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<br>|28||
|Consolidated Statement of Financial Position|29||
|Charity Statement of Financial Position<br>|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. 

- Humility and tolerance 

- Altruism (selflessness) 

- Professionalism and Clinical Excellence 

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: 

- Compassion 

- Benevolence (inclination to perform kind, charitable acts) 

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 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. 

4 



## **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. 

5 



## **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 

6 



**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** 

- Nishkam dental meeting in preparation for CQC visit 

   - **21/ 01/ 2024** 


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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: 

- Received 290 referrals - both self-referrals and from external agencies - into the service. (including rejected ones) 

- Provided 85 service userswith free counselling. 

- Provided 498 free sessionsof counsellingto service users. 

- Average of 6 free sessionsper service user, with more if required. 

- Most frequent referral pathways from Pharmacy, BSMHFT Neighbourhood Teams (West Hub), GP, the Job Centre, Nishkam Civic Association, Handsworth Library and through self-referral. 

## **DemographicData** 

- 74%female and 26%male service users. 

- Most frequent age of service usersbetween 34-45, then 50-64 and then 25-30. 

- Majority service users (23%) Pakistan, then Indian and then followed by Caribbean, White and Any other Black/African background. 

- Most frequent challengesaround anxiety, stress, and depression. 

## **OutcomeData** 

- 38%decrease and fall in severity from pre- to post-intervention for PHQ-9. 

- 36%decrease and fall in severity from pre- to post-intervention for GAD-7. 

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. 

13 



## **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. 

14 



**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. 

16 



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.** 

20 



• 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._ 

21 



## **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: 

- select suitable accounting policies and then apply them consistently; 

- observe the methods and principles in the applicable Charities SORP; 

- make judgments and accounting estimates that are reasonable and prudent; 

- state whether applicable UK Accounting Standards have been followed, subject to any material departures disclosed and explained in the financial statements; 

- prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in business. 

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: 

- so far as they are aware, there is no relevant audit information of which the charity's auditor is unaware; and 

- they have taken all steps that they ought to have taken as a trustee to make themselves aware of any relevant audit information and to establish that the charity's auditor is aware of that information. 

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 

22 



## **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: 

- give a true and fair view of the state of the charity's affairs as at 31 March 2024 and of its incoming resources and application of resources, including its income and expenditure, for the year then ended; 

- have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; 

- have been prepared in accordance with the requirements of the Companies Act 2006. 

## **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. 

23 



## **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: 

- the information given in the trustees' report for the financial year for which the financial statements are prepared is consistent with the financial statements; and 

- the trustees' report has been prepared in accordance with applicable legal requirements. 

## **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: 

- adequate accounting records have not been kept, or returns adequate for our audit have not been received from branches not visited by us; or 

- the financial statements are not in agreement with the accounting records and returns; or 

- certain disclosures of trustees' remuneration specified by law are not made; or 

- we have not received all the information and explanations we require for our audit. 

24 



## **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: 

- Identify and assess the risks of material misstatement of the financial statements, whether due to fraud or error, design and perform audit procedures responsive to those risks, and obtain audit evidence that is sufficient and appropriate to provide a basis for our opinion. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control. 

- Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the internal control. 

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**<br>**Company Limited by Guarantee**<br>**Consolidated Statement of Financial Position**<br>**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<br>═════════|833,228<br>═════════|



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**<br>**Company Limited by Guarantee**<br>**Charity Statement of Financial Position**<br>**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<br>═════════|630,744<br>═════════|



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: 

- income from donations or grants is recognised when there is evidence of entitlement to the gift, receipt is probable and its amount can be measured reliably. 

- legacy income is recognised when receipt is probable and entitlement is established. 

- income from donated goods is measured at the fair value of the goods unless this is impractical to measure reliably, in which case the value is derived from the cost to the donor or the estimated resale value. Donated facilities and services are recognised in the accounts when received if the value can be reliably measured. No amounts are included for the contribution of general volunteers. 

- income from contracts for the supply of services is recognised with the delivery of the contracted service. This is classified as unrestricted funds unless there is a contractual requirement for it to be spent on a particular purpose and returned if unspent, in which case it may be regarded as restricted. 

- 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 the consideration at the point of sale. 

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: 

- expenditure on raising funds includes the costs of all fundraising activities, events, non-charitable trading activities, and the sale of donated goods. 

- expenditure on charitable activities includes all costs incurred by a charity in undertaking activities that further its charitable aims for the benefit of its beneficiaries, including those support costs and costs relating to the governance of the charity apportioned to charitable activities. 

- other expenditure includes all expenditure that is neither related to raising funds for the charity nor part of its expenditure on charitable activities. 

