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2022-03-31-accounts

BIRMINGHAM WOMEN’S AND CHILDREN’S HOSPITAL CHARITY

ANNUAL REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 March 2022

Charity Number 1160875

Company Number 09404174

Company Address

5 Rowchester Court, Whittall Street, Birmingham B4 6DH

BIRMINGHAM WOMEN’S AND CHILDREN'S HOSPITAL CHARITY 2021/22 COMPANY NUMBER 09404174 CHARITY NUMBER 1160875 TRUSTEES REPORT INCORPORATING THE STRATEGIC REPORT

Contents

Trustees and Advisors ............................................................................................................................. 4 Structure, Governance and Management .............................................................................................. 5 Governing Document .......................................................................................................................... 5 Trustees ............................................................................................................................................... 5 Committees ......................................................................................................................................... 5 Administration .................................................................................................................................... 6 Objects and Activities.............................................................................................................................. 6 Mission ................................................................................................................................................ 7 Public Benefit ...................................................................................................................................... 7 About Birmingham Women’s and Children’s NHS Foundation Trust ................................................. 8 Strategy and Performance ...................................................................................................................... 8 Future Plans and Strategy ................................................................................................................... 8 Risk Management ............................................................................................................................... 9 Performance in the Year ................................................................................................................... 10 COVID-19 ........................................................................................................................................... 10 Fundraising ........................................................................................................................................ 11 Investments....................................................................................................................................... 11 Reserves ............................................................................................................................................ 12 Grant Making ........................................................................................................................................ 13 Going Concern ....................................................................................................................................... 15 Thanks ................................................................................................................................................... 16

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BIRMINGHAM WOMEN’S AND CHILDREN'S HOSPITAL CHARITY 2021/22 COMPANY NUMBER 09404174 CHARITY NUMBER 1160875 TRUSTEES REPORT INCORPORATING THE STRATEGIC REPORT

A Message from Our Chair

The past year has been another of significant and positive transformation for our Charity.

It started with the announcement of two significant appointments. The first being Mark Brider as Chief Executive Officer, a new role created to lead the development and delivery of our Charity’s new long-term strategy, and the second of Ben Francis as our first-ever Patron.

Ben, who is founder and CEO of international fitness community and apparel brand Gymshark, is the perfect champion to help us raise awareness and the much-needed funds to ensure our hospitals continue to be at the forefront of what is possible.

We met the graduated release from lockdown with great optimism as we looked forward to getting back out with our loyal army of supporters where it was possible and safe to do so.

COVID-19 has undoubtedly drawn out the best in our community. Our inaugural Dragon Boat Race, our biggest event in over two years, was a huge triumph. Hundreds of supporters came together on one day to raise a significant amount of money to ensure our Charity could keep doing all it could to benefit the work of our two fantastic hospitals.

Our Charity’s priority has, and always will be, to address the most urgent needs of our hospitals and so we’re delighted our Woodland House Appeal, to build a brand-new, standalone bereavement centre at our Women’s Hospital, is close to breaking ground. Whilst we can’t ever ease the heartbreak of losing a precious child, we can help create an environment that recognises and honours their loss and we’re proud this much-needed centre, which will be the first of its kind in a UK-hospital setting, will set a new international standard for pregnancy or baby loss aftercare.

Our youth mental health campaign, Fight for All The Feels, which was launched as a direct response to the pandemic, has also continued to raise income at a pace. Our first peer support workers are now already in post within Forward Thinking Birmingham, our mental health partnership for 0 to 25year-olds, using their own lived experiences to aid other young people with their medical and personal recovery. These inspirational individuals are helping us to raise awareness of the youth mental health challenge in Birmingham and, with it, tackle the stigma which still surrounds it.

More determined than ever to make sure our expert doctors and nurses can continue to care for those that need us now, as well as in the future, we’ve worked hard to grow our income and invest in the areas of fundraising where we know we can deliver results. This has also seen us trial a number of new initiatives this year, with great successes, most notably in terms of increasing our number of regular givers as well as testing new digital fundraising mechanics.

Looking ahead, we continue to have ambitious plans to grow our Charity income and increase our impact, both in the Midlands, across the UK and beyond, to allow our hospitals to continue delivering projects that go above and beyond NHS standards.

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BIRMINGHAM WOMEN’S AND CHILDREN'S HOSPITAL CHARITY 2021/22 COMPANY NUMBER 09404174 CHARITY NUMBER 1160875 TRUSTEES REPORT INCORPORATING THE STRATEGIC REPORT

On behalf of my fellow Trustees, I’d like to thank colleagues from across the Charity for their passion, resilience and drive over the past 12 months. I’d also like to extend a sincere and heartfelt thank you to everyone who has made a major contribution and a very real and significant difference to our two hospitals. Together we have transformed the lives of our very deserving patients.

Thank you for your loyal and generous support.

……………………………………………………………….

Professor Sir Bruce Keogh KBE, FMedSci Chair of Trustees

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BIRMINGHAM WOMEN’S AND CHILDREN'S HOSPITAL CHARITY 2021/22 COMPANY NUMBER 09404174 CHARITY NUMBER 1160875 TRUSTEES REPORT INCORPORATING THE STRATEGIC REPORT

Trustees and Advisors

TRUSTEES

Paul Faulkner Keith Jecks Professor Sir Bruce Keogh KBE, MedSci (Chair of Trustees) Andrew Kirton Ruth Lester MBE Lady Sarah-Jane Nicholson, CBE David Melbourne Christina Michalos, QC Amerdeep Nagra Jeremy Roper Professor Jonathan Tritter

REGISTERED OFFICE AND PRINCIPAL ADDRESS

5 Rowchester Court Whittall Street Birmingham B4 6DH

EXTERNAL AUDITOR INTERNAL AUDITOR Mazars LLP KPMG First Floor 1 Snow Hill 2 Chamberlain Square Birmingham B4 6GH Birmingham B3 3AX

BANKERS

SOLICITORS

NatWest Bank plc Mills & Reeve LLP Withers LLP 166 High Street, Harborne 78-84 Colmore Row 16 Old Bailey Birmingham B17 9PW Birmingham B3 2AB London EC4M 7EG

INVESTMENT MANAGERS

CCLA Investment Management Ltd Veritas Investment 80 Cheapside Management LLP London EC2V 6DZ 90 Long Acre London WC2E 9RA

The Trustees (who are also Directors for the purposes of Company Law) present their report and audited financial statements for the year ended 31 March 2022.

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BIRMINGHAM WOMEN’S AND CHILDREN'S HOSPITAL CHARITY 2021/22 COMPANY NUMBER 09404174 CHARITY NUMBER 1160875 TRUSTEES REPORT INCORPORATING THE STRATEGIC REPORT

Structure, Governance and Management

Governing Document

The Charity is a company limited by guarantee, incorporated in England and Wales on 23 January 2015 (registered number 09404174), and registered as a Charity with the Charity Commission on 12 March 2015 (registered Charity number 1160875). The Charity is governed by its Articles of Association which define the objects and powers of the company.

On 1 February 2017 Birmingham Children’s Hospital and Birmingham Women’s Hospital came together as a single organisation, Birmingham Women’s and Children’s NHS Foundation Trust. At that point the funds of Birmingham Women’s Hospital Charity were joined with those of Birmingham Children’s Hospital Charity and the objects of the Charity were updated to include patients of both Birmingham Children’s Hospital and Birmingham Women’s Hospital.

The name of the Charity was officially changed on 23 October 2017 to Birmingham Women’s and Children’s Hospital Charity and funds are held in one of two linked charities depending on the hospital donors wish to support.

The Charity has a wholly owned subsidiary, Red Balloon Trading CIC (registered in England and Wales number 05996296) which sells branded and other merchandise and generates commercial income from exploitation of the Charity’s brands. The results of Red Balloon Trading CIC have been consolidated with those of the Charity and are shown separately in note 2.2.

Trustees

The Trustees who have served during the year 1 April 2021 to 31 March 2022 are set out on page 5. Birmingham Women’s and Children’s NHS Foundation Trust (BWCNFT) has the right to appoint up to three Trustees. Between eight and twelve other Trustees are appointed by the Trustees. Trustees elect the Chairman each year. Decisions are taken by Trustees at regular meetings and procedures are in place to ensure that Trustees appointed by BWCNFT cannot form a majority and may not chair the Charity’s committees.

Trustees are volunteers and receive no remuneration or benefits from the Charity. Any expenses claimed are set out in Note xx to the accounts. The personal donations made by the Trustees overall outweigh the total expenses claimed.

Trustees are appointed for a four-year term and can be re-elected to a maximum term of office of ten years. The Charity recruits new Trustees as vacancies arise and/or skills gaps are identified. New Trustees receive an induction that includes provision of relevant documentation and meetings with key staff at the Charity and the Hospital. All Trustees are encouraged to attend relevant training courses.

Committees

The Charity has established a number of Committees to support Trustees in the governance of the Charity. Each Committee has approved Terms of Reference setting out their areas of responsibility and the limits of their delegated powers. Members of committees include Trustees and others with the expertise to help those committees conduct their business. All the Committees are supported by

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BIRMINGHAM WOMEN’S AND CHILDREN'S HOSPITAL CHARITY 2021/22 COMPANY NUMBER 09404174 CHARITY NUMBER 1160875 TRUSTEES REPORT INCORPORATING THE STRATEGIC REPORT

the Charity’s Company Secretary. In addition to the named Trustee members, any Trustee may attend any Committee meeting.

