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2022-03-31-accounts

Nottingham Hospitals Charity Annual Report r 2021 .A.022

Welcome to Nottingham Hospitals Charity’s Annual Report 2021/22.

Nottingham Hospitals Charity is at the heart of care for hundreds of thousands of patients each year, from across the city, county and East Midlands.

During 2021/22 we gave over £3 million to help provide the very best care for patients and their families – from state-of-the-art equipment to improved facilities and medical research, everything we do is for patients and staff at Nottingham’s NHS hospitals.

Welcome 1
Enhancing Patient Experience 4
Funding Medical Research 10
Supporting Our Staff 14
Community Health Initiatives 18
Hayward House Appeal 22
Leaving a Lasting Legacy 26
Strategic Report 30
Financial Review 35
Structure 40
Auditor’s Opinion 49
Financial Statements 54

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A word from our Chief Executive, Barbara Cathcart

“

At Nottingham Hospitals Charity, we are proud to support patients, families and staff across the whole of Nottingham’s NHS hospitals. Over the past year, as the country and the NHS began to recover from the impact of Covid-19, it became clear that hospital staff were continuing to suffer from the psychological and emotional impact of the pandemic.

After being on the front line of the battle against Covid-19, some of our hospital staff were suffering from poor mental health and low morale. The past year we have been here to support them more than ever – helping to provide everything from psychological support programmes, to small treats like free on-site ice cream vans on sweltering days. In this Report, you can read about some of the ways we have supported staff wellbeing and morale at Nottingham Hospitals.

As our hospitals began to return to some normality, we turned our attention to other areas that needed support, some of which you can read about on pages 4 to 9. These include an Arts Coordinator to provide therapeutic arts activities for patients with dementia, and enhancements to the Emergency Department at the Queen’s Medical Centre.

From March 2022 we turned our focus to Hayward House, the palliative care centre at the City Hospital, launching a £1.5 million Hayward House Appeal. Money raised through the appeal will provide enhancements to the special garden, making it a more accessible and tranquil space for patients with terminal illnesses to spend precious time with their loved ones, as well as improvements to make the building’s entrance more welcoming, and an expansion of the centre’s research and training facilities.

None of these important projects would have been possible without the support of our dedicated fundraisers and donors, or the gifts we receive through our supporters’ Wills. Around a third of the money we raise each year comes from gifts in Wills, enabling us to fund important projects which may not otherwise be possible.

I would like to take this opportunity to thank each and every individual, family, community group and business who has supported Nottingham Hospitals Charity throughout the past year – whether through fundraising, donating, or legacy gifts. “

A word from our Chair, Carole Ayre

“

This year has seen a return to some normality for Nottingham Hospitals Charity, with our in-person fundraising events returning, and our team able to once again meet face-to-face with fundraisers, donors and hospital staff.

Our finance team have continued to comply with the highest standards to ensure that funds raised are well-spent, most particularly during this time of financial strain. At Nottingham Hospitals Charity, we have an excellent reputation for careful governance of funds raised, and legacies and donations bequeathed to us. This past year’s focus has continued to be about strategic charitable expenditure, as well as raising funds for worthy hospital projects and programmes.

I would like to take this opportunity to thank our team of Trustees, who have a wide range of knowledge and expertise, and the passion to ensure funds raised are judiciously spent. In particular, I would like to thank our Trustee Laurence Coppel and his family, who donated £260,000 from their Amanda Lee Coppel Fund, in memory of Laurence’s daughter.

We are very grateful to those who fundraise for us by jumping off buildings, shaving their heads, knitting, baking, running events and everything else they ingeniously do –

all to recognise and support the care they receive at our hospitals.

I’m proud of the many important projects we’re able to fund at Nottingham Hospitals, thanks to our generous donors. In particular, it was an honour to attend a special opening at the Queen’s Medical Centre of a £395,000 project: The new video recorded interview (VRI) suite. This is part of the Children’s and Young People’s Suite and allows children to give video evidence to police in the same child-friendly environment as their medical examinations and treatment take place, where cases of sexual assault have occurred. This replaces the need to travel to a police station to be interviewed in a more daunting setting.

Although heart-breaking to know this suite is needed, it is gratifying to know that we have been able to provide a safe space for children and young people during difficult times.

Please read on to find out more about the impactful projects taking place at Nottingham Hospitals, thanks to the support of our fundraisers and donors.

“

Nottingham Hospitals Charity Annual Report 2021/22

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Enhancing
Patient
Experience
4
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We’re here to help make hospital stays as comfortable as possible for patients and families at Nottingham Hospitals, whether that’s through providing new furniture, colourful wall art, or special family rooms.

As well as making our hospitals look and feel welcoming, we also provide additional facilities, equipment and services which make a real difference to patient care – such as state-of-the-art ultrasound scanners to aid with diagnosis, and counselling and bereavement support to help patients and their loved ones through difficult times.

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£395,000
Given
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Children’s video interview suites

We gave £395,000 for a new video recorded interview (VRI) suite at the East Midlands Children and Young People’s Sexual Assault Service.

The facility provides a safe and comforting environment where children and young people who have been sexually abused can be examined and give a video-recorded statement to the police, which may be used as evidence in court. The suite allows them to do all of this within the hospital environment, rather than having to travel to a police station before or after their medical examinations, and will impact hundreds of children and young people every year.

