2023-03-31-accounts

Charity registration number 1158356 Company registration number08360699 (England and Wales) HEALTHWATCH ESSEX LIMITED ANNUAL REPORT AND FINANCIAL STATEMENTS FOR THEYEAR ENDED 31 MARCH 2023

NEALTNWATCH ESSEX LIMITED LEGALAND ADMINISTRATIVE INFORMATION Trustees Ms L Brookes Mrs A Cherry Mi N lones Dr S Carey Mrlohn Bl3ke Mr Daniel Taggart (Appointed 8 November 20221 (Appointed 8 November 20221 Charity nutnber 1158356 Company nufflber 08360699 Principal address 49 High Street Earls Colne Colchester Essex C06 2PB Registered office 49 High Street Earls Colne Colchestei Essex C06 2PB Auditor AnnatricÉ Limited Ststutory Auditor 10, The Thoroughfare Harleston Norfolk IP20 9AK Bankers Barclays Bank PIC 9 High Street Colchester Essex COI IDD

NEALTNWATCH ESSEX LIMITED CONTENTS Page Trustees. report Statement oltrJstees' responsibilities Independent auditor's report 9-11 Statemént tsllinancièl activities Balance sheet Statement olcash flows 14 Notes to the financial statements 15-23

NEALTNWATCH ESSEX LIMITED TRUSTEES, REPORT (INCLUDING DIRECTORS, REPORT) EOR IHE YSARSNDSD 31MARCH2023 The Truslees presenttheir annual report and financial statements lor the year ended 31 March 2023. Tho financial statements have been prÈpared in accord3nce with the accounting policies sel out in note I to the lin3ncial 51atements and comply with the charity'5 governing document, the Companies Act 2006 and 'AccountiDg and Reporting by Charities.. Statement ol Recommended Pr3Ctice 3pplicable to charities proparing their accounts In accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021. la5 amended for accounting periods commencing from I january 201 gi Objectives and activities 'Healthwatch' Ofganis3tions throughout England were created as result ol the Health and Social Care Act 2012. Using the powers vested under this legislation, Ihey each have a responsibility to,. l. promote and support the involvement ol people in the commissioning, provision ènd scrutiny ol local care services. obtain the views ol people about their needs for, and their experiences ol, local care services. 3. make reports and recommendations about how local care services could, or ought to be, improved to people responsible lor commissioning, providing. managin9 or scrutinising local care services., and 4. provide advice and information about access lo local care services and about choices that may be made with respect to aspects ol Ihose seroices. He3lthwatch Essex cover5 the whole county with the exception ol Southend 3nd Thurrock and is part of a network of local Heallhwalch organisalions in England. The network is c)verseen and supported by the national umbrella body, Healihwatch England. which provides a formal link to the Department ol Health and Secretary ol Stste lor Health. In response to ils ststutory responsibilities, the company's objects, as set out in its Memorandum olAs50cialion, are for'the advancement ol health and the ielielol those in need by reason ol youih, age, ill- healih, disability 01 linèncial hardship by,. l. providing information ènd advice lo the general public aboul local health and social care services. making the views and experience5 01 members olthe general public known to health and social care providers. enabling local people to hève a voice in the developmeni, delivery and equality ol èccess lo local health and care seNices and lacililies., and 4. providing training and the development ol skills loi volunteers and Ihe wider community in undeistsnding, scrutinizing, reviewing and monitoring local health and care ser<ices and lacililie5, The company organises ils work under four activity headings.. Research. Engagement, Information and Guidance and Communication5. ID 311 its activities, the organi5atiOn Seeks lo capture people 5 first-hand experience ol health and 50ci31 care services, set against the backdrop ol their own lives and personal circumstances, This 'lived experEnce' is then reported, or otherwise presented, to the relevant health and Social care providerlsl including the counly'5 live NHS Clinical Commissioning Groups, one mental health trust, live acute hospitals and Essex County Council. responsible loi social care to enable them lo better emp3thise and understand Ihe impact their 5ep¢ice is having on re31 live5, allowing Ihem lo adapt accordingly. Achievements and performance As Healthwalch Essex has been recovering from the impact ol the pandemic it has been really good ty have our staff back at the office working face to lace and attending lace to lace meeting5 With our colleagues, partners and the people living in our local communities. We have recruited more staff and been successful in securing more interesting pr(iecls from a wide range ol partners. Li51ening & Engaging Capturing ar)d sharing lived experiences to help improve health and social care seNices. sharIn￿experiences 85+ arnba5sador5 now in our tearn who use their lived experience to shape local sewice5. We have amba55ador5 Wlth experience ol men181 health. trauma, caring. disabililios and more. Supporting people 1,296 people acce55ed 5UPPOrt from the Healthwateh Essex Information & Guidance teèrn via our website, phone, text, WhatsApp. live chal or email. Connecting online 358,000 views across our soci31 media chènnels, 58,193 people visited our website and 124 people provided information to us via our online Feedback Centre.

