Company registration number: 08430436 Charity registration number: 1153444 Healthwatch Lambeth (A company limited by share capital) Annual Report and Financial Statements for the Year Ended 31 March 2022
Healthwatch Lambeth Contettts Reference and Administrative Details I to2 Trustees, Report 3to12 Siatement of TN5tee5' Responsibilities 13 Independent Examinees Report 14to 15 Ststement of Flnancial Activities 16to 17 Balance Sheet 18to 19 ststement of Cash Flows 20 Notes to the Financial Statements 21to3l Non-statutory pages 32to35
Healthwatch Lambeth Reference And Administrydtive Details Chair Dr Sarah Katharine Corlett Trustees Dr Sarah Katharine Corlett Ella lfy Rose Nwaokolo (resigned 28 April 2021) Jerome Pupe Heather Rogers Una Dalton Eileen Meredith P¢mbridge Andr¢ Blacknian Henry Hunt (Appointed 27 October 2U21) Rajan Lakhani Secretsry Catherine Pearson Senior Management Team Catherine Pearson. Chief Executive Officer PriD¢ipal Office 336 Brixton Road London SW9 7AA The charity is incorporated in England. Page I
He#lthwateh Lambeth Reference and Administrative Details Company Registration Number 08430436 Ch&rity Registration Number 1153444 Bankers CAF Bank Ltd 25 Kings Hill Avenue West Malling Kent ME19 4JQ Metro Bank I Southainpton Row London WCIB SHA The Co-operative Bank POBoxlOI l Ball(M)n Street Manchester M60 4EP Triodos Bank Deanery Road, Bristol BSI SAS Ind¢p¢ndent Exr4miner Alistsir I Wem Bsc FCA Wem & Co Chartered Accountants Savoy House Savoy Circus London W3 7DA Page 2
Healthwltch Lambetb Trustees, Report The trustees. who are dir¢ctor5 for ihe purposes of company law, present the annual report logether with the financial statements of the charitable company for the year ended 31 March ?0?? Objectives and artivities Objects and aims Healihwatch is the independent champion for local people s voices in Health and Social Care in Lambeth. We work to ensure people's experiences of care count when il comes to shaping and improving services. We seek to ¢hallenge inequalitie5 in health and care, to help ensure everyone gets the services tliey iieed. Our charitable objects are to advance thc health and the relief of those in need by reasons of youth. age, ill health, disability or financial hardship in the London Borough of Latnbeih by-. l. Making the views and experiences of the citizens of Lambeth known to health and social care providers and drawing on citizens, needs, involvetnent and aspiration whether users or not of health and social care services. 2. Enabling local people to have a voice in the development, delivery and equality of access to local health and care services and facilities. 3. Providing training and the development of skills for volunteers and the wider community in understanding, scrutinising. reviewing and monitoring Iwal health and care services and facilities. 4. Providing information and 518nposting to the public about local health and social care services. Page 3
Public Benefit The trustees conttnn that they hav¢ complied with the requiremellts 0£ section 17 of the ChaTlties Act 2011 to have due regard to the public benefit guidance published by the Charity Commission for England and Wales. During 2021-22, Healthwatch continued to focus on four priorities.. l. Older peopl¢. including people using social care and: or health services for long tenn conditions. 2. People affected by menlal ill-health, particulaTly people from Lambeth's Black Communities. 3. Children and young people. 4. People with learning disabilities. The prowmes worked io deliver against these priorities by.. l. Gaihering and analysing the care experiences of local people to provide a valid cvidenc¢ base of health and social care practice. 2. Using this evidence to influence health and social care planning: commissioning, and provision 3. Building a culture of partnership and collaboration with local people. communities and other slakeholders. 4. Developing new ways to provide high quality, trusted intelligence on people's experiences of services to infiuence care. tnforniation on our work is also available in our Annual Report, which can be accessed bere: https'.Ilwww.healthwatchLambeth.org.uklTeport12022-06-271annual-rewrt-20212022 VA f ¥4etivities 2021-2022 HWL's activities in 2021-2022 included.. Improved mental health support for young people as they move from child and adolescent mental health services lo adult mental health services as a result of our involvement. In]proved emotional and psychological support for young people attending hospital through our work. Supported the borough's efforts to increase uptake of annual health checks and the COVID-19 vaccine amongst people with le8rning disabilities, autism, and s¢vere mental illnests. Promoted and supported matemity services at King's College Hospital NHS Foundation Tt to directly involve women and families in developing a new maternity strategy Started a new progrdmme with health service colleagues at South East IA)ndon CCG and Lambeth Together to make sure decisions taken by Primary Care Networks take full account of patient5, perspectives and experiences. Through HWL'S SipoSt1ng service and infonnation events HWL have: . Helped people to get services such as advocacy and community mental health services Helped people resolve issues such as concern about Covid-19 vaccination and housing difficulties Improved people's Imowledge and understanding of the different ways to improve their physical and mental wellbeing.
