TENDER NURSING CARE ANNUAL REPORT AND UNAUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 Charity regislralion number 1154186 Company registration number 08705807 (England and Wales)
TENDER NURSING CARE LEGAL AND ADMINISTRATIVE INFORMATION Trustees Mr D J Shetliker Dr A H Allister MsHABell Dr K A Bracewell Mr D G Clayton Mr M A Dickinson Mr J E i+Vareing Mr D J Bretherton Secretary Mr D J Sherliker Charlty number 1154186 Company number 08705807 Reglstered offlce Ryan Medical Cenlre St Mary's Road Bamber 8rdige Preston Lancashire PR5 6TE Independent examlner Champion TLL Limited 7-9 Station Road Heskelh Bank Preston Lancashlre PR4 6SN
TENDER NURSING CARE CONTENTS Page Trustees report Independent examlnerfs report Statement of financial activities Balance sheet Notes to the financial statements 7-13
TENDER NURSING CARE TRUSTEES REPORT (INCLUDING DIRECTORS, REPORT) FOR THE YEAR ENDED 31 MARCH 2024 The trustees present their annual report and financial statements for the year ended 31 March 2024. The financlal statements have been prepared In accordance th the accounting policies set out in note 1 to the financial statements and comply with the charity's Igoverning documenll, the Companies Act 2006 and "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). Objectlves and actlvltles The object of the Charity, as specified in the Memorandum and Articles of Association, is to promote the relief of persons within the area of benefil (the City of Preston and the Boroughs of Chorley and South Ribble and surrounding districts) who are suffering from life-limiting conditions, by providing domiciliary care in addition to that provided by the NHS or Local aulhorilies. The Charity provides free care at home, typically between the hours of 10.OOpm17.00am, with the object of preventing the relativeslfriends who acl as carers from becoming overtired and leading to an inability to continue to care for the patient during the day. By enabling more terminally ill patients to be cared for at home, there is a reduction in demand for hospitallhospice places. We also enable the wishes of so many terminally ill patients, to be cared for in their last days by their loved ones, to be met. There have been no changes in policy during the year and due regard has been paid by the Trustees to the guidance issued by the Charity Commission on public benefit. Servlc6 TNC is a Domiciliary Care Agency registered with the Charlty Commisslon and regulated by the Care Quality Commission (CQC). The CQC made their last inspection in JanuarylFebruary 2016 and rated our service as 'Good'. The Trustees and Directors are ultimately responsible for TNC'S services bul the Registered Manager (who reports to the Chairman) is responsible for the day to day operalion of the Charity's seICe8. TNC provides care for our service users using a small team of Registered Nurses and Health Care Assistants qualified to NVQ Level 213 in Care and our staff are allocated based on user's needs. All of our staff undergo continuous learning to ensure they maintain and enhance their skills as appropriale. Potential service users are typically referred to TNC via Medical PractitionerslDistricl Nurses or Hospitals or Hospices and from early 2018 we have also accepted a small number of direct referrals which have been assessed by our Registered Manager who is also a Registered Nurse. TNC typically provides care through overnight visits. The level of visits we can deliver is influenced by the number of referrals we receive and is also a)nslrained by our budget and staffing levels. TNC operates a regime of quality assurance for our service users and their families which includes regular Quality of Service callslvisils by the Registered Manager and periodic Quality of SeNice visits by one of the Trustees who Is a retired GP. Publlc benefit The Trustees have considered the Charity Commission guidance regarding public benefit and are content that the Charity has met the requirements as described above.
