The ELF Office Haematology Centre Royal Devon & Exeter Hospital Barrack Road Exeter EX2 5DW Charity Number 1154727 exetef leukaemia fund l October 2025 Dear Sirs This representation letter Is provlded In connectlon with independent examination of the flnancial statements of the charity for the period ended 31 March 2025, for the purpose of expressing an opinion as to whether the financial statements are presented fairly, In al I materlal aspects, lor give a true and fa ir view) in accordance with the applicable financial reportlng framework. We confirm that the following representations are made on the basls of enquiries of the trustees, management and staff with relevant knowledge and experience {and, where appropriate, of inspection of supporting documentation) suff icient to satisfy ourselves that we can properly make each of the following representations to you: l. We have fulfi Iled our responsibilitles as trustees under the Charities Act 2011 for preparing financial statements, in accordance with the applicable financial reporting framework, FRS 102 and the FRS 102 Charity SORP. We confirm that in our opinion the flnanclal statements give a true and fair view and in partlcular that where any additional information must be disclosed in order to give a true and fair view that Informatlon has In fact been disclosed, We confirm that the selectlon and application of the accounting pollcles used in the preparation of the financial statements are appropriate, and we approve these accounts for the period ended 31 March 2025. 2. We confirm that all accounting records have been made available to you for the purpose of the independent examination, in accordance with your terms of engagement, and that all the transactions undertaken by the charity have been properly reflected and recorded in the accounting records. All other records and related information, includi ng minutes of all Management, trustees, and members, meetings, have been made available to you. We have given you unrestricted acces5 to persons within the charity in order to obtain evidence and have provided any additional information that you have requested for the purposes of the Independent examination. 3. We confirm the charity has satisfactory title to all assets and there are no liens or encumbrances on the assets, except for those disclosed in the financial statements. 4. We confirm that significant assumptions used by us in making accounting estimates, including those measured at fair value, are reasonable. S. We confirm that we have no plans or intentions that may materially alter the carrying value and, where relevant, the fair value measurements or classification of assets and liabilities reflected in the financial statements. Registered CIO 1154727 www.elfcharity.org.uk 6. We confirm that the charity has no liabilities or contingent liabilities other than those disclosed in the financial statements. 7. We confirm that all known actual or possible litigation and claims whose effects should be considered when preparing the financial statements have been disclosed to you and accounted for and disclosed in accordance with the applicable financial reporting framework. 8. We confirm that there have been no events since the balance sheet date which requlre dlsc1051ng or which would materially affect the amounts in the financial statements, other than those already disclosed or included i n the financial statements, 9. We confirm that we are aware of the definition of a related party for the purpose of the accounting framework being applied in the preparation of the accounts, We confirm that there have been no materia I transactions with related parties. 10. We confirm that the charity neither had, at any tlme during the year, any arrangement, transaction or agreement to provide credit facillties lincludi n8 advances and credits granted by the charity) for trustees, nor provided guarantees of any kind on behalf of the trustees. 11. We confirm that the charity has not contracted for any capital expendlture, 12. We confirm that the charity has complled wlth all aspects of contractual agreements that could have a material effect on the financial statements in the event of non-compliance. 13. We confirm that we are not aware of any possible or actual Instance of non-compliance with those laws and regulations which provide a legal framework within which the charity conducts its activities and which a re central to the charitvs a bility to conduct Its activities. 14. We acknowledge our responsibility for the design, implementation and maintenance of internal controls to prevent and detect fraud. 