificant risk of change in value.
## **Trade debtors**
Trade debtors are amounts due from customers for merchandise sold or services performed in the ordinary course of business.
Trade debtors are recognised initially at the transaction price. They are subsequently measured at amortised cost using the effective interest method, less provision for impairment. A provision for the impairment of trade debtors is established when there is objective evidence that the company will not be able to collect all amounts due according to the original terms of the receivables.
## **Trade creditors**
Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary course of business from suppliers. Accounts payable are classified as current liabilities if the company does not have an unconditional right, at the end of the reporting period, to defer settlement of the creditor for at least twelve months after the reporting date. If there is an unconditional right to defer settlement for at least twelve months after the reporting date, they are presented as non-current liabilities.
Trade creditors are recognised initially at the transaction price and subsequently measured at amortised cost using the effective interest method.
## **Defined contribution pension obligation**
A defined contribution plan is a pension plan under which fixed contributions are paid into a pension fund and the company has no legal or constructive obligation to pay further contributions even if the fund does not hold sufficient assets to pay all employees the benefits relating to employee service in the current and prior periods.
Contributions to defined contribution plans are recognised as employee benefit expense when they are due. If contribution payments exceed the contribution due for service, the excess is recognised as a prepayment.
## **3 Staff numbers**
The average number of persons employed by the company (including directors) during the year, was 2 (2022 - 1).
## **4 Profit before tax**
Arrived at after charging/(crediting)
Page 7
## **Healthwatch Isles of Scilly**
## **Notes to the Unaudited Financial Statements for the Year Ended 31 March 2023**
||||**2023**|||**2022**|**2022**||
|---|---|---|---|---|---|---|---|---|
||||**£**|||**£**|||
|**5**|**Tangible assets**||||||||
||||**Furniture,**||||||
||||**fittings and**||||||
||||**equipment**|||**Total**|||
||||**£**|||**£**|||
|**Cost or valuation**|||||||||
|At|1 April 2022||10,161|||10,161|||
|At|31 March 2023||10,161|||10,161|||
|**Depreciation**|||||||||
|At|1 April 2022||10,161|||10,161|||
|At|31 March 2023||10,161|||10,161|||
|**Carrying amount**|||||||||
|At|31 March 2023||-|||-|||
||||||||||
|**6**|**Debtors**||||||||
||||**2023**|||**2022**|||
|**Current**|||**£**|||**£**|||
|Prepayments|||978|||799|||
|**7**|**Creditors**||||||||
|**Creditors: amounts falling due within one year**|||||||||
||||**2023**|||**2022**|||
||||**£**|||**£**|||
|**Due within one year**|||||||||
|Other creditors|||2,301|||920|||
Page 8
## **Healthwatch Isles of Scilly**
## **Detailed Profit and Loss Account for the Year Ended 31 March 2023**
||**2023**||**2022**|
|---|---|---|---|
||**£**||**£**|
|Turnover (analysed below)|47,811||43,528|
|Gross profit (%)|100%||100%|
|**Administrative expenses**||||
|Employment costs (analysed below)|(32,478)||(26,659)|
|Establishment costs (analysed below)|(3,810)||(3,431)|
|General administrative expenses (analysed below)|(10,329)||(6,124)|
||(46,617)||(36,214)|
|Operating profit|1,194||7,314|
|Profit before tax|1,194||7,314|
This page does not form part of the statutory financial statements. Page 9
## **Healthwatch Isles of Scilly**
## **Detailed Profit and Loss Account for the Year Ended 31 March 2023**
||**2023**||**2022**|
|---|---|---|---|
||**£**||**£**|
|**Turnover**||||
|Grants and subsidies|47,811||43,528|
|||||
|**Employment costs**||||
|Wages and salaries (excluding directors)|(31,532)||(25,914)|
|Staff pensions (Defined contribution)|(946)||(745)|
||(32,478)||(26,659)|
|**Establishment costs**||||
|Rent and rates|(3,120)||(3,120)|
|Light, heat and power|(690)||(311)|
||(3,810)||(3,431)|
|**General administrative expenses**||||
|Telephone and fax|(856)||(798)|
|Repairs and maintenance|(1,915)||(55)|
|Printing, postage and stationery|(241)||(1,206)|
|Sundry expenses|(493)||(269)|
|Travel and subsistence|(2,989)||-|
|Promotional & survey costs|(231)||(1,197)|
|Advertising|(1,379)||(693)|