The new suite is based on the Barnahus, or ‘children’s house’, model which is used in Iceland, and where police interviews, medical examinations and children’s therapy are all provided in one environment. Since its introduction in 1998, the children’s house model has delivered compelling results – a trebling of the number of perpetrators charged, a doubling of the number of convictions, and better therapeutic outcomes for children and their families.

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£200,000
Raised
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Baby MRI Appeal

We raised £200,000 through our Baby MRI Appeal for equipment to make MRI scans as quick, safe and comfortable as possible for our tiniest patients in Nottingham’s Neonatal Units.

Each year the Neonatal Units at City Hospital and Queen’s Medical Centre treat over 1,500 babies, many of whom need to undergo MRI scans. The Baby MRI Appeal will provide new equipment and technology, to allow babies to be more comfortable during their scans, to reduce scanning time, and to improve the quality of the images produced.

Emergency Department

Our Emergency Department (ED) is visited by over 500 people every single day and is in constant and growing demand. Over the past year we have supported ED in a variety of ways, including: enhancing the facilities to maximise space; creating a dedicated rest and wellbeing area for ED staff who work long and challenging shifts; and funding a stand-alone pod which can be used for staff research and training, as well as offering a private, sound-proofed area where patients can be seen for sensitive online conversations.

Nottingham Hospitals Charity Annual Report 2021/22

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£150,000
Granted
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Complementary therapy

Each year we grant around £150,000 for complementary therapy across Nottingham Hospitals.

Complementary therapies, such as massage and reflexology, can help ease symptoms, relieve stress and provide a welcome distraction for patients. Our complementary therapists work alongside patients in a variety of areas, including patients with life-limiting or terminal illnesses being treated at Hayward House; patients being treated for bone and blood cancers at the Centre for Clinical Haematology; and babies, children and young people being cared for at Nottingham Children’s Hospital.

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£8,000
Granted
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Major Trauma

We granted £8,000 for a blood fridge and blood plasma freezer to help patients being brought to the East Midlands Major Trauma Centre by air ambulance. The blood products stored in the fridge and freezer will enable air ambulance staff to treat patients with life-threateningly heavy blood loss on board, rather than them having to wait for arrival at the Major Trauma Centre, at the Queen’s Medical Centre. This will give patients the best possible chance of survival and recovery.

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£42,085
Funded
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Arts coordinator

We funded £42,085 for a newlycreated post of arts coordinator, to work with patients and staff across Nottingham Hospitals, with a special focus on working alongside patients with dementia to provide therapeutic art activities during their time in hospital.

Nottingham Hospitals Charity Annual Report 2021/22

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Nottingham Hospitals Charity gives tens of thousands of pounds every year to medical research taking place at Nottingham Hospitals.

We fund research into diagnosis and treatment across a range of conditions, from cancer and diabetes, to Long Covid and hearing loss.

Funding Medical Research

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£38,686
Funded
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Kidney disease in pregnancy

We funded a £38,686 study into kidney disease during pregnancy.

The research is investigating the impact of pregnancy on women with a genetic condition called Alport syndrome, which causes kidney disease and other symptoms. Anecdotal evidence suggests women with Alport syndrome have a greater increase in protein leak during pregnancy than women with other kidney conditions, which can lead to swelling, discomfort, risk of blood clots and decreased foetal growth. This study aims to further investigate this link.

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£181,007
Given
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Myeloma sensitivity to drug treatments

Nottingham Hospitals Charity gave £181,007 for a study into how myeloma cells respond to anti-myeloma drugs. The research aimed to investigate why some myeloma patients have greater sensitivity or resistance to drug treatments than others.

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£47,011
Funded
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Significant ankle injury

We funded a £47,011 study investigating why some patients experience ongoing ankle pain and a poor recovery after suffering a significant ankle injury, and the link between osteoarthritis of the ankle and previous injury to the area.

Nottingham Hospitals Charity Annual Report 2021/22

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We’re here for over 17,000 members of staff across Nottingham Hospitals, helping to provide wellbeing programmes and development projects to support them, while they provide the very best patient care.

Supporting Our Staff

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£363,000
Granted
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Psychological support

Thanks to a grant of £363,000 from NHS Charities Together, we have been able to provide a programme of support for the psychological wellbeing of staff at Nottingham Hospitals, whose mental and emotional health may have been affected by their work during the Covid-19 pandemic.

The grant has funded new positions, including two clinical psychologists and a mental health trainer, who are developing post-trauma initiatives for all staff, particularly in areas such as the Emergency Department and critical care, where traumatic incidents are frequent.

Staff rest spaces

During 2021/22 we funded improvements to 18 staff rest areas, where our hardworking NHS staff can take breaks from busy shifts, in comfortable and restful environments.

Welcome refreshments

On a summer’s day in July 2021, we provided free ice creams for very hot staff at Nottingham Hospitals.

International Nurses Day

Each year we celebrate International Nurses Day , on 12th May, by delivering treats to our nursing staff and midwives across Nottingham Hospitals.

We are proud to be able to show our NHS staff how much they are appreciated , and in addition to funding multi-million-pound projects, these smaller grants have a positive impact on staff morale and wellbeing.

