Charity registration number 1158356 Company registration number 08360699 (England and Wales) HEALTHWATCH ESSEX LIMITED ANNUAL REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 HEALTHWATCH ESSEX LIMITED LEGAL AN[) ADMINISTRATIVE INFORMATION Trustees Ms L Brookes Mrs A Cherry Mr N lones Dr S Carey Mrlohn Blake Dr DI Taggart Mr D Venkama (Appointed 24 April 20241 Charity number 1158356 Company number 08360699 Principal address 49 High Street Earls Colne Colchester Essex C06 2PB Registered office 49 High Street Earls Colne Colchester Essex C06 2PB ALJditor Annatrice Limited Slatulory Auditor 10, The Thoroughfare Harleston Norfolk IP20 9AX Bankers Barclays Bank PIC 9 High Street Colchester Essex COI IDD HEALTHWATCH ESSEX LIMITED CONTENTS Page Tru5tees' report Slalement of trustees, responsibilities Independent auditor s report 8-10 Statement of financial activities Balance sheet 12 Statement of cash flows 13 Notes to the financial statements 14-24 HEALTHWATCH ESSEX LIMITED TRUSTEES, REPORT (INCLUDING DIRECTORS, REPORTI FOR IHE YEAR ENDED 37 MARCH2024 The Trustees present their annual report and financial statements for the year ended 31 March 2024. The financial statements have been prepared in accordance with the accounting policies set out in note I to the financial statements and comply with the charity's governing document, the Companies Act 2006 and "Accounting and Reporting by Charities.. StalemÈnl of Recommended Pr3cticÈ applicable to charities prep3ring their accounts in accordance with the Financial Reporting Standard applicable in the UK and RepLJblic of Ireland IFRS 1021" las amended for accounting periods commencing from I january 20191 Objectives and activitie5 ' Healthwatch, organisalions throughout England were created as result of the Health and Social Care Act 2012. Using the powers vested under this legislation, they each have a responsibility to.. l. promote and support the involvement of people in the commissioning, provision and scrutiny of local care services. obtain the views ol people about their needs for, and their experiences of, local care seNices. make reports and recommendations about how local care services could, or ought to be, improved to people responsible for commi55ioning, providing, managing 01 scrulinising local care services., and 4. provide advice and information about access to local care services and about choices that may be m3de with respect to aspects of those seNices. Healthwatch Essex covers the whole county with the exception of Soulhend and Thurrock and is parl of a network of local Healthwatch organisalions in England. The network is overseen and supported by the national umbrella body, Healihwalch England, which provides a formal link lo the Department ol Health and Secretary of Slate for Health. In response to ils statutory responsibilities, the company's objects, as set out in its Mernorandum of Association, are for "the advancement of health and the relief of those in need by rea50n of youth, age, ill- health, disability or financial hardship by.. l. providing information and advice lo the general public about local health and social care services. making the views and experiences ol members of the general public known lo health and social care providers. enabling local people lo have a voice in the development, delivery and equality ol access to local health and care service5 and facilities., and 4. providing training and the development of skills for volunteer5 and the wider community in understsnding, scrutinizing, reviewing and monitoring local health and care services and facilities. The company organises ils work under four activity headings.. Research, Engagement, Information and Guidance and Communications. In all its aclivilies, the organisation seeks lo capture people's first-hand experience ol health and social care services, Set against the backdrop of 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 county's live NHS Clinical Commissioning Groups, one mental health trust, five acute hospitals and Essex County Council, responsible for social care - to enable them to better empathise and understand the impact their service is having on real lives, allowing them to adapt accordingly. Achievements and performance The team at Healthwatch Essex has had another busy and successful year. We have recruited more staff and been successful in securing more interesting projects from a wide range of partners, The teams have enjoyed being able to get out and about to attend meetings and mako our community aware of the vital work that we do capturing and sharing the lived experience ol health and social care. We have supported our colleagues in the Integrated Care Partnerships in their first year lo develcp their plans and agree their priorities in their local communitie5. It has been a huge learning curve for everyone involved and we are optimistic that this new way of providing health and social care will over time better meet the needs of our communities. Everyone in health and social care is concerned about the need to make cost savings and the team at Healthwatch Essex are extremely concerned about the impact this will have on services and support in our communities. We are all aware that the NHS and social care are in crisis and not meeting the needs of the population which are becoming increasingly complex often due to delays accessing care and 5UPPOrt. We will continue to work closely with our colleagues in the Integrated Care Partnerships and support them to find Innovative new ways of working together to provide more and improved care and support for our local