## **Healthwatch Camden Annual Report & Accounts 2021/22**
Charitable Incorporated Organisation Trustees’ Report and Unaudited Financial Statements – year ended 31[st] March 2022
## **Here to make care better**
Healthwatch Camden exists to make care better for residents of the London Borough of Camden. This reports documents how the organisation used its resources in 2021/22 to pursue its objectives.
## **Reference and administrative detail**
**Status** : Charitable Incorporated Organisation **Charity Registration No** : 1152552 **Chief Executive Officer** : Stephen Heard
**Registered Office** : 85-87 Bayham Street, Camden, London, NW1 0AG
The Charity's governing document is its constitution dated 21 June 2013
**Trustees** : Louise Jones (chair), Robert Sumerling (vice-chair), Sanjay Ganvir (resigned March 2022), Philippa Robinson, Paul Webley, Keith Morgan, John Hoar, Shahnaz Ahmed. Jiten Raval (appointed March 2022).
**Independent examiner** : Shruti Soni Ltd Chartered Certified Accountants, 117a St John’s Hill, Sevenoaks TN13 3PE
The trustees present their report and the financial statements for the year ended 31 March 2022 This Trustees Report and the associated Financial Statements have been prepared in accordance with guidance for preparing Charity Accounts and Reports presented in “Accounting and Reporting by Charities: Statement of Recommended Practice” and are therefore in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (effective 1 January 2019) – (Charities SORP FRS 102).
1
## **Charitable objects**
The advancement of health and the relief of those in need by reason of youth, age, ill-health, disability or financial hardship by: a) providing information and advice to the general public about local health and social care services b) making the views and experiences of members of the general public known to health and social care providers and commissioners c) enabling local people to have a voice in the development, delivery, improvement and equality of access to local health and care services and facilities and d) providing training and the development of skills for volunteers and the wider community in understanding scrutinizing, reviewing and monitoring local health and care services and facilities.
## **Our role and remit**
Run by and for local people, our role is to ensure that Camden people have a strong **VOICE** in local health and social care services; that they know about the **CHOICES** they can make in these services; and that local people’s views lead to positive **CHANGE** in services.
**Our remit** derives from the key functions and powers of a local Healthwatch organisation, as set out in the 2012 Health and Social Care Act. These are:
- to provide information and advice to the public about local health and care services;
- to make the views and experiences of members of the general public known to health and social care providers and commissioners;
- to enable local people to have a voice in the development, delivery, improvement and equality of access to local health and social care services and facilities;
- to provide support for our volunteers and the wider community in understanding and monitoring local health and social care services and facilities.
## **Activities, achievements and performance**
See Appendix: Annual report on activity for information about the charities activities this year.
## **Structure, governance and management**
Healthwatch Camden is a small organisation with four staff (3.2 full time equivalent) led by Chief Executive, Stephen Heard. Staff have expertise in gathering and reporting people’s experiences and views. They reach out to different communities of interest and work with local voluntary organisations to make sure we are hearing from as wide a group of people as possible. Staff have skills in influencing local service providers, and in making alliances to achieve change. Staff are also able to gather information about services and share it via our website and social media, as well as responding to queries by telephone or email.
We benefit from additional expertise by working with community organisations who, for example, assist with interviews in a variety of languages. Some expertise is gained through the use of associates - freelance workers - who contribute to specific projects.
2
## **Structure, governance and management (cont.)**
We also have a number of active volunteers. Volunteers help us to gather and to disseminate information. Some are trained for specific roles such as ‘PLACE’ assessments (patient led assessment of the care environment, which takes place in hospitals annually) or to do formal visits to local care services using Healthwatch ‘enter and view’ powers. We are grateful for the volunteer support organisations in Camden that help us to find suitable volunteers.
The organisation is governed by a board of trustees. This year two trustees were recruited. There are currently eight trustees. Trustees are appointed for a term of three years and may serve two terms consecutively. Trustees are recruited through a mix of open advertising and personal recommendation and all are interviewed. The board reflects a range of skills and experience. All trustees must have a connection with Camden as residents, service users, workers or students. New trustees are provided with an induction briefing. All trustees receive a regular update from the Chief Executive on current issues.
Trustees met formally five times this year. Four of our meetings are held in public each year. In addition, trustees and staff hold an annual ‘away-day’ to review progress and plan future work. Trustees have also met virtually as required. There are no standing committees, however the board sets up ad hoc task groups from time to time, and different trustees provide oversight and expertise to specific areas of work. This includes oversight of financial management, review of operating policies, staff issues and strategic planning.
## **Maintaining independence**
It is essential to our role that we are independent, so that we may provide unbiased insight and recommendations. Trustees are mindful of their role as representatives of the public interest and both trustees and staff follow the ‘Nolan Principles’ of conduct in public life. Our role requires us to be well connected with local stakeholders, and to act as a ‘critical friend’ to the health and social care system. So we always strive to keep a balance between maintaining close and constructive relationships and being demonstrably independent.
## **Financial review**
The total income for 2021/22 was £234,892 as compared to £197,893 in 2020/21 of which £225,896 (2021: £187,000) was restricted. Total expenditure for 2021/22 was £192,165 as compared to £189,237 in 2020/21 of which £190,078 (2021: £187,000) was restricted. As a result the net income in 2021/22 increased to £42,727 from £8,656 in 2020/21. Unrestricted funds as at 31 March 2022 stood at £112,708 (2021: £105,799) of which general funds were £55,708 (2021: £48,799) and the remaining £57,000 (2021: £57,000) were designated.