Committee Trustee members Advisory and other members and regular
attendees
Finance and Risk
Committee		 Chair: Amerdeep Nagra
Jeremy Roper
David Melbourne		 Gwenny Scott, Company Secretary
Mark Brider, Charity Chief Executive
Karen Cutler,Accounts Manager
Investment
Advisory Committee		 Chair: Keith Jecks
Amerdeep Nagra
Andrew Kirton		 Ian Burrows
Hugh Reynolds
John Russell
Gwenny Scott, Company Secretary
Mark Brider,CharityChief Executive
Grants Committee Ruth Lester
Jonathan Tritter		 Mark Brider, Charity Chief Executive
Caron Eyre, Director of Nursing Quality
(BWCNFT)
Stephen O’Loughlin, Grants Manager
GwennyScott,CompanySecretary

Administration

Trustees are responsible for strategic direction and policy of the Charity, with responsibility for dayto-day operations delegated to the Charity’s staff. Trustees are not paid for their time and staff remuneration is set at market rates using industry comparators for similar roles.

The Charity is led by Mark Brider, Chief Executive, who was appointed in May 2021.

Gwenny Scott is the Company Secretary of the Charity and is remunerated via a Service Level Agreement with BWCNFT. This remuneration is determined on the basis of benchmarking information and the time allocated to the responsibilities.

Fundraising for the Charity is carried out by the BWCNFT Fundraising Department and funded by a grant from the Charity.

Financial services are provided under a Service Level Agreement with University Hospitals Birmingham NHS Foundation Trust.

External advisors are set out on page 4; they are subject to periodic review and competitive tender in accordance with Standing Orders and recognised best practice.

Objects and Activities

The objects of the Charity are, for the public benefit:

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BIRMINGHAM WOMEN’S AND CHILDREN'S HOSPITAL CHARITY 2021/22 COMPANY NUMBER 09404174 CHARITY NUMBER 1160875 TRUSTEES REPORT INCORPORATING THE STRATEGIC REPORT

There are three linked charities with objects as follows:

Mission

The Trustees’ mission is to make things better for the patients at Birmingham Children’s Hospital and Birmingham Women’s Hospital, their families and the staff who treat them by providing additional facilities, equipment and research and by creating a caring environment for all who use the Hospitals.

They deliver on their mission by raising funds which they award as grants to BWCNFT who deliver patient benefits and make a difference to patients and families, by providing new equipment, funding research and training, and improving the Hospital environment.

Public Benefit

The Charity is a Public Benefit Entity and Trustees confirm they are aware of and have taken account of public benefit guidance published by the Charity Commission.

The Charity delivers its public benefit through the care and treatment of NHS patients by Birmingham Women’s and Children’s NHS Foundation Trust. Grants from the Charity lead to an enhancement in healthcare for hospital patients from all walks of life, regardless of their background or personal circumstances.

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BIRMINGHAM WOMEN’S AND CHILDREN'S HOSPITAL CHARITY 2021/22 COMPANY NUMBER 09404174 CHARITY NUMBER 1160875 TRUSTEES REPORT INCORPORATING THE STRATEGIC REPORT

About Birmingham Women’s and Children’s NHS Foundation Trust

Birmingham Women’s and Children’s NHS Foundation Trust (BWCNFT) is the first NHS Trust of its type in the UK, formed in February 2017 to drive forward a commitment to provide the highest quality, world-class care that women, children and families want and deserve.

Every day its UK and globally-respected surgeons, doctors, nurses, midwives and allied healthcare professionals provide some of the most advanced treatments, complex surgical procedures and cutting-edge research, to improve care today and develop even better care for the future.

Home to the country’s leading teaching centres, it is passionate about nurturing and developing the skills of the present and future workforce, along with investing in the very best training and education to foster life-long learning.

Birmingham Women’s Hospital is a centre of excellence, providing specialist services to over 50,000 women, men and their families every year from Birmingham, the West Midlands and beyond.

It is one of only two dedicated women’s hospitals in the UK, with the busiest single site maternity unit, delivering more than 8,200 babies a year. It offers a full range of gynaecological, maternity and neonatal care and its Fertility Centre is considered to be one of the best in the country. The hospital is also an international centre for education, research and development with a research budget of over £3 million per year.

Birmingham Children’s Hospital is the UK’s leading specialist paediatric centre, caring for sick children and young people up to the age of 16. Based in the heart of Birmingham city centre, the hospital is a world leader in some of the most advanced treatments, complex surgical procedures and cutting-edge research and development. It is a nationally designated specialist centre for epilepsy surgery, and boasts a paediatric major trauma centre for the West Midlands, a national liver and small bowel transplant centre and a centre of excellence for complex heart conditions, the treatment of burns, cancer and liver and kidney disease. Its Paediatric Intensive Care Unit (PICU) and medical care services are rated Outstanding by the Care Quality Commission.

The Trust is also home to one of the largest Child and Adolescent Mental Health Services in the country, comprising a dedicated inpatient Eating Disorder Unit and Acute Assessment Unit for regional referrals of children and young people with the most serious of problems (Tier 4) and the Forward Thinking Birmingham mental health service for 0 to 25-year olds.

Strategy and Performance

Future Plans and Strategy

The Charity has a proud history of supporting key developments at Birmingham Children’s Hospital. This includes clinical areas such as the Burns Centre, the Renal Unit, the Emergency Department, Cardiac Theatres and Waterfall House, a state-of-the-art building which opened its doors in 2018 and is home to the UK’s first paediatric Rare Diseases Centre as well as a Children’s Cancer Centre.

The Charity also strives to enhance the experience of patients. Examples of this include the entirely charitably funded Magnolia House for bereaved families, the children’s outdoor playground as well

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BIRMINGHAM WOMEN’S AND CHILDREN'S HOSPITAL CHARITY 2021/22 COMPANY NUMBER 09404174 CHARITY NUMBER 1160875 TRUSTEES REPORT INCORPORATING THE STRATEGIC REPORT

as family-friendly wards and department refurbishments which help to make our hospital less of a daunting and scary place for its brave patients.

No new appeals were launched during the reporting period; instead the Charity continued to raise funds for Fight For All The Feels, its first fundraising campaign for Forward Thinking Birmingham, BWCNFT’s unique mental health service for 0 to 25-years-olds. As Europe’s youngest city, Birmingham was experiencing a youth mental health challenge long before COVID-19 was around. The pandemic intensified existing mental health issues and created new ones, so this appeal addressed the issue of youth mental health head on.

At Birmingham Women’s Hospital, the Charity has continued to raise money for Woodland House, a brand-new, purpose-built bereavement centre where grieving families will be able to spend time together in safe, secure and serene surrounding after suffering loss through miscarriage, stillbirth or neonatal death. This appeal is now drawing to a close and we’re delighted to be planning to break ground on this much-needed new centre, a first of its kind within a UK-hospital setting.

Continued investment in research is a priority for the Trustees, to encourage and improve research skills and ensure researchers can continue to identify and better understand illnesses in order to develop treatment for the patients of the future.

The Charity also continues to support schemes that improve the experience of patients and their families, and the education and continued professional development of staff.

Over the last 12 months, the Charity has continued to invest in growing its donor base as well as develop new digital fundraising approaches to raise the capital needed to support BWCNFT’s immediate needs.

Throughout 2022/23, the Charity will continue to inspire its community to raise the required funds to transform the lives of patients treated at BWCNFT and ensure each hospital’s urgent and long terms needs are supported.

Risk Management

Trustees continue to monitor key strategic risks through the Board Assurance Framework, which captures the risks associated with the achievement of the Charity’s objectives. This enables the Charity to identify gaps in control and monitor the implementation of actions to ensure that resources, activity and assurance are directed towards the highest risk areas.

The strategic risks set out in the Board Assurance Framework are as follows:

  1. Failure to ensure governance arrangements are both rigorous and support the Charity’s ambitions to increase annual income. The Finance and Risk Committee oversees this risk and the changes to processes which aim to ensure governance arrangements are both robust and support the Charity’s objectives.

  2. Failure to ensure Fundraising Target is achieved . Progress towards achieving the annual fundraising target is reviewed each quarterly by a Quarterly Performance Group, the

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BIRMINGHAM WOMEN’S AND CHILDREN'S HOSPITAL CHARITY 2021/22 COMPANY NUMBER 09404174 CHARITY NUMBER 1160875 TRUSTEES REPORT INCORPORATING THE STRATEGIC REPORT

Performance in the Year

During the year Trustees approved grants, inclusive of allocated support costs, of £3.595million (2020/21: £3.179 million). The section on grant activities below gives more details and illustrates the variety of projects funded by the Charity.

Total income for the Charity decreased to £5.779 million (2020/21: £6.012millon). Legacy income also rose from levels seen in previous years. Donations from individuals and companies held up well across our appeals.

COVID -19

The COVID-19 pandemic continued to have a significant impact on fundraising activity, as planned activities and events had to remain agile in order to adhere to ever-changing government restrictions.

This saw a number of third-party and supporter-organised activities postponed once again, such as the Great Birmingham Run. Similarly, a number of our own events had to remain virtual, including our annual Hundred Heroes recognition event and Christmas Concert, in order to keep our supporters and staff safe from ever-changing variant of the virus.

