2021-03-31-accounts

Nottingham Hospitals Charity An Unforgettable Year Annual Report 2020-2021 $i-

Contents

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Welcome

Our Patients A Word From... Barbara Cathcart Carole Ayre An Unforgettable Year Twelve months in numbers Enhancing Patient Experience Three projects we’ve funded Funding & Fundraising Funding medical research Supporting staff wellbeing and development Coming soon Our fundraising appeals Our partnerships Fundraising in the community Strategic Report Charity update: Achievements and performance Review of 2020/21 objectives Principal objectives and aims Financial Review Investment and reserves policy Structure Structure, governance and management Management of the Charity Statement of Trustees’ responsibilities Fundraising activities Auditor’s Opinion Financial Statements		5 9 10 11 13 17 19 21 23 24 26 28 30 32 33 35 36 37 38 39 42 45 46 49 51 52 53 57

Welcome

Welcome to Nottingham Hospitals Charity’s Annual Report 2020-21.

It was a year like no other, as our NHS faced the challenges of the Covid-19 pandemic. Thanks to our supporters, we were here to help our NHS staff at Nottingham University Hospitals NHS Trust through this most difficult of years.

Alongside our emergency relief funding to help our hospital staff, we also remained #Here4Nottingham – here for all our patients, from the tiniest babies in our Neonatal Units to the most elderly patients on our adult wards.

Our VISION is for an outstanding NHS for the people of Nottinghamshire.

Our MISSION is to enhance patient care and help families and carers in the East Midlands by transforming hospital services through innovation, funding local research, investing in whole-hospital development projects, purchasing the newest technology, and creating a caring environment for all who use Nottingham’s hospitals.

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OUR PATIENTS
A WORD FROM...
YEAR
AN UNFORGETTABLE
EXPERIENCE
ENHANCING PATIENT
FUNDING &
FUNDRAISING
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STRATEGIC REPORT
FINANCIAL REVIEW
STRUCTURE
AUDITOR’S OPINION
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OUR PATIENTS /J

Our patients are at the heart of everything we do. From equipment to research, we’re here to help provide the best possible care to patients and their families being treated at Nottingham’s hospitals.

Ian Pointer was treated for Covid-19 at the start of the pandemic in March 2020. He was rushed to Queen’s Medical Centre by ambulance after struggling to breathe at home and was ventilated and placed in an induced coma for four weeks, during which time his kidneys failed and he developed septicaemia.

“

After a long and difficult battle with the virus Ian returned home, but continued to suffer with Long Covid symptoms such as fatigue, lethargy and mood swings. He and his colleagues at Royal Mail chose to support Nottingham Hospitals Charity’s Long Covid Research Appeal, to help fund more research into the treatment of the condition.

“

I wish to send my love and gratitude to all the wonderful staff of the NHS, who without question or hesitation helped me through one of the most scary and difficult times of my life. The dedication and support given to me and my family is what makes the NHS the best in the world.”

Things got very real, very quickly. The full details of what went on and how they managed to keep me going is still a mystery to me, but I am deeply grateful to our fantastic doctors and nurses for their dedication and commitment, I will be forever grateful.”

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AWORD FROM...

A word from our Chief Executive, Barbara Cathcart

“

After 15 years as Chief Executive of Nottingham Hospitals Charity, I can say with certainty that we have never experienced a year like this one. While it has been difficult and challenging for so many of us, including our brave NHS workers who have been on the front line of the battle against Covid-19, it has also been a year of hope and love.

While we worked hard to support staff at our hospitals, we also knew it was important to continue helping patients with a whole range of conditions, not just Covid-19 – such as those being treated at our Hayward House palliative care centre, and Nottingham Children’s Hospital. Later on in the Report, you can read about some of the equipment, facilities and research we have supported across the whole of Nottingham’s hospitals – including the £2.9million intra-operative MRI scanner which is now up and running, and transforming the care of young patients suffering with brain tumours.

When the pandemic hit, we sent out a message to our local community, asking for their urgent support. The NHS staff at our hospitals were struggling to cope, and we quickly launched an emergency appeal to provide immediate aid to staff at our hospitals, as well as to support their emotional wellbeing needs in the longer term, as we knew the pandemic would take its toll on their mental health.

As a Charity, we were astounded by the overwhelming response from the local community, who helped us raise over £300,000 – far beyond our original £100,000 target. This helped fund sleep pods, indoor and outdoor rest areas, and wellbeing centres, where staff could spend time away from the clinical environment, take a break, and get peer support during challenging shifts. The care and compassion shown by individuals and organisations from across Nottinghamshire and beyond, as they raised money to help fund these areas for our hospital staff, has been truly incredible and gratifying.

I would like to take this opportunity to give my heartfelt thanks to the people of Nottinghamshire and beyond, who have shown their commitment to the NHS and our hospitals in this most challenging of years.

A word from our Chair, Carole Ayre

“

This year, I have been proud to witness the care and dedication shown by our many supporters. Our own team, too, here at the Nottingham Hospitals Charity, showed extraordinary commitment and determination as the pandemic took hold.

Our finance, fundraising and

trained colleagues. Thanks to a grant from NHS Charities Together, we are also giving £363,000 for a staff psychological support programme over the coming year, to help NHS workers whose emotional and mental wellbeing may have been affected by their work during the pandemic.

communications teams pulled together to launch our ‘Help your Hospitals’ appeal, and to support one another, as well as our fundraisers and donors, as we navigated unchartered territory.

Our team worked hard to provide urgent essentials and niceties for our hospitals’ staff, often going above and beyond to deliver food, toiletries and bedding to those who were working long shifts under the most difficult of circumstances. As the year went on, and it became clear that the pandemic was not to be short-lived, it was great to see our fundraising team come up with new and innovative ways to raise funds to support our hospitals. It is clear from the feedback we have received from the Trust that their efforts, and the generosity of our donors and volunteers, have really helped them get through this most difficult of years.

Elsewhere, we invested in a range of research projects studying a variety of conditions, including breast cancer, lymphoma and Long Covid. We have also funded a variety of specialist equipment, such as brainwave monitors to help care for the hospitals’ very youngest and oldest patients during surgery.

While it may not have been the year that our Charity had planned – with many of our events cancelled, staff furloughed and our fundraising focus heavily shifted towards supporting hospital staff and patients through the pandemic –

As part of our efforts to support our NHS staff throughout the pandemic, we funded we can all be proud of the way in Wellbeing Centres at City Hospital and which our community has pulled Queen’s Medical Centre, where staff could not only take a break from challenging together to support our NHS at shifts, but also receive peer support from this crucial time.

AN UNFORGETTABLE YEAR 12

As the Covid-19 pandemic caused so much chaos and concern across the country, we were proud to stand in support of our NHS as our brave health workers rose to the challenge.

In March 2020, we launched our ‘Help your Hospitals’ appeal, to support our NHS staff at Nottingham’s hospitals during the coronavirus outbreak. Thanks to a huge groundswell of community support, we raised £300,000 to help our hospital staff at this crucial time.

What started as an emergency appeal, with local businesses helping us provide over £500,000 worth of food parcels and essential toiletries to NHS staff at a time they were struggling to get to the shops, and finding empty shelves when they did so, soon developed into a bigger appeal to provide wellbeing facilities and support for them during the challenging times they faced.

The £300,000 raised by our local community helped to fund all sorts of projects, including:

The launch of ‘Help our Hospitals’ appeal raised £300,000 to help our hospital staff during the pandemic.

SLEEP PODS

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for staff to get some rest before or after their shifts

WELLBEING CENTRES

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where staff could take a break and get refreshments, as well as peer support from trained volunteers

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REFURBISHED OUTDOOR AREAS

to provide a quiet space away from the busy hospital environment

COMMITMENT TO IMPROVING OVER 80 INDOOR REST AREAS including comfortable seating and facilities to store and heat food during breaks from busy shifts.

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We were pleased to see the local community come together to find their own ways of supporting their NHS – from sponsored static cycles in their front gardens, to online quizzes and garden camp-outs, our supporters went above and beyond to raise money for their local hospitals.

Nottingham Hospitals Charity would like to say a huge ‘THANK YOU’ to each and every individual, family, community group, corporate organisation and Trust who helped fill this unforgettable year with compassion and hope.

TWELVE MONTHS IN NUMBERS

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NUMBER OF DONATIONS 18,285 Received from individuals, community groups and local businesses.

NUMBER OF GRANTS 153 Grants approved for the benefit of patients and staff.

TOTAL DONATIONS £3,977,000 Through donations.

SMALLEST GRANT £97.80 For noise-cancelling headsets for patients with Motor Neurone Disease.

LARGEST DONATION £511,000 Which came from The People’s Hall and Institute, towards staff development.

LARGEST GRANT £335,572 Towards a special interview suite for children and young people who have experienced sexual abuse.

GRANTS £2,082,000 Total spent on grants.

ENVIRONMENT 680 Christmas trees recycled across Nottinghamshire.

TO FIND OUT MORE ABOUT FUNDRAISING VISIT www.nottinghamhospitalscharity.org.uk/2021-fundraise

FUNDRAISING

569

Fundraising challenges taken on.

SUPPORTERS

1725

People who participated in fundraising challenges.

