healthwètch Rlchmond upon HEALTHWATCH RICHMOND LTD COMPANY LIMITED BY GUARANTEE NO. 8382351 AND REGISTERED CHARITY NO. 1152333 TRUSTEES REPORT AND FINANCIAL STATEMENTS 1ST APRIL 2023- 31ST MARCH 2024
hoalthwètch Rlchmond uwi CONTENTS REPORTOFTHETRUSTEES OF HEALTHWATCH RICHMOND LTD..............................................,........... REFERENCE AND ADMINISTRATIVE DETAILS........ ............... . STRUCTURE, GOVERNANCE AND MANAGEMENT.............................................. PUBLIC BENEFIT...................................................................................................................................... ACHIEVEMENTS FROM 2023-2024...... ..... . Plans, Challenges and Opportunities for 2024125.... FINANCIAL REVIEW. ,10 .12 STATEMENT OF TRUSTEES, RESPONSIBILITIES..................................................................................... 15 Independent examiner's report....,,......,.....,... Statement of financial attivities . .16 .17 Balance Sheet for the year ended 31st March 2024...............................,....................................... 18 Notes to Accounts forthe year ended 31st March 2024........................... .19
REPORT OF THE TRUSTEES OF HEALTHWATCH RICHMOND LTD The Trustees, who are also directors of the charity for the purposes of the Companies Act, submit their annual report and the financial statements for the accounting period ended 31st March 2024. The Trustees have adopted the provisions of the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective l January 20151- Charities SORP IFRS102), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006 in preparing the annual report and financial statements of the charity. REFERENCE AND ADMINISTRATIVE DETAILS TRUSTEES/DIRECTORS OF THE CHARITY & COMPANY Simon Boddls (Appointed November 2022, Chair} Slan Ree5 (Audit Committee Chairl Anne Marimuthu (Treasurer) Holly Cameron (resigned October 2023) James Hunt Emma Maun Dugald Millar Lynda Crellin Alan McNab Joseph Hlll Philip Bunnell John Anderson (resigned December 2023) (resigned April 2023) CHIEF OFFICER Michael Derry ACCOUNTANT Community Action Sutton, Granfers Centre, 73-79 Oakhill Road, Sutton, SMI 3AA INDEPENDENT EXAMINER Mr Paul Ross, FCA BANKERS Current Account: Unity Trust Bank plc: Four Brindleyplace, Birmin8ham, Bl 2JB Deposlt Account: Scottlsh Widow5, PO Box 883, LEEDS, LSI 9TY United Trust Bank, One Ropemaker Street, London EC2Y 9AW Cambridge & Counties, Charnwood Court, 58 New Walk, Leicester, LEI 6TE REGISTERED OFFICE 82 Hampton Road, Twickenham, TW2 5QS COMPANY NUMBER: 8382351, CHARITY NUMBER: 1152333 Previously registered as Richmond Health Voices until November 2020
STRUCTURE, GOVERNANCE AND MANAGEMENT GOVERNING DOCUMENT Healthwatch Richmond LTD is 3 company limited by guarantee governed by Article5 Of Association that were signed on 30th January 2013. It was registered with the Charity Commission on 7th June 2013 and th changed its name to Healthwatch Richmond LTD at its AGM on November 26 2020. Its membership is open to persons aged over 18 and corporate bodies who support the organisation's aims and objects. LOCAL HEALTHWATCH Healthwatch Richmond LTD'S delivers the Local Healthwatch function for Richmond. Local Healthwatch organlsations are a statutory service commissioned by local councils as part of the Health and Social Care Act 2012. The aim of Local Healthwatch is to give citizens and communities a stronger voice to influence and challenge how health and social care services are provided within their locality and to help people to provide a Signposting service, helping people with the information they need to access services. ORGANISATIONAL STRUCTURE Trustees of Healthwatch Richmond LTD are also the Company Directors. They oversee the work of the organisation through the Board of Trustees (which meets at least 4 tlmes a yearl. Trustees participate in the organisation's work through sitting on the decision-making bodies of kev stakeholders, contributing to our reports, en8aging with Board task groups and sub-cornmittees and volunteering with the or8anisatlon. The Board was 5UPPOrted by the Audlt Committee: THE AUDIT CoMMirrEE Trustees with appropriate expertise meet at least 4 tlmes a year to recommend budget, advise on the productlon of Annual Accounts, oversee financial resources and revlew the management of risks. For good 8overnance, the Audit Committee met with the Accountant without the Chief Officer present once during the year. Day to day management of the organisation Is undertaken by the Chief Officer who is appolnted by the Board. He attends all Board meetings and sub-committees at the discretion of the Board or invitation of the sub-committee's Chair and is a member of Board task 8roups. The Chief OfPicer was not present during a meeting between Trustees and the Accountant and at a Board meeting where remuneration was agreed. TRUSTEE RECRUITMENT Trustees are recruited through open recruitment wlth vacancies publicised throu8h our communicatlons and marketing. Particular consideration is given to ensurin8 an equal and fair process with the aim of creating a Board that is reflective of the community we serve. New Trustees and committee members are interviewed by a selection panel who make recommendations about appointments to the Board. Appointments are made by vote of the Board. From time to time, we may co-opt non-trustee members as members of the Board to fill vacancies where we feel this is appropriate and expedient or where we require specific skills or expertise.