NEALTNWATCH ESSEX LIMITED TRUSTEES, REPORT (INCLUDING DIRECTORS, REPORT) ICONTINUEDI EOR IHE YSARSNDSD 31MARCH2023 CommunityAss@t Mapping Our work with Community360 and Community Voluntary Service5 Tendring on a Comrnunity ￿Sel M3ppiDg project has continued. The reports, commissioned by the North East Essex Health and Wellbeing Alliance, aim to highlight the strength ol the communily through the nurnerou5 as5et5 found acros5 two area5 In E55ex and compare again51 dats and information about needs. which highlights any gaps During the last year, a5 part olthi5 work Ihe Die Well and Stay Well report5 have been published. Die Well Iocus5ed on end ol Ille care in residential and nursing homes and the support lo live at home. Stay Well locussod on people living with long term condilion5 and their carer5 and additionally, hospilal admission avoidance and 5UPPOrting people awaiting elective surgery. 'Happiness, Heartbreak & Hope Expeiienees of Ferlilily and Baby Loss in Essex Fertility can sometimes be considered 3 tsboo topic. Healthwatch Essex wanted to bring forward the hidden voices around this topic and allow for people's sluries tts be shared. We wanted 10 ensure this project would allow othef people going through their fertility journeys to be able lo relate to these stories. The stories were shared in a variety ol ways Includino a podcast lilled 'Henry's Legacy." A life Well Lived.. a number ol short videos shared on our TikTok channel, which have been watched over 27.WO times, 3nd through our social media channels. Essex Fella's Forum The Essex Fella's Forum launched in October 2021 and has provided a monthly meeting place for menevery first Monday ol the month. They meet at a local pub where men Informally discuss Issues such as health, wellbeirig, rren's he3lth screening, lalheihood, confidence, sell-esleem and more. The loium has since incorporated physical aclivily Ihioughoul the calendar year, participating in activities outdoors such as fishing, gardening, community allotments, BBQS, and 'walks and tslks,. Information & Guidance The pèst year has been a busy one loi Ihe Inloimalion ancj Guidance Team, with a sieèdy flow ol enquiries, an increèse in the number ol reports we have produced. and a return lo a more robust outreach programme out in the comffunity, We have regularly participated in a wide variety ol meelings ac1055 Ihe Slalulory, voluntary and communily sectors in every part ol the county, to ensure that the livecj experience ol the people ol Essex is represented efteclively, These have included regular repre5enlalion al the Essex County Council People & Familie5 Scrutiny Cornmitlee and Health, Overview & Policy Scrutiny Committee, the LeDeR learning cjisabililies mortality review panel, and various meetings implemented by the Essex Alliances, Integrated Care Boards and Integrated Carè Systèms IICSI. How did people lincl out about us Previously used our sewice, our website, internet search Iriends/word ol mouth, GP Surgery, 86% 01 enquirie5 were from services users and their relatives. Most Iiequent lines ol enquiiy include iegisiering and èccessing GP services, mental health support. hospital care issues, concerns about housing and homelessness, difFiculty accessing NHS dental care, Our Ambassadors- Helping more people have their say through ctrproduction Young Mental Health Ambassadors Have been working collaboratively with Children ènd Adolescent Mental Health Seroices ICAMHSlsince 2018 to ensure that 5ewices are designed and delivered with the voices olthe young sefvice users included within this process. To enable young people lo actively be Involved. the Young Men131 Health Ambassèdor IYMHAI programme was created with Healthwalch E55e¥- training, recruiting and 5UPPOrting the young people to feel confi'dent in sharing the1rvie￿. Trauma Ambassador Group ITAGI Carne logether to ulilise their skills and lived experiences of trauma to help inforTh, Shape and develop health, care and wellbeing Se￿1CeS. Members have all experienced traum3. which can arise from a wide variety Dlcauses, including domestic bu5e, 5e¥ual abuse, exposure to crime and bereavement. The Group ascertained that there wa5 a clear need to iwprove conversations bebNeen health 3nd care professionals and people living wilh trauma. In response to this need, they created 'Trauma Card5 35 a tool to empower individuals who have experienced trauma lo eomrnunicate Thore effectively with healthcère professionals. Winner Dlthe'most Promising Pilot" at the Integrated Health Awards 2023. Research Arnb3ssador Nelwork Are alwa5$ keen lo share our research skills and learn from others. In january. we founded the Healthwalch Essex Research Ambassador Network, a scheme that Invites individuals Wlth an Interest In health and social care, qL￿lItatIve methods and lived experience to volunteer with us to gain experience conducting research in a charity Learning Disability Ambassadors Supports individuals with a learning dis3bility ILDI to ensure their voices ale heard and thatthey are treated with the same dignity and respect. living a healthy, sale and fuifillir)g life.

NEALTNWATCH ESSEX LIMITED TRUSTEES, REPORT (INCLUDING DIRECTORS, REPORT) ICONTINUEDI EOR IHE YSARSNDSD 31MARCH2023 Hidden Voices Neknvork Healthwatch Essex launched a new Hidden Voice5 Network in july consisting ol groups and individuak frorn across E55ex, including ethnically diverse communities. LGBTQ+ groups. faith groups and refugees The Network is amed at connecting communitie5 UP with organ15ations to ensure that all voice5 are being heard within health and 50ci31 care. Career Oevelopmenl at Healthwalch Essex We currently have three apprentices starting their careers with us, learnirbg on theiob 3nd cwbpleting qualifications. Two are 51udying media and communicalion5, one business administration. They are key members ol our team. Our newest apprentice Gr3c@ won a competition during National Apprentice Week with her 3PPfenlic@ship providerfor hèr insights into her experience. Understanding Inequality For the past two years, Healthwatch Essex have been working In collaboration with Mid and South Essex Foundation Trust IMSEI lo improve their hospital services loi people living with learning disabilities ILDI. As part ol the Understanding Inequality project, several participants living with learning disabilities shared their experiences Vlslting hospital lor a short film. They also attended workshops with heallhcère staff, charities and community groups lo ctrproduce a series ol recommend3tions designed lo improve access to hospital sewices. Those recommendation5 3re now being put Into practice thanks lo the involvement of staff and patient champions, helping lo improve the experiences ol the 17,000 people with learning disabilities loc3lly. In 2022, the Understanding Inequality project was nominated lor the Learning Disabilities Initiaiive ol the Year Award at the Health Servicelournal Patient SaleiyAwaids. Financial review Income & Expenditure Healthwatch Essex is primarily funded by the Department ol Health and the Department lor Communitie5 & Local Government, via Essex Couniy Council. Ouiing the year to 31 March 2023 the Charity received income from Ihis source of £429K12022,. £457KI- see Note 3 10 the Financial Statemen15, Total expenditure lor the year amounted to £642K12022.- £587KI- the levels ol expenditufe attributable to each ol the headline aclivilies outlined in Section l ol this report is presented in Note 4 to the Financial Statements. Balance Sheet The company's yeèr-end Balance Sheet comprises,. restricted funds £451K12022., £689KI, unrestricted funds £258K12022.. £79KI. An analysis ol restricted funds by project is presented in Note I I to the Financial Statements. Reservès Policy The company's restricted funds are required to be used lor Specific purpose5 laid down by the lun&r. It is the Board'5 policy. therefore, lo use the surpluses gifted lo il by ils subsidiary company. HWE Insights, to build up, cver time, a level ol unreslricted funds sutticient to enable the company to meet it5 Stalulory obligations In Ihe evenl of il ceasing to operate. To reduce risk Heallhwatch E55e¥ are splitting the reserve fund acr05S several different accounts. Risk Management The 8oard of Directors review5 the company5 key Strategic ri5k5 at each ol it5 meetings. The bigge51 risk13cing the eornpany is Its overreliance on funding from Essex County Council. In order to mitigate this overreliance, it Is Ihe company's policyto develop complementary commercial work to diversify income streams. Staternent of Completene55 Each olthe director5 ha5 confirmed that there 15 no information olwhich they are aware which 15 relevant to the audit, but of which the auditor is unawarè. They have further confirmed that they have taken appropriale steps to identify such rèlevant information 3nol to establish that the auditor5 are aware o15uch inforwation. Full detai15 of the company 5 related party transactions are disclosed In Note14 to th@ Financial Statements. It is the PDliry olth? charily that unrèstricted funds which have not been designated for a specific use should be rnaintained at a level equivalent to behveen three and Six month 5 expenditure. The Trustees considers Ihat reseN&s at this level will ensure that. In th? event ol a signilicanl drop Irb funding, they will be able to continue the charity 5 current activitie5 while consideration 15 given to ways in which additional fund5 may be raisèd. This level ol reserves has been maint3ined throughout the year.

