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2021-03-31-accounts

REGISTERED CHARITY NUMBER: 508470

Stanley Yule Chartered Accountants Registered Auditors Waterside House Waterside Business Park 1649 Pershore Road Birmingham West Midlands B30 3DR

ANNUAL REPORT OF THE TRUSTEES & FINANCIAL STATEMENTS 2020 - 2021

Caring with Compassion, Helping with Humility, Listening with Love

1

Mission Statement

Introducing an innovative approach to healthcare by infusing faith-inspired, values-led care into clinical practice, resulting in prevention, healing and patient empowerment; improving health and wellbeing of the community

2

CONTENTS Pages
Nishkam Healthcare Trust’s Approach 4
Trustees’ Report 5 to 13
Report of the Independent Auditors 14 to 16
Statement of Financial Activities 17
Balance Sheet 18
Cash flow Statement 19
Notes to the Financial Statements 20 to 33

3

A Unique Approach

The Nishkam Healthcare Trust brings together the experience of highly trained medical professionals and their passion for serving the community. The emphasis is placed around lovingly listening to the concerns of patients, and seeking to promote disease prevention and patient empowerment. The incorporation faithinspired values with medical care practices creates a holistic approach to healing and the long term wellbeing of the community.

Selfless service for the greater good underpins the work being delivered within the organisation. It is a selfreliant, self-helping, community-led initiative, which aims to reduce the burden upon the government and public institutions, including the NHS. It has been delivering services and collaborating with community orientated organisations in order to support the health needs of the local area at time when public intuitions face the pressures of increasing patient care demands and declining resource availability.

Health professionals are expected to act and deliver with:

A key part of the mind-set is to strive for ‘Sarbat da Bhalla’ - the goodwill, good wishes and welfare of all.

  1. Values-based healthcare gives importance to the healthcare journey as well as the objective health outcomes, thereby helping to provide a holistic approach to wellbeing and the relief of sickness

  2. The ethos of volunteering encourages and enables the community to contribute to the caring for vulnerable groups including the elderly and young.

  3. Builds capacity of individuals, families and local communities to be self-sufficient

  4. Empowering and cultivating an interest in patients and the public to lead healthy lives through working with them on health education and ill-health prevention.

  5. Caring with dignity, respect and humility for all those who need it regardless of background, race, religion or culture.

Our future model is based around an integration of services focussing on a high quality of care, delivered with compassion and benevolence.

Nishkam Healthcare Trust was registered as a charity in 2012. The Trust aims to serve the local community and address health inequalities through the approach described above. This community-led initiative provides a platform for cultural sensitivity and bespoke local healthcare solutions through collaboration with neighbouring health stakeholders.

4

TRUSTEES’ REPORT

The Trustees present their report with the financial statements of the charity for the year ended 31 March 2021. The Trustees have adopted the provisions of 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 2015).

Going concern

The accounts have been prepared on the basis of being a going concern. The Trustees confirm that they have taken into account all available information about the future for at least 12-months from the date the accounts were approved and conclude there is no uncertainty relating to going concern

Investment policy and objectives

REFERENCE AND ADMINISTRATIVE DETAILS

Incorporation

The charitable company was incorporated on 21 December 2012

Registered Company number

08339604 (England and Wales)

The Charity's principal initial objective is to facilitate the provision of personalised, culturally-sensitive healthcare and its investment policy is to defray the income received in providing investment in Nishkam Pharmacy Limited and Nishkam Dental Care Limited.

The charity does not propose to build a substantial investment portfolio as the funds raised are to be expected as achieving the objectives of the charity.

Registered Charity number

1154295

Principal Address

18 -20 Soho Road Handsworth Birmingham B21 9BH

Trustees

Mr Ranjit Sondhi Dr Brinder Singh Mahon Prof Steve Fields Dr Sarabjit Singh Chandan Dr Manvir Kaur Hayer

Pay policy for senior staff

The directors consider the board of directors, who are the Trust’s trustees, and the senior management team comprise the key management personnel of the charity of directing and controlling, running and operating the Trust on a day to day basis. All directors give of their time freely and no director received remuneration in the year.

The pay of senior staff is reviewed annually and normally increased in accordance with average earnings

OBJECTIVES AND ACTIVITIES

Auditors

Stanley Yule Chartered Accountants Registered Auditors Waterside House 1649 Pershore Road Birmingham B30 3DR

STRUCTURE, GOVERNANCE AND MANAGEMENT

Significant activities

The principal activities during the year included the support of the relief of sickness and the preservation of health and wellbeing among the local community, including proactive volunteering during the months of lockdown. Further activity included the extension of the Nishkam Healthcare Centre to now include 23 Soho Road as well.

Governing document

The charity is controlled by its governing document, a deed of trust, and constitutes a charitable trust.

Risk management

The Trustees actively review the major risks which the Charity faces on a regular basis and believe that maintaining reserves at current levels, combined with an annual review of the controls over key financial systems, will provide sufficient resources in the event of adverse conditions. The Trustees have also examined other operational and business risks faced by the Charity and confirm that they have established systems to mitigate the risks.

5

Trustees

Ranjit Sondhi CBE , Presently the vice president of Sandwell West Birmingham Clinical Commissioning Group, a national trustee for Citizens UK and Guide Dogs UK, chairman of the South Asian Arts Foundation called SAMPAD, and trustee of the Hope projects Birmingham. Formerly a Judicial Appointments Commissioner, chairman of Heart of Birmingham teaching Primary Care Trust, and a Civil Service Commissioner. From 1972 until 1985 he was an integral part in the development of youth and community work projects in the innercity area of Handsworth.