The government’s roadmap out of lockdown offered a welcome step-change during the summer months, allowing events such as our annual abseil and inaugural Dragon Boat Race to safely go ahead as planned. Both were a roaring success and provided our supporters with a much-needed reason to come together with friends and family to raise vital funds to support our deserving women, babies, children, young people and families.

The outpouring of love for the NHS remained strong and we saw a rise in individuals setting personal challenges, including one inspirational youngster who raised over £200,000 after pledging to run a mile a day for 26 days to say thank you to our hospital for the care she’s received over the last seven years.

Yet while the world was opening up, restrictions within the hospitals remained in order to protect our patients and hospital colleagues from the growing variants of COVID-19. This meant access to our hospitals was limited, which significantly reduced our ability to cultivate, steward and solicit our audiences.

However, a number of successful grants were secured to bolster our two live appeals, Woodland House and Fight For All The Feels, including a £200,000 donation from Garfield Weston to support the Women’s Hospital.

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BIRMINGHAM WOMEN’S AND CHILDREN'S HOSPITAL CHARITY 2021/22 COMPANY NUMBER 09404174 CHARITY NUMBER 1160875 TRUSTEES REPORT INCORPORATING THE STRATEGIC REPORT

The philanthropic and corporate partnership secured with international fitness community and apparel brand, Gymshark, remained strong and relationships were strengthened further when the brand’s founder and CEO, Ben Francis, was announced as the Charity’s first-ever Patron in June 2021.

During the year Trustees approved grants, inclusive of allocated support costs, of £3.595 million (2020/21: £3.179million). The section on grant activities below gives more details and illustrates the variety of projects funded by the Charity.

Total income for the Charity was £5.78million, slightly below the previous year (2020/21: £6.012million), with reductions in fundraised income and legacies, but an increase in investment income.

Fundraising

The Charity gives a grant to BWCNFT to be spent on the costs of its fundraising department. All fundraising is then delegated to BWCNFT which decides how to allocate the grant across different fundraising activities. Trustees receive regular reports about fundraising activity.

The Charity is registered with the Fundraising Regulator and supports the Code of Fundraising Practice. In particular, it wishes to ensure that those fundraising on its behalf do not exploit vulnerable people or unreasonably intrude on a person’s privacy, and that any fundraising approaches are not unreasonably persistent and do not involve undue pressure.

The Charity has published a Complaints Policy on its websites and is registered to receive suppression notifications from the Fundraising Preference Service. During the year the Charity received and dealt with no complaints about the Charity and received no suppression notifications from the Fundraising Preference Service.

The ratio of fundraising costs to fundraising income for the Charity rose to 39p per £1 raised (2020/21: 32p per £1 raised). The increase in the cost income ratio is as a result of additional staff costs relating to the new fundraising strategy. The Charity has set a medium term cost income ratio target of 30% by 2025/26 linked to planned growth in income primarily driven by expanded activities in Philanthropy and Partnerships.

Investments

The Investment Advisory Committee provides detailed oversight of the performance of the Charity’s investment managers.

The Hannah Eliza Guy endowment is invested in COIF Charities Investment Fund Income Units, managed by CCLA Investment Management Limited. Income is held as cash in a separate bank account until spending decisions are taken. During the 12 months to 31 March 2022 the fund delivered a total return, net of fees, of 11.62%.

Other donations which do not need to be spent straight away in supporting the Hospitals are invested with the objective to deliver a total return of CPI inflation plus 3% over a rolling five-year period, whilst limiting total volatility.

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BIRMINGHAM WOMEN’S AND CHILDREN'S HOSPITAL CHARITY 2021/22 COMPANY NUMBER 09404174 CHARITY NUMBER 1160875 TRUSTEES REPORT INCORPORATING THE STRATEGIC REPORT

Investments are held across two Investment Managers, Veritas LLP and CCLA, each with the same investment objectives. The Investment Advisory Committee is satisfied with the performance of both managers during the period. Over the last 12 months, Veritas and CCLA delivered returns of 11.62% and 9.9% respectively. These returns were comfortably in excess of the CPI-related return objective of 3.6%.

The Charity’s governing document allows the Trustees to invest in any manner they see fit, provided they take appropriate expert advice and have regard to the suitability of investments and the need for diversification. In addition, the Trustees do not consider that direct investments connected to the tobacco industry would be appropriate for a Charity which works to improve the health of the public.

Funds intended to be used to pay grants in the near future are held as cash on deposit to minimise short term investment risk.

Reserves

At the end of the reporting period the total consolidated funds held by the Charity were £19,395,000.

This sum includes funds which are restricted and not available for general purposes of the Charity, at a total £3,105,000 and the Hannah Guy Endowment Fund at £1,025,000

At the end of the reporting period, a total £2,470,000 was committed for expenditure within 2022/23.

Free reserves at the end of the financial year were £13,793,000.

This includes £5,400,000, which can only be realised by disposing of tangible fixed assets or programme related investments.

The Charity expects to disburse a further proportion of these free reserves during the year to provide sustainable, long-term support to Birmingham Children’s Hospital and Birmingham Women’s Hospital. This support can be in the form of research grants, new equipment and facilities, and staff and patient education and welfare.

This is in line with the Reserves Policy, which enables a disbursement strategy to support existing appeals and the maintenance of current levels of grant making whilst using surplus income to build reserves as much as possible over a period of six to eight years. There is currently no target range for reserves, but a desire to see the value of reserves grow year by year.

Full details of these funds can be found at note 17 to the Accounts.

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BIRMINGHAM WOMEN’S AND CHILDREN'S HOSPITAL CHARITY 2021/22 COMPANY NUMBER 09404174 CHARITY NUMBER 1160875 TRUSTEES REPORT INCORPORATING THE STRATEGIC REPORT

Grant Making

Designated Funds

Each year between 20% and 25% of the Charity’s income is designated by donors for a particular ward, department or clinical specialty. Trustees recognise those designations by providing Designated Funds into which the donations are paid and from which authorised fund advisors from the wards, departments and specialties can spend money on charitable purposes.

The designated funds are known locally as Earmarked Funds.

Designated Funds can be spent at any time and (subject to oversight by the Charity) fund advisors have a wide discretion as to what can be purchased. Guidance is provided as to what types of expenditure can qualify as charitable, but the allocation of expenditure will be driven by the fund advisors and the things they deem to be most important. Often donors will influence what is purchased, in particular where they have identified a particular piece of equipment or similar that they have chosen to raise money for. Typical expenditure can include equipment, staff training and conference attendance, minor environmental improvements, research consumables and toys and games for patients.

Patterns of expenditure in recent years are as follows:

Year 2018-19 2019-20 2020-21 2021-22
Research £119,598 £314,957 £474,644 £440,400
Building and refurbishment £590,102 £172,867 £300,463 £121,900
Equipment £593,860 £1,227,095 £1,142,049 £1,850,000
Patient welfare & education £434,441 £535,384 £771,692 £708,300
Staff welfare & education £357,024 £635,910 £204,922 £150,000
Total Value £2,095,025 £2,886,214 £2,893,770 £3,270,600

Major Appeals

BWCNFT regularly identifies key projects which could only proceed thanks to charitable funding. These form the basis of major appeals and campaigns and any donations received are held separately to fund the projects they relate to.

Fight For All The Feels

A further £526,000 was raised to support Fight For All the Feels, in aid of Forward Thinking Birmingham – the Trust’s unique mental health service for children, young people and young adults.

This campaign launched as a direct response to COVID-19 and has introduced a new youth mental health model of care, delivered by peer support workers.

The first of their kind in the UK, within Children’s and Adolescent Mental Health Services (CAMHS), each of the peer support workers, who are all aged between 16 and 25-years-old, have their own

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BIRMINGHAM WOMEN’S AND CHILDREN'S HOSPITAL CHARITY 2021/22 COMPANY NUMBER 09404174 CHARITY NUMBER 1160875 TRUSTEES REPORT INCORPORATING THE STRATEGIC REPORT

lived-experiences of mental illness, therefore, not only can they help young people with their medical recovery, they can also aid them with their personal recovery too.

A total of £926,000 has now been raised to support the programme. The ultimate ambition is to raise £1.6million to deliver 20 whole time equivalent peer support workers and a team leader fullyfunded for three years.

Through its successful implementation, we intend to demonstrate the effectiveness and benefit of peer support workers to the existing clinical model, so these roles become the norm and are rolled out as a blueprint for the rest of the UK.

Woodland House

Woodland House will be a purpose-built bereavement centre at our Women’s Hospital where grieving families can spend time together after suffering loss through miscarriage, stillbirth or neonatal death.

The first of its kind in a UK-hospital setting, Woodland House will set a new international standard of care for families who have experienced the heartbreak of pregnancy and baby loss.

This appeal will officially close in spring 2022. The Trust intends to break ground on this muchneeded centre early summer 2022.

Research

There is a strong and proud history of research and innovation at both Birmingham Women’s and Birmingham Children’s Hospital.

As the Charity that supports these two world-class hospitals, it’s our job to encourage the next great idea and so we are committed to championing high-quality research into women’s and children’s health and diseases.

Charitable donations have delivered internationally recognised research which has discovered new life-changing and life-saving cures and treatments, equipping our staff with the knowledge, skills and resources needed to accelerate and advance medical breakthroughs and pioneer change.