Healthwatch Lambeth Trustees, Report Helped people to get services such a5 advocacy and ¢ommunity menlal health services Helped people resolve issues such as concern about Covid_19 vaccination and housing dilFicultie5 Improved people.s knowledge and understanding of the different ways to improve their physical and mental wellbeing. During the year, despite the dIlCUltIeS of the pandemic more than 700 people shared their experiences of health and 50cial care services with HWL helping to raise awarene55 of issues and improve care. Over 160 people came to HWL for clear advice and information about topics such as mental health and COVID-19. HWL undertook Ihree projects aimed al improving people s experience of health and social care services.. Worked with Lamb¢th Together to improve the experience of people moving from child to aduli mental health services Created a new local partnership to improve a¢ce5S to information al)out annual health check5 for people wilh disabilities Supported the Adult Safeguarding Board to fflake improvemenls to the way that they consider the views of service users KeK' ro ecls in ?0? l_?O•?: Improving melltal health support for CYP As a result of feedback HWL rcceived from young pp]e about the challenges they face moving between children and adult mental health services, the Living Well Network Alliance of Lambeth Together recruiled Iransition workers to ensure that support is better coordinated and that services are responsive to their n¢ed5. Young people often find the move frotn child to adult mental health services difficuli and some disengage from services completely. Not all young people struggling with their mental health will need specialist 5ervic¢s at the time of transition, but they all need some support to prepare them for independence and adulthood. HWL spoke to 19 young people with mental heahh condttions and learning disabilities along with their parents or careis about their support i)eeds as tlley niove to aduli services. Young people reported a poor experience of health and social care including= Difficulties talking to someone within the system Uncoordinated support Lack of training to build their resilience. HWL also found that some young people disengaged from services due to uncl¢ar referral processes. Young people told us that they needed.. Proper planning and transition support Access to better inforniation on services Help to build resilience. Page 5
Healthwatch Lambeth Trustees, Report HWL presented these findings to the Living Well Network Alliance (LWNA) which is the collaborative group of statutory and voluntary menlal healih and care services in Lambeth. As a resuli, they recruited staff to coordinate support for young people moving from child to adult mental health services. HWL hope this will improve young people's experiences of moving across services. HWL will follow up to check thal this is the c. Improving uptake of Annual Health Checks and the COVID_19 vAceine Feedback from peopl¢ and carers with leaming disabilities, autism and severe mental illness helped HWL improve Ihc borough's knowledge of the barriers to uptake, and informed plans to ensure people from these groups can access the support they need. This year HWI. cnntrihiited tn the hnrou8h s effnrts tn improve uptake of the Annual Health Checks (AHC) and COVItN19 vaccine among people with learning disabiliiies, autism and severe mental illne55. The borough has adopted some of HWL's rccommended strategies for improving access. incliiding providing education and infomiation about the AHC and the COVID-19 vaccine alongside other health campaigns. HWL spoke to people Irom these groups, along with their parenV¢arers about AHCS and the COVID-19 vaccine to explore their view5 and access experiences in depth. Findings included: There is variation in knowledge and understanding of the PUTpose of an AHC, what it eniails and beliefs about entitlement Family members and carers play a key role in giving people opportunities to access care, including booking appointments People have different under5tsnding of the risks associated with COVID-19 Family membets and carers play a key role in supporting people to access care. correeting misinfonnation about the COVID-19 vaccine and are the key motivating factor influencing decisions about uptake. Health professionals told HWL that.. Misinfonnation about the vaccine communicated on social media was a arong factor in people's decisions about whether to get vaccinat There were public concerns about the period that was left to test the vaccines before they We rolled out, and there were misunderstandings about the level of protection the vaccine provided. People had different understanding of the risks associated with COVID-19 HWL presented its findings to representatives of Lambeth Council and NHS South East London CCG {Lambeih) and al the Learning Disability and Mental Health Vaccine Uptake Working Group. HWL'S findings have infornied and contributed to th¢ borough'5 efforts to improve uptake among these groups. These included providing education and inforniation about the AHC and the COVID-19 vaccine alotig with other health campaigns. HWL also encouraged the council to work more closely with grassroots community and voluntary organisations that reach people from these groups. Page 6
Healthivatch Lambeth Trustees. Report jlltin£.e&HwL's actii'ities made in 20?]1?022: Improving emotional support for young people attending hospital As a result of a HWL consultation with a young people's reference group on their experiences of attendin¥ hospltal, King's College Hospital and Child Health Services have been working on improving care for young people with emotional health Deeds. This led to King's College H05Pital appointing a ¢on5ultanl psychologist to develop the psychology services for children and young people with gcnerdl paediatric conditions who need addilional emotional support and devcloped training to help doctors manage young people who are very psychiatrically unwell, along with a progrdmme to support people with mental health concerns betler and is reviewing the resoui'c¢s available outside Child Meiital Health Services (CAMHS) so that GPS, child health leads and paediatricians have better infonnalion about appropriate local support to meel children's needs. "All this was started by what we heard from children and young people during the [HWL] consultation., Lucy Pickard Sullivan (Consultant paediatrician - King s College Hospital) Supporting maternity Services to involve won)en and families in new maternity strategy HWL'S strategy is to actively promote. encourage and support service providers