As part of our continuing development a demographics and skills audit of Trustees is conducted annually. This will ensure that we have the skills we need on the board and enable us to demonstrate that we reflect the community that we serie. TRUSTEE INDUCTION AND TRAINING New Trustees are provided with a copy of the Articles of Association, introduced to staff and given information outlinin8 their roles, responsibilities and obligations under company 2nd charity law. To support them in their role, Trustees are invited to participate in training. Training opportunities are regularly shared by correspondence. Trustees are supported in thelr roles by the ofPicers of the Board and the Chief Officer and are encouraged to attend our wider volunteer training and support. As part of our continuing development, all policies will be reviewed in the comin8 year, a policy handbook produced and Trustees will be trained on using key policies and procedures. CONFLICTS OF INTEREST All Trustees sign the Declaration of Interests before joining the Board. All meetings begin with declarations of new interests or interests competing or conflicting with items on the a8enda to ensure that Interests are actively managed. RISK MANAGEMENT As a minimum our risk management is reviewed once a year by the Chief Officer who reports to the Audlt Committee on identified risks at least annually but also when there are si8nificant changes in risk profile, The Audit Committee report on risks at least annually to the Board. Because of the dynamic environment that we operate In, the r5sk management policy and risk re8iSter were kept under continuous review during this perlod, Where risks are identified, measures are put in place to ensure that they are effectively managed. Additional digital security measures were put in place during the year. We have identified future financial risks as a result of reduced income and are actively taking actions to mitigate these. We malntain a Crltical Incident Policy and Buslness Continulty Plan. This was tested by the pandemic and found to be robust and Is kept under regular review. A Board workshop took place during the year to ensure our preparedness in the event of the Chief Officer bein8 absent durin8 a critical incident. The Board of Healthwatch Richmond LTD is satlsfied that the measures In place are adequate and appropriate to enable effective operations as well as the identification and management of risks facin8 the chaTIty.
OBJECTIVES OF THE CHARITY Healthwatch Richmond is a registered charity with objects for the advancement of health and the relief of those in need by reason of youth, age, ill-health, disability or financial hardship by= Providing information and advice about health and social care Making the vlews and experiences of the public known to health and social care provider5 Enabling local poople to have a say in the development and delivery of health and social care services by providing information, tralnlng and support Providing training and development of skills for volunteers and the wider community in scrutlnlzin8, reviewing and monitoring local health care services. These object5 are aligned with the statutory basis of Local Healthwatch but allow Healthwatch Richmond LTD to undertake closely related activity outside of the statutory role. The Board reviews proposed activities both in pursult of the statutory role and closely related work outside of our main Healthwatch contract, and decldes which to pursue based on consideration of how well they help us to further our charitable objects and their fit with our strategy, risk and available resources. PUBLIC BENEFIT Our activities are open to anyone with an Interest in health and social care in Richmond and we actively engaged with the communlty to promote our work over the year. Over 1,400 people engaged with us directly throu8h our projects, outreach, events or signposting work during the year. Our research work led to improvements in mental health crisis care and hi8hlighted the pli8ht of residents in Hampton after the closure of pharmacy services. We secured Improvements to the remainln8 pharmacies in the surroundin8 areas to mltigate the losses and are fighting to restore services for the community. Our signposting work provides vital 5UPPOrt to people struggling to access NHS and social care by helpln8 them to find support, care. or the information they need to make decisions about their care. Our other public benefits are listed in our achievements
ACHIEVEMENTS FROM 2023-2024 CHILDREN'S CANCER CARE The national specification for children's cancer care requires Principal Treatment Centres to be on the same site as a children's intensive care unit and other specialist services. Our current provider, the Royal Marsden Hospital, does not have these Services therefore NHS England sought new providers that could meet these requirements. Havin8 reviewed all the consultation material, we were left with no option but to i55ue a formal response that it failed the legal tests for consultations. Our work was referenced heavily in Parliamentary Debate, which ended in a request for the decision to be called in for review. "[Healthwatch Richmond] concluded that the consultotion design "fails the legal test.for consultation and appears to have no prospect of altering the decision to aword the new service to the Evelina. [this] consultotion has not been transparent andfair. l urge the Secretary of State to call this in and have it looked ot ogain. The voices of children. porents. clinician5 ond patient groups must be heard, I do not believe thot they are." Munlra Wilson MP. Hansard, 13.03.2024 NHS DENTISTRY From Aprll 2023 to March 2024, over IO% of the patient experiences that we recorded were about accessing dentists in Richmond. For much of the year, there were no dentist5 Within an hour's travel of Richmond that could see a new NHS patient within 6 months. We collaborated with the other Healthwatch in South West London to request basic dentistry commissioning data from the South West London Integrated Care Board (ICB). Despite multiple attempts, we were unable to obtain