2021-03-31-accounts

Annual Report & Accounts for the Year ended 31 March 2021 Company Registration Number 10004003 Charity Number 1165716

Company Address

5th Floor Nuffield House, Queen Elizabeth Hospital Birmingham B15 2TH

Trustees Report incorporating the Strategic Report | University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

| Trustees Report incorporating the Strategic Report

Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity

Contents

Executive summary	3
Chair’s statement	4
An overview	6
Charitable purpose and public benefit	6
Fundraising Regulator	6
Information about University Hospitals Birmingham NHS Foundation Trust	6
Our key performance indicators	7
Plans for the future	8
What we fund	9
Equipment	9
Research	10
Facilities	10
Training, education and patient support	12
How we are funded	13
Fundraising	13
Legacies	15
Governance	17
More about who we are and how we work	17
Our history	17
How do we do things?	17
Details of Trustees	17
Trustee recruitment, appointment and induction	18
Charity sub-committees	18
Our staff	18
Remuneration policy	18
Volunteers	19
Grant making structure and policy	19
Charitable expenditure	19
Charity’s advisors and agents	19
Wider networks and related parties	20
Administrative Structure as at 31 March 2021	20
External support structure as at 31 March 2021	20
Risk management	21
Investment policy	21
Reserves policy	22
Financial review	22
Statement of Trustees’ responsibilities	23
Independent Auditors’ report to the Trustees	24
Statement of Financial Activities for year ended 31 March 2021	26
Balance sheet as at 31 March 2021	28
Notes to the financial statements	31

Executive Summary

University Hospitals Birmingham Charity (“the Charity”) exists to support the patients and staff of University Hospitals Birmingham NHS Foundation Trust (“UHBFT”), by funding equipment, facilities, research and patient support that are over and above what can be provided by the NHS.

UHBFT operates four of the largest hospitals in the Birmingham area - the Queen Elizabeth Hospital Birmingham (“QEHB”), Heartlands Hospital, Good Hope Hospital and Solihull Hospital as well as Birmingham Chest Clinic, Solihull Community Services and Umbrella Sexual Health Services.

Together, the hospitals see over two million patients a year. Patients are referred to the hospitals’ many centres of excellence from across the UK.

During the year under review, the charity has increasingly adopted the use of the University Hospitals Birmingham Charity brand in place of its working names associated with each hospital – Queen Elizabeth Hospital Birmingham Charity, Heartlands Hospital Charity, Good Hope Hospital Charity and Solihull Hospital Charity – and intends to continue to use this in the future.

The hospital charity engages with patients, families, donors and supporters across Birmingham and the wider West Midlands, and Trustees want to see an increase in total grants made and total fundraising income.

Over the past ten years, the Charity has funded over £50 million of equipment, facilities, research and patient welfare, all of which is over and above what the NHS can fund.

The Charity funded CyberKnife and Tomotherapy machines are providing world class care for radiotherapy patients at QEHB, the Heart in a Box machine and Ann Fox Foundation liver perfusion devices are increasing the numbers of organs suitable for transplant, and charity funded research is discovering ways to repurpose existing drugs to treat cancer patients.

Fisher House, the “home away from home” for military patients and their families, has now been a safe haven for over 5,500 patients and family members in the eight years since it opened in June 2013 and has provided over 30,000 nights’ accommodation. 2020 saw a large drop in usage because of the coronavirus pandemic, but even with the restriction on visitors to the hospital, Fisher House provided accommodation for nearly four hundred people and just under 2,000 nights accommodation during the year.

During the year, the Charity opened Bottle Cottages which provide similar “home away from home” services for NHS patients, including Karen’s Home from Home which is kindly supported by the Karen Morris Memorial Trust.

During the COVID-19 pandemic the Charity has increased its support to frontline NHS staff, providing safe spaces for staff to receive emotional and psychological support, helping with refreshments for staff working long shifts and isolating from their families, as well as providing additional support for patients who could not have visitors because of the COVID-19 restrictions.

None of this would be possible without the generous support of our fundraisers and donors, and we thank each and every one of them.

We are very pleased to have worked with a number of local charities, including Libby Mae’s Little Angels, Ladies Fighting Breast Cancer, The Get A Head Charitable Trust, Friends of Queen Elizabeth Medical Centre, Friends of Good Hope Hospital, Friends of Solihull Hospital and Breast Friends Solihull. In partnership with these organisations, we have continued to support ground breaking medical research, provide cutting edge medical equipment, and improve patient experiences across the hospitals.

We are especially grateful to the US charity Fisher House Foundation and the UK charity Help for Heroes for their support. Without their contribution, Fisher House could never have been built, and we are very grateful to Help for Heroes for their ongoing support of £50,000 per year towards the Fisher House running costs.

This is just a snapshot of the progress the Charity has made during the last year, including becoming a major provider of research grants in the region and funding services and equipment that are over and above that which the NHS provides.

The report that follows provides full information on the charity’s history and background, its structure and governance, its plans for the future, and detailed reports on its revenues and expenditure.

The charity, like all organisations, has been impacted by the COVID-19 pandemic, and this is covered in more detail in the Chair’s statement.

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Trustees Report incorporating the Strategic Report | University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity | Trustees Report incorporating the Strategic Report

Chair’s Statement

The past twelve months will remain fresh in people’s memories for years to come. With over 128,000 deaths in the UK alone, and over four million across the globe, the coronavirus pandemic has changed lives forever.

University Hospitals Birmingham NHS Foundation Trust was at the forefront of the fight against COVID-19, and saw more patients, and more deaths, than any other NHS Trust.

Over 16,000 COVID-19 positive patients were hospitalised across the Trust by the end of August 2021, and 2,982 patients sadly passed away in our hospitals.

At the peak of the pandemic, the hospitals had over 250 patients in critical care, compared to pre-pandemic capacity of around 110 patients.

I salute every member of staff across our hospitals, and indeed across the whole of the NHS, for their dedication and hard work during the pandemic, not just caring for our patients and families, but also the concerns they will have had for their own families at home.

Thanks to the generous support from across all our local communities, the Charity was able to support front line staff during the pandemic with health & well-being hubs offering a cup of tea, a shoulder to cry on and a chance to take a break from the ward, and also played a key role in distributing the offers of hot food, drinks, comfort packs and even eggs to staff across the hospitals.

Even during the lockdowns across the UK, our donors and fundraisers continued to support the hospital charity, and over the past year we were able to increase our fundraising income to over £5.5 million.

This has enabled the hospital charity to continue to support staff, patients and families across so many different areas, and later in this report you will see many case studies of the areas we have funded, together with stories of our amazing donors and fundraisers.

We are yet to see the long term repercussions for staff and patients caused by COVID-19, but the hospital charity will continue to be there for patients, families and staff providing equipment, facilities, research and welfare, thanks to our generous donors and fundraisers.

The national NHS Charities Together campaign kindly provided over £1 million to University Hospitals Birmingham Charity which allowed the charity to fund over 500 mobile tablet devices for patients to stay in touch with their families, over 20,000 activity packs for patients whilst they were in hospital, over 3,000 bereavement support packs for families who sadly lost a loved one and provide two new roles supporting the health and well-being of junior doctors, and fund psychological and mindfulness support sessions for staff across our hospitals.

Regionally based companies also provided much needed support to the hospital charity, with particular thanks to National Grid, Jaguar Land Rover and Paragon for their kind financial donations.

The region’s sporting clubs rallied to support the NHS, with Aston Villa FC, Birmingham City FC and Warwickshire CCC continuing and strengthening their links with the hospital charity. We are delighted that Birmingham City FC has chosen the Charity as its official charity partner for the upcoming season.

However, we can also see that many people in the UK will be financially impacted by COVID-19, with many redundancies already announced and closure of retail stores and companies.

It is likely that will lead to a reduced ability for many people to donate to charities, and so it will be even more important in the year ahead to show exactly what we do with your generous and kind donations and other fundraising. I think we already do this well, and it is important that every donor is looked after by our teams.

In the past the hospital charity operated under four working names - Queen Elizabeth Hospital Birmingham Charity, Heartlands Hospital Charity, Good Hope Hospital Charity and Solihull Hospital Charity.

It has been our intention to sometime to move towards a single brand, University Hospitals Birmingham Charity, to demonstrate our work across the whole of the Trust, and this occurred during the last year as we have rebranded our materials and adopted a single social media identity to reflect that change.

Donors and fundraisers can, of course, continue to choose to donate to a specific fund within the charity for each hospital.

Public awareness of University Hospitals Birmingham NHS Foundation Trust increased during the pandemic, and that has allowed the Charity to use our brand in a more meaningful and strategic way.

We believe that reassuring donors and fundraisers as to how the money raised is being spent will benefit patients by increasing the amount of money we can raise and spend to provide “over and above” items across UHBFT.

The Charity is registered with the Fundraising Regulator, who is responsible for the Fundraising Preference Service, and was a member of its predecessor, the Fundraising Standards Board.

We encourage all our fundraising staff to join the Institute of Fundraising, and our Chief Executive holds MInstF(Cert) status with the Institute.

Your personal data is important to you, and we only use it in the ways you have asked us to. We only send our newsletters to people who have asked for them, and you can remove yourself from that mailing list at any time by emailing charities@ uhb.nhs.uk.

All of our fundraising activities are to make progress towards one goal – supporting patients and staff at UHBFT. As you will see in this report, this is done by purchasing cutting edge medical equipment normally only available abroad or in private practice, providing facilities not normally seen in NHS hospitals (such as Fisher House), funding world class research at the hospitals and universities across the region, or simply by making a patient’s stay in hospital just that little bit less stressful.

Through your kind and generous support, we can continue to make a difference to the hospitals’ patients and families, not by replacing government funding, but by adding to that level of care provided in other NHS hospitals, and helping make our hospitals world class facilities.

It is important that we can get that message out into the public domain, and our job is made so much easier because of the wonderful level of support we get from local, regional and national media outlets.

Particular thanks must go to BBC Midlands Today, BBC Radio WM, Heart FM, Free Radio, ITV Central News, Birmingham Mail, Birmingham Post and British Forces Broadcasting who all continue to be very supportive in carrying news stories about the charity and its support of patients.

Please read through our case studies later in this report, which expand on some of the stories I’ve mentioned and also give some other good examples of where the charity’s support is benefiting patients and their families.

The Trustees are grateful to UHBFT who provide finance administration to the charity through a Service Level Agreement.

In particular, I would like to thank the Rt Hon Jacqui Smith (Chair of UHBFT) and Dr David Rosser (Chief Executive of UHBFT) for their valuable support of the charity, ensuring that we have good links throughout the hospitals and helping us to identify ways we can benefit patients. In particular I would like to wish Jacqui the very best as she steps down from being Chair of UHBFT and takes up her new role as Chair in Common of Barts Health NHS Trust and Barking, Havering & Redbridge University Hospitals NHS Trust.

We would also like to acknowledge the valuable support of volunteers, both those at the hospitals and the numerous volunteers carrying out their own fundraising events across the country.

Notably, we would like to acknowledge the support given by all the staff at the hospitals who have continued to support the Charity in their own ways, even though our bike rides, half marathons, skydives, and the ever popular hospital cake sales have had to be cancelled because of the pandemic.

The role of Trustee is vitally important to the charity, and I would like to thank all my fellow Trustees for their support and dedication.

You can see more about the hospital charity at our website, www.hospitalcharity.org.

I hope you will enjoy reading this report and hearing a bit more about the projects we have already funded and the stories behind some of our fundraising successes. Please do let me know what you think of the report, either by emailing me at [e-mail] or writing to me at University Hospitals Birmingham Charity, 5th Floor Nuffield House, Queen Elizabeth Hospital, Birmingham, B15 2TH.