and commissioners to dircctly involve the public in sliaping how services are designed, monitored. and improved. Building on women's storie5 of their maternity care during covitk19, HWL worked closely with King's College Hospital to directly involve women in the first stage of developing their maternity services vision and strategy. HWL helped to design a consultation survey and 5UPPOrted the hospital to shdre il with local community groups and more widely with a diverse group of women who had experiencc of using King's Maternity services. A total of 170 women participated in the consultation and King"s College Hospital are now using th¢ results to shape the slrategy and other malernity projects. Improving care over time.. Supporting publie engagement in primary eare services HWL often work behind the s¢enes with health and care services to consistently raise issues and push for changes. HWL heard patients, feedback on their experiences of accessing GP services and our volunteers and staff reviewed the xccessibility of iiiforniation oli GP websiles. This highlighted the need for stronger community communication5 about service availability and appointment booking. HWL'S insight has also led to a new opportunity for HWL to work closely with partners at ihe South East Lx>ndon CCG.In ?0?2, HWL will be embarking on a new programme to support Lambeth Primary Care Networks (PCNS) to develop greater insight from patient engagernenL tesiing new ways to bring the patieE]t experience into decision making processes. Advice and information This year HWL helped people by: Providing inforniation about complaints services and processes Page 7
Healthwatch Lambeth Tru5te¢5' Report Providing up to dale information on COVID-19 vaccination and booster programme in the borough Linking people to reliable inlorniation they could trust Helping people to access local advocacy services, community mental health services including Lambeih Talking Therapies and services for older people such as the befriending services offered by Agc UK Lambeth Holding a series of inforn]ation events focusing on improving wellbeing including World Health Day. Mental Health Awarene55, tips to keep in good health, safeguarding infortnatLOn. World Healih Day - which included 12 mini workshops on different topics such as gardening. yoga and mindfulness, singing, menial health and managing stres5 dnd iiifuriiialiuii abvul local mental health Services. Mental Health Awareness Week was an opportunity for participants to join practical activities lo improve their wellbeing and ¢ope with the pandemic. We had sessions on menlal health support for young people, boxercise, group coachin& joumaling, and m¢ditation and interactive p¢rfomiance from a group of Black men on how they cope with Covid. Tips lo keep in good healih- aimed to raise awareness and mobilise efforts to support mental health and wellbeing in the community. Our evenl in October ?0? l offered a variety of tips that participants could use as self-care as well as share with anyone who could benefit from. These included writing a fantasy story to distract the mind, to a 'food and mood. and physical activity videos. Professionals from ihe local 'Lambeth Talking Therapies, invited people to contsct their service if they needed help to tackle anxiety, depression. Volunteering programme HWL is supported by a team of volunteers who the hcart of its work.. Thanks lo their efforts in the community, HWL is able to underntand what Is working and what needs improving in NHS and social care. This year HWL volunteers have.. Helped people have their say from home, carrying out surveys and iniervtews over the telephane and transcribing interviews Supported with engagement project planning and the design of evidence gathering tools Carried out websile reviews of all GP practices in Lambeth to assess the intorniation they provide and their accessibility Supported with strategic review and review of funding opportunities Represented Healthw3tch L3mbelh at online and fac¢ to face meetings and forums Created digital content for our website and social media and designed flyers for events and projects Helped with administration Took part in training to improve their resexreh skills. Page 8
Healthwatch Lambeth Tru5tees' Report Financial review The book values of the assets held at the year-end are, in the opinion of the Board of Trustees, as staled in the financial statements. Also. in its opinion, adequate assets are available io fulfil Ihe obligations of Hcalthwatch Lambeth. A summary of the result of Healthwatch Lambeth's activities during the year is given in the Statenient of Financial Activities on page 16. Total income from grants and donations amounted to £3?0,7J7 (?0?1: £799,9?9). Expenses incurred during the year to 31 March ?02? primarily relate to the costs of running the charity's projects. The govemance costs were made up of independent examination fees and legal and professional expenses. The govemance costs are approved by the Trustees. The total fund5 as at 31 March 202? were £238.224 (2020- £237,273). This comprise5 the year-end unrestricted funds of £?17.11 l and restricted fund5 of £?1.113. Policy on reserves Healthwatch holds a dcsignatcd fund of £150,1)00. Thi5 represents 610/0 of core grant which is equivalent lo 8 months expenditure. Deferred Income Policy Healthwalch Lambeth's defers income which is related to tirne perii)d5 and/or activities that have not yet happened. Overhead Alloeation Policy Healihwatch Lambeth is commirted to managing overhead costs across all projects and activities to Achieve best value. We plan and budget new projects carefully to ensure that overheads ar¢ fully cosled. Plans for future periods Aims and ke ob ¢¢lives for futurl" eri(ds Healthwatch Lambeth's top 3 priorities for 2022123 are: Primary Care Network and patient and public engagemenL Multiple Long-Term Condilions. and Diabetes pathways Older People: Hospital Discharge. Neighbourhood Nursing, and Continuing Health Care Mental Health: Enter & View visits and Mental Health projects at King's College Hospital, Menlal Health events Children and Young People: Young People's engagement and mental health Leaming Disability.. Lambeth Learning Disability Assembly. Page 9
