2022-03-31-accounts

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Championing what matters to you

Healthwatch Derbyshire Annual Report 2021-22

Championing what matters to you | Healthwatch Derbyshire | Annual Report 2021-22

Contents
Message from our chair	3
About us	4
Our year in review	5
Listening to your experiences	7
Advice and information	12
Volunteers	14
Mental Health Together	16
Finances and future priorities	19
Statutory statements	20

Championing what matters to you | Healthwatch Derbyshire | Annual Report 2021-22

Message from our chair

Following the extraordinarily challenging year of 2020/2021 when our health and social care services were stretched to the absolute limit, we all took time to reflect on our own experiences as well as those of other people in our communities. I was very pleased to be in a position to join the Board of Directors at Healthwatch Derbyshire (HWD) last October, at a time when we all hoped to have turned a corner and to see services able to return to some sort of normality. I have been really impressed with the dedication and hard work of everyone in the team.

As we all know, the rollercoaster of the pandemic was set to bring fresh challenges over the winter but HWD has continued throughout to engage with the public, to listen to experiences of health services and social care settings and to work on behalf of us all to bring key findings to the attention of those who can bring about positive change. During the past year, the HWD team of staff and volunteers has risen to the challenge of virtual meetings, reached out into the community via online platforms and found innovative ways to work with different sectors of the community.

Some of the most important projects have focused on the frustrations felt by those needing access to GP appointments, the issue of increasingly long waiting times for treatments and the challenge of finding NHS dentists across Derbyshire. The HWD report on dentistry was picked up by a local MP and we were delighted to be invited to address a cross-party group of Derbyshire MPs in March to outline HWD's findings and to raise the profile of the issues faced by Derbyshire residents – an excellent opportunity to encourage policy makers to effect change. In addition, HWD continues to play a key role in the changing health and social care landscape by working with all organisations involved.

I would like to take this opportunity to thank the HWD team, including the many volunteers, who have worked so hard over the past year to report on the issues which are of most importance to the people of Derbyshire. It is testament to the strength of our team that we have recently been awarded the contract to continue our work at Healthwatch Derbyshire. We are delighted to be able to continue and develop our work and look forward to a very productive year ahead.

Denise Gould, Healthwatch Derbyshire Chair

Championing what matters to you | Healthwatch Derbyshire | Annual Report 2021-22

About us

Your health and social care champion

Healthwatch Derbyshire is your local health and social care champion. From the High Peak to South Derbyshire 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

We are the independent champion for people who use health and social care services.

We’re here to find out what matters to people, and help make sure their views shape the support they need.

Our sole purpose is to help make care better for people.

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.

Championing what matters to you | Healthwatch Derbyshire | Annual Report 2021-22

Our year in review

Find out how we have engaged and supported people.

Reaching out

1079 people

shared their experiences of health and social care services with us, helping to raise awareness of issues and improve care.

898 people

came to us for clear advice and information about topics such as Covid-19 vaccinations, mental health support, access to dentistry and urgent and emergency care.

Making a difference to care

We published

7 reports

about the improvements people would like to see to health and social care services.

Our most popular report was

Dental Access Report

which highlighted the struggles people have finding an NHS dentist in Derbyshire.

Health and care that works for you

We’re lucky to have

53

outstanding volunteers, who gave up 147 days to make care better for our community.

We’re funded by our local authority. In 2021-22 we received:

£321,114

which is the same as the previous year.

We also currently employ

13 staff

who help us carry out this work.

Championing what matters to you | Healthwatch Derbyshire | Annual Report 2021-22

How we’ve made a difference These are the biggest projects we worked on from April 2021 to March 2022.

We carried out a survey to understand why some people were not taking up the offer of the Covid-19 vaccine. We shared results with providers and commissioners.

Gathered experiences of patients and their friends, family members and/or carers who have been through a cancer diagnosis and/or treatment during the Covid-19 pandemic.

Joined local Healthwalks to hear views and experiences of health and social care which in turn helped to form themes and future project work.

Supported the Mental Health Together team in their story gathering exercise into individuals experiences of accessing health and social care with a mental health condition.

We asked how people are coping while waiting for planned care and what support they thought would help them to better manage their health.

We carried out research into the NHS ‘find a dentist’ web pages and enquired with dental practices about the issues surrounding out of date information.

We carried out a survey to understand whether people felt their emotional health needs were being met during medical appointments.

The return of face-to-face

engagement with patients at a unit for acute mental health needs to hear the patient voice and share feedback with providers to take positive action in response.

Championing what matters to you | Healthwatch Derbyshire | 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 feed back to services to help them improve.

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Championing what matters to you | Healthwatch Derbyshire | Annual Report 2021-22

Vaccine Hesitancy – You Said, We Did

In December 2020, the NHS began the biggest immunisation campaign in history as it started the Covid-19 vaccine rollout across the country. In Derbyshire, this is being managed by the Derby and Derbyshire Clinical Commissioning Group (CCG).

Whilst the majority of people have embraced the vaccine, others have been hesitant to get vaccinated. Between March and April 2021, we asked people about their attitudes towards receiving the vaccine.

50% of people who had not had the vaccine or had concerns around taking it were worried about the longterm effects on their health.

