## Northamptonshire Health Charitable Fund Trading as Northamptonshire Health Charity Charity No 1165702 ## Annual report and accounts Year ended 31 March 2023 Page 1 ## **Contents** Foreword by the Charity Chair ...............................................................................................4 Vision and strategic objectives ...............................................................................................5 Review of the year .................................................................................................................6 Our achievements...........................................................................................................................6 Income ...................................................................................................................................7 Our impact in 2022/23 ............................................................................................................9 Funding prevention initiatives ..........................................................................................................9 Improving diagnostics in your hospitals ...........................................................................................9 Enhancing treatments across hospitals and community healthcare services .................................. 10 Supporting children, young people and babies born prematurely ................................................... 12 Supporting mental health .............................................................................................................. 13 Accelerating recovery and rehab in your hospitals ......................................................................... 14 Helping patients with cancer ......................................................................................................... 15 Enhancing the environment for patients and staff .......................................................................... 16 Supporting our NHS staff .............................................................................................................. 18 Recognising staff achievements .................................................................................................... 19 Patient wellbeing .......................................................................................................................... 20 Our fundraising ....................................................................................................................21 Current fundraising appeals .......................................................................................................... 21 Our events .................................................................................................................................... 22 A special thank you ....................................................................................................................... 22 Charity longer term plans .....................................................................................................24 Our Trustees ........................................................................................................................25 Basis of preparation and legal framework ............................................................................29 Structure, Governance and Management .............................................................................30 Trustees ....................................................................................................................................... 31 Charity staff team.......................................................................................................................... 31 Charitable Funds Sub Committees ................................................................................................ 31 Fund advisors ............................................................................................................................... 32 Fundraising arrangements ............................................................................................................ 32 Volunteers .................................................................................................................................... 32 Public Benefit Test ........................................................................................................................ 32 Risk Management ......................................................................................................................... 33 Reserves Policy ............................................................................................................................ 33 Investment Strategy ...................................................................................................................... 33 Partnership Working and Networks ............................................................................................... 33 Statement of Trustees’ Responsibilities ................................................................................35 Statement of Financial Activity .............................................................................................36 Statement of Financial Position ............................................................................................37 Cash generated from operations and cash in holdings .................................................................. 39 Notes on accounts ...............................................................................................................40 1. Accounting Policies ................................................................................................................... 40 2. Related party transactions......................................................................................................... 44 3. Analysis of voluntary income ..................................................................................................... 45 4. Incoming resources from charitable fundraising activities .......................................................... 45 5. Analysis of fundraising costs ..................................................................................................... 46 6. Analysis and allocation of support costs and overheads ............................................................ 