The CEO and Board of Trustees are reviewing the organisation’s activities to find a way of delivering the service within budget. A new sustainability strategy will also be developed. Trustees regularly review our spending plans, to make sure we are making the best of our Resources.
3
## **Reserves policy**
Trustees reviewed our reserves policy in October 2017. Current policy is to maintain a reserve of not less than four months’ running costs. This is being achieved; our current designated reserve is £57,000. Trustees also aim to create a reserve for development costs, from surplus unrestricted funds. All other funds are available to be used in-year to further the objectives of the charity.
## **Risk statement**
Healthwatch Camden has a risk register, reviewed at least annually. Its biggest risks remain financial. We have legal functions as a local Healthwatch organisation and trustees are mindful that we may not be able to fulfil these if our core income drops any further. We have the ability to refer funding concerns to Healthwatch England, who may intervene on our behalf with our main funders, the London Borough of Camden.
As a small charity with limited technical financial knowledge we had identified a general risk of loss due to fraud; our move to appoint a qualified independent financial service has helped to minimise this risk by creating a further layer of oversight.
Trustees consider that all general operational risks are being well managed and present a low risk overall. Trustees are satisfied that risk management in use is proportionate and sufficient.
## **Public benefit statement**
Public benefit statement The Trustees have referred to the guidance contained in the Charity Commission's general guidance on public benefit when reviewing the Trust's aims and objectives and in planning its future activities. In particular, the Trustees consider how planned activities will contribute to the aims and objectives that have been set.
4
## **Statement of Trustees’ responsibilities**
The trustees are responsible for preparing the Trustees' Annual Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).
The law applicable to charities in England & Wales requires the trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charity and of the incoming resources and application of resources of the charity for that period. In preparing these financial statements, the trustees are required to:
a) select suitable accounting policies and apply them consistently;
b) observe the methods and principles in the Charities SORP;
c) make judgments and accounting estimates that are reasonable and prudent; d) state whether applicable UK accounting standards have been followed, subject to any material departures disclosed and explained in the financial statements;
e) prepare the financial statements on the going concern basis unless it is inappropriate to presume that the Trust will continue in operation.
The Trustees are responsible for keeping proper accounting records that are sufficient to show and explain the Trust's transactions and disclose with reasonable accuracy at any time the financial position of the Trust and enable them to ensure that the financial statements comply with the Charities Act 2011, the Charity (Accounts and Reports) Regulations 2008 and the provisions of the trust deed. They are also responsible for safeguarding the assets of the Trust and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities
This report was approved by the Trustees on 19/10/22 and signed on their behalf by:
Signed:
Trustee: Chair of Trustees
Name: Dr Louise Jones
Date: 19th October 2022
5
**Independent Examiner’s Report to the Trustees of Healthwatch Camden**
I report on the financial statements of the charity for the year ended 31 March 2022 as set out on pages 8 to 20.
## **Responsibilities and basis of report**
As the charity’s trustees you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 (‘the Act’).
I report in respect of my examination of the charity’s accounts carried out under section 145 of the Act and in carrying out my examination I have followed all the applicable Directions given by the Charity Commission under section 145(5)(b) of the Act.
## **Independent examiner's statement**
I have completed my examination. I confirm that no material matters have come to my attention in connection with the examination giving me cause to believe that in any material respect:
- accounting records were not kept in respect of the charity as required by section 130 of the Act; or
- the accounts do not accord with those records; or
- the accounts do not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a ‘true and fair view’ which is not a matter considered as part of an independent examination
I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.
21/10/2022 Signed ___________________________________ Date:
Shruti Soni FCCA FCIE
Shruti Soni Ltd ●Chartered Certified Accountants 117a St. John's Hill Sevenoaks TN13 3PE
6
Annual Accounts
## **HEALTHWATCH CAMDEN**
**Statement of financial activities** (incorporating an income and expenditure account)
|||**For theyear**|**ended 31 March 2022**|**ended 31 March 2022**||||
|---|---|---|---|---|---|---|---|
|||||**2022**|||2021|
|||Unrestricted|Restricted|**Total**|Unrestricted|Restricted|Total|
||Note|£|£|**£**|£|£|£|
|**Income from:**||||||||
|Donations and legacies|2|1,980|203,556|**205,536**|-|187,000|187,000|
|Charitable activities||||||||
|Health advice, information||||||||
|and research|3|7,016|22,340|**29,356**|10,083|-|10,083|
|Other trading activities||-|-|**-**|810|-|810|
|**Total income**||8,996|225,896|**234,892**|10,893|187,000|197,893|
|**Expenditure on:**||||||||
|Raising funds|5|-|1,894|**1,894**|-|1,785|1,785|
|Charitable activities||||||||
|Health advice, information||||||||
|and research|5|2,087|188,184|**190,271**|2,237|185,215|187,452|
|**Total expenditure**||2,087|190,078|**192,165**|2,237|187,000|189,237|
|**Net income / (expenditure)**||||||||
|**before net gains / (losses) on**||6,909|35,818|**42,727**|8,656|-|8,656|
|**Net income / (expenditure) for**||||||||
|**the year**||6,909|35,818|**42,727**|8,656|-|8,656|
|Transfers between funds||-|-|**-**|-|-|-|
|**Net movement in funds**||6,909|35,818|**42,727**|8,656|-|8,656|
|**Reconciliation of funds:**||||||||
|Total funds brought forward||105,799|-|**105,799**|97,143|-|97,143|
|**Total funds carried forward**|16|112,708|35,818|**148,526**|105,799|-|105,799|
All of the above results are derived from continuing activities. There were no other recognised gains or losses other than those stated above. Movements in funds are disclosed in Note 16 to the financial statements.