In the past year, charitable funding has supported a number of research projects to better the future for generations to come.

This includes the launch of the UK’s first national study into identifying research priorities for patients diagnosed with congenital heart disease (CHD).

Twelve children in the UK are born with CHD every day, making it the most common type of birth defect.

Medical and surgical advances over the last 70 years have meant survival rates have improved, with approximately 97% of children diagnosed with CHD now expected to reach adulthood. However,

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BIRMINGHAM WOMEN’S AND CHILDREN'S HOSPITAL CHARITY 2021/22 COMPANY NUMBER 09404174 CHARITY NUMBER 1160875 TRUSTEES REPORT INCORPORATING THE STRATEGIC REPORT

these children often need treatment throughout their lives, requiring specialist review during childhood and into adulthood.

To date, research into the conditions, and its impact on those living with it, has been surprisingly limited, highlighting a need to address the lack of evidence to inform clinical decision-making.

Mr Nigel Drury, a Consultant in Paediatric Cardiac Surgery at our Children’s Hospital, launched this national study, along with collaborators from other leading institutions, to identify the most important research questions.

The results will lead to the high-quality, collaborative, multi-centre trials needed to improve outcomes for patients and families.

Patient Benefit Grants

Twice each year the Charity invites anyone in the Hospitals to apply for charitable funds if they have an idea for a project which would benefit patients. Applications are scored by members of the Grants Committee which meets to discuss and agree its recommendations to the Trustees. Typical grants cover toys and games, social activities for patients, new equipment and patient educational materials.

Funding for these grants comes from general, unrestricted donations and legacies.

The funding allocated in recent years is as follows:

Research Non-Research Non-Research
No. £ No. £
2018-19 54 £1,202,833 102 £3,396,848
2019-20 44 £1,126,624 83 £2,393,671
2020-21 42 £1,041,310 92 £3,038,822
2021-22 43 £1,121,247 66 £3,839,139

Going Concern

The Trustees consider that there are no material uncertainties about the Charity’s ability to continue as a going concern. The budget and forecast for 2022/23 take into account the uncertainties associated with the ongoing impact of COVID-19, and fundraising income performance during 2021/22 and the first quarter of 2022/23 provide assurance that the assumptions upon which the budget and forecast are based are reasonable.

The Charity has sufficient cash, unrestricted funds and reserves to satisfy all its debtors and to fulfil its commitments for 2022/23. There are therefore no material uncertainties affecting the current year’s accounts.

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BIRMINGHAM WOMEN’S AND CHILDREN'S HOSPITAL CHARITY 2021/22 COMPANY NUMBER 09404174 CHARITY NUMBER 1160875 TRUSTEES REPORT INCORPORATING THE STRATEGIC REPORT

Thanks

The Charity would like to thank all those who have helped financially and in other ways during the year.

Our ability to continue our vital support for Birmingham Children's Hospital and Birmingham Women’s Hospital is dependent on our ability to maintain and increase donations from the general public. Trustees are therefore grateful for the support from those who not only donate their own money, but who inspire others to donate through their fundraising efforts.

The Charity is also grateful to the staff and clinicians of the Hospitals who have supported us and contributed to the Charity’s continuing progress.

We invite readers of this Report to show your support in a number of ways:

For more details about ways to help, please visit our websites – www.bch.org.uk / www.bwh.org.uk

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

Birmingham Women's and Children's Hospital Charity Group

Consolidated Financial Statements

For the year ended 31 March 2022 Company Registration Number 09404174 Charity Number 1160875

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

Statement of Trustees' responsibilities in respect of the Trustees' Annual Report and the Financial Statements

The charity trustees (who are also the directors of the Birmingham Women's and Children's Hospital Charity for the purposes of company law) are responsible for preparing a trustees' annual report and financial statements in accordance with the applicable law and United Kingdom Accounting Standards.

Company Law requires the charity trustees to prepare financial statements for each year which give a true and fair view of the state of affairs of the charitable company and the group and of the income and expenditure, of the charitable group for that period. In preparing these financial statements, the trustees are required to:

• state whether the financial statements comply with applicable accounting standards and statements of recommended practice, subject to any material departures disclosed and explained in the financial statements;

• prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue its activities.

The trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the charity and to 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 the group and hence taking reasonable steps for the prevention and detection of fraud and other irregularities.

The Trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company's website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

Statement as a disclosure to our auditors

In so far as the Trustees are aware at the time of approving our trustees' annual report:

By order of the board of trustees

Sir Bruce Keogh Chairman

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

Independent auditor’s report to the trustees of Birmingham Women's & Children’s Hospital Charity

We have audited the financial statements of Birmingham Women's and Children's Hospital Charity (the ‘parent charity’) and its subsidiary (the ‘group’) for the year ended 31 March 2022 which comprise of the Consolidated Statement of Financial Activities, the Charity Statement of Financial Activities, the Consolidated Balance Sheet, the Charity Balance Sheet, the Consolidated Statement of Cash Flows and notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including FRS 102 “The Financial Reporting Standard applicable in the UK and Republic of Ireland” (United Kingdom Generally Accepted Accounting Practice).

In our opinion, the financial statements:

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the charity in accordance with the ethical requirements that are relevant to 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 is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the group’s or the parent charity’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

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. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent 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 misstatements, we are required to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

Opinions on other matters prescribed by the Companies Act 2006

In our opinion based on the work undertaken in the course of the audit:

purposes of company law, for the financial year for which the financial statements are prepared is consistent with the financial

statements; and

Matters on which we are required to report by exception

In light of the knowledge and understanding of the group and the parent charity and its environment obtained in the course of the audit, we have not identified material misstatements in the Strategic Report or the Directors’ Report included within the Trustees’ Report.

We have nothing to report in respect of the following matters where Companies Act 2006 requires us to report to you if, in our opinion:

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

Independent auditor’s report to the trustees of Birmingham Womens & Children’s Hospital Charity

Responsibilities of Trustees

As explained more fully in the trustees’ responsibilities statement set out on page 18, the trustees (who are also the directors of the charitable company for the purposes of company 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 to 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 group’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 charity or to cease operations, or have no realistic alternative but to do so.

Auditor’s responsibilities for the audit of the financial statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’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 (UK) will always detect a material misstatement when it 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 the financial statements.

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. Based on our understanding of the charity and its activities, we identified that the principal risks of non-compliance with laws and regulations related to the Charities Act 2011, the Charities Statement of Recommended Practice, UK tax legislation, pensions legislation, employment regulation and health and safety regulation, anti-bribery, corruption and fraud, money laundering,, and we considered the extent to which non-compliance might have a material effect on the financial statements. We also considered those laws and regulations that have a direct impact on the preparation of the financial statements, such as the Companies Act 2006.

We evaluated the trustees’ and management’s incentives and opportunities for fraudulent manipulation of the financial statements (including the risk of override of controls) and determined that the principal risks were related to posting revenue recognition associated to cut-off, manual journal entries to manipulate financial performance, management bias through judgements and assumptions in significant accounting estimates, in particular in relation to use of restricted and endowment funds, and significant one-off or unusual transactions.

Our audit procedures were designed to respond to those identified risks, including non-compliance with laws and regulations (irregularities) and fraud that are material to the financial statements. Our audit procedures included but were not limited to:

There are inherent limitations in the audit procedures described above and the primary responsibility for the prevention and detection of irregularities including fraud rests with management. As with any audit, there remained a risk of non-detection of irregularities, as these may involve collusion, forgery, intentional omissions, misrepresentations or the override of internal controls.

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council’s website at www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.

Use of the audit report

This report is made solely to the charity’s members as a body in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charity’s members those matters we are required to state 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 members as a body for our audit work, for this report, or for the opinions we have formed.

David Hoose (Jan 18, 2023 17:40 GMT)

David Hoose (Senior Statutory Auditor) for and on behalf of Mazars LLP Chartered Accountants and Statutory Auditor

First Floor

2 Chamberlain Square Birmingham B3 3AX Date: Jan 18, 2023

Page 20

BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

Consolidated Statement of Financial Activities (including consolidated Income and Expenditure account) for the year ended 31 March 2022

Note ref.
Income and endowments from:
Donations and legacies
3
Charitable activities
3.1
Other trading activities:
Trading Income
3.2
Red Balloon Trading CIC
2.2
Investment Income
10.3
Total
Expenditure on:
Raising funds:
BWCH Charity
6.1
Red Balloon Trading CIC
2.2
Charitable activities:
6
Medical Research
Purchase of New Equipment
New Building and Refurbishment
Staff Education and Welfare
Patient Education and Welfare
Total
Net Income before gains / Losses on investments
Transfers between funds
16
Realised net gains / (losses) on investments
Unrealised net gains on revaluation
Net Income in funds for the year
Reconciliation of funds:
Total funds brought forward
Total funds carried forward		 Unrestricted funds
Restricted funds
Endowment funds
Total funds
£000
£000
£000
£000
3,043
1,185
0
4,228
1,116
240
0
1,356
1
0
0
1
52
0
0
52
114
28
0
142
4,326
1,453
0
5,779
1,850
267
0
2,117
69
0
0
69
462
0
0
462
1,929
0
0
1,929
123
0
0
123
198
0
0
198
883
0
0
883
5,514
267
0
5,781
(1,188)
1,186
0
(2)
0
0
0
0
605
0
0
605
1,289
0
82
1,371
706
1,186
82
1,974
14,559
1,919
943
17,421
15,265
3,105
1,025
19,395		 Prior Year 2021
5,009
790
0
83
130
6,012
1,846
82
491
1,218
304
246
920
5,107
905
0
360
3,149
4,414
13,007
17,421