Professor Steve Field CBE , Chairman of the Royal Wolverhampton NHS Foundation Trust, and an honorary professor at the University of Birmingham and at the University of Warwick. Non-executive director of the University College London Partners. Past Chief Inspector of General Practice until 2019. Also formerly NHS England’s Deputy National Medical Director, Chair of the National Inclusion Health Board, which targets improving the health of the most vulnerable, and Chair of the NHS Future Forum which was launched in April 2011. Also Chair of council of the Royal College of General Practitioners between 2007 and 2010.

Dr Brinder Singh Mahon OBE Consultant Radiologist, at the University Hospitals Birmingham NHS Foundation Trust, and CEO of the board for the Nishkam School Trust.

Dr Sarabjit Singh Chandan, MBBS A locum general practitioner, past director of a GP locum agency.

Dr Manvir Kaur Hayer MBChB, PhD Consultant nephrologist at the University of Birmingham

Principal funding sources

During the period the Charity generated income of £108,642, including £62,562 from room hire, rental and service charges and £33,500 in donations from Guru Nanak Nishkam Sewak Jatha (Birmingham) and Nishkam Pharmacy Limited.

The Charity expensed a total of £83,891, leaving a surplus of £24,750.

Total reserves at the balance sheet date were £341,028, which the Trustees consider to be adequate to continue the Charity's ongoing objectives.

Public benefit

NHT carries out a wide range of activities in pursuance of its charitable aims. The trustees consider that these activities, summarised below, provide benefit both to those who attend the NHT site and the wider communities it serves. The specific benefits for the public may be summarised in the following way.

COVID-19 response

The course of this financial year saw the continued challenges to the health service delivery and activities because of the Coronavirus Pandemic. The way of working had to adapt rapidly for the UK lockdown periods. NHT’s services adapted their response as described in this document, and also collaborated with volunteer-led services being offered by the rest of the GNNSJ campus to offer a safe and holistic care for people during this difficult time.

For each healthcare project, this report will first discuss the work that occurred before the pandemic, and then any special measures that were take during the pandemic.

ACHIEVEMENT AND PERFORMANCE FINANCIAL REVIEW

Reserves policy

The present level of funding is adequate to support the continuation of the current activities.

6

Pharmacy

In the last financial year there have been 3 national lockdowns, which have subsequently impacted on the operation of our healthcare services. Each service has responded in its own unique way to prioritise good quality service delivery.

NISHKAM PHARMACY

In the last financial year there have been 3 national lockdowns, which have subsequently impacted on the operation of our healthcare services. Each service has responded in its own unique way to prioritise good quality service delivery.

Script number and NHS income reduced by 20% in the last financial year. This is believed to be a combination of reasons including reduced walk-ins and a change in the way some medications are prescribed. The Nishkam Pharmacy adjusted its opening hours since more work was now being done over the telephone or internet rather than walk-in services. To accommodate for service-users, Nishkam Pharmacy expanded its home delivery services to cover a large geographical area including Wolverhampton.

During the first lockdown Nishkam Pharmacy volunteers contacted all existing pharmacy regular clients to advise them that the pharmacy was open, and that staff were here to help. Clients were also made aware of other campusled Nishkam voluntary services including Nishkam emotional wellbeing, chaplaincy, food parcels, and universal credit service. Care homes were contacted to make sure they were fully supported by pharmacy services including offering them any help they might need. Where emergency requests were received from regular service-users during the lockdown months, the super-intendant made the exceptional decisions to open the pharmacy to dispense medication and offer any preventative support to help avoid people unnecessarily going into hospitals.

NISHKAM COVID VACCINATION CENTRE

The Nishkam Pharmacy was amongst the first 15 in the UK to have been awarded a pharmacy local enhanced service vaccination contract. Upon the request of the CCG we opened a vaccination site in Newtown, as a satellite branch of the unit of the pharmacy.

Mr Paul Jennings (CEO of Birmingham and Solihull STP) and Councillor Paullette Hamilton (Councillor of Holyhead ward and member of the Birmingham Health and Wellbeing Board) have been amongst the guests who have visited the Nishkam COVID-19 Vaccination.

7

COVID-19 Vaccination Centre

Key benefits so far have been:

Key challenges have been:

8

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Dental Care Dental Care

NISHKAM DENTAL CARE NISHKAM DENTAL CARE

Nishkam Nishkam Dental Dental Care Care (NDC) (NDC) closed closed with with all all other other dental dental practices practices in in England England under under national national guidance guidance due due to to Covid-19 Covid-19 restrictions restrictions and and the the first first national national lockdown. lockdown. NDC NDC stayed stayed closed closed to to patients patients from from April April 2020 2020 to to October October 2020. 2020. During During this period, this period, volunteers volunteers continued continued to to provide provide telephone telephone support support and and general general check check ins ins with with our our patient patient base. base. In In cases cases where where a a patient patient required required emergency emergency treatment treatment NDC NDC utilised utilised an Urgent Dental Care pathway accessed via Hillbrook an Urgent Dental Care pathway accessed via Hillbrook dental practice, owned by one of our volunteers. dental practice, owned by one of our volunteers.

On On reopening, reopening, patients patients who who had had been been waiting waiting for for emergency care were prioritised. We have since been emergency care were prioritised. We have since been seeing seeing patients patients as as normal normal but but have have not not openly openly advertised advertised the the service service to to ensure ensure that that NDC NDC is is able able to to manage the incoming demand, which we have. manage the incoming demand, which we have.