Healthwatch Latnbeth Tru5tees' Report To achieve this, HWL will focus on: Launching a new strategy Achieving re-accreditation in Investing in Volunteers Holding Enter and View visits in NHS providers. HWL priorities reflect its commitment to play a full and active part in ensuring that people who experiences worse outcomes are heard and ihat their views shape how service5 are provided Structure* governance 2nd manxgement Natu vernin doL'ument The company is a charitable company limited by guarantee, incorporated in England & Wales on 5 March 2013 and registered as a charily on 16 August 2013. The object5 and powers of the Company were established in its Memorandum of Association and are governed by its Articles of Associalion. The charity ¢ommenced operations on the date of incorporation. The directors of the charitable company (the charity) are its trustees for the purposes of the charity law and throughout this report are collectively referred to as the Trustees. ReLruitment and a oinimenl ot trustces The Trustees who held office during the financial year and at the date of this rcport are set out on page l. The Trustees are appointed in accordance with the rules sel out in the Articles of Association. InduLlion and traiiiin of truslces Induction to Ihe Board is led by the Chair and the CEO. All trustees meet with the Chair and Ihe CEO throughout the year to discuss the organisation's work and strdtegy. Trustees meet staff, volunteers and partner agencies throughout the year at public engagement everEts. ommittces Healthwatch Lambeth Trustee Board meets quarterly. The trustees also wotl( through three sub-committees.. Finance, Risk and Assurance: Meets quarterly to review financial managetnent reports, delivery report and Risk Register. Healthwatch Lambeth (Healthwatch) continuously review its Financial Procedures and Policies. Human Resources Committee." Meets quarterly and as needed to oversee recruitmenL staff wellbeing and HR policy development. Strategy Committee: Meets to review Healihwatch Lambeth work prograrnme. review strategic direction and to guide and support the staff team. Page 10
Healthwatch Lambeth Tru$ttts' Report anisational stl'ULlure 4 full-time and 2 part-time staff carry out the day-to-day work of the organisalion. Healihwatch Lambeih"s CEO is responsible for day-to-day running of the organisation. The CEO is supported by an engagement manager, and operations and finance lead. Work programme5 are led by engagement leads covering Older People, Mental Health and Children & Young People. Change in staff during 2021-2022 There was a change in CEO. who resigned on 7th February 20?2 and a new CEO was appointed in August ?0?2. Trustee5 would like to thank the previous CEO for all her hard work and staff who departed during the wear. Pannirshi As a small oruanisation, working lo influence the NHS and Local Authority, we prioritise working formally or infomially in partnership including.. Lambeth Togeiher Delivery Alliances As a partner in Lambeth Together, during ?O?1-22 HWL, continued to support the development of local arrangements for integrated delivery of local health and care services by actively participating in the three Lambeth Delivery Alliances. For instance HWL worked with the Living Well Network Alliance to support public participation in the South London & Maudsley NHS Foundation Trust strategy refresh. This led to a trust-wide commitment lo both putting patieT]ts and communities at the heart of services, and also to designing new ways to asse55 the impact of services on people with lived experience of mental health services. HWL continued work with the Children & Young People Alliance to ensure the voices of local children are heard and understood local Special Educational Needs and Disability services and in the transfonnation of services for looked after children as they leave care. or risks and mana Fement of th05c risks Risk Management During the year the organisation's Finance. Risk and Assurance Sub-committee focused on th¢ following risks: l. The impact of the Covid-19 pandemic on how local people's voices were heard and responded to in health and Social care ? The impact of ihe Covid-19 pandemic on the ability of the organisation to deliver its programme commitments 3. The wellbeing of staff and volunteers whilst wotq(ing from home 4. Ensuring financial sustainability over the longer tenn 5. Ensuring a clear strategic direction to a55i5t prioritisation Page 11
Healthwateh Lambeth Trustees, Report 6. Ensuring appropriate governance and oversight in terms of policies and PreSSeS at executive and board lewel Mitigation l. Maximisiri¥ opportunities for face-lo-face engagement where possible and supporting people to use digital methods. Utilising all possible sources of information Updating reporting and reviewing options where projects had lo be suspended 3. Workshops and other opportunities for staff lo get together online 4. Substantial review of finances. projects and staffing arrangements and updating of approach io fundraising f. Re.vision ot. strategy originally drafted bill not launchcd in 20?1 in light ot changing cnvironmcnt to bL ready for public engagement and launch in late ?0?2 6. Revision of a wholc range of HR and other policie5 Wlth advice from our HR provider and agreement of a new decision-making policy which will also have set procedures for authorising projects. Small companies provision statement This report has been prepared in accordance with the Small companie5, regime under the Companies Act ?006. The annual report was approved by the trustees of the charity on its behalf by.. Dr Sarah Kaiharine Corlett Chair and Trustee Page 12
Healthwatch Lambeth Statement of Trustees. Responsibilities The trustees (who are also the directors of Healtiiwatch Laffibeth for the purposes of company law) arc responsible for preparing the truslees, report and the financial slatements in accordance with th¢ United Kingdom Accounting Sthndards (United Kingdom Generally Accepted Aecountino Practice) and applicable law and regulations. Company law requires the trustees to prepare financial statements for each financial year. Under company law the Irustees must not approve the financial statements unless they are saiisfied that they give a true and fair view of the state of affairs of the charitable ¢ompany and of its incoming resources and application of resources. including its income and expenditure, for that period. In preparing these financial statements, fhe trustee5 are required to.. select suitable accounting policies and apply them Consistently. observe the methods and principle5 in the Charities SORP,. make judgements and eslimates that are reasonable and prudent; state whdhcr applicable UK Accounting Standards have been followed, subject to any material departures disc105ed and explained in the financial ststements: and prepare the financial statements on the going ¢onc¢rn basis unless it is inappropriate lo pitsume that the charitable company will continue in business. The trustees are responsible for keeping adequate accounting records that are sufficient to show and explain the charitable company's transactions and disclose with reasonable accuracy al any time the financial position of the ¢haritabl¢ company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assels of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and oiher irregularitl¢S. Approved by the trustees of the charity on 2.11.1.Q12.Q22. and signed on its behalf by: Dr Sarah Katharine Corlett Chair and Trustee Page 13