|Accountancy fees|(818)||(875)|
|Professional indemnity insurance|(729)||(700)|
|Legal and professional fees|(678)||(331)|
||(10,329)||(6,124)|
This page does not form part of the statutory financial statements. Page 10
Registration number: 08321886
## Healthwatch Isles of Scilly
Annual Report and Unaudited Financial Statements
for the Year Ended 31 March 2023
Mrs Rachel Keeley Accountant Carriacou Pilots Retreat St. Mary's Isles of Scilly TR21 0PB
## **Healthwatch Isles of Scilly**
## **Contents**
|Company Information||1|
|---|---|---|
|Directors' Report||2|
|Accountants' Report||3|
|Profit and Loss Account||4|
|Balance Sheet||5|
|Notes to the Unaudited Financial Statements|6|to 8|
|Detailed Profit and Loss Account|9 to 10||
## **Healthwatch Isles of Scilly**
## **Company Information**
## **Directors**
## **Registered office**
## **Accountants**
Mr C Douglas Jane Hurd Paul Charnock Mr Timothy David Jones Mr Stephen Philip Manning Unit 1 Gleanor House Buzza Street St Mary's Isles of Scilly TR21 0HW Mrs Rachel Keeley Accountant Carriacou Pilots Retreat St. Mary's Isles of Scilly TR21 0PB
Page 1
## **Healthwatch Isles of Scilly**
## **Directors' Report for the Year Ended 31 March 2023**
The directors present their report and the financial statements for the year ended 31 March 2023.
## **Directors of the company**
The directors who held office during the year were as follows:
Mr C Douglas
Jane Hurd
Paul Charnock
Mr Timothy David Jones
Mr Stephen Philip Manning
Penelope Penn-Howard (ceased 22 May 2023)
## **Principal activity**
The principal activity of the company is to help local people get the best out of their local health and social care services.
## **Small companies provision statement**
This report has been prepared in accordance with the special provisions relating to companies subject to the small companies regime within Part 15 of the Companies Act 2006.
Approved and authorised by the Board on .................... and signed on its behalf by:
.........................................
Mr Stephen Philip Manning Director
Page 2
## **Accountants' Report to the Board of Directors on the Preparation of the Unaudited Statutory Accounts of Healthwatch Isles of Scilly for the Year Ended 31 March 2023**
In order to assist you to fulfil your duties under the Companies Act 2006, we have prepared for your approval the accounts of Healthwatch Isles of Scilly for the year ended 31 March 2023 as set out on pages 4 to 8 from the company's accounting records and from information and explanations you have given us.
This report is made solely to the Board of Directors of Healthwatch Isles of Scilly, as a body, in accordance with the terms of our engagement letter. Our work has been undertaken solely to prepare for your approval the accounts of Healthwatch Isles of Scilly and state those matters that we have agreed to state to the Board of Directors of Healthwatch Isles of Scilly. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than Healthwatch Isles of Scilly and its Board of Directors as a body for our work or for this report.
It is your duty to ensure that Healthwatch Isles of Scilly has kept adequate accounting records and to prepare statutory accounts that give a true and fair view of the assets, liabilities, financial position and profit of Healthwatch Isles of Scilly. You consider that Healthwatch Isles of Scilly is exempt from the statutory audit requirement for the year.
We have not been instructed to carry out an audit or a review of the accounts of Healthwatch Isles of Scilly. For this reason, we have not verified the accuracy or completeness of the accounting records or information and explanations you have given to us and we do not, therefore, express any opinion on the statutory accounts.
......................................
Mrs Rachel Keeley Accountant Carriacou Pilots Retreat St. Mary's Isles of Scilly TR21 0PB Date:.............................
Page 3
## **Healthwatch Isles of Scilly**
## **Profit and Loss Account for the Year Ended 31 March 2023**
|||**2023**||**2022**|
|---|---|---|---|---|
||**Note**|**£**||**£**|
|Turnover||47,811||43,528|
|Gross profit||47,811||43,528|
|Administrative expenses||(46,617)||(36,214)|
|Operating profit||1,194||7,314|
|Profit before tax|4|1,194||7,314|
|Profit for the financial year||1,194||7,314|
The above results were derived from continuing operations.