Nishkam Dental Care Team Nishkam Dental Care Team

The The dental dental volunteer volunteer team team has grown has grown further, further, with with a a new addition to the dentists’ team. The nursing team new addition to the dentists’ team. The nursing team has been on furlough since the first lockdown and the has been on furlough since the first lockdown and the dentists dentists have have been been assisting assisting one one another. another. This This will will soon change back to the nursing model. soon change back to the nursing model.

Nishkam Dental Care Patients Nishkam Dental Care Patients

The The service service continues continues to to run run on on weekends, weekends, covering covering eitheravailability. Upon re-opening after the first lockdown, eitheravailability.a a Saturday Saturday Upon re-openingor or Sunday Sunday after depending dependingthe first on onlockdown, dentist dentist the the priority priority was was to to see see patients patients in in pain pain or or those those treatments treatments that that had had been been abandoned. abandoned. This This backlog backlog has has been been cleared cleared and and we we are are now now back back to to seeing seeing routine raiitina and and emergency amarananey patients, natiante but hit the tha service carivica still ctill maintains by appointment only.

Approximately 200 patients have been seen at NDC since reopening. Clinical sessions tend to run from 9am to 1pm or 2pm.

Finances

Understandably, income for the NDC has been considerably lower than the previous year, but the team at NDC have also managed to avoid certain overheads and control outgoings. They are still managing to source supplies via community donations and some of the large cooperate suppliers.

Future plans

The NDC team are planning to increase the clinical capacity with the newly recruited team members, which will improve patient access. There are also plans to consider a fulltime model for care for NDC in the near future.

10

NISHKAM MENTAL AND EMOTIONAL WELLEBING

NISHKAM MENTAL AND EMOTIONAL WELLEBING SERVICE

This service was previously known as the Nishkam Emotional Wellbeing service. It has now been renamed the ”Nishkam Mental and Emotional Wellbeing Service (NMEWS)’. This change in name reflects the expansion of this service to now include more than just a listening ear.

We currently offer a listening ear service and psychotherapy/counselling, which is all currently being done via telephone. We also have access to chaplaincy via the Nishkam Civic Association. We offer our service to those with low level mental and emotional wellbeing needs. We are not currently a clinical service for those suffering with severe mental health problems.

Post covid service

Nishkam mental and emotional wellbeing service has been approved and is now on the NHS pathway across Birmingham and Solihull for helping those dealing with Post Covid Syndrome. Referrals are triaged by Birmingham and Solihull Mental health Trust and appropriate referrals passed on to our service.

Covid check in calls

The Nishkam Civic Association carry out covid check in calls for those who have accessed their services. Any induvial identified as having mental and emotional wellbeing needs are then referred into the NMEWS.

The team:

The team offering these services has also been expanded this year. Previously the Emotional Wellbeing Service for predominantly reliant on one volunteer, with some ad-hoc support from other volunteers. Since December 2020 the team has been expanded as follows:

A table showing new referrals in the the NMEWS and their source

Report Total Referrals Referrals Repeat Referrals Online Total
month patients from Mental from NCA patients from website Volunteers
contacted health Hospital hrs
foundation
trust
Feb 1 0 0 0 1 0 1
2021
March 9 1 3 4 0 1 7
2021

11

CONSTRUCTION

CONSTRUCTION OF PHASE 2 OF THE NISHKAM HEALTHCARE CENTRE

Construction at on the phase 2 extension of the Nishkam Healthcare Centre was completed on 24[th] March 2021. All the building works were led by skilled volunteers, which saved over £400,000 in construction expenditure. (Estimated actual value for construction was £850,000; Net cost after volunteering was around £450,000). Community donated funds also contributed to the building of this infrastructure. This space was deemed essential to provide more facilities for good quality healthcare provision. Handsworth is an inner-city, under-doctored area.[1,2] It is also recognised by the CCG that some of the neighbouring primary care premises have been unfit for purpose. It is hoped that this new development will be harnessed fully as a positive contribution towards enhancing healthcare in the area. The ultimate vision is for the new site to be utilised as a GP surgery. We remain keen to incorporate a GP surgery given that the area is under-doctored and because GP’s are the primary gate keepers of healthcare in the NHS.[1,2] Thus it is envisaged that having a GP surgery will help us to realise a one-stop multidisciplinary healthcare model within our community setting.

----- Start of picture text -----
Phase 1 Phase 2
21 Soho Road 23 Soho Road
----- End of picture text -----

References:

1) https://www.nhsbsa.nhs.uk/prescription-data/organisation-data/practice-list-size-and-gp-count-each-practice

2) https://digital.nhs.uk/data-and-information/publications/statistical/patients-registered-at-a-gp-practice/july-2020

12

Nishkam Healthcare Trust

Report of the Trustees For the year ended 31 March 2021

STATEMENT OF TRUSTEES RESPONSIBILITIES

The trustees are responsible for preparing the Report of the Trustees and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice), including Financial Reporting Standard 102 "The Financial Reporting Standard applicable in the UK and Republic of Ireland".

Company law requires the trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charitable company and of the incoming resources and application of resources, including the income and expenditure, of the charitable company for that period. In preparing those financial statements, the trustees are required to

The trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the charitable company and to enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

In so far as the trustees are aware:

AUDITORS

The auditors, Stanley Yule Chartered Accountants, will be proposed for re-appointment at the forthcoming Annual General Meeting.

