CENTRE FOR HEALTH AND THE PUBLIC INTEREST ICHPI)
(A Company limited by guarantee)
REPORT AND FINANCIAL STATEMENTS
FOR THE YEAR ENDING 31ST MARCH 2023
(not subject to statutory audit)
Company Registration No. 8047440 (England & Wales
Charity Commlsslon Roglstered Charlty No. 1157077
'ACIS4RNU•
2011212023
COMPANIES Hf)USE
A25

REPORT AND HNANCIAL STATEMENTS
FOR THE YEAR ENDING 31ST MARCH 2023
(not subject to statutory audit)
CONTENTS
Legal and Administratlve
Infonnation
Trustees Re
ort
Inde
ndent Examiner's Re
Statement of Flnan¢ial A¢tlvities
Balance Sheet
Notes to the Flnanclal Statements
10
11

LEGAL AND ADMINISTRATIVE INFORMATION
Other Names Used:
CHPI, The Centre
Slalus:
CHPI Is a charltable company limited
by guarantee, in¢orporated on 26"
April 2012. On 16" May 2014 CHPI
was entered onto the Charity
Commission Reglster of Charltles.
Reglstsred Office:
Tho Brick Yard (formorly Grayston
Centre), 28 Charles Square. London
N16HT
Banker5:
Unity Trust Bank PIC
Nine Brindley Placo, Birnlngham B1
2HB
Trustees (abo Company
Directors):
Trustees who have acted during the
perbod of thls report were:
Dr Jonathon Tomlinson (Chair)
Prof Colin Leys
Dr Guddi Singh
Ili$ Sue Charteris
Ms Ld$ Rogers
Trustees appointed since the end of
the reporting period:
Prof Davld Evans (appointed 2nd
May 2023)
Ms Emma Watkins (appolnted 2nd
ay 2023)
Executiv• Diroctor:
The day404ay management of CHPI
is delegated to the Executive
Director:
Mr David Rowland
Independent Examiner:
Ed Tombs

TRUSTEES REPORT
FOR THE YEAR ENDING 31ST MARCH 2023
The Trustees presenl their report and financial ststements for the year ending
31. Marth 2023.
Structure Govemance and IAanagement
CHPI is constituted as a company limited by guarantee and is governed by a
Memorandum and Articles of Association. In the event 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 exceeding £10. The Trustees
have no beneficial interest in the company nor its activities and are not
remunerated.
New Trustees are appointed by way of a deusion by the exists'ng Trustees.
Objectives and A¢tlvltles
Objects
The objects of CHPI as set out in the o)rnpany articles of asscciation a￿.
to advance the education of the public in health and social care policies
lo promote inforned debate and research for the public benefit in all
aspects of that subject and to publish the useful results
Principal Activitie$, Achievements and Perfomiance
Over the past 12 months we have continued to highlight issues relating to the
public interest in health arKJ social care.
In May 2022 staff members represented the Centre at an Information Rights
Tribunal seeking greater transparency about the income g8nerated by NHS
Tnjsts from private pats'ents. Our wowk on this case was covered across the
media.
In October 2022 our report inlo the develOpn￿nt of a twt>tier healthcare system
was covered by the Guardian ne￿spaPer and the London School of Economics.
In July 2022 we held an event with partners from University College London and
the London School of Hygiene and Tropical Medicine for the NHS Leadership
progfarnme whare we presenled our work on the public interest in health and
social ca￿.
n November 2022 we held an event al Ihe Royal Society of Medicine which
focused on patient safety in the private h05Pital sector following the lan Paterson

case and the disproportionatety high number of female patients affeded by
re￿nt medical scandals.
In January 2023 our initial work on the ￿latIOnShIP between the private hospital
sedor and the NHS during the pandemic was cnvered as part of a major
investigalion by the British Medical Joumal and we published a second study in
Ihe Spring of 2023
We concluded our study into the financial impact of COVID 19 on the care home
sector with Warwick Business School and UCL arid presented the findings to civil
seNants in the Department of Heallh and Social Ca￿, the Devolved
Administrations and thé National Auth't Office.
We concluded our research into the new publi¢ health Structu￿ created after
the pandemic a'nd presented ihe initial findings to academics and Directors of
Public Health.
We have worked with a funflraising consultant to help make Ihe organisation
more finanaally sustainable and we have surxessfully recruited two new
Trustees to enable u5 to build the organisalion to become more effective and
have greater impacL
Future plans and a￿1vItIeS
In the financial year Awil 2023 to March 2024 we will publish our research into
the financial impact of COVID 19 on the tsre hcrfne sector and the new public
heallh structures.
We will also undertake and publish research into Ihe Private Finance Initiative in
Ihe NHS and the outsourcing of NHS ophihalmology services. We will continue
to work with stakeholders from a¢ross health and S￿la1 care to ensure that
lessons are leamed from the pandemic induding through engaging with the
COVIO-19 public inquiry.