NEALTNWATCH ESSEX LIMITED TRUSTEES, REPORT (INCLUDING DIRECTORS, REPORT) ICONTINUEDI EOR IHE YSARSNDSD 31MARCH2023 In The Pipeline 2023-24 He31thw3tch Essex has a lot o(exciting projects In the pipeline. Upcoming research topics includetransgendef experiences ol heèllhcare (Transitions) and Irritable Bowel Disease in pregnancy. Our Engagemeni learn will expltye experiences of growing older in Essex and hospital discharge, as well as an exciting engagement opportunity with schoolchildren learning about disabilities in an innovative way. A Dew ambassador group loi adults With experience ol mental health 15 being developed and we will continue to grow ourexisting 3mb3ssador schemes. We have an outreach programme pl3nned to attend numerous Pride events across the countythis summer to engage with our LGBTQ+ community and promote our Tr3nsitions project. The Impact olthe cost ol living Increases has affected everyone, in particular Ihe most vulnerable people In our comrnunities and HWE staff have been there lo ofter inloimalion and guidance lo even more people. HWE will continue lo support our staff to deal with the cost ol living crisis and ensure their health and wellbeing with access lo a range 015UPPOrt 3nd advice. The worsening situation in terms ol health and social care provision has had and continues lo have a huge Impact on the health and wellbeing of our local communities with Increasing numbers seeking support and guidance from ourtearns. Our Chief Executive has made a significant contribution to the e5tablishtnent and implefflenlation olour 3 local IntegTrted Cafe Partnerships- working With local Healthwalch is key to understsnding the lived experience ol health and social care and enables the ICP'S to develop their plan5 and piiorilies. The wayahead is not wiihout ils challenge5, in particular finding way5 to get over the crisis in health and social care and ensuring that sufficient funding is allocated to these seNices. We will continue to work closely with our colleagues in the Integrated Care Partner5hip5 and support thern lo lind innovative new ways olworking together lo provide more and improved care and support lor our local communities, The 8oard ol Directors 8OD is extremely proud oleveryone In the team, their commitment and enihuyasm, and the vital work they undertake 10 ensure thai lived experiences feed into improvements in health and social care. The inloimaiion that we share enables provider5 to offer accessible and equitable care and support to meet the ever incr*sing need5 01 people living in our communities.

NEALTNWATCH ESSEX LIMITED TRUSTEES, REPORT (INCLUDING DIRECTORS, REPORT) ICONTINUEDI EOR IHE YSARSNDSD 31MARCH2023 Structure. 9overnanc@ and management Healthwatch Essex 15 3 private company limited by guaTrntee, Incorporated in England 3nd Wales, registered company number 8360699. The registered office is 49 High Street, Earls Colne, C06 2PB. The company is also a registered charity, charity registr3tion number 1158356. The company is governed by It5 Mernoiandum and Articles of Association. The company s governance structure cDmpri5e5'. l. A Board of Directors responsible loi the day lo day oversight of the company (including setting strategic direction and budgets) and meeting In public at least twice a year to rnake decisions th3t are requiEd to be made in public. The Board is required lo consist ol. . At least 5 directors, Including the Chair and Vice Chair, 3ppoirbted by the Board. The directors in place as ol l April 2016 Ithe dète upon which this gc)veinènce struelure came into effect) were deemed to have been appointed by advise from 3n Independent Appointment Panel. b. Up to 3 other director5 CTrOPted by the Board lo enhance the fflix of 5ki115 and experience 3vailable lo the B03rd. 2, A right lor anyone who lives In or uses health and social care services in Essex to make representations at public meetings ofthe Board. The Trustees, who are also the diieclois for the purpose olcompany law, and who served during theyeai and up to the dale ol signature of the financial staternenls were.. Ms L Brooke5 Mrs A Cherry Mr L Payne Mr P Findlay Mi N lones Dr S Carey Mr P Ruddy Mrs S Verkuyten Milohn Blake Mr Daniel Taggait (Resigned 8 November 20221 (Resigned 8 November 20221 (Resigned 3 May 20221 (Resigned 22 April 20221 (Appointed 8 November 20221 (Appointed 8 November 20221

