CENTRE FOR HEALTH AND THE PUBLIC INTEREST (CHPI)
(A company limited by guarantee)
REPORT AND FINANCIAL STATEMENTS
FOR THE YEAR ENDING 31ST MARCH 2021
(not subject to statutory audit)
Company Registration No. 8047440 (England & Wales)
Charity Commission Registered Charity No.1157077
*AAJKT49T*
1811212021
COMPANIES HOUSE
#107

CENTRE FOR HEALTH AND THE PUBLIC tNTEREST (CHPI)
(A company limited by guardntce)
Company No. 8047440
Charity No. l 157077
REPORT AND FINANCIAL STATEMENTS
FOR THE YEAR ENDING 31ST MARCH 2021
(not subject to statutory audit)
CONTENTS
Legal and Administrative
Information
Trustees Re
ort
Inde
endent Examiner's Re
Statement of Financial Activities
Balance Sheet
Notes to the Financial Statements
10
11

CENThE FOR HEALTH AND THE PUBLIC INTEREST (CHPI)
(A company limited by guardntee)
Cornpany No. 8047440
Charity No. 1157077
LEGAL AND ADMINISTRATIVE INFORMATION
Other Names Used:
CHPI. The Centre
Status:
CHPI is a charitable company limited
by guarantee, incorporatsd on 26th
April 2012. On 16th May 2014 CHPI
was entered onto the Charity
Commission Register of Charities.
Registered Office:
The Brick Yard (forn)erly Grayston
Centre). 28 Charles Square, London
N16HT
Bankers:
Unity Trust Bank PIC
Nine Brindley Place, Birniingham B1
2HB
Trustees (also Company
Directors):
Trustees who have acted during the
period of this report were:
Prof Colin Leys
Dr David Mccoy
Dr Guddi Singh
Dr Jonathon Tomlinson
Dr John Owens (resigned 22 April
2021)
Trustees who joined after the
reporling period. but before the date
of this report wern:
Ms Sue Charteris (appointed 5 July
2021)
Ms Lois Rogers (appointed 5 July
2021)
Executive Director:
The day-to4ay management of CHPI
is delegated to the Executive
Director:
Mr David Rowland
Independent Examiner:
Ed Tombs

CENTRE FOR HEALTH AND THE PUBLIC INTEREST (CHPI)
(A company limited by guarantee)
Company No. 8047440
ChaTity No. 1157077
TRUSTEES REPORT
FOR THE YEAR ENDING 31ST MARCH 2021
The Trustees present their report and financial statements for the year ending
315t March 2021.
Structure Governance and Management
CHPI is constituted as a company limited by guarantee and is govemed by
Memorandum and Articles of Association. In the evenl of the company being
wound up. all Trustees have guaranteed to contribute to the assets of the
company as may be required to an amount not ex￿edIng £10. The Trustees
have no beneficial interest in the company nor its activities and are nol
remunerated.
New Trustees are appointed by way of a decision by the existing Trustees.
Objectives and Activities
Objects
The objects of CHPI as set out in the company articles of association are..
to advance the education of the public in health and social care policies
to promote informed debate and research for the public benefit in all
aspects of that subject and to publish the usefijl results
Principal Activities. Achievements and Perfomiance
Since the outset of the COVID 19 pandemic the Centre. including tts Board
members have played a role in providing expert commentary on the
government's response to the pandemic. This work was published in a range of
outlets including The Guardian, Tribune, the Financial Times, the British Medical
Journal and the LSE Policy and Politics blog site, and our expertise was relied
on across the broadcast media and also by Parliamentary Select Committees.
Building on our work on the finances of the care home sector, in November 2020
the Centre provided consuftancy seryices to support the Dunhill Commission on
Housing with Care, organised by the Social Care Institute for Excellence.
In January 2021 the Cenlre worked wtth Transparency International in publishing
rnajor report examining conflicts of interest in the English NHS. This research
was used to inform the debate about the proposed changes to the governance of
the NHS which are contained in the Health and Care Bill 2021.
We have worked collaboratively with Warwick Universty and University College
London to SUC￿$$fUl￿ bid for funding from the Economic and Social Research
Council (ESRC) to conduct research into the financial impact of COVID 19 on
the care home sector. This major project brings together partners across social
care from care home providers to trade unions and will produce a report which is