FINANCIAL REVIEW
Income
Voluntary income of £66,947 represents donations froniindtviduals and trusts. Of
this, £20,000 was a restricted donation to be allocated to consultancy for CHPI'S
fundraising strategy. £46.947 was for CA)re funding. an increase of £7.807 on ihe
previous years. total of £39.140.
Gift Aid income of £9,792 represents the total amount daimable from HMRC for
donations in the period from donors who have provided CHPI with a Gift Aid
Dedaration. This is also an increase on the prewous year, coffesponding to the
increase in donations received.
Income from charitable activities of £62.500 includes grant in¢orne received
towards a grant-funded research projècl: and contract income received for work
to deliver a second research project in line with CHPI'S charitable activilies. This
fepresents a reduction from the p￿VIouS years, total of £104.000 in income frorn
grants and contracts.
Expenditure
Expenditure was primarily made up of staffing costs for the Centre's Executive
Director. Research Officer and Communications Manager.
Reserves
The Trustees recognise the need to IK)Id reserves to protect the financial security
of CHPI in the event of W￿rne shorttalls.
A Reserves Policy adopted in August 2021 sets out the intention to maintain a
minimum of 3 months expenditur8 in reseNe. and allocate additional funds
available to furthering CHPI'S charitabl8 work. or investing in futu￿ income
generation.
At 31 March 2023 the general reserve held £85,009, arnounting to
approximately 7 months of operats'ng expenditure. As such, Trustees are again
budgeting to increase expenditure in the coming year to draw down on the
accumulated r8serve18vel.
The rewrt has been prepared in accordance with the special provisions of Part
15 of the Companies Act 2006 relating to small companies.
Approved by the board of Trustees on 7th November 2023 and signed on ils
ehalf by=
Jonathon Tomlin50n
Chair of the Board of Trustees

Independent Examiner's report to the Trustees
I report on the accounts for Ihe year 31 March 2023.
Respectiv? re$ponsibllities of Trustees and examiner
The Charity's Tftjstees (who are also Ihe Directors for the purpose of company
law) are responsiLle for the preparation of the accounts. The tharity's trustees
consider that an audit is not required for this period (under Section 144 (2) of the
Charities Act 2011 (the 2011 Acl)) and that an independent examination is
required.
Having satisfied myself that the charity is not subject to audit under company law
and is eligible for independent examinatK)n. it is my responsibilty to:
examine the accounts urKler Seclion 145 of the 2011 Act
to follow the procedures laid down in th8 Genefal Direth'ons given by the
Charity Commission (under sedion 14515) of the 2011 Act); and
to slate whether particular mattefs have come lo my attention.
Basis of the indepondont examiner's report
My examination was carried out in accordance with the General Directions given
by ihe Chanty Commission. An examinaticK) includes a review of the accounting
records kept by the charity and a comparison of the accounts presented with
those records. It also indudes Consideration of any unusual items or disclosures
in the accounts, and seeking explanations from you as truslees conceming any
such matters. The proc*dures undertaken do not provide all Ihe 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 rewt is limited to
Ihose matters sel out in the statements below.
Independent examlner's statement
In connection with my examination. no matter has come to my aftention..
(l ) which gives me reasonable cause to believe that. in any rnaterial respect, the
requirements
to keep aC￿Unting records in accordance WFth secl11￿ 386 and 387 of the
Companies Act 2006,. and
to prepare accounts which accord with accounting records. comply wilh Ihe
accounting requiremenls of Sections 394 and 395 of the Companies Act
2006 and with the melhods and principles of the Statement of Recommended
Practice.. Accounting and Reporting by Charities
Have not been met; or
(2) to which. in my opin￿n. attention slM)uld be drawn in order to enable a proper
understsnding of ihe accounts to be reathed.
Edward Tombs CIMA.. CertrfKate of buslness actX)tmbng
Tan•y4rarg. Fachwen, caernarf￿. Gwyr*dd, LLSS 3HD