NEALTNWATCH ESSEX LIMITED TRUSTEES, REPORT (INCLUDING DIRECTORS, REPORT) ICONTINUEDI EOR IHE YSARSNDSD 31MARCH2023 All new Directors receive 3 comprehensive Induction Pack outlining their individual responsibilit￿S and the collective re5ponsibilitie5 ofthe Board of Director5. Mr5 A Cherry replaced Mr G Hyarn5 as Chairman on 22nd March 2021 following the resignalion olmr G Hyams on the same date. None olthe directors has any benefici31 interest In the company, The Executive Ms S Glover wa5 appointed Chief Executive Officer in August 2020 and confirmed in p05t in February 2021 following a successful probationary period. Including the Chief Executive Officer, the cofflpany pre5enily ha517 member5 015taff. All memberso15taff are based at the company's office. HWE Insi9hls Limited HWE In5igh15 Limited 15 a company limited by 5hare5 and wholly owned by Healthwatch Essex. It 15 incorporated in England and Wales, registered comp3ny number 09989317. The company's registered office is 49 High Street, Ewls Colne, Colchester, Essex, C06 2PB. HWE In5igh15 5tr3tegy 15 to capitali5e on Ihe opportunitie5 available to it to carry out commercial work which complernents, enhances and extends the work ol Healthwatch Essex. Any surpluses generated by the company afe reouired either to be retained In the cornpany lor future use or 815e gifted to Healthwatch Essex. The combined income olHealthwatch Essex and HWE Insight5 did not exceed £1 million in the year to 31 March 2023 so, in accordance with the Charities Act. the Board ol Heallhwatch Essex has opted not to prepare consolidated financial slaternents. The Truslees, who are 3150 the directors ol Healthwalch E55ex Lifflited lor the purpose olcompany law, are responsible lor preparing the Trustees, Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdoffl Generally Accepted Accountin9 Praclicel. Company Law requires the Trustees to prepare financial slalements lor each financial year which give 3 true and lair view ol the siale olaffaifs ol the charity and ol the incoming resources and application ol resources, including the income an expenditure, olthe charitable company lor that year. In preparing these financial stalemeritS, the Trustee5 are required lo.. select suitable accounting policies and Ihen apply them consistently., obseNe the rnethods and principles in the Chariiies SORP., make judgemenls and estimates Ihal are rea50n3ble and prudent., and prepare the financial statements on the going concern basis unless it is inappropriate to presumethat the charity will continue in Dperbtion. The Truslees are responsible lor keeping adequate accDunling records that disclose with reasonableaccuracy at any lime 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 lor safeguarding the asset5 01 Ihe charity and hence lor taking reasonable steps lor Ihe prevention and detection of fraud and other irregularitie5. In September 2020 è paper was presented lo Ihe board lo discuss the lulure on HWE Insights, in No￿rnber 2020 il was greed that at the end ofthe financial year HWE In5ight5 would be made dormant and Ihi5 Statu5 ehanged on Cowpanie5 House. This company Is no longer in operation ènd all associated contracts. trènsactions and accounts has ceased Irading.

Amanda Cherry

Amanda Cherry (Jan 31, 2024 15:00 GMT)

31/01/2024

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NEALTNWATCH ESSEX LIMITED STATEMENT OF TRUSTEES, RESPONSIBILITIES EOR IHE YSARSNDSD 31MARCH2023 The Trustees, who ar@ also the directors ol Heallhwatch Essex Limited lor the purpose ol company law. are responsible lor preparing the Trustees Report and the linanci315tstements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom G@nerallyAccept@d Accounting Practicel. Company Law requires the Trust@es to prep3r@ financial stat&ments lor each financial year which 3 tru@ and lair view ol the slate of affair5 olthe charity and olthe incoming re50urce5 and application ol resouice5, including Ihe income and expenditure, ol ihe charitable companylor thalyear. In preparing these financial statements, the Trustees are required to.. select suitable accounting policies and then apply them consistently.. - obseNe the methods and principles In the Charities SORP., - makejudgements and estimates that are reasonable and prudent., stste whether applicable UK Accounting Standards have been followed, subject to any material departures disclosed and explained in the financial 5tatemen15', and prepare the financial 5tat8fflenls on the going concern basis unless il is inappropriate to presu1r￿ Ihat the charity will continuè in operation. The Trustees are responsible lor keeping adequate accounting records that disclose with reasonable accuracy at any lime the financial p05ilion ol the charity and enable theffl to ensure that the financial slalements comply with the Companie5 Act 2006. They are also responsible lor safeguarding the assets ol the charity and hence lor taking reasonablesteps lor the prevention and detection ollraud and oiher irregularities.

NEALTNWATCH ESSEX LIMITED INDEPENDENT AUDITOR'S REPORT TOTHE TRUSTEES OF HEALTHWATCH ESSEX LIMITED Opinion We h3ve audited the financial statements ol Healthwatch Essex Lifflited Ithe'charity'l Iof the year ended 31 March 2023 which comprise the slalement of financial activities, the balance sheet, the ststemenl of cash flows and notes lo the financial statements, Including significant accounting policie5. The financial reporting framework that ha5 been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 Ihe inèncial Reporting Stbndardèpplicbble in the UKbnd Republic of Irelandlunited Kingdom Generally AcTrpted Accounting Practice). In our opinion, the financial stalemenls-. give a true and lair view ol the state olthe charitable company's affairs as at 31 March 2023 and ol its incoming resources and applicalion ol resources, for the year then ended., have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practitr., and h3ve been prepared in accordance with the requirements of the Companies Act 2006, Basis lor opinion We conducted our audit In accordance with InlernatlDnal Stand3rds on Auditing IUKI IISAS IUKII and 3pplicable law. Our responsibilities under those standards are lurlhef described in the AJdilors responsibilities for Ihe audit ol the financial st3tements section ol our report. We are independent ol the charity In 3ccordance with the ethi131 requirements that are ielevani lo our audit of the financial slalements in the UK, including the FRC'S Ethical Standard, and we have fulfilled our other eihical respDnsibilities In accordance with these requirernents. We believe that the audit evidence have obtained is sufficieni and appropriate to provide a basis loi our opinion. Conclusions relating to going concern We have nothing to report in respect ol the following rnatters in relation to which the ISAS (UK) r¥uire us to report to you where.. the trusiees. use ol the going concern basis of accounting in the preparation of the financial ststernenis is not ppropriate., or the Trustee5 have not disclosed in the linanci3151atemenls any identified material uncertainties thal may cast significant doubt about the charity's ability lo continue lo adopt the going concern basis olaccounting loi a period olat least twelve rnoDth5 from the date when the financial 5tatemen15 are authorised for issue. Other information The other information comprises the information included in the annual report other Ihan the financial statements and our uditor's report Ihereon. The Trustees are responsible lor the other inlormalion contained within the annual report. Our opinion on Ihe liDaDcial slalements doe5 not cover the other information and we do not expre55 any form ol &surance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other Information Is malerially incon5i5tent with the financial stalemeDt5 or our knowledge obt3ined in the course ol Ihe audit, 01 othemise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements. we are required ID determine whether thi5 give5 rise lo a malerial mi551atement in the financial 5t3ternents thern5elve5. 11, b3sed on the work we have performed. we conclude that there is a material misslalement of this other information, we are required lo report that tsct, We have nothing to report in this regard. Matters on which we are required to report by exception We h3ve nothing to report In respect ol the following matlers in relation to which the Charilies (4ccounts and Reports) Regulation5 2W8 require u5 to report to you if, ID our opinion.. the information given in the financial stalemer)ts is inconsistent in any material respect with the trustees. report.. or sutticient accounting records have not been kepl,. or the financial 5tstements are not in agreement with the accounting recoid5', 01 we have not received all the information and explanations we require for our audit. Responsibilities ofTrustees As explained moro lully In the statement ol trustees, rÈspDnsibilities. the frusloes. who are also thÈ diroctors ol thÈ charity for the purpose olcompany law, 3re re5pon5ible lorthe prepaTrtioD of the financial 5t3ternents3nd lor being 5at15fied that they give a true and lair view. Jnd IcTrr such Internal control as the Trustees detormino Is nocossary to onable the preparation ol linoncial statements that are free fvom materi31 mi5Statement, whether due to fraud or error. In preparing the financial statement5, the Trustees are responsible lor assessing tho charity's ability to continue as a going concern. disclosing. as applicable. matlers related to going concern and using the going concern ba515 01 accounting Unle￿ the Tru5tee5 either intend to liquidate the chari13blo company or lo cease operations. or have no realistic allernativ@ but to do so

