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2024-03-31-accounts

REGISTERED CHARITY NUMBER: 508470

ANNUAL REPORT OF THE TRUSTEES & FINANCIAL STATEMENTS 2023 - 2024

Caring with Compassion, Helping with Humility, Listening with Love

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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

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CONTENTS Pages
Nishkam Healthcare Trust’s Approach 4
Trustees’ Report 5 to 6
Nishkam Pharmacy 7 to 9
Nishkam Dental Care 10 to 11
Nishkam Mental and Emotional Wellbeing Service 12
Events at Nishkam Healthcare Centre Phase 2 13 to 15
Nishkam Start of Life Care Project 16 to 19
Other Health Engagements 20 to 21
Trustees Responsibilities Statement 22
Independent Auditor's Report 23 to 26
Consolidated Statement of Financial Activities 27
Charity Statement of Financial Activities
28
Consolidated Statement of Financial Position 29
Charity Statement of Financial Position
30
Consolidated Cash Flow Statement 31
Notes to the Financial Statements 32 to 51

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A Unique Approach

The Nishkam Healthcare Trust brings together experienced medical professionals who are passionate about serving their community. The emphasis is placed around lovingly listening to the concerns of people, and striving to address the root cause of disease through emphasis on prevention and patient empowerment, whilst still offering treatment where this is needed. The incorporation of faith-inspired values with medical care practices creates a holistic approach to healing and the long term wellbeingof the community.

A key part of the mind-set is to strive for ‘Sarbat da Bhalla’ - the goodwill, good wishesand 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 wellbeingand the relief of sickness.

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 institutions face the pressures of increasing patient care demands and decliningresource availability.

Health professionals are expected to act and deliver with:

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 PiAAltbnA eR Teint satan eanintacnd Aan nan abncitne in VNAD Tha Teri nt alann ta nnn than LAnnl nnwnwniinians 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 stakeholders.

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TRUSTEES’ REPORT

The Trustees present their report with the financial statements of the charity for the year ended 31 March 2024. 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) (effective1 January 2015).

Goingconcern

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 goingconcern

Investment policy and objectives

REFERENCEANDADMINISTRATIVEDETAILS

Incorporation

The charitable company wasincorporated on 21 December 2012

Registered Company number 08339604 (England and Wales)

Registered Charity number 1154295

Principal Address

18 -20 Soho Road Handsworth Birmingham B21 9BH

Trustees Mr Ranjit Sondhi Dr Brinder Singh Mahon Prof Steve Field Dr Sarabjit Singh Chandan Dr Manvir Kaur Hayer Mr Paul Warwick Jennings

Auditors BSN AssociatesLimited 3B Swallowfield Courtyard Wolverhampton Road Oldbury, West Midlands B69 2JG

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 fundsraised are to be expected asachievingthe objectivesof the charity.

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

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 health screening events and health educational events.

STRUCTURE, GOVERNANCEANDMANAGEMENT

Governingdocument

The charity is controlled by its governing document, a deed of trust, and constitutesa charitabletrust.

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.

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Trustees

Ranjit Sondhi CBE , Has served extensively on national regulatory and governing bodies including the Commission for Racial Equalities, the BBC, the National Gallery, the Criminal Cases Review Commission and Guide Dogs for the Blind. He was Chair of the former Heart of Birmingham PCT, vice-chair of the former Sandwell and West Birmingham Clinical Commissioning Group (CCG), and lay member of the former Black Country and West Birmingham CCG. He is also a senior lecturer at the Universityof Birmingham.

Professor Steve Field CBE , Chair at Walsall Healthcare NHS Trust and a Trustee for Pathway Healthcare for Homeless People. He has served as Chief Inspector of General Practice, Primary Medical Services and Integrated Care at the Care Quality Commission (CQC). He has held several board positions in the NHS including, Deputy National Medical Director at NHS England, Regional Postgraduate Dean for NHS West Midlands and Chairman of the NHS Inclusion Health Board at the Department of Health, Chairman of The Royal College of GPs, and has been a faculty member at the Harvard Macy Institute of Harvard University in the USA. He has been awarded a number of honorary degrees and also holds academic appointments at the University of Birmingham and the University of Warwick.

Charitable Trust, which offers unique lifestyle opportunities for care and residential home residents for ten years, with three years as Chair. He led the Chief Executive’s Group for Health and Local Government across Birmingham and Solihull, and was at the forefront of a merger of three Clinical Commissioning Groups to create the largest CCG (now BSOL ICS) in England. In addition, he is the present Chair of Hospice UK, and a director at St Giles Hospice, and Welcome WellbeingCIC.

ACHIEVEMENTANDPERFORMANCE FINANCIALREVIEW

Reservespolicy

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

Principal fundingsources

During the period the Group generated income of £1,519,611 and expensed a total of £1,676,299 leaving a deficit of £156,688.

Total reserves at the balance sheet date were £676,540, which the Trustees consider to be adequate to continue the Charity’songoing objectives.

Public benefit

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 GPlocum agency.

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 followingway.

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

Mr Paul Warwick Jennings, CEO at NHS Warwickshire

Has >40 years of experience across a range of NHS organisations, including critical care and services for older people, was made a Fellow of the Faculty of Public Health in 2010 for his work to address inequality in health and social care. He supported the ExtraCare

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Pharmacy

NISHKAM PHARMACY

Over the last financial year we have appointed care homes to allow us to do outreach work.

The pharmacy went through a lean sigma six process improvements approach that uses a collaborative team effort to improve performance by systematically removing operational waste and reducing process variation which benefited the department.

176 hrs of volunteer time as front house counter assistance, saving of £2,024.

22 hrs of voluntary pharmacist hours saving £660.

Nishkam Pharmacy have been working closely with CGL which has allowed us to provide inpatient treatment service

by supplying medication. Further discussions are in place on how we can make a sustainable integrated model of working.

Nishkam Pharmacy continues to prioritise health promotion and work closely with the wider health team to offer health screening events with free blood pressure checks, blood glucose checks, BMI checks as well as answer general health querieson healthy lifestyle.

The pharmacy continues to grow its niche in substance abuse. The team are working closely with Crime, Grow and Live which is a national health and social charity, that helps with challenges including drugs and alcohol. This is especially important in Handsworth where there is a substantial proportion of people dependent on illicit substances and who need support to wean of this. The pharmacy is also continuing to focus on minor ailments services. In addition, the team have worked closely with local GPs in the past year linking rapid access to cardivascular disease treatment following pharmacy blood pressure health checks in high risk/ hard to reach population.

We have purchased Nishkam Pharmacy and will be supporting them to meet targets to have a sustainable business, working with a team from a corporate organisation to a charity based.

Community Value

Participated in the king’s coronation which allowed the pharmacy team to provide free blood pressure checks and blood glucose checks, serving a footfall of over 500 people to have general health checks on the day.