even basic data. NHS South West London (SWL) agreed that the sltuation was unacceptable and that they needed to take action. However, we learnt that the ICB had not in fatt taken any action. Whllst dlsappointlng, we now have clarlty over where accountabillty Iles and we wlll take approprlate actions during 2024/25 to hold SWL ICB to account. HAMPTON PHARMACY CLOSURES Two Boots pharmacies closed in Hampton In autumn 2023, which has led to local residents not being able to access essential pharmacy seprfices. An application to open a new pharmacy on the site has been rejected. Healthwatch Rlchmond colletted data from over 700 Hampton residents and published a survey about the pharmacy closures and its detrimental Impact. "Healthwotch Richmond did o really interesting piece of work recently thatfocused on the permanent closures of two Boots stores in o local ore(J. which put huge pressure on a thlrd branch.. Closures ocross the country are causing huge issues, and they disproportionately offect people who struggle to get to their IOCGI pharmacy." _ Head of Pollcy, Public Affairs & Research. Healthwatth England MP for Twickenham, Munira Wilson, who has supported us in campaignlng for a resolution to the intolerable situation from the start, has spoken in Parliament on pharmacy provision in Hampton on the 26th July Adjournment debate. Following her statement, Andrew Gwynne, Under-secretary for the Department of Health and Social Care, addressed the situation: "l instructed officials to ask her IC8 to consider her concerns again. I hear that she has had o reply thtlt was not porticularly helpful. Agoin, I hope thot her ICB Is watching this debote, and listening to her case and to me as the Minister sayingfrom the DisPQtch Box that we toke these issues serlously."
We asked decision makers for assurance that new applications will be resolved expediently to see the needs of our community in Hampton met as soon as possible. Unfortunately, their response failed to answer our questions - breaching their statutory duty to respond to a Healthwatch. We secured the support and intervention of Munira Wilson MP and the Minister, however the commissioner declined to take any action to ensure that future applications did not face similar avoidable delay. MIND JOURNEY RECOVERY HUBS (CRISIS CAFE) We were comrnissioned to review Richmond Borough Mind's 'Journey Recovery Hub, to inform the business case for recommissioning and to identlfy any improvements that should be made. Journey Recovery Hubs, also known as Crisis Cafés, provide out of hours support to people in or approaching mental health crisis. This service aims to help to de-escalate problems. provide support and help people to manage their mental health issues. IMPAcf: As a result of our work, the service was recommissioned for 2 years and will be considered for roll out across South West London. "The report was very helpful in enobling us to demonstrate the usefulness of the Crisis Cofé ond it hos been t7warded 0 2-year contract to continue. It helped to focus on the cost to the NHS if this service Is not available ond highlights that local people con Gccess a crlsis seniice for support without having to be referred- which is a key selling point. The plan is for the rest of the boroughs to review their crisis café and hove a SWL approach to the model." Senlor Transformatlon Mana8er Mentsl Health, NHS South West London KEW MEDICAL PRAcficE ENTER &VIEW Durin8 July and Au8USt 2023, we conducted two Enter and View visits to Kew Medical Practice. The Care Quallty Commission had last inspected the practice in 2016 and so we decided to conduct a revlew to assure Kew residents of the general quality of the service. Without this work, the practice would not have been inspected by the CQC for more than 8 years leaving a significant gap in assurance. IMPAcf: Our rapid action in visiting the practice provlded evidence that bridged this gap. This enabled the regulators and commissioner to take assurance that there were no major concerns that should trigger future action. PHLEBOTOMY In October 2023, Kingston Hospltal commissioned us to engage patients around its pilot which made hospital requested blood tests available outside of the hospital. 190 Richmond residents shared their vlews and experiences with us. IMPAcf: Thanks to this report we hope to see increased phlebotomy services at GP Practices, increased awareness of phlebotomy services at GP Practices and improvements to online bookin8 services. SEND FUTURES In summer 2023, we collected the experiences of 103 Richmond upon Thames parent carer5 of the support and services provided to children with Special Educational Needs and Disabilities {SEND) and their families. We also asked 21 professionals working in the borough about their experiences of workin8 and supporting children with SEND in the borough. While recognising successes and positive outcomes, there are the systemic challenges that have been experienced by service users, parent carers and professionals,
IMPAcf: Our recommendations, drawn from the experiences of our community. were included in plans to reduce wait times for autism and ADHD diagnosis and improve the quality of information in Education, Health and Care Plans. TRANSFORMING ADULT MENTAL HEALTH SERVICE5 South West London & St George's NHS Mental Health Trust (SWLSTG) are transforming their services to make improvements to how they operate. We are conducting a three phase review of the Transformation of Adult Mental Health services. Phase I: This review took place in March 2023. We contacted 200 patients by email, text and phone calls to collect their experiences. These results form a baseline against which improvements will be measured. Phase 2: This review took place across November - December 2023. We contacted 400 patients by email, text and phone calls to collect their experiences. Phase 3: Thls review will take place in autumn 2024 and identify the impact of the transformatlon. As well as enabling us to evidence how changes to care impact patients, our work has informed the roll-out of the transformation pro8ramme as it develops.