15. We confirm that there have been no actual or suspected instances of fraud involving trustees, management or employees who have a significant role In Internal control or that could have a material effect on the flnanclal statements. We also confirm that we are not aware of any allegations of fraud by trustees, former trustees, analysts, employees, former employees, regulators or others. 16. We confirm that, in our opinion, the charit¢s flnancial statements should be prepared on the golng concern basis on the grounds that current and future sources of funding or support will be more than adequate for the charity's needs. In reaching this conclusion, we have taken into account all relevant matters of which we are aware, and have considered a period of at least one year from the date on which the financial statements will be approved. 17. We confirm that all grants, donation5 and other income, including those subject to special terms or conditions or received for restricted purposes, have been notified to you. There have been no breaches of terms or conditions during the period regarding the application of such income. 18. We confirm that in our opinion the effects of unadjusted misstatements are immaterial, both individually and In aggregate, to the financial statements as a whole. 19. We confirm the following specific representations made to you durlng the course of your independent examination:. a. We confirm that funds have been correctly designated as restricted where those funds can only be lawfully used for a specific charitable purpose5 which are narrower than the general purposes of the charity. Registered CIO 1154727 www.elfcharity.org.uk b. We confirm that all income streams have been reviewed and assessed in terms of VAT compliance. We also confirm that there are no income streams which are deemed to be taxable. 20. We acknowledge our legal responsibilities regarding disclosure of information to you as independent examiners and confirm that: so far as each trustee 15 aware, there is no relevant Information of which you as independent examiner5 are unaware,. and each trustee has taken all the steps that they ought to have taken as a trustee to make themselves aware of any relevant information and to establish that you are aware of that information. Yours faithfull Signed on be alf the boa stees Trustee Date.......... Registered CIO 1154727 www.elfcharity.org.uk Charity registsation iiumber. 1154727 Exeter Leukaemia Fund CIO Annual Report Mt)d Financial Statements for the Year Ended 31 March 2025 Exeter Leukaemia Fund CIO Contents (continued) Reference and Administrative Details Trustees, Report 2to9 Statement of Trustees, Responsibilities 10 Independent Examiner's Report Statement of Financial Activities 12to 13 Balance Sheet 14 Notes to the FinanciAI Statemeiits 15tD26 Exeter Leukaemia Fund CIO Reference and Administrative Details Chairman V E S Salomonsen Trustees V E 5 Salomonsen l M Kenny CFOX J M Hawkins Sscann S R Cooper D Charlesworth Senioi. MHn¥gement l Leadership M Soutliwood. Chief Exewtive Officer Team ChArity R¢gistratioM Number 11547?7 Principal Office The ELF Office Haematology C.entre Royal Devon & Exeter Hospital Bai'rack Road Exeter EX2 5DW Independent Examlner Thompson Jenner LLP Independent Examinei. I Collcton Crescent Exeter Devon EX2 4DG Solicitors Tozers Solicitors LLP Broadwalk House Southernhay West Barclays Bank PLC 3 Bedford Street Exeter Devon Bgnkers EXI ILX Santander UK PLC 53 High Street Exeter Devon EX4 3HE Page I Exeter LeukAemia Fund CIO Trustees, Report The trustee5 present the annual report together with the financial stateinents of the charity for the yeai. ended 31 March 2025. Trustees and officers The truslees and officers setwing during the year since the year end were as follows.. Trustees: V E S Salomonsei) l M Kenny CFOX J M Hawkins Ssconn S R Cooper D Charl¢sworth (appointed 5 December 20?4) Chairman.. V E S Salonionsen Senior Management / Leadership Teain.. M Southwood, Chief Execulive Officer S Peacock, Head of Operations and Finance (resigned 21 June 2024) Chief Executive Officer's Statement The 2024125 year was a good one for ELF. It remains a pleasure and privilege to lead a great teaiii, and to watch the charity go froin sli'ength to strcngth. Across t11e yeai.. we supported more patieiits aiid families tl)an evei. before, travelling across the county to bring patients lo appointinents, serving Inue17-n¢eded refreshments in the waitiiig room. and increasin¥ oui. wellbeing service. Additionally, ELF streiigtheiied liiiks with both the NHS team and Citizens Advice, conliiiLiiiig to work towards a joiiied-up offering. Our Fellowsliip Pi'ogramme, launched the previous year. contirtiied to provide ￿ndS to liaeniatology staff to undertake furLher study. As well a5 several Fellowships awarded foi. staft. including nurses and Inedical students to attend confereii¢es, we were also delighted