46 7. Analysis of charitable expenditure ............................................................................................. 47 8. Analysis of grants ..................................................................................................................... 48 9. Transfers between funds ........................................................................................................... 48 10. Analysis of staff costs.............................................................................................................. 48 11. Auditor’s remuneration ............................................................................................................ 48 12.Operational Fixed Assets & Land and Buildings ....................................................................... 49 Page 2 13. Heritage assets ....................................................................................................................... 50 14. Investments ............................................................................................................................ 51 15. Total Gross income from investments and cash on deposit ..................................................... 52 16. Analysis of current assets ....................................................................................................... 52 17. Analysis of current liabilities and long-term creditors ................................................................ 53 18. Analysis of movements and purpose of main funds by beneficiary organisation and category for the past two years......................................................................................................................... 54 Independent Auditor’s report to the Trustees of Northamptonshire Health Charitable Fund .59 Page 3 FOREWORD Foreword b the Charit Chair l arn pleased to introduce the sèventh annual report ofth8 Nothamptonshire Health Charftsbla Fund for the year ended 311t Marth 2023. Th8 charfty tradés as Northamptonshlr8 Health Charfty. tha offlelal charlty supporting hospitals and community healthcare services under three NHS trusts Ihroughoul Northamptonshire. It has bean antsther year of incredlbla 8UPPOrt fTDm our lornl c4Jmmunity and ￿0nd, I￿1h ￿$t over £1.06m being rais8d that ha8 enablod many gffjot things to happen. l am dellghted lo report th8t tha eharity has cx)ntinued lo make a slgnfflcant and tsngible dIffe￿nCe to the pali6nls, their familles and the 8tsff at Northampton GenoTr1 Hospit81 {NGHI, Kgtteflng Gen8rdl Hosphal (KGHI and Northampton8hlfa Healthcare FoundatSon Tru8t (NHFT). Some key hlghlights havo been.. Spendlng ovor £225k on patlent ￿lfare largetsd at Improvlng th8 pallent 8xperl8nce 8cro88 all Ihme NHS tIU8ts. Spendlng over £447k on medi￿1 tyulpmont to meet the healih n88d8 of the loc41 communlty and enhan￿ dlagno8tlcg, treatment. ￿[? ond recovery for Pa￿nts In our ho4)itals and those acce881ng community hg?Ithcgre 88rvS¢88. Spandlng Over £413k on ￿lf*ra to enhance the 8UPPOrt and fac11￿￿$ av811abb to Staff who have o)ntlnLted to work 80 conscSenWously and pmfe$$lonally over the pa81 year. As In pr8vlou$ years. maklng sure that every Inpalient al NGH, KGH and acr088 NHFr recelv8d 8 gfft b89 of ¥mall pre88nts on Chrf8kna8 day. Th9ft￿ 4s alway¥ to the generoslty of all donated gfft8 to our Chri8tma8 app￿1 In 2022. Flnally, I would Ilko to expro$8 my h8artfett gralltude lo all Our klnd and generou8 th)norn, d8dl¢aled fundra18ers, lo my fellow Iwstees. 8nd the nwnerou8 voluntsern who work alongskle the charfly team. Thelr commlkn8nt dedlGation arg truly remarkabkg. 8uih•l O Chalr Islio los Page 4 Heallh VISION AND STIIATEGIC OBJECTIVES Vision and strate ic ob-ectives The Northamptonshire Health Charitable Fund was registered as a Charitable Incorporated Organisalion on the 23, February 2016, registration No 1165702. The charity uses Northamptonshire Health Charity as Its abbreviated form on the rnajority of its communications with the public. The main objectives of the Charity are to hold trust funds and apply the income and capital for any charitable wrposes relating to the National Health Service wholly or mainly for the services provided by.. Northampton General Hosprtal NHS Trust {NGHI Northamptonshire Healthcar8 NHS Foundation Trust {NHFr) Kettering General Hospital NHS Foundation Trust IKGH) With a population of over 700,000 throughout the county. the local NHS trusts supported by the charity ar8 always ready to treat and care for everyonè, around the clock. By active fundraising and by securing donations, legacies and sponsorship, the tharity seeks to piovide funding for equipment and projects that enable the lrnsls to provide a level of care which goes beyond what state funding can provide. We invite you to support us in our work, so please read on, and us tell you more about ourselves. what we do, what we have achieved and how we spend the money given to U5 to maximise the irnpact it C8n have. In Setting objectives and making plans for the year, the trustees considered the Charity Commission's general guidance on public benefit and in particular to the public benefit of providing support for the relief of ill-health. The Iruslees adopte.d A 8ft1 of strategic objectives in April 2019 which continue lo act as the framework for the direction of the charity. The framework is presented diagrammatically below, There then follows a review of current year achh?V8ments. Ovft VISION "Help u> loday to Improve Ibve$tomorrow" OUR MISSION To partn•rwlth the NH5 Bodle5 ITru5l51 of Northampton$hlr• In enhancln the healthure experience for all. Page 5 Health OPERATIONAL REVIEW Review of the ear The charity provided continuing SUp￿rt for the University Hospitals of Northamptonshire NHS Group (NGH & KGHI and Ihe communty and mentsl health hospitals and Services under Northamptonshire Healthcaie NHS Foundation Trust INHFTI. We continued to support th8 recovery challenges oflhe COVID-19 pandemic while there was a retum lo funding a broader spectrum of inrtiatives. including equipment and projects unrelated to the pandemic. Our specific plans also induded.. Consolidaling the previous year's merger with the KGH chanty FurKI. To obtain further grant support from NHS Charities together and ensure effective usagé of funds r8ceived. Promote appropriate fundraising initiatives that seek lo enwurage community partners, and