PLANS, CHALLENGES AND OPPORTUNITIES FOR 2024/25 MEETING THE CHALLENGES OF THE FUTURE Last year we spoke about the need to meet the challenges of the next 10 years of Healthwatch. We've already described how we have created the conditions that make 10 years a timeframe for planning. The lar8est future challenges we face come from our operational environment. CENTRALISATION There has been a drive withln policy towards centralisation across South West London, and away from a borough focussed approach. Whilst this presents Opportunities for us to work across a larger footprint, our primary focus is at borough level. Richmond is our identity. We rnust work hard to retain this, demonstrate the irnpact of our work, understand and champion the interests of our community in Richmond and demonstrate the value of working at a Rlchmond level. Pressures across NHS and Social Care mean that it Is increasingly difficuft for or8anisations to make changes based on our findings and, therefore for u5 to create impact. Centralisation does not help this as decision makers are further removed from, and less accountable to, our community. Where we identify Issues, financial and workforce challenges present real limitations on what can be done to improve care. Contlnuin8 to work closely with partners will be key to our future Impact. WORKING WITH OTHER ORGANISATIONS Given our environment, our partnerships will be keys to unlock our future success. WITHIN RICHMOND After wlnnlng the new Healthwatch Contract and securln8 our financial future, we're workin8 to set up a sub-contract with our colleagues at Richmond Council for Voluntary Service {RCVS). Whilst we have had strong, lon8-term working relationship, this new contractual relationship wlll brlng improvements to: Strategic coordlnatlon of our work across the Local Authority, the NHS and Healthwatch Co-production across the borough and opportunities for people in declsion makin8 Collaboratlon between Healthwatch, NHS, Local Authority and the voluntary sector. WITHIN SOUTH WEST LONDON We collaborate with five other Healthwatch to ensure the experiences of people in Rlchmond influence decisions made about services at South West London ICS level. To do this we have a small shared staff resource h05ted by our colleagues in Sutton. With the support of this team, we have embedded learnings from over 1000 residents into the ICS, strategies and priorlties. There is more to do however as we work together to tackle Dentistry and other issues that work across South West London. OUR WORK PLANS FOR 2024/25 GENERAL PRACTICE There have been many changes in general practice over the last 5 years. There is an increased push towards online booking methods and contact routes. Remote or virtual consultations have continued in the post-pandemic world. The Additional Roles Reimbursement Scheme, which increased the number of pharmacists. physiotherapists, Physician Associates, mental health link workers and social prescrlbers in practices, has been expanded since its introduction in 2019. We will review how these changes have affected Richmond residents and general practices by conducting a thorough review of patient and staff 10
experience. We will rnake rneanin8ful recommendations about what 5y5tem5 work for both patients and practices in Richmond and how services can be improved. DAY CENTRES After the pandemic, the use of day ser4ices has changed with clients presenting higher levels of needs and fewer people attending. We will conduct Enter and View visit5 to understand the experiences of clients and carers to inform the Council's future provision. TRANSFORMING ADULT MENTAL HEALTH CARE We will complete phase 3 of our review of the Adult Mental Health Transformation and report on the Impact that the process has had on patient care and experience, HEALTHY LIVING - RICHMOND MOVES Following our review of what would help residents to eat more healthilyi Stay more active, stop smokin& and reduce their alcohol intake, Richmond Council is putting in place local resources and information to help people live more healthily. Whilst thi5 is in itself a huge impact, we will sUPPOrt the cornmunications of this over 2024125 to ensure that as many people as possible benefit from these opportunities. We're also helping Other areas to learn from Richmond's approach by supporting our Public Health partners to present our work and the impact at Industry events where wider Healthwatch and Council professionals will benefit from our advlce and to access our data collection tools. KINGSTON HOSPITAL INPATIENT NUTRITION Followin8 up on our pre-pandemic review, we'll be returning to Kingston Hospital to review the Improvements that they have made to meal provision. We'll also gain assurance on the overall standard of care and identify any areas that require further attivity. VOLUNTEER RECRUITMENT Durln8 2024 we will refresh our volunteering offer, includin8 volunteers in our Enter & View and en8a8ement actlvlties, working with Universities to develop volunteer placements and identifying new and rewardln8 ways for people to contribute and gain skills. We're also developin8 posslble work in the followlng areas which may take place in the comlng year; Carers, Strategy West Middlesex A&E/Urgent Treatment Centres Child and Adolescent Mental Health Services Continuing Health Care Obesity Social prescribin8 Procedures of Limited Clinlcal Effectivenes5 11