Nottingham Hospitals Charity Annual Report 2021/22

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Following the pandemic, we have funded projects to help people living out in the community who may have struggled mentally and emotionally during the Covid-19 restrictions.

Community Health Initiatives

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South Nottinghamshire Befriending Service

Thanks to a grant of £84,986 from NHS Charities Together, we have been able to expand a befriending service for people who have been left feeling isolated and lonely following Covid-19 restrictions.

The South Nottinghamshire Befriending Service offers support for people living alone, especially those who are clinically vulnerable and people living with long-term health conditions or disability.

The grant has enabled the service to expand, recruit more befriending volunteers, and offer more personalised support to a greater number of people experiencing isolation or loneliness across the local community.

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£84,986
Granted
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Nottingham Hospitals Charity Annual Report 2021/22

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In March 2022 we launched our Hayward House Appeal, which is raising £1.5 million to fund enhancements for patients and families being treated at Hayward House palliative care centre.

Hayward House is a unique home-from-home environment, where patients with life-limiting and terminal illnesses, including those at the end of their life, are cared for by a specialist team of doctors, nurses and therapists.

Hayward House Appeal

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The £1.5 million Hayward House Appeal will help to fund a range of enhancements to the centre, including improvements to the garden area, making it more accessible and creating a tranquil space for patients and family members; a more welcoming reception and waiting area; and an expansion of the centre’s research and training facilities.

Show your support

Our Hayward House Appeal has received an outpouring of support from the local community, with our long-term corporate partners Mowgli Street Food among the first local businesses to support the appeal, by adding a discretionary £1 donation to every bill.

The appeal has also been supported by families whose loved ones have been treated at Hayward House, including Adam Doran, whose wife Clare was treated there before she sadly passed away in September 2021, at the age of 48. Adam and his family and friends, including former Nottingham Forest footballer Vance Warner, have taken on numerous challenges and events to raise money for the Hayward House Appeal.

Former Nottingham Forest footballer Vance Warner

Adam said...

“ I will always remember our time at Hayward House and was astounded by the care we received. They told me I could spend the night with Clare and I looked at the armchair in her bay thinking that’s where they’d put me. How wrong I was!

“Not only did they make me up a bed, they pushed it together with Clare’s so we could spend one more night together. I cannot tell you how much that meant. “

To support the Hayward House Appeal, please visit nottinghamhospitalscharity.org.uk/annualreport2022

Nottingham Hospitals Charity Annual Report 2021/22

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Around a third of the £4 million raised for Nottingham Hospitals Charity each year comes from gifts left in our supporters’ Wills.

No matter how large or small, the gifts we receive through Wills every year make a huge difference to patients at our hospitals.

Leaving a Lasting Legacy

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During 2021/22 we received over £175,000 for Hayward House through gifts in Wills, which enabled us to continue to fund important services such as complementary therapy, counselling, extra nursing support, therapeutic arts activities and bereavement support for terminally ill patients and families at the palliative care centre.

We are extremely grateful to all those donors who remember us in their Will, and choose to help future patients and families here at Nottingham Hospitals.

For more information about leaving a gift in your Will, please call us on 0115 962 7905 , email charity@nuh.nhs.uk or download your free Will planner at nottinghamhospitalscharity.org.uk/ annualreport2022

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£175,000
Gifted
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Nottingham Hospitals Charity Annual Report 2021/22

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Strateg Report 30 31

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 16 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:

Funding local research and innovation

Review of 2021/22 objectives:

Recover the Charity’s voluntary income to £3.203 million in 2021/22.

We exceeded our target, raising a voluntary income of £4.049 million.

Initiated a partnership with Nottingham Forest Community Trust.

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:

Inspiring fundraising appeals

Carefully considered grant-making programmes

Working with our hospitals and the communities we serve

Covid-related grants were dispersed in close consultation with NUH.

Charity-funded posts are branded with a focus on Charity Scholars.

Nottingham Hospitals Charity Annual Report 2021/22

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Principle 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: 2022/23 and beyond (Continuation of 3 year Strategy):

Achieve voluntary income of £3.5 1 million in 2022/23 through various fundraising, communications, marketing and profile-building activities.

Allow for flexibility in grant-making to follow the changes required of NHS services post-Covid, including consideration of the Integrated Care Partnership in our area.

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Continue to invest in the Charity team 5 within their areas of expertise.

Financial Review

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

Overall, the assets of the Charity at 31 March 2022 were £18.089 million, compared to £16.841 million in 2020/21 - an increase of £1.248 million.

Total Income

Total Income Total Expenditure £4.446 million £4.229 million

(2020/21: £4.379 million)

(2020/21: £3.159 million)

Commissioner; £56,000 from The Skinny Food Co; £50,000 from The Winifred Eileen Kemp Trust and £48,000 from an individual donor for Ophthalmology equipment.

Despite the challenging economic situation, our income remained in line with the previous year, increasing slightly by £67,000.

Donation income was £2.411 million, which was £81,000 lower than the previous year overall (2020/21: £2.492 million).

Our in-person fundraising events were also able to return once Covid-19 restrictions lifted, meaning fundraising income received a boost.