Finally, I would like to take this opportunity to remember two people who were very special to all of us at the hospital charity who sadly passed away in the last year.

First, Brian Hanson served as a Trustee for fourteen years, eleven of those as Chair of UHB Charity. I was privileged to have learnt from him during my period as Vice-Chair, and Brian was always there with a wise word or piece of encouragement. He was dedicated to improving the lives of patients and their families and played a huge role in shaping what the charity is today, continuing to support the charity after he stepped down as Trustee in 2019.

Secondly, Tina Hales was our longest serving member of staff, joining the team in 2004 until retiring due to ill-health in 2019. Tina was the most incredibly kind and supportive person who always had time to help someone, and was proud of how she was able to help patients and families through her management of our grants programmes.

We miss Brian and Tina but feel blessed to have known and worked with them, and our thoughts and prayers are with their families, and with all the other families who have lost loved ones over the past year.

Thank you all for your support

Dave Mackay Chair

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Trustees Report incorporating the Strategic Report | University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

| Trustees Report incorporating the Strategic Report

Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity

An Overview

Charitable purpose and public benefit

University Hospitals Birmingham Charity, company number 10004003, registered charity number 1165716, is the official charity of University Hospitals Birmingham NHS Foundation Trust).

The Charity exists for the benefit of patients and staff at UHBFT and provides funding for support that is over and above that provided by core NHS funding.

The Charity operates predominantly across four hospitals – Queen Elizabeth Hospital Birmingham, Heartlands Hospital, Good Hope Hospital and Solihull Hospital but also supports UHBFT patients wherever they are treated, including regional dialysis clinics, Birmingham Chest Clinic, Solihull Community Services and Umbrella Sexual Health Services.

The Charity’s income comes from fundraising, donations, charitable grants, legacies and sponsorship. The Trustees oversee charitable expenditure to ensure that funding is for the clear benefit of patients, their families, UHBFT staff , and others using the hospitals.

Under the Charities Act 2011, charities are required to demonstrate that their aims are for the public benefit. The two key principles which must be met in this context are first, that there must be an identifiable benefit or benefits; and secondly, that the benefit must be to the public, or a section of the public.

Charity Trustees must ensure that they carry out their charity’s aims for the public benefit, must have regard to the Charity Commission’s guidance, and must report on public benefit in their Annual Report.

The Trustees regularly monitor and review the success of the Charity in meeting its key objectives of benefiting patients at UHBFT. The Trustees confirm, in the light of the guidance, that these aims fully meet the public benefit test and that all the activities of the charity are undertaken in pursuit of its aims.

The Trustees have considered the effect of the withdrawal of the United Kingdom from the European Union and do not anticipate that it will have any material impact on the business of the charity.

The Trustees have considered the impact of COVID-19 and do not anticipate that COVID-19 will cast significant doubt on the company’s ability to continue as a going concern.

COVID-19 has not caused a significant impact on the Charity’s 2020/21 accounts but Trustees do expect to see a fall in income for 2021/22.

A vital role of the Charity is its work in supporting and enhancing UHBFT’s outstanding quality of clinical activity, and accordingly this report includes some general information about UHBFT.

Fundraising Regulator

The Charity subscribes to the voluntary fundraising regulation of the Fundraising Regulator and has paid the full amount of the voluntary levy to the Fundraising Regulator since its inception.

You can find out more about the Fundraising Regulator and the Code of Fundraising Practice at www.fundraisingregulator.org.uk

Information about UHBFT

UHBFT is one of the largest teaching hospital trusts in England, serving a regional, national and international population.

It includes Birmingham Heartlands Hospital, the Queen Elizabeth Hospital Birmingham, Solihull Hospital and Community Services, Good Hope Hospital in Sutton Coldfield and Birmingham Chest Clinic. It also runs a number of smaller satellite units, allowing people to be treated as close to home as possible.

UHBFT sees and treats more than 2.2 million people every year across its sites and its hospitals deliver more than 11,000 babies a year, making it one of the largest maternity services in Europe.

UHBFT is a regional centre for cancer, trauma, renal dialysis, burns and plastics, HIV and AIDS, as well as respiratory conditions like cystic fibrosis. It also has expertise in premature baby care, bone marrow transplants and thoracic surgery and has the largest solid organ transplantation programme in Europe.

UHBFT provides a series of highly specialist cardiac, liver and neurosurgery services to patients from across the UK.

World-renowned for trauma care, UHBFT has developed pioneering surgical techniques in the management of ballistic and blast injuries, including bespoke surgical solutions for previously untreatable injuries.

As a result of its clinical expertise in treating trauma patients and military casualties, the Queen Elizabeth Hospital Birmingham has been designated both a Level 1 Trauma Centre and host of the UK’s only National Institute for Health Research Surgical Reconstruction and Microbiology Research Centre.

The Wellcome Trust Clinical Research Facility is also hosted by UHBFT at the Queen Elizabeth Hospital. This development is a joint initiative between UHBFT and the University of Birmingham Medical School.

UHBFT partnered with the University of Birmingham and Birmingham Women’s & Children’s Hospital NHS Foundation Trust to create Birmingham Health Partners, bringing together clinical, scientific and academic excellence across an integrated medical and life sciences campus. Birmingham Health Partners operates the Institute of Translational Medicine on the UHBFT campus. The Centre for Rare Diseases, supported by the Charity, is part of the Institute of Translational Medicine.

These key performance indicators are assessed on a traffic light basis – green means the key performance indicator is being met, yellow means it is not met but plans are in place to rectify this and red means the key performance indicator is not being met and needs immediate action or constant monitoring

Our key performance indicators

The Trustees reviewed the Charity’s business plan during the last twelve months, and developed a series of seven key performance indicators to clarify if the Charity is performing against its business plan.

These key performance indicators are discussed with, and reviewed by, our internal auditors.

Key Performance Indicators

----- Start of picture text -----
KPI No. Status Aim KPI Action
1 To raise funds so the Meet budgeted income Achieved (£5,849,000).
charity can support target of between
patients across UHBFT £4,200,000-£5,700,000
(reduction because of
COVID-19)
2 To spend charitable Meet budgeted charitable Under-achieved (The expenditure of £3,425,000 was
funds to support expenditure target of lower because some projects were put on hold due
patients across UHBFT £4,400,000 to COVID-19)
3 To maximise how Amount per £1 spent which Achieved. 75p of every £1 spent is spent on charitable
much per £1 spent is is spent on charitable activities against the charity sector average of 74p.
spent on charitable activities to be above the
activities charity sector average
4 To maximise the To strive to raise at least £5 Achieved. Raised £10.02 per £1 spent on fundraising
amount raised per £1 per £1 spent on fundraising against the charity sector average of £4. This is high
spent on fundraising costs because of a freeze on recruitment during the year
costs whilst a number of staff left, reducing costs
5 To raise awareness Increase in followers on Achieved – numbers grew across all three social
of the Charity across Facebook, Twitter, Instagram media platforms plus new followings on TikTok and
social media channels YouTube.
6 To be an employer of Monitor staff turnover rates Staff turnover 36% against charity sector average of
choice with the aim to be lower 16%. Turnover was analysed and was significantly
than the charity sector affected by a number of staff who were seconded to
average NHS Charities Together at the start of the pandemic
and were then offered permanent roles. Excluding
the seconded staff, turnover was 13.5% below charity
sector average.
7 To have a healthy and Monitor staff absence rates Achieved. Staff absenteeism of 1.5 days per
supportive working with the aim to be lower employee p.a. against charity sector average of 9.1
environment than the charity sector days per employee p.a.
average
----- End of picture text -----

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Trustees Report incorporating the Strategic Report | University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity | Trustees Report incorporating the Strategic Report

Plans for the future

The Charity met during the year with UHBFT on a regular basis and, based on these discussions, the Trustees have identified the following areas for support:

1. Ambulatory Care & Diagnostic Centre at Heartlands Hospital

UHBFT has obtained planning permission for a new four storey facility at Heartlands Hospital which will transform the provision of services to patients.

The building will offer world-class facilities and house a range of health services, including outpatients, endoscopy and imaging, which will care for hundreds of thousands of patients each year.

The Charity has identified the need to raise £2,000,000 to support UHBFT in this area.

2. Birmingham Transplant Centre

UHBFT is Europe’s largest solid organ transplant unit but services are spread across the hospital sites.

By consolidating pre-transplant, surgery and post-transplant services in a central location at QEHB, UHBFT aims to provide a better service to patients and families, whilst strengthening the research potential of the unit as it will be easier to introduce new and advanced practices such as Heart in a Box and the Ann Fox liver perfusion machines when all services are based in a single location.

The Charity has identified a need to raise £2,054,000 to support UHBFT in this area.

3. Giles’ Trust

QEHB is a national centre of excellence for the diagnosis, treatment of, and research into brain tumours.

The Charity is working with Professor Colin Watts and brain surgeon Mr Ismail Ughratdar to fund cutting edge medical equipment for the diagnosis and treatment of brain tumours, and is funding a Clinical Research Nurse who will be able to increase the number of patients taking part in clinical research trials by recruiting appropriate patients and administering new treatments.

The Charity is delighted to be working with former England cricketer Ashley Giles and his wife Stine Giles in the area of brain tumour research, under the banner of The Giles’ Trust.

The Charity has identified a need to raise up to £400,000 to support UHBFT in this area and has launched a fundraising appeal in the name of The Giles’ Trust.

4. Fisher House

Fisher House provides a “home away from home” for military patients and their families.

Fisher House receives no funding from the NHS or the Ministry of Defence and relies on charitable donations.

The Charity needs to provide £250,000 each year to run Fisher House. The Friends of Fisher House scheme allows groups, companies and individuals to support Fisher House directly.

We need your support

We will be seeking the community’s support in raising the funds required for the above major projects. If you would like to learn more about our ambitious plans for all sites, and how you can play a part, please contact University Hospitals Birmingham Charity at [e-mail]

You can also visit our website at www.hospitalcharity.org or our Fisher House website at www.fisherhouseuk.org

If you would like to know more about how we operate, both administratively and for fundraising, please contact Mike Hammond, the Chief Executive of University Hospitals Birmingham Charity, at [e-mail] or on 0121 371 4852 or by writing to:

Mike Hammond,

Chief Executive,

Queen Elizabeth Hospital Birmingham Charity

5th Floor Nuffield House, Queen Elizabeth Hospital, Edgbaston, BIRMINGHAM B15 2TH

What we fund

The charity funds projects in four main areas – equipment, research, facilities, and staff & patient welfare. In this section of the report we give some more information together with some case studies as real life examples of what we fund.

Equipment

The Charity is proud to supplement the incredible quality of care on offer to the 2.2 million patients who are treated across UHBFT each year. The Charity provides equipment that is ‘over and above’ core NHS funding. This can mean funding equipment that is on the cutting-edge of modern medicine and so not yet available on the NHS, or funding additional machines that will benefit patients by reducing waiting times.

In 2020/21, the Charity spent £522,000 on new equipment. (2019/20: £1,029,000).

Some of the major items of equipment purchased are detailed below.

----- Start of picture text -----
Designated Fund Equipment
Cancer Immunology & Tyto cell sorter
Immunotherapy Unit
Queen Elizabeth Hospital Stroke monitors
Stroke Unit
Solihull Hospital Heated airglove system
Chemotherapy Unit for patients undergoing
chemotherapy
UHB Liver Department LiMax liver function tests
----- End of picture text -----

Case study one: New device enables virtual group meetings for physiotherapy patients

Physiotherapy patients under the care of the Therapy Services department at the Queen Elizabeth Hospital Birmingham have been able to resume their group sessions thanks to conferencing devices funded by University Hospitals Birmingham Charity.