communities. HEALTHWATCH ESSEX LIMITED TRUSTEES, REPORT (INCLUDING DIRECTORS, REPORTI ICONTINUED) FOR IHE YEAR ENDED 37 MARCH2024 Achievements The findings from the fertility research, 'Happiness, Hope and Heartbreak" The information gathered and the stories shared by families have had a hugè impèct on people trying to start their familie5 and the challenges they face. The Handbook which was produced contains a number ol personal stories which couples and individuals embarking on becoming parents may find helpful. The work ofthe Trauma Ambassador Group and the creation of the Trauma Card has been extremely successful with survivors of traum3 and professionals who may be supporting survivors. There has been national and internatioml interest in having the TraLJma Cards to distribute. Research Ambassador Program has been extremely popular widening our reach across research programmes and adding to the research we do. Healthwatch Essex hosted a very successful and warmly received East of England Healthwatch learning event with a different format to previous events. Our team shared some of the work they have done particularly the collaborative and co- production work. We also invited a number of our Ambassadors who were willing lo share their various challenges and difficulties and give voice to their lived experiences. Digital presence- Our digital presence has increased hugely thanks to our two very busy apprenti￿$. We now have a regular monthly podcast covering a range of important and seldom heard voices. Huge thanks lo our CEO, and all her team at HWE in Information, Advice & Guidance, Research, Engagement and Communications for the exceptional work they continue to do. We are very fortunate to have three ApFJenlices in the team one about lo complete her Business Administration NVQ and two doing social media and marketing communications. They make a huge contribution across the teams bringing a new perspective and are enjoying the wide range ol opportunities they have at Healthwatch Essex. Thanks to all our Trustees who continue to support the CEO and her team, sharing their knowledge, skills and expertise and promoting the vital work that Healthwatch Essex does, Thanks too to all our volunteers and Ambassadors who share their experiences and speak up for some of the most vulnerable people in our communities to ensure that they are heard. Uncertainties/challenges in 2024 As we enter the second year of working with and supporting the three ICP'S as they pul their plans into action, we face the challenge ol ensuring lived experience and user voice are shared with them and central to all they do. There is continued uncertainty around funding for the work that Heallhwalch Essex and Healthwatch nationally does, which may be under threat with costs savings required from the Local Authorities and Integrated Care Partnerships. Serious ongoing capacity issues in the NHS in primary and secondary care and in community care letting down people in our community is a concern for many partners across the system. Increasing demand on our work and dealing with much more complex issues. Financial review Income & Expenditure Healthwatch Essex is primarily funded by the Department of Health and the Department for Communities & Local Government, via Essex County Council. During the year to 31 March 2024 the Charity received income from this source of £619K12023.. £429KI - see Note 3 to the Financial Statements. Total expenditure for the year amounted to £673K12023.. £642KI - the levels of Èxpenditure attributablo to each of the headline activities outlined in Section l of this report is presented in Note 4 to the Financial Statements. Balance Sheet The company s yÈar-Ènd Balance Sheet comprisès.. restricted funds £557K12023.' £451 KI. unrestricted funds £182K12023.. £258KI. An analysis of restricted funds by project is presented in Note 8 to the Financial Statements. HEALTHWATCH ESSEX LIMITED TRUSTEES, REPORT (INCLUDING DIRECTORS, REPORTI ICONTINUED) FOR IHE YEAR ENDED 37 MARCH2024 ReseNes Policy The company's restricted funds are required to be used for specific purposes laid down by the fun(Èr. It is the Board's policy, therefore, to use the surpluses gifted to it by its subsidiary company, HWE Insights, to build up, (ver time, a level ol unreslricled funds SLJfficienl to enable the company to meet its statutory obligations in the event of it ceasing to operate. To redLJce risk Heallhwalch Essex are splitting the reserve fund across several different accoLJnls. Risk Mana ement The Board of Directors reviews the company s key slrètegic risks at each of ils meetings. The biggest risk facing the company is its overreliance on funding from Essex County Council. In order lo mitigate this overreliance, il is the company's policy lo develop complementary commercial work lo diversify income streams. Statement of Completeness Each of the directors has confirmed that there is no information of which they are aware which is relevant lo the aLJdit, but of which the aLJditor is Ljnaware. They have ILJrther confirmed that they have taken appropriate steps lo identify such relevant information and lo establish that the auditors are aware of such information. Full details of the company's related party transactions are disclosed in Note14 to the Financial Slatements.11 is the policy of the charity that unrestricted funds which have not been designated for a specific use should be maintained at a level equivalent to between three and six month's expenditure. The Trustees considers that reserves at this level will ensure that, in the event of a significant drop in funding, they will