General donations were lower due to the continued effect of Covid-19 on charitable giving, but we received several high-value donations, including: £477,000 from NHS Charities Together; £260,000 from the Amanda Lee Coppel Fund; £191,000 from Nottingham and Nottinghamshire Kidney Fund; £169,000 from the People’s Hall and Institute; £60,000 from the Nottinghamshire Police and Crime

Legacy income remained high at £1.521 million (2020/21: £1.485 million) representing 34% of income, and highlighting the important impact of legacy gifts.

Investment income increased to £384,000 (2020/21: £330,000) as a result of higher investment valuations.

Charitable Expenditure

Total expenditure for 2021/22 was £4.229 million, an increase of £1.070 million (2020/21: £3.159 million).

The main reason for this increase was approximately £400,000 granted for General Fund projects, based on a proactive campaign to recruit multi-disciplinary applications across the hospitals.

Thanks to grants from NHS Charities Together, we were also able to give £363,000 for staff psychological support following the effects of the pandemic, and £430,000 to support community-based health initiatives with partners across the county.

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

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2021/22 2020/21
Expenditure
£000 £000
Patient Welfare and
1,896 1,200
Amenities
Staff Welfare and
459 430
Development
Research 509 116
Building and
146 336
Refurbishment
Total grant expenditure 3,010 2,083
Fundraising costs
(including investment 797 670
management fees)
Support costs and
422 407
governance
Total expenditure 4,229 3,159
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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 projects. 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.

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.

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

Ethical Investment and Sustainability

The primary objective is to ensure the long-term 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:

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

represented an increase of £947,000 in the year (2020/21: £12.793 million). This comprised of additional investments of £71,000, and gains of £876,000 (after fees). No transfers were made to cash in year.

Investment income was £384,000, which represented an increase of £54,000 compared to the previous year (2020/21: £330,000) and reflects the higher investment value overall.

In November 2021 the Charity transferred investments to a new investment management team at Sarasin.

Reserves Policy

The Charity Trustees wish to provide long-term support to the Nottingham University Hospitals Trust. The Reserves 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 £1.3 million and is sufficient to fund one year’s Charity operating costs. It is based on:

Costs of governance.

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:

The value of Charity reserves at 31 March 2022 was £1.740 million (2020/21: £1.371 million).

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

At 31 March 2022 the total value of our investments was £13.740 million, which

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otrlngharo: . i-lospitalsir•f.: Ch4rity Structure •1 40 41

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

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.

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 an 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 individual Trustee may serve more than

Trustees during the year 2021/22 were:

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.

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 - 7 February 2022

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.

Keith Girling

In position 24 May 2021 - present

Keith is a consultant in critical care medicine and also Medical Director at NUH. Having worked at NUH for over 30 years, he is well-placed to support the Charity in making an impact, while being able to liaise closely with clinical teams about how the Charity can help.

Sanjeev Sharma

In position 1 April 2022 - present

Sanjeev joined our Board of Trustees after previously supporting the Charity and raising more than £42,000 through a Mount Snowdon trek, to thank hospital staff for saving his life after he was seriously ill with Covid-19. Sanjeev is a successful and well-respected barrister, based in Nottingham but practising across the country.

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, over £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.

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Remuneration Statement

The Charity’s remuneration policy is reviewed by its Trustees annually. It is to offer non-discriminatory, 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 2021/22, the Charity employed 18 full-time equivalent staff. Two employees received total remuneration greater than £60,000. The multiple between the highest pay and the median pay was no more than 3.5 times.

Managing Risks

The Trustees are legally required to minimise significant risks to the Charity. The key risks to the Charity in 2021/22 were:

Cyber risk: Cyber insurance has been purchased and staff receive annual cyber security training.

Inflation: The Charity’s running costs are closely monitored with authorisation processes in place to review spending.

Volatile investments: Regular investment reviews are conducted by Trustees following this changing financial environment through the year.

The risk register is reviewed quarterly at Trustee meetings.

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

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.

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.

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

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 so far as Trustees are aware:

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

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

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

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 for Charities (FRS102).

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

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

By Order of the Board of Trustees

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

Chairman:

Trustee:

Name: Carole Ayre Name: Roger Summerton Date: 5th October 2022 Date: 5th October 2022

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47

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 as a percentage of the income generated were 16% in 2021/22 (15% in 2020/21).

Complaints

We report our complaints to align with the Fundraising Regulator requirements. The number of complaints received for the 12 months to 31 March 2022 regarding fundraising was one. This is one more 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 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 2021/22 due to Covid-19 restrictions.

Auditor’s Opinion

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49

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

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 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 2022 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).

Conclusions relating

to going concern

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

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 2022, and of its incoming resources and application of resources, including its income and expenditure, for the year then ended;

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.

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

have been prepared in accordance with the requirements of the Companies Act 2006.

Other information

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

Base for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law.

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

In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the 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 matters prescribed by the Companies Act 2006

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

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:

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

Responsibilities of trustees

As explained more fully in the trustees’ responsibilities statement set out on page 47, 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.