8
**HEALTHWATCH CAMDEN**
## **Balance sheet**
## **As at 31 March 2022**
|**Fixed assets:**
Tangible assets
Note
11
**£**
**Current assets:**
Debtors
12
**18,996**
Cash at bank and in hand
**150,282**
**169,278**
**Liabilities:**
Creditors: amounts falling due within one year
13
**22,250**
**Net current assets / (liabilities)**
**Total assets less current liabilities**
**Total net assets / (liabilities)**
**The funds of the charity:**
Restricted income funds
15
Unrestricted income funds:
Designated funds
**57,000**
General funds
**55,708**
Total unrestricted funds
**Total charity funds**|**2022**
**£**
**1,498**
£
**1,498**
49,750
89,805
139,555
33,844
**147,029**
**148,526**
**148,526**
**35,818**
57,000
48,799
**112,708**
**148,526**|2021
£
88|
|---|---|---|
|||88
105,711|
|||105,799|
|||105,799|
|||-
105,799|
|||105,799|
These financial statements were approved by the board on 19[th] October 2022 and signed by its behalf by:
Trustee Name: Dr Louise Jones, Chair of Trustees 19[th] October 2022
9
## **HEALTHWATCH CAMDEN**
## **Notes to the financial statements**
## **For the year ended 31 March 2022**
## **1 Accounting policies**
## **a) Basis of preparation**
The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019) - (Charities SORP FRS 102), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006. Healthwatch Camden is a charitable incorporated organisation registered with Charity Commission with registration number 1152552. Its 85-87 Bayham Street, Camden, London, NW1 0AG. The accounts are presented in GBP rounded to £1.
Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy or note.
The financial statements have been prepared to give a 'true and fair' view and have departed from the Charities (Accounts and Reports) Regulations 2008 only to the extent required to provide a 'true and fair view'. The departure has involved following the Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued on 16 July 2014 rather than the Accounting and Reporting by Charities: Statement of Recommended Practice effective from 1 April 2005 which has since been withdrawn.
## **b) Public benefit entity**
The charitable company meets the definition of a public benefit entity under FRS 102.
## **c) Going concern**
- The trustees consider that there are no material uncertainties about the charitable company's ability to continue as a going concern.
Key judgements (excluding those invloving estimates) that the charitable company has made which have a significant effect on the accounts include Depreciation rates for tangible Fixed Assets.
The trustees do not consider that there are any sources of estimation uncertainty at the reporting date that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next reporting period.
## **d) Income**
Income is recognised when the charity has entitlement to the funds, any performance conditions attached to the income have been met, it is probable that the income will be received and that the amount can be measured reliably.
Income from government and other grants, whether ‘capital’ grants or ‘revenue’ grants, is recognised when the charity has entitlement to the funds, any performance conditions attached to the grants have been met, it is probable that the income will be received and the amount can be measured reliably and is not deferred.
Income received in advance of the provision of a specified service is deferred until the criteria for income recognition are met.
## **e) Interest receivable**
Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the charity; this is normally upon notification of the interest paid or payable by the bank.
10
## **HEALTHWATCH CAMDEN**
## **Notes to the financial statements**
**For the year ended 31 March 2022**
## **1 Accounting policies (continued)**
## **f) Fund accounting**
Restricted funds are to be used for specific purposes as laid down by the donor. Expenditure which meets these criteria is charged to the fund.
Unrestricted funds are donations and other incoming resources received or generated for the charitable purposes.
Designated funds are unrestricted funds earmarked by the trustees for particular purposes.
## **g) Expenditure**
Expenditure is recognised once there is a legal or constructive obligation 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. Expenditure is classified under the following activity headings:
Costs of raising funds relate to the costs incurred by the charitable company in inducing third parties to make voluntary contributions to it, as well as the cost of any activities with a fundraising purpose
Expenditure on charitable activities includes the costs of performances and choral singing activties undertaken to further the purposes of the charity and their associated support costs
Other expenditure represents those items not falling into any other heading
## **h) Allocation of support costs**
Resources expended are allocated to the particular activity where the cost relates directly to that activity. However, support costs, being cost of overall direction and administration of each activity, comprising the salary and overhead costs of the central function, is apportioned on the basis of estimated staff time attributable to each activity.
Cost of raising funds 1% Health advice, information and research 97% Governance costs 2%
## **i) Operating leases**
Rental charges are charged on a straight line basis over the term of the lease.
## **j) Tangible fixed assets**
Items of equipment are capitalised where the purchase price exceeds £500. Depreciation costs are allocated to activities on the basis of the use of the related assets in those activities. Assets are reviewed for impairment if circumstances indicate their carrying value may exceed their net realisable value and value in use.
Where fixed assets have been revalued, any excess between the revalued amount and the historic cost of the asset will be shown as a revaluation reserve in the balance sheet.
Depreciation is provided at rates calculated to write down the cost of each asset to its estimated residual value over its expected useful life. The depreciation rates in use are as follows:
Office Equipment
2 years
## **k) Debtors**
Trade and other debtors are recognised at the settlement amount due after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due.
11
## **HEALTHWATCH CAMDEN**
## **Notes to the financial statements**
**For the year ended 31 March 2022**
**1 Accounting policies (continued)**
## **l) Cash at bank and in hand**
Cash at bank and cash in hand includes cash and short term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account. Cash balances exclude any funds held on behalf of service users.