Generous donations to the Charity have funded two Polycom Studio units that allow the Therapy Services teams to resume their group work with their patients, which had previously stopped due to the on-going COVID-19 pandemic.

The Polycom Studio units allow the groups to enjoy high quality video conferencing which allows the team to work with their patients virtually, with the patients taking part from home, whilst the physiotherapy team lead the sessions from the hospital, using the conferencing device.

The Therapy Services Department at QEHB treats patients with a huge range of conditions, and have played a key role in helping to rehabilitate COVID-19 patients, many of whom spent a long time in hospital and require rehabilitative treatment in order to return to full health.

The units have allowed patients to remain in the safety of their own homes, whilst being able to participate in group sessions which has had a fantastic impact on the patients both physically and psychologically.

The units are already being used to run ITU rehab classes and limb reconstruction classes, and the team will be starting up other group sessions in the near future, with the Physiotherapy staff being able to take their patients through exercises using the units.

The limb reconstruction group sees patients who have had limb injuries or surgery that has left them needing rehabilitation to strengthen their limb so that they can get back to full health. Many of these patients will have a limb in a metal frame to aid recovery, which they may have to wear for as long as 18 months.

This group have now been able to meet again thanks to the conferencing device, and the participants are grateful for this. Jordan, who broke his right tibia and fibula after being hit by a car whilst cycling, has enjoyed the virtual sessions.

He said: “I’ve been in my frame for three months so far and will be in the frame for a further three months. These virtual sessions have saved me the time and money that it would take to travel to the QEHB, and now I can enjoy the sessions from the comfort of my own home.”

The virtual sessions give patients the peace of mind of being safe at home. Sue, who has been a member of the group for over a year, said: “I feel safe at home, and not coming into the hospital means that I am keeping myself and my household safe. I love the camaraderie of the group, it’s wonderful to be able to chat to people who are in a similar situation to myself. Speaking with others, albeit virtually, has inspired me during this difficult time and I have been able to use my own experience to help others.”

Newer members of the group, such as Mark, have appreciated the ease with which they have been able to access the sessions. He said: “It was really easy to join the class and the software is brilliant. Two clicks and I was in!”

Staff are able to see all of their patients at once thanks to the unit, which plugs directly into the TV of both the physiotherapist and the patient.

The resumption of the sessions will help patients to regain strength that they may have lost. Ilze said: “Without the physio you quickly become stiffer again and so regular sessions are really important to give focus to the exercises. The video equipment is really good as it’s possible for the team to do close-ups so we can see properly.”

For all patients in the group, the sessions provide not just physical support, but also help with the mental pressures of rehabilitation during this difficult time. John has been a member of the group for 18 months and said:

“It was a shame to lose contact with my fellow members of the group during lockdown and it was so important to get these

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Trustees Report incorporating the Strategic Report | University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

| Trustees Report incorporating the Strategic Report

Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity

groups started again. It has been great to see the staff again, who have been involved in my care for the last two years. They help to keep us all motivated.”

Emily Dent, Senior Physiotherapist, runs the limb reconstruction group. She said: “Our thanks go to UHB Charity for funding the two video conferencing units that have enabled us to resume our sessions virtually. It has been fantastic to be able to reconnect with our patients again, the technology makes this really smooth and allows us to give our patient the best experience possible.”

Poppie Barnett, Grants Assistant at the Charity, said: “The Charity is delighted to have been able to fund the two units for the Therapy Services Department that have enabled them to resume their group sessions.

“Since the beginning of the pandemic we have been funding projects across the Trust that have allowed patients to stay in contact with staff at the hospital, and this is a brilliant example of the difference that funding from the Charity can make. These units will be beneficial to hundreds of patients, enabling them to continue their rehabilitation from the safety of their homes.”

Case Study two: CyberKnife treats its 2000th patient

CyberKnife, the cutting edge piece of cancer-fighting equipment which was brought to the Queen Elizabeth Hospital Birmingham in 2013, reached a landmark this year. The team treated their 2,000th patient using the machine, and Principal Clinical Scientist Dr Geoff Heyes reflected on the difference that CyberKnife has made during the COVID-19 pandemic, continuing to offer life-saving care to cancer patients.

CyberKnife was brought to the hospital following a successful £3.5 million fundraising appeal by the Charity and has changed the way that patients are treated for head and neck cancers. CyberKnife offers a non-invasive alternative to open surgery and can be used to treat tumours anywhere in the body. It enables very high doses of radiation to be targeted directly at the tumour with pinpoint accuracy, without damaging the healthy tissue.

Dr Geoff Heyes was instrumental in bringing the machine to the hospital. He said: “The team at QEHB were thrilled to treat our 2000th patient on the CyberKnife machine bought in 2013 by UHB Charity. This makes us the busiest CyberKnife unit in the UK.

“One of the key advantages of CyberKnife is the ability it gives us to deliver an entire course of radiotherapy in a single or very small number of treatments. This has been put to great use during COVID-19, as it enabled us to minimise the number of hospital visits a patient coming for radiotherapy had to make.

“As our CyberKnife patients with brain tumours are treated without the need for an invasive head frame, it also meant we could schedule their appointments to minimise the amount of time they had to be in the hospital for.

“These patients could attend for a scan, return home, and then only come back in to the department once their radiotherapy plan was ready to be delivered. With efforts in the hospital to reduce pressures on theatres and ITU beds in the height of COVID-19, we were able to continue to offer a specialised cancer treatment option to our patients thanks to the support of UHB Charity.”

Research

An important part of the charity’s charitable grants programme is funding research at UHBFT and associated universities. The charity funds research into any field of medicine carried out at UHBFT and gives grants of a maximum of £70,000 that can be used over two years. The intention of these pump priming research grants is often to help clinicians develop their research sufficiently to then apply for larger national grants but with an emphasis on delivering patient benefits in the short to medium term, rather than blue sky medical research.

During the COVID-19 pandemic, all non-COVID related research was put on hold, and so this year saw a significant drop in the charity’s research activities, although the charity did fund some small COVID-19 research studies, particularly around rehabilitation and recovery.

In total the Charity made research grants of £150,000 in 2020/21. (2019/20: £635,000).

Case Study One: Rehab 4 COVID app

The Charity had previously funded an app to assist patients recovering from lung surgery, and during the COVID-19 pandemic, saw the opportunity to work alongside consultant surgeon, Babu Naidu, to develop an app that could be used to assist the rehabilitation of COVID-19 patients.

After a COVID-19 infection, people will need help to recover from the longer-term effects of the illness. These effects may include breathlessness as well as reduced physical fitness and reductions in the reported quality of life.

Because so many people are being affected and social distancing is needed, hospital rehabilitation classes for these patients are unlikely to be available. This could have a negative impact on the future health and wellbeing of COVID patients.

The Rehab 4 COVID app allows patients to do rehabilitation exercises in their own homes, at their own pace. The app uses motivational principles and has been shown to improve patients’ fitness. Patients can track their own progress on easy to read diagrams while doing aerobic and strength exercises described by short descriptive videos and diagrams.

The app also gives the patient useful health improvement advice. Progress can also be seen by their physician through electronic transfer from the app.

By modifying our previous app to meet the recovery needs of COVID patients we will help them recover in terms of breathlessness, physical fitness and quality of life.

Facilities

As well as funding equipment and research, the Charity sometimes funds improvements to buildings or even completely new facilities. In 2020/21 the charity spent £1,172,000 in this category. (2019/20 £894,000)

The Charity funded the construction of Fisher House, our home away from home for military patients and their families, and the building costs have been capitalised and are spread out over a period of ten years in the accounts.

The Charity also provides accommodation for the families of cancer patients at Bottle Cottages, with particular thanks to the Karen Morris Memorial Trust for their funding of Karen’s Home from Home for leukaemia patients and their families.

The biggest single investment this year was the creation of the new Midwifery Led Maternity Unit at Good Hope Hospital.

Case study One: Good Hope Midwifery Led Maternity Unit

At 1:45am, Hannah Stait and Tiago Estradas welcomed their baby boy into the world - Joey Des Estradas. For the maternity staff at Good Hope Hospital, and University Hospitals Birmingham (UHB) Charity, this was no ordinary birth. This was incredibly special as Joey was the first baby to be born on our brand-new Midwifery Led Unit (MLU) which had opened just the day before.

The couple arrived on the unit on Monday, just hours after it had opened, and were instantly mesmerised by the unit and felt comforted by the soft lighting, calming imagery and non clinical surroundings. Hannah and Tiago were shown round the MLU, and asked to choose which room they would like stay in. The pair chose the Jasmine birthing suite, as not only is this home to one of the amazing birthing pools, but the suite is blue, which they felt was very appropriate as they knew they were having a little boy.

Speaking about their experience on the MLU, Hannah said: “It was nothing like I ever expected. As soon as I got onto the MLU and into the birthing suite, I was so excited, and I could not believe it. It was just such a lovely experience! We had music, the birthing pool, and the birthing ball - I was having the time of my life! I felt really privileged, I kept thinking how lucky we were, and I never realised it was going to be this amazing.”

New father Tiago said: “The environment that has been created is so nice. It felt almost like a holiday or night away! We feel lucky. The home-like feel of the MLU made it feel really special and more natural and I did not panic at all. If Han had not been as comfortable as she was, it might have been scarier, but we were really relaxed.”

In September 2020, Hannah’s Dad had sadly passed away from a sudden heart attack. For Hannah, having her first baby on the MLU provided her with some comfort. She said: “My dad passed away not too long ago suddenly. We told him we were having a baby and he was so excited and over the moon. I knew the MLU was opening, and I had made jokes about waiting out until Monday, so it was really strange to actually be the first person on here. To be able to pick my room and have this experience…I really felt like my Dad was looking after me.”

Tiago added: “Hannah’s dad was on the phone to his sister just before his heart attack and he was talking about how proud he was of Han and how much he was looking forward to being a grandad. He would be so proud of Hannah.”

Hannah and Tiago named their baby boy Joey Des Estradas, as Des was Hannah’s fathers’ name.

The unit has also been special for the maternity services and midwives at Good Hope Hospital. Lindsay Fitzgerald and Beth Bliss were the midwives who delivered Baby Joey. Lindsay said “I had been looking forward to work on the MLU for a long time. I helped fundraise for it back in 2019 by abseiling down

a 9 story building in Birmingham! And I must say it has been very worth the wait, the unit is just amazing. It is everything that we imagined it to be and more. The birthing suites have lovely features such as pull down double beds, mood lighting and murals on the walls making the unit a lovely, calming environment for women who chose to birth here.

The much anticipated first night shift arrived along with our very first patient, Hannah along with her partner Tiago. She had a look around the unit at the different rooms and chose to labour in one of our pool rooms. She loved aspects of the room such as the mood lighting and Bluetooth speaker system to play her music, with Tiago being our DJ for the evening. Hannah made great progress and had a beautiful delivery in the birthing pool. It was special to be a part of Hannah and Tiago’s journey into parenthood and a very special moment for the history books of Good Hope Hospitals MLU.”

Laura Evans, had her first shift on the unit on Tuesday and was in awe. Laura spoke of how different the unit feels to other wards that she works on, saying: “It is such a lovely place, it is very relaxed. Coming into work this morning, it was so exciting to hear that the first birth had happened over night! I had woken up in the night wondering if anything was happening on the MLU, so coming on this morning to find out that there was a birth, was so nice. It was lovely to see a smile on everybody’s face.”

Fundraising Manager, Laura Power, said: “It is wonderful to hear that the MLU provided our first couple with such an amazing experience. We wanted the MLU to provide that home-like birthing experience and we are so glad that is how Hannah and Tiago felt!”