The statement of financial activities includes all gains and losses recognised in the year. All income and expenditure derive from continuing activities

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

Charity Statement of Financial Activities for the year ended 31 March 2022

Note ref.
Income and endowments from:
Donations and legacies
3
Charitable activities
3.1
Other trading activities:
Trading Income
3.2
Red Balloon Trading CIC
2.2
Investment Income
10.3
Total
Expenditure on:
Raising funds:
BWCH Charity
6.1
Red Balloon Trading CIC
2.2
Charitable activities:
6
Medical Research
Purchase of New Equipment
New Building and Refurbishment
Staff Education and Welfare
Patient Education and Welfare
Total
Net (Expenditure) / Income before gains / Losses
on investments
Transfers between funds
16
Realised net gains / (losses) on investments
Unrealised net gains on revaluation
Net Income in funds for the year
Reconciliation of funds:
Total funds brought forward
Total funds carried forward		 Unrestricted funds
Restricted funds
Endowment funds
Total funds
£000
£000
£000
£000
3,043
1,185
0
4,228
1,116
240
0
1,356
1
0
0
1
(17)
0
0
(17)
114
28
0
142
4,257
1,453
0
5,710
1,850
267
0
2,117

0
0
0
0
462
0
0
462
1,929
0
0
1,929
123
0
0
123

198
0
0
198
883
0
0
883
5,445
267
0
5,712

(1,188)
1,186
0
(2)
0
0
0
0
605
0
0
605
1,289
0
82
1,371
706
1,186
82
1,974
14,559
1,919
943
17,421
15,265
3,105
1,025
19,395		 Prior Year 2021
5,009
790
0
47
131
5,977
1,846
0
491

1,218
304
246
920
5,025
952
0
360
3,149
4,461
12,960
17,421

The statement of financial activities includes all gains and losses recognised in the year. All income and expenditure derive from continuing activities

Page 22

BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

Consolidated Balance Sheet as at 31 March 2022

Note ref.
Fixed assets:
Investments
10
Tangible Fixed Assets
10.4
Total fixed assets
Current assets:
Stock
2.2
Debtors
11.1
Investment Deposits
11.2
Cash at bank and in hand
11.3
Total current assets
Liabilities:
Creditors: Amounts falling due within one year
12
Provisions for liabilities: Amounts falling due
within one year
14
Net current assets
Total assets less current liabilities
Provisions for liabilities: Amounts falling due after
more than one year
14
Total net assets
The funds of the group:
Endowment funds
17.1
Restricted income funds
17.2
Unrestricted funds
17.3
Total funds		 Unrestricted
funds
Restricted funds
Endowment
funds
Total funds
£000
£000
£000
£000
15,068
3,105
1,025
19,198
71
0
0
71
15,139
3,105
1,025
19,269
23
0
0
23
460
0
0
460
2,231
0
0
2,231
8,286
0
0
8,286
11,000
0
0
11,000
5,771
0
0
5,771
3,382
0
0
3,382
1,847
0
0
1,847
16,986
3,105
1,025
21,116
1,721
0
0
1,721
15,265
3,105
1,025
19,395
0
0
1,025
1,025
0
3,105
0
3,105
15,265
0
0
15,265
15,265
3,105
1,025
19,395		 Prior Year 2021
17,374
81
17,455
36
2,117
2,034
3,752
7,939
3,770
2,690
1,479
18,934
1,513
17,421
943
1,919
14,559
17,421

Approved and authorised for issue by the Board and signed on their behalf:

Signed:

09 January 2023

Sir Bruce Keogh Chairman

The notes at pages 26-38 form part of these accounts.

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

Charity Balance Sheet as at 31 March 2022

Note ref.
Fixed assets:
Investments
10
Tangible Fixed Assets
10.4
Total fixed assets
Current assets:
Debtors
11.1
Investment Deposits
11.2
Cash at bank and in hand
11.3
Total current assets
Liabilities:
Creditors: Amounts falling due within one year
12
Provisions for liabilities: Amounts falling due
within one year
14
Net current assets
Total assets less current liabilities
Provisions for liabilities: Amounts falling due after
more than one year
14
Total net assets
The funds of the charity:
Endowment funds
17.1
Restricted income funds
17.2
Unrestricted funds
17.3
Total charity funds		 Unrestricted
funds
Restricted funds
Endowment
funds
Total funds
£000
£000
£000
£000
15,068
3,105
1,025
19,198

71
0
0
71
15,139
3,105
1,025

19,269
498
0
0
498
2,231
0
0
2,231
8,260

0
0
8,260

10,989
0
0
10,989
5,760
0
0
5,760
3,382
0
0
3,382
1,847
0
0
1,847
16,986
3,105
1,025
21,116
1,721
0
0
1,721
15,265
3,105
1,025
19,395
0
0
1,025
1,025
0
3,105
0
3,105
15,265
0
0
15,265

15,265
3,105
1,025
19,395		 Prior Year 2021
17,374

81
17,455
2,165
2,034
3,733
7,932
3,763

2,690
1,479
18,934
1,513
17,421
943

1,919
14,559
17,421

Approved and authorised for issue by the Board and signed on their behalf:

Signed:

09 January 2023

Sir Bruce Keogh Chairman

The notes at pages 26 to 39 form part of these accounts.

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

Consolidated Statement of Cash Flows for the year ended 31 March 2022

Note ref. Group Group
2021/22 2020/21
£000 £000
Cash flows from operating activities:
Net cash used in operating activities Table A 4,118 1,994
Cash flows from investing activities:
Dividends, interest and rents from investments 10.3 139 130
Proceeds from the sale of property, plant and equipment 0 0
Purchase of property, plant and equipment 0 0
Proceeds from sale of investments 10.1 1,691 921
Purchase of investments (1,216) (1,156)
Net cash provided by investing activities 614 (105)
Cash flows from financing activities:
Repayments of borrowing - Gift Aided from RBT CIC 0 0
Cash inflows from new borrowing 0 0
Receipt of endowment 0 0
Net cash provided by (used in) financing activities 0 0
Change in cash and cash equivalents in the reporting period 4,732 1,889
Cash and cash equivalents at the beginning of the reporting
period 5,786 3,897
Change in cash and cash equivalents due to exchange rate
movements 0 0
Cash and cash equivalents at the end of the reporting period Table B 10,518 5,786
Table A: Reconciliation of net income/(expenditure) to net
cash flow from operating activities		 2021/22 2020/21
£000 £000
Net movement in funds for the period 1,974 4,414
Adjustments for:
Depreciation charges 10 10
(Gains)/Losses on investments (1,690) (3,206)
Dividends, interest and rents from investments 10.3 (142) (130)
(Profit)/Loss on the sale of fixed assets (605) (360)
(Increase)/Decrease in stocks 2.2 13 2
(Increase)/Decrease in debtors 11.1 1,657 (930)
Increase/(Decrease) in creditors 12 2,001 1,753
Increase/(Decrease) in provisions 14 900 441
Net cash used in operating activities 4,118 1,994
Table B: Analysis of cash and cash equivalents 2021/22 2020/21
£000 £000
Cash in hand 11.3 8,286 3,752
Notice deposits (less than 3 months) 11.2 2,231 2,034
Total cash and cash equivalents 10,517 5,786

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

Notes to the Accounts

1 Accounting Policies

1.1 Basis of preparation and assessment of going concern

The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2015) - (Charities SORP (FRS 102)), and the Companies Act 2006.

Birmingham Women's and Children's Hospital Charity meets the definition of a public benefit entity as defined by FRS 102. Assets and liabilities are initially recognised at historic cost or transaction value with the exception of investments which are included at market value.

The Trustees consider that there are no material uncertainties about the Charity’s ability to continue as a going concern. The budget and forecast for 2022-23 take into account the uncertainties associated with the recovery from the impact of Covid-19. Fundraising income performance during 2021-22 and the first quarter of 2022-23 provide assurance that the assumptions upon which the budget and forecast are based are reasonable.

1.2 Group financial statements

The financial statements consolidate the results of the charity and its wholly owned subsidiary Red Balloon Trading CIC on a line-by-line basis. A separate Income Statement and Balance Sheet for the subsidary is presented in note 2.2.

1.3 Structure of Funds

Where there is a legal restriction on the purpose to which a fund may be put, the fund is classified either as an endowment fund , where the donor has expressly provided that only the income of the fund may be applied, or as a restricted income fund where the donor has provided for the donation to be spent in furtherance of a specified charitable purpose. Endowment funds, where the capital is held to generate income for charitable purposes, are sub analysed between those where the Trustees have the discretion to spend the capital, expendable endowment, and those where there is no discretion to expend the capital, permanent endowment. The charity has one permanent endowment fund and no expendable endowments.

Those funds which are neither endowment nor restricted income funds, are unrestricted income funds which are subanalysed between designated (earmarked) funds where the donor has made known their non-binding wishes or where the Trustees, at their discretion, have created a specific fund for a specific purpose, and wholly unrestricted funds which are wholly at the Trustees' unfettered discretion.

The major funds held in each of these categories are disclosed in note 17.