Healthwatch Lambeth Independent Examiner's Report to the trustees of Healthwatch Lamb¢th I report to the charity trustees on my examination of the accounts of the charity for the year ended 31 March 2029 which are set out on pages 16 10 31. Respective responsibilities of trustees and eIaminer As the ¢harily's tnistees of Healthwaieh Lambeth (and also its directors for the purposes of company law) you are responsible for the preparation of the accounts in accordance with the requirements of ihe Companies Act ?006 ('Ihe 2006 Act. l. Having satlsfied myself that the accounts of Healthwalch Lambeth are not required to be audited under Part 16 nf the 9006 Act and are eligible for independent exam ination. I report in respect of my examination of your charity's accounts as carried out Ltnder section 145 of the Charities Act 2011 {'the 2011 Act"). In Carrying out my examination I have followed the Directions given by the Charity Commission under section 145(5){b) of the 201 l Aet. Independent examiner's statement Since Healthwatch Lambeth's gross income exceeded £?50,000 your examiner must be meTnber of a body listed in section 145 of the ?01 l Act. I confim that l am qualified to undertake the examinalion because l am a member of Inscitute of Chartered Accountants in Enoland & Wales, which is one of the listed bodies. I have completed my examination. I confirm ihat no matters have come to my attention in connection with the examination giving me cause to believe.. accounting records were not kept in respect of Healthwatch Lambeth as required by section 386 of ih¢ ?006 Act. or 2. the accounts do llot accord with those records- or 3. the accounts do not comply with the accounting requirements of section 396 of the 2006 Act 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: or 4. the accounts have not been prepared in accordance with the methods and principles of the Statement of Re¢omm¢nded Practice for accounting and reporting by charities [applicable to charities preparing their accounts in accordance with the Financial Reporting Siandard applicable in the UK and Republic of Ireland (FRS 10?)]. I have no concerns and have come across no other matters in connection with the examination lo which attention should be drawn in this report in order to enable a proper understanding of the accounts to be rcached. Page 14
SIGNED SECURELY
21/12/2022 at 10:17:32 AM UTC
SIGNED SECURELY
21/12/2022 at 10:17:32 AM UTC
Healthwateh Lambeth Statement of Financial Aetivities for the Year Ended 31 Mareh 2022 (Including Income and Expenditure Account and Statement of Total Reeognised Gains and Losses) Total 2022 Unrestricted Restricted Note Income and Endowments from: Donations and legacies Investment income Other income 273,715 78 43.760 47,092 320,737 78 47,010 3,?50 Total income 317.553 367.825 Expenditure on: Charitable activities Other expenditure Total expenditure Net (expenditure)/income Net movement in funds {318,3?9) (107) (48.437) (366.766) (1071 1318,436) 48,437) 366,873) 1,835 952 (883) 1,835 952 Reeonciliation of funds Total funds brought forward Total funds carried fonvard 217,994 ?J7,272 2)8,224 15 217.11 21,113 Tot21 2021 Unrestrieted Restricted Note Income and Endowments from: Donations and legacies Investment income Oih¢r inLom¢ 249,401 215 20,130 550.5?8 799.929 215 97.106 76,976 Total income 269,746 627,504 897,250 Expenditure on: Charitable activities Other expenditure Total expenditltre Net expenditure (291,414) (71) (690.381) (981,795) (71) (291,485) (690,381) (62,877) (981,866) (21,739) 184.616) The notes on pages 21 to 31 fonn an integral part of these financial statements. Page 16
Healthwateb Lambeth Statetnent of Finan¢ial Activities for the Year Ended 31 March 2022 (Including Income and Expenditure Account and Statement of Total Recognised Gains alld Losses) Totsl 2021 Unrestricted Restricted Note Net movement in funds (21,739) (62,877) (84,616) Reconciliation of funds Total funds brought forward Total funds carried fonvard 239,7J4 82,155 19.278 321.889 217,995 2J7,273 All of the charity's activities derive from continuing operalions during the above two periods. The funds breakdown for 2021 is shown in note 15. The notes on pages 21 to 31 fom) an integral part of these financial statements. Page 17
Healthivatch Lambeth (Registration llumber: 08430436} Balance Sheet as at 31 March 2022 2022 2021 Note Fixed assets Tangible assets 3,068 5,374 Current assets Debtors Cash at bank and in hand 12 13 24,159 390.041 17,672 386.274 414,200 403,946 Creditors: Amounts falling due within one year Net Current 4S5ets 14 (179.044) 1172.047) ?35,156 ?31,899 Net assets ?38,224 237.273 Funds of the charity: Restrieted 21,113 19278 Unrestricted ineome funds Unrestricted 217,111 217.995 Total funds 15 ?38,2?4 ?37,273 For the financial year ending 31 March 2022 the charity was entitled to exemption from audit under section 477 of the Companies A¢t 2006 relating to small compani¢s. Directors, responsibilities.. The members have not required the charity to obtain an audit of its accounts for the year in question in accordance with section 476; and The directors acknowledge their responstbilities for complying with the requirements of Ihe Act with rcspcct to accounting rccords and ihc prcparation of accounts. These accounts have been prepared in accordance with the provisions applicable to companies 5ubj¢ct to the small companies regime. The notes on pages 21 to 31 fotin an integral part of these financial statements. Page 18
Healthwateh Lambeth (Registration number: 08430436) Balanee Sheet as at 31 March 2022 The financial 5tatemeniS on pages 16 to 31 were approved by the trustees, and authori5ed for issue on .2.11.1Ql2021 and signed on their behalf by: Dr Sarah Katharine Corlett Chair 2nd Trustee The nofrs on pages 21 to 31 form an integral part of these financial statements. Page 19