After examining the data provided, we were able to identify two main areas of concern, worries around the effects on a person’s own health and worries about the safety of the vaccine.

Respondents who raised concerns and who were hesitant about having the vaccine were asked: Is there anything that would make you change your mind about having the vaccine?

Many gave suggestions as to what may encourage them to be more likely to take up the offer of the vaccine.

More research published with testing and results shown/evidenced over a longer period of time
Clearer information for people to make their decisions that address their concerns
Choice of vaccine
Choice of venue to receive the vaccine, some prefer hospital settings in case of emergency or complications with existing condition
Learning disabilities and mental health conditions taken into account and patients offered alternative venues or time slots to suit.

What difference did this make?

From the findings, HWD developed some frequently asked questions from the concerns raised. These were shared with Joined Up Care Derbyshire(JUCD), Public Health bodies and the Covid Community Forums in Derbyshire allowing them to provide specific and directed messaging about the vaccine addressing those reported concerns and frequently asked questions.

HWD aimed to ensure that people were getting reliable information to allow them to make an informed choice in deciding whether to have the vaccine and to help remove any barriers to take up.

Championing what matters to you | Healthwatch Derbyshire | Annual Report 2021-22

Access to Dentistry

Access to NHS dentistry has been one of the most significant issues raised with us by the public over the last year. In the past 12 months, Healthwatch Derbyshire has received over 100 contacts from the public with regards to lack of access to dentistry.

In December 2021 we published our report, How easy is it to find an NHS dentist in Derbyshire?

Our findings included:

Limited capacity in Derbyshire for new NHS patients. At the time there were three areas without any provision for new adult NHS patients.
Some practices listed as accepting new NHS patients were found to be only able to offer new patients an appointment in over a year’s time.
Sixty percent of the practices had no information on their profile about accepting new patients.

People told us they were frustrated with the search function on the NHS Find a Dentist website. They found many practice profiles to be inaccurate, often resulting in having to contact over 20 practices. The lack of capacity for new patients in Derbyshire was becoming apparent but establishing the actual availability for new NHS patients in Derbyshire was not possible by details provided on the NHS website alone.

We also heard from people who had been informed that their dental surgery was moving to private practice, and they would need to find an alternative NHS dentist. This, coupled with the lack of dentists accepting new patients, meant many people were left without access, and in some cases were experiencing difficulties accessing urgent or emergency treatment. Many people told us they simply didn’t know where to turn to.

“We have today had a letter to tell us that our dentist is going private and we have to find new provision for my partner and 10year-old son. After consulting the NHS website and ringing around several dentists in the area, only to be told that they are not taking new patients, we are stuck. There are several of our friends with children, all in the same predicament.”

“I have called at least 10-15 practices from the NHS Find a Dentist website but none are taking on new NHS patients or emergencies. I have called 111, they gave a list of four practices treating people with emergencies today but by 9.20 am, all the emergency appointments had been taken.”

Championing what matters to you | Healthwatch Derbyshire | Annual Report 2021-22

Access to Dentistry

What did Healthwatch Derbyshire do?

The lack of provision for new patients and out of date NHS web information for patients was highlighted to Area Commissioners, Derby & Derbyshire Oral Health Steering Group, Local Dental Network, NHS England and Healthwatch England to support the campaign for dental reform.

Our volunteers continue to carry out bimonthly reviews of the Find a Dentist web page, identifying those local practices who are listed as currently accepting new patients, as well as those with out of date information. HWD staff then follow up with individual dental practices to highlight any inaccuracies and encourage practices to update their information.

We have also created an infographic to share with the public to offer guidance for those finding it hard to get a dentist appointment. This information has been approved by local Area Commissioners, and shared with the Local Dental Network and other Healthwatch organisations who have adapted a version for their own use.

As we continue to receive queries from the public surrounding access to dentistry we can share the approved guidance, as well as direct individuals to practices currently accepting new patients, as per the findings of our bimonthly Find a Dentist website reviews.

Meeting with Derbyshire MPs

In March 2022 HWD presented our findings to a cross-party parliamentary group meeting. We showed the lack of dentistry access throughout the county, and shared real experiences of patient struggles.

MPs were aware of the difficulties around access to dentistry as many of their constituents had contacted them directly.

We showed the most up to date findings around dental access and availability to give a current picture of the situation, with figures demonstrating 51 fewer dentists completing NHS work in NHS Derby and Derbyshire in 2021 compared with 2020.

We asked MPs to champion dental reform to address the issues discussed and the lack of access to dentistry in Derbyshire, and nationally and to ‘ring fence’ budget for NHS dentistry, including sustainable funding.

HWD continues to update Derbyshire MPs with the latest findings from our ongoing Find a Dentist website reviews to provide an accurate and up to date picture of access to dentistry in the county.

Championing what matters to you | Healthwatch Derbyshire | 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.

Our push for people in Derbyshire to share how they are coping while they wait for care and what support they thought would help them to better manage their health resulted in 108 responses, 10% of the national response to the research. Recommendations have been highlighted and are being addressed by the Derbyshire Risk Stratification and Quality Assurance Group.

Getting services to involve the public

Services need to understand the benefits of involving local people to help improve care for everyone.