ENHANCING PATIENT EXPERIENCE ij

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Our aim is to help patients at Nottingham’s Big iMRI Appeal
hospitals receive the best care, in the most In December 2020 we were delighted to unveil
the £2.9million intra-operative MRI scanner
comfortable environment possible. As well as for Nottingham Children’s Hospital, which
funding state-of-the-art medical equipment to was part-funded by our Big iMRI Appeal. We
raised £1.6million towards the scanner, which
aid diagnosis and treatment, we also provide has revolutionised the treatment of children
enhancements to the hospital environment, with brain tumours. The scanner can be used
during brain surgery to determine whether a
to make hospital stays more pleasant and
child’s tumour has been removed – allowing
surgeons to immediately return the patient to
brighter for all our patients.
the operating table if needed, eliminating the
need for a post-operative scan under general
anaesthetic, significantly improving recovery
rates, and reducing the likelihood of more
surgery further down the line.
Brainwave monitors
Thanks to our donors, we were able to fund
six advanced brainwave monitors to help
ensure babies and elderly patients receive
the optimal dose of anaesthetic during surgery.
The Narcotrend brain function monitors can
help these patients wake up quicker after their
operations and reduce the risks of confusion or
delirium. The monitors will be used during more
than 2,000 operations a year on our very oldest
and youngest patients.
Youth Violence Intervention
programme
Nottingham Hospitals Charity gave £100,000
towards vital work with young people, taking
place at the Queen’s Medical Centre. The
funding was given to the Charity Redthread
for its Youth Violence Intervention Programme,
which supports young people aged 11 to 25
who have been impacted by violence and
exploitation. Redthread’s youth workers can
provide a lifeline for children and young adults
who have been affected by youth violence,
including knife crime.
To find out more about how we enhance patient care, visit
www.nottinghamhospitalscharity.org.uk/2021-patients
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FUNDING & FUNDRAISING Nottingha Hospitals Charity 24

Funding Medical Research

Nottingham Hospitals Charity supports a variety of medical research at Nottingham Hospitals, studying a range of different conditions and investigating new and improved methods of diagnosis and treatment.

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We raised
£50,000
for research
into the treatment
of Long Covid.
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Long Covid research

In January 2021 we launched our Long Covid Research Appeal, to raise £50,000 for research into the treatment of the condition. With an estimated two million people suffering from Long Covid in England, equating to at least 10,000 in Nottinghamshire, we wanted to help researchers find out how and why the condition affects some people more than others, and what the best treatment options may be.

Thanks to our supporters we were able to help fund a Covid-19 research centre at Nottingham Hospitals, along with a unique study using MRI scanning – for which Nottingham is world-renowned for inventing the MRI – to look at the effects of exercise on patients with Long Covid. This research will continue over the coming months, with the ultimate aim of finding effective treatments for people with this debilitating condition.

Falls and fractures research

We granted £24,000 for research into how best to predict and prevent falls and fractures in older people. The research aims to help both patients within the hospital, and older people out in the community.

The study aimed to investigate links between visual or hearing impairments and falls in older patients. Researchers aim to use the findings from the study to better predict which patients are at higher risk of falling, and develop new guidelines to help prevent falls from happening.

It is hoped this study will have a positive impact on thousands of patients within Nottingham Hospitals and across the Nottinghamshire community.

To find out more about research grants, visit www.nottinghamhospitalscharity.org.uk/2021-research

Staff rest spaces

As part of our ‘Help your Hospitals’ appeal we committed to funding improvements to 83 staff rest areas across the City Hospital and Queen’s Medical Centre. We were able to provide comfortable seating, microwaves, kettles and fridges to enable staff to take a well-earned and restful break during busy and challenging shifts. We also funded beautiful outdoor areas such as the Trent Cardiac Garden at the City Hospital, to enable staff to get outdoors and spend time in a peaceful environment, away from busy clinical areas.

Magnet[®] and Pathway to Excellence[®] accreditation

We are extremely proud to have supported Nottingham City Hospital on its journey to become the first hospital in the UK to receive Magnet[®] recognition, as well as Nottingham Children’s Hospital in becoming the first children’s hospital in Europe to achieve Pathway to Excellence[®] status. These accreditations mean that City Hospital and Nottingham Children’s Hospital are now globally recognised for providing world-class nursing care and leadership.

For patients and visitors, Magnet[®] and Pathway to Excellence[®] accreditation means receiving globally recognised excellence in care, delivered by nurses and their teams who are devoted to best practice in care across all areas of the hospitals.

Charity scholars

We funded £75,000 for special university scholarships for a cohort of 26 nursing and midwifery staff at Nottingham Hospitals. The ‘Charity Scholars’ will complete a BSc in Leading and Innovation in Nursing and Health and Social Care Practice at Nottingham Trent University, alongside their existing clinical work at Nottingham Hospitals.

Our experienced nurses and midwives applied through a highly competitive process for the scholarships, securing a sought-after place on this degree programme. The Charity Scholars will also act as ambassadors for Nottingham Hospitals Charity, supporting the Charity’s mission to improve care for patients, families and carers across Nottinghamshire.

To find out more about how we support staff, visit www.nottinghamhospitalscharity.org.uk/2021-staff

Coming Soon

After a busy year in 2020-21, we have many more projects – both big and small – which have been agreed and are planned for delivery in 2021-22.

WE HAVE COMMITTED OVER £300,000

towards the East Midlands Regional Paediatric Sexual Assault Service , based at Nottingham Children’s Hospital. The funding will enable the creation of a bespoke, sensitively designed environment in which children and young people who have been sexually assaulted and abused can be examined and interviewed, away from a police environment. Our aim is to help improve the long-term outcomes for these vulnerable children and young people.

WE WILL RELAUNCH OUR CHARITY RESEARCH BOARD AND GRANT

£125,000

to seed fund local medical research projects and Fellowships at Nottingham Hospitals, all with the ultimate aim of improving diagnosis and treatment for patients with a wide range of conditions, from Nottinghamshire and beyond.

THANKS TO A GRANT OF

£363,000

from NHS Charities Together, we are also working on a programme to support the psychological wellbeing of staff at Nottingham Hospitals , whose mental and emotional health may have been affected by their work during the pandemic.

Over the coming year we plan to deliver these key projects, alongside funding a wide range of state-of-the-art equipment, enhancements to the hospital environment, medical research and staff development programmes. Read on to find out more about some of our appeals, and how you can help patients and staff at Nottingham Hospitals in the coming year.

To find out more about our latest grants, visit www.nottinghamhospitalscharity.org.uk/2021-grants

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Our fundraising appeals

In order to best support patients at our hospitals, we co-ordinate a range of ongoing and one-off fundraising appeals, and work closely with clinical staff at Nottingham Hospitals to make sure our appeals have the best possible impact on patients and their families.

You can give to any of our appeals online at www.nottinghamhospitalscharity.org.uk/2021-appeals

After successfully reaching our original £100,000 target, we have increased our target to £200,000 to allow us to fund two sets of new equipment, allowing babies at both City Hospital and QMC to have the best possible access to MRI scans, without the need for equipment to be transported between hospital sites.

Big Appeal for Nottingham Children’s Hospital

Our Big Appeal for Nottingham Children’s Hospital aims to raise money for enhanced facilities, special medical equipment and a child-focused environment for young patients and their families at Nottingham Children’s Hospital, which is based at the Queen’s Medical Centre.

The Big Appeal encompasses several smaller appeals, including the Baby MRI Appeal. Each year the Neonatal Units at City Hospital and QMC treat over 1,500 babies, many of whom need to undergo MRI scans. The Baby MRI Appeal aims to fund new equipment and technology, including special head coils to fit into babies’ incubators, and software to cut scanning time from 30 to 15 minutes, to make scanning as comfortable and quick as possible for our smallest patients.

Hayward House Appeal

Hayward House is a unique home-from-home environment caring for people with advanced, progressive and terminal illness, as well as patients at the end of their life.

The caring team at Hayward House focus on physical, social, emotional and spiritual needs to enrich and improve life for patients and their families during challenging times.

Our ongoing appeal helps to fund complementary therapy, giving patients a relaxing experience and helping ease painful symptoms, counselling to help patients and their families during difficult times, and art activities to provide stimulation and distraction. It also helps us provide family rooms where loved ones can be together, and tranquil gardens where patients can relax and enjoy some fresh air.

Zephyr’s Appeal

Our Zephyr’s Centre, based at Nottingham City Hospital, offers nurturing support for parents and families after the loss of a pregnancy, baby or child. The centre supports around 1,000 visitors per year, offering counselling, peer support, art and other activities to those affected by a loss.

Zephyr’s is run by Nottingham Hospitals Charity and is funded purely through charitable donations. We rely on our supporters to provide this vital care for families during their most difficult times.

Our Partnerships

Our corporate partners collectively raise hundreds of thousands of pounds for Nottingham Hospitals every year and enable us to make a real difference to patients from across Nottinghamshire and beyond.

Mowgli Street Food

RAISED ALMOST £40,000

Supported our Big Appeal by adding an optional £1 donation to every meal – so far raising almost £40,000 to benefit children, young people and Neonatal babies at Nottingham Children’s Hospital.

Hillarys Blinds

RAISED OVER £40,000

Has raised over £40,000 for various areas of Nottingham Hospitals, including Hayward House and the Nottingham Breast Institute, over several years. Staff took on a variety of fundraising challenges, including a head shave, football tournament, cake decorating competition and dressing up days.

Fundraising in the community

Every year we are blown away by the support we receive from our local community. From jumping out of planes or climbing mountains, to baking cakes or getting crafty, our supporters do the most amazing things to raise money for their chosen areas of Nottingham Hospitals.

Sanjeev Sharma

Sanjeev was in an induced coma and on a ventilator after contracting Covid-19 at the start of the pandemic. He then went on to join friends and family in climbing Mount Snowdon – raising £42,000 in the process. He and his loved ones wanted to thank hospital staff for saving his life, and were reunited with some of the nurses who cared for him when they came back to the hospital to present their cheque.

David Chadwick

David raised £6,265 for Linden Lodge Rehabilitation Unit to thank them for taking care of him after he suffered a stroke. David raised the money by walking the Bestwood Park 5k parkrun route, in short stages, which he used to run on a regular basis before his stroke.

200˚ Coffee

SPONSORED THE ROBIN RUN

Took part in our Robin Run to raise money for Nottingham Hospitals, as well as sponsoring the running challenge. This enabled us to produce branded certificates and medals for our participants, attracting more people to take part and raise money for their local hospitals.

If your organisation would like to discuss partnering with Nottingham Hospitals Charity, please contact us on [e-mail] or call 0115 962 7905.

We would like to say a huge ‘thank you’ and ‘well done’ to everyone who has fundraised for Nottingham’s NHS Hospitals over the past year.

If your organisation would like to discuss fundraising with Nottingham Hospitals Charity, please contact us on [e-mail] or call 0115 962 7905.