where appropriate patient and service user involvement. Pioviding grants towards the enhancement of patient care facilities and projects supporting staff. Continued support to local community care service provision including increased provision of complernentary therapy 5e5sion8 and skills development 88ssions. Our achievements We have continued to work closely with KGH teams following the successful Merger with KGH Charity Fund in April 2021. Grant making during the year has prioritised supporting medical equipment, and staff arjd patlent faci1Stie8 in accordance with the sp8crflc needs Igentlfied by all three trusts. All three of the trust specific sub cominilLeei> provid&Y valued support, continuing to use Microsoft Teams meets'ngs as the norm. The charity was the Northamptonshire Chamber of Commerce Charity of the Year for 2022r23. which helped to begin for9ing new relationships with local bu5iness8s. We received the Charity of the Year award at the Northampionshire Business Awards 2022, a great way to recognise the impact our support has for healthcare in our local hospitsls across the county, thanks in tum lo those who support us. Page 6 Heolth Chorily OPERATIOM4L REVIEW The overall financial perf0Than￿ for the year is summarised with analysis between the benefIC￿ry organisations. Funds 2021n2 .¥42*#' NGH Funds 2021n2 X2022123 NHFT Funds Core act￿1￿ 20211ZZ Total 2O21n2' 000 Inco￿ Don8btr)s & othtrffftts ANHSC fyants J37 103 44, 57 1.0 137 66 44 Fundwsing 42 Total incorr 123 25 1SOr E¥pAndltur• Fu￿ra￿l￿ (*anls pwd SL￿￿¢¢* 279 7.. 505 192 ffj8 166 1.580 1.80 Total •xp•ndttur• 612 197 The overall cost of fundraising is 25% of total donations, grants, legacies and fundralsing income (excluding investments) generated during the year. Income Donation income for the year has continued to be dramatically impacted by the continued constraints on hospital visiting while the continuing relaxation of wider r8Strictions has meant further recovery in our events income stream. The chart below reflects income by ¢ategory for the past four financial years. Sources of Income 7CK).OLI) 6m,0(Y)￿) 4W.O(X)LKI 3Q¥).OLIILKI 2CU,OLY)IKI 0￿0 I.IA 83Thi5Ed event5 In Men￿[V dOna￿onS ￿e￿er￿1 donation5 fjran15 L•wi•s •2022123 • 202U22 •20zoI2L '. 2Dlgho Page 7 Health CPiorily OPERATIONAL REVIEW It is thanks to the kindness and generosity of people in the local community supporting Northamptonshire Health Charity, that has enabled us to help our local NHS hospitals and community healthcare services do more. General donations and grants from Trusts and Foundations totalled £481 k. while £208k was received from fundraising events and activities. £145k wa5 received via legacies from a number of generous benefactors. All legacies make a significant difference to héalthcare in our hospitals. ￿lIe unrestricted legacies enable us to do more to help where the need is greatest, fftre a legacy is restricted, the charity will always seek to effectively comply ¥Mth the wishes of the donor. £229k was received in grants from NHS Charities Together continuing to support projects and initiatives following the pandemic. In summary our expenditure for the y8ar is analysed in the table below by category: Medlcal equipment.. £447k was in respect of providing specialist equipment to enhance diagnostics, treatment, care and recovery for patients in our hospitals. Patlent welfare.. £225k ￿lch was directed towards improving and enhancing the patient experience. Staff welfare.. £413k which included continuing to provide opportunities for staff to pause and reflect with practical assistance and restoration days, amongst other wellbeing projects. Dlrect servlcè 8UPPOrt'. £103k (£292k including charity overhead8), which includes supporting the growth of the volunteer services teams across both NGH and KGH. 6￿,(1(￿) s￿,0(#) 4(n,O(A) BU￿dIng Medical Paiient Stafl Stalf WoTks Equipmeni Wdlaie & Welfare & iraining Arvenities Amenitie5 Re59•rih Setviie support Gront Cate80ry •2022123 W 2021122 W 202ty21 2019120 On the following pages V￿ share some of the spectfic impact stories from the past financial year. We would like to take this opportunity to thank everyone who has donated to us, taken part in our events or completed théir own fundraising activities - it is thanks to all of our supporters that all these wonderfrjl things, and many more besides, have been abte to hap￿n. Page 8 Heollh OUR IMPACT Our im act in 2022123 From April 2022 to the end of March 2023, we spent £1.332 million on charitabl8 expenditure improving your local NHS hospitals and communty healthcare services. Funding prevention initiatives To mark Falls Preventlon Week in September 2022, the charity supported the Falls Roadshow at KGH. helping to raise awareness around preventing patient falls. This b8n6fitted all byards and departments across the hospital, contributed to staff development and leads to benefits in patiént care. In November, we provided support for a series of activities to mark Pre88ure Ulcer Prevention Awarenesg Week by funding one thousand shatterproof mirror cards. The activities helped to enhance knowledge and awareness among hospital staff. Engagement with staff regarding pressure ulcer prevention directly impacts patient care and prevention on pressure ulcer development. A grant from the charity fvnded a social 8vent at West Lodge Fam Park for thildrèn with Type-2 diabetes. It's important to be able to fund events like this for children with both Type- 1 and Type-2 diabetes, giving the community healthcare teams the added opportunity to educate children in managing their cofidition to prevent adverse side-effects and complications, some that could lead to future hospital admissions. Improving diagnostics in your hospitals Supportlng early detectlon and dlagnosis of heart conditions £101,474 was grantad to NGH for an Echo Machine to support with training specialist registrars and highly specialist cardiac physiologists in the cardiology departrnent. The machine produces very high-quality images, ￿1¢h are essential for early detection and diagnosis of certain condrtions that can sometimes be missed because of the poorer quality images from les5-specialised equipmenl. Speedlng up heart procedures A further £14.000 enabled cardiology at NGH lo wrchase additional li￿nseS allowing muttt'ple users to report on echocardiograms. The additional licenses mean echo reports for inpatients and outpatients will not be