Report of the trustees, incorporating a strategic report, approved by order of the board of trustees, as the company directors, on

............................................. and signed on the board's behalf by:

............................................. Trustee

13

NISHKAM HEALTHCARE TRUST Independent Auditor’s Report for the year ended 31 March 2021

Opinion

We have audited the financial statements of Nishkam Healthcare Trust (the ‘charitable company’) and its subsidiaries (“the group”) for the year ended 31 March 2021 which comprise the Consolidated Statement of Financial Activities (including Income & Expenditure Account), the Consolidated and Charity Balance Sheets, the Consolidated Cash Flow Statement, and the related notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 the Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In our opinion the financial statements:

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISA’s (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the group and charity in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the trustees' use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charitable company's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

Other information

The Trustees are responsible for the other information. The other information comprises the information included in the Trustees’ Annual Report and Consolidated Financial Statements, other than the financial statements and our auditor’s report thereon.

Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements, or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard.

14

NISHKAM HEALTHCARE TRUST Independent Auditor’s Report for the year ended 31 March 2021

Opinions on other matters prescribed by the Companies Act 2006

In our opinion, bases on the work undertaken in the course of our audit:

Matters on which we are required to report by exception

In the light of our knowledge and understanding of the group and charity and its environment obtained in the course of the audit, we have not identified material misstatements in the directors’ report.

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, in our opinion:

Responsibilities of trustees

As explained more fully in the Trustees’ Responsibilities Statement, the Trustees are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the Trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the Trustees are responsible for assessing the group’s and charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the Trustees either intend to liquidate the group or the charity or to cease operations, or have no realistic alternative but to do so.

Our responsibilities for the audit of the financial statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:

15

NISHKAM HEALTHCARE TRUST Independent Auditor’s Report for the year ended 31 March 2021

Our responsibilities for the audit of the financial statements - continued

Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements, or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission, or misrepresentation.

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at www.frc.org.uk/auditorsresponsibilities. This description forms part of our Report of the Independent Auditors.

Use of report

This report is made solely to the charity’s trustees, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable company’s members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charity and the charity’s trustees as a body for our audit work, for this report, or for the opinions we have formed.

Ian Bidmead FCA (Senior Statutory Auditor)

For and on behalf of Stanley Yule Chartered Accountants Statutory Auditors Waterside House Waterside Business Park 1649 Pershore Road Birmingham West Midlands B30 3DR

16

NISHKAM HEALTHCARE TRUST

Consolidated Statement of Financial Activities (including Income & Expenditure Account) for the year ended 31 March 2021

Notes
Income from donations and legacies:
Donations
Grants
Income from other trading activities
Commercial trading operations
4
Rental Income
3
Total Income
Expenditure
Costs of raising funds:
Commercial trading operations
Expenditure on charitable activities:
Charitable activities
5
Total expenditure
Net income/(expenditure) and net movement
in funds for the year
Reconciliation of funds
Fund balance brought forward
Total funds carried forward		 Unrestricted
fund
£
30,856
10,000
1,069,724
49,400
1,159,980
1,049,945
90,673
1,140,618
19,362
488,780
508,142		 Restricted
fund
£
-
-
-
-
-
-
-
-
-
-		 2021
Total funds
£
30,856
10,000
1,079,724
49,400
1,159,980
1,049,945
90,673
1,140,618
19,362
488,780
508,142		 2020 Total
funds
£
30,875
1,146,571
48,850
1,226,296
1,038,237
86,059
1,124,296
102,000
386,780
488,780

Continuing Operations

All income and expenditure have arisen from continuing activities.

Reduced disclosure exemptions

The charity has taken advantage of the exemption afforded by section 408 of the Companies Act 2006 not to prepare separated Income and Expenditure Accounts.

17

NISHKAM HEALTHCARE TRUST Consolidated Balance Sheet

for the year ended 31 March 2021

SANGAT TRUST
Notes
Fixed Assets
Intangible assets
13
Tangible assets
14
Investments
15
Current Assets
Stocks
Debtors
17
Cash at bank and in hand
Creditors:Amounts falling due within one year
18
Net Current assets
Provision for liabilities
Net assets
Funds
Unrestricted funds
20
Total funds carried forward		 Group
2021
£
1,628
94,224
-
95,852
42,430
227,630
351,740
621,800
(207,079)
414,721
(2,431)
412,290
508,142		 Group
2020
£
2,516
107,076
-
109,592
51,063
212,344
318,458
581,865
(199,852)
382,013
(2,825)
379,188
488,780		 Charity
2021
£
-
4,952
186,991
191,943
-
30,163
129,617
159,780
(9,895)
149,885
-
149,885
341,828		 Charity
2020
£
-
8,182
186,991
195,173
-
25,634
119,021
144,655
(22,750)
121,905
-
121,905
317,078
508,142 488,780 341,828 317,078

The trustees have prepared group accounts in accordance with section 398 of the Companies Act 2006 and section 138 of the Charities Act 2011. These accounts are prepared in accordance with the special provisions of Part 15 of the Companies Act relating to small companies and constitute the annual accounts required by the Companies Act 2006 and are for circulation to members of the company.