Working alongside university students on community placements in the dispensary, inspiring future

pharmacists.

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Receiving of the Keys of Nishkam Pharmacy Villa Road

Date: Thursday 31[st] August 2023

The pharmacy was purchased to offer further health services to local communities through delivery of pharmacy services and through working closely with local GPs for the benefit of patients.

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Cl)ogle Peview for P£)th Fharmaaes RBZ 23 reviews ' 9 photos sss75 Local Guide . 29 reviews . 7 Photos * 7Jun2023 l Ju12023 Quick sepiice and good advice given All good l just come get my medlclne .thats all. Megan 16 reviews . 2 Photos 16 Jul 2023 Open late. Helpful over the phone. with courteous and prompt service in person. Aijaz Hussain 10 reviews . O pholos 51 weeks ago INO rrtlej Niksharn pharmacy staff is very helpful.and pharmacy situated in an excellent place and opens late Night,and i always find medicines from this pharmacy shop.thanks Olivia 1 review 9rnonthsago The chemist on Villa road pharniacy called nishkam has been so good for myself they are always so kind polite and very g¢)od to all custorn that passes through their doors on a daily basis Sarabjit Pall J re'.'ie,.'Is 11monthsago Staff here work very hard to meel the needs of the challenging communty. AJI the team have dealt with my queries professionally and are helpful. Welldone to the team. Kiran Begum Local Guide . 15 reviews . O photos ** 51 weeks ago Nice and friendly

Dental Care

NISHKAM DENTALCARE

Nishkam Dental care (NDC) is unique private health care service. A service that is run by Volunteer dentists who dedicate their time and expertise to provide high quality expert dental care for our patients. To date the team have seen 756 patients.

In line with the values of the Nishkam Healthcare Trust, NDC is a not-for-profit service and with its unique and innovative operational model, the service offers patients access to high quality dental care at a budget that suitsthem.

Although a fee structure does exist, patients are given the choice to contribute what they feel they can afford. Regardless of the fee contribution, the treatment is always carried out to the highest of standards.

The benefits of bilingual dental team allow accessibility to dental care, patients can communicate with the dentist which increases a sense of trust, familiarity, feeling relaxed, less anxious and to reach out to patient’sneeds.

The team have served patients referred from other community-based organisations, such as Newbigin Community Trust, a place that provides a place of welcome, inclusion and social cohesion for neighbours in Winson Green and Handsworth area a rehabilitation for the homeless. This demonstrates a person-centred approach, caring with compassion doing Par-Upkar and partnership working with other organisations.

The Dental service continues to operate on the weekends only, with a team of 7 volunteers' dentist, 2 employed nurses, 1 volunteer dental nurse and 1 admin staff. The staff continue to dedicate their time and efforts to provide a very high level of care at affordable price scale in local deprived area and further more and participate in Health Awareness Day, giving general advice and care. The team’s commitment and selfservice is admirable, staff continuing to commute from long - distance such asLondon, Solihull, to Handsworth.

As part of the Nishkam Integrated Care Model the team work alongside other healthcare professionals to highlight where poor oral health may be a sign of, or potential lead to other forms of illness such as heart disease and diabetes. Improving patients’ oral health will in turn improve their overall health.

Nishkam Dental Care from April 2023 to March 2024 Total number of patients seen 618 from April 2023 to March 2024 Total number of Volunteer hrs 352 from April 2023 to March 2024 —-—

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Dental Care

The team The team continue to continue to grow grow by recruiting more Dentist bv recruiting more Dentist volunteers and volunteers and continue continue to to provide high vrovide high quality aualitv expert exper dental care for our patients.

Dentists volunteering their time at Health Awareness programs held and with the new Start of life project delivering education sessionsto expectant mums.

Nishkam Dental Care and Villa Road Pharmacy Basic Life

Support/ First Aid Training and Fire Marshall

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NISHKAM MENTAL AND EMOTIONAL WELLEBING SERVICE

Summary

The Nishkam Mental and Emotional Wellbeing Service (NMEWS) offers low-level counselling to adults through a holistic and values-led approach. The service is delivered by two qualified counsellors (0.2 and 0.8 FTE) and is best suited to users with low level mental health needs, such as low mood, anxiety, bereavement, isolation, or low selfconfidence. Between 6 and 10 free sessions are provided based on need and sessions can be delivered by phone, online, or in-person, in English, Punjabi or Urdu. If further support is required, NMEWS has established care connection pathways with local community partners providing help and referring into our service, including those dealing with finance, housing, education, welfare, benefits and employment. Such partners are the Nishkam Civic Association, Soho Road Job Centre, Birmingham and Solihull Mental Health Trust Neighbourhood Teams, Primary Care Networks/GPPractices,and local social prescribersbut to name a few.

AreaContext

Operating directly on Soho Road, the busiest road in Birmingham, Nishkam Healthcare Centre recognises the superdiversity of the Soho and Handsworth areas. The local neighbourhood is 93% comprised of individuals from Black and Minority Ethnic communities. The neighbourhood falls into the 1.6% of most deprived areas across the country with a number of poor health, socioeconomic and environmental outcomes. With a low healthy life expectancy, half of older adults live below the poverty line as well asalmost half of children. Poor housing conditions, job security and low levels of opportunity make it particularly difficult for communities to overcome adversity and thrive in their lives.

Below, we have shared some of the key service delivery data between 6[th] April 2023 to 5[th] April 2024:

DemographicData

OutcomeData

The service has shown great demand for the service and potentially increase the service from 4 days to 5 days to meet the demand for the community. The NMEWS have ongoing collaboration work with local mental health agencies and stake holders as wells as other initiatives to implement the Long-Term Community Mental Health Transformation Plan and also part of the Start of Life project which ispart of Nishkam Integrated care model.

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EVENTS AT NISHKAM HEALTHCARE CENTRE

Promoting Living-Kidney Donation Over the Year

Our volunteers participated in several health engagement events over the year to raise awareness about living kidney donation. This including ITV news coverage, creating video clips uploaded onto our website and youtube channels, as well as delivering moving talks with real patients and nurses at health awareness events.

We mainly targeted the south-Asian populations, but did engage with other groups as well.

In total, we reached >70,000 people over the year.

A visit from Dr Kieran Donnelly, Clinical lead for Organ Donation at Sandwell and West Birmingham Hospitals Trust

Children’s Screening Event ELSA Study28/ 06/ 2023

On Wednesday, 28th of June, ‘Healthy children, healthy life' community event organized in collaboration with NHS and the University of Birmingham. Parents of children were invited to learn and engage in discussions about child health, ensuring a happy and healthy life prioritising child's well-being. 47 children screened.