The company has no recognised gains or losses for the year other than the results above.
The notes on pages 6 to 8 form an integral part of these financial statements. Page 4
## **Healthwatch Isles of Scilly**
## **(Registration number: 08321886) Balance Sheet as at 31 March 2023**
|||**2023**||**2022**|
|---|---|---|---|---|
||**Note**|**£**||**£**|
|**Current assets**|||||
|Debtors|6|978||799|
|Cash at bank and in hand||22,344||19,948|
|||23,322||20,747|
|**Creditors**: Amounts falling due within one year|7|(2,301)||(920)|
|**Net assets**||21,021||19,827|
|**Capital and reserves**|||||
|Retained earnings||21,021||19,827|
|Shareholders' funds||21,021||19,827|
For the financial year ending 31 March 2023 the company was entitled to exemption from audit under section 477 of the Companies Act 2006 relating to small companies.
Directors' responsibilities:
- The members have not required the company to obtain an audit of its accounts for the year in question in accordance with section 476; and
- The directors acknowledge their responsibilities for complying with the requirements of the Act with respect to accounting records and the preparation of accounts.
These financial statements have been prepared in accordance with the special provisions relating to companies subject to the small companies regime within Part 15 of the Companies Act 2006.
Approved and authorised by the Board on .................... and signed on its behalf by:
......................................... Mr Stephen Philip Manning Director
The notes on pages 6 to 8 form an integral part of these financial statements. Page 5
## **Healthwatch Isles of Scilly**
## **Notes to the Unaudited Financial Statements for the Year Ended 31 March 2023**
## **1 General information**
The company is a private company limited by share capital, incorporated in England and Wales.
The address of its registered office is: Unit 1 Gleanor House Buzza Street St Mary's Isles of Scilly TR21 0HW
These financial statements were authorised for issue by the Board on ........... .
## **2 Accounting policies**
## **Summary of significant accounting policies and key accounting estimates**
The principal accounting policies applied in the preparation of these financial statements are set out below. These policies have been consistently applied to all the years presented, unless otherwise stated.
## **Statement of compliance**
These financial statements have been prepared in accordance with Financial Reporting Standard 102 Section 1A smaller entities - 'The Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland' and the Companies Act 2006 (as applicable to companies subject to the small companies' regime).
## **Basis of preparation**
These financial statements have been prepared using the historical cost convention except that as disclosed in the accounting policies certain items are shown at fair value.
## **Going concern**
The financial statements have been prepared on a going concern basis.
## **Revenue recognition**
Turnover comprises the fair value of the consideration received or receivable for the sale of goods and provision of services in the ordinary course of the company’s activities. Turnover is shown net of sales/value added tax, returns, rebates and discounts.
The company recognises revenue when:
The amount of revenue can be reliably measured; it is probable that future economic benefits will flow to the entity; and specific criteria have been met for each of the company's activities.
## **Tangible assets**
Tangible assets are stated in the balance sheet at cost, less any subsequent accumulated depreciation and subsequent accumulated impairment losses.
The cost of tangible assets includes directly attributable incremental costs incurred in their acquisition and installation.
## **Depreciation**
The Depreciation policy is to write off all capital expenses in the year they occurred.
Page 6
## **Healthwatch Isles of Scilly**
## **Notes to the Unaudited Financial Statements for the Year Ended 31 March 2023**
|**Asset class**|**Depreciation method and rate**|
|---|---|
|Computer equipment|100% in year|
|Office equipment|100% in year|
## **Cash and cash equivalents**
Cash and cash equivalents comprise cash on hand and call deposits, and other short-term highly liquid investments that are readily convertible to a known amount of cash and are subject to an insignificant risk of change in value.
## **Trade debtors**
Trade debtors are amounts due from customers for merchandise sold or services performed in the ordinary course of business.
Trade debtors are recognised initially at the transaction price. They are subsequently measured at amortised cost using the effective interest method, less provision for impairment. A provision for the impairment of trade debtors is established when there is objective evidence that the company will not be able to collect all amounts due according to the original terms of the receivables.