Four volunteers helped HWD and our local Clinical Commissioning Group (CCG) by sharing their stories of attending their GP appointment for Annual Health Checks for people with learning disabilities.

The volunteers were able to share their experiences in order to demonstrate what works well and where improvements could be made, as well as encourage others to attend by explaining the process. Two of our volunteers filmed a promotional video produced by the CCG to promote annual health checks. The video was shared widely across the county.

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 change.

After hearing the experiences of cancer patients during the Covid-19 pandemic, work with the decision makers at the hospital Trusts commenced for their response to participants, which subsequently helped shape our recommendations to the Trusts for improvements. We continue to work with the Trusts to address the unmet needs of patients.

Championing what matters to you | Healthwatch Derbyshire | 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 details of local dental practices accepting new patients
Signposting people to organisations who can provide specialist support or guidance
Supporting the Covid-19 vaccination programme and identifying reasons for vaccine hesitancy
Speaking to people to understand the impact of waiting for care and how they could be supported.

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Championing what matters to you | Healthwatch Derbyshire | Annual Report 2021-22

Signposting people for access to dentistry

HWD was contacted by a concerned parent who was struggling to find a dental practice to see her son. Throughout the past year we have heard from many people over their struggles to access dental care. Dentistry is in high demand and many practices have limited appointment availability or are not currently taking on new patients.

Following our ongoing work to monitor local practices taking on new patients, via the Find a Dentist web page, we were able to advise the parent on practices that may be able to see her son.

The parent later contacted us to say that, “I cannot thank you enough for your support. I am just so grateful that my son is now registered with a dentist and given another 12 months of being on a waiting list, we will all be registered at the same dentist as a family. This is thanks to you.”

Since January 2022 HWD has been able to answer 32 enquiries from people looking for access to dentistry. We have been able to signpost these people to dental practices currently accepting new patients.

Supporting ‘My Right to Healthcare’ with GP Access Cards

It is commonly thought that everybody needs to have certain documentation to be able to register with a GP such as photo identification and proof of address. This is not the case.

HWD supported a national NHS England campaign to ensure that people across Derbyshire are registered with a GP and do not miss their chance to receive their vital Covid-19 vaccination.

We reached out to over 70 networks, voluntary sector or private sector organisations that support people without a fixed address. We wanted to identify people who were not currently registered with a GP for a variety of reasons. Homeless people, gypsies or travellers, people with transient lifestyles and new arrivals in the UK were just some of the groups we were aiming to reach.

HWD acted as a hub for distribution of 220 information cards for individuals to use if they were having problems registering with a GP, as well as raising awareness that everyone has the right to register and receive treatment from a GP practice.

Championing what matters to you | Healthwatch Derbyshire | 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:

Helped with our Vaccine Hesitancy Project whereby they undertook the tasks of planning, survey design and trial, and data analysis
Carried out research and review of local dental services and assessed accessibility to new NHS patients
Helped Derby and Derbyshire CCG to promote annual health checks for people with learning disabilities. Two volunteers appeared in a promotional video produced by the CCG
Created digital content on our website and social media
Conducted befriending calls to people feeling socially isolated due to the pandemic.

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Championing what matters to you | Healthwatch Derbyshire | Annual Report 2021-22

Katie

“Volunteering for HWD has been great. I have been offered a range of different tasks to be involved with including project planning, research, data analysis, and helping at events. I have also attended training courses. Healthwatch has been very flexible around my studies, allowing me to work from home and complete tasks within a reasonable time frame. All members of staff at Healthwatch are focused and reliable, with help always just an email away! Overall, Healthwatch is a great organisation to be involved with.”

“The experience I have had will be good to add to my CV and help me find future employment.”

Katie, Healthwatch Derbyshire Volunteer

Stephen

“I have been volunteering at HWD for the past six years. My learning disability has not prevented me from volunteering, and I have been involved in mystery shops and projects that have helped improve services for other people with learning disabilities. This year, HWD helped the local Clinical Commissioning Group with its campaign to raise awareness of Annual Health Checks and I appeared in a video to promote these. I like to help people and volunteering makes me feel useful and really makes a difference.”

Do you feel inspired?

We are always on the lookout for new volunteers, so please get in touch today.

www.healthwatchderbyshire.co.uk 01773 880786 enquiries@healthwatchderbyshire.co.uk

Championing what matters to you | Healthwatch Derbyshire | Annual Report 2021-22

Mental Health Together

Mental Health Together (MHT) was commissioned in 2017 to give service receivers and carers a greater say in the services they access; ensuring they are listened to and that their experiences are at the heart of service design and delivery.

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Championing what matters to you | Healthwatch Derbyshire | Annual Report 2021-22

Mental Health Together (MHT)

MHT is the Derby and Derbyshire Engagement service for mental health service receivers and their carers.

The service has undergone significant challenges since it was set up in 2017 due in part to fluctuating short-term funding. At the end of 2021 we were able to recruit two temporary engagement officers specifically to work on the Living Well project.

We keep in touch with our members through bimonthly e-bulletins and work more closely with a smaller group of Experts by Experience. Over the year our Experts have met both virtually and face-to-face, depending on the current Covid situation. We have now established hybrid meetings as the standard way forward giving flexibility to our Experts.