STRATEGIC REPORT /2."lJ. 11.11 1111.1i//jb. 36

Charity update: Achievements and performance

Nottingham Hospitals Charity is one of the top-performing NHS charities in the UK, widely recognised for its generation of voluntary income, support for key fundraising appeals and provision of services and capital enhancements, and for its strong governance.

There is an unwavering drive for excellence which runs through the whole organisation, from the Board of Trustees to our junior apprentices. Having been established for 15 years, the Charity’s ambition is to capitalise on its successes and build on these to provide more support, through increased appeals, to benefit the patients of Nottinghamshire.

Our charitable objectives and activities

The Charity’s objects are to further such charitable purposes relating to:

A focus on innovation

Funding local research

Investing in whole-hospital staff development projects Purchasing the newest technology

Creating a caring environment for all who use Nottingham’s hospitals

We will facilitate these objects through:

Review of 2020/21 Objectives

Objective Performance

1 Renew Fundraising Strategy from 2020 to 2023.

5 Develop a Charity Champions programme for increased staff engagement.

Our new fundraising strategy has been published, with a focus on recovery from the pandemic in 2021/22, and a focus on growth and innovation in 2022/23.

The proposed Charity Champions scheme has been replaced by our new Charity Scholars programme, which has seen the Charity fund specialist nursing leadership and innovation degrees for a cohort of 26 members of nursing and midwifery staff. Alongside their degrees and clinical work, the Charity Scholars act as ambassadors for Nottingham Hospitals Charity, spreading the word about both fundraising and funding opportunities to their colleagues.

2 Achieve fundraising target of £3.49 million.

We exceeded our target, raising a total voluntary income of £3.98 million.

Develop and launch the 3 Nottingham Cancer Care Appeal.

Our Nottingham Cancer Care Appeal has been delayed due to the Covid-19 pandemic, and will now be a key focus for us in 2022/23.

Mount a community fundraising 6 appeal to support staff during the COVID crisis, with a target of £100,000.

4 Re-open Hub post-COVID with new strategy.

Our emergency Covid-19 appeal exceeded our fundraising target, raising more than £300,000 in total to support staff throughout the pandemic and beyond.

Our Charity Hub at QMC has been closed throughout 2020/21 due to Covid-19 restrictions. We hope to re-open the Hub in 2021/22.

Inspiring fundraising appeals Carefully considered grant-making programmes Working with our hospitals and the communities we serve

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Principal Objectives and aims

Our Vision

Our vision is for an outstanding NHS for the people of Nottinghamshire.

Our Mission

Our mission is to enhance patient care and help families and carers in the East Midlands by transforming hospital services through innovation, funding local research, investing in whole-hospital development projects, purchasing the newest technology, and creating a caring environment for all who use Nottingham’s hospitals.

Plans for future periods: 2021/22 and beyond: Objectives

• Recover the Charity’s voluntary income

• 1 to £3.203 million in 2021/22 and £3.422 million in 2022/23.

• 2 Strategically align with NUH to ensure that charity-funded projects and appeals support its strategic objectives; and ensure that all charities act together to support patients.

• 3 Collaborate with local NHS, community and Charity partners to deliver care in the community to reduce the burden on NUH, using funds received from the NHS Charities Together Covid appeal.

FINANCIAL REVIEW

• Work with NUH to embed the learning

• 4 from the achievement of Magnet® accreditation for nursing excellence, and to establish a national teaching mechanism to share this knowledge with NHS providers nationally.

• Allow for flexibility in grant-making to

• 5 follow the changes required of NHS services post-Covid and, finances allowing, encourage innovative applications from general funds on a bi-annual basis.

• Continue to raise awareness for charity-

• 6 funded posts throughout NUH, by branded uniforms and lanyards. This will include a focus on the Charity Scholars and by developing a grateful patient programme for active appeals.

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The annual report and accounts are prepared to comply with both the Companies Act 2006 and the Charities Act 2011.

Overall, the assets of the Charity at 31 March 2021 were £16.841 million, compared to £13.718 million in 2019/20, an increase of £3.123 million.

TOTAL INCOME TOTAL EXPENDITURE £4.379M £3.159M (2019/20: £5.279 million) (2019/20: £4.924 million)

Charitable Income

Total income decreased by £900,000 in 2020/21, with a total income of £4.379 million (2019/20: £5.279 million), comprising fundraising, in-memory gifts, donations, legacies and investments.

Elsewhere, community fundraising income decreased as a result of the pandemic, with our traditional fundraising events cancelled and supporters unable to hold their own events.

The main reason for this decrease was that 2019/20 was an exceptionally high-income year for the Charity, with a one-off donation from the University of Nottingham to our Big iMRI Appeal representing more than a quarter of the year’s income (£1.403 million).

Legacy income remained high at £1.485 million (2019/20: £1.590 million) representing 34% of income, and highlighting the important impact of legacy gifts.

Investment income decreased to £330,000 (2019/20: £471,000) due to transfer of £2 million from investments to cash deposits, and reduction in company dividends.

In 2020/21 the Charity received large donations of £511,000 from The People’s Hall and Institute for staff wellbeing, and £363,000 from NHS Charities Together for staff psychological support, representing around a quarter of our income.

Charitable Expenditure

Total expenditure for 2020/21 was £3.159 million, a decrease of £1.765 million (2019/20: £4.924 million).

The main reason for this decrease was a large one-off grant in 2019/20 for the iMRI machine (£1.709 million).

In 2020/21 the Charity made considerable investment in staff wellbeing, to support NHS staff throughout the pandemic. Projects funded included wellbeing centres, sleep pods, outdoor spaces, and refurbishment of staff rest rooms, to enable staff to take much-needed breaks from the hospital environment during challenging shifts.

A breakdown of Charity expenditure is shown in the table below:

EXPENDITURE	2020/21 £000	£000 2019/20
Patient Welfare and Amenities	1,200	3,243
Staff Welfare and Development	430	335
Research	116	224
Building and Refurbishment	336	15
Total grant expenditure	2,082	3,817
Fundraising costs (including investment management fees)	670	705
Support costs and governance	407	402
Total expenditure	3,159	4,924

Gifts in Kind

The Charity also received an unprecedented amount of ‘gifts in kind’ in 2020/21, with local businesses and organisations donating food, toiletries, bedding and other essentials as part of a Trust-wide mutual aid project at the start of the pandemic.

Grant-making policy

The Charity fulfils its objects by awarding grants to Nottingham University Hospitals NHS Trust for the benefit of patients, staff and visitors.

Grants are awarded to develop new services and innovative ways of improving patient care, including capital projects, innovation and technology, local research and staff development programmes. The Charity awards grants from both restricted and unrestricted funds. Many of the funds are earmarked for particular wards or specialities. Expenditure up to £2,500 is overseen by Fund Advisors, who are usually clinicians, under delegated powers. Expenditure above this level is approved by Charity executive officers and Trustees.

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Investments and Reserves Policy

Investment Policy

Funds that are not required for immediate expenditure are invested in a balanced portfolio. Recognising the need for growth and the demands on the Charity’s charitable income, the Trustees recognise that its investments must be protected from market volatility and subsequent risk to its assets.

For this purpose, the Charity has an Investment Policy, the objectives of which are:

• To enhance the real value of capital over time whilst generating a reasonable level of income.

• To generate income to meet the charitable requests made to us, and Charity support costs.

The Trustees recognise the need to be protected against market conditions and, within this volatile market, the Policy states:

• Hold expenditure for shorter-term grants in cash deposits. The Charity will draw down cash from investments in line with planned expenditure for shorter term projects or priority needs.

• Appeal funds are held in fixed-term treasury accounts.

• A percentage of the value of the investment portfolio is held in reserve.

• Advice from the Charity’s investment advisors is requested regularly.

Ethical Investment and Sustainability

The primary objective is to ensure the longterm financial sustainability of the Charity. However, the Trustees also wish the portfolio to recognise the Charity’s wider responsibilities

to society and as such, environmental, social and governance (“ESG”) factors should be considered when allocating capital. Investment Managers are expected to:

embed ESG considerations into their investment decision making process;

exclude holdings which are seen to be in conflict with the Charity’s purpose and broader view on ESG issues; and

consider the values and reputation of the Charity when making investment decisions.

In addition to these guidelines, certain investments are not permitted. These are direct investments in tobacco manufacturers.

At 31 March 2021 the total value of our investments was £12.793 million which represented an increase of £594,000 in the year (2019/20: £12.199 million). This comprised additional investments of £511,000, and gains of £1.834 million (after fees) which reversed the losses suffered in the previous financial year (2019/20 losses £1.792). We then transferred £1.751 million to short-term deposits to ensure sufficient funds were available for priority needs, in accordance with our cash management policy.

• Investment income was £330,000, which represented a reduction of £141,000 compared to the previous year (19/20: £471,000). The reduction was due to a greater proportion of investment in short-term investments and reduced dividends being distributed by companies.

In March 2021 the Charity transferred investments to a new investment management team at CCLA.

Reserves Policy

The Charity Trustees wish to provide long-term support to the Nottingham University Hospitals Trust:

• To improve the environment for patients and staff.

• To advance medical knowledge through research.

To support staff development and training. To fund equipment.

The Policy states:

The Charity Trustees recognise their obligation to ensure that funds received should be spent effectively and promptly in accordance with the Charity objects. However it is considered prudent that a workable level of reserves be maintained to protect the continuity of the Charity’s work in the event of a shortfall in income and minimise risk to projects.

The minimum reserves level is set at £1.0 million and is sufficient to fund one year’s Charity operating costs. It is based on:

Costs of governance

• Cost of fundraising activity to generate funds to ensure the stability of grant funding to Nottingham University Hospitals Trust.

This will allow the Charity to respond to any adverse change in circumstances, and develop plans without the need for an urgent response.

The Charity receives both restricted and unrestricted income from donations, legacies, fundraising events and grants. Whilst the restricted income is greatly valued in supporting specific projects at the hospitals, unrestricted income remains crucially important. We have

the philosophy that clinicians know what is best for their patients and unrestricted income enables us to support such enhancements which have the greatest impact on patient care.

Funds include:

Restricted Funds: £1.886 million (2019/20: £1.465 million). These are funds that are subject to legal restriction and do not form part of Reserves.