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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 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, Sky View, Argosy Road, East Midlands Airport, Derby. DE74 2SA. Date: 5th October 2022

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Statement of Financial Activities for the year ended 31 March 2022 (incorporating an Income and Expenditure Account)

2021/22 2020/21
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 2,825 1,114 0 3,939 3,435 563 0 3,998
Charitable activities 3 0 0 0 0 1 0 0 1
Other trading activities 4 123 0 0 123 50 0 0 50
Investments 5 341 43 0 384 289 41 0 330
Total income and endowments 3,289 1,157 0 4,446 3,775 604 0 4,379
Expenditure on:
Raising funds 637 13 0 650 553 48 0 601
Investment management costs 136 11 0 147 62 7 0 69
Sub total 6 773 24 0 797 615 55 0 670
Charitable activities:
Patient welfare and facilities 1,216 944 0 2,160 1,117 316 0 1,433
Staff welfare and development 145 379 0 524 513 2 0 515
Research 427 154 0 581 141 (2) 0 139
Building and refurbishment 92 75 0 167 402 0 0 402
Total charitable expenditure 8 1,880 1,552 0 3,432 2,173 316 0 2,489
Total expenditure 2,653 1,576 0 4,229 2,788 371 0 3,159
Net income/(expenditure) before
gains/(losses) on investments 636 (419) 0 217 987 233 0 1,220
Gains/(losses) on investment assets 12 947 81 3 1,031 1,708 187 8 1,903
Net income/(expenditure) 1,583 (338) 3 1,248 2,695 420 8 3,123
Transfers between funds 16 93 (93) 0 0 (1) 1 0 0
Net movement in funds 1,676 (431) 3 1,248 2,694 421 8 3,123
Reconciliation of funds:
Total funds brought forward 1 April 22 14,908 1,886 47 16,841 12,214 1,465 39 13,718
Total funds carried forward 31
March		 16,584 1,455 50 18,089 14,908 1,886 47 16,841

Notes 1 to 24 form part of these financial statements

Financial Statements

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Balance sheet

as at 31 March 2022

Total at Total at
Unrestricted Restricted Endowment 31 March Unrestricted Restricted Endowment 31 March
Note Funds £000 Funds £000 Funds £000 2022 £000 Funds £000 Funds £000 Funds £000 2021 £000
Fixed assets
Investments 12 12,503 1,187 50 13,740 11,223 1,523 47 12,793
Intangible fxed assets 14 40 0 0 40 55 0 0 55
Other tangible fxed assets 4 0 0 4 5 0 0 5
Total fxed assets 12,547 1,187 50 13,784 11,283 1,523 47 12,853
Current assets
Debtors 17 241 269 0 510 72 363 0 435
Short term investments 13 4,678 741 0 5,419 4,992 421 0 5,413
Cash at bank and in hand 3,050 484 0 3,534 1,979 167 0 2,146
Stock 15 0 0 0 0 22 0 0 22
Total current assets 7,969 1,494 0 9,463 7,065 951 0 8,016
Liabilities
Creditors: Amounts falling due within
one year		 18 3,757 1,024 0 4,781 3,440 484 0 3,924
Total current liabilities 3,757 1,024 0 4,781 3,440 484 0 3,924
Net current assets/(liabilities) 4,212 470 0 4,682 3,625 467 0 4,092
Total assets less current liabilities 16,759 1,657 50 18,466 14,908 1,990 47 16,945
Creditors: Amounts falling due
after more than one year		 18 175 202 0 377 0 104 0 104
Total net assets 16,584 1,455 50 18,089 14,908 1,886 47 16,841
Funds of the Charity 22
Endowment funds - - 50 50 - - 47 47
Restricted - 1,455 - 1,455 - 1,886 - 1,886
Unrestricted 16,584 - - 16,584 14,908 - - 14,908
Total funds 16,584 1,455 50 18,089 14,908 1,886 47 16,841

The accompanying notes are an integral part of the financial statements. The financial statements on pages 54 to 68 were approved by the Board of Trustees on 5/10/2022 and signed on its behalf by:

Statements of Cash Flows

for year ending 31 March 2022

Statements of Cash Flows
for year ending 31 March 2022
2021/22 Total 2020/21 Total
Note Funds £000 Funds £000
Net (expenditure)/income for the year
(as per statement of fnancial activities)		 1,248 3,123
Adjustments for:
Depreciation charges 16 16
(Gains)/Losses on investments (1,031) (1,903)
Investment management charges paid through capital 155 69
Dividends and interest on investments (384) (330)
Increase in debtors (75) (105)
Decrease in stock 22 5
Increase in creditors 1,130 (2,684)
Net cash provided by (used in) operating activities 1,081 (1,809)
Cash fow from investing activities
Dividends and interest on investments (inc short term investments) 384 330
Purchase of intangible assets 0 (37)
Purchase of plant and equipment 0 (5)
Proceeds from sale of investments 1,237 15,332
Purchase of investments (1,308) (14,092)
Increase in short term investments (including re-allocation
from fxed assets investments)		 (6) (761)
Net cash provided by investing activities 307 767
Change in cash and cash equivalents in the year 24 1,388 (1,042)
Cash and cash equivalents brought forward 2,146 3,188
Cash and equivalents carried forward 3,534 2,146

Notes 1 to 24 form part of these financial statements

Signed:

Name: Carol Ayre

Date: 5th October 2022

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Notes to the financial statements for the period ended 31 March 2022

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

The Charity’s cash balances and unrestricted reserves position are sufficient to absorb shortterm 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, 2022/23, 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 effect 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:

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.

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

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

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.

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.

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.

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

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

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funds are provided in note 22. Income and expenditure is shown separately within the Statement of Financial Activities and analysed into its component parts in note 22.2.

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.