1.4 Income

All income is recognised in the Statement of Financial Activities when the group has entitlement to the income, any performance conditions have been met, it is probable that the income will be received and the amount can be quantified with reasonable accuracy.

For legacies, entitlement is taken as the earlier of the date on which either: the Charity is aware that probate has been granted, the estate has been finalised and notification has been made by the executor(s) to the Charity that a distribution will be made, or when a distribution is received. Receipt of a legacy is only considered probable when the amount can be measured reliably and the Charity has been notified of the executor's intention to make a distribution. Where legacies have been notified to the Charity, or the Charity is aware of the granting of probate, and the criteria for income recognition have not been met, then the legacy is treated as a contingent asset and disclosed if material (see note 13)

Income arising from the investment of the endowment fund, though expendable, are wholly restricted to promote the preservation of health and recovery of patients and former patients of Birmingham Women's Hospital and Birmingham Children's Hospital and other Birmingham hospitals.

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

1.5 Donated Goods and Services and Role of Volunteers

Donated goods to the Charity are received from supporters for use within the hopital or as raffle prizes. They are not directly traded and the resulting income is accounted for as fundraising income - this year the value of which is £30k (£254k in 2020/21). The Charity does not currently hold any such goods.

It should be noted that all Trustees / Company Directors give their time and skills freely to run the Charity as do members of the various advisory committees.

Due to the nature of the role of volunteers it is not possible to quantify the monetary value of their varied contributions but an outline of the activities they undertake for the charity is explained below: Fund Advisors - there are around 414 Hospital staff who, through delegated Trustee Authority make recommendations as to how the Charity's designated funds are spent to benefit the patients of the Hospital. These funds are designated (or earmarked) by the Trustees to be spent for a particular purpose or in a particular ward or department in accordance with the purpose of the donation. Each fund advisor has delegated power to authorise up to £1,000 of expenditure from the relevant designated fund. Fund advisors wishing to recommend expenditure in excess of £1,000 require authority from the Company Secretary who has Trustee delegated authority to approve expenditure up to £20,000. Requests in excess of this amount up to £50,000 require the authority of the Charity Chairman and requests over this value require full Trustee Board approval.

Fundraisers - there are many volunteers locally who actively support fundraising for the charity by directly raising funds through sponsored activities collecting through online support pages. Activities include, but not limited to, cycling, skydiving and walking as well as volunteers who organise fundraising events on behalf of the Charity.

1.6 Expenditure and Irrecoverable VAT

All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category. All expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party.

Included within provisions are the values of grants awarded by the trustees at the balance sheet date. These grants are considered individually with regards to the timings of the requirements to allow the provisions to be split between amounts considered expendable within one year and amounts expendable after one year.

Irrecoverable VAT is charged against the category of expenditure for which it was incurred.

1.7

Allocation of Overhead and Support Costs

Overhead and support costs which are not wholly attributable to an expenditure type have been apportioned between Costs of Raising Funds and Charitable Activities. The analysis of overhead and support costs and the basis of allocation is shown in note 5.

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

1.8 Fixed Assets

Investments

Investments - are stated at market value as at the balance sheet date. The Statement of Financial Activities includes the gains and losses arising on revaluation and disposals throughout the year.

Exceptionally, where the size or nature of a holding of securities is such that the disposal of those securities would have a material effect on the quoted market price, a separate disclosure by way of note would advise of the adjustment to the market price and valuation necessary to reflect this situation. Currently the Charity does not hold any investments of this type.

Tangible Fixed Asset

The tangible fixed asset relates to the improvement of the leasehold premises at Rowchester Court. Expenditure incurred is being depreciated over the remining life of the lease term.

1.9 Gains and Losses

All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and losses on investments are calculated as the difference between sales proceeds and opening carrying value (purchase price if later). Unrealised gains and losses are calculated as the difference between the market value at the year end and the opening market value (or purchase price if later).

1.10 Debtors

Debtors are measured at their recoverable amount. There are currently no provisions for bad or doubtful debts.

1.11 Cash at bank and in hand

Cash at bank and in hand includes cash and any short term highly liquid investments with a maturity of three months or less from the date of acquisition or opening of the deposit or similar account.

1.12 Creditors

Creditors and provisions are recognised where the charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably.

1.13 Concessionary Loan

The charity extended a loan to its trading subsidary Red Balloon Trading CIC on 1st April 2014. The current balance is £30,000. The loan is repayable upon demand with an interest rate of 4% above the Nat West Base rate chargable from time to time throughout its duration. It is not therefore possible to calculate the capital and interest element of the loan over its life. It is carried at its initial value in the balance sheet with the interest payable being recognised in the SOFA.

1.14 Pensions

National Employment Savings Trust Scheme (NEST)

The Charity contributes to the National Employment Savings Trust Scheme (NEST), a defined contribution pension scheme.

A defined contribution pension scheme is a post-employment benefit plan under which the Charity pays fixed contributions into a separate entity and will have no legal or constructive obligation to pay further amounts. Contributions are therefore charged to the SOFA in the year in which they become payable in accordance with the rules of the scheme.

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

2 Prior Year Comparators

The primary statements provide prior year comparators in total. The individual comparators can be found within the relevant notes to the accounts.

2.1 Related party transactions and trustees’ expenses and remuneration

Patients of Birmingham Women's Hospital and Birmingham Children's Hospital are the main beneficiaries of the Charity. The Charity has made Charitable Grants to Birmingham Women's and Children's NHS Foundation Trust and these are detailed in note 7.

None of the trustees, or parties related to them, have received remuneration or received any other benefits from employment with Birmingham Women's and Children's Hospital Charity, although two of the Trustees being Sir Bruce Keogh and Sarah-Jane Nicholson who served during the year were employed by Birmingham Women's and Children's NHS FT and in their NHS capacity receive remuneration £260k in aggregate for the role they perform within the Hospitals. The trustees have purchased trustee indemnity insurance at a cost of £1,295 (20/21: £1,272 ) for £5M worth of cover.

During the year no expenses for Trustees were paid to themself or directly to third parties. (During 2020/21 payments for one Trustee was paid at a total of £95.04. There was also a credit note for £100 for one trustee).

Accomodation Travel Training Other Total
2021/22
No Trustees 0.00 0.00 0.00 0.00 0.00
2020/21
Two Trustees 95.04 0.00 0.00 ~~(100.00)~~ (4.96)

The value of unclaimed expenses incurred by Trustees wholly and necessarily in the course of executing their trustee duties has been calculated at £1,124.97 (£0 2020/21). Due to the COVID-19 pandemic, all of the trustee meetings during the year were online.

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

Red Balloon Income Statement

Turnover
Operating Income
Expenditure
Cost of Sales
Gross Profit
Administrative expenses
Interest Receivable
Profit for the year
Gift Aid Donation to BCH Charity
Retained profit
Red Balloon Balance Sheet
Assets Employed
Current Assets
Stock
Debtors
Bank
Current Liabilities
Creditors and Accruals
Net Assets
Financed by:
Reserve		 2021-22
£
77,319
(45,615)
31,704
(23,671)
8,033
(8,033)
(0)
22,615
377
26,010
49,002
(49,002)
0
0		 2020-21
£
82,972
(57,132)
25,840
(28,618)
0
(2,778)
(43,749)
(46,527)
35,916
27,316
18,690
81,922
(81,922)
0
0

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

3
3.1		 Analysis of Donations and Legacies 2022
Unrestricted Restricted Endowment
Funds
Funds
Funds
£000
£000
£000
Donations from individuals
421
4
0
Donations from companies
2,102
42
0
Donations in Memory
217
55
0
Legacies
(326)
781
0
Grants
629
303
0
3,043
1,185
0		 Analysis of Donations and Legacies 2022
Unrestricted Restricted Endowment
Funds
Funds
Funds
£000
£000
£000
Donations from individuals
421
4
0
Donations from companies
2,102
42
0
Donations in Memory
217
55
0
Legacies
(326)
781
0
Grants
629
303
0
3,043
1,185
0		 2021
TotalUnrestricted
2022
Funds
£000
£000
425
356
2,144
1,496
272
292
455
594
932
1,978
4,228
4,716		 2021
TotalUnrestricted
2022
Funds
£000
£000
425
356
2,144
1,496
272
292
455
594
932
1,978
4,228
4,716		 Restricted
Funds
£000
5
8
28
0
252		 Endowment
Funds
£000
0
0
0
0
0		 Total
2021
£000
361
1,504
320
594
2,230
0 4,716 293 0 5,009
Income from Charitable Activities 2022
Unrestricted Restricted Endowment
Funds
Funds
Funds
Income from
£000
£000
£000
Fundraising Events
1,116
240
0		 2021
TotalUnrestricted
2022
Funds
£000
£000
1,356
753		 Restricted
Funds
£000
37		 Endowment
Funds
£000		 Total
2021
£000
0 753 0 790

3.2 Income from Other Trading Activities

The income was derived from the provision of training courses in furtherance of the charity’s objects in both the current and previous year. Income from Red Balloon Trading CIC represents the turnover of the Trading Company (note 2.2)

4 Loan Interest Receivable Interest on Loan
Capital Calculated Repayment Outstanding
Loan balance on 1st April 2021 52,247 52,247
Decrease in Loan 31/3/2022 (20,000) 32,247
Payments made in 2021/22 (3,504) 28,742
Calculation of interest 2021/22 1,258 30,000

5 Allocation of Support Costs and Overheads

Support and overhead costs are allocated between fundraising activities and charitable expenditure. The basis of allocation is the number of transactions processed.