Designated funds: £13.537 million (2019/20: £10.469 million). These are funds where the income has been given for a specific ward/ department/research at NUH Trust and are earmarked for specific future spending; these funds are excluded from Reserves.

• Endowment Funds: £47,000 (2019/20: £39,000). These are funds where the capital is held in perpetuity and invested to generate income; only the income can be spent for a specific purpose (Nottingham Children’s Samaritan Fund is the Charity’s only endowment fund). These funds are excluded from Reserves.

The value of Charity reserves at 31 March 2021 was £1.371 million (2019/20: £1.745 million).

The level of reserves is monitored at quarterly Trustee meetings throughout the year, and reviewed annually.

// STRUCTURE . Noirljighain . I-Iosi)Itals Chai ity - 46

Structure, governance and management

On 1 February 2016 Nottingham University Hospitals Charity reconstituted as an independent Charity (No 1165397) regulated by the Charity Commission. The Charity is incorporated as a company limited by guarantee (No 09978675) and donations, legacies and fundraising income received by us are strictly separated from NHS finances. Our objects set out in the Articles of Association are to apply income for any charitable purpose or purposes relating to the purposes of the Nottingham University Hospitals NHS Trust or any purposes relating to the National Health Service.

Our Trustees

Eight Trustees, who are also directors for the purposes of company law, have full responsibility for the Charity’s governance and are accountable to the Charity Commission.

individual Trustee may serve more than 10 years in total unless the Trustees consider there to be exceptional circumstances. Nottingham University Hospitals Trust has the right to appoint one Trustee to the Charity.

Each Trustee has independent expertise that ensures effective coverage in a broad range of expertise: law, accounting, economics, medical, business management and leadership.

New Trustees receive appropriate induction on their responsibilities and are issued with detailed induction information. Trustees receive an annual appraisal from the nominated Chairman of the Trustees. Trustees are recruited through an open process that is publicly advertised and through a specialist recruitment agency.

Under the Articles of Association new Trustees are elected by the Trustees for a term of up to four years. An outgoing Trustee may be re-appointed, but no

Carole Ayre, Chair

In position 1 March 2017 – present

Carole is a retired partner at law firm Browne Jacobson and led the development of their NHS Clinical Negligence team. Her focus has been on promoting the development of health law practice at the firm with a wide range of experience within the NHS sector.

Laurence Coppel

In position 1 February 2016 – present

An Economist and Chartered Accountant, past Non-Executive Director of Queen’s Medical Centre (1993 to 1999) and Chairman of Nottingham Building Society until 2004.

Roger Whittle

In position 1 April 2016 – present

Nottingham-born Roger is the founder and CEO of Nottingham IT solutions company Jigsaw24, employing over 300 people across the UK, with annual sales of over £150 million. Roger established Jigsaw24 in 1992 and has been a Trustee of the Charity since 2016. Roger’s 10 year old daughter Rose Whittle received excellent care from 2011 to 2013 at Nottingham Children’s Hospital in her ultimately unsuccessful fight against cancer.

Professor Emeritus Harish Vyas

In position 1 April 2017 – present

Harish’s medical career spans four decades and includes working at Great Ormond Street. At Nottingham he brought together children’s units from the former City and QMC hospitals to form Nottingham Children’s Hospital, and led the Paediatric Intensive Care Unit. Recently retired, Harish also brings a strong research background with him.

Mark King

In position 1 November 2018 – present

Mark spent 27 years in the Aerospace industry with Rolls-Royce plc in the UK, ultimately becoming President of Aerospace – a division with £8.5 billion of sales, 27,000 employees and global operations. Since leaving Rolls-Royce in 2013 Mark has worked with a number of smaller Venture Capital backed companies providing non-executive and ‘semi-executive’ support. Mark is currently Chairman of three companies - DEA Aviation Ltd, a provider of aerial survey and surveillance services; Bowman Power Group, a high speed electrical machines manufacturer and Alloyed Ltd, a specialist in digital alloy design and additive manufacturing.

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Sharmini Krishanand

In position 1 November 2018 – present

Sharmini graduated in Medicine and trained to become a General Practitioner. She currently works part-time in General Practice and spends the rest of her working day running her business in partnership with her husband. Sharmini is also a Trustee of the Hindu Temple in Beeston and manages the publicity and marketing function for the temple. She also enjoys her role as a Governor of Nottingham High School.

Roger Summerton

In position 1 February 2020 – present

Roger joined the Charity in February 2020. He is a chartered accountant and spent 45 years in the accounting profession, 20 of which were as a partner at KPMG. In more recent years Roger has been a director of a local financial advisory business and the director of a family office.

Lisa Kelly

In position 5 January 2021 – 31 March 2021

Lisa was appointed as Nottingham University Hospitals’ new Chief Operating Officer in April 2019. She has previously worked in senior Operations and General Management roles at a number of Trusts, including Brighton and Sussex University Hospitals NHS Trust, Great Ormond Street Hospital for Children NHS Foundation Trust and North Middlesex University Hospitals NHS Trust.

Management of the Charity

Barbara Cathcart, Chief Executive

Barbara helped to establish Nottingham Hospitals Charity in 2006 from the merger of the two predecessor charities covering City Hospital and Queen’s Medical Centre. Under Barbara’s leadership, almost £50 million has been raised for Nottingham’s hospitals, covering local research, patient facilities and enhancements, NHS staff development and innovation and redevelopment projects. Barbara has a prior track record in supporting Canadian medical projects, including negotiating the largest contract for neonatal care at Women’s College Hospital in Toronto and establishing the first Chairs in Breast Cancer Research and Paediatric Neurology at the University of Toronto.

Julie Brailsford, Director of Finance / Deputy CEO

Julie is a qualified accountant and has dedicated most of her career to Financial Management and Financial Services in the NHS. Julie has worked at the Charity since 2008 and is responsible for the overall management of the Charity’s finance and governance arrangements, ensuring that income and expenditure is properly accounted for and donations are used where they are intended and needed within Nottingham University Hospitals NHS Trust.

Nigel Gregory, Director of Development / Deputy CEO

Nigel joined the Charity as Director of Development in February 2016, from his previous appointment at Loughborough University where he worked as Deputy Director of Development and Alumni Relations. Nigel has more than 17 years’ experience in fundraising and has worked in the UK and USA where he spent several years working with Outward Bound West and the American Alpine Club, helping them to develop their fundraising and communications programmes.

Public Benefit

The Trustees confirm that they have complied with the Charity Commission’s general guidance on public benefit. The projects funded by the Charity support benefits to patients, staff and visitors using healthcare facilities of Nottingham University Hospitals NHS Trust in line with donors’ wishes and the Charity’s mission and objectives.

To meet the rest of the team, visit www.nottinghamhospitalscharity.org.uk/2021-team

Remuneration Statement

The Charity’s remuneration policy is reviewed by its Trustees annually. It is to offer nondiscriminatory, fair, reasonable and competitive pay to attract and retain appropriately qualified, experienced and professional staff to lead, manage and deliver the Charity’s objectives. In setting this policy, the Trustees consider pay policies and practices in comparable charitable organisations, regionally and nationally.

In 2020/21, the Charity employed 17 full-time equivalent staff. Three employees received total remuneration greater than £60,000. The multiple between the highest pay and the median pay was no more than 3.8 times.

Managing Risks

The Trustees are legally required to minimise significant risks to the Charity. The key risks to the Charity in 2020/21 were:

COVID-19 financial implications: variability of investment returns due to the upheaval of COVID constituted the Charity’s major financial risk. This was mitigated by retaining expert investment managers and having a diversified investment portfolio. In addition, funds raised for our capital appeals are held in deposit accounts to safeguard funds against investment volatility.

Regular investment reviews were conducted by Trustees following this rapidly changing financial environment throughout the duration of the year.

Fundraising

We are compliant with the most recent changes in fundraising regulations and data protection legislation. We are registered with both the Information Commissioner’s Office and the Fundraising Regulator and have adopted the Fundraising Promise.

All activities are monitored closely by the senior management team, and the Trustees review the potential risks of the Charity at each meeting, with established systems to ensure appropriate controls are in place.

Working practices and procedures are carried out in line with the Charity Commission, Institute of Fundraising, Information Commissioner’s Office and the Fundraising Regulator’s guidance. The Charity uses the services of external auditors to review the compliance with these regulatory bodies.

Statement of Trustees’ Responsibilities

website. Legislation in the UK governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

The Charity Trustees (who are also directors of Nottingham University Hospitals Charity for the purposes of company law) are responsible for preparing the Trustees’ Annual Report (including the strategic report) and the financial statements in accordance with applicable law and regulations.

COVID-19

At the date of signing these financial statements, the Trustees have considered the effect on the Charity with the information available to it, and do not believe it will affect the Charity’s ability to continue to operate for the foreseeable future. As with most organisations there will be practical difficulties which we are continuing to address, including working from home, continuing virtual fundraising and working with our NHS Trust partner to distribute grants. Also, like many organisations we have utilised the Furlough scheme to assist the Charity in actively managing its finances. However, due to the level of unrestricted reserves, cash held, and security of some of our income streams, we are well placed to continue operating. See accounting policy titled 1.3 Going Concern for further details.

Company Law requires the Trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the Charity under company law. The Trustees must not approve the financial statements unless they are satisfied that, they, to the best of their ability and knowledge, give a true and fair view of the state of affairs of the charitable company and of the income and expenditure for that period.

In preparing these financial statements to the best of their ability, the Trustees are required to:

• select suitable accounting policies and then apply them consistently;

• observe the methods and principles in the Charities SORP (FRS 102);

Statement as to disclosure to our auditors:

• make judgements and estimates that are reasonable and prudent;

In so far as Trustees are aware at the time of approving our Trustees’ Annual Report:

• 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;

• there is no relevant information, being information needed by the company’s auditor in connection with preparing their report, of which the auditor is unaware, and

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

the Trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the company’s auditors are aware of that information.

The Trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company 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 charitable company and for taking reasonable steps to prevent and detect fraud and other irregularities.