The financial statements were approved by the Board of Trustees on ............................................. and were signed on its behalf by:

............................................. Trustee

18

NISHKAM HEALTHCARE TRUST Consolidated Cash Flow Statement

for the year ended 31 March 2021

Notes
Cash flows from operating activities:
Cash generated from operations
1
Tax paid
Government Grant
Net cash from operating activities
Cash flows from investing activities
Purchase of tangible fixed assets
Sale of tangible fixed assets
Net cash from investing activities
Increase/(decrease) in cash and cash equivalents
2
Cash and cash equivalents at the beginning of the reporting period
Cash and cash equivalents at the end of the reporting period		 2021
£
48,258
(17,421)
2,445
33,282
-
-
-
33,282
318,458
351,740		 2020
£
95,625
(12,293)
-
83,332
(508)
-
(508)
82,824
235,634
318,458

19

NISHKAM HEALTHCARE TRUST Notes to the Consolidated Cash Flow Statement

for the year ended 31 March 2021

1. Reconciliation of net income to net cash flow from operating activities

Net income for the reporting period (as per the statement of financial activities)
Adjustments for:
Tax charge in subsidiaries
Depreciation charges
Decrease/(increase) in stocks
Decrease/(increase) in debtors
(Decrease)/increase in creditors
Government Grants
Cash and cash equivalents at the end of the reporting period
2. Analysis if changed in net debt
Start of year
£
Cash
318,458
318,458		 Net income for the reporting period (as per the statement of financial activities)
Adjustments for:
Tax charge in subsidiaries
Depreciation charges
Decrease/(increase) in stocks
Decrease/(increase) in debtors
(Decrease)/increase in creditors
Government Grants
Cash and cash equivalents at the end of the reporting period
2. Analysis if changed in net debt
Start of year
£
Cash
318,458
318,458		 2021
2020
£
£
19,364
101,997
836
17,230
13,740
14,623
14,145
(11,203)
(15,289)
(20,085)
17,907
(6,937)
(2,445)
-
48,258
95,625
Cashflows
At the end of
year
£
£
33,282
351,740
33,282
351,740		 2021
2020
£
£
19,364
101,997
836
17,230
13,740
14,623
14,145
(11,203)
(15,289)
(20,085)
17,907
(6,937)
(2,445)
-
48,258
95,625
Cashflows
At the end of
year
£
£
33,282
351,740
33,282
351,740		 2020
£
101,997
17,230
14,623
(11,203)
(20,085)
(6,937)
-
95,625
Cashflows
£
33,282
318,458 33,282 351,740

20

NISHKAM HEALTHCARE TRUST Notes to the Consolidated Financial Statements for the year ended 31 March 2021

1. Accounting Policies

Basis of preparing the financial statements

The financial statements of the charitable company, which is a public benefit entity as defined by FRS 102, have been prepared in accordance with the Charities SORP (FRS102) 'Accounting and Reporting by Charities: Statement of Recommended Practice’ applicable to charities preparing their accounts in accordance with the Financial Reporting Standard 102 ‘The Financial Reporting Standard applicable in the UK and Republic of Ireland’ and the Companies Act 2006. The financial statements have been prepared under the historical cost convention with the exception of investments which are included at market value.

The functional and presentational currency is the Pound Sterling (£).

Group financial statements

The financial statements consolidate the results of the charity and its wholly owned subsidiaries on a line-by-line basis. A separate Statement of Financial Activities for the charity has not been presented because the trust has taken advantage of the exemption afforded by section 408 of the Companies Act 2006.

Income

All income is recognised in the Statement of Financial Activities once the charity has entitlement to the funds, it is probable that the income will be received, and the amount can be measured reliably.

Income from government and other grants, whether ‘capital’ grants or ‘revenue’ grants, is recognised when the charity has entitlement to the funds, any performance conditions attached to the grants have been met, it is probable that the income will be received, and the amount can be measured reliably and is not deferred.

For donations to be recognised the charity will have been notified of the amounts and the settlement date in writing. If there are conditions attached to the donation and this requires a level of performance before entitlement can be obtained, then income is deferred until those conditions are fully met or the fulfilment of those conditions is within the control of the charity and it is probable that they will be fulfilled.

Commercial turnover arrives from the sale of preparing, dispensing, and reviewing of drugs and other clinical services. Turnover is recognised at the fair value of consideration at point of sale.

Expenditure

Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the charity to that expenditure, 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 accounted for on an accruals basis and has been classified under headings that aggregate all cost related to the category. Where costs cannot be directly attributed to particular headings, they have been allocated to activities on a basis consistent with the use of resources.

Tangible fixed assets

Depreciation is provided at the following annual rates in order to write off each asset over its estimated useful life.

Improvements to property - 10% on cost Fixtures and fittings - 20% on cost

Taxation

The charity is exempt from corporation tax on its charitable activities.

Fund accounting

Unrestricted funds can be used in accordance with the charitable objectives at the discretion of the Trustees.

Restricted funds can only be used for particular restricted purposes within the objects of the charity. Restrictions arise when specified by the donor or when funds are raised for particular restricted purposes.

Further explanation of the nature and purpose of each fund is included in the notes to the financial statements.

21

NISHKAM HEALTHCARE TRUST Notes to the Consolidated Financial Statement for the year ended 31 March 2021

Accounting Policies - continued

Pension costs and other post-retirement benefits

The charitable company operates a defined contribution pension scheme. Contributions payable to the charitable company’s pension scheme are charged to the Statement of Financial Activities in the period to which they relate.

Stock

Stocks are valued at the lower of cost and net realisable value, after making due allowance for obsolete and slow-moving items.

Income and expenditure account

The Statement of Financial Activities discloses the identical information of the Income and Expenditure Account and as such no Income and Expenditure Account has been prepared.

Going Concern

The accounts have been prepared on the basis of being a going concern as outlined in the Trustees' annual report.

Basic financial assets

Short term debtors are measured at transaction price, less any impairment. Loans receivable are measured initially at fair value, net of transaction costs, and are measured subsequently at amortised cost using the effective interest method, less any impairment.

Basic financial liabilities

Short term creditors are measured at the transaction price. Other financial liabilities, including bank overdrafts, are measured initially at fair value, net of transaction costs, and are measured subsequently at amortised costs using the effective interest method.