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EVENTS AT NISHKAM HEALTHCARE CENTRE

Handsworth Community Cohesion Day 7[th] May 2023

This event was organized to celebrate the King’s Coronation. We undertook community health screening at this event, which was attended by several thousand people across the diverse communities of Handsworth.

We offered:

Cardiovascular health screening – BMI, BP, Blood Sugar Checks, screening for arrhythmia and basic lifestyle advice. Dental and eye care advice

Raised awareness about mental health

Our team included: 10 GPs / consultants, 6 pharmacists, 2 dispensers, 3 ophthalmologists / opticians, 3 dentists, 3 other healthcare professionals and also expert patients. 18 non-clinical people supported on the day. Total Cost saving from clinical staff £22,055. Total cost saving non-clinical £216.

Summary of key findings on the day:

489 people attended for health screening on the day

299 people underwent physical health checks.

28 people attended the eye care session

26 people attended the living kidney donation talk

133 males (44%)

Average age 56 years

Ethnicity: 9 Afro-Caribbean (3%), 259 Asian (87%), 21 Caucasian (7%), 10 Ethnicity unknown (3%)

Majority of people screened were either overweight (46%) and or obese (30%).

In total 16 emergencies or urgencies requiring intervention.

3 emergency ambulances called out on the day.

13 new cases of diagnosed high blood pressure were picked up on screening, of which 4 people has severely high BP. This equated to approximately 1 in 20 people (5%) having undiagnosed high blood pressure on the day.

There were 22 cases undiagnosed sickness (undiagnosed high BP, abnormal heart rhythm or high blood sugar) requiring urgent intervention. This equated to approximately 7% of the population having an undiagnosed condition.

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EVENTS AT NISHKAM HEALTHCARE CENTRE

Lolipop – South Asian biobank service – 27/09/2023

The London Life Sciences Prospective Population Study (LOLIPOP) research study will be using Nishkam healthcare centre as a site for a research study.

The primary aim of this research is to identify the genetic, environmental and lifestyle factors influencing health and disease, including diabetes and cardiovascular disease in South i) Asian populations, and to use the results to improve prediction and prevention of chronic disease.

Potential participants will be South Asian (originating from India, Pakistan, Sri Lanka, Bangladesh) and European men and women aged 18-85 years.

1,699 patients seen.

Women's Health Talk – Menopause Symptoms & Living Organ Donation A focus Group Event onation Awareness focus Group Even

49 women attended

6 hrs of volunteer's time

Sangat TV Launch event 18/ 02/ 2024

Promoting NMEWS and LKD

Over 300 people attended

15 hrs.' of volunteer time raising awareness About mental health, heart disease, kidney

Donation, whilst also gathering a better understanding people’s of local health needs.

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NISHKAM START OF LIFE CARE SYMPOSIUM 13[th] & 14[th] MARCH

Nishkam Start of Life Care, funded by Birmingham and Solihull Integrated Care Board (BSoL ICB), provides an antenatal service for pregnant ladies offering holistic support currently over a 12-week programme throughout their pregnancy. It is an innovative programme which integrates elements of health, social and community care. Sessions are educational, interactive, and practical and range from pregnancy support, education around delivery and post-natal care.

Sessions are delivered by a wide range of professionals including midwives, nurses, pharmacists, consultants, and other doctors. Clients receive holistic one to one care, and when the need is required are referred into appropriate linked services such as family support, befits and housing advice.

The project commenced in July 2023 and will run for a year. Over 60 women have participated so far.

Project Impact

Creation of integrated pathway between NHSand community organisations. Nishkam Start of Life Care’s mission is to give every child best start of life as inspired by faith-based values and clinical knowledge, to work collaboratively within an integrated neighbourhood system to offer health and wellbeing education fir start of life care and to create a safe support hub for parentsand families.

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Helped acce&s to anten2tal care in a deprived area Raised aw2reness ro high- risk pregnanr women on Chis cwrse Feedback froi?) parcicipaiifs: Was Ihe infori)iarion easy co uiidersrand? IIMP/o people asked said yes Qualiry of (he prog*raii)iiielii)aferials: Average score: 4.84 out of 5 Were (he presei)rers ei)bpagpiiigplsupporrive'. Aver2ge score: 4.9? out of 5 Were you ar easelfelt $2fe iii the enviroiiiiieiit at Nislikaii) Civic A4s0ciarioii? Average score: 4.975 our of s Overall experieiice of the start of life c2re prog?rai)iiiie: Average score: 4.¥25 our of s Nearly 131K) volunteers hours with 15 healrh professionals. Regular commitment from NHS organisations to develop integraied communiry parhways: S211dwell C¥ener21 Hospital. Biriiiiiibh21ll Coiniiiui)iry Healthcare. Ilirii)ii)ghai)I Woiiieii's Hospital. Chaiigpe Cirow Live, Biri)iiii&haiJi Solihull Meiital Healtli NHS Fouiidacioi) 'I'rusi. Lewishaii) aiid Cyrcciiwich NHS 'lru4c. Ni4hkai)i Deiital Care and Ni4likai)I Menral aiid Eliioiional Wellbeiiigy Service This includes: Two ph2rn]2CiSts; Two Obstetric$ 2nd Gynaecology specialiry &)cro Three inf2nr feeding and tongue rie nur￿￿. One neon2ril Nurse: One midwife consulianr, One midwife: Two dencisrs: One regisrered counsellor psychologisr: One specialist health visiior Loc21 support orgaiiisations: Sure Sr2rt. Groundwork West Midl2n&. Food Justice Network, Grow Baby. Flourish-Aston Pride He￿th Clinic

Photos from Nishkam Start of Life Care 18

Ismkam Heatlhcare Trust P6T

OTHER HEALTH ENGAGMENTS/ MEETINGS

Online key monthly meetings with Midlands Children & Young Peoples’ programme, regular updates on the start of life care programme.

Round Table Event January 17th 2024. Birmingham City Football Club

Flourish Quarterly Network meeting 25th January 2024 – Aston Pavilion, Aston Park, Trinity Road, Aston Bham.

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• th Meeting held on Wednesday 7 February 2024

• Attendees from Community Connextions:

• Dr. Christine Brut ( Research Scientist)

• Dr. Fatima Zakia

• Discussed on how we can work in collaboration to meet the community needs, incorporating the current services, Nishkam Mental Health & Start of Life care.

Barjinder Singh Hamdard

Managing Editor of the Punjabi newspaper Daily Ajit. He is also an ex-parliamentarian and

the son of famous Punjabi journalist and writer Sadhu Singh Hamdard.