be able lo conlinLJe the charity s current activities while consideration is given lo ways in which additional funds may be raised. This level of reserves has been maintained throughout the year. In The Pipeline 2024/25 Carers Voices- capturing the experiences of carers Growing older in Essex- what care and support is available and how older people can access this Hidden Homeless in sex workers- engaging with sex workers to find out the reality ol their lives Women and multiple long term conditions- understanding the additional problems pregnant women with long term conditions and their babies face and increasing awareness. This follows our very interesting study on irritable bowel disease in pregnancy, People in transition- understanding the issues that individuals are dealing with and the lack of support they have. Research Ambassadors- increasing the collaborative work of our research team. HEALTHWATCH ESSEX LIMITED TRUSTEES, REPORT (INCLUDING DIRECTORS, REPORTI ICONTINUED) FOR IHE YEAR ENDED 37 MARCH2024 Structure, governance and management Healthwatch Essex is a private company limited by guarantee, incorporated in England and Wales, registered company number 8360699. The registered office is 49 High Street, Earls Colne, C06 2PB. The company is also a registered charity, charity registration number 1158356. The company is governed by its Memorandum and Articles of Association. The company's governance structure comprises.. l. A Board of Directors responsible for the day to day oversight of the company (including setting strategic direction and budgetsl and meeting in public at least bNice a year to make decisions that are requipd to be madÈ in public. The Board is required to consist of.. At least 5 directors, including the Chair and Vice Chair, appointed by the Board. The directors in place as of l April 2016 Ilhe dale upon which this governance structure came into effect) were deemed to have been appointed by advise from an Independent Appointment Panel. b. Up lo 3 other directors ctropted by the Board lo enhance the mix of skills and experience available to the Board, 2. A right for anyone who lives in or uses health and social care services in Essex lo make representations at public meetings ofthe Board. The Trustees, who are also the directors for the PLJrpose ol company law, and who sewed during Iheyear and up to the date of signature of the financial statements were.. Ms L Brookes Mrs A Cherry MrNlones Drs Carey Mrlohn Blake Dr D l Taggart Mr D Venkama (Appointed 24 April 20241 HEALTHWATCH ESSEX LIMITED TRUSTEES, REPORT (INCLUDING DIRECTORS, REPORTI ICONTINUED) FOR IHE YEAR ENDED 37 MARCH2024 All new Directors receive a comprehensive Induction Pack outlining their individual responsibilities and the collective responsibilities of the Board of Directors. Mrs A Cherry replaced Mr G Hyams as Chairman on 22nd March 2021 followirlg the resignation of Mr G Hyams on the same date. None ofthe directors ha5 any beneficial interest in the company. The Executive Ms S Glover was appointed Chief Executive Officer in August 2020 and confirmed in post in February 2021 following a successful probationary period, Including the Chief Executive Officer, the company presently has17 members of staff. All members of staff are based at the company's office. HWE Insights Limited HWE Insights Limited is a company limited by shares and wholly owned by Healthw3tch Essex. It is incorporated in England and Wales, registered company number 09989317. The company's registered office is 49 High StrÈel, E￿IS Colne, Colchester, Essex, C06 2P8. HWE Insights strategy is to capilalise on the opportunities available lo it lo carry out commercial work which complements, enhances and extends the work of Healthwatch Essex. Any surpluses generated by the company are required either to be retained in the company for future use or else gifted lo Healihwalch Essex. The combined income of Healthwatch Essex and HWE Insights did not exceed £1 million in the year to 31 March 2024 so, in accordance with the Charities Act, the Board of Healthwatch Essex has opted not to prepare consolidated financial statements. The Trustees, who are also the directors of Healthwatch Essex Limited for the purpose of company law, are responsible for preparing the Trustees, Report and the financial statements in accordance with ap licable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice Company Law requires the Trustees to prepare financial statements for each financial year which give a true and fair view of the slate ol affairs ol the charity and of the incoming resources and application ol resources, including the income and expenditure, of the charitable company lor that year. In preparing these financial statements, the Trustees are required to.. select suitable accounting policies and then apply them consistently., observe the methods and principles in the Charities SORP., make judgements and estimates that are reasonable and prudent., and prepare the financial statements on the going concern basis unless it is inappropriate lo presume that the charity will continue in operation. The Trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial position of the charity and enable them lo ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. In September 2020 a paper was presented to the board to discuss the future on HWE Insights, in No￿eMber 2020 it was agreed that at the ond of the financial year HWE Insights would be madÈ dormant and this 8talu8 changed on Companies House. This company is no longer in operation and all associated contracts, transactions and accounts has ceased