NEALTNWATCH ESSEX LIMITED INDEPENDENT AUDITOR'S REPORT ICQNTINUEDI TOTHE TRUSTEES OF HEALTHWATCH ESSEX LIMITED Auditor's r@sponsibiliti@s lor the audit olth@ financial statements We h3ve been appointed as auditor under section 144 01 the Chaiities Act 2011 and report in accoidance with the Act and relevant regulations made or having effect thereunder. Our objectives are lo obtain reasonable assurance about whether the financial staternenls as a whole are free from rnateiial misstatement. whether due to fraud or error, and to Issue an aLJditor'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 IUKI will always delect a material misstatement when It exists. Misstatements can arise from fr3ud or error and are considered material il, individually or in the aggiegale, they could reasonably be e¥pecled to influence the economic decisions ol users taken on the basis ol these financial statements. Irregul3rities, Including fraud, 3re Instsnces ol non-compliance with laws and regulations. We design procedures In line with our responsibilities, outlined above, to delecl material misslatemenis in respect ol irregularities, including fraud. The extent to which our procedures 3re capable oldetecling irregularities, including fraud, is detailed below. The 3udit tests, including planning procedures, adopted for the audit ol these financi31 statements are designed to assess and detect the risk of iiiegulaiilies, including fraud. Our risk assessment of the likelihood ol irregulaiilies included the high degree ol involvement ol the experienced directors, which reduces the risk ol irregularities. The engagement p3rtner ensured that the engègemenl team collectively had the appropriate competence, capabilities and skills lo identify oriecognise non-compliance with applicable laws and regulations,. We identified the laws and regulations applicable to thecharily through discussions Wlth trustees and other management, and from our commercial knowledge and experience olthe secloi", We locusecl on specific laws and regulations which we consiclered may have a direct material effect on the financial slètemenls or the operations ol the charity, including the Companies Act 2006, Charities Act 2011, laxalion legislation, Employment Law and Data Protection. We assessed the exleni olcompliance with the laws and regulations identified above through making enquiiies ol management and inspecting legal correspondence, These were communicated within the audit team regularly and the team remained alert to instances ol non-compliance throughout the audit. We ideniilied the gieètest poiential loi fraud 01 non-compliance with laws and regulaiions in the following areas, and the specific procedures performed to address them are describecj below., . We obtained an understanding olthe income process and the flow ol financial information lo the general ledger and how thi5 is classified as restricted and unrestricted. Cut-off testing was perlorffled ai the yeèr-end dale by reviewing revenue which had been accrued for and revenue that hèd been recognised after dale to identify any transaction which had been erroneously recognised in the incorrect period. The same testing was carried out loi expenditure. In line with all audits under ISA5 IUKI, we are also required to perform specific procedures to respond lo Ihe risk ol management overricje. In addressing the risk ol fraud through management override ol controls, we reiiewed accounting records lor any unusual 3dju5tmeDts. In addition to the above, our procedures to respond to the risk identified included the following.. reviewing financi31 stalement d15c105ure5 by le5ting to supporting documentation to a5se5s cornpliance with provisions of relevant laws and regulations described as having a direct effect on the financial statements.. performing analytical procedures to identify any unusual or unexpected relationships that may irdicate risk ol material m15Statement due to fraud., - enquiiing of rnanagement concerning actual and potential litigation and claim5, and instances Dlnon-cofflpliance for the year. 10-