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Nishkam Healthcare Trust

Company Limited by Guarantee

Trustees' Annual Report (Incorporating the Director's Report) (continued)

Year ended 31 March 2024

Trustees' responsibilities statement

The trustees, who are also directors for the purposes of company law, are responsible for preparing the trustees' report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

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

In preparing these financial statements, the trustees are required to:

The trustees are responsible for keeping adequate accounting records that are sufficient to show and explain the charity's transactions and disclose with reasonable accuracy at any time the financial position of the charity and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

Auditor

Each of the persons who is a trustee at the date of approval of this report confirms that:

The trustees' annual report and the strategic report were approved on …………… and signed on 12 November 2024 behalf of the board of trustees by:

Dr Hayer Trustee

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Nishkam Healthcare Trust

Company Limited by Guarantee

Independent Auditor's Report to the Members of Nishkam Healthcare Trust

Year ended 31 March 2024

Opinion

We have audited the financial statements of Nishkam Healthcare Trust (the 'charity') and the group for the year ended 31 March 2024 which comprise of the charity and group statement of financial activities (including income and expenditure account), the charity and group statement of financial position, statement of cash flows and the related notes, 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 FRS 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) (ISAs (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 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 charity'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.

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Nishkam Healthcare Trust

Company Limited by Guarantee

Independent Auditor's Report to the Members of Nishkam Healthcare Trust

(continued)

Year ended 31 March 2024

Other information

The other information comprises the information included in the annual report, other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other information. 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.

Opinions on other matters prescribed by the Companies Act 2006

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

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the charity and its environment obtained in the course of the audit, we have not identified material misstatements in the trustees' 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:

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Nishkam Healthcare Trust

Company Limited by Guarantee

Independent Auditor's Report to the Members of Nishkam Healthcare Trust (continued)

Year ended 31 March 2024

Responsibilities of trustees

As explained more fully in the trustees' responsibilities statement, the trustees (who are also the directors for the purposes of company law) 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 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 charity or to cease operations, or have no realistic alternative but to do so.

Auditor's 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:

Irregularities that result from fraud might be inherently more difficult than irregularities that result from error, which gives rise to a risk of material misstatement. We are of the opinion that the planned audit approach, the documentation and interrogation of the entity's controls means that the audit procedures carried out were capable of detecting irregularities, including fraud. We have also reviewed financial statement disclosures and tested these to supporting documentation to assess compliance with applicable laws and regulations. We have audited the risk of management override of controls, including through testing journal entries and other adjustments for appropriateness, and evaluating the business rationale of significant transactions outside the normal course of business. We have also made enquiries of entity staff in tax and compliance functions to identify any instances of non-compliance with laws and regulations and have reviewed correspondence with regulatory bodies as part of our audit procedures.

As part of an audit in accordance with ISAs (UK), we exercise professional judgment and maintain professional scepticism throughout the audit. We also:

25

Nishkam Healthcare Trust Company Limited by Guarantee Independent Auditor's Report to the Members of Nishkam Healthcare Trust (continued) Year ended 31 March 2024 Evaluate the appropriateness of accounting policies used and the reasonableness of accounting estimates and related disclosures made by the trustees. Conclude on the appropriateness of the trustees, use of the going concem basis of accounting and, based on the audit evidence obtained, whether a material uncertainty exists related to events or conditions that may cast significant doubt on the charity's ability to continue as a going concern. If we conclude that a material uncertainty exists, we are required to draw attention in our auditor's report to the related disclosures in the financial statements or, if such disclosures are inadequate, to modify our opinion. Our conclusions are based on the audit evidence obtained up to the date of our auditorfs report. However, future events or conditions may cause the charity to cease to continue as a going concern. Evaluate the overall presentation, structure and content of the financial statements, including the disclosures, and whether the financial statements represent the underlying transactions and events in a manner that achieves fair presentation. We communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit. Use of our report This report is made solely to the charity's members, 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 charity'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 members as a body, for our audit work, for this report, or for the opinions we have formed. FCA fc C44 Hannah Justice FCA FCCA (Senior Ststutory Auditor) For and on behalf of BSN Associates Limited Chartered accountants & statutory auditor 3B Swallowfield Coutyard Wolverhampton Road Oldbury West Midlands B69 2JG 12.. NaNaW.btr..knLIy 26

Nishkam Healthcare Trust

Company Limited by Guarantee

Consolidated Statement of Financial Activities (including income and expenditure account)

Year ended 31 March 2024

2024 2023
Unrestricted Restricted
funds funds Total funds Total funds
Restated
Note £ £ £ £
Income and endowments
Donations and legacies 5 30,000 67,156 97,156 30,000
Other trading activities 6 1,419,485 1,419,485 1,344,747
───────── ──────── ───────── ─────────
Total income 1,449,485 67,156 1,516,641 1,374,747
═════════ ════════ ═════════ ═════════
Expenditure
Raising funds: Commercial trading
operations 1,456,936 - 1,456,936 1,240,001
Expenditure on charitable activities 7,8 152,207 67,156 219,363 145,512
───────── ──────── ───────── ─────────
Total expenditure 1,609,143 67,156 1,676,299 1,385,513
═════════ ════════ ═════════ ═════════
Share of income in associate 2,970 - 2,970 1,343
───────── ──────── ───────── ─────────
Net income/(expenditure) and net
movement in funds (156,688) (156,688) (9,423)
═════════ ════════ ═════════ ═════════
Reconciliation of funds
Total funds brought forward 833,228 833,228 842,651
───────── ──────── ───────── ─────────
Total funds carried forward 676,540 676,540 833,228
═════════ ════════ ═════════ ═════════

The statement of financial activities includes all gains and losses recognised in the year. All income and expenditure derive from continuing activities.

The notes on pages 32 to 51 form part of these financial statements.

27

Nishkam Healthcare Trust

Company Limited by Guarantee

Charity Statement of Financial Activities (including income and expenditure account)

Year ended 31 March 2024

2024 2023
Unrestricted Restricted
funds funds Total funds Total funds
Note £ £ £ £
Income and endowments
Donations and legacies 54,000 67,156 121,156 348,700
Other trading activities 103,612 103,612 90,745
───────── ──────── ───────── ─────────
Total income 157,612 67,156 224,768 439,445
═════════ ════════ ═════════ ═════════
Expenditure
Expenditure on charitable activities 152,411 67,156 219,567 145,512
───────── ──────── ───────── ─────────
Total expenditure 152,411 67,156 219,567 145,512
═════════ ════════ ═════════ ═════════
───────── ──────── ───────── ─────────
Net income and net movement in funds 5,201 5,201 293,933
═════════ ════════ ═════════ ═════════
Reconciliation of funds
Total funds brought forward 630,744 630,744 336,811
───────── ──────── ───────── ─────────
Total funds carried forward 635,945 635,945 630,744
═════════ ════════ ═════════ ═════════

The statement of financial activities includes all gains and losses recognised in the year. All income and expenditure derive from continuing activities.

The notes on pages 32 to 51 form part of these financial statements.