## **m) Creditors and provisions**
Creditors and provisions are recognised where the charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount after allowing for any trade discounts due.
The charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value with the exception of bank loans which are subsequently measured at amortised cost using the effective interest method.
## **n) Tax**
The charity is an exempt charity within the meaning of schedule 3 of the Charities Act 2011 and is considered to pass the tests set out in Paragraph 1 Schedule 6 Finance Act 2010 and therefore it meets the definition of a charitable company for UK corporation tax purposes.
## **2 Income from donations and legacies**
|London Borough of Camden
Camden Giving
Verve Communications|Unrestricted
£
-
-
1,980|Restricted
£
187,000
16,556
-|**2022 total**
**Total**
**£**
**187,000**
**16,556**
**1,980**|2021
Total
£
187,000
-
-|
|---|---|---|---|---|
||1,980|203,556|**205,536**|187,000|
12
## **HEALTHWATCH CAMDEN**
## **Notes to the financial statements**
## **For the year ended 31 March 2022**
## **3 Income from charitable activities**
|**Health advice, information and research**
NCL CCG
Voluntary Action Camden
Healthwatch England - AIS
Clare Mont
NHS CQC
NCL CCG - Post COVID
Public Health
Camden Public health
Other
Total income from charitable activities
**Income from other trading activities**
Shared Desk Space|Unrestricted
£
2,376
2,000
-
2,500
140
-
-
-
-|Restricted
£
-
-
8,640
-
-
13,700
-
-
-|**2022**
**Total**
**£**
**2,376**
**2,000**
**8,640**
**2,500**
**140**
**13,700**
**-**
**-**
**-**|2021
Total
£
-
-
-
-
3,725
-
1,060
3,000
2,298|
|---|---|---|---|---|
||7,016|22,340|**29,356**|10,083|
||||||
||Unrestricted
£
-|Restricted
£
-|**2022**
**Total**
**£**
**-**|2021
Total
£
810|
||-|-|**-**|810|
## **4 Income from other trading activities**
13
HEALTHWATCH CAMDEN
Notss to the flnanclal statements
For the year ended 31 March 2022
5 An•ly>ls of txpendlture
For thls ye4r
Charitable actItY
C05t of Health advice,
raislng
information
funds
and research
Governance
costs
SuFPOrt
Costs 2022 Total
2021 Total
Staff costs (Note 71
Re¢rultmÈnt
Consultènts and engagement
Board Expenses
Accountancy and payroll fee5
Independent examlnatlon
Intern and volunteer expenses
Mathtln8 and desl8n
Meetln8s and event5
Offlce equlprnent and con5urnable5
Other stiff costs
Rent and Insurance
Research
Professlmal fee5
1,397
128,510
2,794
6,984
7,630
139,685
7,630
9,309
1.867
7,655
1,860
134,631
2,071
4,574
724
5,962
1,61¥J
160
426
3,224
11,017
2,703
6.470
11.585
1,398
2,592
9,309
1.867
7,655
1,860
347
347
10,540
4,178
2.335
10,540
4,178
2.335
3.540
3.540
General offlce expen5e5 & deweclatlon
Y,169
3,169
1,397
141,756
33,791
14,724
14,176
697
34,836
134,8361
192,165
189,237
Support C05t5
Governance costs
149
114,8721
Total exp•ndltur• 2022
1,894
190,271
192.165
189.237
14
HEALTHWATCH CAAIDEN
Notes to the flnandal statements
For the year ended 31 IAarch 2022
5 Analys15 of expendllure Icontlnuedl
For prlor year 2021
Charftable activlty
C05t of Health advice.
ralslng
Informatlen
fund5
and re5earth
Governance
Costs
Support
costs Z021 Total
Stèff tosts (Note 71
Recrultment
Ccfisultants and en8a8ement
Board Expense5
Ae¢¢untaw and yrOll fees
Independent examlnatlon
Intern and volunteer expenses
Marketlng and de518n
l•eetlng5 and events
Offlce equlpment Ind eonsumbles
Other staff co$rs
Rent and Insurance
Research
Profes51oThal fees
123,861
2,692
6,732
2.071
134,631
2.071
4.574
724
5,962
1.600
260
426
3,224
11,017
2,703
6.470
11,585
1,398
4.574
724
5,962
2&1
426
3,224
11,017
2,703
6.470
11,585
1,398
Gener41 offlce expenses & deyeclatlon
2,592
2,592
1,346
330
144,654
31,993
10,805
10,254
32,983
132,9831
189,237
Support cost5
GovemarKe c05t5
110,9141
T+xal •xp•Thdltur• 2021
1.785
1117,45Z
189.237
Of the total expendlture durfn8 the yeir, 1190,078 wi$ restrltted12021.. É187,flXII £1,586 wi$ unrestdcted12021..CI,2371.
15
## **HEALTHWATCH CAMDEN**
## **Notes to the financial statements**
## **For the year ended 31 March 2022**
## **6 Net incoming resources for the year**
This is stated after charging / crediting:
||**2022**|2021|
|---|---|---|
||**£**|£|
|Depreciation|**1,586**|748|
|Operating lease rentals:|||
|Property|**2,335**|6,470|
## **7 Staff cost, Trustee remuneration and expenses**
Staff costs were as follows:
|Staff costs were as follows:|||
|---|---|---|
||**2022**|2021|
||**£**|£|
|Salaries and wages|**128,114**|116,928|
|Redundancy and termination costs|**-**|8,000|
|Social security costs|**8,799**|6,834|
|Employer’s contribution to defined contribution pension schemes|**2,772**|2,869|
||**139,685**|134,631|
No employee earned more than £60,000 during the year (2021: nil).