Case Study Two – Heartlands Children’s play area opens

Heartlands Hospital treats around 56,000 children each year and now, thanks to donations to the Charity, young patients will be able to benefit from a new children’s garden and a refurbished ward.

The Charity launched its Children’s appeal in order to refurbish the children’s departments across Heartlands, Good Hope and Solihull hospitals. Following the renovation to the children’s department at Good Hope Hospital, the Charity has now completed a brand new play garden at Heartlands Hospital, and a refurbishment of Ward 14.

The garden is completely accessible and will allow young inpatients at Heartlands Hospital to enjoy some time outside in a fun and exciting space, giving them a break from being on the wards. Complete with a pirate ship, the garden gives space for children of all ages to play or simply to sit. Thanks to its proximity to the wards, children can even enjoy the garden from their hospital beds.

The garden, complete with pirate ship, offers children a space to play in at Heartlands Hospital.

Ward 14 is one of the three children’s wards at Heartlands, and it has received a makeover with new wall art and features that has transformed the look and feel of the ward, creating a space that is light, bright and child friendly.

The Charity’s Director of Fundraising, Charlotte Schofield, said: “We are delighted with the new children’s garden at Heartlands

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Hospital. Thanks to the generosity of our supporters we have been able to transform the old garden into the perfect space for poorly children to have fun.

“Our thanks go to all of our donors, supporters and fundraisers whose generosity and hard work has made this possible.”

Training, education and staff & patient support and welfare

The fourth area of grant making is in the area of training, education and staff & patient support and welfare. It is important to note is that the Charity does not fund statutory training which is training that the NHS should provide to all staff.

The Charity funds courses and conference fees for staff to attend events that will bring knowledge back into the hospital for the benefit of patients.

The Charity has also funded a range of patient information films on subjects as wide ranging as cardiac rehabilitation exercise, breast reconstruction information and paediatric radiotherapy.

In addition, the Charity funds a number of patient welfare initiatives, from pizza night on the Teenage Cancer Trust Young Persons Unit, to memory lane cafes and activities for elderly patients.

Over the past year, the Charity has provided additional support to staff during the COVID-19 pandemic, including mindfulness and psychological support, breakout spaces for staff to spend some time away from the wards, and the provision of hot drinks and food during and after the long shifts looking after COVID-19 patients.

This was possible thanks to the generous support of donors and fundraisers who raised money specifically to support staff across our hospital sites.

In 2020/21, the Charity spent £1,232,000 in this category. (2019/20 £1,514,000).

Case study one: 87 year old Charlie Grainger makes recovery from COVID-19 in time to celebrate his birthday

Charlie Grainger was admitted to Heartlands Hospital and spent nearly two weeks on Ward 24 where he was treated for COVID-19. Now, Charlie has made a full recovery and has been able to return home to celebrate his 87th birthday.

Charlie was the first patient at Heartlands Hospital to be able to call his family via video conference from hospital using the new iPads and Galaxy tablets that the Charity has been able to fund thanks to donations and fundraising.

His niece, Janet Cave, said: “Given his age and pre-existing conditions it is a testament to the care given that he is still alive. I know many families have not been as lucky as our family.

“We were the first family to be able to use video calling to contact our relative and I know the team went the extra mile to make that happen. Charlie was overjoyed to be able to see me from his hospital bed.”

The Charity funded over 700 mobile devices across the hospitals, which allowed patients to be able to speak to their families whilst visiting was not allowed during lockdown.

The Charity worked with Apple to set up a Virtual Visits app which allowed patients to set up a video conferencing call with their families with just one click.

The Charity also provided patients with items to keep them entertained whilst patients could not receive visitors, such as colouring in books, crossword and sudoku puzzle books.

Case study two: Mindfulness sessions help to give comfort and support to staff

During the COVID-19 pandemic, staff across all our hospitals were suddenly faced with a very different set of challenges, with large numbers of very ill and dying patients, combined with the worries of taking infections back to their homes and families.

Unsurprisingly, this was causing a great deal of stress and anxiety amongst staff. The Charity worked with two Buddhist chaplains at UHBFT to provide mindfulness sessions for staff during the pandemic.

There is a significant body of research to testify that mindfulness helps people deal with stress and anxiety. Staff felt the need to offload and express how they felt, what has been live and currently happening for them. The mindfulness sessions provided a safe place to speak and to share where staff feel that they are amongst friends and colleagues and evolved to allow enough time for staff to talk before and after the actual mindfulness period itself.

Over two thousand front line staff took part in the sessions over the year.

One of the nurses wrote the following in feedback from their mindfulness session:

“This year has been one of the most challenging times in my life and I have been battling a lot with anxiety and my mental health but you have both helped me through this and I am so grateful and thankful.

I cannot thank you enough for all of the support you have provided in your mindfulness sessions and for teaching so many different ways to be mindful. I now do this every day.

You have both inspired me to be a better version of myself and have helped me save my life. I hope you both know how much of a difference you have made to me and others you have supported.”

How we are funded

The Charity is delighted to receive donations to support its work from generous individuals, companies, community groups, staff, patients and families. These donations help the Charity to continue making grants, supplementing money donated in previous years.

We would like to say a huge thank you to everyone who has fundraised, donated, volunteered, or taken part in one of our many events over the past year. It is only with your help and support that we are able to do so many amazing things to support patients, families and staff across the Trust.

Fundraising

The Charity organises events and supports many more fundraisers organising their own events throughout the year.

Fundraisers can download the Charity’s fundraising toolkit from our website www.hospitalcharity.org which is packed with hints and tips for your fundraising, as well as the charity’s registration form. Sponsorship and Gift Aid forms are also available from the website.

Our Fisher House specific website is at www.fisherhouseuk.org. We would welcome feedback on our websites from donors and fundraisers.

You can also follow the Charity on social media for each of the four hospitals we support:

Twitter @UHBCharity

Facebook www.facebook.com/uhbcharity Instagram @uhbcharity

People taking part in sponsored events can also raise funds through our dedicated charity pages on the online giving site JustGiving:

University Hospitals Birmingham Charity www.justgiving.com/uhbcharity

Queen Elizabeth Hospital Birmingham Charity www.justgiving.com/qehbcharity

Heartlands Hospital Charity www.justgiving.com/heartlandshospital

Good Hope Hospital Charity www.justgiving.com/goodhopehospital

Solihull Hospital Charity www.justgiving.com/solihullhospital

Fisher House www.justgiving.com/fisherhouse.

The Fundraising team would be delighted to speak to anyone who is considering taking part in an event, or organising their own fundraising, for any of our hospital charity funds and can be contacted by email at [e-mail] or by telephone on 0121 371 4852.

As well as the many individuals to whom the Charity is very grateful for their support, we would also like to mention some of the companies and organisations that have supported University Hospitals Birmingham Charity over the past twelve months. We have so many generous supporters we cannot mention them all by name, but they all make a real difference to the care we can give our patients. Our case studies show just some of the ways people have supported the Charity.

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Donor Area of support
NHS Charities Together COVID/NHS Superheroes Appeal
National Grid COVID/NHS Superheroes Appeal
Aston Villa FC COVID/NHS Superheroes Appeal
Birmingham City FC COVID/NHS Superheroes Appeal
Warwickshire County COVID/NHS Superheroes Appeal
Cricket Club
Paragon Bank PLC COVID/NHS Superheroes Appeal
Warwickshire & COVID/NHS Superheroes Appeal
Worcestershire
Freemasons
EH Smith Charitable Trust COVID/NHS Superheroes Appeal
Eveson Charitable Trust COVID/NHS Superheroes Appeal
Royal Sutton Coldfield COVID/NHS Superheroes Appeal
Town Council
London Metric Property COVID/NHS Superheroes Appeal
PLC
Winners Chapel COVID/NHS Superheroes Appeal
International Birmingham
Guru Teg Bahadur COVID/NHS Superheroes Appeal
Gurdwara
Sri Dasmesh Sikh Temple COVID/NHS Superheroes Appeal
Vinci Construction UK COVID/NHS Superheroes Appeal
Lockdown Legends COVID/NHS Superheroes Appeal
Colouring Book Team
Millie’s Watch COVID/NHS Superheroes Appeal
Jaguar Land Rover COVID/NHS Superheroes Appeal
Western Power COVID/NHS Superheroes Appeal
IMI PLC COVID/NHS Superheroes Appeal
Sutton Coldfield COVID/NHS Superheroes Appeal
Charitable Trust
Birmingham Assay Office COVID/NHS Superheroes Appeal
Shree Birmingham COVID/NHS Superheroes Appeal
Pragmati Mandal
Veseyians RFC COVID/NHS Superheroes Appeal
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Donor Area of support
Balsall Common Lions COVID/NHS Superheroes Appeal
BBC Children in Need COVID/NHS Superheroes Appeal
Comic Relief COVID/NHS Superheroes Appeal
Gordon Giltrap QEHB Charity
Joseph & Lena Randall QEHB Charity
Charitable Trust
British Airways UHB Charity
Clarissa Greenfield UHB Charity
Friends of Good Hope Good Hope Hospital
Hospital
Friends of Solihull Hospital Solihull Hospital
Friends of Queen Queen Elizabeth Hospital
Elizabeth Medical Centre Birmingham
Bullring & Grand Central Queen Elizabeth Hospital
Birmingham
Birmingham District Neonatal Unit Heartlands Hospital
Nursing Charitable Trust (Prematurity packs))
Upper GI Support Group QEHB Upper GI Fund
Eveson Charitable Trust Stroke Unit
Millie’s Watch Dementia Engagement Leads
Sue McAllister Patient & Family Support Centre
Help Harry Help Others Solihull Haematology &
Oncology Centre
Help for Heroes Fisher House
SSAFA Fisher House
TroopAid Fisher House
Royal Marines Association Fisher House
MacRobert Trust Fisher House
ABF The Soldiers Charity Fisher House
Royal Navy & Royal Fisher House
Marines Charity
Royal Air Force Fisher House
Benevolent Fund
The Lt Dougie Dalzell MC Fisher House
Memorial Trust
Veterans’ Foundation Fisher House
BAE Systems Ltd Fisher House
Stan Bowley Trust Cyberknife
Ladies Fighting Breast QE Breast Cancer Appeal
Cancer
Stine & Ashley Giles The Giles’ Trust
Maggie Bate The Giles’ Trust
Cassidy Group The Giles’ Trust
Brian Travers & friends The Giles’ Trust
Tony Fox BEM, family & The Ann Fox Foundation
friends
Karen Morris Memorial Karen’s Home from Home
Trust
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Case study one – COVID-19 survivor takes on 100 mile cycle ride

Simon Farrell, 46, contracted COVID-19 in early March. He required admission to the Intensive Care unit (ITU) at QEHB and spent eight days in a medically induced coma on a ventilator.

Simon was the first patient to be successfully stepped down from ITU at QEHB during the crisis and was transferred to a medical ward (Ward 515) for a short spell before being discharged home.

After four months of recovering and rehabilitating at home, Simon took on the challenge of a 100 mile cycle ride around the Cotswolds with his friends to raise money for the hospital that saved his life. Simon said: “The amazing staff at the hospital saved my life and allowed me to return home to my family, I want to pay them back in some way.”

Previously, Simon had spoken to BBC News about his experiences and recovery. He reflected on the period of delirium and confusion he experienced when initially waking up from his induced coma. He has vivid memories of this time and still experiences occasional nightmares and flashbacks. He also spoke openly about the impact of the condition, not just in terms of the physical deficits but also the cognitive and psychological aspects and the importance of rehabilitation.