28

Nishkam Healthcare Trust

Company Limited by Guarantee

Consolidated Statement of Financial Position

31 March 2024

Nishkam Healthcare Trust
Company Limited by Guarantee
Consolidated Statement of Financial Position
31 March 2024
2024 2023
Restated
Note £ £
Fixed assets
Intangible fixed assets - -
Tangible fixed assets 18 107,384 80,163
Investments 19 21,793 18,823
───────── ─────────
129,177 98,986
Current assets
Stocks 49,181 47,281
Debtors 21 137,697 267,063
Cash at bank and in hand 569,806 710,279
───────── ─────────
756,684 1,024,623
Creditors: amounts falling due within one year 22 203,956 288,255
───────── ─────────
Net current assets 552,728 736,368
───────── ─────────
Total assets less current liabilities 681,905 835,354
Provisions 5,365 2,126
───────── ─────────
Net assets 676,540 833,228
═════════ ═════════
Funds of the charity
Unrestricted funds 676,540 833,228
───────── ─────────
Total charity funds 27 676,540
═════════
833,228
═════════

These financial statements were approved by the board of trustees and authorised for issue on …………….. 2024, and are signed on behalf of the board by: 12 November 2024

Dr Hayer Trustee

The notes on pages 32 to 51 form part of these financial statements.

29

Nishkam Healthcare Trust

Company Limited by Guarantee

Charity Statement of Financial Position

31 March 2024

Nishkam Healthcare Trust
Company Limited by Guarantee
Charity Statement of Financial Position
31 March 2024
2024 2023
Note £ £
Fixed assets
Tangible fixed assets 18 12,640 5,491
Investments 19 186,992 186,991
───────── ─────────
199,632 192,482
Current assets
Debtors 21 50,826 98,224
Cash at bank and in hand 434,521 462,930
───────── ─────────
485,347 561,154
Creditors: amounts falling due within one year 22 49,034 122,892
───────── ─────────
Net current assets 436,313 438,262
───────── ─────────
Total assets less current liabilities 635,945 630,744
───────── ─────────
Net assets 635,945 630,744
═════════ ═════════
Funds of the charity
Unrestricted funds 635,945 630,744
───────── ─────────
Total charity funds 635,945
═════════
630,744
═════════

These financial statements were approved by the board of trustees and authorised for issue on 12 November 2024 ……………. 2024, and are signed on behalf of the board by:

(wr Dr Hayer Trustee

The notes on pages 32 to 51 form part of these financial statements.

30

Nishkam Healthcare Trust

Company Limited by Guarantee

Consolidated Statement of Cash Flows

Year ended 31 March 2024

2024 2023
£ £
Cash flows from operating activities
Net income (156,688) (9,423)
Adjustments for:
Depreciation of tangible fixed assets 14,496 13,255
Share of associate profit (2,970) (1,343)
Tax in subsidiaries 3,239 (677)
Changes in:
Stocks (1,900) 2,131
Trade and other debtors 129,366 (2,012)
Trade and other creditors (84,299) 42,242
──────── ─────────
Cash generated from operations (98,756) 44,173
──────── ─────────
Net cash (used in)/from operating activities (98,756) 44,173
════════ ═════════
Cash flows from investing activities
Purchase of tangible assets (41,717) (5,646)
──────── ─────────
Net cash used in investing activities (41,717) (5,646)
════════ ═════════
Net (decrease)/increase in cash and cash equivalents (140,473) 38,527
Cash and cash equivalents at beginning of year 710,279 671,752
───────── ─────────
Cash and cash equivalents at end of year 569,806 710,279
═════════ ═════════

The notes on pages 32 to 51 form part of these financial statements.

31

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements

Year ended 31 March 2024

1. General information

The charity is a public benefit entity and a private company limited by guarantee, registered in England and Wales and a registered charity in England and Wales. The address of the registered office is 21 Soho Road, Birmingham, B21 9SN.

2. Statement of compliance

These financial statements have been prepared in compliance with FRS 102, 'The Financial Reporting Standard applicable in the UK and the Republic of Ireland', the 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) (Charities SORP (FRS 102)) and the Companies Act 2006.

3. Accounting policies

Basis of preparation

The financial statements have been prepared on the historical cost basis, as modified by the revaluation of certain financial assets and liabilities and investment properties measured at fair value through income or expenditure.

The financial statements are prepared in sterling, which is the functional currency of the entity.

Consolidation

The financial statements consolidate the financial statements of Nishkam Healthcare Trust and all of its subsidiary undertakings.

The results of subsidiaries acquired or disposed of during the year are included from or to the date that control passes.

Going concern

There are no material uncertainties about the charity's ability to continue.

Judgements and key sources of estimation uncertainty

The preparation of the financial statements requires management to make judgements, estimates and assumptions that affect the amounts reported. These estimates and judgements are continually reviewed and are based on experience and other factors, including expectations of future events that are believed to be reasonable under the circumstances.

Income tax

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

For trading subsidiaries the taxation expense represents the aggregate amount of current and deferred tax recognised in the reporting period. Tax is recognised in profit or loss, except to the extent that it relates to items recognised in other comprehensive income or directly in equity. In this case, tax is recognised in other comprehensive income or directly in equity, respectively.

32

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements

Year ended 31 March 2024

3. Accounting policies (continued)

Income tax (continued)

Current tax is recognised on taxable profit for the current and past periods. Current tax is measured at the amounts of tax expected to pay or recover using the tax rates and laws that have been enacted or substantively enacted at the reporting date.

Deferred tax is recognised in respect of all timing differences at the reporting date. Unrelieved tax losses and other deferred tax assets are recognised to the extent that it is probable that they will be recovered against the reversal of deferred tax liabilities or other future taxable profits. Deferred tax is measured using the tax rates and laws that have been enacted or substantively enacted by the reporting date that are expected to apply to the reversal of the timing difference.

Fund accounting

Unrestricted funds are available for use at the discretion of the trustees to further any of the charity's purposes.

Restricted funds are subjected to restrictions on their expenditure declared by the donor or through the terms of an appeal, and fall into one of two sub-classes: restricted income funds or endowment funds.

Incoming resources

All incoming resources are included in the statement of financial activities when entitlement has passed to the charity; it is probable that the economic benefits associated with the transaction will flow to the charity and the amount can be reliably measured. The following specific policies are applied to particular categories of income:

33

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

3. Accounting policies (continued)

Resources expended

Expenditure is recognised on an accruals basis as a liability is incurred. Expenditure includes any VAT which cannot be fully recovered, and is classified under headings of the statement of financial activities to which it relates:

All costs are allocated to expenditure categories reflecting the use of the resource. Direct costs attributable to a single activity are allocated directly to that activity. Shared costs are apportioned between the activities they contribute to on a reasonable, justifiable and consistent basis.