One member of our team, Aileen Power, has left over the past year to begin her nurse training. Two others, Kate Moore and Jaye Richardson, have joined the team to deliver the Living Well work.

Experts by Experience

Our Experts by Experience volunteers (Experts) are vital to the role of MHT and an absolute joy and privilege to work with. We have 26 Experts who have personal experience of living with, or caring for someone with, a mental health condition. Amongst them, they offer a wide range of experience of many different conditions and their insight is invaluable.

At MHT, our job is to match up Experts with the opportunities, which are out there to shape and influence the mental health and social care agenda. During 2021-22 we have supported Experts to attend a wide range of meetings and forums.

Although the virtual world has been a challenge for many, it has also provided an opportunity for others who experience increased anxiety during physical meetings but feel able to join meetings online.

Some examples of work:

Designing a Safe & Well Plan for people experiencing a mental health crisis
Working with Derbyshire Healthcare Foundation Trust (DHcFT) to improve their template letters and their ‘waiting well’ policy for community mental health services
Supporting three of our Experts to become governors for DHCFT representing Chesterfield, Erewash and South Derbyshire
Supporting two veteran Experts to attend and advise the Armed Forces Networks for Derbyshire Community Health Services and the University Hospitals of Derby & Burton.

Championing what matters to you | Healthwatch Derbyshire | Annual Report 2021-22

Living Well Derbyshire

Living Well Derbyshire is a new model of care for people who need mental health support and is gradually being introduced to all areas across Derbyshire, starting with the High Peak and followed by Derby City. The team responsible for delivering the project is known as the Collaborative, which includes a range of professionals and people with lived experience of mental health. At MHT we have supported people with lived experience to share their stories to inform the design of the new model of care and supported others to actually sit on the Collaborative, Governance Group and Steering Group. As an independent organisation, MHT is also able to gather and anonymously share honest feedback from both staff and those using the transformed service.

We have also supported the formation of lived experience forums, which will continue to give people with lived experience the opportunity to be involved in the service development as it moves forward.

Public Engagement Opportunities

The pandemic has limited the amount of face-to-face engagement that has been possible this year. However, we did attend the Head High Fundamental Event in Derby and Think Fest in Chesterfield, to promote the service and opportunities for members.

Alternative Mental Health Crisis Provision in Derbyshire

We have supported the team looking into alternative mental health crisis provision in Derbyshire by carrying out a survey to learn what people want from an out of hours service. The survey results are available on our website and are being used in development of a service specification.

“I am delighted to include in the Healthwatch Annual Report a section produced by the Mental Health Together Team (MHT).

The service exists to give mental health service receivers and carers a greater say in the health and care services they access. We ensure that people are listened to, and that their experiences are at the heart of the way that health and care services are designed and delivered.

Under my leadership, the Healthwatch and Mental Health Together Team will work together in 2022/23 to find out what matters most to people. We will understand the needs, experiences and concerns of people who use health and social care services, and speak out on their behalf.”

Helen Henderson, Healthwatch Derbyshire CEO

Championing what matters to you | Healthwatch Derbyshire | 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 £321,114 Total income £321,114	Expenses
	Staff costs £218,000
	Operational costs £62,109
	Total expenditure £280,109

Top three priorities for 2022–23

Hearing from communities about what matters most to them after Covid-19
Working to hear the voices that we don’t currently hear from, and voices that struggle to be heard
Using these voices to help the changing health and care system understand what people think and feel

Next steps

The pandemic has shone a stark light on the impact of existing inequalities when using health and care services, highlighting the importance of championing the voices of those who all too often go unheard.

Over the coming years, our goal is to help reduce these inequalities by making sure your voice is heard, and decision makers reduce the barriers you face, regardless of whether that’s because of where you live, income or race.

“The Covid-19 pandemic has thrown longstanding health inequalities into stark relief. With NHS and social care facing even longer backlogs, the unequal outcomes exposed by the pandemic are at risk of becoming worse. Local Healthwatch play an important role in helping to overcome these adversities and are uniquely placed to make a positive difference in their communities.”

Sir Robert Francis QC, Chair of Healthwatch England

Championing what matters to you | Healthwatch Derbyshire | Annual Report 2021-22

Statutory statements

About us

Healthwatch Derbyshire, Suite 14 Riverside Business Centre, Foundry Lane, Milford, Derbyshire, DE56 0RN.

Healthwatch Derbyshire uses the Healthwatch trademark when undertaking our statutory activities as covered by the licence agreement.

Championing what matters to you | Healthwatch Derbyshire | Annual Report 2021-22

The way we work

Involvement of volunteers and lay people in our governance and decisionmaking.

Our Healthwatch board consists of 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 on a quarterly basis and made decisions on matters such as finance, governance, and our ways of working.

We ensure wider public involvement in deciding our work priorities. We gather comments and feedback on public experiences of health and social care, using these to identify any trends or common themes, which then directs our work priorities.

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, provided a feedback centre/rate and review system, 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.

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 share with groups and networks who we work with.

Responses to recommendations and requests

This year, due to the Covid-19 pandemic, we did not make use of our Enter and View powers. Consequently, no recommendations or other actions resulted from this area of activity.

There were no issues or recommendations escalated by our Healthwatch to Healthwatch England Committee and so no resulting special reviews or investigations.