to offer a larger grant to Jade. an Apprentice Nurse. to complete her nursing degree. Our staff team grew in the last qUElrter of the year, as we welcomed a new adiministrator and fundraiser to help support our growth ambitions. We also welcomed a new Trustee. the first in over two years. We are proud to be a 511iall, local charity supporting families who we ofteii conie to know very well. Aniong those we supported across the year was Mr P., who lived alone and faced a termiiial diagnosis. Over the month5 of his treMtmenL our tran5POrt te&m got to know Mr P, and during his journeys to and fi'om hospital, provided companionship and comfort. Mr P sadly passed away in aU￿￿n 2024, but remeniber¢d ELF in his Will, a generous acknowledgement ofhow important ELF'S services are to 50 many. In the final quarter of Éhe year. we signed an Agreement for Lease on a new office premises, a tangible step towai'ds furthei. growth. Exeter Leukaeinia Fund continues to gl'ow and thrive, and we look forward to supporting more families. Molly Southwood Chief Executive Officer Page 2 Exeter Leukaemia Fund CIO Trustees, Report (continued) Objective5 And activities Policies and objeetives The objectives of ELF, which are oiitlined in the Constitution of the CIO dated l January 2014 are.. To promote and protect the physical and mental health of people suffering from leukaemia and related diseases iii the South West of Englaiid (and parLicularly those living iii Devon). and their relatives and loved ones. through the provision of fiiian¢ial assistance, support, specialist equipmeiit, education and practical advice. whether to those people or to hospitals, ¢lini¢s and hospices in Devon and neighbouring ¢ounties. To advance tPte ediication of the public in all areas relating lo Leulcaemia and relatcd diseases. In settino objectives and planning for activities, the Trustees aiid senior management have given due consideratioii to geiieral guidance published by the Charity Commission relating to public benefit. includiiig the guidance 'Piibli¢ benefit: running a charity (PB2)'. Vlsion, Mission and Strat¢gy Vision We want every patient in Devon diagnosed with blood cancer to have the bcst possible outcome. Mission Statement ELF'S niission is to Ci'eate an envii'onment where patients and t17eir famili¢s ure supported through their leukaemia journey. We want to ensure all blood cancer patients and their families have access to exLellent support Services, from the poiiit of diagnosis to recovery and beyond. Strategy Workiiig with our partners in the NHS, we will design and delivei. 5ector-leading services (o offer direct support to patients aiid support ihe Haeinatology Centre at the Royal Devon & Exeter Hospital. wliich we helped to build. Strategic Objectives Each y¢ar, tlie Boai-d of Trustees works together with the senior leadership team to agree strategic obje¢tives for thc coming year, and beyond. Ow. strategic objectives for the 2024125 year were.. l. Service Dev¢lopinent .Increase Qu￿ent service delivery b. Nortji Devon and sites othei. tlian RDE Wellbeing Services 2. Preparing for futL￿e srowth a. Marketing aiid brand awareness b. Income generation, in particular legacies and grants 3. New Homelliub search and planning 4. f501ation Room Refurbishment Page 3 Exeter Leukaemia Fund CIO Trustees, Report (continued) Seryice Development The table below gives an overview of our performance against our targets. Servlce 24125 Target 25 Actual ounselling Referrals 110 111 ransport Total Patients 160 179 upport Group Attendance Patient Grants 20 241£12,000 mplementary Therapy Patients ccommodation Patients 150 10 Citizens, Advice Referrals 11 S•rvlce Users 76 Overall. the i)umber of patients we supported iiicreased fi'oni th¢ previous year. W¢ also improved Imany processes to ensure better d&la capiure and impact reportiiig. We impi'oved our links with our NHS colleagues in North Devon and subsequently saw an increase in requests for our services from that part ot the county. We also ints'oduced a sei'ies of support groups. with tlie intention of reaching a broader range of patients than we did with couiiselling alone. The first series, a patient group, was developed in collaboration with the NHS haematology teaiii. The second series, ruli indepeiidently by ELF, focused on faniily meinbers aiid supporters. Preparing for Future Growth The Board of Trustees recognises that increasing the number of patients and families supported by ELF will result in increased costs. To put us in tile best possible position lo fuiid that gr0￿h, the charity appointed two new members of staff in 2024, with a view to increasing philanthropic income by arouiid £150.000 eacli year. Tlie team also worked to improve ELF'S visibility iii Ihc local community. and