Since leaving hospital, Simon steadily recuperated over four months and took on his fundraising challenge to give something back to the team that saved his life. He said: “The money that we raised helped the team on Critical Care to educate patients on how best to recover when they leave critical care. A proportion of the funds will also go to Ward 515 where I was treated after leaving Critical Care and to Therapy Services for the purchase of much-needed rehabilitation equipment.”

Simon and his 14-strong cycling team raised over £7,500.

Simon’s wife, Hannah, who works at QEHB said: “I am indebted to my amazing colleagues and friends at QEHB for the amazing care and compassion that my husband, Simon, received when he was on Critical Care and Ward 515 in early March. I have worked for the NHS for 25 years and have worked at QEHB for the majority of this time. I am so proud of the world-class care that is provided by the trust and its staff of all disciplines. I have no doubt that NHS stars have never shone so bright over the challenging last few months, and I would like to thank each and every one of them who contributed to the care and compassion that Simon received and the support given to me and our boys.”

Charlotte Schofield, Director of Fundraising at the Charity, said: “On behalf of everyone at QEHB I would like to express how delighted I am that Simon has made such a steady recovery since his time in hospital with COVID-19. It is inspirational that he took on a fundraising challenge to support those who helped him in his time of need.

“The money that Simon and the team raised has helped our staff on Critical Care and the medical wards to provide the very best rehabilitative care for their patients in the future. As a Charity we are proud to support their work, which has been so vital throughout this pandemic.”

Case study two – Birmingham City FC travel from Land’s End to John O’Groats in a COVID-19 safe manner!

Staff at Birmingham City Football Club came together to raise £20,000 for the NHS Superheroes across University Hospitals Birmingham to help them during the COVID-19 pandemic.

The Blues team covered the distance from Land’s End to John O’Groats, which is a staggering 1,083 miles, over a three day period from Friday 8 May to Sunday 10 May. The team recorded the cumulative miles travelled by everyone involved, with participants running or walking in their local surroundings whilst adhering to guidelines on exercise and social distancing.

Staff from across the Club took part, including the Men’s and Women’s First Team, Academy, the BCFC Community Trust, Former Players Association, Media, Ticket Office, Commercial and Retail.

Carl McNally came up with the initial idea for the challenge and said: “We chose to support University Hospitals Birmingham Charity as they have four hospitals in and around the West Midlands area that provide important medical care to help the people of our community.”

Charlotte Schofield, Director of Fundraising at the Charity, said: “Our thanks go to everyone at Birmingham City Football Club who took on or supported the Keep Right On Challenge - your support helped us to do more for our NHS Superheroes, and the patients that they are treating, at this difficult time.

“Since the outbreak of COVID-19 we have seen some fantastic ideas of alternative ways to fundraise and the KRO Challenge was a brilliant example of how we can all come together to raise money and have fun along the way.

“The money that the KRO Challenge raised helped us to continue to support UHBFT staff and patients at this challenging time. We have used the funds donated to us since the outbreak of COVID-19 to provide our staff with food, drink and toiletries to help to keep them going, and we’re now opening up staff welfare hubs and special ‘wobble rooms’ where they can go to spend time away from the ward.

“The welfare of the staff is always a key priority, and now it is more important than ever.

“Sadly the current situation means that patients cannot receive visitors, which makes their stay in hospital harder. We’re funding tablets so that patients can speak to their loved ones via video chat, helping to keep their spirits up. We’re also funding radios to keep our patients entertained.”

Case study three: Teacher walks 2,000 miles for Fisher House

Kim Fox lives and works in Cyprus where she is the Headteacher at a school for the children of UK Military Personnel. Kim took on a virtual walking challenge, alongside 11 friends, that saw them cover the distance from Larnaca, Cyprus, to the Queen Elizabeth Hospital Birmingham – a distance of over 2,000 miles!

Kim used the challenge to raise money for Fisher House, the military home away from home at QEHB, inspired by her own experiences there.

In October 2019 Kim was flown from Cyprus to the Queen Elizabeth Hospital Birmingham for urgent plastic surgery on her leg following an infection. As a civilian member of the Armed Forces, Kim was entitled to be treated at QEHB as it is the receiving hospital for all of the UK’s military personnel.

Kim’s family live in Kent and during the three weeks that Kim spent in hospital following her surgery, her mum and sister were able to stay in Fisher House. Kim said: “My mum was so well-supported at that time in Fisher House and both she and I are very grateful for that.”

After spending three weeks in hospital Kim was discharged, but required follow-up appointments at the hospital over the months that followed. During this time she stayed at her mum’s home in Kent but was able to stay at Fisher House overnight before her appointments.

Kim said: “Fisher House is not just a building. The support that you get when you stay there is brilliant, you have an opportunity to talk to others who are in a similar situation, and the staff help to make the place what it is.”

Kim’s experiences at Fisher House have inspired her to take on a fundraising challenge and, together with 11 friends, she walked the distance from Larnaca to Birmingham.

She said: “All of the amazing people who took part alongside me either have a military connection, or helped to support me during my time at Fisher House. As soon as I told them about my idea to take on a fundraising event they were keen to join me.”

Whilst some of the group lived in Cyprus, the challenge saw them take part individually, allowing them to complete the challenge despite the pandemic. Kim said: “We completed the distance in a month, and in order to do that we had to walk ten kilometres each and every day, so it wasn’t an easy challenge.”

Kim hopes to inspire lots of donations to Fisher House, saying: “Fisher House was there for me during my time of need and I hope that by taking on this challenge we can make more people aware of the house and the incredible service that it provides.”

Legacies

Gifts in wills are a much valued and major source of funding for University Hospitals Birmingham Charity.

Legacies are used, in accordance with donors’ wishes, to support research; to fund capital projects; to allow continued investment in equipment; and to support UHBFT’s patients, families and staff.

University Hospitals Birmingham Charity is very grateful to those donors who have considered us in their will, and we would encourage anyone considering leaving a gift in their will to contact the Chief Executive to discuss their plans, how they would like to support the work of UHBFT and how the Charity can recognise their vital support.

UHB Charity has launched a free will writing service through Bequeathed, an online will writing service.

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Find out more about this new service by visiting www. hospitalcharity.org/bequeathed

We are delighted to report that in the year to 31 March 2021 the charity received generous legacies to the value of £1,107,081. (2019/20: £999,881). We would like to acknowledge the generous sums received from bequests made by the following people:

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Donor Donor
Jennifer Amatiello M Bennett
Valerie Bonehill Sarah Bookey
Clarissa Dawson Lois Godfrey
Nora Haynes Rachel Howell
Doreen Jones Barbara Jones
Jacqueline Kane Albertina Lea
Robert Leighton Peter Lowe
Joan Meredith Joyce Mitchell
Donald Newman Pamela Moden
Lily Panting E L Perry
Roger Phipps Valerie Powell
Lilian Preece Joyce Rogers
Joyce Roper Veronica Smallwood
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Legacy donations can help to make a huge difference to our patients, their families and our staff and we are very grateful to everyone who has left a gift in their will.

Governance

More about who we are and how we work

In addition to the Charity’s registered name, University Hospitals Birmingham Charity, there are four working names to reflect the four hospitals it operates over: Queen Elizabeth Hospital Birmingham Charity, Heartlands Hospital Charity, Good Hope Hospital Charity and Solihull Hospital Charity.

The Charity made the decision to take advantage of the guidance published by the Department of Health on “How NHS charities can convert to independent status” and converted to a new charitable company limited by guarantee on 23 February 2016.

Previously, the Charity operated under the name of University Hospital Birmingham Charities, charity registration number 1093989 as an unincorporated trust.

Our history

The teaching hospitals of Birmingham, originally amalgamated as the United Birmingham Hospitals, had charitable funds managed by the Special Trustees for the Former United Birmingham Hospitals Trust Funds. When the hospitals were split into separate trusts, the decision was made to split the charitable funds in the same way. The Special Trustees were dissolved by Statutory Instrument on 1 April 2001. An apportionment of their funds, together with corporate funds, were transferred to University Hospital Birmingham Charities.

On 23 February 2016, the Charity became a charitable company limited by guarantee, fully independent from the Department of Health who are no longer responsible for the appointment of Trustees.

On 1 April 2017, the Heart of England NHS Foundation Trust Charitable Fund merged with University Hospitals Birmingham Charity and the charity took on responsibility for charitable activities across Heartlands, Good Hope and Solihull hospitals in addition to Queen Elizabeth Hospital Birmingham. This happened alongside the merger of Heart of England NHS Foundation Trust with University Hospitals Birmingham NHS Foundation Trust.

How do we do things?

The Charity can have up to fifteen unpaid Trustees who make up the Board of Trustees. They decide policy and make sure it is implemented. UHBFT has the right to nominate up to a third of the Trustees.

Day to day management is delegated to the Charity Chief Executive who is responsible for carrying out the decisions of the Trustees and working with professional external advisors and the representatives of UHBFT who provide services to the Charity.

The Chair of the Trustees, who is elected by the Trustees, chairs meetings and takes an active role working with the Charity Chief Executive in the daily management of the Charity. In the financial

year to 31 March 2021 the Chair of Trustees was Dave Mackay. Detailed in the table below are all the Trustees who held office during the financial year to 31 March 2021.

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Trustees who were in Date of first Date when
office throughout the appointment appointment
year to 31 March 2021 expires
Peter Mayer 23 February 2016 22 August 2021
Andrew Pemberton 23 February 2016 22 February 2022
David Ritchie 23 February 2016 22 February 2024
Michael Seabrook 23 February 2016 22 February 2022
David Mackay 23 February 2016 22 February 2023
Ru Watkins 23 February 2016 22 February 2023
Carole Cole 23 May 2019 26 March 2021
Joanne Eales 21 August 2019 20 August 2023
Stan Baldwin 21 August 2019 20 August 2023
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*Trustees marked with an asterisk previously served as Trustees under the old charity registration number and were appointed as Trustees under the new charity registration number.

Particular thanks to Carole Cole for her service as Trustee. Carole stepped down on 26 March 2021 due to relocation elsewhere in the country.

Details of Trustees

David Mackay worked for West Bromwich Building Society for 33 years, retiring in 2008 as Managing Director of West Bromwich Mortgage Company. He is a Fellow of the Institute of Sales & Marketing Management. David has served as a Board Member of the Black Country Chamber of Commerce & Industry, and as Chair of Governors at Howley Grange Primary School.

Dr Peter Mayer was a former consultant in Geriatric and Stroke Medicine at UHBFT and South Birmingham Primary Care Trust from 1977 until 2007 and was also an Honorary Senior Clinical Lecturer in the Department of Geriatrics at the University of Birmingham during the same period. Peter is a Trustee of Birmingham & District Nursing Charitable Trust and Honorary President of the Institute of Ageing and Health.

Andrew Pemberton is a qualified Chartered Accountant. He had a 27-year career with Peugeot Motor Company retiring in 2007 as Director-Service for Peugeot UK. Andrew has been a member of Balsall Common Lions club for 38 years and currently volunteers with the Lions organisation nationally.

David Ritchie worked at a senior level in Government for a number of years, latterly as Regional Director, Government Office for the West Midlands. He was also Chair of the Oldham Independent Review into the causes of the Oldham Race Riots in 2001 and has served as a non-executive director for UHBFT. He is currently Chair of Trustees for The Robin Centre.

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Michael Seabrook was a practising solicitor after he was admitted in 1976 and a partner at Eversheds from 1986 until he retired in 2011. He was a corporate lawyer for over thirty years, advising venture capitalists and management teams. He is also a Director of Solihull Moors Football Club CIC and a Trustee of Solihull Moors Foundation.