Healthwatch Derbyshire Suite 14 Riverside Business Centre Foundry Lane Milford Derbyshire DE56 0RN

www.healthwatchderbyshire.co.uk

t: 01773 880786

e: enquiries@healthwatchderbyshire.co.uk @HWDerbyshire

HealthwatchDerbyshire

hwderbyshire

REGISTERED COMPANY NUMBER.. 08413881 (England and Wales) REGISTERED CHARITY NUMBER: 1154278 HEALTHWATCH DERBYSHIRE LTD REPORT OF THE TRUSTEES AND UNAUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2022

HEALTHWATCH DERBYSHIRE LTD CONTENTS OF THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2022 Page Report ofthe Trustees 1 to 4 Independent Examlnerfs Report Statement of Financial Activities Balance Sheet Notes to the Financial Statements 8 to 13 Detailed Statement of Financlal Actlvltles 14 to 15

HEALTHWATCH DERBYSHIRE LTD REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2022 The Iruglees who are also directors of the charity for the purposes of the Companies Act 2006, psent their report with the financial slalemenls of the charity for the year ended 31 March 2022 The trustees have adopted the provisions of Accounb'ng and Reporting by Charities.. Statement of Recommended Praelice applicable lo charities preparing their accounts in accordance with the Financial Reporb"ng Standard applicable in the UK and Republ of IreL4nd IFRS 1021 leffeclive 1 January 2019). OBJECTIVES AND ACTIVITIES Ob5¢ctives and aims The charity's objeelives are the advancement of health and social care and the relief of those in need by reason of youth. age, ill-heallh, disability or financial hardship by= Providing infomialion and advice to the general public aboul Ictal hearth and social care services,. Making the views and experiences of members of the general public known lo health and sc¢ial care providers., Enabling Ioc81 people to have a voice in the devekjpment, delwery and equality of access lo local health and care services and facilf(ies', Providing training and development of 8kills for volunteers and the wider communty in understanding, scrulinising, reviewing and monitoring local health and Ca seNi¢es and facilities. Publlc benefit The charity's TnJslees have had due regard to the public benefit guidance published by the Charity Commission. ealthwalch Derbyshire gives peop in Derbyshi a powerful voice lo¢alty, regionalty and nationally. Heallhwatch works lo help local people gel the best out of their local health and social care services. ether il is improving them for today or helping to shape them for lomorr¢)w. Heallhwalch Derbyshire has been sel up lo represent the vithvs and experiences of patients, service users and members of the public, through targeted engagement aclwities. Wrth the aim of influencing and improving the design and delivery of Health and S¢xial Care Servus. Page 1

HEALTHWATCH DERBYSHIRE LTD REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2022 ACHIEVEMENT AND PERFORMANCE Creating reports for service provideis and commissioners wrth recommendations for the improvement of servKe5. Managing inforrnation sharing agreements with key stakeholders. which have been instrumental in improvements lo service delivery and desyn. Representing the voice of patients and the public in key Strateg meetings in the health and care system. The regular scrutiny of comments received by rnembers of the pvblie. overseen by the work of the Intelligence, Insight and Action Sub Group (IIA). To entrfY areas of concem and diseu5s what action needs to be taken by Heallhwatch. Producing regular feedback lo keep key stakeholders up to date wilh our w(xk. and support triangulation of data. Implementing our Enter and View programme. Feeding back to patients and the publtc about the impact Iheir comments have had on service design and delivery. This happens through regular e-bulèlins. wlltten updates and through content on our website. Organising and largeling our engagement activity around key priorities with a Clear rationale. in order to gather qualty intelligence. Encouraging the active participation and invofvemenl of Ial people as volunteers al all levels within the organisation and within 811 appropriate programmes and activities. Building on 04Jr digital presence through our communution function. -The development of a Mental Heatth Engagement Service for Servu receivers and their carers called Mental Health Together. FINANCIAL REVIEW Principal funding sources Our principal funding source is a yearly contract from Derbyshi County Council which has been confirmed for the next 12 months, to represent patient and publ interests in health and social care localty, with all income classified as un-reslricled funds for all our aclivrties_ The charity also had a three year contract which started on the 1 April 2017 and has been renewed since lo deliver an Engagement Service for Mental Health Service Receivers and their Carers called Mental Health Together. Healthwalch Derbyshire had a total income of £416,929 for the year ended 31 March 2022, activety working in partnership with our commissioners to ensure value for money and effeclwo Use of our resources while developing strategic direction for the future. Resorves policy It is the aim of the charity that unrestricte(I funds which have not been designated for a specffic use should be maintained al a level equivatent lo three month's expenditure. Page 2