oreate a better understanding of the charity's impact. By focusing on sevei'al high-pix)file 'Charity of Year, initiative, including the Princesshay Shopping CenÉre iii Exeler. tlie team were able to raise local awareness. Iiivestineiit was also made iii improving impact communications, iticluding press releases sent to the local niedia and advert15iiig campaigiis around tlig local area. Page 4 Exeter Leukaemia Fund CIO Trustees, Report (continued) New HomelHub Tn planning me¢tings, the need for a'hub" where office-based staff could work and hold meetings with potential supporters, as well as offering a space for service deliveiy. became abundantly clear. With the appointment of new members of staff, the charity had outgrown our office space and a new hotne was needed. In December, the Board agreed to move to new premises in Clyst St. Mary. and an Agreement for Lease Mes sisFned in the final quarter of the year, confirming the charity would move to the new location in June 2025. IsolAtRon Room Refurbishment Working with our pai'tnei-s in the NHS we have identified a need to niodernise and I'edecorate the isolatioii rooms on Yarty Ward. These are Single occupancy treatiMent rooims, typically used by patieiits who ar¢ receiving complex or aggressive treaiments. The rooms have been largely untouched siiice the ward opened in 2006 and are in i)eed of improveni¢n£. ELF agreed to fund the improvements, and have worked with the relevant teams in the NHS. including Yarty statT and the Estate5 team to develop a piDposal. By the end ot the financial year. an itemised list of prioriry work had been developed and initial drawings were coinpleted. Current Servlce Portfolio The services Exeter Leukaemia Fund currently offer in relation to the objectives ar¢ a5 follows.. Transport of patients to and from hospital Counselling to help patieiits and fainilies through the chall¥nges of the illness Financial support through our Patient Support Grant scheme Funds to purchase equipment to improve palieiit treatment and support Accornmodation near the hospital so families can be close to their loved ones Coinplemeiltary therapies for patients staying on Yarty Ward Free refreshments to patients ai)d relaiives awaitiiig Day Case appointments Financial advice througli our partiiership with the CAB Legal services throu￿7 our paitnei-shtp with Dlinn & Baker MAin Aetivities undertakeD to further the ChArlty's purposès for the public benellt: Service5 that ELF provided in 2024125 Transport ServS¢e The cl￿rity has three dedicated drivers talcing patients to and from their home to attend medical appointments at the Haematology Centre. fn 202415 the ELF transport team completed 2.202 passenger journeys, with a totsl distaiice of over 50.000. The increase on the previous year is accounted for by improved systems, as well as additional driver hours fi'om both paid and volunteer drivers. The chai'ity has three dedicated drivers taking patients to and from their home to attend medical appointments at the Haeinatology Centre. In 202415 the ELF transport team completed 2.20? passenger journeys, with a total distance of ovcr 50,000. T]ie increase on the previous year is accounted for by improved systems, as well as additional driver houis from both paid and volunteer drivers. This service 15 seen by external agencies and p￿tnerS as one of ELF'S Unique Selling Point (USP) services. Page 5 Exeter Leukaemia Fund CIO Trustees, Report (continued) CounselllDg Seryice We appointed a Counselling Setvices Lead to wn the counselling service, which continu¢s to grow. In ?0?4125 I I I patients were i'eferred to t]ie service. We also offered support to group work led by the NHS, and by ELF. AccommodAlion ELF offers financial support to p&tients requiring hotel stays in Exetei. due to their treatment plans. We are grateful to our partners at Mercure Southgate who offer a discounted rate for ELF patients. Filing Time The ELF kiosk, in the Haematology Centre reception, offers snacks and refreshments to patieiils aiid their supporters. A limited nutiiber of ileins, tncluding liot drinks, fruit, biscuits aiid crisps are offered free of Charge, though may usei's elecl to ott.er a donation. The café is run by a membei. of ELF staff, and suppoited by volunteers during periods of annual l¢av¢ or illness. Complementary Therapies Aroniaiherapy massage treatnient is provided for pafients stayin8 on Yaty Ward. During the year. the service offered 119 patient appoinimeiits. Cltizens Advice Service During the yeai.. ELF has continued to pi'ovide link5 to the Citizens Advice service foi. patients requiring their specific help. Across the year, 73 patients w¢r¢ seen. resultiiii? in over £600,000 worth of financial support. Legal Servlces ELF offers a free will