Healthwateh Lambeth Statement of Cash Flows for the Year Ended 31 March 2022 2022 2021 Note Cash flows from oper8ting aetivities Net cash income/{expenditure) Adjustments to cash flows from nOD-¢a5h it¢ms Depreciation Inveslment income 952 {84,616) ?,306 (78) 3,180 (215) {81.9?0) Workin% capital adjustments (In¢rease)/decrease in debtors Increase in creditors Decrease in deferrcd incotne 12 14 (6,487) 8,579 (1,58J) 3,689 40.916 22,7?3 (49.237) (67,518) Net cash flows from operating activities Cash flows fn)m illve5ting activities Interest receivable and similar income Purchase of tsngible fixed assets Sale of thngible fix¢d assets Net cash flows from investing activities Net increase/{decrease) in cash and cash equivalents Cash and cash equivalenls al l April Cash and cash equivalents at 31 March 78 215 (4,160) 1.860 78 (2,085) 3,767 386.274 (69,603) 455,877 390.041 386,274 All of the cash flows are derived from continuing operations during the above two peri(Kls. The notes on pages 21 to 31 forni an integral part of these financial slatements. Page ?0
Healthwateh Lambeth Notes to the Financial Statements lor the Year Ended 31 Mar¢h 2022 I Charity status The charity is limited by share capital. incorporated in England. The address of its registered office is: 3J6 Brixlon Road London SW9 7AA 2 Accounting policies Summary of significant aecounting policies aDd key ac¢ounling estimates The principal accounting policics applied in the preparation of th¢se financial statements are set out below. These policies have been consi5tcntly applied to all the years presented, unless otherwise stated. Statement of eomplianee The financial statements have been prepared in accordance with Accounting and Reporting by Charities.. Statement of Recommended Practice applicable to charities preparing their accourlts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effeclive l January ?015) {Charities SORP (FRS 102)}, the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 10?). They also comply with the Companies Act 2006 and Charities Act 2011. Basis of preparation Healthwalch Lambeth meets the definition of a public benefit entily under FRS 10? Assets and liabilities are initially recognised at historical cost or transaction value unle55 Otherwis¢ slated in the relevant accounting policy notes. The presentational currency of the financial statements is Pound Sterling (£}. Going concern The trustees consider thai there are no material uncertainties about the charity's ability to continue as a going concern nor any significant area5 of un¢¢rtainty that aff¢ct th¢ carrying value of assets held by the charity. Income and endowments All income is recognised once the charity has entitlement to the income, it is probable that the income will be received and the amount of the income receivable can be measured reliably. Page21
Heallbwatch Lambeth Notes to the Financial Statements for the Year Ended 31 March 2022 Donalions and legacies Donations are recognised when the charity has been notified in writing of both the amount and settlemeni date. In the evei)I that a donation is subjeci io coiidilions that require a level of perforniance by the charity before the charity is entitled to the funds, the income is deferred and not recognised until eiiher those conditions are fully met, or the fulfilment of those conditions is wholly within the control of the charity and it is probable that these conditions will be fulfilled in ihe reporting period. Grants receivable Grants are recognised when the charity has an entitlement to the funds and any c()nditinns linked to the grants have been met. Where perfomiance conditions are attached to the grant and are yel to be mel, the Tncome is recognised as a liability and included on the balance sheet as defcrred income to be released. Deferred incom DefetTed income represents amounts received for luture periods and is released to incoming resources in the period for which, it has been received. Such income is only deferred when.. The donor specifies that the grant or donation must only be used in future accounting peri(Ids- or The donor has imposed condilions which must be met befor¢ the charity has unconditional entitlement. Expenditure All expenditure is recognised once th¢re is a legal or constructive obligation to that expenditure. il is probable Settlement 15 required and the amount Can be measured reliably. All costs are allocated to the applicable expenditure heading tlial aggregate Similar costs 10 thaf category. Where costs cannot be directly attributed to particular headings they have been allocated on a basis consistent wilh the use of resources, with central staff costs allocated on the basis of time spenl, and deprecialion Charges allocated on the portion of the asset's use. Other support costs are allocaled based on the spread of staff costs. Charilable aclivilies Charitable expenditure comprises those costs IncU¢d by the charity in the delivery of its activities and services for its beneficiarie5. It include5 both costs that Can be allocated directly to such activilies and those costs of an indittct nature necessary to support them. Gruntprovisions Provisions for grants are made when the intention to make a grant has been communicafrd to the recipient but there is uncertainty about either the timing of the grant or the amount of grdnt payable. Page 22
Healthwat¢h Lambeth Notes to the Financial Statements for the Year Ended 31 March 2022 Support costs Support costs include centrdl functions and have been allocated to activity cost categories on a basis consistent with the use of resources, for example. allocating property cost5 by flooi areas. or per capita. staff costs by the time spent and other costs by their usage. Governance costs These include the costs attributable to the charity's Compliance with constitutional and statutory requireinents, including audit. slrategic management and trustees" s meetings and reimbursed expenses. TAxation The charity is considered to pass the tests set out in Paragraph I Schedule 6 of the Finance Act 2010 and therefore it meets the definition of a charitable company for UK corporation tsx purposes. Accordingly, the charity is potentially exempt from taxation in respect of income or capitsl galns received within ¢ategorie5 covered by Chapter 3 Part I l of the Corporation Tax Ath 2010 or Section 256 of the Taxation of Chargeable Gains Act 1992, to the extent that such income or gains are applied exclusively to charitable purpose5. Tangible fixed assets Individual fixed assets ¢ostino £500 or more are initially recorded al cost, less any subsequent accumulat¢d depreciation and subsequent accumulated impairment losses. Depreciation and amortisation Depreciation is provided on tangible fixed assets so as to write off the cost or valuation, less any estimated residual value. over their expected useful economic life as follows.. A&8et elass Furniture & equipment Depreciation Meth[ #nd rat¢ 25 /0 Straight line Trade debtors Trade debtors are amounts due from customers for merchandise sold or services perfornied in the ordinary course of business. Trade debtors are recognised initially at the transaction price. They are subsequently measured al amortised cost using the effective interest method, less provision for impaiment. A provision for the impairnienl of trade debtOTS is established when there is objective evidence that the charity will not be able to collect all amounts due according to ihe original ternis of the receivables. Page 23