STATEMENT OF FINANCIAL ACTMTIES
FOR THE YEAR TO 31ST MARCH 2023
(nol 5ubje¢t to statutory audit)
Restrlcted Unrestricted
Funds
Funds
Total
2023
Total
2022
Note
Incoming
Resources
Voluntary Income
Inwme from
charitable activities
20,(M)O
46.947
66.947 39.140
37,500
25.0(M) 62,500 104,000
Gift Aid
9.792
9,792
3,846
Other income
Total Incoming
Resources
Resources
Expended
FurKlraising
-12,(XlO
-24.939 -36,939
Charitable
a¢tivits'es
44.578
42.728 -87.306 -94,546
Governance
-18.604 -18.604
Total Resources
Expended
Net Incomlng
Resources
2 4610 36895
Transfers
Net movement in
funds
The statement of finanoal activities indudes all gains and losses in the year. All
incoming resources and resources expended deTive from continuing activities.

BALANCE SHEET
AS AT 31" IAARCH 2023
(not subject to statutory audil)
31 Mar
2023
31 Mar
2022
Notes
Current Asset$
Cash at bank and in hand
Accrued Gift Aid Recoverable
Total Current Assets
93,814
6.185
99.999
98,133
98.133
Credltors
Amounts fallin9 due within one year
6.9￿).
1.513
Net Current A$￿ts
93,009
96.620
The fund5 of th¢ charlty
Restricted Funds
Designated Funds
General Funds
Total Charity Funds
8.000
7,078
10
85,009
93.009
89,542
96,620
For the year 8nding 3110312023 the company was entitled to exemption from
audit under section 477 of the Companies Act 2006 relating to small companies.
Tnjstees. ￿pOnsIbilities.
the members have not required the company to obtain an audit of its
ccounts for the year in question in accordan￿ with seclion 476,
the Trustees acknowledge their responsibilities for complying with the
Tequirements of the Act with respect to accounting records and ihe preparation
of accounts. these accounts have been p￿pared in accordance with the
provisions applicable to companies subject to the small companies regime.
Approved by thè tM)ard of Trustees on 7th November 2023 arKI signed on its
behalf by..
Jonathon Tomlinson
Chair of the Board of Tnjstees

NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR TO 31ST MARCH 2023
(not subject to statutory audit)
1. Accounting Policies
(a) Basls of Accounting
The finanaal statements have been prepared under Ihe historical cost
convention in accordance with the Companies Act 2006 and the Statement
of Recommended Practice: Accounting and R8POrting by Charities issued
in April 2013.
(b) Fund Accounting
Unrestricted furmjs are available for ihe use at the discreiion of the Trustees
in the furtherance of the companies charitable objectives.
Designated funds are unrestricted funds eanmarked by Trustees for a
particular wrpose.
Restricted funds are subjected to restriclions on their exp8ndilure imposed
by the donor.
(cl Incoming re$¢>ur¢•
l incoming resources are included in the ststement of financial activities
when CHPI is ent￿ed to. and virtually certain lo receive, the income and
the amount can be quantif*d with reasonable accuracy.
(d) Resources Expended
Expenditure is recognised on an ac(xual basis as a liability is incurred.
Expendilure indudes any VAT which cannot be ￿CoVered, and is reported
as part of the expenditure to which it relates..
Costs of generating funds comprise costs associated with attractir
voluntary and contracl income.
Charitable expenditure comprises those costs incu￿ed in the delivery ol
CHPI'S charitable objects. It indudes both costs that can be allocated
directly to such activities and costs of an indirect natu￿ ne￿SSary to
support them.
Governance costs indude o)sts associated with meeting the constilutional
and statutory requirements of CHPI.
10

