notional ossociation for hospice at home Trustee Annual Report and Financial Statement I" April 2024- 31" March 2025 Charity Number: 1158250 Reference & administrative details For the year ended 31 Marth 2025 national association for hos ice at home ststU5 The National Association for Hospice at Home is a Charitable Incorporated Organisation registered as a charity with the Charities Commission on 15, August 2014. Governing document The National Association for Hospice at Home is governed by their Constitution, which 15 approved by the Charities Commission. Charity number 1158250 Registered office and operational addres5 Lancaster Court 8 Barnes Wallis Road Fareham Hampshire P015 STU Tmstees Sue Eskins Chair Debbie Rob50n Vice Chair/ Secretary Louise Clapton Treasurer David Stewart Marks Heather Bailey Lyndsay Cardwell Jonathon Wellbeck-Pure Principal bankers Barclays Bank Leicester LE87 2BB Audltors N.W. Saville & Co Accountants 29 Plymouth Road Sheffield S7 2DE National Association for Hospice at Home Report of the Trustees for the Year ended 31 March 2025 national association for hospice at home The National Association for Hospice at Home INAHHI Trustees are pleased to present their report and audited financial statement for the year ended 31 March 2025. The Reference and Administrative information set out on page I forms part ofthis report. The financial ststement complies with current Statutory requirements, the Constitution and the Statement of Recommended Practice- Accounting and Reporhng by Charities ISORP 2005 & 20081. Strurture, Governance and Management Charitable objects For the benefit of the public to promote the efficiency and effectiveness of charities and the effective use of resources for charitsble purposes by charitable and non-charitable bodies providing end of life care for people in their own homes. The Association is the national umbrella and representative body for Hospice at Home organisations in the United Kingdom IUKI. The Association exists to support the member5 160 organisationsl and other organisations as they strive to develop and improve the palliative and end of life care they provide in patients own homes. The aim is for the very best care for everyone facing the end of life, no matter where they live, who they are or what their condition is. The Association also exists to support the public by providing information and guidance on palliative and end of life care provision in their locality. The Association's vision is to both inspire and influence in order to support its members to deliver the highest quality hospice care at home. With reference to national guidance. it will seek to support the 'right' care at the 'right' time in the 'right' place. Brief summary of NAHH artivities ensurlng achievement of intended charitable aims for public benefit.. The Association has supported 63 member organisations. The NAHH continue to support individuals who have ￿quested help, support or guidance concerning any matters related to H05pice at Home. The annual conference Yhe Future is Bright, was due to take place on the 20th June 2024. We were hoping to host our first face to face conference since the pandemic. We had continued with a yearly conference online which were very successful and we are looking forward to meeting people in person again. We were expecting a good response from our members, however due to the current climate in the NHSIHospices we were unable to attrart enough delegates to continue. Consequentlv, we reverted to a virtual conference which was well attended. national association for hospice at home The Learning Network mÈÈtings have been successful and well attended. Relevant tQPiC5 are presented by specialist speakers. It is an opportunity to network with colleagues, hear about current prdctice and ask questions of specialist speakers. Support to members is also given via an online forum with a Trustee responsible for checking the forum and ensuring responses are made in a timely manner. The overall strategy of the Charity is regularly reviewed 3long with the associated work plan of activity to help deliver it. The Association has complied with their duty to have due regard to the commi55ion5 public guidance when exercising any powers or duties to which the guidance is relevant. The Association is govemed by their constitution111 August 20141, which was revised in August 2016. The Charity contrdcts the setvices of N.W. Saville to ensure the effective operations of the Charity and that regulatory requirements are fulfilled. A full review of the web51te content has commenced. However, this has been limited by resources, time and money. Web-Feet continue to 5UPPOrt with web hosting and security. Compleat have continued to lead on this project. The organisation 15 always keen to attratt new Trustees to the Charity and applications a considered using an agreed application process that includes the completion of an application form, skills audit, written references and an interview. The welcome pack for new Trustees has been and all who are appotnted to the Board receive