FINANCIAL REVIEW FINANCIAL PLANNING To meet the challenges of our future financial environment, our Audit Committee concluded a programme of reviewing our financial arrangements in 2023. This led us to: review the Reserves Policy with a view to enablin8 continuation of business rather than just safe wind up establlsh an Expendable Endowment Fund and Investment Policy to maximise returns on the charity's assets and enable us to maintain our reserves position long term review the treatment of contractual income within our accounts RESERVES POLICY Healthwatch Richmond LTD'S policy was reviewed in-year. To ensure buslness continuity, to cover the possible costs of wind-up of the or8anisation, Healthwatch Richmond has set a resere$ policy that requires a balance of not less than 3 and not more than 6 months of operatin8 Costs plus wind up costs. This allows the charity to continue to deliver a servlce and manage variations in its income anticipated during a financially uncertain perlod and, If necessary to meet Its Ilabllltles should it need to wind up. For simplicity, unless there are material chan8es to our Income this should be set at: 3-6 months operatin8 Costs: £42,251>£85,000 Wind up costs: £40,750 Total reserves: £83 0004125 500 EXPENDA8LE ENDOWMENI FUND AND INVESTMENT POLICY The Board agreed to set up an Expendable Endowment Fund of up to £129,500 to generate returns that would be spent on service delivery. Taken together with the reserves, thls creates an Investment pot of up to £255,000, equivalent to 3 times the FSCS limits. These funds are held in hi8h interest savings account5 dlstributed across lenders to maximise returns frorn interest whilst ensuring that the charitable funds are protected by the FSCS. The income from this will be invested into service delivery, enabling us to maintaln both our financial position and our level of Service delivery long-term despite reduced income from 202412025. TREATMENT OF CONTRACTUAL INCOME WITHIN OUR ACCOUNTS During the year we reviewed the treatment of Restricted and Unrestricted funds arising from contractual Income. Our 2013 contract included ambiguous wording that was reasonably viewed at the time as implying a "restriction" on Healthwatch Contractual Income. This led us to account for Healthwatch and related contractual income as "restricted" under 5.40 of The Charities Statement of Recommended Practice ISORP)" IFRS 102). As part of our financial review, the Board reviewed the wording of all subsequent contracts in March 2023 against The Charities Statement of Recommended Practice (SORP) {FRS 102). The review concluded that we should correctly recognise this income as Unrestricted from the 1st April 2023 in line with 5.39 of The 12
Charities Statement of Recommended Practice {SORP) (FRS 102). This was a8reed by the Board and has been reflected in these accounts by restating the 2022-2023 for Notes 8 & 9 to reflect the reality of our restricted and unrestricted reserves and provide correct starting balances for the 2023-2024 accounts. The previously published Balance Sheet figures for 2022-2023 have not been restated as they reflected our understanding at the time and provide consistent figures for comparison. PRINCIPAL FUNDING SOURCES Our principal income 15 a contract with the London Borough of Richmond upon Thame5 {LBRuT) worth £146,000 per annum was extended to March 2024. A competitive tender took place for a new contract starting April 2024 with a IO% reduction to income from April 2024 followed by CPI linked increases from March 2025. We are delighted to report that we have secured this funding and that, with the above mentioned financial arrangements, we expert to remain financially sustainable despite this reduction at a time of considerable inflationary pressures. Additional income was received in thi5 financial year: £15,170 from SWL ICB for commissioned reviews of Crisis Cafés and Phlebotomy services £4,000 from SWL ICS to support our work at a South West London Level £3,796 Interest generated from the investment of our Expendable Endowment Fund and Reserves EXPENDITURE OF FUNDS IN 2022-2023 Our staff team is our largest expense and their work supports the delivery of all of our work and is subject to considerable inflatlonary pressures. Office costs are our next largest cost. Our direct operational costs of our work are varlable and related to the needs of our operatlonal work. They Include costs such as IT, communication and marketing, ofPice costs, flnanclal costs, banking services and regulatory compliance costs, and the cost of insurance related to our activity. Governance costs, which include the costs of holding Board meetings, running the charity, and making statutory filings accounted for £795 of total expendlture. They remaln below our historic costs in this area because our 8overnance meetln8s, although mainly now in person, do not currently incur any costs beyond our existing office c05ts, The maln items of variation from our budget were: lower than expected costs for consultancy costs associated with the 2023/24 tender no si8npostin8 directory costs because the, later than expected, tenderin8 exercise led to this bein8 pushed into the following year. These lower costs combined with higher than budgeted income led us to post a modest surplus instead of the budgeted deficit. BANKING Funds held by Healthwatch Rlchmond LTD are split between a current account and deposit accounts held with separate financial institutions to minimise financial risk. As a result of our financlal review, we opened accounts with 2 new banks to maximise the financial both the returns and protection of our Reserves and Expendable Endowment Fund. 13