trading. ## AE Cherry AE Cherry (Jan 30, 2025 14:26 GMT) - 6 - HEALTHWATCH ESSEX LIMITED STATEMENT OF TRUSTEES, RESPONSIBILITIES FOR IHE YEAR ENDED 37 MARCH2024 The Trustees, who are also the directors of Heallhwatch Essex Limited for the purpose of company law, are responsible for preparing the Trustees, Report and the financial statements in accordance with applicable law and Uriled Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practicel. Company Law requires the Trustees to prepare financial statements for each financial year which give a true and fair view of the slate of affairs of the charity and of the incoming resources and application of resources, including the income and expenditure, of the charitable company for that year. In preparing these financial statemerits, the Trustees are required to.. select suitable accounting policies and then apply them consistently; - observe the methods and principles in the Charities SORP., make judgements and estimates that are reasonable and prudent., and prepare the financial statements on the going concern basis unless il is inappropriate to presume that the charity will continue in operation. The Trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy 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 for safeguarding the assets of the charity and hence for taking reasonablesteps for the prevention and detection of fraud and other irregularities. HEALTHWATCH ESSEX LIMITED INDEPENt)ENT AUDITOR'S REPORT TO THE TRUSTEES OF HEALTHWATCH ESSEX LIMITED Opinion We have audited the financial statements of Healthwatch Essex Limited Ilhe 'charily'l for the year ended 31 March 2024 which comprise the statement of financial activities, the balance sheet, the statement of cash flows and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Fin3nc131 Reporting St3n63rd 3ppIIc3b/e in the YK3nJ Republic of Ire/andlUnited Kingdom Generally Accepted Accounting Practice). In our opinion, the financial stalemenls.. give a true and fair view of the slate of the charitable company's affairs as at 31 March 2024 and of its irlcoming resources and application of resources, for the year then ended., have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practi￿., and have been prepared in accordance with the requirements of the Companies Act 2006. Basis for opinion We conducted our audit in accordance with International Standards on Auditing IUKI IISAS IUKII and applicable law. Our responsibilities under those standards are further described in the Auditor s responsi.bi/ities br the audit ol the financial statements section ol our report. We are independent of the charity in accordance with the ethic31 requirements that are relevant lo our audit of the financial statements in the UK, including the FRC'S Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained 15 sufficient and appropriate to provide a basis for our opinion. Conclusions relating lo going concern We have nothing to report in respect of the following matters in relation to which the ISAS IUKI rquire us lo report to you where.. the trustees. use of the going concern basis of accounting in the preparation of the financial statements is not appropriate., or the Trustees have not disclosed in the financial statements any identified material Ljncertainlies that may cast significant doubt about the charity s ability to continue to adopt the going concern basis of accounting for a period of at least twelve months from the dale when the financial statements are authori5ed lor issue. other information The other information comprises the information included in the annual report other than the financial statements and our auditor's report thereon. The Trustees are responsible for the other information contained within the annual report. Our opinion on the financial statements does not cover the other information and we do not express any form of ￿Surance conclusion thereon. Our responsibility is lo read the other information and, in doing so, consider whether the other information is materially incon5islent with the financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated, If we identify such material inconsistencies or apparent material mi5Stalemenls, we are required to dÈtermine whether this give8 rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are reqLJired to report that kct. We have nothing to report in this regard. Matters on which we are required to report by exception We have nothing to report in respect of the following matters in relation to which the Charities ￿cCOunt5 and Reports) Regulations 2008 require us to report to you if, in our opinion.. the information given in the financial statements 15 inconsistent in any material respect with the trustee5' report., or sufficient accounting records have not been kept., or the financial statements are not in agreement with the accounting records., or we have not received all the information and explanations we require for our audit. Responsibilities of Trustees As explained more fully In the statement of trustees. responsibilities, the Trustees, who are also the directors of the charity for the purpose ofcompany law, are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the Trustees determine is necessary lo enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error. In preparing the financial statements, the Trustees are responsible for assessing the charity s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the Trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative bul to do so. HEALTHWATCH ESSEX LIMITED INDEPENt)ENT AUDITOR'S REPORT ICONTINUEDI TO THE TRUSTEES OF HEALTHWATCH