information concerning role descriptions, NAHH Con5kntution together with the last NAHH report, NAHH finance statement and a copy of the last Trustees minute5. Thi5 is the role of the secretsry. Trustees are recruited via the annual conference and by direct discussion or approach by existing TrL¢Stees. Activltles and Objertives The NAHH has undertaken the following in the reported year: There has been a change of roles for The Boèrd of Trustees with a new Chair and Vice chair. We are also delighted to have a new Trustee in position. The previous Chair has stepped down. The new trustees bring a diverse range of skills and experience including Clinical, management and community engagement. Regularly reviewed and updated the work plan to support the Strategic aims of the Charity Maintained a risk register in line with the Risk Management poliry to ensure effective Bovernance of the CIO Monitored the formal contract with the Compleat Group to ensure continued effective governance and eftechve use of the Charity's funds notional association for hospice at home Built upon and consolidated relationships with key stakeholders in the field of Palliative and End of Life care Moving the NAHH conference "Making the Future Bright" to a virtual platfom 15 a significant step towards ensuring accessibility for all members to the national charity. Delivered the AGM online in December 2024. Managed the Association within budget requirements Held six Trustee meetings, which included meeting fa￿ to fa￿. Maintained an online donation facility Worked coll8boratively with Hospice UK on the '8ig Conversation., Achievements and performan The NAHH has achieved the following in line with the 2022 - 2025 Strategy Wision The NAHH vision is to inspire and support health professionals, carers and familie5 to deliver best quality palliative and end of life care in patients, homes by learning from each other through sharing good practice. supporting each other and facilitating access to re50urces. Aims l. To be a credible. sustainable, national organisation who can support the NAHH members 2. To ensure NAHH offers an evidence-based research approach to education and advice in order to promote the resilience and capacity of NAHH members to care for those at the end of life. 3. To extend the NAHH reach to a wider community of patients. carers, families and health professionals in order to encourage equitsble access to NAHH support ft)r those involved in end-of-life care. 4. To strive for a national and public awareness of the NAHH vision thmugh robust communication with members, stakeholders and other char￿e5. The NAHH 5trateEY is inspired by and in alignment with current publications and NAHH partnerships within end4)f-life care. This includes ensuring NAHH follows guidelines from the Care Quality Commission to be Safe, Caring, Effective, Well Led and Responsive. national association for hospice at home Hospice UK CSNAT Leadership Alliance for the Care of Dying people12014bl Priorities of Care for the Dying Person Ambitions for Palliative and End of Life Care.. A National Framework for Local Action 2015- 2020 National Palliative and End of Life Care Partnership Aims and Ob"ectives l. A credible. sustainable, robust organi&ition who can support the NAHH member5 Increase and sustsin membership to the organisation Review and develop trustee roles Recruit to Trustee roles Review partnerships with other charities Measure value for money and the NAHH offèrto members Measure effectiveness 2. Ensure we offer an evidence-based approach to education and advice in order to promote resilience and capacity of members to ensure high quality Standards of care for those at the end of life Evaluate and continue the yearty Conference a5 a flagship for NAHH Review and develop regular workshops to identified need Continue to 5UPPOrt research through designated advisers e.g. OPEL Study Develop a critlcal friènd and mertoring network Recognise, acknowledge and retain quality end of life care by maintaining the essential and core skills agenda. 3. Extend the NAHH reach to a wider community of Health Professionals, patients, carers and families in order to encourage equitable access to NAHH support for those involved in the end of life Consider membership from other organisation5 Such as domiciliary care, care homes Collaboration with other charities from a non-cancer background such as neurologital disease. dementia, heart failure, COPD Ensure ethnicity and diversity are represented and reco8ni5ed in particular'hard to reach, groups. Actively enEaEe wtth communities who don't normally use EOL services. national association for hospice at home Strive for a national and public awareness of the NAHH vision through robust communication with members. stakeholders and other charities. Promote NAHH as a national and public organisation Awareness and sharing of C￿r￿nt research in the H@H field. Develop Smarter ways of delivery through updated IT systems. webinars, Whats App Group5. Recording Conference Encourage porters and presentations from members and Trustees. Review and develop