Ru Watkins was Chief of Staff for the Royal Centre for Defence Medicine from 2010 to 2012. Prior to that role, Ru had commanded infantry soldiers in Bosnia and Kosovo and then a number of Communications roles within the Ministry of Defence. He is a Fellow of the Royal Society of Arts and of the Chartered Institute of Management. He led the first UK expeditions to conquer the Miette Mountains in Canada and navigate the Monkey River in Belize. He is now Chief Executive of St Elizabeth Hospice, Ipswich.

Carole Cole was Deputy Director of Communications at UHBFT. Prior to working for the NHS, Carole was Deputy Editor of the Birmingham Mail.

Joanne Eales is a qualified Chartered Accountant specialising in accountancy services to SME businesses. She has served as a parish councillor on Lickey & Blackwell Parish Council and has been Treasurer for the parents’ associations at Bromsgrove Preparatory School and Bromsgrove School.

Stan Baldwin is a Governor at UHBFT representing Solihull & Meriden. He has extensive public sector experience including nine years’ service as a Non-Executive Director of the Birmingham and Solihull Mental Health Foundation Trust. His previous posts have included Principal of Community Education with the City of Birmingham and Chief Executive of Wyre Forest District Council. Stan is currently Vice-Chair of Governors at Solihull College and University Centre.

Trustee recruitment, appointment and induction

Trustee recruitment is carried out by the Charity.

Trustees are recruited following public advertisement, or are nominated by UHBFT, who have the right to nominate up to a third of the Trustees. As at 31 March 2021, UHBFT has nominated one Trustee (Stan Baldwin) and is in the process of nominating a second.

All potential Trustees must be interviewed and recommended by a panel consisting of two Trustees of the Charity and the Charity Chief Executive. Candidates must show knowledge of, and an interest in, UHBFT and the community it serves and be willing to give the time necessary.

Trustees are also selected to give the Charity a good mix of appropriate professional skills, such as finance, investment and law. All Trustees are appointed for a fixed term of up to four years, which is renewable.

Performance measures adopted by the Board include amongst other things a measure of the attendance level of Trustees. All measures are monitored regularly by the Board of Trustees.

New Trustees are provided with an induction pack comprising governing documents, and policies and procedures, and if they have not had previous dealings with UHBFT, a tour of the hospital.

Training courses are offered to the Trustees, in charity law and administration and the roles and responsibilities of Trustees, as part of their ongoing professional development.

Our auditors and solicitors provide much useful material and the Association of NHS Charities (now known as NHS Charities Together and of which we are a member) runs regular conferences for Trustees.

Charity Sub-Committees

The Trustees have the power to establish committees to provide scrutiny of aspects of the Charity and to make recommendations to the Board of Trustees.

As at 31 March 2021 there is one formal sub-committee – the Board Performance, Finance & Risk Committee - which met seven times during the year 2020/21.

The Charity’s Staff

The Charity Chief Executive is responsible for delivering the strategic objectives set by the Trustees and has delegated day to day responsibility for running the Charity.

Finance administration services are provided by UHBFT under a service level agreement and individually named members of staff are responsible for providing those services, but the staff are employed by UHBFT.

External and internal auditors, legal advisors, investment managers and representatives of the NHS, amongst others, complement the staff in support of the Board of Trustees.

Remuneration policy

The Trustees consider the following when setting remuneration levels for the Charity Chief Executive and any other senior executives.

1. The goal of the Charity’s remuneration policy is to offer fair pay to attract and keep appropriately qualified staff to lead, manage, support and deliver the Charity’s aims.

2. Trustees are ultimately responsible for setting remuneration levels for the Charity’s most senior staff , which in the case of the Charity currently applies only to the Charity Chief Executive.

3. To set appropriate pay and rewards requires making informed judgments and following the Charity’s governance and constitutional arrangements.

4. In deciding top levels of pay and rewards, Trustees will

5. consider the purposes, aims and values of the Charity, and its beneficiaries’ needs.

6. Trustees will consider how increasing pay, particularly at senior levels, would be perceived by employees, donors and beneficiaries.

7. Trustees will make an assessment of the Charity’s and senior staff’s performance against expectations, both short and long term.

8. Trustees will seek information on pay policies and practices in other organisations that could help guide a decision on whether a level of pay is fair.

Having considered the above points, Trustees awarded the Charity Chief Executive a salary increase of 4.26% in the year under review.

Volunteers

Many hundreds of volunteers, including Fund Advisors, contribute to the work of the Charity and we are very grateful to them all.

Members of the public as well as Fund Advisors organise fundraising events for us during the year and some members of the public also volunteer within UHBFT on projects that are funded from the Charity’s designated funds.

It is not possible, due to the nature of such volunteering, for the Charity to quantify in terms of hours the contribution of all its volunteers.

The Charity thanks all its volunteers for their contribution to its ongoing work.

Grant making structure and policy

The charitable funds that the Charity manage, and from which grants are made, are held as endowment funds (expendable or permanent), restricted funds and unrestricted funds (designated or wholly unrestricted).

It is the Trustees’ policy to ensure that all grants made from these funds are used in accordance with the purposes of the individual fund and the Charity’s purposes and aims.

Individual funds’ purposes include research, equipment and patient and staff welfare.

Day to day operational policy guidelines, which deal with such matters as expenditure on travel when on charitable business, are issued to Fund Advisors and regularly reviewed.

The definitions of endowment, restricted and unrestricted funds are detailed below:

• a. Endowment funds – the donor has expressly provided that the investment income of the fund may be applied for a specific charitable purpose.

• Endowment funds are further split between expendable endowments (where the Trustees have the discretion to spend the capital) and permanent endowments (where Trustees have no discretion to spend the capital). The Charity has no endowment funds.

• b. Restricted funds – the donor has provided for the entire donation to be used for a specified purpose or has been given assurance that the donation is destined for a particular purpose.

• c. Unrestricted funds – funds which are neither endowment nor restricted.

These are held either as designated (earmarked) funds (where the donor has made known their non-binding wishes) and wholly unrestricted funds which are for use at the Trustees’ discretion.

Unrestricted funds are held under the umbrella of the General Fund; there are currently just over 500 such funds.

All of the different types of funds have Fund Advisors who facilitate local decision-making and offer expertise in the particular area of the fund.

The Fund Advisors have delegated powers and responsibility to authorise expenditure in line with the purpose of the fund and to manage projects and activities on a day to day basis within certain limits.

For expenditure in excess of these limits they make recommendations to the Charity Chief Executive and Trustees.

All the Charity’s restricted and unrestricted funds can be spent at any time. Grants from these funds are applied for by Fund Advisors.

Charitable expenditure

Details of our major expenditure in the areas of equipment, medical research, facilities and training, education and patient support, are given elsewhere in this report (see pages 10-15).

During the financial year under review, the Charity made grants totalling £3,425,000. (2019/20: £4,072,000)

It should be noted that the construction costs of Fisher House were capitalised as an asset rather than as expenditure. The costs are spread over a ten year period. This will show in charitable expenditure over the coming years.

Charity’s advisors and agents

Representatives of senior management of UHBFT attend Board Meetings and receive copies of Board papers.

There is also regular contact with senior UHBFT management, including the Chief Executive of UHBFT, both formally and on an informal basis.

Fund Advisors to the Charity are clinicians, ward sisters and other staff of UHBFT who are in regular contact with patients.

The Finance Department of UHBFT provides financial and administrative support to the charity under a Service Level Agreement.

Details of our other advisors can be found below.

Other advisors

• Î RSM: St Philips Point, Temple Row, Birmingham B2 5AF (internal auditors)

• Mazars LLP, First Floor, Two Chamberlain Square, Birmingham B3 3AX (external auditors)

• Î

Barclays Bank: Colmore Row, Birmingham B3 2BY (bankers)

• Î

• Schroder & Co Limited: 12 Moorgate, London EC2R 6DA (investment managers)

• Î

• Shakespeare Martineau Solicitors: 1 Colmore Square, Birmingham B4 6AA (lawyers)

• Î

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| Trustees Report incorporating the Strategic Report

Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity

We are very grateful to NHS Charities Together for the ability to participate in their grant making programmes that have distributed the fundraising, with the Charity receiving over £1 million in grants.

Wider networks and related parties

The Charity is one of some 250 NHS-linked charities in England and Wales. A number of the larger NHS-linked charities have, for a number of years, joined together to form NHS Charities Together (formerly known as the Association of NHS Charities) which now has every NHS charity as a member.

The Charity works closely with, and provides the majority of its grants to, UHBFT and the University of Birmingham, UHBFT’s main research partner. Although the Trustees are careful to consult with representatives of these organisations through their board meetings and other, less formal contacts, they retain their independence to act in the best interests of the Birmingham Charity and the communities they serve.

As a member, we have the opportunity to discuss matters of common concern and exchange information and experiences, join together with others to lobby government departments and others, and to participate in conferences and seminars which offer support and education for our staff and Trustees.

NHS Charities Together led on the national COVID-19 fundraising campaign which raised over £150 million, including the over £38 million fundraising of Captain Sir Tom Moore.

Administrative Structure as at 31 March 2021

----- Start of picture text -----
Board of Trustees
Charity Chief Executive
Director of Office Operations
Fundraising Manager Manager
Fundraising Communications & Administration
Manager x2 Fundraising Manager Team x1
Fundraising Communications
Team x5 Team x1
----- End of picture text -----

External support structure as at 31 March 2021

----- Start of picture text -----
University Hospitals
Birmingham Charity
UHBFT Internal and Legal Investment
Finance External Auditors Advisors Manager
----- End of picture text -----

Risks policy

A Risk Register, identifying the major risks to which the Charity is exposed, and an action plan of controls to mitigate those risks is in place and is tabled at each Trustee Board meeting.

The Risk Register and controls are reviewed by our internal and external auditors.

A Fraud and Corruption policy was updated and adopted by the Board of Trustees in August 2007.

A written policy on the acceptance and refusal of donations was updated and adopted by the Board of Trustees in March 2011.

Internal auditors, RSM have carried out a review of the Risk Register and controls in the year under review.

The Trustees have identified the following principal risks to the Charity, with the details of how they are managing these risks:

----- Start of picture text -----
Risk Mitigation
The Charity not having a Advertising sites within the
significant profile within the hospital, permanent presence
hospitals themselves within the hospital, direct
meetings with doctors,
nurses and management
A lack of charitable projects Working directly with doctors,
for which to fundraise nurses and management to
identify ways the hospital
charity can help to benefit
patients. Planning of
fundraising appeals well in
advance
Managing the funds Charity Chief Executive
and assets of the Charity formally reports at each
effectively Trustee meeting. UHBFT Chief
Financial Officer presents
quarterly finance reports
to Trustees. Investment
Managers present to Trustees
on an annual basis
----- End of picture text -----

Investment policy

The Charity’s long term investments are managed by Schroders & Co Limited. The investments are held in the Cazenove Charity Responsible Multi Asset Fund.

The Board of Trustees monitors investment performance and receive regular reports from the investment manager.

The move to the Cazenove Charity Responsible Multi Asset Fund was to reduce volatility and generate a sustainable rate of income from the investments, and the Trustees note the portfolio is performing to those requirements over the long term.

The investment policy and investment performance is reviewed at each quarterly Trustee Board meeting.

The Trustees have adopted the following investment policy:

• i. The Charity’s aims in investing its funds “The Trustees recognise that donors to the Charity expect their donations to be spent on charitable activities relating to the work of UHBFT in a timely manner. The Trustees therefore wish to invest those funds to generate a financial return on capital, whilst minimising the risk to capital. The income thus generated will be used to further the aims and objectives of the Charity.”

ii. The balance between capital growth and income generation “The Trustees main concern is preservation of capital. However, whilst taking that into consideration, the need for capital growth is not a main priority. Thus, within the constraints of capital preservation, the Trustees prefer income generation over capital growth.” iii. Consideration of risk “The Trustees desire a low to medium risk investment portfolio. Charitable funds should be spent in a timely manner, thus investments that require a long period of investment are not to be recommended.”