HEALTHWATCH DERBYSHIRE LTD REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2022 FINANCIAL REVIEW Operating Efficlèntly Heallhwalch Derbyshire has effeclwe governance and aecountsbility and risk systems in place to oversee the work and ensure rt has a robust management and staff structure lo deliver the SerVe remit. We will continue to seek efficienc$ and cost 58vings in our coming year, with frequent monitoring of expected costs and effective financial management crilul to securing evidence based value for money and critical outcomes of engagement aclivrties for people to receive of their local health and social Gare services. Rostrl¢ttd Funds During the year the charity recewed restricted funds of £95,815 to run the Mental Health Together service which Is an engagement service for Mental Heaf(h Service Receivers and their Carers. STRUCTURE, GOVERNANCE AND MANAGEMENT Goveming document The charity was originalty incorporated under the Companies Act 1985 on 21 February 2013 as a company limited by guarantee and is govemed by Tts Memorandum and Articles of Association which were amended by special resolution on 9 July 2013. 11 was registered as a charity on 18 October 2013. Recrultment and appointment of new trustees A director (who also serves as a trustee and management group member) musl be aged 18 years or older. Directors are appointed al the Annual General Meetings or by other directors. For full details of the appointment and duties of directors please refer lo the Articles of Association. After the first Annual General Meeting, al each subsequent annual general meeting, one thiid of the directors, or. if their number 15 not three or a multiple of three. the number nearest to one third, must r&tire from offe. Retiring directors can stand for appoinlrnent as directors again rf they wish to do so. 11 is accepted th* potential dilOrS could be identified by personal recommendation or by advertising the vacancy. Organisational stru¢tur The Trustees delegate management responsibilities lo the Chief ExecutNe and abo delegate certain functions lo sub-cornmillees. Each sub-committee has specific lemis of reference and a chaimian appointed by the Trustees. Trustees strengthen the sub-committees by co-opting experts in the relevant field when required. This delegation is controlled by requiring regular reporting from the Chief Execulrve and the sub<ommittees lo the Board of Trustees. Trustees acknowledge that such a system is designed to manage rather than eliminate the risk of failure lo achiève Hoalthwatch Derbyshire's Char[tab purposes. and can only provi¢Je reasonatrjle and not absolute assurance against material misstatement or loss. Through Ihe oversight of the Finance and Audit and Govemance Sub-commTttees, Trustees VIeW the effectiveness gf the system of intemal control and risk management. Wlder neOrk Heallhwatch Derbyshire is part of a national nehvork of Healthwatch organisalions in England. REFERENCE AND ADMINISTRATIVE DETAILS Rogistergd Company number 08413881 IEngland and Wales} Register•d Charity number 1154278 Page 3

HEALTHWATCH DERBYSHIRE LTD REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31 MARCH 2022 Registgred office Unit 14 Riverside Business Centre Foundry Lane Milford Derbyshire DE56 ORN Trustees Mrs S F Rafferty Iresigned 9.9.21) Mr A J Simmons Iresigned 7.9.21) Mr T J Ride Iresigned 19.5.211 Mrs H M Barker Mrs M Hannah {resigned 10.10.21) Dr E J Ainley (resigned 31.12.211 Mrs D Gould (appointed 18.10.21) Mr T M Broadley lappoinled 18.10.211 Mrs H Pary-Payne (appointed 18_10.21) Mr A Garrett lappoinled 10.11.211 Dr F Marshall (appointed 10.11.21) Independant Examiner G S Gilbert FCA ICAEW CAMERON HUGHES LTD Chartered Accounlanls 16 Jubilee Parkway Jubilee Business Park Derby Derbyshi DE214BJ Approved by order of the board of twslees on 13 June 2022 and signed on ils behalf by". Mrs D Gould - Trustee Page 4

INDEPENDENT EXAMINER'S REPORT TO THE TRUSTEES OF HEALTHWATCH DERBYSHIRE LTD Independent examinerfs report to the trustees of Healthwatch Derbyghlrè Ltd I'the Company'l report to the charity Iruslees on my examination of the accounts of the Company for the year ended 31 March 2022. Responsibilities and basls of report As the charity's trustees of the Company land also its directors for the purposes of company lawl you are responsible for the preparation of the accounts in accordance with the requirements of the Companies Act 20061'lhe 2006 AGVI. Having satisfied myself that the accounts of the Company are not required to t* audited under Part 16 of the 2008 Act and are eligible for independent examination, I report in respect of my examination of your charity's accounts as carried out under section 145 of the Charitses Act 2011 1.the 2011 Acl'l. In carying out my examination I have followed the Directions given by the Chanty Commission under seGtion 145151 {bl of the 2011 Act. Independenl examiner's statement Since your charity's gross income exceeded £250.000 your examiner must be a member of a listed body. I C8n confirm that l am qualified to undertake the examination because l am a registered member of ICAEW which is one of the listed bodies. I have completed my examinatson. I confimi that no matters have come to my attention in connection with the examination giving me cause lo believe.. accounting record5 were not kept in respect of the Company as required by section 386 of the 2006 Act., or the accounts do not accord with those records.. or the accounts do not comply wrth the accounting requirements of secb'on 396 of the 2006 Act other than any fequiremenl that the accounts give a true and fair view whi¢h is not a matter considered as part of an independent examination,. or the accounts have not been prepared in accordance with the methods and principles of the Statement of Recommended Pract'ce for accounting and reporting by charities (applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland {FRS 10211. I have no concems 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. G S Gilbert FCA ICAEW CAMERON HUGHES LTD Chartered Accountants Derby Dale.. LL Page 5