ESSEX LIMITED ALJditor's responsibilities for the audit of the financial statements We have been appointed as auditor under section 144 of the Charities Act 2011 and report in accordance with the Act and relevant regulations made or having effect thereunder. Our objectives are to obtain reasonable assurance about whether the financial statement5 as a whole are free from material misstatement, whothÈr duÈ to fraud or error, and lo issue an auditor s rÈport that includes our opinion. Reasonable assuranco is a high level of assurance, but is not a guarantee that an audit condLJcled in accordance with ISAS IUKI will always detect a material misstatement when il exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial 5tatementS. Irregularities, including fraud, are inslènces of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, lo detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud, is detailed below. The audit tests, including planning procedures, adopted for the audit of these financial statements are designed lo assess and delect the risk of irregularities, including fraLJd. Our risk assessment of the likelihood of irregularities included the high degree of involvement ol the experienced directors, which reduces the risk of irregularities. The engagement rarlner ensLJred that the engagement team collectively had the appropriate competence, capabilities and skills lo identify or recognise non-compliance with applicable laws and regulations,. We identified the laws and regulations applicable lo the charity through discussions with trustees and other management, and from our commercial knowledge and experience of the sector., We focused on specific laws and regulations which we considered may have a direct material effect on the financial statements or the operations of the charity, including the Companies Act 2006, Charities Act 2011, laxalion legislation, Employment Law and Data Protection. We assessed the extent of compliance with the laws and regulations identified above through making enquiries of management and inspecting legal correspondence. These were communicated within the audit team regularly and the team remained alert to instances of non-compliance throughout the audit. We identified the greatest potential for fraud or non-compliance with laws and regulations in the following areas, and the specific procedures performed to address them are described below.. - We obtained an understanding of the income process and the flow of financial information lo the general ledger and how this is classified as reslricled and unrestricted. Cut-off testing was performed at the year-end date by reviewing revenue which had been accrued for and revenue that had been recogni5ed after date to identify any transaction which had been errorleously recognised ir) the incorrect period. The same testing was carried out for expenditure. In line with all audits Ljnder ISAS IUKI, we are also required to perform specific procedures to respond to the risk of management override. In addressing the risk of fraud through management override of controls, we remewed accounting records for any unusual adjustments. In addition to the above, our procedures to respond to the risk identified included the following.. reviewing financial statement disclosures by testing to supporting documentation lo assess compliance with provisions of relevant laws and regulations described as having a direct effect on the financial slatemer)ts', performing analytical procedures to identify any unusual or unexpected relationships that may irdicate risk of material misstatement duÈ to fraud., enquiring of management concerning actual and potential litigation and claims, and instances of non-compliance for the year. HEALTHWATCH ESSEX LIMITED INDEPENt)ENT AUDITOR'S REPORT ICONTINUEDI TO THE TRUSTEES OF HEALTHWATCH ESSEX LIMITED Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, inclLJding those leading to a material misstatement in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and tiansactions reflected in the fiN3ncial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraid involves intentional concealment, forgery, collusion, omission or misrepresentation. A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting CoLJncil's website al., http.'//www.frc.org.uk/auditorsresponsibililies. This description forms part ofour auditor's report. Use ofour report This report is made solely to the charity's trustees, as a body, in accordance with parl 4 of the Charities IAccounls and Reports) Regulations 2008. Our audit work has been undertaken so that we might state to the charity's trustees those matters we are required lo stale to them in an auditor's report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charity and the charity s trustees as a body, for our audit work, for this report, or for the opinions we have formed, A4• MrAnthonylames Brice FCCA For and on behalf ofAnnatrice Limited Statutory Auditor 10, The Thoroughfare Harleston Norfolk IP20 9AX 30lanuary 2025 Annalrice Limited is eligible for appointment as auditor of the charity by virtue of its eligibility for appointment as auditor of a company underofsection 1212 olthe Companies Act 2￿6. HEALTHWATCH ESSEX LIMITED STATEMENT OF FINANCIAL ACTIVITIES INCLUDING INCOME AND EXPENDITURE ACCOUNT FOR IHE YEAR ENDED 31 MARCH2024 Unrestricted funds 2024 Restricted fund5 2024 Total Unrestricted funds 2023 Restricted funds 2023 Total 2024 2023 Notes Income from.. Charitable activities Investments 183,707 4,137 517,990 701,697 4,137 131,095 452 452,053 583,148 452 Total income 187,844 517,990 705,834 131,547 452,053 