CENTRE FOR HEALTH AND THE PUBLIC fNTEREST (CFU)I)
(A company limited by gLwantee)
Company No. 8047440
Charity No. 1157077
designed to impact substantially on the policy debate about the future of the UK
care home sector.
We also successfully secured funding from the Joseph Rowntree Charitsble
Trust's (JRCT) Power and Accountabilrty programme to examine the role of the
UK'S private healthcare sector during the pandemic and also the accountability
of the new public heafth structures which have been created by govemment to
manage the UK'S currenl and future public health response. We began
conducting this research at the start of 2021.
During this period the Centre added two new Twstees to its Board and also
recruited a new lead research manager.
Plans for Future Periods
The Centre's primary focus over the next 18 months will be on delivering the two
major projects funded by the ESRC and JRCT noted above. This work began
during the reporting year and is projected to continue through to December
2022.
We will continue lo produce commentary and analysis on issues relating to the
public interest, including conflicts of interest in the health Se￿iCe and the broader
issues of probity, integrity, transparency and accountsbility within health and
social care policy making.

CENTRE FOR HEALTH AND THE PUBLIC INTEREST (CHPI)
(A company limited by guarantee)
Company No. 8047440
Charity No. 1157077
FINANCIAL REVIEW
Incom•
Voluntary income of £52.032 represents donations from individuals and trusts
and has all been received to provide core funding, represents'ng a small increase
on the previous years.
Gift Aid income of £6,412 was accrued on eligible donations up to 31 March
2021 from donors who have provided CHPI with a Gift Aid Declaration, such that
this amount could be claimed from HMRC. Some of this arnount pertains to
claims submitted to and received from HMRC after the 31 March 2021.
Income from charitable activities of £50,095 includes grant income received
towards a grant-funded research project", and contract income re￿iVed for work
to deliver other research projects in line with CHPI'S charitable activities.
Other income of £9,578 was received in the form of a government grant under
the Coronavirus Job Retention Scheme. This grant VRS used to cover part of
the cost of staff salaries for a short period of 2020 due to un￿rtaintieS over
future income streams caused by the coronavirus lockdown.
Expenditure
Expenditure is primarily made up of staffing costs for a Research OffI￿r and
Executive Director contracted to work full time throughoul the majorty of the
year. Tolal staffing expenditure was down on the previous year due lo the
Research Officer position being vacant for a part of the year.
Reserves
The Trustees recognise the need to hold reserves to protect the financial
security of CHPI in the event of income shortfalls.
The Trustees continually review the level of reserves to ensure sufficient funds
are available before making any financial commitments. At 31 sl March 2021 the
general reseNe held £54,932. amounting to around 8 ½ months of operating
expendrture.
A new Reserves Policy has been adopted in the period Sin￿ the end of the
reporting year, which sels out the intention to maintain a minimum of 3 months
expenditure in reserve. and allocate additional funds available to furthering
CHPI'S charitable work, or investing in future income generation.
As such, Truslees will consider increasing expenditure in the coming periods to
draw down on the accumulated reserve level.

CENlliE FOR HEALTH AND THE PUBLIC NfEREST (CHPI)
(A company limited by guarantee)
Company No. 8047440
Charity No. 1157077
The report has been prepared in accordan￿ with the special provisions of Part
15 of the Companies Act 2006 relating to small companies.
Approved by the board of Trustees on 7th December 2021 and signed on its
behalf by:
Colin Leys
Trustee

CENTRE FOR HEALTH AND THE PUBLIC tNTEREST (CHPI)
(A company limited by guarantee)
Company No. 8047440
Charity No. 1157077
Independent Examiner's report to the Trustees
I report on the accounts for the year 31 March 2021.
Respective responsibilities of Trustees and examiner
The Charrty's Trustees (who are also the Directors for the purpose of company
law) are responsible for the preparation of the accounts. The charity's trustees
consider that an audit is not required for this period (under Section 144 (2) of the
Charities Act 2011 (the 2011 Act)) and that an independent examination is
required. l am qualified to undertake the examination by being a qualified
member of ICAEW.
Having satisfied myself that the charity is not subject to audit under company law
and is eligible for independent examination, it is my responsibilty to:
examine the accounts under Section 145 of the 2011 Act
to follow the procedures laid down in the General Directions given by the
Charity Commission (under section 145(5) of the 2011 Act)., and
to state whether particular matters have come to my attention.
Basis of the independent examiner's rnport
My examination was carried out in accordan￿ with the General Directions given
by the Charity Commission. An examination includes a review of the accounting
records kept by the charty and a comparison of the accounts presented with
those records. It also includes consideration of any unusual items or disclosures
in the accounts. and seeking explanations from you as tnjstees concerning any
such matters. The procedures undertaken do not provide all the evidence that
would be required in an audit, and consequently no opinion is given as to
whether the accounts present a 'true and fair view, and the report is limited to
those matters set out in the statements below.
Independent examinerfs statement
In connection with my examination, no matter has come to my attention:
(1) which gives me reasonable cause to believe that, in any material respect, the
requirements
to keep accounting records in accordan￿ with Section 386 and 387 of the
Companies Act 2006; and
to prepare accounts which accord with accounting records, comply with the
accounting requirements of Sections 394 and 395 of the Companies Act
2006 and with the methods and principles of the Slatement of Recommended
Practice.. Accounting and Reporting by Charities
Have not been met; or
(2) to which, in my opinion, attenlion should be drawn in order to enable a proper
understanding of
accounts to be reached.
Ed Tombs CIMA." certrf￿a1e ofbusiness accounbng
Tan-y-graig. Fachwen, Caemarfon, Gwynedd, LL55 3HD