setvice to patients, patients faiiiilies, volunteers and supporters through a partnership with local solicitors Dunn and Baker. The service iiicludes tlie wj'iting of a staiidard will aiid is completely fl'ee of ch8r¥e. The switch fi'om a previous national supplier offers a more localised personal seivi¢e with a local office. Income Generation Fundraising Exeter Leukaemio Fund is now entirely supported by voluntary donations and gifts in Wills. The charity's team of two full-time fuiidraisers iiicreased during the year, to increase income geiiei'ation potenlial. We welcomed a new Head of Iiidividual Giving in January 2025, whose I'emit is to focus on gifts from individual doiiors. We also appointed a Charity Lead Administrator to support administrative work and provide marketin&> support. Aci'oss the year we piloted several new initiatives to generate income, including a calendar featuring local sceiies suggested by patieiits, and a collaboratioii with a local musiL charity to put 01) an eveiiing of opera at a local stately liome. The tundraising team aimed to diversify iiicome and build on an iiiei-cased awareiiess of tlie charity's work, following a number of successful charity of the yfdr applications. Fundraisingi was supported by 108 voliinteers contributing 690 hours of support, covering a l'ange of roles Such as administt7tion, bucket collections and coordinating collection boxes. Twsts and tprants remain an area for growth. and we continued to develop case studies in support of poteiitial grant applications. We had a strong year for Lega¢y income, and received £149,820 from eight separate legacy donations, Page 6 Exeter Leukaemia Fund CIO Trustees, Report (continued) Retail Following the decision taken by the Board in ?0?3124 to ¢ease the charity's i'etail function, the remaining shop, ili Crcditon, ¢losed in June 2024. Review of activities Following a review of govemance. policy and procedure in 2023124, the staff and Trustees this year gave their attention to income generation, lo ensiire the financial sllstainability of the cliarity. This resulted in the appointinent of the Head of Individual Giving, and an increased focus on promoting legacy giving. The Board took the decision in December 2024 to uiidertake a review of the patient journey and ELF'S services. The agreed approach was to apply to work with the University of Exeter MBA prograinme. if possible. The timeline for this w02'k is to begin the review in June 2025, with a completion date in Septembei. 2025, The outlook is very positive as we continue to strengthen and improve. We look foiivard to working with staff. Trustees and partners to increase our service provisioi) to ensure the best possible outcomes for haematology patients 111 Devon. Flnanclal revlew Going concen) After Imaking appropriate enquiries, the Trustees have a reasonable expectation that rhe c.harity has adequate resourc¢s to continiie in operational existence for the foreseeable future. Foi. this reason. they continue to adopt the going concern basi5 in prepariiig the fiiiancial statements. Further details regarding the adoption of the going conceiii basis Can be found ili tl)e ac¢ountiiig policies. Reseives policy Tlie trustees, loiig-teriii strategy is to seek i'eserves excludin8 property to provide financial stability and the Ineans tor the development of oui. principal activities. We intend to maintain oui. reserves al a level which would allow an orderly wind down of the charity shoiild that ever need to be considei'ed. lft the coming year we also intend to use a portion of our rcseives to establish an investmeftt portfolio with the &ini of using iiiterest realised to contribute towards cliarity rui)ning ¢os15. We intend to use the reserves in the fol lowing manner: Financial sustainability of the chai'ity Establishment of an investrnenf portfolio Community and Hospital Service development As at the year-end, ELF has total fiinds available of £673,543 (2024: £645,658) and unrestricted funds of £6?6,979 {2024: £614,523). Structure) governance 3nd management Constitution Exeter Leukaemia Fujid is a registered cliarity, number 1154727, and is coiistitukd under a Charity Commission Scheme. The charity is governed by its CJO Deed, dat¢d l January 2014 which was amended 19 January 2021 and under this deed is constituted as a Charitable Incorporaied Org2ni5ation (CIO). The Trustees meet quarterly. Th¢ CJO deed stipulates that the Tntst¢es shall comprise iiot more than Leii, nor less than three persons. The CIO has power to do anything which is ealculaled to further its objects or is condueive or incidental to doing so. In particular. the CIO has power to.. Page 7 Exeter Leukaemia Fund CIO Trustees, Report (continued) l. borrow moiiey and to charge the whole