HEALTHWATCH DERBYSHIRE LTD STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2022 2022 Total funds 2021 Total fvnds Unrestricted Restricted fund funds Notes INCOME AND ENDOWMENTS FROM Donations and legacies 321,114 95,814 416,928 363,881 Investment income 49 49 41 Total 321,163 95.814 416,977 363,922 EXPENOITURE ON Charitable activities Cost of provision of services 261,783 77,510 339,293 362,389 Other 18.326 1,522 19,848 3,105 Total 280,109 79,032 359,141 365,494 NET INCOMEIIEXPENDITUREI 41.054 16.782 57,836 11.5721 RECONCILIATION OF FUNDS Total funds brought forward 100,961 38.379 139,340 140,912 TOTAL FUNDS CARRIED FORWARD 142.015 55,161 197,176 139,340 The notes fom part of these financial statements Page 6

HEALTHWATCH DERBYSHIRE LTD BALANCE SHEET 31 MARCH 2022 2022 2021 Notes FIXED ASSETS Tangible assets 6.539 6,824 CURRENT ASSETS Debtors Cash at bank and in hand 592 139,145 275,281 275,281 139.737 CREDITORS Amounts falling due within one year 184,6441 17,2211 NET CURRENT ASSErs 190,637 132.516 TOTAL ASSETS LESS CURRENT LIABILITIES 197,176 139,340 NET ASSETS 197,176 139340 FUNDS Unrestricted funds Reslricled funds 10 142,014 55 162 100,9S1 38,379 TOTAL FUNDS 197,176 139 340 The charitable Company is entitled lo exernpb.on from audrt urKler Section 477 of the Companies Act 2006 for the year ended 31 Mareh 2022. The members have not required the company to obtain an audit of its financial ststements for the year ended 31 March 2022 in accordance wrth Sectson 476 of the Compan$ Aet 2006. The Iruslees acknowledge their responsibilities for (al ensuring that the charitable company keeps accounting words that comply wrth SeclN)ns 388 and 387 of the Companies Act 2006 and preparing financial statements whh gNe a true and fair view of the stste of affairs of the ¢harilabl& company as al the end of each financi81 year and of rts surplus or deficit for each financial year in aceordance with the requirements of Sections 394 and 395 and which otherwise comply with the requirements of the Companies kl 2006 relatsng to financial statements. $0 far as applicable to the charf(able company. Ibl The noles form part of these financial statements Page 7 continued...

HEALTHWATCH DERBYSHIRE LTD BALANCE SHEEf- continued 31 MARCH 2022 These financial slalements have been prepare(J in ?rdance with the provisions applicable lo charitable companies subje¢l lo the small companies regime. The financial slalements were approved by the Board of Truslees and authorised for issue on 13 June 2022 and were signed on ils behaw by- Mrs D Gould - Trustee The notes forn part of these financial statements Pago 8

HEALTHWATCH DERBYSHIRE LTD NOTES TO THE FINANCIAL STATEMENTS - continued FOR THE YEAR ENDED 31 MARCH 2022 INVESTMENT INCOME 2022 2021 Deposit account interest 49 41 NET INCOMEIIEXPENDITURE) Net incomellexpenditurel is stated after chargingl{credrti"ngl: 2022 2021 Depreciation - owned assets Hire of plant and machinery 4,950 98 3,836 TRUSTEES. REMUNERATION AND BENEFITS There were no tnjstees. remuneration or other benefits for the year ended 31 March 2022 nor for the yearended 31 March 2021. Trustoes. expenses Travel costs amounting to £54 {2021 - £0) were reimbursed to 1 {2021 01 twstees during the year ended 31 March 2022. STAFF COSTS The average monthly number of employees during the year was as follows". Charitable aetivib.es 2022 13 2021 14 No employees reeewed emoluments in excess of £60,000. Page 9 continued...

HEALTHWATCH DERBYSHIRE LTD NOTES TO THE FINANCIAL STATEMENTS - continued FOR THE YEAR ENDED 31 MARCH 2022 TANGIBLE FIXED ASSETS Fixtuies and fitting$ Computer equipment Totals COST Ai 1 Apnl 2021 Additions 9,032 43,676 4,665 52,708 4,665 At 31 March 2022 9,032 48.341 57.373 DEPRECIATION Al 1 April 2021 Charge for year 6,724 461 39,160 4.489 45,884 4,950 At 31 MarGh 2022 7.185 43,649 50,834 NET BOOK VALUE Al 31 March 2022 1.847 4,692 6,539 At 31 March 2021 2,308 4,516 6,824 DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR 2022 2021 Prepayments 592 CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR 2022 2021 Other creditors 84,644 7,221 ANALYSIS OF NET ASSETS BETWEEN FUNDS 2022 Total funds 2021 Total fund5 Unrestricted Restried fund funds Fixed assets Current assets Current liabilities 5.521 221,137 (84,644) 1,018 54,144 6.539 275.281 184,6441 6,824 139,737 17,221) 142.014 55.162 197,176 139,340 Page 10 continued...