NEALTNWATCH ESSEX LIMITED INDEPENDENT AUDITOR'S REPORT ICQNTINUEDI TOTHE TRUSTEES OF HEALTHWATCH ESSEX LIMITED Because olth@ inherent limitations ol an audit. there is a risk that we will not delect all irregularities. including those leading to a material mi5Statement ID the financial Statements or non-compliance with regulation. This ii5k increases the more that compliance wilh a law or regulation is r&moved from the events and transactions reflected in the lirkancial statements. as we will be le55 likely lo become aware ol iDstance5 01 non-compliance. The risk is a150 greater regarding irregularities occurring due to lTrud Trther than error, a5 frajd involve5 intentional concealment, forgery. collusion. omission or misrepf&sentalion. A further description ol our responsibilities lor the audit ol the financial statements is located on ihe Financial Reporting Council 5 website at.. http."//www.Irc.org.uk/auditorsre5pon5ibilities. Thi5 description forms part olour auditor 5 report. Use ol our report This repori is made solely to the charity's tiuslees, as a body, in accordance with parl 4 of the Charities (Accounts and Reports) Regulations 2008. Our audit work has been undertaken so that we might state lo the charity's trustees those matters we are required 10 slate lo them in an auditor's report and lor no other purpose. To the lullesl extent peimitled by law, we do not accept or assume responsibility lo anyone other than the ch3rity and the charity's trustees as a body. lor our 3udit work, lor this report, or loi the opinions we have loimed. A4• Mr Anthonylames Brice FCCA For and on behallolAnnatrice Lifflited Statutory Auditor 10, The Thoroughfare Harleslon Norfolk IP20 9AX 3110112024 Annatrice Limited is eligible lor appointment as auditor olthe charity byvirtue ol ils eligibility lor appointment as auclitor c)la company under olsection 1212 01 the Companies Act 2006.

NEALTNWATCH ESSEX LIMITED STATEMENT OF FINANCIAL ACTIVITIES INCLUDING INCOME AND EXPENDITURE ACCOUNT FOR IHE YEARSNDSD 31MARCH2023 Unrestiicted funds 2023 Restricted lund5 2023 Total Unrestiicted fund5 2022 Restricted lund5 2022 Total 2023 2022 Notes Income from.. Donaiion5 and legacies Charitable activities Investments 18,720 18,720 684,574 149 131,095 452 452,053 583,148 452 684,574 149 Total income 131,547 452,053 583,6CK) 18,869 684,574 703,443 Expendilure on.. Charitable activities 270,519 371,691 642,210 587,457 587,457 Nel loutgoingl/incoming resources before Iransler5 1138,9721 80,362 158,6101 18,869 97,117 115,986 Gross Iransler5 between funds 318,359 1318,3591 Nel income/lexpenditurel lor the year/ Nel movement in funds 179,387 1237,9971 158.6101 18.869 97,117 115,986 Fund balances at l April 2022 78,961 689,237 768,198 60,092 592,120 652,212 Fund bèlènces èt 31 March 2023 258,348 451,240 709,588 78,961 689,237 768,198 The statement ollinancial activities includes all gains and losses recognised in the year. All income ènd expenditure derive from continuing activities. The stalement ol financial activitie5 also cowplies Wlth the requirements for an income and expenditure account under the Companies Act 2006. 12-

31/01/2024

Amanda Cherry

Amanda Cherry (Jan 31, 2024 15:00 GMT)

• 13 -

NEALTNWATCH ESSEX LIMITED STATEMENT OF CASH FLOWS EOR IHE YSARSNDSD 31MARCH2023 2023 2022 Notes Cash flows Ifom operating activities Cash generated frorn operations 16 172,491 108,640 Investing activities Interest received 452 149 Net Gash generated frorn Investing activities 452 149 Net cash used in financing activities Nel increase in cash and cash equivalents 172,943 108,789 Cash and cash equivalents al b￿InnIng olyear 579,011 470,224 Cash and cash equivalents al end olyear 751,954 579,011 14-

NEALTNWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS EOR IHE YSARSNDSD 31MARCH2023 Accounting policies Charity information Healthwatch Essex Limited Is a private company limited by guarantee incoiporated in England and Wales. The registered office is 49 High Street, Earls Colne, Colcheslei, Essex, C06 2PB. 1.1 Accounting eonvention The financi31 statements h3ve been prepared in accordance with the charity's governing document, the Companies Act 2006 and Accounling and Reporting by Charities.. Statement ol Recommended Practice applicable lo chJities preparing their accounts in accordance with the Financial Reporting Standard applicable in tho UK ard Ropublic ol Ireland IFRS 1021" la5 amended for accounting periods commencing from I january 20191. The charity 15 a Public Benefit Entity as defined by FRS 102. The financial statements are prepared in sterling, which is the functional currency ol the charity. Monetary amounts in these financial statements are rounded to the nearest £. The financial statements have been prepared under the historic31 cost convention, modified to include certain lin8ncia1 instrurnenis ai lair value. The principal accounting policies adopted are sel out below. 1.2 Going concern The directors have considered the financial position and financial forecasts lor the charity and are satisfied that the charity will continue to meet 115 liabilities as Ihey fall due. Based on this a55e55menl these account5 have been prepared on a going concern basis. 1.3 Charitable funds Unrestricted fund5 are available lor use at the discretion ollhe Trustees in furtherance ol Iheircharitable objectives. Reslricted fund5 are subject 10 Specific condition5 by donors a5 to how they may be used. The pU[￿seS and u5e5 01 the restricted luncjs are set out in the notes lo Ihe financial slalements. 1.4 Incoming resources Incorne is recognised when the charity is legally entitled to it after any performance conditions h84e been met, the amounts can be measured reliably, and it is probable that income will be received. Cash donations are recognised on receipt, Other donations are recognised once the charity has been notified ol the donation, unless perform3nce conditions require deferral ol the amount. Incoffle tax recoverable in relation to donalions received under Gift Aid 01 deeds of covenant is recognised at the time olthe donation. Legacies are recognised on receipt or olhewise il the charity has been notified ol an impending d6tribution. the amount 15 known, and receipt is expected. Ilthe amounl is not known, the legacy is Ireated a5 a contingeDta5sel. 1.5 Resources expended Exper)diture is recognised once there is a legal or constructive obligation to transfer economic bwefit lo a third party, it is probable that a transfei ol economic benefits will be required in settlernent, and the amount ol the obligalion can be measured reliably. Expenditure is classified by activity. The costs of each activity are mède up of the total of dIr￿t costs and shared costs. including 5UPPOrt Costs involved in undert3king e3ch activity. Diiect C05t5 attributable to a single activity are allocated directly to that activity. Shared costs which contribute lo more than one activity and support costs which are not attributsble to a single activity are apportioned bebNeen those activitie5 on a ba515 con515tent with the use ol resource5. Cenlral staff costs are allocated on the basis of lime spent, and depreciation charges are allocated on the portion of the a55et 5 Use. Expenditure 15 accounted for on an accDJa15 basis and include5 VAT where applic3ble. All expenditLre 15 allocated to particular activity where it relatos directly lo that activity. Support functions (including communications, finance. human re50urce5 and governance) are apportioned acios5 the activitie5 that the function5 5UPPOrt. Overhead costs lincluding officÈ running costs and consumables. information technology and insurances) arÈ similarly apportioned. Taken together. all these costs are referred to a5 '5UPPOrt C05t5 in Note 6 to the Financial Statement5. Support CC6t5 are apportioned to activities based on the number olstaff employed within that activity 15-

NEALTNWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS ICQNTINUEDI EOR IHE YSARSNDSD 31MARCH2023 Accounting policies Iconiinuedl 1.6 Fixed asset irbvestments Fixed asset investments are stated at cost. 1.7 Cash and cash equivalent5 Cash and cash equivalonls include cash in hand. deposits hold at call with banks, other short-torm liquid investments with original maturities ol three rnonth5 or le￿, and bank overdiafts. Bank overdraft5 are shown within borrowing5 in current 1.8 Financial instruments The charity has elected lo apply the provisions of Section 11 'Basic Financial Instruments. and Section 12 '0ther Financial Instrumen1515sue5 01 FRS102 to all ol 115 linaneial in5trumenl5. Finèncial in51ruments are recogni5ed in the charity 5 balance sheet when the charity bécomes party to the contractual provisions olthe instrument. Financial assets and liabilities are offset, with the net amounts presented in the financial statements, when there is a legally enforceable right to sel off the recognised aTnounts and Ihere is èn inlention lo settle on è net basis or lo realise the asset 8&sicfinancialassets The company's financial assets are rneasured at the cash consideration expected to be received and are not discounted, Other financial assets. including Investments in equity instruments which are not subsidiaries, a550ciale5 or joint venture5. are initially measured ai lèir value, which is normally the transaction price. Such assets are subsequently caiiied at lair value and the changes In lair value are recognised In net income/leKpenditurel, except that investments In equity instruments Ihat are not publicly traded and whose lair values cannot be measured reliably are measured ai cost less impairment. 5èsicfinanciè//iabilities Basic financial liabilities, including creditors and bank loans are initially recognised al transaction price unless the arrangement conslilules a financing transaction, where the debt Instrument Is measured at the present value DI the future paymenis discounted al a market rale ol interest. Financial liabilities classified as payable within one year are not amortised. Debi instrumenls are sub5equentlycarried at amorlised cosl, using the effective interest rale method. Trade creditors are obligations to pay lor goods or ser￿iceS that have been acquired in the Ordin￿ course ol operations frorn 5upplier5. Awoun15 payable are cla55ilied a5 current li3bilitie5 il payment 15 due within one year or le55.11 not, Ihey are presented as non-current liabilities. Trade creditors are recognised initi3lly at transaction price and subsequently tnea5ured at amorti5ed cost Using the effective interest method. Derecognition ofjfioaoeialliabilifies Financial li3bililies are derecognised when thechèrily s conlpctual obligations expire or are discharged or cancelled. 1.9 Employee benefits The cost ol any unused holiday entitlement is recognised in the period in which the employee's services are received. 1.10 Retirement benefits Payments to defined contribution retirement benelil schemes are chaiged as an expense as theyfall due. 1.1 l Taxation The company is a charity within the meaning of section 50611) of the Taxes Act 1988. Accordingly, the company is potentially exempl from laxalion in respect of income or capital gains received within the categori• covered by Section 505 01 the Taxe5 Act1988 or Section 256 olthe Taxation olchargeable Gains Act1992 to the extentthat such income 01 gains are applied to exclusively charitable purposes. 16-

NEALTNWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS ICQNTINUEDI EOR IHE YSARSNDSD 31MARCH2023 Donations and legacies Unreslricted Unrestricted funds funds 2023 2022 Donations and gifts 18,720 Charitable activities 2023 2022 Essex County Council NHS England Collaborative Essex National Lc)Itery Community Funding Grant TAG Trèuma Card Grant University Income CommunilyAsset Mapping 428,792 55,203 44,415 25,5CM) 6,551 11,750 10,937 456,865 153,876 44,666 29,167 583,148 684,574 Analysis by fund Unrestricted funds Restricted funds 131,095 452,053 684,574 583,148 684,574 Investments Unre5tricled Unrestricted lund5 funds 2023 2022 Interest receivable 452 149 17-

NEALTNWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS ICQNTINUEDI EOR IHE YSARSNDSD 31MARCH2023 Support cosis Support costs Governance costs 2023 Support costs Governance costs 2022 Stsff costs Media and marketing costs Premises costs General office costs Tr3velling and subsistence cosis Audit lees Legal and professional Bank charges Directors, expenses 389,4B2 12,257 29,385 40,640 389.482 12,257 29,385 40,640 290,818 5,079 28,435 30,992 385 291,203 5,079 28,435 30,992 13,106 13,106 9,730 19,798 672 493 9,579 9,579 6,000 32,464 558 450 9,730 13,869 672 493 6,COO 21,867 558 450 5,929 10,597 490,799 24,764 515,563 375,5C() 29.260 404.760 Analysed between Charitable activities 490,799 24,764 515,563 375,SCK) 29.260 404,760 Governance costs includes payments to the auditors of £5,6CQ12022- £6,000) lor audit lees. The audit lee shown above includes an under accrual lor the previous year. Employees Number olemployees The average monthly number ol employees cjuring the year was.. 2023 Number 2022 Number 17 16 Employrnent costs 2023 2022 Wages and salaries Social security costs Othei pension Costs 436,148 35,411 28,148 390,131 31,161 21,532 499.707 442,824 The Chief Executive Otricer who was In post during the year (see section 5 olthe Directors, report) received employee benefit5 for the year, excluding employer'5 pension contribution5, 01 £60.76212022.. £ 52,7801. No other employee5 received employee benefits lor the year, excluding employer's pensiorb contributions, ol more Ihan £EO,000. Fixed asset investments 19-

NEALTNWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS ICQNTINUEDI EOR IHE YSARSNDSD 31MARCH2023 Fixed asset investments Iconiinuedl Other investments Cost orvaluation At l April 2022 & 31 March 2023 Carrying 3mount At 31 March 2023 At 31 March 2022 2023 2022 Other investments comprise.. Notes Investments in subsidiaries Debtors 2023 2022 Amounts falling due within one year.. Trade debtors Amounts owed by subsidiary undertakings Other debtors Prepayments and 3ccrued iricome 293 137 8,243 6,461 188,212 23,137 8,289 16,236 15,134 235,874 10 Creditors.. amounts falling due within oneyear 2023 2022 Othertaxation and social security Trade creditors Other creditors Accruals and deferred income 147 4,548 24.910 27,897 27,895 3,964 2,865 11,965 57,502 46,689 20-

NEALTNWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS ICQNTINUEDI EOR IHE YSARSNDSD 31MARCH2023 Restricted funds The income funds olthe charity Include restricted funds comprising the following unexpended balances ol donations and grants held on trust lor5pecilic purp05e5'. Movernent in funds Incoming Resources resources expended BalanTrat TTansfers Bal3nceat 31 March 2023 Essex County Council Collaborative Essex Essex Neurology Network Active Essex Extra Care Engagement Report Communityas5et mapping National Lottery community funding University income TAG Traum8 271.610 141,451 27,246 126,7551 176,908 58,073 22,231 18,473 420,OCK) 1340,2841 351,326 1141,4511 27,246 126,7551 1176,9081 58,073 18,094 18,473 4,783 25,500 129,6371 6,553 11,7701 689,237 452,053 1371,6911 1318,3591 451,240 The Essex County Council funding originates Irorn the Department ol Health and Ihe Department lor Communities & Local Government, and the prim3fy festflctions on 115 Use are laid down in the Health and Social Cafe Acl 2012 and related statutory guidance. The company is also accountable lo Essex County Council lor the efficient and effective use ol these resources, a5 specified in the annual grant funding agreement with the council. This re51ricled Fund Includes all the company s investment incorne. The income received Iron) NHS England was by way ola co-production event put on at the end of March. The Collaborative Essex project is to deliver a model for Essex County Council to collaborate with adults with an experience oldisability in Essex. The National Lottery Cofflrnunity Fund is contributing towards the costs ol running the Essex Neurology Network lor three years. Income frorn Essex County Council is for secondments with Active Essex and an Extra Care Engagen)entReport engaging with people in Essex in 5UPPDrled housing and feeding back their experience5. Upon completion olthe 2023 year-end accounts, it was Identified thal the cost-apporlionment w3s Incorrect In the prior 2022 year-enol accoun15, leaving e¥ce5s funds ineorrectly held in Restricted fund5. This 15 incorrect and to correct the figures rnoving forward. there 15 a transfer Irorn Restricted to Urirestrict8d funds which represents Me incorrect apportionment of expenditure. 12 Analysis ol net a55et5 between fund5 Restricted Unreslricled 2023 2023 Total 2023 Restricted Unrestricted 2022 2022 Total 2022 Fund balances at 31 March 2023 are represented by.. Investments Current asset5/11iabilitie51 451,240 258,348 709,587 689,235 78,961 768,196 451.241 258,348 709.588 689,235 78.962 768.197 21

NEALTNWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS ICQNTINUEDI EOR IHE YSARSNDSD 31MARCH2023 13 Operating lease commitments Al the reporting end date the charity had oulslanding commitments lor future minimum lease payments under non- Gancellable opeTrting leases, which fall due as lollow5'. 2023 2022 Within oneyeai Between two and live years 15,590 38,696 15,000 47,530 54,286 62,530 14 Related party transactions Heallhwatch Essex is controlled by ils Board ol Directors. None ol the directors lor any persons ￿nnected with them) received any remuneration or any other benefits during the year12022., £ nil), 2 directors12022,. 21 were reimbursed a total of £49312022., £4811 in expenses. HWE Insights Limited HWE Insights Limited is a company limiied by shares and wholly owned by Heallhwatch Essex Isee Structure, Governance and management ol the Trustees, Report and Note16 to these Financial Statemen151, HWE Insights. Board ol Directors comprise5 one director who is also a director ol Healihwatch Essex. None of the director5 01 HWE Insights received any remunerètion from HWE Insights during Ihe year12fft2.. nonel and none had any expenses reimbursed to them12022', none), During the course olthe year HWE Insights Limited was declared a dorrnanl company and all cornmercials projec15 will be undertaken within Healihwatch Essex Limiied lor the foreseeable future. During the course ol the year to 31 March 2023 HWE In5ighis received commerci31 income ol £Nil12022.. Nil) and incurred expenditure of £8712022.. £19,5CQI leaving an operating loss of £8712022,. £19,5W lossl, Al the year end the company had asset5 01 £142 12022.. £23,230), and liabilitie5 01 £1,008 12022.. £24,009) including £137 due to Healthwatch Essex Limited12022- £23,137). 15 Subsidiaiie5 Details ol the charity's subsidiaries at 31 March 2023 are as follows.. Name ol undertaking Reglstered office Nature ol business Class ol Shares held % Held Direct Indirect HWE Insights Limited England Re5eaich and consultancy Ordinary 100.cK) Name ol undertaking ProliUILossI Capital and ReseNes HWE Insights Limited 1871 18661 22-

NEALTNWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS ICQNTINUEDI EOR IHE YSARSNDSD 31MARCH2023 16 Cash generated from operations 2023 2022 IDelicitl/surpus loi the year 158,6101 115,986 Adjustments for.. Investmenl income recogni5ed in statement of financial activities 14521 11491 Mcwefflents In working capital.. Decrease/lincreasel in debtors Increase in creditors 220,740 10,813 139,5061 32,309 Cash generated from operation5 172,491 108,640 23-

A11 Healthwatch Essex Limited - Amended 2023 accounts V3

Final Audit Report

2024-01-31

Created: 2024-01-31 By: Anthony Brice ([e-mail]) Status: Signed Transaction ID: CBJCHBCAABAAlDgcezul7EWF1EefrQz_VldbTRV3T8aw

"A11 Healthwatch Essex Limited - Amended 2023 accounts V3" History

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