hekl up because the department's license is being used by training staff. Reduclng health rlsk8 for patlents wlth limited mobility £28,800 was granted to KGH for an Ergometer e-bike to perfomi stress Echo without the need for medication or Exercise Tolerance Tests (ETh) vthen patients have limited mobility. The Ergometer enables staff to increase a patient's heart rate in a more physiological way Page 9 Hgolth harily OUR IMPACT wtih a signtficant risk reduction to the patient. This ensures a tirrely diagnosis wiihout unnecessary delays Caused by other diagnosis tests. A grant of £7,700 to KGH bought an MRI conditional wheelchair and trolley to transfer patients to and from thelr new cardiac scanner. The enhanced m(MJel, available thanks to Support from us, affords many more benefits for all patients compared with the standard NHS-funded altematlV8, induding for thos8 wlth limlted mobility. Breaklng the language barrier £16,116 was granted to cardiology at NGH for a one-year trial of "Explain My Procedure.. These are animations to support communication and understarKling of cardiology procedures for patients where English is not their first language. It is available ￿ muKiplé languages includlng, Arablc, Bengali, Hindu, Turkish and Polish. Anwnation8 d88crlbe the procèdures, th8ir benefrts, risks and alternatives in a patient-friendly language. It provides people with the time to better understand the procedure they require. supportlng the Palpltatlons Cllnlc £1,490 furKled 10 x Kardia h8nd-held heart monitors to support patients attending the nur8e- led Cardiology Palpitations Clinic at NGH. Some patients will benefit from 8-lead monltorlng, particularfy those at risk of stroke and other conditions. The mobile device8 enhance the opportunities for diagnosis and appropriate treatment planning. Helplng chlldron £500 purchased tr4Joks and flash cards to support patients who h8ve been diagnosed with breast cancer. These are for women who have children to help ease the explanations to them at such an emotional and worying time. Enhancing treatments across hospitals and communlty healthcare services Asslsting 'Stitch' the Surgical Robot £110,756 was spent from the Allred Staden Legacy to provkle cutting-edge equipment for use with the new Trust-funded surgical rot#)t in the urology department at NGH. Our grant funded a tespoke surgical table (Trusystem 70QKJdV), vthich enables Its positioning to be easily altered. This leads to incre8sed efficiency and being able to better manage the patyant when requiring optimal 8xposure 8nd access to the target anatomy. It means less time for the patient on the operating tab￿ due to Ihe lime saved having to manually atsr the position of a standard operating table. Consequently, the patienl's time under general anaesthesia may be refjuced. Th• Alrstrgam Ilow System for In robotlc 8urgery P￿e 10 Heallh Cliorily OUR IMPACT An Airstream Intelligent Flow System was also purchased. This allows for better managernent of complex bleeding during surgery. Consequently, this also means reduction in theatre time and a number of other benefits during surgical procedures. Tralnlng doctors across multipl8 disciplines KGH received a £22,160 grant to buy an ORSIM bronchoscopy simulator to train doctors in anaeslhelics, intensive care. respiratory medicine, paediatrics, and medical simulation, This equipment allows doctors to practi￿ managing difficult airway srtualions in a simulated setting, which helps them gain valuable experience in dealing with these situations across wide range of medical Condit￿n8 in day-to-day clinical practice. The training can18ad to a reduction in the risk of complications from challenging procedures and shorter waltlng tim8S for some procedures. Enhancing care for the elderly Thanks to a £66,000 grant from the Florence Jessie-cleaver Trust, we funded 10 x Reminiscence Interactive Therapy Activities (RITA) equipment for KGH. These can benefil up to 156 elderly patients. many of them with dementia, across seven geriatric wards al any one time. Slaff can provide more P81hgnt-cenlred care that helps reduce agitation, isolation. depression and delirium. Patients engage in meaningful activities and entertainment, tailored to their individual needs and personalities. It helps to reduce anxiety and boredom, improving mood and patient w811being. which can speed up recovery. RITA •qulpm•nt Supportlng •ld&rly pallèiil¥ Emergency Matron, Liz Meeks said.. We had 8 very agitated pat￿nI...￿s1ng RITA she began singing merrity along fo 8 rnusKal. It was fantastK to seg the change!. Helplng people with cancer We provlded fijnding for the annual service and mainlenanr£ of the chemotherapy scalp cooling equipment in the Centenary Wing at KGH. This is a simple treatment that can help prevent hair loss caused by ￿rtain chemotherapy drugs. Proven effective in preventing or reducing chemotherapy-induced alopecia, allowing faster regr0￿h thus shortening the lime patient is without hair post-treatment and allowing them to get back another level of normalty. When a patient's hair doesn't fall out it means they can keep their diagnosis private, take some control over their treatment and li helps boost their confidence and face treatrnenl more wsitively. Page11 Heollh L-haiilv OUR IMPACT Supporting children, young people and babies born prematurely Safespace Cot A Safespe￿ Cot was purchased by Ihe child health department at NGH, funded by £10,668 granl from the charity, to provide a safe sleeping and care space for children with complex needs. ￿en they outgrow a standard cot bed and need to spend lime in the hospital, they only have 8ccess to regular teds meaning their parents or carers feel the need to stay with thèm constantly. Th8 Safespace cot means parenlslcarers Can take much-needed breaks to rest and refuel. It can also be used as a small sensory space for the children on Paddington ward withoul having to rety on always using the ¢hild development cenlres, facilities. This creates more opportunities for complex needs children to experience a sensory environment while being treated in the hospital. Twln Cot There can often be more than one set of twins b8ing cared for in the local neonatal and special care baby units following premature birth at our acute hospitals. A £4,275 grant enabled the KGH unit to purchase an additional Twn Healed Cot, which means that more sets of ￿l￿S can be supported together at any one tlme rather