HEALTHWATCH DERBYSHIRE LTD NOTES TO THE FINANCIAL STATEMENTS - continued FOR THE YEAR ENDED 31 MARCH 2022 10. MOVEMENT IN FUNDS Net movement in funds Al 31.3.22 At 1.4.21 Unrestricted funds General fund 100.961 41,053 142,014 Restricted funds Mental Health Grant Health Education England 38.379 17.257 1474) 55,636 14741 38,379 16,783 55,162 TOTAL FUNDS 139,340 57.836 197,176 Nel movement in funds. included in the above are as follows". Ineoming resources Resources expended Movement in funds Unrestricted funds General fund 321,163 1280, 1101 41,053 Restricted funds Mental Health Grant Health Education England 95.814 {78,5571 14741 17,257 14741 95,814 179,0311 16,783 TOTAL FUNDS 416.977 {359,1411 57,836 Comparatives for movement In funds Net movement in funds Al 31.3.21 At 1.4.20 Unrestrlcted funds General fund 85.692 15,269 100.961 Restricted funds Mental Health Grant 55,220 116,841) 38,379 TOTAL FUNDS 140,912 11,5721 139,340 Page 11 continued...

HEALTHWATCH DERBYSHIRE LTD NOTES TO THE FINANCIAL STATEMENTS - Continued FOR THE YEAR ENDED 31 MARCH 2022 10. MOVEMENT IN FUNDS- contlnued Comparative net movement in funds. included in the above are as follows.. Incoming resources Resources expended Movement in funds Unrgstricted funds General fund 321.155 (305,886) 15,269 Restricted funds Mental Health Grant 42,767 159,6081 116,8411 TOTAL FUNDS 363,922 (365,4941 11.5721 A current year 12 months and prior year 12 months combined posttion is as follows.. Nel movement in funds Al 31.3.22 At 1.4.20 Unrestricted funds General fund 85,692 56,322 142,014 Restrlcted funds Mental Health Grant Health Education England 55,220 416 {4741 55,636 14741 55.220 1581 55.162 TOTAL FUNDS 140,912 56,264 197,176 A eurrenl year 12 months and prior year 12 months combined net movement in funds. inoluded in the above are as follow5.. Incoming resources Resources expended Movement in funds Unrestrlcted funds General fund 642.318 {585,9961 56,322 Restrlcted funds Mentsl Health Grant Health Education England 138.581 1138,165) 1474) 416 14741 138,581 1138,6391 1581 TOTAL FUNDS 780,899 1724,6351 56,264 Page 12 eontinued...

HEALTHWATCH DERBYSHIRE LTD NOTES TO THE FINANCIAL STATEMENTS - continued FOR THE YEAR ENDED 31 MARCH 2022 11. RELATED PARTY DISCLOSURES There were no related paty transactions for the year ended 31 March 2022. Page 13

HEALTHWATCH DERBYSHIRE LTD DETAILED STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2022 2022 2021 INCOME AND ENDOWMENTS Donations and legacies Grants 416,928 363,881 Investment Income Deposit account interest 49 41 Total Incoming resources 416,977 363,922 EXPENDITURE Charitable activities Wages Pensions Publicity costs Travel expenses Staff development costs Volunteer costs and expenses Room hire 276,563 12,896 1.255 8,938 3,027 1,355 1,087 280.424 15.816 5,683 7,221 3,454 425 444 305.121 313,467 Support costs Management Hire ol office equipment Insurance Light and heat Telephone Postage and stationery Sundries Cleaning Rent IT support Subscriptions Volunteer training Depreciation 98 2,200 506 5,049 604 2,388 294 11,699 12,238 6,094 1.245 4,950 236 2,175 S26 4,314 1,134 3,788 106 11.699 13.656 3.473 3,837 47,365 45.044 Flnance Bank charges 211 233 Govemance cts Accountancy fees Independent examiner's fees HR professional fees Carried fomard 1,800 1,200 3,390 6,390 2,355 1,155 3,240 6,750 This page does not fomi part of the ststulory financial stalements Page 14

HEALTHWATCH DERBYSHIRE LTD DETAILED STATEMENT OF FINANCIAL ACTIVITIES FOR THE YEAR ENDED 31 MARCH 2022 2022 2021 Governance costs Brought forward Trustees. travel expenses 6,390 6,750 6,750 Total reSoUrS expended 359,141 365,494 Net incomellexpendlturel 57,836 11,5721 This page does not fomi part of the slatulory financial statements Page 15

Championing what matters to you

Contents

Message from our chair

About us

Your health and social care champion

Our vision

Our mission

Our values

Our year in review

Find out how we have engaged and supported people.

Reaching out

1079 people

898 people

Making a difference to care

7 reports

Dental Access Report

Health and care that works for you

53

£321,114

13 staff

Listening to your experiences

Vaccine Hesitancy – You Said, We Did

What difference did this make?

Access to Dentistry

Access to Dentistry

What did Healthwatch Derbyshire do?

Meeting with Derbyshire MPs

Three ways we have made a difference for the community

Creating empathy by bringing experiences to life

Getting services to involve the public

Improving care over time

Advice and information

Signposting people for access to dentistry

Supporting ‘My Right to Healthcare’ with GP Access Cards

Volunteers

Katie

Stephen

Do you feel inspired?

Mental Health Together

Mental Health Together (MHT)

Experts by Experience

Living Well Derbyshire

Public Engagement Opportunities

Alternative Mental Health Crisis Provision in Derbyshire

Top three priorities for 2022–23

Next steps

Statutory statements

About us

The way we work

Methods and systems used across the year’s work to obtain people’s views and experience

Responses to recommendations and requests