current partnerships- CSNAT and Hospice UK Continue to develop a national and public aWa￿￿eSS by diversity of membership Encourage a wider attendance at the online learning sessions and regular contact with the membership Ongoing development and evaluation of the NAHH website Financial review The reserves policy is regularly reviewed in line with the governance framework. No funds held by means of a custodian Trustee. A detailed report of ratified accounts has been provided at the end of this report. Conclusion April 2024- March 2025 has continued to be a period of readjustment from the legacy of Covid 19. This was refletted in the annual conference "Making the Future 8right" moving to a virtual platfomi despite plans to deliver face to face. This was a significant step towards ensuring accessibility for all members to the national charity. Given the current economic and complex challenges in health provisior), it's essential that we adapt to make participation more feasible for everyone. Presenting the conference virtually not only makes it more affordable for both our members and the charity, it also maintains our commitment to f05tering collaboration and exchanging ideas. While we understand that not meeting face- to-face may be disappointirig, the posÉtive feedback from previous virtual conferences demonstrates the value and effectiveness of this format. Attendance at the virtual conference was good. It cannot be underestimated the impact the pandemic and lockdown has had on small charities and the general ways of working. We are need to have a realistic approach to the scope of NAHH due to the fi'nancial challenges such as lack of sponsors for on line conferences. reduced membership and voluntary time given bythe Trustees to attend meetings. We are adjusting our expectstions and usingthe virtual platform positively especially the Learning network meetings and Trustee meetings. national association for hospice at home However, we have been able to schedule some Trustee meetings face to face during the year which has been hugely beneficial for morale. Membership numbers are stable this year, despite organisations rationalising their budgets and reviewing allocation of funding, however they are still lower than last year. Also, the environment for end-of-life care continues to shift with a focus on Nursing home care and private homecare. As a result. we are encouraging these carers and Nurses to join the NAHH to have access to much needed support outside of the NHS. The Big Conversation with Hospiceuk was an opportunity to network with other small charities such as Day Services Association. We are fortunate to have a strong Board of Trustees who bring a wide range of skills, experience and resilience. It is the continuity of the Trustees which has supported NAHH to adapt and be flexible to the shifting pattern5 of healthcare and the world we live in now. We continue to be hugely grateful to Compleat Group for all their support which goes above and beyond at times. Their counsel is extremely important and keeps NAHH on track Sue Eskins Chair to the Board of Trustees. Louise Clapton Treasurer **NATIONAL ASSOCIATION FOR HOSPICE AT HOME INCOME AND EXPENDITURE STATEMENT AND STATEMENT OF FUNDS, ASSETS AND LIABILITIES FOR THE YEAR ENDED 31ST MARCH 2025** **Treasurer:** Louise Clapton The National Association for Hospice at Home Lancaster Court 8 Barnes Wallis Road Fareham Hampshire PO15 5TU **Bankers:** Barclays Bank Leicester LE87 2BB **Auditors:** N.W. Saville & Co Accountants 29 Plymouth Road Sheffield S7 2DE **NATIONAL ASSOCIATION FOR HOSPICE AT HOME INCOME AND EXPENDITURE STATEMENT FOR THE YEAR ENDED 31ST MARCH 2025** ## _31/03/24_ |2,106
7,750
375
2,375|**Income**
Private Donations
Membership Fees Received
2022 NAHH Conference (Postponed to Jan 2023)
2023 NAHH Conference
2024 NAHH Conference
2024 NAHH Conference Refunds
**Expenditure**
Administration & Conference Costs
Expenses and Traveling
Website and IT Costs
Insurances
Miscellaneous & sundry Expenses
Audit and Accountancy Fees
**EXCESS OF INCOME (EXPENDITURE)**|6,880
8,183
4,435
(1,958)
2,477|6,880
8,183
4,435
(1,958)
2,477| |---|---|---|---| |12,606
14,698
422
1,185
327
65
120||12,721
204
1,335
327
80
110|17,540
14,778| |16,817|||| |(4,211)|||| **NATIONAL ASSOCIATION FOR HOSPICE AT HOME STATEMENT OF FUNDS, ASSETS AND LIABILITIES AS AT 31ST MARCH 2025** ||_31/03/24_
16,628
(4,211)|**Income and Expenditure Fund**
Balance b/fwd. - 01/04/2024
Excess of Income over (Expenditure) - Y/E 31/03/2025
**Assets**
Balance at Barclays Bank-Community Account
**Liabilities**
2025-26 Membership Fees in Advance
2025 NAHH Conference Fees in Advance
Sundry Creditors|12,417
2,763| |---|---|---|---| ||12,417||£
15,180
21,425
(5,125)
0
(1,121)
£
15,180| ||18,616
(4,875)
(905)
(419)||| ||12,417||| ## **AUDITORS REPORT** We have prepared the above Statements from the books, vouchers and information supplied to us in order to verify the Income and Expenditure of the National Association for Hospice at Home for the year ended 31st March 2025. N.W. SAVILLE & Co. ACCOUNTANTS JUNE 2025