Impairment of assets

At each reporting date fixed assets are reviewed to determine whether there is any indication that those assets have suffered an impairment loss. If there is an indication of possible impairment, the recoverable amount of any affected asset is estimated and compared with its carrying amount. If the estimated recoverable amount is lower, the carrying amount is reduced to its estimated recoverable amount, and an impairment loss is recognised immediately in the Statement of Financial Activities.

Donated Services

Donated professional services and donated facilities are recognised as income when the charity has control over the item, any conditions associated with the donated item have been met and the receipt of economic benefit can be measured reliably. In accordance with the Charities SORP (FRS102), general volunteer time is not recognised. Please refer to the Trustee's annual report for more information about their contribution.

Investments

Investments are a form of basic financial instruments and are initially recognised at their transaction value and subsequently measured at their fair value at the balance sheet date. The Statement of Financial Activities includes the net gains and losses arising on revaluation and disposals throughout the year.

Allocation and apportionment of costs

Support costs have been allocated between governance costs and other support costs. Governance costs comprise all costs involving the public accountability of the charity and its compliance with regulation and good practice. These costs include costs related to statutory audit and legal fees.

Intangible assets

Intangible assets are initially measured at cost. After initial recognition, intangible assets are measured at cost less any accumulated amortisation and any accumulated impairment losses.

22

NISHKAM HEALTHCARE TRUST Notes to the Consolidated Financial Statements

for the year ended 31 March 2021

2. Financial Performance of the charity

The consolidated statement of the financial activities includes the results of the charity’s wholly owned subsidiaries. The summary financial performance of the charity alone is:

3.
Income from Rental
Room rentals received
Income from Donations and legacies:
Donations
Income from charitable activities:
Administration
Government Grants
Income from other trading activities:
Investment Income
Total Income
Expenditure on charitable activities:
Support costs
Premises Costs
Governance costs
Staff costs
Total expenditure
Net income/(expenditure) and net movement
in funds for the year
Reconciliation of funds
Fund balance brought forward
Total funds carried forward		 Unrestricted
fund
£
33,500
-
10,000
72,523
116,023
18,505
46,301
5,700
20,767
91,273
24,750
317,078
341,828		 Restricted
fund
£
-
-
-
-
-
-
-
-
-
-
-
-		 2021
£
61,400
2021
Total funds
£
33,500
-
10,000
72,523
116,023
18,505
46,301
5,700
20,767
91,273
24,750
317,078
341,828		 2020 Total
funds
£
60,001
855
61,417
122,273
18,648
40,524
7,620
20,770
87,562
34,711
282,367
317,078
2020
£
61,417

23

NISHKAM HEALTHCARE TRUST Notes to the Consolidated Financial Statements for the year ended 31 March 2021

4. Income earned from other activities

The charitable trust wholly owned trading subsidiaries are as follows:

Nishkam Pharmacy Limited, is incorporated in the United Kingdom (company number 08341597) Nishkam Dental Care Limited (company number 09520055)

The summary financial performances of the subsidiaries alone are:

Nishkam Pharmacy Limited:

Turnover
Cost of sales
Gross Profit
Administration expenses
Other operating income
Operating Profit and Profit before Taxation
Tax on profit
Retained in Subsidiary
The net assets and liabilities of the subsidiaries were:
Fixed assets
Current assets
Current liabilities
Total assets less current liabilities
Provisions for liabilities
Net assets
Aggregate share capital and reserves		 2021
£
1,023,869
743,860
280,009
307,082
(27,073)
28,194
1,121
862
259
68,672
472,798
(210,658)
330,812
(2,089)
328,723
328,723		 2020
£
1,116,440
725,551
390,889
319,939
70,950
15,547
86,497
17,084
69,413
74,032
413,380
(174,491)
330,921
(2,457)
328,464
328,464

24

NISHKAM HEALTHCARE TRUST Notes to the Consolidated Financial Statements for the year ended 31 March 2021

Income earned from other activities - continued

Nishkam Dental Care Limited:

Turnover
Cost of sales
Gross Profit
Administration expenses
Operating Profit and Profit before Taxation
Government Grants
Tax
Retained in subsidiary
The net assets and liabilities of the subsidiaries were:
Fixed assets
Current assets
Current liabilities
Total assets less current liabilities
Provisions for liabilities
Net assets
Aggregate share capital and reserves		 2021
£
6,952
213
6,739
14,856
(8,117)
2,445
26
(5,646)
22,228
17,551
(14,855)
24,924
(342)
24,582
24,582		 2020
£
15,705
1,524
14,181
16,161
(1,980)
-
146
(2,126)
27,378
19,498
(16,280)
30,596
(368)
30,228
30,228

25

NISHKAM HEALTHCARE TRUST Notes to the Consolidated Financial Statements

for the year ended 31 March 2021

5. Analysis of expenditure on charitable activities

Support costs
Premises costs
Governance costs
Staff costs
Total		 Management
£
18,505
46,301
-
20,767
85,573		 Governance
cost
£
-
-
5,700
-
5,700		 Totals
£
18,648
40,524
7,620
20,770
87,562

6. Analysis of governance and support costs

Audit fees
Accountancy fees
Cleaning
Security costs
Repairs & renewals
Administration
Depreciation
Total		 Administration
£
-
1,900
1,825
3,504
2,589
5,457
3,230
18,505		 Governance
cost
£
5,700
-
-
-
-
-
5,700		 Totals
£
7,620
2,737
1,035
3,564
2,081
5,460
3,771
26,268

7. Group Net (expenditure)/income

Net (expenditure)/income is stated after charging:

Auditor’s remuneration
Depreciation - owned assets
Computer software amortisation
Total
8. Group staff costs
Wages and salaries
Social security costs
Pension costs
Total		 2021
£
12,900
12,852
888
26,640
2021
£
185,047
9,609
2,910
197,566		 2020
£
15,420
13,735
888
30,043
2020
£
165.990
8,544
2,554
177,088

26

NISHKAM HEALTHCARE TRUST Notes to the Consolidated Financial Statements for the year ended 31 March 2021

Group staff costs – continued

No employees had employee benefits in excess of £60,000 (2020: nil).