The total employee benefits including pension contributions of the key management personnel were £57,954.08 (2021: £42,421). The Charity considers its key management personnel comprise the Executive Director and Trustees.
The charity trustees were not paid or received any other benefits from employment with the charity in the year (2021: £nil). No charity trustee received payment for professional or other services supplied to the charity (2021: £nil).
No trustees' expenses representing any payment or reimbursement of travel and subsistence costs were paid during the year (2021: nil).
No trustees were reimbursed any expenses incurred in relation to their duties as trustees.
## **8 Staff numbers**
The average number of employees (head count based on number of staff employed) during the year was as follows:
||**2022**|202|
|---|---|---|
||**No.**|1|
|||No|
|||.|
|Health advice, information and research|**4.0**|4.5|
||**4.0**|4.5|
16
## **HEALTHWATCH CAMDEN**
## **Notes to the financial statements**
## **For the year ended 31 March 2022**
## **9 Related party transactions**
There are no related party transactions to disclose for 2022 (2021: none).
There are no donations from related parties which are outside the normal course of business and no restricted donations from related parties.
## **10 Taxation**
The charitable company is exempt from corporation tax as all its income is charitable and is applied for charitable purposes.
## **11 Tangible fixed assets**
|**Tangible fixed assets**|||
|---|---|---|
||**IT**||
||**Equipment**|**Total**|
||**£**|**£**|
|**Cost or valuation**|||
|At the start of the year|6,801|**6,801**|
|Additions in year|2,995|**2,995**|
|At the end of the year|9,796|**9,796**|
|**Depreciation**|||
|At the start of the year|6,713|**6,713**|
|Charge for the year|1,586|**1,586**|
|At the end of the year|8,299|**8,299**|
|**Net book value**|||
|**At the end of the year**|1,498|**1,498**|
|At the start of the year|88|88|
|All of the above assets are used for charitable purposes.|||
## **12 Debtors**
|**Debtors**|||
|---|---|---|
||**2022**|2021|
||**£**|£|
|Other debtors|**18,996**|49,750|
||**18,996**|49,750|
17
## **HEALTHWATCH CAMDEN**
## **Notes to the financial statements**
## **For the year ended 31 March 2022**
## **13 Creditors: amounts falling due within one year**
|**Creditors: amounts falling due within one year**|||
|---|---|---|
||**2022**|2021|
||**£**|£|
|Trade creditors|**2,991**|8,514|
|Taxation and social security|**2,929**|3,153|
|Accruals|**1,830**|22,177|
|Deferred income|**14,500**|-|
||**22,250**|33,844|
## **14 Deferred income**
Deferred income comprises grant from North Central London CCG to be used for the next financial year 202223.
||||**2022**||2021|
|---|---|---|---|---|---|
||||**£**||£|
|Balance at the beginning of the year|||**-**||-|
|Amount released to income in the||||**-**|-|
|year Amount deferred in the year|||**14,50**||-|
||||**0**|||
|Balance at the end of the year|||**14,500**||-|
|**Analysis of net assets between funds**||||||
||General|||||
||unrestricted|Designated|Restricted||**Total funds**|
||£|£|£||**£**|
|Tangible fixed assets|1,498|-|-||**1,498**|
|Net current assets|54,210|57,000|35,818||**147,029**|
|**Net assets as at 31 March 2022**|**55,708**|**57,000**|**35,818**||**148,526**|
||General|||||
||unrestricted|Designated|Restricted||**Total funds**|
||£|£|£||**£**|
|Tangible fixed assets|88|-|-||**88**|
|Net current assets|48,711|57,000|-||**105,711**|
|**Net assets as at 31 March 2021**|**48,799**|**57,000**|**-**||**105,799**|
## **15 Analysis of net assets between funds**
18
**HEALTHWATCH CAMDEN**
## **Notes to the financial statements**
## **For the year ended 31 March 2022**
## **16 Movements in funds**
|**Movements in funds**||||||
|---|---|---|---|---|---|
|||Incoming|Outgoing|||
||At 1 April|resources &|resources &||**At 31 March**|
||2021|gains|losses|Transfers|**2022**|
||£|£|£|£|**£**|
|**Restricted funds:**||||||
|Camden Giving|-|16,556|(13,894)|-|**2,662**|
|Healthwatch England AIS|-|8,640|(7,140)|-|**1,500**|
|NCL CCG - Post COVID|-|13,700|(12,402)|-|**1,298**|
|London Borough of Camden|-|187,000|(156,642)|-|**30,358**|
|**Total restricted funds**|-|225,896|(190,078)|-|**35,818**|
|**Unrestricted**||||||
|**funds:**Designated||||||
|funds:
Contingency|57,000|-|-|-|**57,000**|
|reserve||||||
|Total designated funds|57,000|-|-|-|**57,000**|
|**General funds**|48,799|8,996|(2,087)|-|**55,708**|
|**Total unrestricted funds**|105,799|8,996|(2,087)|-|**112,708**|
|**Total funds**|105,799|234,892|(192,165)|-|**148,526**|
|||Incoming|Outgoing|||
||At 1 April|resources &|resources &||**At 31 March**|
||2020|gains|losses|Transfers|**2021**|
||£|£|£|£|**£**|
|**Restricted funds:**||||||
|London Borough of Camden|-|187,000|(187,000)|-|**-**|
|**Total restricted funds**|-|187,000|(187,000)|-|**-**|
|**Unrestricted**||||||
|**funds:**Designated||||||
|funds:
Contingency|57,000|-|-|-|**57,000**|
|reserve||||||
|Total designated funds|57,000|-|-|-|**57,000**|
|**General funds**|40,143|10,893|(2,237)|-|**48,799**|
|**Total unrestricted funds**|97,143|10,893|(2,237)|-|**105,799**|
|**Total funds**|97,143|197,893|(189,237)|-|**105,799**|
## **Purposes of restricted funds**
Grant from London Borough of Camden is to cover costs of core services provided by the charity which are: Information, Policy and insight and Community engagement.
