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 reser￿e$ 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 a￿ets 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