Unrestricted funds are available for use at the discretion of Trustees. In cases where the non-binding 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 its component parts in note 22.3.

1.7 Fixed Assets

c. Investments

Fixed and current asset investments consist of long-term and short-term investments that are recognised as:

1.8 Financial Instruments

The Charity has chosen to adopt Section 11 of FRS102 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

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 23.

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 2021/22 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 is 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 £6,000 for £5 million of cover (2020/21: £4,667 for £1 million cover).

During the year ended 31 March 2022, Trustees have received no reimbursements for expenses or other related costs (2020/21: £0).

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.

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2. Analysis of Income from Legacies and Donations

Unrestricted Restricted Endowment 2021/22 Total Unrestricted Restricted Endowment 2020/21 Total
Funds £000 Funds £000 Funds £000 Funds £000 Funds £000 Funds £000 Funds £000 Funds £000
Legacies 1,284 237 0 1,521 1,378 107 0 1,485
General donations 1,534 877 0 2,411 2,036 456 0 2,492
Government grant 7 0 0 7 21 0 0 21
Total 2,825 1,114 0 3,939 3,435 563 0 3,998

The £7,000 government grant in 2021/22 represents income from the Furlough Scheme (2020/21 £21,000).

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

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).

2021/22
total £000
2020/21
total £000
Governance costs
Salaries and associated costs
Audit
Legal
Other governance costs
Financial and support costs
Salaries and associated costs
Information technology and licence costs
Other support costs		 90
85
12
9
10
10
23
29
135
133
187
164
31
55
69
55
287
274
Total governance support 422
407

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)


Investments)
Held in Held outside 2021/22 Held in Held outside 2020/21
UK £000 UK £000 total £000 UK £000 UK £000 total £000
Investments listed on Stock Exchange 8 12 20 103 93 196
Investments in a Common Deposit Fund or Common
Investment Fund		 348 0 348 6 0 6
Cash held (including short term) 9 0 9 15 0 15
Other investments 7 0 7 102 11 113
Total 372 12 384 226 104 330

8. Analysis of Charitable Expenditure

Activities Activities
Grants undertaken Support 2021/22 Grants undertaken Support 2020/21
£000 directly £000 costs £000 total £000 £000 directly £000 costs £000 total £000
Patients welfare and facilities 1,879 17 264 2,160 1,179 21 233 1,433
Staff welfare and development 459 0 65 524 430 0 85 515
Research 509 0 72 581 116 0 23 139
Building and refurbishment 146 0 21 167 336 0 66 402
Total 2,993 17 422 3,432 2,061 21 407 2,489

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 2021/22 this charge was £62,023 (2020/21: £68,723).

9. Analysis of Grants to Institutions

6. Analysis of Expenditure on Raising Funds

2021/22 total 2020/21 total
costs £000 costs £000
Fundraising salaries 490 454
Fundraising expenses 160 147
Investment management fees 147 69
Total 797 670

The Charity has approved grants to institutions, as follows:

2021/22 2020/21
Name of institution total £000 total £000
Nottingham University Hospitals NHS Trust 2,723 1,768
University of Nottingham 270 193
Redthread 0 100
Total 2,993 2,061

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

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10. Analysis of Staff Costs

15. Stock
2021/22
total £000
2020/21
total £000
Salaries and wages
651
610
National Insurance
66
57
Other pension costs
50
48
Total staff costs
767
715
The head count for staff in this year was:
21
19
Average full time equivalent
18
17
10. Analysis of Staff Costs
10.1 Senior Employees
The key management personnel of the Charity
comprise the Trustees, the Chief Executive
Offcer, the Finance Director and the Director of
Development. The Trustees were not paid and did
not receive any other benefts from employment
with the Charity.		 Market value at 31
March
Held in
UK £000
Held
outside
UK £000
2022
total
£000
2021
total
£000
Investments listed on
Stock Exchange
89
2,352
2,441
0
Other UK fxed interest
528
0
528
0
Index linked funds
0
285
285
0
Investments in
Common Investment
Fund
9,258
0
9,258
12,752
Cash held as part
of the investment
portfolio
1,237
0
1,237
0
Currency funds
0
0
0
0
Accrual: investment
management fee held
against capital
(19)
0
(19)
(16)
Other investments
10
0
10
57
11,103
2,637
13,740
12,793
13 Short Term Investments
Unrestricted
funds £000
Restricted
funds £000
Endowment
funds £000
Total
transfer
2021/22
£000
127
(127)
0
0
(34)
34
0
0
93
(93)
0
0
16. Transfer Between Funds
QMC Association
for post graduate
education
de-restricted
15. Stock
The Charity Hub was closed during the frst
Covid-19 lock-down in March 2020 and no
date has yet been established for its reopening.
Therefore, stock held for re-sale has been written
off at the balance sheet date.
Contribution of
general funds to
restricted projects
127
(127)
0
0
(34)
34
0
0
93
(93)
0
0

The key management personnel of the Charity comprise the Trustees, the Chief Executive Officer, the Finance Director and the Director of Development. The Trustees were not paid and did not receive any other benefits from employment with the Charity.

13. Short Term Investments

The total employee benefits of key management of the Charity including employer pension contributions were £275,493 (2020/21: £277,514).

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

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.