CURRENT ACCOUNT: Not less than £36,500 will be held in instantly accessible funds to manage quarterly expenditure. Funds in excess of this at the end of a quarter shall be invested in a linked instant access savings account up to a comblned total of £85,000. MEDIUM-TERM SAVINGS ACCOUNT: Up to £85,000 will be held in a high-interest notice or fixed-term account of not more than 180 days, providing the highest rate of interest SHORT-TERM SAVINGS ACCOUNT: The remainder, up to £85,000 will be held in an account of not more than 60 days, notice. These financial arrangements will remain under review by the Chief Officer and the Audit Committee and overseen by the Board. 14
STATEMENT OF TRUSTEES, RESPONSIBILITIES The Trustees are responsible for preparing the annual report and the financial statements in accordance with applicable law and regulations. Company law requires the Trustees to prepare financial statements for each financial year. Under that law, the Trustees have elected to prepare the financial statements in accordance with United Kingdom Generally Accepted Accountin8 Piactlce (United Kingdom Accounting Standards and appllcable law). Under company law, the Trustees must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affairs of the Charitable Company and of the result for that year. In preparlng these flnancial statements, the Trustees are required to: select suitable accountin8 policies and then apply them consistently; • observe the methods and princlples in the Charities SORP; make judgments and accounting estimates that are reasonable and prudent; have due regard to public beneflt guidance publlshed by the Commission as required by section 1715) of the Charltles Att 2011; prepare the financial statements on a going concern basis unless it is inappropriate to presume that the charitable company will continue in business. The Trustees are responsible for keepin8 adequate accounting records that are sufficient to show and explain the charitable companvs transactions and disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure that the financial statements comply with the Cornpanies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the preventlon and detection of fraud and other irregularltles. So far as each of the Trustees Is aware at the time the report Is approved, there is no relevant audit information of which the charitable company's auditors are unaware; and the Trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditor5 are aware of that Informatlon. Approved by the Trustees on (Date) ,...................,........................ and signed on their behalf by: LI3A6il kl. (Print name) - Trustee Signl Co eg15tratlon No: 08382351 15
INDEPENDENT EXAMINER'S REPORT TO THE TRUSI-EES OF HEALTHWATCH RICHMOND (COMPANY LIMITED BY GUARANTEE NO. 8382351) FOR THE YEAR ENDED 31 MARCH 2024 I report on the account5 of the company for the year ended 31 March 2024, which are set out on pages 17- 24. RESPECTIVE RESPONSIBILITIES OF TRUSTEES AND EXAMINER The Trustees (who are also the dlrectors of the company for the purposes of company law) are fesponsible for the preparatlon of the accounts in accordance wlth the requlrements of the Companles Act 20061.the 2006 Act,). The charity's Trustees consider that an audlt is not required for this perlod under Part 16 of the 2006 Act and that an independent examination Is needed. The charitvs gross income did not exceed £250,000 and l am qualifled to undertake the examlnatlon by belnB a quallfied member of The In5tltute of Chartered Accountants in England and Wales. Havlng satisfled myself that the charity is not subject to audit under company law and Is ellglble for Independent examlnatlon, It is rny responsibillty to,. exam5ne the accounts under sectlon 14S of the Charlties Act 2011; follow the procedures laid down in the general Dlrections glven by the Charity Commlsslon under sectlon 145151{bl of the Charlties Act 2011; and to state whether partlcular matters have come to my attention. BASIS OF INDEPENDENT EXAMINER'S REPORT My examlnatlon was carrled out In accordance wlth the general Directlons glven by the Charlty Commission. An examination includes a review of the accountln8 records kept by the charlty and comparlson of the accounts presented wlth those records. It also Includes con51deration of any unusual items or dlsclosures In the accounts, and seekln8 explanatlons from you as Trustees concernln8 any such matters. The procedures undertaken do not provlde all the evldence that would be requlred in an audlt and consequently no oplnlon Is glven as to whether