Camden Giving was designed to make our organisation more accessible and reachable to people, specifically with disabilities and accessibility requirements
Healthwatch England AIS involved interviewing health care providers and patients on their experience of providing or receiving translation and interpretation services.
NCL CCG - Post COVID - this was in place to speak to residents around their experiences with long covid, from symptoms to access to recovery/therapy services as well as drawing out key themes. This fed into a wider report which was compiled across 5 local healthwatch.
19
## **HEALTHWATCH CAMDEN**
## **Notes to the financial statements**
**For the year ended 31 March 2022**
## **16 Movements in funds (continued)**
## **Purposes of designated funds**
Current policy is to maintain a reserve of not less than 4 months of the charity's running cost.
## **17 Legal status of the charity**
The charity is a Charitable Incorporated Organisation and has no share capital.
20
# **Championing What Matters to you** Healthwatch Camden Annual Report 2021-22
Championing what matters to you | Healthwatch Camden | Annual Report 2021-22
## **Contents**
|Message from our chair|22|
|---|---|
|About us|23|
|Highlights from our year|25|
|Listening to your experiences|26|
|Advice and information|30|
|Volunteers|32|
|Finances and future priorities|34|
|Statutory statements|35|
22
Championing what matters to you | Healthwatch Camden | Annual Report 2021-22
## **Message from our chair**
Like everyone, Healthwatch Camden has adjusted to life under the shadow of COVID 19. Coping with unavoidable restrictions, we have worked hard to remain connected to our community.
We have used technology to hold online Q&A sessions on topical issues, such as the COVID vaccine and Long COVID, enabling the public to hear directly from local public health experts and GP’s. We enhanced these sessions with BSL interpreters and voice to text services.
We have worked directly with residents and collected data on a number of concerns such as domestic abuse, experiences of long COVID and access to dental care. This has led to the production of a number of key reports and recommendations.
We continue to work both separately and together with other Healthwatch across our CCG, soon to become the new Integrated Care System, to represent as strongly as possible the voice of all our residents and stakeholders.
In partnership with local Public Health officials, primary care and other voluntary organisations, we have begun a series of Roadshow Events in Community Centres across the Borough. We focus on health issues of relevance to various age groups and enable engagement on issues such as vaccine hesitancy, hypertension, obesity and diabetes. In this way we hope to tackle health inequalities at a grass roots level.
Healthwatch Camden remains active and vibrant going forward. We shall use all our efforts to re-establish and maximise face to face working in the coming year so that all voices are heard by the local authority and health and social care providers across our Borough.
Dr Louise Jones Healthwatch Camden Chair
23
Championing what matters to you | Healthwatch Camden | Annual Report 2021-22
## **About us**
## Your health and social care champion
Healthwatch Camden is your local health and social care champion. From signposting services to reporting on patient experiences and everywhere in between, we make sure NHS leaders and other 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**
A world where we can all get the health and care we need.
## **Our mission**
To make sure people’s experiences help make health and care better.
## **Our values**
- Listening to people and making sure their voices are heard.
- Including everyone in the conversation – especially those who
- don’t always have their voice heard.
- Analysing different people’s experiences to learn how to improve
- care.
- Acting on feedback and driving change.
- Partnering with care providers, Government, and the voluntary
- sector – serving as the public’s independent advocate.
24
Championing what matters to you | Healthwatch Camden | Annual Report 2021-22
## **Our year in review**
Find out how we have engaged and supported people.
## **Reaching out**
## **419 people**
shared their experiences of health and social care services with us, helping to raise awareness of issues and improve care.
## **Over 260 people**
came to us for clear advice and information about topics such as mental health, dentistry, and COVID-19.
## **Making a difference to care**
We published
## **4 reports**
about the improvements people would like to see to health and social care services.
Our most popular report was
## **‘Surviving Domestic Abuse’**
which highlighted the struggles people have on accessing systems that support victims.
## **Health and care that works for you**
We’re lucky to have
## **21 volunteers and interns**
who gave up 93 days to make care better for our community.
We’re funded by out local authority. In 2021-22 we received:
## **£187,000**
Which is equal to the previous year.
We also currently employ
## **4 staff members**
who help us carry out this work.
25
Championing what matters to you | Healthwatch Camden | Annual Report 2021-22
## **How we’ve made a difference throughout the year**
These are the biggest projects we worked on from April 2021 to March 2022.
Vaccine hesitancy was explored locally with residents of ethnic minority, and used what we found to support residents to arrive at an informed view about COVID-19 vaccination.
We contacted all 33 dental practices in Camden and created a report which provided a snapshot of the dental care situation in Camden during the COVID-19 pandemic.
In collaboration with the local Cancer Alliance, we raised awareness about common signs of cancers, the importance of screening, and how to access help through your GP.
We held a series of interviews with victims of domestic abuse in Camden and launched an online survey for those who want to share their experiences anonymously.
We held an online Q&A with local health professionals for those unsure about Long Covid, which was joined by 50 residents.