than having to wait. Twln trle•ted Cot •upportlng mor? ￿t• twlns at any ong tlrn? Improvlng the experlence for patlents In the Stroke unlt £3,907 funded an Accuvein handheld vie￿ng system for Benham Hyper Acute Stroke Unit al NGH allowing staff to see veins More clearly for more effective venipunctuTe procedures. It means less discomfort for the patient. and it is also useful as a tralning aid. Enabling better pationt outcomes for Rheumatology A £1,312 grant to KGH meant the Rheumatology department could purchase a 3-year renewal subscription of the Uptodate" clinical resource, ￿1¢h helps medical professionals make appropriate care decisions and drives bettsr patient outcomes. Page 12 Heoltii C.harily OUR IMPACT Supporting mental health Patlent artwork We have funded the installation of some delightful arfvnrk on thé walls of the Wheatfield Unit at 8errywood Hospital. The NHFT unit delivers mental well-being support for men who have been detained undèr the Mental Health Act meetthe criteria for low seoure care. Staff came up with the idea to use pholographs taken by patients as part of a photography project as well as some original artwork by patients. A competitson was held for patients and staff to vote for favourites- 3 photographs were selected, and 2 watercolours were made into pane15. The arfv￿rk makes the ward feel less clinical 8nd contributes to both patient and staff well-being. Actlvlty packs lor p•opl• wlth learnlng dlsabllltles £2,304 funded 480 Activity Packs to benefit Feople with leaming disabilities in the local communty. The kle8 originated during the pandernic when the charity funded Summer Staycation packs, ￿lch gave mueh-needed support to people who would have otherwse been out and about at various day groups or on group holidays. The packs offer ideas and inspiratlon to 8eNlce users, their farnilies and carers, and continue to make a dlfference. ..r4 AC VITY PACK SPRING & SUMMER AC.TIVITY VACK l Theigpy 2023 Sports and activities for adults £1,400 In fundlng w8s agreed for another year of football sessions for patients recEiving treatsnent for mental health conditions at the Welland Centre, St Mary's Hospital, Kettering. Participation in regular physical activity can increase self-esteern and reduce stress. Physical activity can Improve the quality of lrfe for those experiencing mental health problems and some patients continue to attend and enjoy the football sessions after being discharged. Grants totalling just over £3,000 also funded pool tables for patients to use on wards at both st Marfs Hospital and 8ewood Hospital in Northampton. Page 13 Heallh Ch.arily OUR IMPACT Enhancing patient experlence for young people £800 was granted to NHFT to purchase a range of items for The Sett, an inpatient unit for the Child and Adolescent Mentsl Health se￿iCe {CAMHS). Ranging from colourful and Comfortab￿ beanbag chairs, rattan garden chairs and ￿0-seater Bistro sets. to ice crushers and nail lamp and polish kits - these are things that help young patients participate in engaging activth'es alongsKle their treatment plans. Accelerating recovery and rehab in your hospitals Rehab garden for patlents In ICU Holly Wodand, 8 Healthcare Assistant in the KGH neonatsl unil, fomierly in ICU, spearheaded the creation of an ICU Rehabilrtation Garden with £10,000 charity grantfrom the charity. Addrtional fundraising efforts by Holly and others support its contents and future upkeep. This outdoor spaG8 offers signrficant beneffts for ICU patients, who typically 8tay in the unit got around 21 days, providing vital exposure to natural light and fresh air, aiding rehabil'rtation 8nd mental heatih. It also allows intensive care patients to spènd quality time outdoors with loved ones, including children and even family pets when appropriate. Enhanclng care for stroke recovery We graiited £3,162 10 Ili¥ community Stroke team at NGH so they could buy 20 x E Stim Machines and 2 x PACE FES (Functional Eledrical Slimulationl Kits, which are making massive dtfferenc8 to the care the team provides to patients in the local community recovering from stroke. The tearn provides 8 Stroke rehabilitation seNice drN8n by highly skilled clinicians consisting of occupational and speech therapists, physiotherapists, nurses and rehabilitation assistants. After they are discharged from hospital, members of the team visit patients in their own home, working with them to develop rehab11rtal￿n programme. Community Stroke Team Having access to the extra equipmen( one of the physio's d•monstratlng equipment we fundgd said.. "Its made life so much easier...just being able to thanks tts th• local Con8eTvallve Club's donatlon acc8SS this 8quipment much qu1ck8rforrnypat￿￿tS'. Page 14 Heollh r_liority OUR IMPACT Supporting patients with poor posture Donalions from the Brackley Friends Charity in 2021 5UPPOrted our grant of £4.918 10 Brackley Community Hospital this year. for them to purchase ￿0 Remlec 'Mobile Multi, chairs. The multiple positioning of the chairs particularly helps patients who have poor posture prior to starting their rehabilitat￿n. Cycllng to recovery with therapy blkes for community hospitals Abseiling, half marathons and mountain climbing are among the fundraising feats by staff on a rehabilitation ward at Isebrook Hospital (NHFT) in Wellingborough, that helped towards the £6,495 we granted NHFTfor new rehab bike. The Therabike is helping patients on Hazelwoc*J Ward suffering from neurological and mobility corKlitions, including strokes. The static bike gives feedback on how much work a patient is achieving on either side of the body, helping build strength in the ams and legs. The charity also funded a Therabike and accompanying standing frame to benefrt patients at Brackley Community Hospital. Helping patients with cancer Fundlng short breaks The charity granted £9,590 to ensure patients rp.rsth.ivlng treatment for Cancer al NGH can continue having the option to get away for a caravan stay al Meadowbank Holiday Park, near Bournemouth. Holidays are booked in between or just after treatment and the holiday park is near to the local hospital, which has close links with NGH ensuring patients have all the support they need during their slay. The ongoing feedback from patients is always very positive. Yoga sesslons Thanks to a £3,000 donation from the Leon Barwell Foundation. we can continue funding Stretch to the Future Yoga sessions for local cancer