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 

- evenly over its estimated useful life of five years 

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|<br>70,584|211,647|138,115|
||Governance costs|–|–|<br>7,920|7,920|7,397|
|||─────────|────────|────────|─────────|─────────|
|||108,222|32,841|<br>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<br>Charitable activities|**2024**<br>2023<br>**No.**<br>No.<br>14<br>12<br>2<br>2<br>────────<br>────────<br>16<br>14<br>════<br>════|
|---|---|



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:**<br>**Turnover**<br>Cost of sales<br>**Gross Profit**<br>Administration expenses<br>Interest received<br>Interest paid<br>Other operating income<br>**Operating Profit and Profit before Taxation**<br>Tax on profit<br>**Profit after tax**<br>Donation to NHT<br>**Retained in Subsidiary**<br>**The net assets and liabilities of the subsidiaries were:**<br>Fixed assets<br>Current assets<br>Current liabilities<br>Total assets less current liabilities<br>Provisions for liabilities<br>Net assets<br>Aggregate share capital and reserves||**2024**<br>**£**<br>**1,310,996**<br>**979,695**<br> <br>**331,301**<br>**417,146**<br> <br>**(85,845)**<br>**67**<br>**(31)**<br>**12,948**<br>**(72,861)**<br>**(836)**<br>**(73,697)**<br>**24,000**<br>**(97,697)**<br>**63,577**<br>**369,373**<br>**(177,784)**<br> <br>**255,166**<br>**(3,069) **<br>**252,097**<br>**252,097**||2023<br>£<br>1,225,087<br>872,396<br>352,691<br>371,149<br>(18,458)<br>-<br>-<br>34,451<br>15,993<br>394<br>16,387<br>318,700<br>(302,313)<br>62,596<br>464,584<br>(175,153)<br>352,027<br>(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:**<br>**Turnover**<br>Cost of sales<br>**Gross Profit**<br>Administration expenses<br>**Operating Profit and Profit before Taxation**<br>Tax on profit<br>**Retained in Subsidiary**<br>**The net assets and liabilities of the subsidiaries were:**<br>Fixed assets<br>Current assets<br>Current liabilities<br>Total assets less current liabilities<br>Provisions for liabilities<br>Net assets<br>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:**<br>**Turnover**<br>Cost of sales<br>**Gross Profit**<br>Administration expenses<br>**Operating Profit and Profit before Taxation**<br>Tax on profit<br>**Retained in Subsidiary**<br>**The net assets and liabilities of the subsidiaries were:**<br>Fixed assets<br>Current assets<br>Current liabilities<br>Total assets less current liabilities<br>Provisions for liabilities<br>Net assets<br>Aggregate share capital and reserves||**2024**<br>**£**<br>**-**<br>**-**<br>**-**<br>**70,443**<br>**(70,443)**<br>**-**<br>**(70,443)**<br>**8,719**<br>**1**<br>**(79,162)**<br>**(70,442)**<br>**-**|
|---|---|---|
|||**(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|<br>Motor Vehicle||
||improvement|fittings||**Total**|
||£|£|£|**£**|
|**Cost**|||||
|At 1 April 2023|114,093|77,869|<br>9,682|201,644|
|Additions|–|41,717|<br>-|41,717|
||────────|────────|────────|────────|
|**At 31 March 2024**|114,093|119,586|<br>9,682|243,361|
||════════|════════|════════|════════|
|**Depreciation**|||||
|At 1 April 2023|58,257|57,838|<br>5,386|121,481|
|Charge for the year|4,187|9,665|<br>644|14,496|
||────────|────────|────────|────────|
|**At 31 March 2024**|62,444|67,503|<br>6,030|135,977|
||════════|════════|════════|════════|
|**Carrying amount**|||||
|**At 31 March 2024**|51,649|52,083|<br>3,652|107,384|
||════════|════════|════════|════════|
|At 31 March 2023|55,836|20,031|<br>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)|<br>(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|<br>**4**|
||£|£|£|£|
|General funds|833,228|1,452,455|(1,609,143)|<br>676,540|
||═════════|═════════|═════════|═════════|
|||||At|
||At|||31 March 202|
||1 April 2022|Income|Expenditure|<br>3|
||£|£|£|£|
|General funds|842,651|1,376,090|(1,385,513)|<br>833,228|
||═════════|═════════|═════════|═════════|
|**Restricted funds**|||||
|||||**At**|
||At||**31 March 202**||
||1 April 2023|Income|Expenditure|<br>**4**|
||£|£|£|£|
|Start of Life Care|–|50,000|(50,000)|<br>–|
|Living Well Consortium|–|2,000|(2,000)|<br>–|
|Patient Carers Race Equalities|||||
|Framework|–|15,156|(15,156)|<br>–|
||────|────────|────────|────|
||–|67,156|(67,156)|<br>–|
||════|════════|════════|════|
|||||At|
||At|||31 March 202|
||1 April 2022|Income|Expenditure|<br>3|
||£|£|£|£|
|Start of Life Care|–|–|–|<br>–|
|Living Well Consortium|–|–|–|<br>–|
|Patient Carers Race Equalities|||||
|Framework|–|–|–|<br>–|
||────|────|────|────|
||–|–|–|<br>–|
||════|════|════|════|



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)|<br>(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<br>═════════|(140,473)<br>════════|<br>569,806<br>═════════|



## **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