## **Trade creditors**
Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary course of business from suppliers. Accounts payable are classified as current liabilities if the company does not have an unconditional right, at the end of the reporting period, to defer settlement of the creditor for at least twelve months after the reporting date. If there is an unconditional right to defer settlement for at least twelve months after the reporting date, they are presented as non-current liabilities.
Trade creditors are recognised initially at the transaction price and subsequently measured at amortised cost using the effective interest method.
## **Defined contribution pension obligation**
A defined contribution plan is a pension plan under which fixed contributions are paid into a pension fund and the company has no legal or constructive obligation to pay further contributions even if the fund does not hold sufficient assets to pay all employees the benefits relating to employee service in the current and prior periods.
Contributions to defined contribution plans are recognised as employee benefit expense when they are due. If contribution payments exceed the contribution due for service, the excess is recognised as a prepayment.
## **3 Staff numbers**
The average number of persons employed by the company (including directors) during the year, was 2 (2022 - 1).
## **4 Profit before tax**
Arrived at after charging/(crediting)
Page 7
## **Healthwatch Isles of Scilly**
## **Notes to the Unaudited Financial Statements for the Year Ended 31 March 2023**
||||**2023**|||**2022**|**2022**||
|---|---|---|---|---|---|---|---|---|
||||**£**|||**£**|||
|**5**|**Tangible assets**||||||||
||||**Furniture,**||||||
||||**fittings and**||||||
||||**equipment**|||**Total**|||
||||**£**|||**£**|||
|**Cost or valuation**|||||||||
|At|1 April 2022||10,161|||10,161|||
|At|31 March 2023||10,161|||10,161|||
|**Depreciation**|||||||||
|At|1 April 2022||10,161|||10,161|||
|At|31 March 2023||10,161|||10,161|||
|**Carrying amount**|||||||||
|At|31 March 2023||-|||-|||
||||||||||
|**6**|**Debtors**||||||||
||||**2023**|||**2022**|||
|**Current**|||**£**|||**£**|||
|Prepayments|||978|||799|||
|**7**|**Creditors**||||||||
|**Creditors: amounts falling due within one year**|||||||||
||||**2023**|||**2022**|||
||||**£**|||**£**|||
|**Due within one year**|||||||||
|Other creditors|||2,301|||920|||
Page 8
## **Healthwatch Isles of Scilly**
## **Detailed Profit and Loss Account for the Year Ended 31 March 2023**
||**2023**||**2022**|
|---|---|---|---|
||**£**||**£**|
|Turnover (analysed below)|47,811||43,528|
|Gross profit (%)|100%||100%|
|**Administrative expenses**||||
|Employment costs (analysed below)|(32,478)||(26,659)|
|Establishment costs (analysed below)|(3,810)||(3,431)|
|General administrative expenses (analysed below)|(10,329)||(6,124)|
||(46,617)||(36,214)|
|Operating profit|1,194||7,314|
|Profit before tax|1,194||7,314|
This page does not form part of the statutory financial statements. Page 9
## **Healthwatch Isles of Scilly**
## **Detailed Profit and Loss Account for the Year Ended 31 March 2023**
||**2023**||**2022**|
|---|---|---|---|
||**£**||**£**|
|**Turnover**||||
|Grants and subsidies|47,811||43,528|
|||||
|**Employment costs**||||
|Wages and salaries (excluding directors)|(31,532)||(25,914)|
|Staff pensions (Defined contribution)|(946)||(745)|
||(32,478)||(26,659)|
|**Establishment costs**||||
|Rent and rates|(3,120)||(3,120)|
|Light, heat and power|(690)||(311)|
||(3,810)||(3,431)|
|**General administrative expenses**||||
|Telephone and fax|(856)||(798)|
|Repairs and maintenance|(1,915)||(55)|
|Printing, postage and stationery|(241)||(1,206)|
|Sundry expenses|(493)||(269)|
|Travel and subsistence|(2,989)||-|
|Promotional & survey costs|(231)||(1,197)|
|Advertising|(1,379)||(693)|
|Accountancy fees|(818)||(875)|
|Professional indemnity insurance|(729)||(700)|
|Legal and professional fees|(678)||(331)|
||(10,329)||(6,124)|
This page does not form part of the statutory financial statements. Page 10