• “The Trustees main concern is preservation of capital. However, whilst taking that into consideration, the need for capital growth is not a main priority. Thus, within the constraints of capital preservation, the Trustees prefer income generation over capital growth.”

iv. The timing of returns “The Trustees need to draw a steady cash stream from their investments during the year. The investment policy should enable the funding of the cash requirements provided by the Trustees.”

• v. Special preferences – e.g. ethical investments “The Trustees wish to invest solely their cash holdings in organisations protected by the UK regulatory authorities. In addition, the Trustees wish to screen their investments in such a way that investments avoid harm through environmental, social and governance integration and screening, investments benefit stakeholders through responsible activities, and investments contribute to solutions through influence and investing for impact. Investment portfolios should exclude sectors such as tobacco, alcohol, pornography, gambling and those that have a high impact on climate change. Any investment manager should provide the Trustees with their Socially Responsible Investment policy prior to investing in equities to enable the Trustees to give approval of such policy.”

• vi. Review of the policy statement

• “This investment policy statement will be reviewed by the Trustees on an annual basis.”

• vii. The way in which the investment discretion will be exercised

“The Trustees delegate the day to day management of the investments to the investment manager subject to the policy above. The investment manager should be able to demonstrate how the investments made on behalf of the Charity meet the policy requirements and should present to the Trustees on an annual basis their plans for the year ahead.”

viii. Reserves policy

“Once the Trustees have formally agreed any charitable grant, the funds covering that grant will be moved into a cash account. In addition to those funds necessary to cover any agreed grants, the charity wishes to hold in a

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Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity | Trustees Report incorporating the Strategic Report

cash reserve a sum equal to six months expenditure of its general funds to allow the charity to meet its obligations in the event of a failure to raise any new charitable funds. There is no need to set aside any reserves against the earmarked funds as if no income was received, no expenditure would be made.”

Reserves policy

The reserves policy is reviewed annually and is now incorporated into the investment strategy to help our investment advisors manage our funds in the most appropriate way.

The reserves policy was established by the Board of Trustees as part of their plans to provide long term support to UHBFT for equipment, medical research, facilities and training, education & patient support.

The Trustees calculate the reserves as that part of the Charity’s unrestricted income funds that are freely available after taking account of designated funds which have been earmarked for specific purposes, unrealised gains or losses and certain funds, which on the basis of prudence do not form part of the reserves.

The total funds of the Charity at the year ending 31 March 2021 were £17.489 million. The total level of unrestricted reserves is analysed as follows:

----- Start of picture text -----
£
Total funds available at year end 31 March 2021 17,651,000
Less:
Restricted funds 1,108,000
Designated funds (including Fisher House and 16,137,063
Homes away from Home)
Total free reserves 405,937
----- End of picture text -----

Trustees calculated the level of required or target free reserves after reviewing the Charity’s annual income and expenditure level and taking into account medium term commitments.

The target reserves ensure stability of grant funding to UHBFT. The target reserves are calculated as follows:

----- Start of picture text -----
£
Provision for six month’s 400,000
general fund expenditure
requirements
Total target reserve 400,000
requirement:
----- End of picture text -----*

*The figure for six month’s general fund expenditure requirements are those costs the Charity would incur, including redundancy costs, if fundraising income ceased and Trustees had to wind up the Charity’s activities.

The available reserves are above the target range and the Trustees believe these are sufficient and at a prudent level.

The Trustees note that there is still a large balance of designated funds within the Charity and have set plans to continue to spend these balances on the areas appropriate to donors’ wishes.

Financial review

The full 2020/21 Statement of Financial Activities and Balance Sheet and accompanying notes to the accounts are set out on pages 42 to 56.

Income during the year amounted to £5.849 million (2019/20: £5.279m) and expenditure in the year was £4.053 million. (2019/20: £5.106 million)

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

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

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

• select suitable accounting policies and apply them consistently;

• make judgements and estimates that are reasonable and prudent;

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

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

The trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the charity and to enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charity and hence taking reasonable steps for the prevention and detection of fraud and other irregularities.

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

Statement as a disclosure to our auditors

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

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

• the trustees, having made enquiries of fellow directors and the company auditor that they ought to have individually made, have each taken all steps that they are obliged to take as a director in order to make themselves aware of any relevant audit information and to establish that the auditor is aware of that information.

and signed on their behalf by:

Approved by Trustees on 22 September 2021

Signed: Trustee: Dave Mackay (Chair)

Signed: Trustee: Andy Pemberton (Trustee)

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University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity

Independent auditor’s report to the members of University Hospital Birmingham Charity

Opinion

We have audited the financial statements of University Hospital Birmingham Charity (the ‘parent charity’) and its subsidiary (the ‘group’) for the year ended 31 March 2021 which comprise of the Consolidated Statement of Financial Activities, the Charity Statement of Financial Activities, the Consolidated Balance Sheet, the Charity Balance Sheet, the Consolidated Statement of Cash Flows and notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including FRS 102 “The Financial Reporting Standard applicable in the UK and Republic of Ireland” (United Kingdom Generally Accepted Accounting Practice).

In our opinion, the financial statements:

• give a true and fair view of the state of the group’s and of the parent charity’s affairs as at 31 March 2021 and of the group’s and the parent charity’s income and expenditure for the year then ended;

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

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

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the charity in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

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

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

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

Other information

The other information comprises the information included in the annual report, other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other information. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

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

We have nothing to report in this regard.

Opinions on other matters prescribed by the Companies Act 2006

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

• the information given in the Trustees’ Report which includes the Strategic Report and the Directors’ Report prepared for the purposes of company law, for the financial year for which the financial statements are prepared is consistent with the financial statements; and

• the Strategic Report and the Directors’ Report included within the Trustees’ Report has been prepared in accordance with applicable legal requirements.

Matters on which we are required to report by exception

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

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

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

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

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

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

Responsibilities of Trustees

As explained more fully in the trustees’ responsibilities statement set out on page [X], the trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the trustees are responsible for assessing the group’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the charity or to cease operations, or have no realistic alternative but to do so.

Auditor’s responsibilities for the audit of the financial statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of the financial statements.

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

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

Our audit procedures were designed to respond to those identified risks, including non-compliance with laws and regulations

(irregularities) and fraud that are material to the financial statements. Our audit procedures included but were not limited to:

• Discussing with the trustees and management their policies and procedures regarding compliance with laws and regulations;

• Communicating identified laws and regulations throughout our engagement team and remaining alert to any indications of noncompliance throughout our audit; and

• Considering the risk of acts by the charity which were contrary to applicable laws and regulations, including fraud.

Our audit procedures in relation to fraud included but were not limited to:

• Making enquiries of the trustees and management on whether they had knowledge of any actual, suspected or alleged fraud;

• Gaining an understanding of the internal controls established to mitigate risks related to fraud;

• Discussing amongst the engagement team the risks of fraud; and

• Addressing the risks of fraud through management override of controls by performing journal entry testing.

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

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

Use of the audit report

This report is made solely to the charity’s members as a body in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charity’s members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charity and the charity’s members as a body for our audit work, for this report, or for the opinions we have formed.

Ian Holder

Senior Statutory Auditor for and on behalf of Mazars LLP Chartered Accountants and Statutory Auditor First Floor

• 2 Chamberlain Square Birmingham

B3 3AX

Date: 3 December 2021

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University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity

Consolidated Statement of Financial Activities (including consolidated Income and Expenditure account) for the year ended 31 March 2021

Note ref. Income and endowments from: Donations, legacies and grants 3 Charitable activities 3.1 Other Trading Activities UHB Trading CIC 2.2 Investments 10.2 Total Expenditure on: Raising funds: UHB Charity 6.1 UHB Trading CIC 2.2 Charitable activities: 6 Medical Research Purchase of Equipment New Building and Refurbishment Staff Education and Welfare Patient Education and Welfare Fisher House Running Costs Depreciation Costs Grants to other Bodies Total Net Income before gains and losses on investments Other recognised gains and losses Unrealised gains (losses) on investments Realised gains (losses) on investments Transfers between funds 16 Net movement in funds for the year Reconciliation of funds: Total funds brought forward Total funds carried forward 17	Unrestricted funds Restricted funds Total funds £000 £000 £000 4,157 1 4,158 1,093 0 1,093 11 0 11 587 0 587 5,848 1 5,849 619 0 619 10 0 10 150 0 150 522 0 522 609 0 609 418 0 418 814 0 814 154 0 154 409 0 409 349 349 4,054 0 4,054 1,794 1 1,795 1,817 0 1,817 352 0 352 0 0 0 3,963 1 3,964 12,580 1,107 13,687 16,543 1,108 17,651	Prior Year 2020 £000 3,566 1,033 51 628
		5,278
		1,009 25 635 1,029 363 774 740 122 409
		5,106
		172 (1,434) 91 0
		(1,171) 14858
		, 13,687

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

Company Statement of Financial Activities for the year ended 31 March 2021

Note ref. Income and endowments from: Donations, legacies and grants 3 Charitable activities 3.1 CIC Trading Income 2.2 Investments 10.2 Total Expenditure on: Raising funds: 6.1 Charitable activities: 6 Medical Research Purchase of Equipment New Building and Refurbishment Staff Education and Welfare Patient Education and Welfare Fisher House Running Costs Depreciation Costs Grants to other Bodies Total Net Income before gains and losses on investments Other recognised gains and losses Unrealised gains (losses) on investments Realised gains (losses) on investments Transfers between funds 16 Net movement in funds for the year Reconciliation of funds: Total funds brought forward Total funds carried forward	Unrestricted funds Restricted funds Total funds £000 £000 £000 4,157 1 4,158 1,093 0 1,093 17 0 17 587 0 587 5,854 1 5,855 619 0 619 150 0 150 522 0 522 609 0 609 418 0 418 814 0 814 154 0 154 409 0 409 349 0 349 4,044 0 4,044 1,810 1 1,811 1,817 0 1,817 352 0 352 0 0 0 3,979 1 3,980 12,564 1,107 13,671 16,543 1,108 17,651	Prior Year 2020 £000 3,566 1,034 10 628
		5,238
		1,009 635 1,029 363 774 740 122 409
		5,081
		157 (1,434) 91 0
		(1,186) 14,857
		13,671

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

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

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

Signed: Trustee: Dave Mackay (Chair) Date: 22 September 2021

The notes at pages 31 to 42 form part of these accounts.

Signed: Trustee: Andy Pemberton (Trustee) Date: 22 September 2021

Signed: Trustee: Dave Mackay (Chair) Date: 22 September 2021

The notes at pages 31 to 42 form part of these accounts.