Healthwateh Lambeth otes to the Financial Statements for the Year Ended 31 March 2022 Casb and cash equivalents Cash and cash equivalents comprise cash on hand and call deposits, and other short-term highly liquid investments Ihal are readily Convertible to a Lnown amount of cash arbd are subject lo an insignificant risk of change in value. Trade ereditors Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary course of business froin suppliers. Accounts payable are classified as current liabilities if the charity does not have an unconditional right, at the end of the reporting period, to deter settlement of-the cred itor for al least twelve months after th¢ reporting dat¢. If thcrc is an unconditional right to defer seiilement foi. at least Iwelve moiiths after the rewrting date. they are presented as non-current liabilities. Trade creditors are recognised initially at the transaction price and subsequently measured at amortised cost using the effective interest mcthod. Borrowing5 Interest-bearing borrowings are inilially recorded at fair value. net of transaction Costs. Interest-bearing borrowings are subsequently carried at amortised cosL with the differen¢e between the proceeds, net of transaction costs. and the amount due on redemption being recognised as a charge to the Statement of Financial Activities over the period of the relevant borrowing. Interest expense is cOgnised on the basis of the effective interest method and is included in interest payable and similar charge5. BoOWingS are classified as current liabilitie5 unless the charitv has an unconditional right to defer settlement of the liability for at least twelve months after the reporting date. Fund $tru¢ture Unrestricted income funds are generdl fLinds that are available for iise at the trustees's discretion in furtherance of the objectives of the charity. Designated funds are unre51ricted funds set aside for specific purposes at the discretion of the trustees. Restricted income fvnds are those donaled for use in a particular area or for specific purposes: the use of which is restricted to that area or purpose. Page ?4
Healthwatch Lambeth Notes to the FiDancial Statements for the Year Ended 31 Mareh 2022 Pensions and other post retirement obligations The charity operates a defined contribuiion pension scheme which is a pension plan under which fixed contributions are paid into a pension fund and the charity has no legal or constructive obligalion to pay further contributions even if the fund does not hold suificient assets to pay all employees the benefits relating to employee service in the cutTent and prior periods. Contributions to d¢fined contribution plans are recognised in the Statement of Financial Activities when they due. If contribution payments exceed the conlribulion due for service, the exce5S 15 recognised os a prepoyment. Financial instruments Cldgslfieulion Financial assets and financial liabilities are recognised when the charity becomes a party to the contractual provisions of the instrument. Financial liabilities ind equity instruments arc classified according to the substance of the contractual arrangements entered into. An equity instrument is any contrnct that evidences a residual interest in the assets of the charity after deducting all of its liabilities. Recognition and naSrennI All financial assets and liabilities are initially measured at transaction price (including transaction costs), except for those financial assets classified as at fair value through profit or loss, which are initially measured ai fair value (which is nonnally th¢ transaction price excluding transaction costs), unless the attangement constitutes a financing transaction. If an arrangement constitutes a financing transaction, the financial asset or financial liability is measured at the present value of the future paiments discounted at a market rate of inlerest for a similar debt instrument. Financial assets and liabilities are only offset in the siatement of financial positlon when, and only when there exists & legally enforceable right lo sei off the recognised amounts and the charity intends either to settle on a net basis, or to realise the assel and settle the liabllity simultsneously. Financial a55ets are dere¢ognis¢d when and only when a) Ihe contractual rights to the cash flows from the financial asset expire or are settled, b) the charity transfers to another party substantially all of the risks and reward5 Qf ownership of the financial ass¢t. or c) the charity, despite having retained some, but not all, significant risks and rewards of ownership, has transferred control of the asset to another party. Financial liabilities are derecognised only when the obligation specified in the contract is discharged, cancelled or expire5. Page 25
Healthwateh Lambeth Notes to the Financial Statement5 for the Year Ended 31 March 2022 Fuir value measUrent The best evidence of fair value is a quoted price for an identical asset in an active market. When quoted prices are unavailable, the price of a recent transaction for an identical asset provides evidence of fair value as long as Ihere has noi been a significant change in economi circumstances or a significant lapse of time since the transaction took place. If the market is not active and recent Iran5aclions of an identical asset on their own are not a good estimate of fair value, the fair value is estimated by using a valuation technique. 3 llleome from donations and legacies UnrtriLtd funds General Restricted funds Total funds Grants, including capital grants. Grdnts from other chaTltie5 ?73,715 47.01? 320.737 Totsl for 2022 ?73.715 47,022 320.737 Total for 2021 249,401 550,598 799,9?9 4 Investment income Unrestrieted funds Genernl Total funds thterest receivable and similar income. Interest receiwable on bank deposits 78 78 Total for 2022 78 78 Total for 2021 215 215 Page 26