the accounts present a 'true and f3Sr view, and the report is Ilmlted to those matters set out below, INDEPENDENT EXAMINER'S STATEMENT In connectlon wlth my examination, no matter has come t¢ my attention.. (l) whlch glves me reasonable cause to belleve that in any material respect the requlrement5', to keep accountin8 records in accordance wlth sectlon 386 of the Companies Act 2006. and to prepare accounts which accord with the accountlng records, comply with the accountln8 requlrement5 of 5ectlon 396 of the Companle5 Act 2006 and with the methods and prlnclples of the Statement of Recommended Practlce: Accountln8 and Reportlng by Charltles {Charltles SORP FRS102) have not been met: or (2) to whlch, In my opinion, attention should be drawn In order to enable a proper understanding of the accounts to be reached. NAME: Mr Paul Ross RELEVANT PROFESSIONAL QUALIFICATION OR BODY: The Institute of Chartered Accountants in En8land and Wales ADDRESS: 18 Woodcock Dell Avenue, Kenton, Harrow, Mlddx, HA3 ONS DAfE,' 0311212024 16
HEALTHWATCH RICHMOND LTD STATEMENT OF FINANCIAL ACTIVITIES IINCLLJDING INCOME AND EXPENDITURE ACCOUNT) FOR THE YEAR ENDED 31ST MARCH 2024 Restricted Unrestrfcted Total Total No Incamo from: Charltable actlvltles 169,670 169,670 226,622 Investments 3,796 3,796 124 Total 173,466 173,466 226,746 Expenditure on: Charltable activities: Healthwatch Rlchmond 163,235 163,235 168,490 Other costs 795 795 646 Total 164,030 164,030 169,136 Net Income/(expendlture) 9,436 9,436 57,610 Transfer• between funds Net movement In funds 9,436 9,436 57,610 Reconclllatlon of funds: Total funds brought forward 5,469 165,561 171,030 113,420 Total funds c*rrl•d forward 5,469 174,997 180,466 171,030 The statement of financial actlvlties includes all gains and losses in the year. All incoming resources expended clerive from continuing artivities. The notes on pages 19 to 24 form part of these financial statements. 17
HEALTHWATCH RICHMOND LTD BALANCE SHEET FOR THE YEAR ENDED 31ST MARCH 2024 Flxed asset$ As Restated Current assets Debtors Cash at bank and In hand 54,644 191,222 41,870 178,845 245,866 (65,400) 220,715 (49,685) Cr•dltor$: amounts falling due within one year Net current assets 180,466 171,030 Total a$t8 l••s curr•nt Ilabllltles 180.466 171.030 Funds Unrestrlrted funds Restricted funds 174,997 5,409 165,561 5,469 Total funds carrled forward 180,466 171,030 These accounts have been prepared In accordance wlth the provisions available to companles subject to the small companies regime within Part 15 of the Companles Act 2006 and wlth the Flnanclal Reportlng Standard 102. For the financial year ended 31st March 2024 the company was entitled to exemption from audlt under settion 477 Companies Act 2006. No member of the company has deposited a notlce, pursuant to sectlon 476, requiring an audlt of these financlal statements under the requirements of the Companies Act 2006. The dlrectors acknowledge thelr responsibilities for complylng wlth the requlrements of the Companies Act 2006 with respect to accounting records and the preparation of financial statements. Approved by the Trustees on (Date) and signed on thelr behalf by: (Prlnt name) - Truste• (Slg Compa Reglstrat No: 08382351 The notes on pages 19 to 24 form part of these financial statements. 18
HEALTHWATCH RICHMOND LTD NOTES TO ACCOUNTS FOR THE YEAR ENDED 31ST MARCH 2024 Accountlng pollcles The prlnclpal accounting policies are set out below. The accountlng policies have been adopted consistently throughout the year. a) Basls of accountlng The financial statements have been prepared in accordance with Accounting and ReportSng by Charities: Statement of Recommended Prattice applicable to charltles preparing their accounts In accordance with the Financial Reporting Standard appllcable in the UK and Republic of Ireland (FRS 102) (effectlve I January 2015) Charities SORP (FRS102)), the Financial Reportlng Standard appllcable In the UK and Republic of Ireland (FRS 102) and the Companles Act 2006. Healthwatch Richmond meets the definition of a public benefit entity under FRS 102, Assets and liabilities are initially recognised at historical cost or transartion value unless otherwlse stated in the relevant accounting policy note. b) Golng Concern The Trustees have considered a period of more than 12 months from the slgnlng of these financial statements and are of the view that fundlng Is sufflcSent for the Charity to contlnue Its operatlons until at least thls tlme. The Trustees therefore feel the Charity is a golng concern and as such the financial statements have been prepared on this basis. c) Income Income is recognised when the charity ha5 entitlement to the funds, any performance conditions attached to the income have been met, it is probable that the income will be received and the amount can be measured reliably, d) Expendlture Expenditure is recognised once there Is a legal or construrtlve obllgatlon to make a payment to a third party, it Is probable that settlement will be required and the amount of the obligation can be measured reliably. Irrecoverable VAT is charged as a cost against the activity for whlch the expendlture was ncurred. Expenditure is classified under the following attivity headings., Cost of raising funds.. Costs relatlng to tendering for grants. Expenditure on charitable actlvities: Costs Incurred in undertaking activlties to fijrther the purposes of the charity and related support costs. other expenditure: Any costs not included in other headings, Including governan costs. e) Fund •tructure The funds held by the charity are either: Unrestricted funds are funds which can be used in accordance with the charitable objectives at the dlscretlon of the trustees Restrlcted funds are fijnds which are used in accordance with the speciflc restrlctions imposed by the donor. 19