This report has been prepared in accordance with the special provisions of Part 15 of the Companies Act 2006 relating to small companies and with the Statement of Recommended Practice, Accounting and Reporting by Charities (FRS 102).

By Order of the Board of Trustees Chairmain:

Trustee:

The Trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company’s

Name: Roger Summerton Date: 15th September 2021

Name: Carole Ayre Date: 15th September 2021

Fundraising Activities

Fundraising

Nottingham Hospitals Charity is active across the fundraising spectrum and offers existing and potential supporters a broad range of ways to support the Charity, including a variety of events, in-memory giving, regular giving, leaving a Gift in Wills, corporate and community engagement programmes, staff fundraising, and trusts and foundations.

The Charity does not rely on the services of any external professional fundraising partners. For patient mailings, we work with the NHS Trust’s Caldicott Guardian and compliance team, in order to ensure compliance with Data Protection and governance.

The Charity’s costs to generate income were 15% in 2020/21 (13% in 2019/20).

Complaints

We report our complaints to align with the Fundraising Regulator requirements. The number of complaints received for the 12 months to 31 March 2021 regarding fundraising was zero. This is two less than the previous year.

Vulnerable persons

The Charity has a Vulnerable Persons Policy in place to protect people in vulnerable circumstances.

Fundraising Promise

As a Charity, we believe people need to feel that we are using our resources effectively. That is why we make these fundraising promises:

We promise to provide information about our work and our finances so everyone can see how their money is being spent and the difference they are making to the patients and staff looking after them at Nottingham’s hospitals.

• We promise to communicate with supporters in a way that suits them. If they tell us they would prefer less contact or do not want us to hear from us at all, we will respect their wishes.

We promise to check at the start of every conversation, on the phone or in person, that the person is happy to speak to us.

We promise never to sell an individual’s data to any third party. We will not share their details with other charities.

We promise to adhere to all industry guidelines and regulations. We promise to make it easy for individuals to tell us their contact preferences and we are here to talk about our work or answer any questions.

Volunteering

We were unable to accept any volunteers during 2020/21 due to Covid-19 restrictions.

AUDITOR’S OPINION

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55

Independent Auditor’s Report to the Members of Nottingham University Hospitals Charity

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.

Opinion

We have audited the financial statements of Nottingham University Hospitals Charity (the ‘charitable company’) for the year ended 31 March 2021 which comprise of the statement of financial activities, balance sheet, cash flow statement 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).

Conclusion 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 charitable company’s ability to continue as a going concern for a period of at least 12 months from when the financial statements are authorised for issue.

In Our Opinion the Financial Statements:

give a true and fair view of the state of the charitable company’s affairs as at 31 March 2021, and of its incoming resources and application of resources, including its income and expenditure, for the year then ended;

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

Other information

have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and

The Trustees are responsible for the other information. The other information comprises the information included in the report of the Trustees, other than the financial statements and our auditor’s report thereon. 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.

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 (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 charitable company in accordance with the ethical requirements that are relevant to our audit of the financial

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 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:

the information given in the Trustees’ report (incorporating the strategic report and the directors’ report) for the financial year for which the financial statements are prepared is consistent with the financial statements; and

• the directors’ report has been prepared in accordance with applicable legal requirements.

Matters on Which we are Required to Report by Exception

In the light of our knowledge and understanding of the charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the Trustees’ report.

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

• adequate accounting records have not been kept, or returns adequate for our audit have not been received from branches not visited by us; or

• the financial statements are not in agreement with the accounting records and returns; or

• certain disclosures of Trustees’ remuneration specified by law are not made; or

• we have not received all the information and explanations we require for our audit; or

• the Trustees were not entitled to prepare the financial statements in accordance with the small companies’ regime and take advantage

of the small companies’ exemptions in preparing the Report of the Trustees and from the requirement to prepare a strategic report.

Responsibilities of Trustees

As explained more fully in the Trustees’ responsibilities statement set out on page 51, 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 charitable company’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 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 these 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

56

irregularities, including fraud. The specific procedures for this engagement and the extent to which these are capable of detecting irregularities, including fraud is detailed below:

Our assessment focussed on key laws and regulations the Charitable Company has to comply with and areas of the financial statements we assessed as being more susceptible to misstatement. These key laws and regulations included but were not limited to compliance with the Companies Act 2006, Charities Act 2011, Charities (Protection and Social Investment) Act 2016, taxation legislation, data protection, anti-bribery and employment legislation.

We are not responsible for preventing irregularities. Our approach to detecting irregularities included, but was not limited to, the following:

• obtaining an understanding of the legal and regulatory framework applicable to the Charitable Company and how the Charitable Company is complying with that framework, including agreement of financial statement disclosures to underlying documentation and other evidence;

• obtaining an understanding of the Charitable Company’s control environment and how the Charitable Company has applied relevant control procedures, through discussions with Trustees and other management and by performing walkthrough testing over key areas;

• obtaining an understanding of the Charitable Company’s risk assessment process, including the risk of fraud;

• reviewing meeting minutes of those charged with governance throughout the year; and

• performing audit testing to address the risk of management override of controls, including testing journal entries and other adjustments for appropriateness, evaluating the business rationale of significant transactions outside the normal course of business and reviewing accounting estimates for bias.

Whilst considering how our audit work addressed the detection of irregularities, we also considered the likelihood of detection based on our approach. Irregularities arising from fraud are inherently more difficult to detect than those arising from error.

Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including 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 transactions reflected in the financial 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 fraud involves intentional concealment, forgery, collusion, omission or misrepresentation.

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

Use of our report

This report is made solely to the charitable company’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 charitable company’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 charitable company and the charitable company’s members as a body, for our audit work, for this report, or for the opinions we have formed.

Glen Bott FCA

Senior Statutory Auditor for and on behalf of:

Cooper Parry Group Limited

Chartered Accountants, Statutory Auditor One Central Boulevard, Blythe Valley Park Solihull, West Midlands. B90 8BG

FINANCIAL STATEMENTS

Date: 15th September 2021

59

Statement of Financial Activities for the year ended 31 March 2021 (Incorporating an Income and Expenditure Account)

					2020/21				2019/20
		Unrestricted	Restricted	Endowment	Total Funds	Unrestricted	Restricted	Endowment	Total Funds
	Note	Funds £000	Funds £000	Funds £000	£000	Funds £000	Funds £000	Funds £000	£000
Income and endowments from:
Donations and legacies	2	3,435	563	0	3,998	2,403	2,339	0	4,742
Charitable Activities	3	1	0	0	1	0	0	0	0
Other trading activities	4	50	0	0	50	66	0	0	66
Investments	5	289	41	0	330	420	51	0	471
Total income and endowments		3,775	604	0	4,379	2,889	2,390	0	5,279
Expenditure on:
Raising Funds		553	48	0	601	518	106	0	624
Investment Management costs		62	7	0	69	73	8	0	81
Sub total	6	615	55	0	670	591	114	0	705
Charitable activities:
Patient Welfare and Facilities		1,117	316	0	1,433	1,353	2,235	0	3,588
Staff Welfare and Development		513	2	0	515	380	(12)	0	368
Research		141	(2)	0	139	174	72	0	246
Building & Refurbishment		402	0	0	402	17	0	0	17
Total Charitable Expenditure	8	2,173	316	0	2,489	1,924	2,295	0	4,219
Total Expenditure		2,788	371	0	3,159	2,515	2,409	0	4,924
Net income/(expenditure) before
gains/(losses) on investments		987	233	0	1,220	374	(19)	0	355
Gains/(Losses) on investment assets	12	1,708	187	8	1,903	(1,775)	(97)	(1)	(1,873)
Net income/(expenditure)		2,695	420	8	3,123	(1,401)	(116)	(1)	(1,518)
Transfers between funds	15	(1)	1	0	0	(128)	128	0	0
Net movement in funds		2,694	421	8	3,123	(1,529)	12	(1)	(1,518)
Reconciliation of Funds:
Total funds brought forward 1 April	21	12,214	1,465	39	13,718	13,743	1,453	40	15,236
Total funds carried forward 31 March		14,908	1,886	47	16,841	12,214	1,465	39	13,718

Notes 1 to 23 form part of these financial statements

Balance Sheet as at 31 March 2021

					Total at				Total at
		Unrestricted	Restricted	Endowment	31 March	Unrestricted	Restricted	Endowment	31 March
	Note	Funds £000	Funds £000	Funds £000	2021 £000	Funds £000	Funds £000	Funds £000	2020 £000
Fixed Assets
Investments	12	11,223	1,523	47	12,793	10,833	1,327	39	12,199
Intangible Fixed Assets	14	55	0	0	55	34	0	0	34
Other Tangible Fixed Assets		5	0	0	5	-	-	-	-
Total Fixed Assets		11,283	1,523	47	12,853	10,867	1,327	39	12,233
Current Assets
Debtors	16	72	363	0	435	192	138	0	330
Short term Investments	13	4,992	421	0	5,413	2,501	2,151	0	4,652
Cash at bank and in hand		1,979	167	0	2,146	1,596	1,592	0	3,188
Stock		22	0	0	22	27	0	0	27
Total Current Assets		7,065	951	0	8,016	4,316	3,881	0	8,197
Liabilities
Creditors: Amounts falling due	17	3,440	484	0	3,924	2,908	3,492	0	6,400
within one year
Total Current Liabilities		3,440	484	0	3,924	2,908	3,492	0	6,400
Net Current Assets/(Liabilities)		3,625	467	0	4,092	1,408	389	0	1,797
Total Assets less Current Liabilities		14,908	1,990	47	16,945	12,275	1,716	39	14,030
Creditors: Amounts falling due	17	0	104	0	104	61	251	0	312
after more than one year
Total Net Assets		14,908	1,886	47	16,841	12,214	1,465	39	13,718
Funds of the Charity	21
Endowment Funds		-	-	47	47	-	-	39	39
Restricted		-	1,886	-	1,886	-	1,465	-	1,465
Unrestricted		14,908	-	-	14,908	12,214	-	-	12,214
Total Funds		14,908	1,886	47	16,841	12,214	1,465	39	13,718

The accompanying notes are an integral part of the financial statements. The financial statements on pages 58 to 70 were approved by the Board of Trustees on 15/09/2021 and signed on its behalf by:

Signed:

Name: Carole Ayre Date: 15th September 2021

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Statement of Cash Flows for year ending 31 March 2021

	Note	2020/21 Total	2019/20 Total
		Funds £000	Funds £000
Net (expenditure)/income for the year (as per statement of fnancial activities)		3,123	(1,518)
Adjustments for:
Depreciation charges		16	0
(Gains)/Losses on investments		(1,903)	1,873
Investment management charges paid through capital		69	81
Dividends and interest on investments		(330)	(471)
Increase in debtors		(105)	(79)
Decrease in stock		5	(27)
Decrease in creditors		(2,684)	1,628
Net cash from operating activities		(1,809)	1,487
Cash fow from investing activities
Dividends and interest on investments		330	471
Purchase of intangible assets		(37)	(34)
Purchase of plant and equipment		(5)	0
Proceeds from sale of investments		15,332	7,931
Purchase of investments		(14,092)	(5,384)
Increase in short term investments (including re-allocation from fxed asset investments)		(761)	(2,514)
Net cash provided by investing activities		767	470
Change in cash and cash equivalents in the year	23	(1,042)	1,957
Cash and cash equivalents brought forward		3,188	1,231
Cash and equivalents carried forward		2,146	3,188

Notes 1 to 23 form part of these financial statements

Notes to the financial statements for the period ended 31 March 2021

1 Company Information

Nottingham University Hospitals Charity (Charity number 1165397) is incorporated in England and Wales as a company limited by guarantee not having a share capital. The address of its registered office is City Hospital, 2 Embley Road, North Road, Nottingham, NG5 1RE.

1.1 Accounting Policies

The following accounting policies have been applied consistently for all years in dealing with items that are considered material in relation to the financial statements of the Charity.

1.2 Basis of Preparation

The financial statements have been prepared on a going concern basis as a public benefit Charity, under the historical cost convention, as modified for the revaluation of certain investments which are included at market value, and in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities (Charities SORP [FRS102]), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS102) and the Companies Act 2006.

1.3 Going Concern - COVID-19

At the time of signing the accounts, the Trustees have considered the effect of coronavirus on the going concern position.

The Charity’s cash balances and unrestricted reserves position are sufficient to absorb short-term deficits if required. The Charity has utilised the Furlough scheme.

The Trustees consider that there are no material uncertainties regarding the Charity’s ability to continue as a going concern. With respect to the next reporting period, 2021/22, the most significant area of uncertainty that affects the carrying value of assets held by the Charity is the performance of investment markets (see the ‘investment policy’ and ‘managing risks’ sections of the Annual Report for more information) and the continued affect of coronavirus on income.

The financial forecasts prepared by the executive team show that the Charity will be able to operate with the resources available to it and for this reason, the Trustees continue to adopt the going concern basis in preparing the accounts.

1.4 Income Recognition

All incoming resources are included in full in the Statement of Financial Activities as soon as the following three factors are met:

• i. entitlement - when control over the rights or other access to the economic benefit has passed to the Charity

• ii. probable - it is more likely than not that the economic benefit associated with the transaction or gift will flow to the Charity

• iii. measurement - the monetary value or amount of income can be measured reliably, and the costs incurred to complete the transaction can be measured reliably

a. Legacies

Receipt of a legacy is recognised when it is probable that it will be received. Receipt is normally probable when there has been grant of probate; the executors have established that there are sufficient funds in the estate, after settling any liabilities, to pay the legacy and any conditions attached to the legacy are either within the control of the Charity or have been met.

b. Income from Investments

Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the Charity; this is normally upon notification of the interest paid or payable by the bank. Other investment income is recognised once notification has been received of the income due.

c. Income from Trading Activities

Includes income from fundraising events and trading activities to raise funds for the Charity. Income is exchanged for supplying goods and services in order to raise funds and is recognised when entitlement has occurred.

d. Gifts in Kind

• i. Assets given for distribution by the Charity are included in the Statement of Financial Activities only when distributed.

• ii. Assets given for use by the funds (e.g. property for its own occupation) are included in the Statement of Financial Activities as incoming resources when receivable.

iii. Gifts made in kind but on trust for conversion into cash and subsequent applications by the funds are included in the accounting period in which the gift is sold.

In all cases the amount at which gifts are brought into account is either a reasonable estimate of their value to the Charity of the amount actually realised. The basis of the valuation is disclosed in the Annual Report.

There were no gifts in kind included in income and expenditure during 2020/21.

1.5 Expenditure Recognition

The accounts are prepared in accordance with the accruals concept. All expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party.

The Charity is not registered for VAT and irrecoverable VAT is charged against the category of resources expended for which it was incurred.

a. Costs of Raising Funds

The costs of raising funds are the costs associated with generating income for the funds held on trust. This will include the cost associated with fundraising and communications and investment management. A 10% charge is allocated to funds based on income received during the year.

b. Grants Payable

All liabilities and constructive obligations are recognised in the Statement of Financial Activities in the year in which approval is given by Trustees, regardless of the due date for payment. Grants payable are payments made to third parties (including NHS bodies) in the furtherance of the charitable objectives of the Charity i.e. “any charitable purpose or purposes relating to the general or any specific purposes of the Nottingham University Hospitals NHS Trust or any purposes relating to the NHS”. These are included under Charitable Activities in the Statement of Financial Activities.

c. Charitable Activities

Costs of charitable activities comprise all costs identified as wholly or mainly incurred in the pursuit of the charitable objectives of the Charity. These costs are direct costs together with an apportionment of governance and support costs as shown in note 8.

d. Governance and Support Costs

Governance costs comprise all costs identifiable as wholly or mainly attributable to ensuring the public accountability of the Charity and its compliance with regulation and good practice. These costs include costs related to statutory audit and legal fees. Support costs are the administrative costs of awarding, monitoring and assessing grants, and the running costs of the Charity. Both governance and support costs have been allocated to Charitable Activities in

accordance with Charities SORP (FRS102) on the basis of value of grants issued. Note 7 shows the list of these costs over the different headings. Note 8 shows the governance and support costs allocated to the different Charitable Activities on the basis of value of grants awarded within each category. A 2% charge is allocated to funds on the basis of closing balance.

1.6 Structure of Funds

a. Restricted Funds

Where there is a legal restriction imposed by donors on the purpose to which a fund may be used, the fund is classified in the accounts as a restricted fund. Descriptions of these funds are provided in note 21. Income and expenditure is shown separately within the Statement of Financial Activities and analysed into their component parts in note 21.2.

b. Endowment Funds

Funds where the capital is held to generate income for charitable purposes and cannot itself be spent are accounted for as endowment funds. The Charity has one endowment fund: The Nottingham Children’s Samaritan Fund.

c. Unrestricted/Designated Funds

Unrestricted funds are available for use at the discretion of Trustees. In cases where the nonbinding wishes of a donor are known or where the Trustees, at their discretion, have created a specific fund for a specific purpose, designated funds have been established. Income and expenditure is shown separately within the Statement of Financial Activities and analysed into their component parts in note 21.3.

1.7 Fixed Assets

a. Capitalisation

All assets falling into the following categories are capitalised:

• i. tangible assets which are capable of being used for more than one year, and have a cost equal to or greater than £5,000;

• ii. groups of assets which are capable of being used for more than one year, and have a cost equal to or greater than £5,000;

• iii. computer software licences are capitalised as intangible assets where they are capable of being used for more than one year and have a cost, individually or as a group, equal to or greater that £5,000.

b. Valuation

• i. Tangible fixed assets are stated at cost less depreciation.

• ii. Intangible fixed assets held for operational use are valued at historical cost less depreciation.

c. Investments

Fixed and current asset investments consist of longterm and short-term investments that are recognised

as:

• i. Quoted stocks and shares are included in the balance sheet at market value at the balance sheet date.

• ii. Cash investments are held at cost plus accrued interest.

1.8 Financial Instruments

The Charity has chosen to adopt Section 11 of FRS 102 in respect of financial instruments.

1.9 Realised 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 market value (or date of purchase if later). Unrealised gains and losses are calculated as the difference between market value at the year end and opening market value (or date of purchase if later). 20% of gains or losses in year are allocated to funds on the basis of closing balance.

1.10 Current Assets and Liabilities

a. Assets and Liabilities are recognised at the amount receivable or payable including any related transaction costs.

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

c. Stocks are stated at the lower of cost and estimated selling price less costs to complete to sell.

1.11 Leases

Leases that do not transfer all the risks and rewards of ownership are classified as operating leases. Payments under operating leases are charged to the SoFA on a straight line basis over the period of the lease.

Lease costs are shown in note 22.

1.12 Pension Contributions

The Charity operates two pension schemes, a defined benefit scheme for employees TUPED from Nottingham University Hospitals NHS Trust on 1 April 2018 and a defined contribution scheme for employees employed directly by the Charity since 1 April 2013.

Details of the NHS Pension scheme can be found

at www.nhsbsa.nhs.uk/pensions. The scheme is not designed to be operated in a way that would enable the Charity to identify its share of the underlying scheme assets and liabilities. Therefore, the scheme is accounted for as if it were a defined contribution scheme: the cost of participating in the scheme is taken as equal to the contributions payable to the scheme for the accounting period.

Members of the NHS Pension scheme contributed between 5% and 13.5% in 2020/21 while the employer contribution rate is 14.38% of pensionable pay.

The defined contribution scheme is the National Employment Savings Trust (NEST) a government workplace pension scheme with phased minimum employee and employer contributions based on qualifying earnings. The qualifying earnings band is reviewed by the government each year.

The cost of the employer pension contributions to the NHS Pension Scheme and NEST are charged, along with other governance and support costs (as analysed at notes 6 and 7) to the Statement of Financial Activities under the headings Charitable Activities and Governance and Support Costs. A breakdown of staff costs can be seen in note 10.

1.13 Related Party Transactions and Trustees’ Expenses and Remuneration

Patients of Nottingham University Hospitals NHS Trust (NUH Trust) are the main beneficiaries of the Charity. The Charity has made grants to NUH Trust and these are detailed in note 9.