583,600 Expenditure on.. Charitable activities 253,707 414,779 668,486 270,519 371,691 642,210 Gross transfers between funds Nel lexpendilurellincome for the year/ Nel movement in funds 318,359 1318,3591 165,8631 103,211 37,348 179,387 1237,9971 158,6101 Fund balances at l April 2023 258,348 451,240 709,588 78,961 689,237 768,198 Fund balances at 31 March 2024 192,485 554,451 746,936 258,348 451,240 709,588 The statement of financial activities includes all gains and losses recognised in the year. All income and expenditure derive from continuing activities. The statement of financial activities also complies with the requirerrents for an incorre and expenditure account under the Companies Act 2006. AE Cherry AE Cherry (Jan 30, 2025 14:26 GMT) - 12 - HEALTHWATCH ESSEX LIMITED STATEMENTOF CASH FLOWS FOR IHE YEAR ENDED 37 MARCH2024 2024 2023 Notes Cash flows from operating activities Cash generated from operations 17 70,726 172,491 Investing activities Interest received 4,137 452 Net cash generated from investing activities 4,137 452 Nel cash used in financing activities Nel increase in cash and cash equivalents 74,863 172,943 Cash and cash equivalents al beginning ofyear 751,954 579,011 Cash and cash equivalents al end ofyear 826,818 751,954 HEALTHWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS FOR IHE YEAR ENDED 37 MARCH2024 Accounting policies Charity information Healthwatch Essex Limited is a private company limited by guarantee incorporated in England and Wales. The registered ofFice is 49 High Street, Earls Colne, Colchester, Essex, C06 2PB. l.l Accounting convention The financial statements have been prepared in accordance with the charity's governing document, the Companies Act 2006 and "Accounting and Reporting by Charities,. Statement of Recommended Practice applicable lo chxities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK al￿ Republic ol Ireland IFRS1021" las amended for accounting periods commencing from I january 20191. The charity is a Public Benefit Entity a5 defined by FR5102, The financial statements are prepared in sterling, which is the fLJnclional currency of the charity. Monetary amoLJnts in these financial statements are rounded to the nearest £. The financial statements have been prepared under the historical cost convention, modified to include certain financial instruments at fair value. The principal accounting policies adopted are Set out below. 1.2 Going concern The directors have considered the financial position and financial forecasts for the charity and are satisfied that the charity will continue to meet ils liabilities as they fall due. Based on this assessment these accounts have been prepared on a going concern basis. 1.3 Charitable funds Unrestricted funds are available for use al the discretion of the Trustees in furtherance of their charitable objectives. Restricted funds are subject to specific conditions by donors as to how they may be used. The purwses and uses of the restricted funds are set out in the notes lo the financial statements. 1.4 Incoming resources Income is recognised when the charity is legally enlilled to il after any performance conditions have been met, the amounts can be measured reliably, and il is probable that income will be received, Cash donations are recognised on receipt. Other donations are recognised once the charity has been notified of the donation, unless performance conditions require deferral of the amount. Income tax recoverable in relation to donations received under Gift Aid or deeds of covenant is recognised al the time of the donation. Legacies are recognised on receipt or otherwise if the charity has been notified of an impending distribution, the amount is known, and receipt is expected. If the amount is not known, the legacy is treated as a contingent asset. 1.5 Resources expended Expenditure is recognised once there is a legal or constructive obligation to transfer economic b￿efit lo a third party, it is probable that a transfer of economic benefits will be required in settlement, and the amount of the obligation can be measured reliably. Expenditure is classified by activity. The costs of Èach activity are made up of the total of dir&t costs and shared costs, including support costs involved in undertaking each activity. Direct costs attributable to a single activity are allocated directly lo that activity. Shared costs which contribute lo more than one activity and support costs which are not attributable to a single activity are apportioned between those activities on a basis consistent wilh the use of resources. Central staff costs are allocated on the basis of tirne spent, and depreciation charges are allocated on the portion of the asset s use. Expenditure is accounted for on an accruals basis and includes VAT where applicable. All expenditue is allocated to a particular activity where it relates directly to that activity. Support functions lincluding communications, finance, human resources and governance) are apportioned across the activities that the functions support. Overhead costs (including ofFice running costs and consumables, information technology and insurances) are similarly apportioned. Taken togothor, all these costs are referred to as 'support costs, in Note 6 10 the Financial Statements. Support cctsts are apportioned lo activities based on the number of staff employed within that activity. 14- HEALTHWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI FOR IHE YEAR ENDED 37 MARCH2024 Accounting policies (Continued) 1.6 Fixed asset investments Fixed asset investments are stated at cost. 1.7 Cash and cash Èquivalents Cash and cash equivalont8 include cash in hand, deposits hÈld at call with banks, other short-term liquid investmÈnls with original maturities of three months or less, and bank overdrafts. Bank overdrafts are shown within borrowings in current 1.8 Financial instruments The charity has elected to apply the provisions of Section I I 'Basic Financial Instrumerlts and Section12 '0ther Financial Instruments Issues of FRS102 to all of its financial inslrumenl5. Financial instruments ère recognised in the charity s balance sheet when the charity becomes party to the contractual provisions ol the instrument. Financial assets and liabilities are offset, with the net amoun15 presented in the financial statement5, when there is a legally enforceable right to set off the recognised amounts and there is an intention lo settle on a net basis or to realise the asset and settle the liability simultaneously, Basic financialassets The company's financial assets are measured at the cash consideration expected to be received and are not discounted. Other financial assets, including investmen15 in equity instruments which are not subsidiaries, associates or joint venture5, are initially measured al fair value, which is normally the transaction price. Such assets are subsequently carried at lair value and the changes in fair value are recognised in nel income/lexpenditurel, except that investments in equity instruments that are not publicly traded and whose fair values cannot be measured reliably are measured al cost less impairment. Ba51c finsncialliabi/itie5 Basic financial liabilities, including creditors and bank loans are initially recognised al transaction price unless the arrangement con51ilutes a financing Iransaclion, where the debt instrument is measured al the present value of the future payments discounted al a market rate of interest. Financial liabilities classified as payable within one year are not amortised. Debt instruments are subsequently carried al amorlised cost, using the effective interest rale method. Trade creditors are obligations to pay for goods or services that have been acquired in the Ordin￿ course of operations from suppliers. Amounts payablÈ are classifiÈd as current liabilities if payment is due within one year or lÈss. If not. they are presented as non-currenl liabilities. Trade creditors are recognised initially at transaction price and subsequently measured al amorlised cost using the effective interest method. Derecognition offinancia//iabi/ities Financial liabilities are derecognised when the charity s contractual obligations expire or are discharged or cancelled, 1.9 Employee benefits The cost of any unused holiday entitlement is recognised in the period in which the employee s service5 are received. 1.10 Retirement benefits Payments to defined contribution retirement benefit schemes are charged as an expense as they fall dLJe. l.I l Taxation The company is a charity within the meaning of section 506111 of the Taxes Act 1988. Accordingly, the company is potentially exempt from taxation in respect of income or capital gains received within the categorie5 covered by Section 505 of the Taxes Act1988 or Section 256 of the Taxation of Chargeable Gains Act1992 to the extentthat such income or gains are applied to exclusively charitable purposes. HEALTHWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI FOR IHE YEAR ENDED 37 MARCH2024 Charitable activities 2024 2023 Essex County Council NHS England Collaborative Essex National Lottery Community Funding Grant TAG Trauma Card Grant University Income CommunityAs5et Mapping 619,451 15,767 44,5C 3,750 428,792 55,203 44,415 25,51X) 6,551 11,750 10,937 18,229 701,697 583,148 Analysis by fund Unrestricted funds Restricted funds 183,707 517,990 131,095 452,053 701,697 583,148 Investrrents Unreslricled Unreslricled funds funds 2024 2023 Interest receivable 4,137 452 £m( HEALTHWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI FOR IHE YEAR ENDED 37 MARCH2024 Support costs SLJPPOrt costs Governance costs 2024 Support costs Governance costs 2023 Stsff costs Media and marketing costs Premises costs General office costs Travelling and subsislerlce costs Audit fees Legal and professional Bank charges Directors, expenses 428,321 5,598 23,990 24,282 428,321 5,598 23,990 24,282 389,482 12,257 29,385 40,640 389,482 12,257 29,385 40,640 11,349 11,349 5,600 22,069 651 3,605 13,106 13,106 9,730 19,798 672 493 5,600 21,169 651 3,605 9,730 13,869 672 493 900 5,929 494,440 31,025 525,465 490,799 24,764 515,563 Analysed between Charitable activities 494,440 31,025 525,465 490,799 24,764 515,563 Governance costs includes payments lo the auditors of £5,6CO12023- £5,000) for audit fees. The audit fee shown above includes an under accrual for the previous year. Employees Number of ernployees The average monthly number of employees during the year wa5.. 