TENDER NURSING CARE TRUSTEES REPORT (INCLUDING DIRECTORS. REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Achlevements and performance Significant aclivities and achievements against objeclives Tender Nursing Care (TNC) is a small local Charity founded in 1979 by a local GP to provlde quality care, mainly overnight, to people in our local community with life limiting conditions in their own homes, and free at the point of delivery. TNC is governed by a Board of Trustees, and we deliver our care services through a small team of experienced and highly professional healthcare staff under the leadership of our Registered Manager, who reports to the Chairman of Trustees. Our key objective in 2023124 remained to deliver high quality professional care and to deliver as many client visits in the year as our finances could support sustainably. In 2023124, demand for our servlces from the local community continued to be high, and we have once more been unable to admit potential clients referred to us because we continue lo operate at or near the limits of our currently fundable staff capacity levels. Durlng the year, c. 29% of the total budgeted expenditure on our service was funded by grants from our NHSIICB Grant, a reduction of c.Yo3 from the previous year. The rest of our expenditure was funded by money we raised through own sources. Despite our efforts and our sound 'value for money, business case we were unable, yet again. during the year to secure any additional NHSIICB Grant funding to help us to increase the amount of care we can deliver in the face of the continued demand we receive. We will continue to seek opportunities to make the case for increased public funding for TNC when the opportunity arises. Thanks to the continued generosity of local businesses and individuals, and our other fund-raising efforts, we were able to maintain our income slightly above our budgeted level and these additional monies we receive through our fund-raising efforts are used to deliver more visits for our clients, Thanks to the efforts of our fundraising team of Trustees and dedicated volunteers our fundraising efforts in the year were extremely healthy. These efforts were also supported by the continued generosity of local businesses and individuals. As a result, we were able to maintain our income slightly above our budgeted level and these additional funds were used to deliver more visits for our clients. On the operational front, our staff have continued to offer and deliver a diverse range of care and support services to those who have life limiting conditions, and they continue to maintain high levels of attendance and punctuality, remaining with their Individual client consistently until the end of thelr serwice with them. The Trustees remain immensely grateful to all of those in our local community who support our work financially by raising funds for us, and to our staff for all the dedicated, professional and personal care they provide for our clients and their families. Flnanclal revlew Funding included grants from the local Clinical Commissioning Groups amounting to £111,952, these arrangements are reviewed annually. In addition, TNC also receives fun(Jing for a specific service user under an arrangement originated via Social Services. Other funding comes from fund-raising activities, investments and where necessary from reserves. The investment powers, as specified in the Memorandum and Articles of Association. continue to be used and the Investment Policylstralegy was revised in accordance with Charity Commission guidelines.
TENDER NURSING CARE TRUSTEES REPORT (INCLUDING DIRECTORS, REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Reserves pollcy Charities are required to hold reserves to ensure sustainabilily and that future costs can be met in the event of a decrease in incoming resources. The Trustees have a reserves policy of holding sufficient funds to cover costs for eighteen months, in the event thal key funding ceased, allowing sufficient time to seek new income 9Jurces whilst allowing services and costs to continue. This would equate to around £200,000- £300.000 depending on the level of activity from year to year. Due to a number of generous donations over the years. the Charity has reserves in line with the policy (see Balance Sheel funds) and has invested Ihe majority of its funds in lontrterm investments to ensure a suitable return. The year end balance of cash held in shorter-term accounts amounted to £177.407 at the year end, jusl below the reserves target level. The general fund balance is £250,000 after designating amounl for subsidised visits as shown in the note to the accounts. Investment policy Investment pollcy The Trustees are responsible for the investment of any surplus funds of the Charity. As such funds may be required for immediate us8 or use in the near