2. Voluntary Income
Unrestrfcled
2023
Restricted
2023
Total
2023
Total
2022
Henry Tinsley
25.000
25,000
20.000
David ONen
20.000
20,000
Other Individual Donations <
£2.5k
21.947
21.947
19.140
46,947
20.000
66.947
39.140
•Y•
In the interests of transparencrf, CHPI has adopted a policy of individually
identifyirvJ all donations over £2.500 during the course of the year.
3. Income from Charltable Activlties
Unrnstricted
2023
Rfrstrided
2023
Total
2023
Tolal
2022
Universty of Wapwick
20.000
20.000
54,000
Joseph Rowntree Charitable
Trust
5.000
37,500
42.500
50,000
25,000
37.500
62,500
104.000

4. ResouT¢es Expended
Allocation by fund
Direct expenditure items are allocaled by fund a¢¢ording to purpose of the
expense.
Staffing & overhead costs are re-allocated to the restricted fund for JRCT
grant-funded project according to a project budg8t agreed with the funder.
Holdlng Gov¢mment
and Corporate Power
to kcount in the lighl
01 COVID 19
Exponditurg
Total
Fundiaising
¢on$ullancy
General
funds
Oirecl expenses
20,353
399
12,000
7,954
stsiring
117.633
41.996
75,637
Ovefheads
4.863
2.183
2,680
Totsl expndlttsre
allocation
142.849
44.578
12.000
86,271
All0&￿10n of expendlture lo fvndral$ing, charltable actlvltles and
governance
Dire¢t expendilure ilems are allocaleo to expenditure Categories for lundraising.
charitable activities and govemance according to the nature of the expense.
Staffing & overhead costs are re-allocated to these categories on the basis of
estimated proporbon of non-grant fijnded time spent on each activity: 200
fundraising, 65Yo charitable activities. and 15% governan￿.
Expendltur•
Tolol
Fundraising
Charitable
Adfvitles
Governan¢¢
Diiect expen58s
20,353
12,440
7,683
229
Staffing
117.633
23.527 {20%1
76,461 (650/0)
17,645 (15%)
Ovefheads
973 (20%)
3.161 (650hl
729 (15°A)
Total expendltur•
alloGalion
142.849
36,939
87,306
18,604
12

5. Trustee Remuneration, Expenses & Related Party Transactions
No Trustees recerrfed any remur)eration for their services.
Total expenses of £96 W￿re ￿1Mbu(sed to Truslees for food and travel costs
during the period (2022: £547).
No Trustee or other person related to the charity had any personal interest in any
contract or transaction enlered into by the charity during the year.
6. Taxatlon
No tax charges have arisen in CHPI.
The vast majority of incorne is from grants. donations or contracts for put)lic
interest research and is applied for charitable purKMJses.
7. Glft Ald Recoverable
£6,185 of accrued Gift Aid was daimable on donations in the year at 31st March
2023. Corresponding claims were submitted to HMRC in June 2023, and the full
amount has now been r￿1ved.
8. Creditors: amounts falling du• within one year
£6.990 was owed across a number of unpaid invoices arrtj expense claims al
31st March 2023. All arnounts owed have now been pa￿.
9. Purpose of Restricted Funds
The￿ We￿ Iwo restricted funds in Ihe year:
Fundralslng consuhancy
Funds for fundraising cor￿UltancY to help develop the Centre's fundraising
strategy.
JRCT
Funds re￿iVed trom Joseph Rowntree Charitable Trust for a 24-month research
project titled Holding Government and Corporate Power tt) 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 altocations lor staff
time and organisational ovetheads.
10.Purpose of Designated Fund$
Other donations in the current or prior year have not been solicited with an
explicit purpose in mind, but for core operats'ng costs. Therefo￿ there is no
designated fijnd in the current year.
11. Staff Costs and Numbers
13

An Executive Director and Research Officer were employed on a full time basis
for the majority of the year. A Comms Manager was employed on a part time
basis from June 2022 to March 2023.
12. Funds of the charity
Balance
at 31 March
2022
Total in¢ome
FY 2023
Totsl
expendilure
FY 2023
Balance at
31 March
2023
Restricted funds
Fundraising
nsultancy
12.000
8.000
JRCT- Holding
Govemmenl and
Corporate Power to
Account in Ihe light
ofCOVID 19
7.078
37.5Tr)
44.578
Total Mstrl¢tsd
funds
7.078
57.500
56,578
8,000
Designat•d funds
Vnrestri¢ted
lunds
89,542
81.739
86.271
85,009
Total funds
96.620
146.988
110.093
93,010
14