Operating leases

Lease payments are recognised as an expense over the lease term on a straight-line basis. The aggregate benefit of lease incentives is recognised as a reduction to expense over the lease term, on a straight-line basis.

Intangible assets

Intangible assets are initially recorded at cost, and are subsequently stated at cost less any accumulated amortisation and impairment losses. Any intangible assets carried at revalued amounts, are recorded at the fair value at the date of revaluation, as determined by reference to an active market, less any subsequent accumulated amortisation and subsequent accumulated impairment losses.

Amortisation

Amortisation is calculated so as to write off the cost of an asset, less its estimated residual value, over the useful life of that asset as follows:

Computer software

If there is an indication that there has been a significant change in amortisation rate, useful life or residual value of an intangible asset, the amortisation is revised prospectively to reflect the new estimates.

Tangible assets

Tangible assets are initially recorded at cost, and subsequently stated at cost less any accumulated depreciation and impairment losses. Any tangible assets carried at revalued amounts are recorded at the fair value at the date of revaluation less any subsequent accumulated depreciation and subsequent accumulated impairment losses.

34

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

3. Accounting policies (continued)

Depreciation

Depreciation is calculated so as to write off the cost or valuation of an asset, less its residual value, over the useful economic life of that asset as follows:

Improvements to property - 4-10% straight line Fixtures and fittings - 10-20% straight line and 15% reducing balance Motor vehicles - 15% reducing balance

Investments

Unlisted equity investments are initially recorded at cost, and subsequently measured at fair value. If fair value cannot be reliably measured, assets are measured at cost less impairment.

Investments in associates

Investments in associates accounted for in accordance with the cost model are recorded at cost less any accumulated impairment losses.

Investments in associates accounted for in accordance with the fair value model are initially recorded at the transaction price. At each reporting date, the investments are measured at fair value, with changes in fair value taken through income or expenditure. Where it is impracticable to measure fair value reliably without undue cost or effort, the cost model will be adopted.

Dividends and other distributions received from the investment are recognised as income without regard to whether the distributions are from accumulated profits of the associate arising before or after the date of acquisition.

Impairment of fixed assets

A review for indicators of impairment is carried out at each reporting date, with the recoverable amount being estimated where such indicators exist. Where the carrying value exceeds the recoverable amount, the asset is impaired accordingly. Prior impairments are also reviewed for possible reversal at each reporting date.

For the purposes of impairment testing, when it is not possible to estimate the recoverable amount of an individual asset, an estimate is made of the recoverable amount of the cash-generating unit to which the asset belongs. The cash-generating unit is the smallest identifiable group of assets that includes the asset and generates cash inflows that largely independent of the cash inflows from other assets or groups of assets.

For impairment testing of goodwill, the goodwill acquired in a business combination is, from the acquisition date, allocated to each of the cash-generating units that are expected to benefit from the synergies of the combination, irrespective of whether other assets or liabilities of the charity are assigned to those units.

35

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

3. Accounting policies (continued)

Stocks

Stocks are measured at the lower of cost and estimated selling price less costs to complete and sell. Cost includes all costs of purchase, costs of conversion and other costs incurred in bringing the stock to its present location and condition.

Provisions

Provisions are recognised when the entity has an obligation at the reporting date as a result of a past event, it is probable that the entity will be required to transfer economic benefits in settlement and the amount of the obligation can be estimated reliably. Provisions are recognised as a liability in the statement of financial position and the amount of the provision as an expense.

Provisions are initially measured at the best estimate of the amount required to settle the obligation at the reporting date and subsequently reviewed at each reporting date and adjusted to reflect the current best estimate of the amount that would be required to settle the obligation. Any adjustments to the amounts previously recognised are recognised in profit or loss unless the provision was originally recognised as part of the cost of an asset. When a provision is measured at the present value of the amount expected to be required to settle the obligation, the unwinding of the discount is recognised as a finance cost in profit or loss in the period it arises.

Financial instruments

A financial asset or a financial liability is recognised only when the entity becomes a party to the contractual provisions of the instrument.

Basic financial instruments are initially recognised at the amount receivable or payable including any related transaction costs, unless the arrangement constitutes a financing transaction, where it is recognised at the present value of the future payments discounted at a market rate of interest for a similar debt instrument.

Current assets and current liabilities are subsequently measured at the cash or other consideration expected to be paid or received and not discounted.

Debt instruments are subsequently measured at amortised cost.

Defined contribution plans

Contributions to defined contribution plans are recognised as an expense in the period in which the related service is provided. Prepaid contributions are recognised as an asset to the extent that the prepayment will lead to a reduction in future payments or a cash refund.

When contributions are not expected to be settled wholly within 12 months of the end of the reporting date in which the employees render the related service, the liability is measured on a discounted present value basis. The unwinding of the discount is recognised as an expense in the period in which it arises.

4. Limited by guarantee

The charity is a company limited by guarantee. The members of the company are the trustees named on page 1. In the event of the charity being wound up, the liability in respect of the guarantee is limited to £10 per member of the charity.

36

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

5. Donations and legacies

Unrestricted Restricted Total Funds
Funds Funds 2024
£ £ £
Donations
Donations 30,000 30,000
Grants
Grants receivable 67,156 67,156
──────── ──────── ─────────
30,000 67,156 97,156
════════ ════════ ═════════
Unrestricted Restricted Total Funds
Funds Funds 2023
£ £ £
Donations
Donations 30,000 30,000
Grants
Grants receivable
───────── ──── ─────────
30,000 30,000
═════════ ════ ═════════
Other trading activities
Unrestricted Total Funds Unrestricted Total Funds
Funds 2024 Funds 2023
£ £ £ £
Room hire 86,669 86,669 60,670 60,670
Other income 3,618 3,618 15,478 15,478
Commercial trading operations 1,329,131 1,329,131 1,268,599 1,268,599
Investment income 67 67 - -
───────── ───────── ──────── ────────
1,419,485 1,419,485 1,344,747 1,344,747
═════════ ═════════ ════════ ════════
Expenditure on charitable activities by fund type
Unrestricted Restricted Total Funds
Funds Funds 2024
£ £ £
Direct costs of charitable activities 108,018 32,841 140,859
Support costs 44,189 34,315 78,504
───────── ──────── ─────────
152,207 67,156 219,363
═════════ ════════ ═════════
Unrestricted Restricted Total Funds
Funds Funds 2023
£ £ £
Direct costs of charitable activities 77,769 77,769
Support costs 67,743 67,743
───────── ──── ─────────
145,512 145,512
═════════ ════ ═════════