HEALTHWATCH RICHMOND LTD NOTESTO ACCOUNTS FOR THE YEAR ENDED 31ST MARCH 2024 Accountlng policies (contlnued) f) Tanglble flxed aets and dèpreciation Depreciation is provlded on cost in equal annual instalments over the estimated useful lives of the assets. The rates of depreciation are as follows.. Computer equlpment 33.33Q/o on cost Office furniture 33.330/0 on cost g) Debtors Trade and Other Debtors are recognised at their settlement value. Prepayments are valued at the amount calculated as being prepaid. h) Creditor• Creditors are recognised where the charlty has a present obligation resultlng from a past event that wlll probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured reliably. Creditors are recognised at thelr settlement value. l) Flnanclal Instruments The Charity only has financial assets and liabilitles of a kind that qualify as baslc financial instruments. Basic financial Instruments are initially recognlsed at transaction value and subsequently measured at their settlement value. J) Taxatlon The charlty Is exempt from corporatlon tax on Its charltable actlvltles. k) Penslons The charity makes contrlbutions Into a defined centrlbutlon penslon scheme on behalf of its employees. Contributions are recognlsed as expenditure when the charlty incurs an obligation to pay these contributions. 2 Income from Charltable actlvltles Restricted Unrestricted Grants London Borough of Richmond RCCG Covid 19 Engagement Fund Healthwatch England BHM 2023 Public Health Income SWL ICS Income SWLSTGMHT Others 146,500 146,500 146,000 633 979 1,760 65.200 4,000 4,000 Seryices 3,000 9,050 19,170 19.170 169,670 169,670 226,622 20
HEALTHWATCH RICHMOND LTD NOTES TO ACCOUNTS FOR THE YEAR ENDED 31ST MARCH 2024 3 Expendlture on charltable actlvitles - Healthwatch Richmond Restricted Unrestricted Staff costs Operational costs Depreciation 136,132 27,103 136,132 27,103 128,151 40,339 163,235 163,235 168,490 Expenditure on Other Costs Restricted Unrestricted un 2023 Independent Examiner5 fees Trustees expenses 600 195 600 195 600 46 795 795 646 5 Employee Inforniatlon Analys1• of Staff costs: Wages and salaries Social security costs Employer's Contributlon to defined contribution pension schemes 124,603 6,195 5,334 117,073 6,276 4,802 136,132 128,151 Av•rage h•ad counts for the year was: No. No. Operational Staff No emp5oyees received beneflts (excluding employer pension schemes) of more than £60,000 (2023 none). 21
HEALTHWATCH RICHMOND LTD NOTES TO ACCOUNTS FOR THE YEAR ENDED 31sr MARCH 2024 6 Debtors other debtors Prepayments 54,267 377 41,500 370 54,644 41,870 7 Cr•dltors: amounts falllng du• wlthln on• y•ar Trade creditor5 Penslon Ilablllty Accrued expenses Deferred Income 2,816 1,047 2,020 59,517 235 460 2,020 46,970 22
HEALTHWATCH RICHMOND LTD NOTES TO ACCOUNTS FOR THE YEAR ENDED 31ST MARCH 2024 Unrestrlcted funds At 1st Incoming Outgoing so At 31st Mar General 165,561 173,466 164,030 174,997 165,561 173,466 164,030 174,997 RESTATED Unrestrlcted funds - prevlou$ year At 1st Incomlng re Outgolng At 31st General 70,858 226,746 132,043 165,561 70,858 226,746 132,043 165,561 R•strict•d funds At 1st Incoming Outgoing At 31st 5,469 5,469 RESTATED Restrlrted funds - prevlous year At 1st rll 20 Incomlng our Outgolng ources At 315t 42,562 37,093 5,469 io Net assets spllt between funds Unrestrlcted Restrlrted Cash and bank and in hand Other current assets Current Ilabilities 185,753 54,644 (6S,400) 5,469 191,222 54.644 (65,400) (o) 174,997 5,469 180,466 Net assets spllt b•tw••n funds - prevlous year RESTATED Unrestricted Restricted Cash and bank and in hand Other current assets Current liabilitles 173,376 41,870 (49,685) 5,469 178.845 41,870 (49,685) (o) 165,561 5,469 171,030 Funds arising from contractual income is belng treated as part of the unrestricted fund with effect from I April 2023 onwards. The corresponding figures included in the accounts for the year to 31 March 2023 have been restated accordingly (see Financial review Treatment of Contractual Actual Income Within Our Accounts Page 12). 23
HEALTHWATCH RICHMOND LTD NOTES TO ACCOUNTS FOR THE YEAR ENDED 31sr MARCH 2024 li Commltments under operatlng leases At 31st Mareh 2024, the Company had annual commitments under non-cancellable operating leases as set out below: Operatlng leases whlch explre: Within one year 12 Llmlted Ilability Healthwatch Rlchmond is a company limited by guarantee. The Artlcles of Association limit the liability of each of the Members on wlnding up to £1. 13 Related party tr•nsactlons No trustees or persons connected with them received any emoluments In their role as Trustees (2023 - nil). 24