patients in Kettering through the KGH Can￿r Support and Infornation Centre. This grant also enables the NGH Cancer Support Centre lo provije yoga sessions to their patients. Page15 Heolth C_'hcii'ity OUR IMPACT These sessions benefit individuals awaiting treatment, undergoing treatrnenl, or within 1- year post-treatment. Many participants who may have never considered yoga before are now learning new skills, connecting with others in similar situations, and addressing treatment side effects like fatigue, insomnia, stress and anxiety, These sessions promote both physical and mental well-being thile fostenng a sense of community among patients. Enhancing the environment for patients and staff Supporting the NGH Critical Care Unit We granted £26,000 to NGH lo fund a range ofextras for the brand-new NHS-funded Critical Care Unil. which opened in June 2022. From the colourfvjl vinyl infographics that help lo explain lo relatives what different pi8ces of equipment are used for in the unit and what they do for their loved one, to a stunning rnural,. comfortable modem furniture for the new family and relatives, room and LED sky lights so patients lying down for long periods have something nice to see ins18ad of the usual blank eiling tiles. *4L Breaking bad news room Funding was granted for fumiture for a room on the Urgent Care wards at KGH, Whe￿ staff can break bad news about a patient's prognosis wth their relatives, providing a comfortable and confidential space at a time of emotional stress. The comfortable furniture plays an important role in creating Ihe right environment for patients who are anxious and looking for reassuran￿. Page 16 Hetslth C.hor..ly OUR IMPACT Supporting endwof-lifeJ in ¢oniunction with updated membership and financial data for the cuffent reporting period, and is accepted as providing suitably robust figures for financial reporting purposes. The valuation of the scheme liability as of 31 March 2023, is based on valuation data as 31 March 2022, updated to 31 March 2023 with summary global member and accounting dats. In undertaking this actuarial assessment, the methodology prescribed in IAS 19, relevant FReM interpretats'ons, and the discount rate prescribed by HM Treasury have also b88n used. The latest asses%nent of the liabilities of the scheme is contained in the report of the scheme actuary. which fomis part of the annual NHS Pension Scheme Accounts. These accounts can bc vicwed on the NHS Pensions websit8 and are published annually. Copi•J¥ can also be obtained from The Stationery Office. (lij Full actuarial Lfunding) voluotion The purpose of this valuation is to assess the level of liability in respect of the benefits due under the schemes (taking into account recent demographic experience), and to recommend contribution rates payable by employees and employers. The latest a￿Uarial valuation undertaken for the NHS Pension Scheme was completed as of 31 March 2016. The results of this valuation set the employer contribution rate payable from April 2019 to 20 6% of pensionable pay. The actuarial valuation as of 31 March 2020 is currently underway and wll set the new employer contribution rate due to be implemented from April 2024. In) Taxatlon The charity is considered to pass the tests set out in Paragraph 1 Schedule 6 Finan￿ A 2010 and therefore it meets the defir)ition of a charitable trust for UK income tsx purpose5. Accordingly, the charty is potentialty exempt from taxation in respect of ineoma or capital gains received within categories covered by Part 10 Income Tax Act 2007 or P￿e 43 Health NOTES ON ACCOUNTS Section 256 of the Taxation of Chargeable Gains Act 1992, to the extent that such income or gains are applied exclusively lo charitable purposes. (o) H•ritsge Assets of the Charity The Heritag8 Assets of the charity have been collected sinc8 1790 and consist of a large collection of historical books, case Wgers, joumals, paintings, photographs, commernorative plaques, eady orthopaedic implants, Medical equlpment and instruments. A number of the large portraits are currently displayed in the NGH Board Room and other me8ting rooms across the hospital. The rest of the collection is in the archive room, adjoining the NGH Board Room. The archive rooms are open for viewing each Wednesday by appointment, subject lo any NGH Trust visiting restrictions. Care of the archive is undertaken by volunteers. 2. Related party transactions Northamplonshire He81thc8re NHS Foundation Tmst, Kettering General Hospital NHS Foundation Trust and Northampton General Hospital NHS Tru81 are the three main beneficiaries of the charity. The charity has provided funding to these NHS Trusts for approved expervjiture made on behalf of th8 charity. This funding amounted to £1,129k12021122 £1,117k) and is included In the total grant making costs of £1,332k (2021122 £1,281 kl as detailed in notes 7 & 8. Northampton Gèneral Hospital and Kettering G8n8ral Hospital provple support seNices to the charity including a cashiering and cl8aning servic8. The amounts charged are on a fvll direct C05t recovery basis. During the year none of the Board members of 8lther NHS Trust Board or parties related to them were baneficlarles of the charity. Pa3e 44 Heallh NOTES ON ACCOUNTS 3. Analysis of voluntary income 2021122 202W23 £OOO's 510 481 331 31 165 43 1,561 £OOO's 107 310 144 21 230 Donations over £5k Other donations Legacies Oonaled rtems HSC grants Grants Total 856 Significant items included.. Care of the elderly donation of £66,OC Donation for A&E Wellbeing of £20,000 In Mem donation for COPD of£10,000 4. Incoming resources from charitable fundraising activities Events Sncome relates to both events promoted dir8Ctly by the charity and individuals raising funds through specific events they have organis&J in the name of the charity. The local staff lotteries generated £62k (2021122 £62k), a net of £31 k after deducting prize money. 2021122 2022123 £OOO'• £OOO'$ Events income 113 141 Lottery 62 Berrywood shop Total 177 205 Page 45 Heollh C-.hnrity NOTES ON ACCOUNTS 5. Analysis of fundraising costs 2021122 2022123 £000'8 £QOO's Staff costs 182 177 Thankufest fundraising 38 Event costs 12 14 Marketing materials 20 20 other costs 18 13 Lottery prlzes 27 31 297 266 6. Analysis and allocatlon of support costs and overheads Totsl support and overhead costs of the charity excluding fundraising was £204k (2021122 £165k). 2021122 Totsl £ooo'. 