CENTRE FOR HEALTH AND THE PUBLIC tNTEREST (CHPI)
(A ¢ompany limited by guarantee)
Company No. 8047440
Charity No. 1157077
STATEMENT OF FINANCIAL ACTIVITIES
FOR THE YEAR TO 31ST MARCH 2021
(not subject to ststutory audrt)
Restricted Unrestricted
Funds
Funds
Total
2021
Totsl
2020
Note
Incoming
Resources
Voluntary Income
Income from
charitable activities
Grft Aid
Other income
Total Incoming
Resources
52,032
52.032 48.873
37,595
50,095 45,000
6,412
6.412
7.471
9,578
9,578
29
105 617 118 117 101373
12,500
Resources
Expended
Fundraising
Charitable
activities
Governance
Total Resources
Expended
-8,382
-8,382 -14,289
1,630 -69,338 -71,444
-7,717
-7,717 -9,526
-77729 45437 -95259
-7.708
Net Incoming
Resources
Transfers
Net movement in
funds
The statement of financial activities includes all gains and losses in the year. All
incoming reSoUr￿S and resources expended derive from continuing activities.

CENTRE FOR HEALTH AND THE PUBLIC tNTEREST (CHPI)
(A company limited by guarantee)
Company No. 8047440
Charity No. 1157077
BALANCE SHEET
AS AT 31$¢ MARCH 2021
(not subject to statutory audit)
31 Mar
2021
31 Mar
2020
Notes
Current Assets
Cash at bank and in hand
Accrued Gift Aid Recoverable
Total Current Assets
56,685
3,040
59.725
27,854
1,992
29,846
Creditors
Amounts falling due wrthin one year
(2,801)
Net Current Assets
59,725
27.045
The funds of the charity
Restricted Fund - Holding
Government and Corporate Power to
Account in the light of COVID 19
Designated Funds
General Funds
Totsl Charity Funds
4,792
10
54,933
59,725
27,045
27.045
For the year ending 31103r2021 the company was entitled to exemption from
audit under section 477 of the Companies Act 2006 relating to small companies.
Trustees. responsibilities..
the members have not required the company to obtain an audit of its accounts
for the year in question in accordan￿ wilh section 476,
the Trustees ad(nowledge their responsibilities for complying with the
requirements of the Act with respect to accounting records and the preparation
of accounts, these accounts have been prepared in accordan￿ with the
provisions applicable to companies subject to the small companies regime.
Approved by the board of Trustees on 7th De￿rnber 2021 and signed on its
behalf by:
Colin Leys
Trustee
io

CENTRE FOR HEALTH AND THE PUBLIC INTEREST (CHPI)
(A company limited by guarantee)
Company No. 8047440
Charity No. 1157077
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR TO 31ST MARCH 2021
(not subject to statutory audit)
1. Accounting Policies
(a)
Basis of Accounting
The financial statements have been prepared under the historical cost
convention in accordance with the Companies Act 2006 and the
Statement of Recommended Practice: Accounts'ng and Reporting by
Charities issued in April 2013.
Ib)
Fund Accounting
Unrestricted funds are available for the use at the discretion of the
Trustees in the furtherance of the companies charitable objectives.
Designated funds are unrestricted funds earmarked by Trustees for
a particular purpose.
Restricted funds are subjected to restrictions on their expenditure
imposed by the donor.
Incoming resource
All incoming resources are included in the statement of financial activities when
CHPI is entitled to, and virtually ￿rtain to re￿1Ve, the income and the
amount can be quantified with reasonable accuracy.
(d)
Resources Expended
Expenditure is recogntsed on an accrual basis as a liability is incurred.
Expenditure includes any VAT which cannot be recovered. and is reported
as part of the expenditure to which it relates..
Costs of generating funds comprise costs associated with attracting
voluntsry and contract income.
Charitable expenditure comprise those costs incurred in the
delivery of CHPI'S charitable objects. It includes both costs that can
be allocated directly to such activities and costs of an indirect
nature ne￿$sary lo support them.
Governance costs include costs associated with meeting the
constitutional and statutory requirements of CHPI.