The key management of the parent charity, the Trust, comprises of the trustees and the business development officer. The total employee benefits of the key management personnel of the Trust was £20,767 (2020: £20,770)

The key management personnel of the group comprise those of the Trust and the key management personnel of its wholly owned subsidiaries. The key management personnel of the subsidiaries are the manager whose employee benefits total £44,627 (2020: £47,214). The employee benefit of the key management for the group was therefore £65,394 (2020: £67,984).

9. Trustees’ remuneration and benefits

Trustees’ remuneration

There were no trustees’ remuneration or other benefits for the ended 31 March 2021 nor for the year ended 31 March 2020.

Trustees’ expenses

There were no trustees’ expenses paid for the year ended 31 March 2021 nor for the year ended 31 March 2020.

10. Group staff numbers

Trading
Charitable activities
Total
11. Taxation
Current Tax
UK Corporation Tax
Deferred Tax
Total		 2021
Number
14
1
15
2021
£
1,230
(394)
836		 2020
Number
14
1
15
2020
£
17,421
(191)
17,230

27

NISHKAM HEALTHCARE TRUST Notes to the Consolidated Financial Statements

for the year ended 31 March 2021

12. Comparatives for the statement of financial activities

Income from donations and legacies:
Donations
Income from charitable activities:
Administration
Income from other trading activities
Commercial trading operations
Investment income
Total
Expenditure
Cost of raising funds:
Commercial trading operations
Expenditure on charitable activities
Charitable activities
Total expenditure
Net income/(expenditure) and net movement in funds for the year
Reconciliations of funds
Fund balance brought forward
Total funds carried forward		 Unrestricted
fund
£
30,875
-
1,146,571
48,850
1,226,296
1,038,237
86,059
1,124,296
102,000
386,780
488,780		 Restricted
fund
£
-
-
-
-
-
-
-
-
-
-		 2020 Total
funds
£
30,875
-
1,146,571
48,850
1,226,296
1,038,237
86,059
1,124,296
102,000
386,780
488,780

13. Group Intangible Fixed Assets

Cost
At 1 April 2020
and 31 March 2021
Amortisation
At 1 April 2020
Charge for the year
At 31 March 2021
Net Book Value
At 31 March 2021
At 31 March 2020		 Computer
software
£
24,446
21,930
888		 Computer
software
£
24,446
21,930
888
,
888
22,818
1,628
2,516

28

NISHKAM HEALTHCARE TRUST Notes to the Consolidated Financial Statements

for the year ended 31 March 2021

14. Group Tangible fixed assets

Costs
At 1 April 2020
Additions
Disposals
At 31 March 2021
Depreciation
At 1 April 2020
Charge for the year
Disposal
At 31 March 2021
Net Book Value
At 31 March 2021
At 31 March 2020
Charity Tangible Fixed Assets
Costs
At 1 April 2020 and 31 March 2021
Depreciation
At 1 April 2020
Charge for the year
At 31 March 2021
Net Book Value
At 31 March 2021
At 31 March 2020		 Improvements
to property
£
108,969
-
-
108,969
40,571
5,768
-
46,339
62,630
68,398
Improvements
to property
23,477
16,178
2,347
18,525
4,952
7,299		 Fixtures and
fittings
£
72,635
-
-
72,635
40,953
6,035
-
46,988
25,647
31,682
Fixtures and
fittings
23,243
22,360
883
23,243
-
883		 Motor
vehicle
9,682
-
-
9,682
2,686
1,049
-
3,735
5,947
6,996		 Totals
£
191,286
-
-
191,286
84,210
12,852
-
97,062
94,224
107,076
Totals
46,720
38,538
3,230
41,768
4,952
8,182

15. Fixed asset investments

The charity holds 1 ordinary share of £1 in Nishkam Pharmacy Limited, which was purchased at a premium of £151,312. In addition, the charity owns 100 ordinary shares of £1 each in Nishkam Dental Care Limited, which were issued at a premium of £35,578. In addition, the company holds 1 ordinary share in Nishkam Security Limited, representing a 25% holding in this company, the detail of which are as follows:

29

NISHKAM HEALTHCARE TRUST Notes to the Consolidated Financial Statements

for the year ended 31 March 2021

Fixed asset investment – continued

Nishkam Security Limited

Nature of business: Security provider

2021 2020
£
Class of share: Ordinary Holding 25%
Aggregate capital and reserves 59,651 31,601
Profit/(loss) for the year 28,052 19,845

Nishkam Security Limited is a company that provides security services to the various charities operated from the Soho Road Campus under the lead charity Guru Nanak Nishkam Sewak Jatha (Birmingham) UK. The remaining shareholding is split between the associated charities that utilise the services of this company.