86 12 23 12 13 2022123 Total £OOO's 114 Support cost analys Salaries and rel8ted Costs Building running costs IT costs Exiemal Audit fees LegaVProfessional fees & servlces Depreciation Training costs Brought in services from trust Olher office costs Totsl 27 12 25 204 165 Page 46 Heolth NOTES ON ACCOUNTS The overhead costs have been apportioned over Ihe primary activity lines on the statsment of financial activtties as tabulated below.. Overhead Apportlonment 2021122 2022123 Unrestricted Restricted Total Unrestricted Restrictèd Total £OOO's £000'3 £000'8 £OOO's £000'8 £OOO's Medical equipment 18 20 42 26 68 Staff amenities 15 21 20 43 Patient amenities 23 31 33 35 Staff training 17 17 Research Building work 10 30 40 Service support 19 25 44 16 Grand Total 91 74 166 131 73 204 7. Analysis of charitable expenditure The charity makes available financial grant support to NGH, KGH and NHFT as analysed below. Detail for 2022123.. NGH support NHFT Support cost KGH Support Dirert SU Support ort Ch•rfiatsl• Evpendltum Grant Grant Total Grant Total Grant Grant Support cost £O)Ys 230 71 £LDYs 26 ECOYS 127 £UX)'s 23 £￿0,$ EOWS Efm's £LfXY5 379 35D 150 EOW5 447 413 215 113 Medlul equlpmlnt Staff amenltle5 Patient amenltles 5tafl tralnln8 Researth BylldinBwork 5ervlce su ort 41 271 22 sn 150 109 49 136 25 161 IZ ID 16 75 35 105 1111 17 14 17 553 17 16 31 49 58 413 24 2B 21Z 16 103 1332 ijo 24 iy 32 Comparative for2Q2ty22 NGH Support cost NHFT Suppor tcost KG Support cost Dire￿ support Support C05t TOTAL Support C05t Charltabl• Expondltslrn Grand Grant Grant Grart rotal Grant Grant crs ELixfs £tuJ's £(w's £wJ's ÉIUYS li £LW'S £LW'S 139 142 211 £wo's 159 163 243 67 dlcal equlprnent Staff arnenities Patlent 3rnenltle5 41 71 47 43 57 28 li 21 32 67 R25ear o o o ! j OJ L J C+ * t4 JiJ_Idi, _liibJ.I INDEPENDENT AUDITOR'S REPORT TO THE TRUSTEES OF MJRTHAMPTONSHIRE HEALTH CHARITABLE FUND Inde endent Auditor's re ort to the Trustees of Northam tonshire Health Charitable Fund Opinion We have audited the financial statements of Northampton Health Charitable Fund (the 'charity') for the year ended 31 March 2023 which comprise the Statement of Financial Activities, the Statement of Financial Position, the Statement of Cash Flows and notes to the financial 8tstements, including significant accounting policies. The financial reporting framework that has b8en applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Financial R8POrting Stand8rd AppI￿able in the UK and Rgpublic of Ireland (United Kingdom Generally Accepted Accounting Practice). In our opIn￿￿n th8 financial statements: 1. glve a true and fair vlew of the stats of the tharity's affairs as at 31 March 2023, and of its incoming resources and application of resources. including its income and expenditure, for the year then ended., 2. have been properly prepared in a¢¢ordance with United Kingdom Genèrally Accepted Accounting Practice,. and 3. have been prepared in accnrdance wlth th8 requlrement8 of the ChafSties Act 2022. Basls for oplnlon We conducted our audit in a¢¢ordance with International Standards on Auditing (UK} (I SA$ (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditovs responsibilities for the audit of the financial statements section of our ￿pOrt. We are independent of the charity in accordance with the ethical requirements thal are relp.vAnt tn oiir aiidit of the financial statements in the UK, including the FRC'S Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance wtth thes8 requirements. We b81ieve that the audit evidence we have obtained is sufficient and appropriat8 to provKle a basis for our opinion. Concluslons relatlng to going concern In auditing the financial statements, we have concluded that the trustees, use of the going concem basis of accounting in the preparation of the financial statements is appropriate. Based on the woik we have performed, we have not identifi'ed any material uncertainties relating to events or conditions that. individually or collectively. may cast significant doubt on the charitys ability to continue as a going con￿rn for a period of at least twelve months from when the financial statements 8re authorised for issue. Our responsibilit￿S and the re5pon5ibilities of the trustses with respect to going concem are descriL*d in th8 relevant sections of this report. Page. 59 Heoith Charily INDEPENDENT AUDITOR'S REPORT TO THE TRUSTEES OF NORTHAMPTONSHIRE HEALTH CHARITABLE FUND Other Informatlon The other information comprises the infoimatlon induded in the staternent of trustees, responsibilities of Northampton Health Charitable Fund, other than the financial statements and our auditorfs report thereon. The trustees are responsible for the other infomiation contained within the annual report, Our opinion on the flnanclal ststements does not cover the other information and, except to the extent otherwise expliritly stated in our report, we do not express any foim of assurance cor)clusion th8reon. Our responsibility is to read the other infomialion and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audi( or otherwi58 appears to be materially misstated. If we identify such matsrial inconsistencies or apparent material misstatements, we are required to determine ￿ether this gives rise to a material misstatement in the financial statemen15 themselves. If, based on the work we have p8rformed. 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 thi8 ￿gard. Oplnlons on other matters prescribed by the Charlties Act 2022 In our opinion, based on the work undertaken in the course of thè audlt.. 1. the informatKsn given in the trustees, report (incorporaling the annual report and the trustees, report for the financial year for which the financial statements are prepared18 consistent with the financial statements; and 2. the annual report and the trustees, report have been prepared In accordance wlth applicable legal requirements. Matters on whlch we are requlred to report by exceptlon We have nothing to report in respect of th8 following matters in relation to which the Charities (Accounts and Reports) Regulations 2008 require us to report to you if, in our opinion.. 