Healthwateh Lambeth Notes to the Finydncial Statement5 for the Year Ended 31 March 2022 5 Expenditure on eharitable activities Unrestricted Total 2022 Total 2021 General Restrieted ole Staff training & recruitment Staff welfar¢ Motor & travelling Consultancy & partner payments Professional fees Computer equipment depreciation Profit or (loss) on disposal of asset Gift5 payable to Global Black Thrive Staff costs Allocated support costs Governance costs 7,692 88 7.692 88 5.872 1,3?6 160 160 457 30.626 24,181 1.973 54.807 .973 345,163 2,306 2,306 2,910 1,860 106,891 455.574 238,519 15,569 ?54,088 25,990 6,414 300 3?,404 13,248 31,289 27,823 981,795 318,329 48,437 366,766 In addition to the expenditure analysed above, diere are also governance costs of £13,248 (2021 £27,823) which relate directly to charitable activities. See note for further details. Page 27
Healthwateh Lambeth riotes to the Financial Statemellts for the Year Ended 31 March 2022 6 Other expenditure Unrestricted funds Ceneral Total funds Note Other resources expended 107 107 Total for 2022 107 107 Total for 2021 71 71 7 Trustees remuneration and expenses No ttijstees, nor any persons connected with them, have received any remunerdtion from the charity during the year. No trustees have received any reimbursed expenses or any other benefits from the charity during the year. 8 Staff costs The aggregate payroll costs were as follows: 2022 2021 Staff costs during the year were: Wages and Salaries Social security costs Pertsion costs Other staff costs 222,07J 18.958 8,478 4.579 397,789 36.913 13.537 7.335 254,088 455,574 The monthly average number of persons (including senior management team) employed by the charity during the year expressed as full time equivalents was as follows: 2022 2021 Chief Executive Officer Manager Administrntion Page 28
Healthwatch Lambeth Notes to the Financial Statements for the Year Ended 31 March 2022 No employee received emoluments of more than £60,000 during the year. The total employee MUneratIon and benefits of the key management personnel of the charity were £65,452 (?0?1 £70,703). 9 Independent examiner's remuneration 2022 2021 F.xamination of the financial stat¢rnents 3.000 3,900 10 Taxation The charity is a registered chariiy and is therefore exempt from taxation. 11 Tangible fixed assets Furniture and equipment Total Cost At l April ?0? I At 31 March 2022 19,045 19.045 19.045 19,045 Depreciation At l April ?0? I Charge for the year At 31 March 2022 13.671 2.306 13,671 2,306 15.977 15,977 Net book value At 31 March ?022 3,068 3.068 At 31 March 2021 5.374 5,374 Page 29
Healthwatch Lambeth Notes to the Financial Statements for the Year Ended 31 March 2022 12 Debtors 2022 2021 Trade debtors Prepaymenis Other debtors 14,570 4,623 4,966 7,366 24,159 17,672 13 C.a$h and e.x8h ¢qliivalf.1S 2022 2021 Cash on hand Cash at bank 389,922 386.155 390,041 386,274 14 Creditors: amounts falling due within one year 2022 2021 Trade creditors Other taxatlon and social security Other creditors Accruals Deferred income 58,228 8,635 106,893 3,000 2,288 179.044 54,784 106,892 6,500 3,871 172,047 Included within other creditors As gifts of £I06,892 payable to Gobal Black Thrive Page 30
Healthwatch Lambeth Iyotes to the Financial Statements for the Year Ended 31 Mareh 2022 15 Funds Balance al 31 March 2022 Balance at I April 2021 Incoming resources Resources expended Unrestricled Genernl General Funds G7.994 317.553 1318.7?51 66.8?2 Dv&ixnuled Desi8nated Funds 150,000 150.000 General funds 217,994 317,553 {318.725} 216,8?2 Restrictsd Black Thrive Healthwatrh Lambeth- Contrdct Variation LLDA HWL- CoTnpassion In Dying- ACP ConsortiuttL- HWL HWL- Compassi(>n In Dying- ACP Consortium - LDA 3,?50 13.2501 19.070 ?7.501 1•7,1871 19,384 11.084 111,0841 ?08 8.437 16.Ql 61 1.799 19.?78 50,?7? (48,437) 21,113 Total funds 237,?72 367,825 (367.162) 237,935 16 Analyyis of net funds At l April 2021 Financing ¢4sh flows At31 March 2022 Cash at bank and in hand J86,274 {386.274} Net debt 386.?74 (386.274) Page 31
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Healthwatch Lambeth Detailed Statement of Financial Activities for the Year Ended 31 March 2022 TotAI 2022 Total 2021 Income 2nd Endoivments from: Donations and legacies (analy5ed below) Investment income (analysed below) Other income (analysed below) Total income 3?0,737 78 47,010 799,9?9 215 97.106 367,8?5 897,250 Expenditur¢ on: Charitsble activitie5 (analysed below) Other expenditure (analysed below} Total expenditure Nel incomel(expenditure) Net movement in funds {366.766) (107) (981.795) (71) {366,87J) (981,866) (84.616) 952 952 (84,616) Reconciliation of funds Total funds brought fon¥ard Total funds carried forward ?37.?72 3?1,889 238,?24 237,27J This page does not forni part of the statutory financial ststements. Page 33
Healthwateh Lambeth Detailed Statement of Financial Activities for the Year Ended 31 March 2022 Total 2022 Total 2021 Donations and legacies Donations and legacies Healthwatch Core Contract Black Thrive- NHS Lambeth CCG Black Thrive - Maudsley Charity Black Thrive - National Lottery Contraet Fund Black Thrive - Guy's & Si Thomas, Charity Healthwaich Lambeth - Contract Variation - LLDA HWL- Compassion In Dying- ACP Consortiurn - HWL HWL - Compassion In Dying - ACP Consortium - LDA Black Thrive - Gsrfc Employment 47,949 249.401 50,000 125 195,000 (?4.911) 36,000 8,8?6 6,544 230,995 273.715 ?7,501 11,084 8.437 320,737 799,929 Investment inc'ome Bank inierest 78 215 78 215 Other income Other income 47.010 47,010 97.106 97.106 Charilable delivilies Staff training & recruitment Staff welfare Molor & travelling Consultancy & partner payments Professional fees Computer equipment dcpreciation Profit or (loss) on disposal of asset Grants to institutions Venue hire Rent Insurance Communications (7,692) {88) (160) {54,807) (1,973) (2,306) {5,872) (1,326} {457) (345,163) (2,630) (2,910) {1,860) (106,891) (221) (13,411) (2.210) (5.757) (12.618) (1,971) (2,425) This page does not fomi part of the statutory financial statements. Page 34
He#lthivatch Lambeth Detailed Statement of Financial Activities for the Year Ended 31 March 2022 Total 2022 Total 2021 Software & maintenance IT support costs Printing, postage & stationery Subscription5 Sundry expenses Committee & research ma¢t1]ig Enlertainment Wages and salaries Social security costs Defined contribution pension Other staff costs Other fces paid to auditor5 Examination of the flnancial stat¢m¢nts Legal fees Accountancy fees (? 277) {3,225) (? 562) (4,587) (5,774) (4,000) {2,9?9) {8.230) (7) 1?.249 (999) (2.307) {432) (?2? 073) (18.958) {8.478) (4.579) (1.980) (3,000) (8,268) (397,789) (36.913) (13,537) (7,335) (3.900) (20,443) 3.480) (981,795) (366.766) Other expenditure Bank charges 107) (71) (107) (71) This page does not fom) part of the slatutory financial statements. Page 35