future. the Truslees continue to review various interest bearirKJ, instant access and term deposit accounts in which to place such monies. Majorrisks Rlsk management Major risks to which the Charity is exposed, as identified by the Directors, have been reviewed in accordan¢e with Charily Commission Guidelines Policles and systems have been established, where appropriate. to mitigate those risks. There were no serious incldenls during the year under review. Structure, governance and management The charity is a company limited by guarantee as defined by the Companies Act 2006. Mr D J Sherliker DrA H Allister MsHABell Dr K A Bracewell Mr D G Clayton Mr M A Dickinson Mr J E Wareing Mr D J Brelherton The trustees report was approved by the Board of Trustees. Mr D G Clayton Trustee ,1,.1204
TENDER NURSING CARE INDEPENDENT EXAMINER'S REPORT TO THE TRUSTEES OF TENDER NURSING CARE I report to the trustees on my examination of the financial statements of Tender Nursing Care (the charily) for the year ended 31 March 2024. Responslbllltles and basls of report As the trustees of the charity (and also its directors for the purposes of company law) you are responsible for the preparation of the financial statements In accordance with the requirements of the Companies Act 20C6 (Ihe 2006 Act). Having satisfied myself that the financial siatements of the charity are not required to be audited under Part 16 of the 2006 Act and are eligible for independenl examination. I report in respect of my examinalion of the charity's financial statements carried out under section 145 of the Charilies Act 2011 (the 2011 Act). In carrying out my examination I have followed all the applicable Directions given by the Charity Commission under section 145(5)(b) of the 2011 Act. Independent examlner's statement I have completed my examination. I confim that no matlers have come to my attention in connection with Ihe 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 386 of the 2006 Act; or the financial slalements do not accord with those records; or the financial statements do not comply with the accounting requirements of section 396 of Ihe 2006 Act other than any requirement that the accounts give a true and fair view which is not a malter considered as part of an Independent examlnalion: or the financial statements have nol been prepared in accordance with the methods and principles of the Slatement of Recommended Practice for accounting and reporting by charities applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK a1 Republic of Ireland (FRS 102). I have no concerns and have come across no other mallers in connection with the examinalion lo which atlentlon should be drawn in this report in order to enable a proper understanding of the financial stalements lo be reached. Champlon TLL Llmlted P Buck FCA DChA 7-9 Station Road Hesketh Bank Preston Lancashire PR4 6SN Dated..
TENDER NURSING CARE STATEMENT OF FINANCIALACTIVITIES INCLUDING INCOME AND EXPENDITUREACCOUNT FOR THE YEAR ENDED 31 MARCH 2024 Unrestrlcted funds 2024 Unrestrlcted funds 2023 Notes Income from.. Donations and legacies Charitable activities Other trading activities Investments 31,042 111,952 23,581 26,957 36,158 82,006 13,067 25,535 Total Income 193,532 156,764 Expendlture on.. Raising funds Charitable activities 2.322 205,969 2,400 185.215 Total expendlture 208,291 187,615 Net galnsl(losses) on investments 12 (14.192) (97,487) Net expendlture and movement In funds (28,951) (128,338) Reconclllatlon of funds: Fund balances at 1 April 2023 735,321 863.659 Fund balances at 31 March 2024 706,370 735,321 The stalement of financial activities includes all galns and losses recognised in the year. All income and expenditure derive from continuing activities.
TENDER NURSING CARE BALANCE SHEET AS AT 31 MARCH 2024 2024 2023 Notes Flxed assets Investments 14 507.235 521,427 Current assets Debtors Cash at bank and in hand 16 23,414 177,408 40,000 175.937 200.822 215,937 CredStors: amounts falllng due wlthln one year 16 (1.687) (2,043) Net current assets 199,135 213,894 Total assets1888 current Ilabllltles 706.370 735,321 In¢ome funds General unrestricted funds Subsidised visits fund 250.000 456.370 250,000 485,321 706,370 735,321 706,370 735,321 The company Is entitled to the exemption from the audit requirement contained in section 477 of the Companies Act 2006. for the year ended 31 March 2024. The directors acknowledge their responsibilities for complying with the requirements of the Companies Act 2006 with respect to accounting records and the preparation of financial statements. The members have not required the company lo obtain an audit of its financial statements for the year in question in accordance with section 476. These financial statements have been prepared in accordance wilh the provisions applicable to companies subject to the small companies regime. The financial stalemenls were approved by the Trustees on . Mr D G Clayt Trustee Company reglstratlon number 08705807