3. the information given in the financial statements is inconsistent in any material respect with thé trustees, report., or sufficient accounting records have not been kept,. or 5. the financial statements are not in agreement with the accounting records., or we have not received all the infornation and explanations we require for our audit. Responslbllltles of trustees As explained more fully in Ihe trustees, responsibilities statement on page 35, the trustees are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such inlemal control as the trustees determine is necessary to enable the preparation of finanGial statements that are free from material misstatem8nt. whether due to fraud or error. In preparing the financial statements, the trustees are responsible for assessing the charty's abllity to continue as a going conom, dis¢losing, as applicable, matters related to going cOn￿M and using the going concem basis of accounting unless the trustees either intend to liquidate the charity or to C8ase operations, or have no realistic alternative but to do so. Page. 60 Heollh fharity INDEPENDENT AUDITOR'S REPORT TO THE TRUSTEES OF NORTHAMPTONSHIRE HEALTH CHARITABLE FUND Audltor's responsibilities for the audlt of the flnanclal statements Our objectwes are to obtain reasonable assuran￿ about whether the financial statements as 8 whole are free from malerial mlsstalemenl, thether due to fraud or error, and lo issue an auditorfs report that includes our opinion. Reasonable assurance is a high level of assuran￿, but is not a guarantee that an audit conducted in accordan￿ wth ISAS (UK) will ahvays detect a matenal misstatement ￿en it exists. Misslalements can arise from fraud or error and are considered material if, individually or in the aggregate, they COU￿ reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements. Irregularities, including fraud, ar8 instances of non-compliance with layts and regulations. We design prO￿dureS in line with our responsibilities, outlined above, to detect material misstatements in respéct of irregularlties, including fraud. The charity is subject to laws and regulations Ihal directly and indirectly affect thé financial ststements. Based on our understanding of the charity and the environment il operates within, we determined that the laws and regulations that were most Signifi￿nt included the Charities SORP {FRS 102), the Charities Acl 2022, Employment law and Heamh and Safety regulations. We Considered the extent to which non-compliance with these laws and regulations might have a material effect on the financial statements, including how fraud might occur. We evaluated management's incentwes and opportunities for fraudulent manipulation of the financial Statements (including the risk of override on controls), and detèrmined that the principal risks were related to the posting of inappropriate accounting entries to improve the charity's resu￿5 for the period, and man8gemenl bias in key accounting estimates. In addition to this, we have also identified the following principal rlsk areas.. Income recognition there are Iwo components to this risk, being revenue completeness and revenue cut-off., Going concem - an area that requires enhanced scrutiny In th8 context of the current challenging economic conditions and uncertainty; Portfolio valuah'on - there is a risk that the carying value of Ihe investment portfolio could be misstated due to changes in market values of shares., Mixed-use property valuation - there is a risk that the carrying value of the investment propety element could be misstated due to an unsuitable valuation- Recognrtion of legacy incom8 there is the risk that legacy income coukl be recognised before it is receNed or before there is sufficient evidencè over the certainty of a future receipt., Allocation of tunds - there is a risk that funds are allocated incorrectly with restrictsd funds used for other purposes., Heritage assets- there is a risk that the valuation of th8 ass8ts held Is not correct and may need to be impaired. Audh procedures perforned by the engagement leam included: Discussions with management and those responsible for legal compliance PrO￿dureS within the charity lo obtain an understanding of the legal and regulatory framework applicable to the charity h¢)w the charity complies with that framework, including consideration of known or suspected instances of non-compliance vthh laws and regulations and fraud., P48. 61 Heollli riiarity INDEPENDENT AUDITOR'S REPORT TO THE TRUSTEES OF NORTHAMPTONSHIRE HEALTH CHARITABLE FUND Reviewing minutes of trustees. meetings., Identifying and assessing the design effectiveness of controls that management has in place to prevent and detect fraud and non-complian￿ with laws and regulalions., Robustty challenging the trustees, assessment of going COn￿m., Reviewing the valuation of investment portfolios at the year-end. and comparing share values to market values available on that date, to ensure values are recognised as appropriate., Reviewng the trustees, valuation of the investment property element of the mixed-u8e propety,. Reviewlng manual loumals In order to Identify any that appear Incon5iStent vllh the charity's normal course of activities; A physical verification of herrtage assets, including consideration of impaiment indicators. There are inherent limitations in the audit procedures described above 8nd the more remov￿ non-compliance With laws and regulations is from the event5 and transactions refiected in the financial statements, the less likely we are to becom8 aware of it. Also. the risk of not detecting a material misstatement due to fraud is higher than the risk of not detecting one re8uRing from error, as fraud may involve deliberate concAalment by, for example. forgery or intentional misrep￿Sentat1Ons, or through collusion. A fvrther description of our re5pon51billt18s is avallable on the FlnancSal Reportlng Councll's website at.. m￿.frC.0rg.Uk. This description forms part of our audito¢s report. Use of our report This report is made solely lo the charity's trustees, as a body, in accordance with Part 4 of the Charities (Accounts and Rewrts) Regulations 2008. Iljr audit work has been undertaken so that we might state to the charity's Iruslees those matteTS we are required to state to them in an auditors report and for no other purpose. To the fullest extent permitted by law, we do not acc8pI or assum8 responsibility to anyone other than the charity and th8 charity'5 trustees as a body, for our audit v￿rk, for this rewrt, or for tho opinion8 we have formed. S(xs Wlll Amos Senior Statutory Auditor For and on behalf of Hawsons Chartered Accountants Stalulory Auditor Jubilee House 32 Duncan Close Northampton NN3 6WL 16 9014t Page. 62 Heollh l-horilv