2022
5.1
Analysis of Expenditure
Unrestricted
Funds
£000
Support Costs Financial SLA
139.0
Salaries & Associated Costs
61.7
Company Secretary Service
50.0
External Audit
14.2
Internal Audit
0.0
Accomodation Costs
32.7
Legal / Professional fees
27.6
Stationery
1.8
Staff Training
0.0
Bank Charges
2.3
Trustee Expenses
0.0
Telephone
8.9
Association Memberships
0.0
Insurance
4.6
Postage
2.4
Miscellaneous
0.0
345.2*		 2022
5.1
Analysis of Expenditure
Unrestricted
Funds
£000
Support Costs Financial SLA
139.0
Salaries & Associated Costs
61.7
Company Secretary Service
50.0
External Audit
14.2
Internal Audit
0.0
Accomodation Costs
32.7
Legal / Professional fees
27.6
Stationery
1.8
Staff Training
0.0
Bank Charges
2.3
Trustee Expenses
0.0
Telephone
8.9
Association Memberships
0.0
Insurance
4.6
Postage
2.4
Miscellaneous
0.0
345.2*		 Restricted Endowment
Funds
Funds
£000
£000
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0		 Restricted Endowment
Funds
Funds
£000
£000
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0		 2021
TotalUnrestricted
2021
Funds
£000
£000
139.0
139.1
61.7
59.8
50.0
50.0
14.2
13.5
0.0
(1.9)
32.7
35.0
27.6
1.2
1.8
0.7
0.0
0.0
2.3
3.3
0.0
0.0
8.9
1.7
0.0
7.8
4.6
3.7
2.4
0.2
0.0
0.0
345.2
314.1		 2021
TotalUnrestricted
2021
Funds
£000
£000
139.0
139.1
61.7
59.8
50.0
50.0
14.2
13.5
0.0
(1.9)
32.7
35.0
27.6
1.2
1.8
0.7
0.0
0.0
2.3
3.3
0.0
0.0
8.9
1.7
0.0
7.8
4.6
3.7
2.4
0.2
0.0
0.0
345.2
314.1		 Restricted
Funds
£000
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0		 Endowment
Funds
£000
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0		 Total
2020
£000
139.1
59.8
50.0
13.5
(1.9)
35.0
1.2
0.7
0.0
3.3
0.0
1.7
7.8
3.7
0.2
0.0
345.2 0.0 314.1 0.0 314.1

All support costs have been allocated to unrestricted funds due to minimal restricted transactions on the basis of the number of transactions processed and is shown at note 6 of these accounts.

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

5.2 Governance Costs

Calculated governance costs for 2021/22 are £162.7k (2020/21 £134.0k). They relate to costs associated with the governance of operating the charity and include such items as Statutory audit, Company registration, and legal costs as well as an apportionment of remuneration and financial services costs for time spent on governance issues.

Internal audit now sits with BWCH NHS FT and will be part of their ongoing yearly audit.

6 Analysis of Charitable Expenditure

Expenditure on charitable activities was £3,595k (2020/21 £3,180k) of which £267k was restricted (2020/21 £33k).

The Charity, under a Scheme of Delegations, either incurred expenditure with third parties in pursuance of grants or reimbursed expenditure incurred by beneficiaries. The charity did not undertake any direct charitable activities during the year.

Support costs attributable to Charitable Expenditure have been apportioned between categories on the basis of the number of individual transactions undertaken by the charity.

2022
Grant Funded
Activity
£000
Medical Research
440.4
Purchase of New Equipment
1,850.0
Building and Refurbishment
121.9
Staff Education and Welfare
150.0
Patient Education and Welfare
708.3
3,270.6		 Support
Costs
£000
21.9
78.8
1.4
48.0
174.4
324.5		 2021
Total Grant Funded
2022
Activity
£000
£000
462.3
474.6
1,928.8
1,142.0
123.3
300.5
198.0
204.7
882.7
760.9
3,595.1
2,882.7		 Support
Costs
£000
16.6
76.2
3.0
41.1
159.3
296.2		 Total
2021
£000
491.2
1,218.2
303.5
245.8
920.2
3,178.9

6.1 The remaining £20.7k support costs (£17.9k 2020/21) have been allocated to the Costs of Raising Funds on the basis of the number of transactions.

2022
Grant Funded
Activity
£000
Costs of Fundraising Office
1,423.5
Costs of Fundraising Events
583.2
Investment Management Costs
89.7
2,096.4		 Support
Costs
£000
20.7
0.0
0.0
20.7		 2021
Total Grant Funded
2022
Activity
£000
£000
1,444.2
1,389.1
583.2
352.5
89.7
86.4
2,117.1
1,828.0		 Support
Costs
£000
17.9
0.0
0.0
17.9		 Total
2021
£000
1,407.0
352.5
86.4
1,845.9

7 Grants

Grants are made to Birmingham Women's and Children's Hospital NHS Foundation Trust as well as other institutions.

An analysis of grants is set out below:

2022
Number of
Institution Receiving Support
Grants
Birmingham Women's & Children's Hospital NHS FT
41
Birmingham Women's & Children's Hospital NHS FT

University of Birmingham (for Research)
1
Aston University
Ronald MacDonald House Charity (Parents Accommodation)
1
Holiday Grants
43		 Total
2022
£000
2,683
472
85
30
3,270		 2021
Number of
Grants
44

3
0
1
0
48*		 Total
2021
£000
2,373
371
109
0
30
0
2,883

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

8 Analysis of staff costs and remuneration of key management personnel

Analysis of staff costs and remuneration of key management personnel
Charity
2021-22
£000
Salaries and wages
55
Social security costs
5
Other pension costs
4
64
Average full time equivalents of employees in the year:
Average head count during the year:
2.0
No employee had emoluments in excess of £60,000 (2021: None)		 Group
2021-22
£000
55
5
4
64
2.0		 Charity
2020-21
£000
53
5
4
62
2.0
2.0		 Group
2020-21
£000
53
5
4
62
2.0
2.0

The key management personnel for both the Charity and Red Balloon Trading CIC comprise of the Trustees along with the Company Secretarial services provided by the Hospital at a cost of £50k per annum (2020/21 £50k).

9 Auditor's Remuneration

The external auditor's remuneration of £14,700 (2020/21: £13,500) relates solely to statutory audit for the group. Internal audit is now being managed by Birmingham Women's & Children's Hospital NHS Foundation Trust auditors as part of their annual internal audit.

10 Analysis of Fixed Asset Investments

10.1 Movements during the year

Market value at start of year
Less: Disposals at carrying value
Less: Realised loss on disposal
Add: Acquisitions at cost
Net (loss) / Gain on revaluation
Market value at end of year
Historic cost at year end
Market value at 31 March - All held in the UK
BWCH Charity
Equities
Bonds
Hedge Funds
Schroder Charity Multi-Asset Fund
Property
TM Fulcrum DAR Fund
COIF Charities Investment Fund
Veritas
COIF Investments
Investment Value
Multi-Asset Funds
COIF Charity Funds
Other Investments
Veritas
The following shows how the charities investments were held a		 2022
Charity
£000
17,374
(1,690)
0
1,823
1,691
19,198
12,819
2022
Charity
£000
0
0
0
0
0
1,024
9,417
8,757
19,198
s at 31 March.		 2022
Group
£000
17,374
(1,690)
0
1,823
1,691
19,198
12,819
2022
Group
£000
0
0
0
0
0
1,024
9,417
8,757
19,198		 2021
Charity
£000
13,573
(921)
0
1,515
3,207
17,374
12,351
2021
Charity
£000
0
0
0
0
0
0
943
8,589
7,842
17,374
2022
%
50.9
49.1		 2021
Group
£000
13,573
(921)
0
1,515
3,207
17,374
12,351
2021
Group
£000
0
0
0
0
0
0
943
8,589
7,842
17,374
2021
%
50.6
49.4