CENTRE FOR HEALTH AND THE PUBLIC INTEREST (CHPD
(A company limited by guardntec)
Company No. 8047440
Charity No. 1157077
2. Voluntary Income
Unrestricted
2021
Restricted
2021
Total
2020
Henry Tinsley
David Owen
Colin Leys
Doctors for the NHS
David Mccoy
Susan Richards
Other Individual Donations < £2.5k
15.000
5.000
2,000
2.000
12,500
5,000
3,000
3,000
3,000
22,373
48.873
28,032
52.032
In the interests of transparency. CHPI has adopted a policy of irKlividually
identifying all donations over £2.500 during the course of the year.
3. Income from Charitablo Aetiviti•s
Unrestricted
2021
Restricted
2021
Total
2020
Social Care Institute for Excellence
Transparency International UK
Joseph Rowntree Charitable Twst
UNISON
15,000
13,295
30,000
12.500
15.000
37,595
12,500
45.000
12

CENTRE FOR HEALTH AND THE PUBLIC INTEREST (CHP
(A Company limited by guarantee)
Company No. 8047440
Charity No. 1157077
4. Resources Expended
Allocation by fund
Direct expenditure rtems are allocated by fund according to the purpose of the
expense..
Staffing & overhead costs are re-allocated to the restricted fvnd ft)r JRCT grant-
funded project according to a project budget agreed with the funder.
Expendlture
Total
Holdlng
Government and
Corporatè Power
to Account in the
MofCOVIO 19
General funds
Direet expenses
Staffing
Overheads
Tolal Resources Expended
692
79,944
4.801
85,437
692
73,299
3.738
77.729
6,645
1,063
7,708
Allocation of expenditure to fundraising, charitable activities and
governance
All expenditure from the restricted fund is for charitable activities to further the
grant-funded project.
For expenditure from general funds. direct expenditure items are allocated to
expenditure categories for fundraising, charitable activities and goveman
according to Ihe nature of the expense.
Staffing & overhead costs are re-allocated to these categories on the basis of
estimated proportion of time spent on each activity: 10% fundraising, 80%
charitable activities, and 100/0 g0veman￿.
Expenditur•
Total
Fundraising
Charitable
Activitie6
Governanco
Direct expenses
Staffing
Overheads
Total Resources Expended
692
73,299
3,738
77,729
679
7,3301100A1
37411 O¢Jknl
8.382
13
7,330110°kn1
3741100AI
7,717
58.639180Qkl
2,9901800￿>
61.630
S. Trustee Remuneration & Related Party Transactions
No Trustees received any remuneration or reimbursernent for travel costs during
the period.
No Trustee or other person related to the charity had any personal interest in any
contract or transaction entered into by the charity during the year.
13

CENTRE FOR HEALTH AND THE PUBLIC tNTEREST (CHPI)
(A company limited by guarantee)
Company No. 8047440
Charity No. 1157077
6. Taxation
No tax charges have arisen in CHPI.
The vast majorty of income is from grants, donations or contracts for public
interest research and is applied for charitable purposes.
£15,000 of contract income in the year was deemed to be potentialty eligible for
VAT, but as this level of income was well below the registration threshold of
£85.000 no VAT was charged.
7. Accrued Gift Aid Recoverable
Gift Aid Recoverable relates to accrued balance of Grft Aid claimable from
HMRC in relation to individual donations from eligible donors up to 31 March
2021, which has been claimed and received since the balan￿ SI￿et date.
8. Creditors: amounts falling due within one year
There were no outstanding creditors at 31 st March 2021.
9. Purpose of Restricted Funds
Funds received from Joseph Rowntree Charttable Trust for a 24-month research
project titled Holding Govemment and Corporate Power to Account in the light of
COVID 19 are held in a Restricted Fund. Expenditure is assigned to the fund in
accordance with the agreed project budget - which includes allocations for staff
time and organisats.onal overheads.
10.Purpo8e of Doslgnated Funds
Donations in the current or prior year have not been solicited with an explicit
purpose in mind, but for core operating costs. Therefore there is no designated
fund in the current year.
11.Staff Costs and Numbers
An Executive Director was employed on a full time basis for the majority of the
year, with the exception of a period of furlough at the start of the pandemic when
sectjrity of future funding was brought into question.
A full-time Research Officer position was employed for the majority of the year,
with the exception of a period of furlough at the slart of the pandemic, and a
period when the position was vacant beiween appointrnents.
14