Our Domestic Abuse report was published, which was downloaded 137 times and was presented at the Health and Wellbeing Board meeting in December.
In collaboration with other North Central London Healthwatch, we produced a report detailing Long Covid experiences and guidance, with over 300 residents involved through surveys, interviews and focus groups.
To ease anxieties about Omicron and the vaccine, we held an online Q&A with a panel of four health professionals. The recording of this event has since been posted to our website.
26
Championing what matters to you | Healthwatch Camden | Annual Report 2021-22
## **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 feedback to services to help them improve.
27
Championing what matters to you | Healthwatch Camden | Annual Report 2021-22
## **Surviving Domestic Abuse: Improving systems that support victims**
Thanks to the nine female survivors of domestic abuse, and an additional six people who came to us anonymously, we were able to document their experiences to suggest recommendations to local organisations.
Our findings demonstrated that to meet the needs of victims of domestic abuse, services need to take a more holistic approach to design and implement domestic abuse support programs.
This includes access to mental health support, safe and accessible housing, primary care and other health care services, help with filing police reports, access to legal aid and benefits, and more.
## **The number of cases where domestic abuse was selected as a presenting issue in Camden 127% has increased by**
(1,129 in 2019 compared to 1,430 in 2020)
We used the findings of this report to issue recommendations to local organisations, including Camden Council, the North Central London CCG, and the Camden Police. Our recommendations included:
- Providing interpreters for domestic abuse survivors when they are seeking help, either in health services, social care services, or legal services.
- NCL CCG should work with Primary Care Networks to fund signposting services for victims of domestic abuse. We would welcome the opportunity to work with NCL CCG and PCN to develop this work further.
- Patients should be able to easily get an in-person appointment if they have concerns about privacy at home.
- Camden GPs should ask questions around domestic abuse and feeling safe at home as part of standard care and continue to make appropriate referrals where needed.
## **In December 2021, Camden Council announced an extra £400,000 a year to expand services to tackle domestic abuse and further support survivors and their families.**
“Qualified professionals should be able to see the patterns. I am having to justify to [social workers] again, I am mentally exhausted.”
An anonymous victim of domestic abuse in Camden.
28
Championing what matters to you | Healthwatch Camden | Annual Report 2021-22
## **Accessing dentistry during COVID-19**
COVID-19 has created challenges for patients and service providers alike. We know that Camden’s dentists have been working around the clock to support patients in need during the pandemic.
We spoke to all 33 dental practices with NHS contracts in Camden and asked them a series of questions about their availability, and found that the amount of NHS activity contracted to deliver varied by the dental practice. Still, waiting times soared, or new patients were hardly taken in.
There is currently an unmet need of NHS dentistry in Camden, exacerbated by the pandemic. This issue is particularly pronounced for anyone who is not deemed to be an ‘existing’ patient with a dentist or is considered a ‘new’ NHS patient.
Healthwatch Camden will be working with Camden & Islington Public Health to determine whether a needs assessment of dentistry within the borough is needed. These findings will also be shared with the Local Dental Committee and the NHS.
- “Ministers have pledged reform. Simply telling dentists to do more with less will not provide the care our patients desperately need.”
Eddie Crouch, British Dental Association chair
We presented our report on NHS dentistry in Camden to the Health and Social Care Scrutiny Committee on the 14[th] September and supported Healthwatch England’s open letter to the government calling for change.
Little changes have been made despite Healthwatch England’s pressure on government, as around nine of out ten NHS dental practices across England are now closed to new routine patients as of May 2022*.
_**However, we revisited this project a year later found that Camden is performing better than the national average: 10 out of 33 dentists are from new accepting appointments patients, and 28 are accepting appointments from existing patients.**_
* via The Times, _https://www.thetimes.co.uk/article/nine-out-of-ten-nhs-dental-practices-in-england-closed-to-new-routinepatients-dm0qjxqx5_
29
Championing what matters to you | Healthwatch Camden | Annual Report 2021-22
## **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 the NHS and social care services to step back and see the bigger picture, through hearing personal experiences, and the impact on people’s lives. This provides a deeper understanding than using data alone, can challenge assumptions and motivate people to think and work more creatively.
As part of our joint report with other North London Healthwatch on Long Covid, we used our platform on social media to highlight local people’s stories with Long Covid. Alice, Mr. Miah, Emma, and Beeja’s experiences were showcased to remind local health services of the need for formal Long Covid relief.
## **Getting services to involve the public**
We urged the North Central London CCG, Camden Council and Public Health teams to reach out to those who are hesitant in taking the COVID-19 vaccine.
In a report about vaccine uptake among ethnic minorities in Camden, nearly one-third of survey responders who did not want the vaccine said they would reconsider their decision if they had more information. Throughout the year, we have hosted multiple Q&As on vaccines, boosters, and COVID variants.
## **Improving care over time**
Change takes time. We often work behind the scenes with health and care services to consistently raise issues and push for changes.
Camden is an extremely diverse area, and we have always strived to make equality, diversity, and inclusion a core part of our work. Over the years we have researched Camden’s health and social care sector through the lens of our residents of ethnic minority, to address inequalities or racial disparities in care. This year, our reports have constantly aimed to share the experiences of these residents, to urge local services to make sure care is equal for all.
30
Championing what matters to you | Healthwatch Camden | Annual Report 2021-22
## **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 an NHS dentist, how to make a complaint or choosing a good care home for a loved one – you can count on us.