2024 Number 2023 Number 19 17 Employment costs 2024 2023 Wages and salaries Social security costs Other pension costs 471,229 36,232 22,360 436,148 35,411 28,148 529,821 499,707 The Chief ExecLJtive Officer who was in post during the year (see section 5 ofthe Directors. report) received employee benefits for the year, excluding employer's pension conlribulions, of £60,76212023'. £60,702). No other employees received employee benefits for the year, excluding employer s pension contributions, of more than £E£),000. HEALTHWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI FOR IHE YEAR ENDED 37 MARCH2024 Fixed asset investments Other investments Cost or valuation At l April 2023 & 31 March 2024 Carrying amount At 31 March 2024 At 31 March 2023 2024 2023 other investments comprise.. Notes Investments in subsidiaries NONCO N Cn N CO ooTtN ID )¢woNinN N Ln cN- £ rD C LUU LU <( LU U Z LllLU U <[￿ u HEALTHWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI FOR IHE YEAR ENDED 37 MARCH2024 Analysis of net assets between funds Reslricled Unrestricted 2024 2024 Total 2024 Reslricled Unrestricted 2023 2023 Total 2023 Fund balances at 31 March 2024 are represented by.. Investments Current assels/lliabililiesl 554,450 192,485 746,935 451,239 258,348 709,586 554,451 192,485 746,936 451,240 258,348 709,587 21 HEALTHWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI FOR IHE YEAR ENDED 37 MARCH2024 10 Operating lease commitments At the reporting end dale the charity had outstanding commitments for future minimum lease payments under non- cancellable operating leases, which fall due as follows.. 2024 2023 Within one year Between two and five years 15,338 22,517 15,590 38,696 37,855 54,286 Subsidiaries Details of the charity's subsidiaries al 31 March 2024 are as follows.. Name ofundertaking Registered office Nature of business Class of shares held % Held Direct Indirect HWE Insights Limited England Research and consultancy Ordinary 100.00 Name ofundertaking Profit/lLossl Capital and Reserves HWE Insights Limited 12 Taxation 18661 The charity is exempl from lax on income and gains falling within section 505 of the Taxes Act1988 or section 252 of the Taxatiornof Chargeable Gains Act1992 10 the extent that these are applied to ils charitable objects. 13 Debtors 2024 2023 Amounts falling due within one year.. Trade debtors Amounts owed by subsidiary undertakings Other debtors Prepayments and accrued income 75,500 137 8,578 32,157 293 137 8,243 6,462 116,372 15,135 -22- HEALTHWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI FOR IHE YEAR ENDED 37 MARCH2024 14 Creditors.. amounts falling due within one year 2024 2023 Notes Trade creditors Other creditors Other taxation and social security Deferred income Accruals 24,991 46,5CO 2,971 107,927 13,866 4,548 24,910 147 18,232 9,666 15 196,255 57,503 15 Deferred income 2024 2023 other deferred income 107,927 18,232 Deferred income is included in the financial statements as follows.. 2024 2023 Deferred income is included within.. Current liabilities 107,927 18,232 16 Related party transactions Healthwatch Essex is controlled by its Board of Directors. None of the director5 lor any persons ￿nnected with them) received any remuneration or any other benefits during the year12023.. £ nill. 2 direclors12023'. 21 were reimbursed a total of £012023.. £4931 in expenses. HWE Insights Limited HWE Insights Limited is a company limited by shares and wholly ovvned by Healthwatch Essex Isee Structure, Governance and management ofthe Trustees, Report and Note16 to these Financial Stalemenlsl. HWE In5ighls' Board of Directors comprises one director who is also a director of Healthwatch Essex. None of the directors ol HWE Insights received any remuneration from HWE In5igh15 during the year12(T23.' none) and none had any expenses reimbursed to them12023'. nornel. DLJring the course ofthe year HWE Insights Limited was declared a dormant company and all commercials projects will be undertaken within Heallhwalch Essex Limited for the foreseeable future. During the course of the year to 31 March 2024 HWE Insights received commercial income of £nil 12023.. Nil) and incurred expenditure of £nil12023.' £871 leaving an operating loss of £nil12023.. £87 loss). At the year end the company had assets of £14212023.. £1421, and liabilities of £1,008 12023.. £1,008) including £137 due to Healthwatch Essex Limited12023 - £1371. -23- HEALTHWATCH ESSEX LIMITED NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI FOR IHE YEAR ENDED 37 MARCH2024 17 Cash generated from operations 2024 2023 Surplus/ldeficitl for the year 37,348 158,6101 Adjustments for.. Investment income recognised in statement of financial activities 14,1371 14521 Movements in working capital.. IlncrÈasel/decreasÈ in debtors Increase/ldecre3sÈl in creditors Increase in deferred income 1101,2371 49,057 89,695 220,739 17,4181 18,232 Cash generated from operations 70,726 172,491 -24- ## A11 Healthwatch Essex Limited - Finalised 2024 year-end accounts Final Audit Report 2025-01-30 Created: 2025-01-30 By: Anthony Brice (anthonyjbrice@gmail.com) Status: Signed Transaction ID: CBJCHBCAABAAreISuGRcOWyyye9Aglm3kEE_b8S09bCp ## "A11 Healthwatch Essex Limited - Finalised 2024 year-end acco unts" History - Document created by Anthony Brice (anthonyjbrice@gmail.com) 2025-01-30 - 12:21:07 PM GMT- IP address: 81.178.165.224 ## Document emailed to amanda_cherry@btinternet.com for signature 2025-01-30 - 12:22:15 PM GMT - Email viewed by amanda_cherry@btinternet.com 2025-01-30 - 12:57:08 PM GMT- IP address: 217.43.180.219 - Signer amanda_cherry@btinternet.com entered name at signing as AE Cherry 2025-01-30 - 2:26:57 PM GMT- IP address: 217.43.180.219 - Document e-signed by AE Cherry (amanda_cherry@btinternet.com) Signature Date: 2025-01-30 - 2:26:59 PM GMT - Time Source: server- IP address: 217.43.180.219 ## Document emailed to anthony@annatrice.co.uk for signature 2025-01-30 - 2:27:04 PM GMT ## Email viewed by anthony@annatrice.co.uk 2025-01-30 - 2:48:16 PM GMT- IP address: 81.178.165.224 - Signer anthony@annatrice.co.uk entered name at signing as Anthony James Brice 2025-01-30 - 2:48:40 PM GMT- IP address: 81.178.165.224 ## Document e-signed by Anthony James Brice (anthony@annatrice.co.uk) Signature Date: 2025-01-30 - 2:48:42 PM GMT - Time Source: server- IP address: 81.178.165.224 ## Agreement completed. 2025-01-30 - 2:48:42 PM GMT