16. Stock

Pharmaceutical products
17. Debtors
Trade debtors
Other debtors
Prepayments
VAT
Amounts owed by group undertakings
Total		 Group
2021
£
42,430
Group
2020
£
51,063		 Charity
2021
£
-
Charity
2021
£
515
539
783
-
28,326
30,163		 Charity
2020
£
-
Charity
2020
£
11,540
-
427
-
13,668
Group
2021
£
202,001
717
3,825
21,087
-
227,630		 Group
2020
£
185,672
3,173
3,012
20,487
-
212,344
25,635

18. Creditors: Amounts falling due within one year

Trade creditors
Other creditors
Accruals
Deferred income
Social security and other taxes
Total		 Group
2021
£
131,517
37,963
32,596
-
5,003
207,079		 Group
2020
£
144,886
75
24,830
11,540
18,521
199,852		 Charity
2021
£
1,161
-
8,002
-
732
9,895		 Charity
2020
£
1,079
75
9,920
11,540
135
22,749

30

NISHKAM HEALTHCARE TRUST Notes to the Consolidated Financial Statements

for the year ended 31 March 2021

19. Deferred income

Deferred income comprises advance room rentals receivable.

Balance as at 1 April 2020
Amount released to income earned from charitable activities
Balance as at 31 March 2021		 Group
£
11,540
(11,540)
-		 Charity
£
11,450
(11,450)
-

20. Movement in group funds

At 1 April 2020
£
Unrestricted Funds
Unrestricted fund
488,780
Net movement in funds, included in the above are as follows:
Incoming
resources
£
Unrestricted funds
unrestricted fund
1,159,980
Comparatives for movement in group funds
At 1 April 2019
£
Unrestricted Funds
unrestricted fund
386,780
Comparative net movement in funds, included in the above are as follows:
Incoming
resources
£
Unrestricted funds
unrestricted fund
1,226,296		 Net movement
in funds
£
At 31 March
2021
19,362
508,142
Resources
expended
£
Movement in
funds
£
1,140,618
19,362
Net movement
in funds
£
At 31 March
2020
102,000
488,780
Resources
expended
£
Movement in
funds
£
1,124,296
102,000

31

NISHKAM HEALTHCARE TRUST Notes to the Consolidated Financial Statements for the year ended 31 March 2021

Movement in group funds - continued

A current year 12 months and prior year 12 months combined position is as follows:

At 1 April 2019
£
Unrestricted funds
General fund
386,780
Total
386,780
A current year 12 months and prior year 12 months combined net movement in funds,
follows:
Incoming
resources
£
Unrestricted funds
General fund
2,386,276
Total
2,386,276
21. Analysis of net assets between funds
Fixed assets
Stocks
Debtors
Cash at bank and in hand
Creditors – amounts falling due within one year
Creditors – amounts more than one year
Balance as at 31 March 2020		 Net movement
in funds
At 31 March
2021
£
£
121,362
508,142
121,362
508,142
included in the above are as
Resources
expended
Movement in
funds
£
£
2,264,914
121,362
2,264,914
121,362
Unrestricted
fund
2021
£
Unrestricted
fund
2020
£
95,852
109,592
42,430
51,063
227,630
212,344
351,740
318,458
(207,079)
(199,852)
(2,431)
(2,825)
508,142
488,780		 At 31 March
2021
£
508,142		 At 31 March
2021
£
508,142
508,142
121,362
Unrestricted
fund
2020
£
109,592
51,063
212,344
318,458
(199,852)
(2,825)
488,780

22. Related party disclosures

During the year, the following connected parties and transactions were identified:

Guru Nanak Nishkam Sewa Jatha (Birmingham) UK

An unincorporated charity in which the trusted Mohinder Singh Ahluwalia and J P S Chandan were trustees. Nishkam Healthcare Trust operates from premises at 21 Soho Road, a freehold held by Guru Nanak Nishkam Sewak Jatha (Birmingham) UK.

32

NISHKAM HEALTHCARE TRUST Notes to the Consolidated Financial Statements for the year ended 31 March 2021

Nishkam Civic Association

A charity in which the trustees Mohinder Singh Ahluwalia, PS Jhutti and JPS Chandan were trustees.

Nishkam Security Limited

A 25% owned subsidiary of Nishkam Healthcare Trust.

Nishkam School Trust

A Charity in which the trustee Mohinder Singh Ahluwalia was the patron, Upkar Singh Pardesi was a trustee and governor and Shaminder Rai was a governor.

Sangat Trust

A charitable company in which Trustee Mohinder Singh Ahluwalia has been a trustee.

2021 2020
£ £
During the year the charity purchased the following services:
Nishkam Civic Association 900 637
Nishkam Security Limited 3,504 3,942
Sangat Trust - 1,200
During the year, the charity paid the following rent:
Guru Nanak Nishkam Sewa Jatha (Birmingham) UK 30,000 30,000
During the year, the charity received the following donations:
Guru Nanak Nishkam Sewa Jatha (Birmingham) UK 30,000 30,000
During the year, the charity provided the following services:
Guru Nanak Nishkam Sewa Jatha (Birmingham) UK 5,455 6,397
Nishkam School Trust 87 180
At the end of the year the charity owed the following:
Nishkam Civic Association - 75

23. Ultimate controlling party

The Trustees consider that the charity is jointly controlled by the Trustees and there is no ultimate controlling party.

24. Operating leases

The operating lease commitment relates to the lease of 21 Soho Road form Guru Nanak Nishkam Sewa Jatha (Birmingham) UK. During the year, this property was sub-let to Nishkam Pharmacy Ltd for the same annual rent. At the year end the company had total commitments under operating leases expiring within 3 years of £90,000.

33

ismkam Heamhcare Tnjst