or any part of its property as security for the repayment of the money borrowed. The CIO must cornply as appropriate with sections 124 and 125 of the Cl]ariÉies Act 2011, if it wishes Èo mortgage land: 2. buy, take on lease or in exchange. hire or otherwise acquire any property and to maintain and equip it for sell, lease or otherwise dispose of all or any part of the property belonging to the CIO. In exerGisiiig this power, the CIO must cornply as appropriaie with sections 117 and 119-123 of the Cliarities Acc 2011 ' 4. employ and remunerate such staff as are necessary for cairying out the work of the CIO. Th¢ CIO may eniploy or remunerate a charity trustee only to the extent that it is permitted to do so by clause 6 (Benefits and payinentS to charity trustees and connected persons) and provided it ¢omplies with the conditions of that clause; 5. deposit or invest funds. eniploy a protessioiial fijnd-manager, and arrange for the invescments or other pi'opety of the CIO to be lield in the name of a noininee, iii the S￿me nianner aiid subje¢t to the same conditions as the trustees of a trust &re permitted to do by the Triistee Act 2000. Membership of the CIO b. Methods of xppointment or eleetlon of Trustees The management of the Chariry is the responsibility of the Trustees who are elected and co-opted iindei. the ternis of the Chai'ity Commission Scheine. The Trustees al'e eligible. in comniittee, lo appoint additional trustees under the terms of the CIO constitution. Apart from the first chai'ity trustees. every Trustee may be appointed for a muimum term of thi'ee. three-year temis by a resolution passed at properly convened meetiiigs of the CIO Trustees. In selecting individuals for appointsnei)t as Trustees, Ilie existing Trustees must have regard to tlie skills, knowledge and experience needed for the effective administrmtioi) of the CIO. Policies adopted for the induction and trAlning of Trustees New li'ustee5 are selected based on the skills and exp¢i'ience, which should coinplemenc those of the existing Board of Trustees. They meet with existing Trustees and key Inembers of staff to ensure that they feel comfortable with the organisalion aiid liappy to bccome pai't of the tcain. The charity Trustees will make available to each new cliarity Trustee. on or before his or her first appointment: a) a copy of the current vei'sion of this constitution- aiid b) a copy of tlie CIO'S Latesl Trustees, Annual Report and stateinent of accounts. As with all staff.. "The Trustees ofELF review $8laries on an annuil basis, nomally December; however, there is no guarantee of an automatic increase in your pay as a result of any review Employee Handboul(. Plalls for future perlody The Ti'ustees will focu5 On the relationship with the RD & E. specifically Yarty Ward and the wider liaematology service inrluding that in North Devon, in order to provide lielp and support to patients iii the most meaningful way. This relationship is seen as paramount so that the haematology staff are supported by the charity and can therefore provide the best care for their patients and 50 that ELF can then provide support in additioii to this care. Page 8 Exeter Leukaemia Fund CIO Trustees, Report (continued) The Trustees will also encouiage charity staff to undeitske a review of patient services to ensure they are being managed effectively and are fit for pui'pose and ihe changing iieeds of the patients. Funds held xs custodia None The annu approved by the irus¢ee5 of the ch&rity on ..... and signed 011 its behalf by: V F. S Salom Chairman an ns stee Page 9 Exeter Leukaemia Fund CIO Statement of Trustees, Responsibilities The trustees are responsible for preparing the tnistees, report and the fiiianrial statements in accordance with the United Kingdom Accounting Standards (United Kingdom Generdlly Accepted Accountiiig Practiee) and applicable law and regulatioiis. The law applicable Èo charities requires the trustees to prepare ftnaneial statements for each financial yeai. which give a true and fair view of th¢ state of atTair5 of the chai-ity and of the iiicoming resoui'ces and application of r¢sour¢es of the charity for that period. Iii preparing these financial statements, the trustees are required to: select Suitable accounting polieics and then apply thein consistently. observe the methods and principles in the Charities SORP, make judgements and estimates that are reasonable and prudeiit- state whethei. applicable accounting standards have been followed. SLibject to any material departures disclosed and explained in the financial statements, and prepare the financial stateiY]ents on the going Concern basis uiiless it is inappropriate to presume that the chai'ity will ¢ontinu¢ in busiiic55, Tli¢ trustees are responsible for l