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

14. Intangible/Tangible Fixed Assets


pension
contributions) as follows:
2021/22 2020/21
£50,000 - £59,999 1 0
£60,000 - £69,999 0 1
£70,000 - £79,999 1 1
£80,000 - £89,999 0 0
£90,000 - £99,999 1 1

17. Analysis of Debtors

Intangible fixed assets include an IT system which is held at cost less accumulated amortisation based on estimated useful economic life.

17. Analysis of Debtors
2022 2021
At 31 March £000 £000
Debtors falling due within one year:
Prepayments 22 31
Accrued income 488 404
Total debtors falling due within one year 510 435
No debtors were due after more than one year at either 31 March 2022 or 31
March 2021.

Employer’s pension costs for these employees amount to £25,216 (2020/21: £25,574)

Assets Other Total
under
construction		 intangible
fxed assets		 intangible
fxed assets
£000 £000 £000
Costs
Balance at 1 April 2021 0 71 71
Additions 0 0 0
Disposals 0 0 0
Balance at 31 March 2022 0 71 71
Accumulated
depreciation
Balance at 1 April 2021 0 16 16
Charge for the year 0 15 15
Balance at 31 March 2022 0 31 31
Net book value at 31
March 2022		 0 40 40

11. Auditors’ Remuneration

Total external audit fees for Cooper Parry in respect of statutory audit are £12,000 inclusive of VAT, which represents the auditor’s remuneration for 2021/22 (2020/21: £9,270).

18. Analysis of Creditors

18. Analysis of Creditors
2022 2021
At 31 March £000 £000
Amounts falling due within one year:
Grant accruals (note 18.1) 4,671 3,751
Deferred income 0 0
Other creditors 110 173
Total creditors falling due within one year 4,781 3,924
Amounts falling due within one year:
Grant accruals (note 18.1) 377 104
Total creditors falling due after more
than one year		 377 104

12. Fixed Asset Investment

Movement in fxed asset Investments Cash held Total
investments: £000 £000 £000
Market value brought forward 12,793 0 12,793
Add: Acquisitions at cost 71 1,237 1,308
Less: Disposals at carrying value (1,237) 0 (1,237)
Net gain/(loss) on revaluation 1,031 0 1,031
Investment fees paid against
capital		 (155) 0 (155)
Market value at 31 March 2022 12,503 1,237 13,740

Computer equipment purchased in 2020/21 at a cost of £5,976 and depreciated by £2,390 has been categorised under tangible fixed assets (having a cost equal to or greater than £5,000). The value of this equipment now stands at £3,586.

18.1 Analysis of Grant Accruals

2022 2021
At 31 March £000 £000
Outstanding grant accruals brought forward 3,855 6,200
Additions during the period 2,660 2,271
Amounts charged against the provision (1,367) (4,149)
Adjustments in the period (100) (467)
Outstanding grant accruals at 31 March 5,048 3,855
Amounts falling due within one year 4,671 3,751
Amounts falling due after more than one year 377 104
Outstanding grant accruals at 31 March 5,048 3,855

19. 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.

20. 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:

2021/22 2020/21
£000 £000
Pump-priming research grants from general
research funds		 150 150
Emergency care (previously designated to the
helipad)		 15 53
Myeloma Research Fellowship (restricted legacy) 141 201
Total 306 404

21. Loans and Guarantees

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

Nottingham Hospitals Charity Annual Report 2021/22

64

65

22. Analysis of Charitable Funds

Balance 31 Income Expenditure Transfers Gains & Balance 31
1. Endowment funds March 2021 £000 £000 £000 £000 losses £000 March 2022 £000
Nottingham Children’s Samaritan Fund 47 0 0 0 3 50
Total 47 0 0 0 3 50
Balance 31 Income Expenditure Transfers Gains & Balance 31
Endowment funds - prior year 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
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 2021 £000 £000 £000 £000 losses £000 March 2022 £000
Motor Neurone Disease Research 274 8 (12) 0 3 273
Myeloma Research Fellowship 201 5 (67) 0 2 141
Nottingham Children’s Samaritan Fund 69 4 (11) 15 7 84
Palliative Care Fund 251 111 (291) 0 3 74
Postgraduate Multidisciplinary Education Fund 127 0 0 (127) 0 0
Big Appeal 106 3 (110) 0 1 0
Gynae-Oncology Research 50 1 (2) 0 0 49
Cardiac Services 51 6 (3) 0 0 54
Staff Health and Wellbeing Programme 330 8 (372) 34 0 0
Clinical Haematology 0 80 (80) 0 0 0
Amanda Lee Coppel Fund 0 260 0 0 0 260
NHS Charities Together (NHSCT) 0 428 (428) 0 0 0
Restricted Fund Reserve Account 137 0 (11) (15) 59 170
Others (15) 290 243 (189) 0 6 350
Total 1,886 1,157 (1,576) (93) 81 1,455

Restricted funds - prior year

Restricted funds - prior year
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
Postgraduate Multidisciplinary Education Fund 128 3 (7) 0 3 127
Big Appeal 105 3 (5) 0 3 106
Gynae-Oncology Research 49 1 (2) 0 2 50
Cardiac Services 51 1 (2) 0 1 51
Staff Health and Wellbeing Programme 0 372 (52) 0 10 330
Restricted Revaluation Fund 0 0 (7) 0 144 137
Others (20) 274 122 (114) 1 7 290
Total 1,465 604 (371) 1 187 1,886