TENDER NURSING CARE NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 Accountlng pollcles Charlty Informatlon Tender Nursing Care is a private company limited by guarantee incorporated in England and Wales. The registered office is Ryan Medical Centre. St Mary's Road, Bamber Brdige. Preston. Lancashire, PR5 6TE. 1.1 Accountlng conventlon The financial statements have been prepared in accordance with the charity's governing document, the Companies Act 2006. FRS 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland" ("FRS 102.) and the Charities SORP "Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with Ihe Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019). The charity is a Public Benefit Entity as defined by FRS 102. The chaflty has taken advantage of the provisions In the SORP for charities not to prepare a Statanent of Cash Flows. The financial statements are prepared in sterling, which is the functional currency of the charily. Monetary amounts in these financial statements are rounded to the nearest £. The financial statements have been prepared under the historical cost convention, modified to include the revaluation of freehold properties and to include investment properties and certain financial instruments at fair value. The principal accounting policies adopted are set out below. 1.2 Golng concern At the time of approving the financial slatements, the trustees have 8 reasonable expectalion that the charity has adequate resources to continue in operational existence for the foreseeable future. Thus the trte8$ continue to adopt the going concern basis of accounting in preparing the financial stalements. 1.3 CharStable funds Unrestricted funds are available for use at the discretion of the trustees in furtherance of their charitable objectives. Restricted funds are subject to specific conditions by donors or grantors as to how they may be used. The purposes and uses of the restricted funds are set out in the notes to the financial statements. Endowment funds are subject to specific conditions by donors that the capital must be maintained by the charily. 1.4 Income Income is recognised when the charity is legally entitled to it after any performance conditions have been met, the amounts can be measured reliably. and it is probable that income will be received. Cash donations are recognised on receipt. Other donations are recognised once the charity has been notlfied of the donation, unless performance conditions require deferral of the amount. Income tax recoverable in relation to donations received under Gift Aid or deeds of covenant is recognised at the lime of the donation. Legacies are recognised on receipi or olherwise if the charity has been notified of an impending distribution, the amount is known. and receipt is expected. If the amount is not known, the legacy is treated as a contingent asset.
TENDER NURSING CARE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Accountlng pollcles {Contlnued) 1.6 Expendlture Expenditure is recognised once there is a legal or constructive obligation to transfer economic benefit lo a third party, it is probable that a transfer of economic benefits will be required in settlement, and the amount of the obligation can be measured reliably. Expenditure is classified by activity. The costs of each activity are made up of the total of dIrt costs and shared costs, including support costs involved in undertaking each activity. Direct costs attributable to a single activity are allocated directly to Ihat activity. Shared costs which contribute to more than one activity and support costs which are not attributable to a single activity are apportioned between those activities on a basis consistent with the use of resources. Central staff costs are allocated on the basis of lime spent, and depreciation charges are allocated on the portion of the asset's use. 1,6 Flxed asset Investments Fixed asset investments are initially measured at transaction price excluding transaction costs, and are subsequently measured at fair value at each reporting date. Changes in fair value are recognised in net incomel(expenditure) for the year. Transaction costs are expensed as Incurred. Derecognltlon of flnanclal Ilabllltles Financial liabilities are derecognised when the charity's contractual obligations expire or are discharged or cancelled. 1.7 Retlrement beneflts Payments to defined contributlon retirement benefit schemes are charged as an expense as they fall due. Crltlcal accounllng estlmates and Judgements In the application of the charity's accounting policles, the trustees are required to make judgements, estimates and assumptions about the carrying amount of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical 8xperience and other factors that are considered to be relevant. Actual results may differ from these estimates. The estimates and underlying assumptions are reviewed on an ongoing basis. Revislons to accounting estimates are recognised in the period in which the estimate is revised where the revision affects only that period, or In the period of the revision and fulure periods where the revision affects both current and future periods. Donatlons and legacles Unrestrlcted Unrestricted funds funds 2024 2023 Donations and gifts 31,042 36,156 Donatlons and glfts Donations and gifts Gift aid 29,538 1,504 35,164 992 31.042 36,158