None of the Trustees or parties related to them, have received remuneration or received any other benefits from employment with the Charity. The Trustees have purchased indemnity insurance at a cost of £4,667 (2019/20: £3,589) for £1 million of cover.

During the year ended 31 March 2021, Trustees have received no reimbursements for expenses or other related costs (2019/20: £248).

1.14 Accounting Judgements and Key Sources of Estimation Uncertainty

In the application of the Charity’s accounting policies, which are described in note 1, the Trustees are required to make judgements, estimates and assumptions about the carrying amounts of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates.

The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised if the revision affects only that period, or in the period of the revision and future periods if the revision affects both current and future periods.

The Trustees do not consider there are any critical judgements of sources of estimation uncertainty requiring disclosure beyond the accounting policies listed.

2. Analysis of Income from Legacies and Donations

	Unrestricted	Restricted	Endowment	2020/21 total	Unrestricted	Restricted	Endowment	2019/20 total
	funds £000	funds £000	funds £000	funds £000	funds £000	funds £000	funds £000	funds £000
Legacies	1,378	107	0	1,485	999	591	0	1,590
General Donations	2,036	456	0	2,492	1,404	1,748	0	3,152
Government Grant	21	0	0	21	0	0	0	0
Total	3,435	563	0	3,998	2,403	2,339	0	4,742

The £21,000 government grant in 2020/21 represents income from the Furlough Scheme.

3. Income from Charitable Activities

This category includes income from charitable activities representing contractual payments from other organisations to fund the provision of services.

4. Income from Other Trading Activities

This category includes income from trading activities including income earned to raise funds for the Charity from fundraising events under the management of the Charity, sponsorship and the sale of goods.

Our general volunteers represent the Charity as part of our community fundraising team at fundraising and local events. General volunteer time is not recognised in the accounts.

5. Analysis of gross income from investments (including short term investments)

	Held in	Held outside	2020/21	Held in	Held outside	2019/20
	UK £000	UK £000	total £000	UK £000	UK £000	total £000
Property income distributions	0	0	0	0	0	0
Investments listed on Stock Exchange	103	93	196	203	118	321
Investments in a Common Deposit Fund	6	0	6	4	0	4
or Common Investment Fund
Cash held (including short term)	15	0	15	25	0	25
Other investments	102	11	113	106	15	121
Total	226	104	330	338	133	471

6. Analysis of Expenditure on Raising Funds

	2020/21 total	2019/20 total
	costs £000	costs £000
Fundraising salaries	454	468
Fundraising expenses	147	156
Investment management fees	69	81
Total	670	705

Costs of raising funds are incurred to generate all voluntary income for the Charity, including legacies and donations, as included in note 2.

7. Allocation of Governance and Support Costs

An explanation as to the allocation of support and governance costs to the following categories can be found in the notes to the accounts, reference 1.5(c).

	2019/20 total £000 2020/21 total £000
Salaries and associated costs Salaries and associated costs Governance costs Financial and support costs Audit Information Technology and licence costs Legal Other support costs Other governance costs	85 84 9 10 29 9 4 28
	133 125
	164 185 55 55 34 58
	274 277
Total governance support	407 402

8. Analysis of Charitable Expenditure

						Activities
		Activities				undertaken
	Grants	undertaken	Support	2020/21	Grants	directly	Support	2019/20
	£000	directly £000	costs £000	total £000	£000	£000	costs £000	total £000
Patients welfare and facilities	1,179	21	233	1,433	3,188	55	345	3,588
Staff welfare and development	430	0	85	515	335	0	33	368
Research	116	0	23	139	224	0	22	246
Building and refurbishment	336	0	66	402	15	0	2	17
Total	2,061	21	407	2,489	3,762	55	402	4,219

Each restricted fund is charged a contribution towards support and governance costs as a proportion of total funds held, in recognition that these costs are incurred in respect of all funds. In 2020/21 this charge was £68,723 (2019/20: £60,526).

9. Analysis of Grants to Institutions

11. Auditors’ Remuneration

9. Analysis of Grants to Institutions	11. Auditors’ Remuneration
10. Analysis of Staff Costs 10.1 Senior Employees The Charity has approved grants to institutions, as follows: The key management personnel of the Charity comprise the Trustees, the Chief Executive Offcer, Finance Director and Director of Development. The Trustees were not paid and did not receive any other benefts from employment with the Charity. The total employee benefts of key management of the Charity including employer pension contributions were £277,514 (2019/20: £275,879). Total Nottingham University Hospitals NHS Trust University of Nottingham Redthread Nottinghamshire Healthcare Trust 1,768 3,536 193 100 0 223 0 3 2,061 3,762 2019/20 £000 2020/21 £000 Name of Institution Total staff costs Salaries and wages The head count for staff in this year was: Average full time equivalent National Insurance Other pension costs 610 19 17 666 22 19 57 48 62 48 715 776 2019/20 total £000 2020/21 total £000	12. Fixed Asset Investment Total external audit fees for Cooper Parry in respect of statutory audit are £9,270 inclusive of VAT, which represents the auditor’s remuneration for 2020/21 (2019/20: £9,000). Total £000 Cash held £000 Investments £000 Movement in fxed asset investments:
	Market value brought forward Add: Acquisitions at cost Less: Disposals at carrying value Net gain/(loss) on revaluation Investment fees paid against capital 470 11,729 12,199 0 14,092 (470) (14,862) 0 1,903 0 (69) 14,092 (15,332) 1,903 (69)
	Market value at 31 March 2021 0 12,793 12,793
	2020 total £000 2021 total £000 Held outside UK £000 Held in UK £000 Market value at 31 March:
	Investments listed on Stock Exchange Other UK fxed interest Index Linked Currency Funds Accrual: investment management fee held against capital Other investments Cash held as part of the investment portfolio Investments in Common Investment Fund 0 0 0 0 (16) 57 0 12,752 0 0 0 0 0 0 0 0 0 0 0 0 (16) 57 0 12,752 6,396 2,272 877 250 (16) 1,837 470 113
	12,793 0 12,793 12,199

The key management personnel of the Charity comprise the Trustees, the Chief Executive Officer, Finance Director and Director of Development. The Trustees were not paid and did not receive any other benefits from employment with the Charity. The total employee benefits of key management of the Charity including employer pension contributions were £277,514 (2019/20: £275,879).

Senior Management bandings (benefits, excluding pension contributions) as follows:

13. Short Term Investments

		2020/21	2019/20
£60,000	- £69,999	1	0
£70,000	- £79,999	1	1
£80,000	- £89,999	0	0
£90,000	- £99,999	1	1

This category includes cash on deposit and cash equivalents with a maturity of less than one year held for investment purposes.

Employer’s pension costs for these employees amount to £25,574 (2019/20: £25,274).

17. Analysis of Creditors

14. Intangible/Tangible Fixed Assets

14. Intangible/Tangible Fixed Assets	14. Intangible/Tangible Fixed Assets	17. Analysis of Creditors
Balance at 31 March 2020 Net book value 31 Match 2021 Balance at 31 March 2021 Balance at 1 April 2020 Balance at 1 April 2020 Cost Accumulated depreciation Additions Charge for the year Disposals Projects completed in year 34 0 0 0 34 0 0 37 0 16 0 (34) 0 34 37 16 0 0 0 71 0 55 0 16 71 55 16 Assets under construction £000 Other intangible fxed assets £000 Total intangible fxed assets £000 15. Transfers Between Funds Intangible fxed assets include an IT System which is held at cost less accumulated amortisation based on estimated useful economic life. Computer equipment purchased in year at a cost of £5,976 has been categorised under tangible fxed assets (having a cost equal to or greater than £5,000). Total		2021 £000 At 31 March 2020 £000
		Amounts falling due within one year: Grant Accruals (note 17.1) Deferred income Other creditors 3,751 0 173 5,888 0 512
		Total creditors falling due within one year 3,924 6,400
		Amounts falling due within one year: Grant Accruals (note 17.1) 104 312
		Total creditors falling due after more than one year 104 312
		2021 £000 At 31 March 2020 £000 17.1 Analysis of Grant Accruals
		Outstanding grant accruals brought forward Additions during the period Amounts charged against the provision Adjustments in the period 2,271 6,200 (4,149) (467) 3,567 4,777 (1,863) (281)
		Outstanding grant accruals at 31 March 2021 3,855 6,200
		Amounts falling due within one year: Amounts falling due after more than one year 3,751 104 5,888 312
		Outstanding grant accruals at 31 March 2021 3,855 6,200
	Total
Contribution from unrestricted funds to restricted project	Unrestricted funds £000 Restricted funds £000 Endowment funds £000 transfer 2020/21 £000
	0 1 (1) 0
	0 1 (1) 0

				Total
				transfer
	Unrestricted	Restricted	Endowment	2020/21
	funds £000	funds £000	funds £000	£000
Contribution from
unrestricted funds	(1)	1	0	0
to restricted project	(1)	1	0	0

18. Provisions for Liabilities and Charges

There are no grants payable whose values require subjective estimation and therefore no provisions have been included in this set of accounts. Note 1.5(b) refers to the accounting treatment of Charity grants.

Transfers arise where a contribution is made by one fund towards the income or expenditure of another or where there is the transfer of a balance to another fund so that it follows the service to which it relates.

19. Contingent Liabilities

The following items relate to charitable grants where Trustees had not given formal approval at the balance sheet date, these grants have therefore not been recognised in the accounts:

16. Analysis of Debtors

No debtors were due after more than one year at either 31 March 2021 Total debtors falling due within one year Debtors falling due within one year: Prepayments Accrued income 31 404 55 275 435 330 2021 £000 At 31 March 2020 £000	2020/21 £000 2019/20 £000
	Pump-priming research grants from General Research Funds Emergency care (previously designated to the Helipad) Myeloma Research Fellowship (restricted legacy) 150 53 201 250 53 199
	Total debtors falling due within one year 404 502

No debtors were due after more than one year at either 31 March 2021 or 31 March 2020.

20. Loans and Guarantees

There are no loans or guarantees secured against the assets of the Charity.