6. Other trading activities

7. Expenditure on charitable activities by fund type

37

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

8. Expenditure on charitable activities by activity type

Activities
undertaken Grant funding Total funds Total fund
directly of activities Support costs 2024 2023
£ £ £ £ £
Direct costs of charitable
activities 108,222 32,841
70,584
211,647 138,115
Governance costs
7,920
7,920 7,397
───────── ──────── ──────── ───────── ─────────
108,222 32,841
78,504
219,567 145,512
═════════ ════════ ════════ ═════════ ═════════
9. Analysis of support costs
Charitable
activities Total 2024 Total 2023
£ £ £
Staff costs 58,975 58,975 43,877
General office 6,146 6,146 10,711
Legal and professional 3,020 3,020 3,000
Depreciation 2,443 2,443 2,758
──────── ──────── ────────
70,584 70,584 60,346
════════ ════════ ════════
10. Analysis of grants
2024 2023
£ £
Grants to institutions
Nishkam Civic Association 32,841
──────── ────
Total grants 32,841
════════ ════
11. Net (Expenditure)/ income
Net (expenditure)/income is stated after charging/(crediting):
2024 2023
£ £
Amortisation of intangible assets - 740
Depreciation of tangible fixed assets 14,496 12,515
═══════ ═══════
12. Auditors remuneration
2024 2023
£ £
Fees payable for the audit of the financial statements 11,300 11,680
═══════ ═══════

38

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

13. Staff costs

The total staff costs and employee benefits for the reporting period are analysed as follows:

2024 2023
£ £
Wages and salaries 285,950 219,178
Social security costs 13,052 8,425
Employer contributions to pension plans 5,064 3,292
──────── ────────
304,066 230,895
════════ ════════

The average head count of employees during the year was 16 (2023: 14). The average number of full-time equivalent employees during the year is analysed as follows:

Trading
Charitable activities
2024
2023
No.
No.
14
12
2
2
────────
────────
16
14
════
════

No employee received employee benefits of more than £60,000 during the year (2023: Nil).

The key management of the parent charity, the Trust, comprises of the trustees who receive no remuneration for their services.

The key management personnel of the group comprise those of the Trust who receive no remuneration for their services.

14. Trustee remuneration and expenses

There were no trustees’ remuneration or other benefits for the ended 31 March 2024 nor for the year ended 31 March 2023.

There were no trustees’ expenses paid for the year ended 31 March 2024 nor for the year ended 31 March 2023.

15. Taxation

Taxation included in the trading subsidiaries:

2024 2023
£ £
Current tax - -
Deferred tax 3,239 (677)
──────── ────────
3,239 (677)
════════ ════════

39

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

16. Incoming resources from other activities for generating funds

The charitable trust wholly owns 100% of the share capital of the following trading subsidiaries:

Subsidiary Country of Incorporation Company
number
Nishkam Pharmacy Limited England and Wales 08341597
Nishkam Dental Care Limited England and Wales 09520055
NPVR Limited England and Wales 14764588

A summary of the financial performance of each of the subsidiaries is shown below:

Nishkam Pharmacy Limited:
Turnover
Cost of sales
Gross Profit
Administration expenses
Interest received
Interest paid
Other operating income
Operating Profit and Profit before Taxation
Tax on profit
Profit after tax
Donation to NHT
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
2024
£
1,310,996
979,695

331,301
417,146

(85,845)
67
(31)
12,948
(72,861)
(836)
(73,697)
24,000
(97,697)
63,577
369,373
(177,784)

255,166
(3,069)
252,097
252,097
2023
£
1,225,087
872,396
352,691
371,149
(18,458)
-
-
34,451
15,993
394
16,387
318,700
(302,313)
62,596
464,584
(175,153)
352,027
(2,233)
349,794
349,794

40

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

16. Incoming resources from other activities for generating funds (continued)

Nishkam Dental Care Limited:

ihk Dtl C Liitd
sam ena are me:
Turnover
Cost of sales
Gross Profit
Administration expenses
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

41

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

16. Incoming resources from other activities for generating funds (continued)

NPVR Limited:
Turnover
Cost of sales
Gross Profit
Administration expenses
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
2024
£
-
-
-
70,443
(70,443)
-
(70,443)
8,719
1
(79,162)
(70,442)
-
(70,442)
(70,442)

42

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

17. Intangible assets

Group Computer
software
£
Cost
At 1 April 2023 and 31 March 2024 24,446
════════
Amortisation
At 1 April 2023 and 31 March 2024 24,446
════════
Carrying amount
At 31 March 2024
════════
At 31 March 2023
════════

The charity has no intangible assets.

18. Tangible fixed assets

Group Leasehold
property Fixtures and
Motor Vehicle
improvement fittings Total
£ £ £ £
Cost
At 1 April 2023 114,093 77,869
9,682
201,644
Additions 41,717
-
41,717
──────── ──────── ──────── ────────
At 31 March 2024 114,093 119,586
9,682
243,361
════════ ════════ ════════ ════════
Depreciation
At 1 April 2023 58,257 57,838
5,386
121,481
Charge for the year 4,187 9,665
644
14,496
──────── ──────── ──────── ────────
At 31 March 2024 62,444 67,503
6,030
135,977
════════ ════════ ════════ ════════
Carrying amount
At 31 March 2024 51,649 52,083
3,652
107,384
════════ ════════ ════════ ════════
At 31 March 2023 55,836 20,031
4,296
80,163
════════ ════════ ════════ ════════

43

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

18. Tangible fixed assets (continued)

Charity Leasehold
property Fixtures and
improvement fittings Total
£ £ £
Cost
At 1 April 2023 28,601 23,765 52,366
Additions 9,592 9,592
──────── ──────── ────────
At 31 March 2024 28,601 33,357 61,958
════════ ════════ ════════
Depreciation
At 1 April 2023 23,606 23,269 46,875
Charge for the year 767 1,676 2,443
──────── ──────── ────────
At 31 March 2024 24,373 24,945 49,318
════════ ════════ ════════
Carrying amount
At 31 March 2024 4,228 8,412 12,640
════════ ════════ ════════
At 31 March 2023 4,995 496 5,491
════════ ════════ ════════
19. Investments
Group Investment
in associate
£
Share of net assets
At 1 April 2023 18,823
Share of profit/loss 2,970
─────────
At 31 March 2024 21,793
═════════
Impairment
At 1 April 2023 and 31 March 2024
═════════
Carrying amount
At 31 March 2024 21,793
═════════
At 31 March 2023 18,823
═════════

44

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

19. Investments (continued)

Charity Shares in
group
undertakings
£
Cost or valuation
At 1 April 2023 186,991
Additions 1
─────────
At 31 March 2024 186,992
═════════
Impairment
At 1 April 2023 and 31 March 2024
═════════
Carrying amount
At 31 March 2024 186,992
═════════
At 31 March 2023 186,991
═════════

All investments shown above are held at valuation.