TENDER NURSING CARE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Donatlons and legacles (Contlnued) Income from charltable actlvltles Unrestrlcted funds 2024 Unrestrlcted funds 2023 Provlslon of domlclllary care Services provlded under contract 111,952 82,006 Income from other tradlng actlvltles Unr8Strlcted Unrestrlcted funds funds 2024 2023 Fundraising events Sponsorships and social lolteries 18,019 5,562 7,693 5,374 Other trading activities 23.581 13,067 Income from Investments Unrestrlcted Unrestrlcted funds funds 2024 2023 Income from listed investments Interest receivable 24.816 2,141 24,041 1,494 26,957 25.535 Expendlture on ralslng funds Unrestrlcted Unrestrlcted funds funds 2024 2023 Fundralslng and publlclty Membership schemes and social lotteries Other fundraising costs 2.100 222 2,240 160 2,322 2,400
TENDER NURSING CARE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Expendlture on charltable actlvltles Provlslon of Provlslon of domlclllary domiciliary care care 2024 2023 Dlrect costs Staff costs Insurance Telephone Postage and stalonery Sundries Secretarial wages Uniforms and cleanlng Tralning Accountancy Payroll charges Legal and professional fees Bank charges Repairs 174.501 7.667 72 353 160,832 3,622 36 li 51 1,083 15,023 26 60 1,320 1,766 619 326 452 1,536 14,858 313 2,355 1,386 1,845 600 173 310 205,969 185,215 Analysls by fund Unrestricted funds 205,969 185,215 10 Trustees None of the trustees (or any persons connecled with them) received any remuneration or benefits from the charity during the year. 11 Employees The average monthly number of employees during the year was: 2024 Number 2023 Number Nursing services Management and administration 11 10 Total 12 11 10-
TENDER NURSING CARE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 11 Employees (Contlnued) Employment costs 2024 2023 Wages and salaries Other pension costs 168,271 6,230 154,681 6,151 174,501 160,832 There were no employees whose annual remuneration was more than £60.000. Remuneratlon of key management personnel The remuneration of key management personnel was as follows.. 12 Galns and losses on Investments Unrestrlcted Unrestrlcted funds funds 2024 2023 Gain81{losses) arising on: Sale of Investments (14,192) (97,487) 13 Taxatlon The charity is exempt from taxation on il8 activities because all its Income is applied for ¢harilable purposes. 14 Flxed asset Investments Unllsted Investments Cost or valuatlon At 1 April 2023 & 31 March 2024 521,427 Impalrment At 1 April 2023 Impairment losses 14,192 At 31 March 2024 14,192 Carrylng amount At 31 March 2024 507.235 At 31 March 2023 521,427 11
TENDER NURSING CARE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 15 Debtors 2024 2023 Amounts falllng due wlthln one year: Other debtors 23,414 40.000 16 Credltors". amounts falllng due wlthln one year 2024 2023 Other creditors Accruals and deferred income 301 1,386 723 1,320 1,687 2,043 17 Retlrement beneflt schemes 2024 2023 D6flned contrlbutlon schemes Charge to profit or loss in respect of defined contribution schemes 6,230 6,151 The charity operates a defined contribution pension scheme for all quallfying employees. The assets of the scheme are held separately from those of Ihe charity in an independently adminislered fund. 18 Unrestrlcted funds The unrestricted funds of the charity comprise the unexpended balances of donations and grants whlch are not subject to specific conditions by donors and grantors as to how they may be used. These include designated funds which have been set aside out of unrestricted funds by the Iruslees for specific purposes. At 1 Aprll 2023 Incomlng resources Resou rces expended Galns and At 31 March losses 2024 General funds Subsidised visits fund 278.951 456.370 193,532 (208,291) (14,192) 250,000 456,370 735,321 193,532 (208.291) (14,192) 706.370 Prevlous year: At 1 Aprll 2022 Incomlng resources Resources expended Galns and At 31 March losses 2023 General funds Subsidised visits fund 863,659 485,321 156.764 (187,615) (97,487) 735.321 485,321 1,348.980 156.764 {187,615) (97.487) 1.220,642 12-
TENDER NURSING CARE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 19 Related party transactlons There were no disclosable related party transactions during Ihe year (2023 - none). 13-