10.2 Market value at 31 March - All held in the UK

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

10.3
Total gross income from investments
a) Fixed Asset Investments
Investments listed on a recognised Stock Exchange
b) Current Assets
Interest earned on cash deposits in the year
Inter Company loan interest
10.4
Tangible Fixed Assets
Leasehold property improvements
Opening Balance as at 1st April 2020
In year depreciation
Closing Balance as at 31st March 2021
11.0
Analysis of Current Assets (Debtors)
11.1
Amounts falling due within one year:
Trade debtors
Accrued income
Prepayments
Inter company Balance Due
Total debtors falling due within one year
Total debtors
11.2
Short term investments and deposits
COIF Deposits - Hannah Guy
COIF Cash
Veritas Cash
11.3
Cash at Bank and in Hand
Cash		 10.3
Total gross income from investments
a) Fixed Asset Investments
Investments listed on a recognised Stock Exchange
b) Current Assets
Interest earned on cash deposits in the year
Inter Company loan interest
10.4
Tangible Fixed Assets
Leasehold property improvements
Opening Balance as at 1st April 2020
In year depreciation
Closing Balance as at 31st March 2021
11.0
Analysis of Current Assets (Debtors)
11.1
Amounts falling due within one year:
Trade debtors
Accrued income
Prepayments
Inter company Balance Due
Total debtors falling due within one year
Total debtors
11.2
Short term investments and deposits
COIF Deposits - Hannah Guy
COIF Cash
Veritas Cash
11.3
Cash at Bank and in Hand
Cash		 2022
Charity
£000
111
111
28
3
142
2022
Charity
£000
81
(10)
71		 2022
Group
£000
111
111
28
0
139
2022
Group
£000
81
(10)
71		 2021
Charity
£000
102
102
28
1
131
2021
Charity
£000
91
(10)
81		 2021
Group
£000
102
102
28
0
130
2021
Group
£000
91
(10)
81
2021
Group
£000
1,029
1,073
15
0
2,117
2,117
2021
Group
£000
123
1,419
492
Analysis of Current Assets (Debtors)
Amounts falling due within one year:
Trade debtors
Accrued income
Prepayments
Inter company Balance Due
Total debtors falling due within one year
Total debtors
Short term investments and deposits
COIF Deposits - Hannah Guy
COIF Cash
Veritas Cash
Cash at Bank and in Hand
Cash		 2022
Charity
£000
22
425
13
38
498
498
2022
Charity
£000
151
1,420
660
2,231
2022
Charity
£000
8,260		 2022
Group
£000
22
425
13
0
460
460
2022
Group
£000
151
1,420
660
2,231
2022
Group
£000
8,286		 2021
Charity
£000
1,025
1,073
15
52
2,165
2,165
2021
Charity
£000
123
1,419
492
2,034 2,034
2021
Charity
£000
3,733		 2021
Group
£000
3,752

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY

ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

12 Creditors

Creditors
Amounts falling due within one year:
Trade creditors
Accruals
Total creditors		 2022
Charity
£000
169
5,591
5,760		 2022
Group
£000
180
5,591
5,771		 2021
Charity
£000
819
2,944
3,763		 2021
Group
£000
826
2,944
3,770

13 Contingent assets – legacy income

As at 31 March the charity had been notified of 37 residuary legacies, the value of which is unknown at the stage of producing these accounts. (2020/21 the number was 28)

14 Liabilities and Provisions
Movements during the year
BCH Charity
Opening Provisions
Add: New provisions charged in the year
Less: Provisions released in the year
Change in value of brought forward provisions
Provisions outstanding at end of year
Red Balloon
Provisions Payable within one year
Provisions payable after more than one year
Provisions outstanding at end of year		 Charitable
Expenditure
£000
4,203
3,185
(1,884)
(401)
5,103
0
5,103
3,382
1,721
5,103		 Other
Expenditure
£000
0
0
0
0
0
0
0
0
0
0		 2022
Total
£000
4,203
3,185
(1,884)
(401)
5,103
0
5,103
3,382
1,721
5,103		 2021
Charitable
Expenditure
£000
3,762
2,646
(2,092)
(113)
4,203
0
4,203
2,690
1,513
4,203

15 Commitments BCH Charity

Trustees have entered into arrangements with future commitments as follows:

2022
Land & Buildings
Expiring within a year
£000
Fundraising Grant
0
Finance SLA
0
Governance SLA
0
Office Accommodation
27
27
Expiring within 2 to 5 years
9		 2022
2021
Other Land & Buildings
£000
£000
2,275
0
145
0
50
0
0
27
2,470
27
0
35		 2021
Other
£000
2,022
139
50
0
2,211
0

The commitment of £27k expiring within one year relates to the annual rental of the office accomodation. The commitment of £9k expiring within 2 to 5 years relates to annual rental of the office accomodation. The Finance & Governance SLA contract payments expire in March 2023

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BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

16 Transfers Between Funds

Transfers in 2020/21

Transfers between funds amount to a net value of £28k relate to the closure of grants

17 Analysis of Charitable Funds

17.1 Endowment Funds Birmingham Children's Hospital

A Hannah Guy Endowment
Total Consolidated Endowment Funds		 Balance
Income Expenditure
Transfers
Gains and
Balance
01-April
Losses
31 March
2021
2022
£000
£000
£000
£000
£000
£000
943
0
0
0
82
1,025
943
0
0
0
82
1,025
17.2
Restricted Funds
Birmingham Children's Hospital
B Hannah Guy Income
C Sensory Garden
D Pears Foundation Big Lottery
E Sister Renal Unit Fund
F Roald Dahl Windows
Peggy Wickins
Elizabeth Soffe
Laser INT Therm Therapy
Virtual Reality
Total BCH Restricted Funds		 Balance
Income Expenditure
Transfers
Gains and
Balance
1 April
Losses
31 March
2021
2022
£000
£000
£000
£000
£000
£000
123
28
0
0
0
151
1
0
0
0
0
1
7
0
(7)
0
0
0
0
0
0
0
0
0
260
0
(169)
0
0
91
0
781
0
0
0
781
0
203
(92)
0
0
111
0
42
0
0
0
42
0
4
0
0
0
4
391
1,058
(268)
0
0
1,181

The objects of the restricted funds are as follows:

Page 36

BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

Restricted Funds
Birmingham Women's Hospital
G
Woodland House Appeal
H Connie & Albert Taylor Trust
Total BWH Restricted Funds
Consolidated Total Restricted Funds		 Balance
Income
Expenditure
Transfers
Gains and
Balance
1 April
Losses 31 March
2021
2022
£000
£000
£000
£000
£000
£000
1,528
396
0
0
0
1,924
0
0
0
0
0
0
1,528
396
0
0
0
1,924
1,919
1,454
(268)
0
0
3,105

H The Connie & Albert Taylor Trust Fund is restricted for the purpose of the Woodland House Appeal.

17.3 Unrestricted and Designated (Earmarked) Funds

The Trustees set a balance (opening or closing) of £100,000 or above as the threshold for reporting material designated funds In the interests of accountability and transparency a summary of all designated funds is available upon written request.

Designated for Birmingham Womens's Hospital
(Earmarked) Funds
I
Neonatal Equipment Fund BWH
J
Designated Funds
K
General Unrestricted Funds
Birmingham Womens Hospital Funds
Designated for Birmingham Children's Hospital
(Earmarked) Funds
L
Ward 10 (Previously Ward 9)
M Cystic Fibrosis & Child Chest
N PICU
O Heart Unit Ward
P
Haematology & Oncology
Q Support through music
R
BWCH Research Program Appeal
S
The Heart Unit Fund
T
Mental & Pulic Health Campaign
U Ward 8
V
Fight for all the feels campaign
W All About Play Appeal
X
Leukaemia & Haematology Research
Y
Eye Dept. Research & Equipment
1A Other Designated Funds
1B General Unrestricted Funds
Birmingham Childrens Hospital Funds
Red Balloon Trading
Consolidated Total Earmarked Funds
Consolidated Total Funds*		 Balance
Income
Expenditure
Transfers
Gains and
Balance
1 April
Losses 31 March
2021
2022
£000
£000
£000
£000
£000
£000
104
19
(71)
(19)
0
33
556
1
(44)
(91)
0
422
67
22
0
82
0
171
727
42
(115)
(28)
0
626
Balance
Income
Expenditure
Transfers
Gains and
Balance
1 April
Losses 31 March
2021
2022
£000
£000
£000
£000
£000
£000
186
18
(1)
0
0
203
117
2
(5)
(2)
0
112
181
123
(51)
30
0
283
479
59
(52)
0
0
486
479
71
(107)
(12)
0
431
128
0
(24)
0
0
104
118
0
0
0
0
118
144
5
(21)
(26)
0
102
125
0
0
(125)
0
0
111
13
(13)
0
0
111
86
515
0
0
0
601
768
11
0
(779)
0
0
108
0
0
(50)
0
58
108
51
(44)
(20)
0
95
3,898
10
(4,544)
3,042
0
2,406
6,796
3,259
(398)
(2,030)
1,894
9,521
13,832
4,137
(5,260)
28
1,894
14,631
0
77
(69)
8
14,559
4,256
(5,444)
0
1,894
15,265
17,421
5,710
(5,712)
0
1,976
19,395

*£5.4m of the general unrestricted funds opening balance relate to Unrealsised gains from past periods. These will only be realised upon the sale of the investments, subject to market conditions at the time of sale.

Page 37

BIRMINGHAM WOMEN'S AND CHILDREN'S HOSPITAL CHARITY ANNUAL REPORT AND FINANCIAL STATEMENTS 2021-22

17.3 Unrestricted and Designated (Earmarked) Funds - continued

The objects of the material designated funds are as follows:-

The Heart Unit Ward Fund is designated for the welfare and benefit of staff and patients on the wards treating cardiac patients.

W All About Play Appeal supports play facilitators across Birmingham Children's Hospital.

Due to the limitations imposed by the Covid-19 pandemic throughout 2020/21 expenditure from designated funds was significantly lower than in previous years. In particular, some clinical services were reduced, non-essential services and the majority of research activities were paused, and most visitors, including volunteers and providers of services that enhance the patient experience were prohibited from attending the Trust's hospital sites. Staff were also prioritising their time on essential services, including redeployment to other organisations.

As restrictions are lifted during 2021/22 and the Trust focuses on recovering services, supporting staff resilience and providing holistic care to patients, many of whom have been impacted significantly by the effects of the pandemic, we expect expenditure to accelerate. We will work with the advisers appointed to oversee designated funds to develop their expenditure plans to best support the Trust's patients during this period.

Page 38