This year we helped people by:
- Providing up to date information on COVID-19
- Linking people to reliable information they could trust
- Supporting the COVID-19 vaccination and booster programme
- Promoting the early detection of cancer
31
Championing what matters to you | Healthwatch Camden | Annual Report 2021-22
## **Signposting people who needed additional support with COVID**
We saw a huge disparity in the type and the accessibility of information regarding COVID, variants, and vaccines In Camden.
We consistently updated our website and social media with the newest and most accurate information and on COVID in the area, as well as signposting walk-in vaccination centres.
We also wanted to hold a space for those who were still unsure on COVID and vaccine information, especially among those for whom English is not their first language. Over the winter, we hosted multiple COVID-related Q&As over Zoom, featuring qualified health professionals, and uploaded to our website with transcriptions for accessibility.
## **Highlighting the importance of the early detection of cancer**
With 1 in 8 women being diagnosed with breast cancer during their lifetime, it is vital that we know how to detect it, and detect it early – so it could save a life.
We hosted several events across Camden, such as with the local Irish Women Group to promote the importance of early cancer detection.
These sessions included early signs and symptoms, answers to common questions about cancer, and the ways in which residents can access local support for cancer and the issues that come with it.
32
Championing what matters to you | Healthwatch Camden | Annual Report 2021-22
## **Volunteers**
We’re supported by a team of amazing volunteers who are the heart of Healthwatch. Thanks to their efforts in the community, we’re able to understand what is working and what needs improving in NHS and social care.
This year our volunteers:
- Assisted our research and in-depth studies by collecting data from our community
- Supported evidence gathering for projects, such as telephone interviews
- Carried out website and telephone reviews for local services on the information they provide and assessing their accessibility.
- Building our local outreach by helping out at community events
33
Championing what matters to you | Healthwatch Camden | Annual Report 2021-22
## Eileen
I interned at Healthwatch Camden as a part of my study abroad with IES Health Practice and Policy earlier this spring. Healthwatch was a great opportunity to learn more about health care and public health in the UK and further develop my communications and research skills in a new context. I got to see how specific health issues interacted with the system at a local level.
I helped run Healthwatch's social media in addition to helping with projects on Long Covid and vaccination, all of which built on my previous experiences in political communications and journalism. The team was so great to work with and I hope they found my work helpful, especially during a period of transition.
## **Do you feel inspired?**
We are always on the lookout for new volunteers, so please get in touch today.
**www.healthwatchcamden.co.uk 020 7383 2402 info@healthwatchcamden.co.uk**
34
Championing what matters to you | Healthwatch Camden | Annual Report 2021-22
## **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.
|Income||
|---|---|
|Funding received from
local authority|£187,000|
|Additional funding*|£38,896|
|Donations and Other
Income|£8,996|
|Total income|£234,892|
- *Additional funding from:
- NCL CCG
- Voluntary Action Camden
- Healthwatch England – AIS
- Clare Mont
- NHS CQC
## **Top three priorities for 2022–23**
1. Report on the status of maternity services in Camden, especially among ethnic minorities.
2. Understand why people utilise A&E services and Urgent Care Centres specifically for their needs.
|**Expenditure**||
|---|---|
|Staff costs|£139,685|
|Recruitment|£7,630|
|Consultants and
engagement|£9,309|
|Board Expenses|£1,867|
|Accountancy and
payroll fees|£7,655|
|Independent
examination|£1,860|
|Marketing and design|£347|
|Meetings and events|£50|
|Office equipment and
consumables|£10,540|
|Other staff costs|£4,178|
|Rent and insurance|£2,335|
|Research|£3,540|
|General office expenses
and depreciation|£3,169|
|Total expenditure|£192,165|
3. Successful roll out of our strategy for the next four years.
35
Championing what matters to you | Healthwatch Camden | Annual Report 2021-22
## **Statutory statements**
About us
Healthwatch Camden, 85-87 Bayham Street, Camden, London, NW1 0AG.
Charity number 1152552.
Healthwatch Camden uses the Healthwatch Trademark when undertaking our statutory activities as covered by the licence agreement.
36
Championing what matters to you | Healthwatch Camden | Annual Report 2021-22
## **The way we work**
Involvement of volunteers and lay people in our governance and decisionmaking.
Our Healthwatch board consists of 8 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. Through 2021/22 the board met 8 times and made decisions on matters such as the approval of recommendations made for our Domestic Abuse report, and updates on policies such as EDI training and flexible working.
We ensure wider public involvement in deciding our work priorities. We use our outreach programmes as an insight into unmet needs, as we are able to directly hear their thoughts. We also look for patterns in our signposting or information inquiries about certain care or services.
## **Methods and systems used across the year’s work to obtain people’s views and experience.**
We use a wide range of approaches to ensure that as many people as possible have the opportunity to provide us with insight about their experience of health and care services. During 2021/22 we have been available by phone, by email, provided a webform on our website, attended virtual meetings of community groups and forums, provided our own virtual activities and engaged with the public through social media.
We are committed to taking additional steps to ensure we obtain the views of people from diverse backgrounds who are often not heard by health and care decision makers. This year we have done this by continuing our good relationship with local groups, such as the Henna Asian Women’s Group or the Young Camden Foundation.
We ensure that this annual report is made available to as many members of the public and partner organisations as possible. We publish it on our website and promote it on e-bulletins and on social media.
37
Healthwatch Camden
85-87 Bayham Street, Camden, London, NW1 0AG www.healthwatchcamden.co.uk
t: 020 7383 2402
e: info@healthwatchcamden.co.uk
@ healthwatchcam
facebook.com/healthwatchcam
healthwatchcam