The charity holds investments in the following undertakings all of which are registered in England and Wales:

% of Shares
Type of Shares Held Held
Nishkam Phramacy Limited 100
Nishkam Dental Care Limited 100
NPVR Limited 100
Nishkam Security Limited 25
Stocks
Group 2024 2023
£ £
Pharmaceutical products 49,181 47,281
──────── ────────
49,181 47,281
════════ ════════

20. Stocks

The charity has no stock.

45

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

21. Debtors

Group 2024 2023
£ £
Trade debtors 110,757 184,319
Amounts owed by group undertakings - -
Prepayments and accrued income 4,641 3,794
Other debtors 22,299 78,950
──────── ────────
137,697 267,063
════════ ════════
Charity 2024 2023
£ £
Trade debtors 11,787 51,555
Amounts owed by group undertakings 24,378 14,954
Prepayments and accrued income 2,661 1,594
Other debtors 12,000 30,121
──────── ────────
50,826 98,224
════════ ════════
Creditors: amounts falling due within one year
Group 2024 2023
£ £
Trade creditors 145,046 165,849
Amounts owed to group undertakings -
Accruals and deferred income 54,616 121,589
Social security and other taxes 3,386 817
Other creditors 908
──────── ─────────
203.956 288,255
════════ ═════════
Charity 2024 2023
£ £
Trade creditors 10,388 11,858
Amounts owed to group undertakings 1,500
Accruals and deferred income 36,310 110,844
Social security and other taxes 668 190
Other creditors 168
──────── ─────────
49,034 122,892
════════ ═════════

22. Creditors: amounts falling due within one year

46

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

23. Deferred income

Group and Charity 2024 2023
£ £
At 1 April 2023 97,186 11,970
Amount released to income (97,186)
(11,970)
Amount deferred in year 13,026 97,186
──────── ────────
At 31 March 2024 13,026 97,186
════════ ════════
Provisions
Group Deferred tax
£
At 1 April 2023 2,126
Additions 3,239
───────
At 31 March 2024 5,365
═══════

24. Provisions

The charity has no provisions.

25. Deferred tax

Group

The deferred tax included in the statement of financial position is as follows:

2024 2023
£ £
Included in provisions 5,365 2,126
═══════ ═══════
The deferred tax account consists of the tax effect of timing differences in respect of:
2024 2023
£ £
Accelerated capital allowances 5,365 2,126
═══════ ═══════
The charity has no deferred tax.

26. Pensions and other post retirement benefits

Defined contribution plans

The amount recognised in income or expenditure as an expense in relation to defined contribution plans was £5,064 (2023: £3,292).

47

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

27. Analysis of group charitable funds

Unrestricted funds

Unrestricted funds
At
At 31 March 202
1 April 2023 Income Expenditure
4
£ £ £ £
General funds 833,228 1,452,455 (1,609,143)
676,540
═════════ ═════════ ═════════ ═════════
At
At 31 March 202
1 April 2022 Income Expenditure
3
£ £ £ £
General funds 842,651 1,376,090 (1,385,513)
833,228
═════════ ═════════ ═════════ ═════════
Restricted funds
At
At 31 March 202
1 April 2023 Income Expenditure
4
£ £ £ £
Start of Life Care 50,000 (50,000)
Living Well Consortium 2,000 (2,000)
Patient Carers Race Equalities
Framework 15,156 (15,156)
──── ──────── ──────── ────
67,156 (67,156)
════ ════════ ════════ ════
At
At 31 March 202
1 April 2022 Income Expenditure
3
£ £ £ £
Start of Life Care
Living Well Consortium
Patient Carers Race Equalities
Framework
──── ──── ──── ────

════ ════ ════ ════

48

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

28. Analysis of net assets between funds

Unrestricted Restricted Total Funds
Funds Funds 2024
£ £ £
Tangible fixed assets 107,384 107,384
Investments 21,793 21,793
Current assets 756,684 756,684
Creditors less than 1 year (203,956) (203,956)
Provisions (5,365) - (5,365)
───────── ──── ─────────
Net assets 676,540 676,540
═════════ ════ ═════════
Unrestricted Restricted Total Funds
Funds Funds 2023
£ £ £
Tangible fixed assets 80,163 80,163
Investments 18,823 18,823
Current assets 959,467 65,156 1,024,623
Creditors less than 1 year (223,099) (65,156)
(288,255)
Provisions (2,126) (2,126)
───────── ──────── ─────────
Net assets 833,228 833,228
═════════ ════════ ═════════
Analysis of changes in net debt
At
At 1 Apr 2023 Cash flows 31 Mar 2024
£ £ £
Cash at bank and in hand 710,279
═════════
(140,473)
════════

569,806
═════════

29. Analysis of changes in net debt

30. Operating lease commitments

Group and company

The total future minimum lease payments under non-cancellable operating leases are as follows: The total future minimum lease payments under non-cancellable operating leases are as follows: The total future minimum lease payments under non-cancellable operating leases are as follows:
2024 2023
£ £
Not later than 1 year 30,000 30,000
Later than 1 year and not later than 5 years 120,000 -
───────── ────────────
150,000 30,000
═════════ ════════════

49

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

31. Prior period adjustment

During the year the following adjustments have been identified to correct errors and/or amend accounting policies which have been reflected as prior year adjustments.

The investment in associates was not accounted for in accordance with the equity method of accounting as required by the SORP when consolidated accounts are prepared.

The net impact is as follows:

£
2022
Increase in investments 17,480
Increase in funds 17,480
2023
Share of associate income 1,343
Increase in investments 18,823
Increase in funds 18,823

32. Related Party Transactions

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

Guru Nanak Nishkam Sewa Jatha (Birmingham) UK

An unincorporated charity in which the trustees 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.

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.

50

Nishkam Healthcare Trust

Company Limited by Guarantee

Notes to the Financial Statements (continued)

Year ended 31 March 2024

32. Related Party Transactions (continued)

2024 2023
£ £
During the year the group purchased the following services:
Nishkam Civic Association 32,841 2,688
Nishkam Security Limited 13,612 8,897
During the year, the group paid the following rent:
Guru Nanak Nishkam Sewa Jatha (Birmingham) UK 30,000 69,198
During the year, the group received the following donations:
Guru Nanak Nishkam Sewa Jatha (Birmingham) UK 30,000 30,000
During the year, the group provided the following services:
Guru Nanak Nishkam Sewa Jatha (Birmingham) UK 7,519 7,451
Nishkam School Trust 1,931 856
Nishkam Civic Association 2,500 -
At the end of the year the group owed the following:
Nishkam Security Limited 3,450 -
Nishkam School Trust 379 -
Nishkam Civic Association 2,000 -
At the end of the year the group was owed the following:
Nishkam Civic Association 2,500 -

33. Controlling party

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

51