Detail of material restricted funds

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 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.
Palliative Care Fund A legacy fund to support care and treatment for Palliative Care.
Postgraduate Multidisciplinary Education Fund To further the promotion and advancement of postgraduate education, study, general knowledge
and research in the general area of medicine embracing 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 Services A legacy fund to provide cardiac care including equipment and research.
Staff Health and Wellbeing Programme A grant to fund staff programmes across NUH.
Amanda Lee Coppel Fund For the beneft of special needs children and young adults who are NHS patients within
Nottinghamshire.
NHSCT Restricted grants provided by NHS Charities Together to fund projects across Nottingham City,
South and North Nottinghamshire.
Restricted Revaluation Fund Accumulated Revaluation Fund in relation to restricted funds.
Clinical Haematology Specifc donation to fund ward improvements in Clinical Haematology.

3. Unrestricted funds

Detail of material unrestricted funds

The following funds are held to support general or research projects within the The following funds are held to support general or research projects within the designated division or specialty: division or specialty:
Balance 31 Income
Expenditure		 Transfers Gains & Balance 31
March 2021 £000 £000 £000 £000 losses £000 March 2022 £000
Designated Funds
Breast Fund 631 95 (23) 0 3 706
Children’s Hospital including Big Appeal 1,489 287 (272) (108) 18 1,414
Emergency Care (formerly Helipad Fund) 41 0 0 (15) 0 26
Lead Appeal Gift Fund 1,300 0 0 (650) 0 650
Nephrology Research Fund 401 193 (99) 0 6 501
Palliative Care 2,560 274 (137) (702) 23 2,018
Research General 452 25 (41) 0 5 441
Staff Development Fund 465 168 (30) 0 8 611
Stroke Services 0 12 (18) 483 6 483
Revaluation Fund 1,982 0 0 7 672 2,661
Other designated funds (145) 4,216 1,906 (1,400) 428 183 5,333
Total designated funds 13,537 2,960 (2,020) (557) 924 14,844
Reserves
General funds (including Directorate Support and
NUH Development) 1,371 329 (633) 650 23 1,740
Total reserves 1,371 329 (633) 650 23 1,740
Total unrestricted funds 14,908 3,289 (2,653) 93 947 16,584

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

Nottingham Hospitals Charity Annual Report 2021/22 67

66

Detail of material unrestricted funds - prior year

Detail of material unrestricted funds - prior year
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
NUH Development) 1,745 907 (1,321) 0 40 1,371
Total designated funds 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 unrestricted funds are classified as material.

The following transfers between material funds were made in 2021/22:

Reference and administrative details of the Charity

Charity name:

Nottingham University Hospitals Charity Nottingham Hospitals Charity 1165397

Other names used: Registered number: Charity’s Objects:

Any charitable purpose relating to Nottingham University Hospitals NHS Trust or the purposes of the health service. 9978675

Company registration no: Registered office:

Nottingham University Hospitals Charity, 2 Embley Road, Nottingham NG5 1RE. 0115 962 7905

Telephone: Email: Web address:

charity@nuh.nhs.uk

www.nottinghamhospitalscharity.org.uk

3. Unrestricted funds

Advisors:

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 (NUH).
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 NUH.
Palliative Care Designated fund to support Palliative Care and Hayward House at NUH.
Research General Designated fund to support research projects at NUH.
Staff Development Fund Designated fund to support staff development related projects at NUH.
Stroke Services Designated fund to support Stroke Services at NUH.
Revaluation Fund Accumulated Revaluation Fund.
NUH Development Unrestricted fund to support innovation projects at NUH.
Directorate Support Unrestricted fund to provide support for cross hospital projects.

23. Leasing Commitments

24. Analysis of Changes in Net Debt

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

Bankers:

National Westminster Bank PLC 16 South Parade, Nottingham. NG1 2JX

Investment Managers:

Sarasin CCLA Juxon House, Senator House, 100 St Paul’s Churchyard, 85 Queen Victoria Street, London. London. EC4M 8BU EC4V 4ET

Solicitors:

Browne Jacobson LLP Mowbray House, Castle Meadow Road, Nottingham. NG2 1BJ

Auditors:

Cooper Parry Group Limited Sky View, Argosy Road, East Midlands Airport, Derby. DE74 2SA

2021/22
£000
2020/21
£000
Within one year
5
5
Between one and fve years
20
20
Over fve years
8
13		 At 01
April 2021
£000
Cash
fows
£000
Other
changes
£000
At 31
March
2022 £000
Cash at bank and
in hand
2,146
1,388
-
3,534
Total
2,146
1,388
0
3,534

68

Thank you to our generous donors for supporting us throughout 2021/22.

If you would like to find out more about how to make a donation, take part in a fundraising event or leave a gift in your Will, please visit

nottinghamhospitalscharity.org.uk/annualreport2022

or contact us: Telephone: 0115 962 7905 Email: charity@nuh.nhs.uk

Alternatively, donate online today by scanning the QR code below:

@NottinghamHospitalsCharity @NUHCharity @NUH_Charity

Nottingham University Hospitals Charity registered in England & Wales no. 1165397. Company Limited by Guarantee registered in England no. 9978675.