21. Analysis of Charitable Funds

	Balance 31	Income	Expenditure	Transfers	Gains &	Balance 31
1. Endowment Funds	March 2020 £000	£000	£000	£000	losses £000	March 2021 £000
Nottingham Children’s Samaritan Fund	39	0	0	0	8	47
Total	39	0	0	0	8	47
	Balance 31	Income	Expenditure	Transfers	Gains &	Balance 31
Endowment Funds - Prior year	March 2019 £000	£000	£000	£000	losses £000	March 2020 £000
Nottingham Children’s Samaritan Fund	40	0	0	0	(1)	39
Total	40	0	0	0	(1)	39

Detail of Material Endowment Funds

Detail of Material Endowment Funds
Name of fund	Description of the nature and purpose of each fund
Nottingham Children’s Samaritan Fund	For the beneft of needy children who are patients or recently discharged patients of any
	hospital administered within the Nottingham Health District or needy children who reside in
	or near the City of Nottingham but who are receiving treatment elsewhere.

2. Restricted Funds

2 Restricted Funds
.	Balance 31	Income	Expenditure	Transfers	Gains &	Balance 31
Material Funds: Name of Fund	March 2020 £000	£000	£000	£000	losses £000	March 2021 £000
Motor Neurone Disease Research	272	8	(13)	0	7	274
Myeloma Research Fellowship	199	5	(9)	0	6	201
Nottingham Children’s Samaritan Fund	73	4	(9)	0	1	69
Palliative Care Fund	314	85	(151)	0	3	251
QMC Association for Post Graduate Education	128	3	(7)	0	3	127
Big Appeal	105	3	(5)	0	3	106
Gynae-Oncolgy Research	49	1	(2)	0	2	50
Cardiac Equipment	51	1	(2)	0	1	51
Restricted Fund Reserve Account	0	0	(7)	0	144	137
Staff Health and Wellbeing Programme	0	372	(52)	0	10	330
Others (20)	274	122	(114)	1	7	290
Total	1,465	604	(371)	1	187	1,886
Restricted Funds - Prior year	Balance 31	Income	Expenditure	Transfers	Gains &	Balance 31
Material Funds: Name of Fund	March 2019 £000	£000	£000	£000	losses £000	March 2020 £000
Cancer Research	103	0	(103)	0	0	0
iMRI Appeal	105	1,404	(1,709)	200	0	0
Motor Neurone Disease Research	285	9	(22)	0	0	272
Myeloma Research Fellowship	179	6	14	0	0	199
Nottingham Children’s Samaritan Fund	77	4	(5)	0	(3)	73
Palliative Care Fund	153	227	(66)	0	0	314
QMC Association for Post Graduate Education	141	4	(17)	0	0	128
Big Appeal	0	163	(13)	(45)	0	105
Gynae-Oncolgy Research	0	54	(5)	0	0	49
Cardiac Equipment	0	56	(5)	0	0	51
Restricted Revaluation Fund	102	0	(8)	0	(94)	0
Others (16)	308	463	(470)	(27)	0	274
Total	1,453	2,390	(2,409)	128	(97)	1,465

Detail of Material Restricted Funds

Name of fund Description of the nature and purpose of each fund Motor Neurone Research A legacy fund to support research into Motor Neurone Disease. Myeloma Research Fellowship A legacy fund established for a fellowship called the Stanley & Marion Irish Nee Bethell fellowship for support of multiple myeloma research in the Academic Department of Haematology. Nottingham Children’s Samaritan Fund For the benefit of needy children who are patients or recently discharged patients of any hospital administered within the Nottingham Health District or needy children who reside in or near the City of Nottingham but who are receiving treatment elsewhere. Palliative Care Fund A legacy fund to support care and treatment for Palliative Care. QMC Association for Postgraduate Education To promote and advance postgraduate education, study, general knowledge and research in the general area of medicine embracing all Allied Health Professional services. Big Appeal Appeal funds raised to provide equipment and improve facilities at Nottingham’s Children’s Hospital Gynae-Oncology A legacy fund to support care and treatment for Gynae-Oncology patients. Cardiac Equipment A legacy fund to provide cardiac equipment. Staff Health and Wellbeing Programme A grant to fund staff programmes across NUH. Restricted Revaluation Fund Accumulated Revaluation Fund in relation to restricted funds.

A legacy fund established for a fellowship called the Stanley & Marion Irish Nee Bethell fellowship for support of multiple myeloma research in the Academic Department of Haematology.

For the benefit of needy children who are patients or recently discharged patients of any hospital administered within the Nottingham Health District or needy children who reside in or near the City of Nottingham but who are receiving treatment elsewhere.

To promote and advance postgraduate education, study, general knowledge and research in the general area of medicine embracing all Allied Health Professional services.

Appeal funds raised to provide equipment and improve facilities at Nottingham’s Children’s Hospital

3. Unrestricted Funds

Detail of Material Unrestricted Funds

The following funds are held to support general or research projects within the designated division or specialty:

	Balance 31	Income	Expenditure	Transfers	Gains &	Balance 31
	March 2020 £000	£000	£000	£000	losses £000	March 2021 £000
Designated Funds
Breast Fund	542	88	(17)	0	18	631
Children’s Hospital including Big Appeal	1,179	466	(196)	0	40	1,489
Emergency Care (Formerly Helipad Fund)	53	0	(13)	0	1	41
Lead Appeal Gift Fund	1,300	0	0	0	0	1,300
Nephrology Research Fund	428	2	(32)	0	3	401
Palliative Care	1,392	760	352	0	56	2,560
Research General	437	3	0	0	12	452
Staff Development Fund	0	512	(61)	0	14	465
Revaluation Fund	659	0	(61)	0	1,384	1,982
Other designated funds (132)	4,479	1,037	(1,439)	(1)	140	4,216
Total designated funds:	10,469	2,868	(1,467)	(1)	1,668	13,537
Reserves
General Funds (including Directorate Support and	1,745	907	(1,321)	0	40	1,371
NUH Development)
Total reserves	1,745	907	(1,321)	0	40	1,371
Total unrestricted funds:	12,214	3,775	(2,788)	(1)	1,708	14,908

Funds with an opening or closing balance in excess of 3% of total restricted funds are classified as material.

Detail of Material Unrestricted Funds - Prior year

	Balance 31	Income	Expenditure	Transfers	Gains &	Balance 31
	March 2019 £000	£000	£000	£000	losses £000	March 2020 £000
Designated Funds
Breast Fund	538	69	(65)	0	0	542
Children’s Hospital including Big Appeal	1,369	461	(492)	(159)	0	1,179
Directorate Support	573	0	0	(573)	0	0
Emergency Care (Formerly Helipad Fund)	278	0	(225)	0	0	53
Lead Appeal Gift Fund	1,300	0	0	0	0	1,300
Nephrology Research Fund	496	2	(70)	0	0	428
NUH Development	495	0	0	(495)	0	0
Palliative Care	1,346	780	(734)	0	0	1,392
Research General	464	193	(220)	0	0	437
Revaluation Fund	0	0	(74)	2,508	(1,775)	659
Other designated funds (121)	3,090	1,183	125	81	0	4,479
Total designated funds:	9,949	2,688	(1,755)	1,362	(1,775)	10,469
Reserves
General Fund (including Directorate Support	1,236	201	(760)	1,068	0	1,745
and NUH Development)
Revaluation Fund	2,558	0	0	(2,558)	0	0
Total designated funds:	3,794	201	(760)	(1,490)	0	1,745
Total unrestricted funds:	13,743	2,889	(2,515)	(128)	(1,775)	12,214

The directorate support fund and NUH Development fund are ear-marked funds and have been re-designated as General funds during 2019/20.

3. Unrestricted Funds

Detail of Material Unrestricted Funds

Detail of Material Unrestricted Funds
Name of fund	Description of the nature and purpose of each fund
Breast Fund	Designated fund to support Breast Services at Nottingham University Hospitals Trust
	(NUHT).
Children’s Hospital including Big Appeal	Designated appeal fund to support Nottingham Children’s Hospital.
Emergency Care (Formerly Helipad Fund)	Former appeal funds that have been repurposed to support Emergency Care.
Lead Appeal Gift Fund	Designated fund to support Charity major appeals.
Nephrology Research Fund	Designated fund to support Nephrology Research at NUHT.
Palliative Care	Designated fund to support Palliative Care and Hayward House at NUHT.
Research General	Designated fund to support research projects at NUHT.
Staff Development Fund	Designated fund to support staff development related projects at NUHT.
Revaluation Fund	Accumulated Revaluation Fund.
NUH Development	Unrestricted fund to support innovation projects at NUHT.
Directorate Support	Unrestricted fund to provide support for cross hospital projects.

22. Leasing Commitments

23. Analysis of Changes in Net Debt

Reference and Administrative Details of the Charity

Charity Name: Other names used: Registered No: Charity’s Objects:

Nottingham University Hospitals Charity

Nottingham Hospitals Charity 1165397

Any charitable purpose relating to Nottingham University Hospitals NHS Trust or the purposes of the health service.

Company Registration No: Registered Office:

9978675

Nottingham University Hospitals Charity, 2 Embley Road, Nottingham NG5 1RE

Advisors

Solicitors:

Bankers:

National Westminster Bank PLC 16 South Parade Nottingham NG1 2JX

Browne Jacobson LLP

Mowbray House Castle Meadow Road Nottingham NG2 1BJ

Auditors:

Investment Managers:

Cooper Parry Group Limited, One Central Boulevard, Blythe Valley Business Park, Solihull, Birmingham B90 8BG

Smith & Williamson 25 Moorgate London EC2R 6AY

CCLA

Senator House 85 Queen Victoria Street London EC4V 4ET

The Charity’s future minimum operating lease payments are as follows:

Within one year Between one and fve years 5 5 20 20 2019/20 £000 2020/21 £000	Cash fows £000 Other changes £000 At 01 April 2020 £000 At 31 March 2021 £000
	Cash at bank in hand - (1,042) 3,188 2,146
	Total 0 (1,042) 3,188 2,146

73

0115 962 7905 [e-mail] www.nottinghamhospitalscharity.org.uk

@NottinghamHospitalsCharity @NUHCharity @NUH_Charity