Signed: Trustee: Andy Pemberton (Trustee) Date: 22 September 2021

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University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity

Consolidated Balance Sheet as at 31 March 2021

Note ref. Unrestricted funds Restricted funds Total funds £000 £000 £000 Fixed assets: Investments-Equities, Securities and Property 10 13,449 1,108 14,557 Tangible Fixed Assets 10.4 762 0 762 Program Related Asset 10.3 929 0 929 Total fixed assets 15,140 1,108 16,248 Current assets: Stock 2.2 15 0 15 Assets held for sale 11.1 0 0 0 Debtors 11.2 1,862 0 1,862 Cash at bank and in hand 11.3 4,000 0 4,000 Total current assets 5,877 0 5,877 Liabilities: Creditors: Amounts falling due within one year 12 1,960 0 1,960 Provisions for liabilities: Amounts falling due within one year 14 1,934 0 1,934 Net current assets/liabilities 1,983 0 1,983 Total assets less current liabilities 17,123 1,108 18,231 Provisions for liabilities: Amounts falling due after more than one year 14 580 0 580 Total net assets or liabilities 16,543 1,108 17,651 The funds of the group: Restricted income funds 17.1 0 1,108 1,108 Unrestricted funds 17.2 16,543 0 16,543 Total funds 16,543 1,108 17,651	Prior Year 2020 £000 12,862 1,171 929
	14,962
	19 0 1,121 3,011
	4,151
	1,336 3,428
	(613)
	14,349
	662
	13,687
	1,107 12,579
	13,687

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

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Signed:
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Signed: Trustee: Andy Pemberton (Trustee) Date: 22 September 2021

Trustee: Dave Mackay (Chair) Date: 22 September 2021

The notes at pages 31 to 42 form part of these accounts.

Balance Sheet as at 31 March 2021

Note ref. Unrestricted funds Restricted funds Total funds £000 £000 £000 Fixed assets: Investments-Equities, Securities and Property 10 13,449 1,108 14,557 Tangible Fixed Assets 10.4 762 0 762 Program Related Asset 10.3 929 0 929 Total fixed assets 15,140 1,108 16,248 Current assets: Assets held for sale 11.1 0 0 0 Debtors 11.2 1,892 0 1,892 Cash at bank and in hand 11.3 3,985 0 3,985 Stock 11.4 0 0 0 Total current assets 5,876 0 5,876 Liabilities: Creditors: Amounts falling due within one year 12 1,959 0 1,959 Provisions for liabilities: Amounts falling due within one year 14 1,934 0 1,934 Net current assets/liabilities 1,983 0 1,983 Total assets less current liabilities 17,123 1,108 18,231 Provisions for liabilities: Amounts falling due after more than one year 14 580 0 580 Total net assets or liabilities 16,543 1,108 17,651 The funds of the charity: Restricted income funds 17.1 0 1,108 1,108 Unrestricted funds 17.2 16,543 0 16,543 Total charity funds 16,543 1,108 17,651	Prior Year 2020 £000 12,862 1,171 929
	14,962
	0 1,148 2,987 0
	4,135
	1,336 3,428
	(629)
	14,333
	662
	13,671
	1,107 12,564
	13,671

Total charity funds

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

Signed: Trustee: Dave Mackay (Chair) Date: 22 September 2021

Signed: Trustee: Andy Pemberton (Trustee) Date: 22 September 2021

The notes at pages 31 to 42 form part of these accounts.

Trustees Report incorporating the Strategic Report | 29

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University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity

Notes to the accounts

Consolidated Statement of Cash Flows

Consolidated Statement of Cash Flows
		2020/21	2019/20
		£000	£000
Cash flows from operating activities:
Net cash used in / provided by operating activities	Table A	(72)	(229)
Cash flows from investing activities:
Dividends, interest and rents from investments	10.2	587	628
Proceeds from the sale of property, plant and equipment		0	0
Purchase of property, plant and equipment	10.3	0	(664)
Proceeds from sale of investments	10	12,563	4,030
Purchase of investments	10	(12,089)	(3,740)
Net cash provided by (used in) investing activities		1,061	254
Cash flows from financing activities:
Repayments of borrowing Gift Aided from QEHBC CIC		0	0
Cash inflows from new borrowing		0	0
Receipt of endowment		0	0
Net cash provided by (used in) financing activities		0	0
Change in cash and cash equivalents in the reporting period		988	25
Cash and cash equivalents at the beginning of the reporting period		3,011	2,986
Change in cash and cash equivalents due to exchange rate movements		0	0
Cash and cash equivalents at the end of the reporting period	Table B	4,000	3,011

Notes to the Accounts

The company was incorporated as a company limited by guarantee on 1st April 2016. It is registered in England & Wales No.10004003 (Registered Office 5th Floor Nuffield House, Queen Elizabeth Hospital, Birmingham B15 2TH)

1 Accounting Policies

1.1 a) Basis of preparation and assessment of going concern

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

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

The Trustees consider that there are no material uncertainties about the Charity's ability to continue as a going concern. There are no material uncertainties affecting the current year's accounts.

The Trustees have considered the impact of COVID-19 and do not anticipate that COVID-19 will cast significant doubt on the company’s ability to continue as a going concern. COVID-19 has not caused a significant impact on the 2020/21 accounts but Trustees do expect to see a fall in income for 2021/22.

1.2 Group Financial Statements

Group financial statements consolidate the results of the charity and its wholly owned subsidiary UHB Trading CIC on a line-by-line basis. A separate income statement and balance sheet for the subsidiary is presented in note 2.2

Table A: Reconciliation of net income/(expenditure) to net cash flow from operating activities		2020/21	2019/20
		£000	£000
Net movement in funds for the period		3,964	(1,171)
Adjustments for:
Depreciation charges	10.4	409	409
(Gains) losses on investments		(2,169)	1,343
Dividends, interest and rents from investments	10.2	(587)	(628)
(Increase)/Decrease in Stock	11.4	4	1
(Increase) in debtors	11.2	(740)	(164)
(Decrease) / Increase in creditors	12	624	512
(Decrease) / Increase in provisions	14	(1,577)	(532)
Net cash (used in) provided by operating activities		(72)	(229)

1.3 Structure of Funds

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

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

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

1.4 Income

Table B: Analysis of cash and cash equivalents		2020/21	2019/20
		£000	£000
Cash in hand	11.3	4,000	3,011
Total cash and cash equivalents		4,000	3,011

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

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

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Notes to the accounts

University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity

Notes to the accounts

1.5 Donated Goods and Services - Role of Volunteers

Due to the nature of the role of volunteers it is not possible to quantify the monetary value of their varied contributions but an outline of the activities they perform freely is explained below:-

It should be noted that all Trustees / Company Directors give their time and skills freely to run the Charity .

Fund Advisors - there are about 600 UHB NHSFT staff who, through delegated Trustee Authority make recommendations as to how the charity's designated funds are spent to benefit the patients of the hospital. These funds are designated (or earmarked) by the trustees to be spent for a particular purpose or in a particular ward or department in accordance with the purpose of the donation. Each fund advisor has delegated power to authorise up to £1,000 of expenditure from the relevant designated fund. Fund advisors wishing to recommend in excess of £1,000 require authority from the Charity Chief Executive who has Trustee delegated authority to spend up to £10,000, requests in excess of this amount up to £30,000 require the authority of the Charity Chairman and requests over this value require full Trustee Board approval.

1.8 Fixed Assets

Investments

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

Investment Property

In February 2020 the charity purchased Bottle Cottages a property comprising of 15 flats adjacent to the Hospital. This investment is split between 12 flats held for Investment purposes and 3 as Programme related assets.

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

Tangible Assets

Fund Raisers - there are many volunteers locally who actively support the fundraising for the charity by directly raising funds, using collection tins as well as volunteers who undertake sponsored activities and collect through online support pages. Activities include, cycling, skydiving and walking. The charity also has a team of regular volunteers, totalling circa 25, who volunteer in the Fund Raising Hubs within the hospitals. However, the team were unable to attend due to the Covid-19 pandemic.

There is a regular volunteer gardening group for Fisher House totalling circa 8 people.

Donated Goods - Goods or service donated in order to help the charity raise funds by onwards sale or auction are recognised at market or face value where it is readily available or Trustees best estimate. The charity are not holding any such assets at the balance sheet date.

1.6 Expenditure and Irrecoverable VAT

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

Fisher House is held at cost less depreciation over a 10 year term as per note 10.4

Man Van - this mobile unit is depreciated over the deemed useful life of 3 years

Programme Related Asset

The programme related asset No 2 Elizabeth Court (50% share) is carried at market valuation as at 18th March 2019, provided by Cottons Chartered Surveyors of Birmingham.

In February 2017 the Charity acquired a further programme related asset, No 7 Elizabeth Court (100% share).

In February 2020 the charity acquired Bottle Cottages comprising of 15 flats, of which 3 flats are being held as programme related assets with the remaining being held as Investment properties. A further property at Elmbank was also acquired for the programme related asset portfolio. These properties are carried at market valuation as at the purchase date, provided by Cottons Chartered Surveyors of Birmingham.

1.9 Gains and Losses

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

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

1.7 Allocation of Overhead and Support Costs

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

a) Costs of Generating Funds are all costs attributable to generating income for the charity other than income arising from charitable activities, and represent fundraising costs together with investment management fees.

b) Costs of Charitable Activities comprise all expenditure identified as wholly or mainly incurred in the pursuit of the charitable objects of the charity. These costs, where not wholly attributable, are apportioned and in addition to direct costs include an apportionment of overhead and support costs as disclosed in note 5.1.

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

1.10 Debtors

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

1.11 Cash at bank and in hand

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

1.12 Creditors and provisions

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

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Notes to the accounts

University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity

Notes to the accounts

NHS Pension Scheme

Past and certain present employees are covered by the provisions of the two NHS Pension Schemes. Details of the benefits payable and rules of the Schemes can be found on the NHS Pensions website at www.nhsbsa.nhs.uk/pensions.

• 2 Prior Year Comparatives

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

• 2.1 Related party transactions and trustees’ expenses and remuneration

Both are unfunded defined benefit schemes that cover NHS employers, GP practices and other bodies, allowed under the direction of the Secretary of State in England and Wales. They are not designed to be run in a way that would enable NHS bodies to identify their share of the underlying scheme assets and liabilities. Therefore, each scheme is accounted for as if it were a defined contribution scheme: the cost to the NHS body of participating in each scheme is taken as equal to the contributions payable to that scheme for the accounting period.

In order that the defined benefit obligations recognised in the financial statements do not differ materially from those that would be determined at the reporting date by a formal actuarial valuation, the FReM requires that "the period between formal valuations shall be four years, with approximate assessments in intervening years". An outline of these follows:

a) Accounting valuation

A valuation of scheme liability is carried out annually by the scheme actuary (currently the Government Actuary’s Department) as at the end of the reporting period. This utilises an actuarial assessment for the previous accounting period in conjunction with updated membership and financial data for the current reporting period, and is accepted as providing suitably robust figures for financial reporting purposes. The valuation of scheme liability as at 31 March 2021, is based on valuation data as 31 March 2019, updated to 31 March 2021 with summary global member and accounting data. In undertaking this actuarial assessment, the methodology prescribed in IAS 19, relevant FReM interpretations, and the discount rate prescribed by HM Treasury have also been used.

The latest assessment of the liabilities of the scheme is contained in the report of the scheme actuary, which forms part of the annual NHS Pension Scheme Accounts. These accounts can be viewed on the NHS Pensions website and are published annually. Copies can also be obtained from The Stationery Office.

b) Full actuarial (funding) valuation

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 actuarial valuation undertaken for the NHS Pension Scheme was completed as at 31 March 2016. The results of this valuation set the employer contribution rate payable from April 2019 to 20.6%, and the Scheme Regulations were amended accordingly.

National Employment Savings Trust Scheme (NEST)

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

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

Patients of University Hospitals Birmingham NHS Foundation Trust are the main beneficiary of the charity. The charity has made charitable grants to University Hospitals NHS Foundation Trust and these are detailed in note 6.2.

University Hospitals Birmingham NHS Foundation Trust provides a financial and administration service to the charity by agreement with the Trustees. The charges made by the NHS Foundation Trust are set at a fair open market rate and are included in the overhead and support costs detailed in note 6.1.

None of the trustees or parties related to them, has undertaken any transactions with University Hospitals Birmingham Charity or received any benefit from the charity in payment or kind.

None of the trustees have been paid any remuneration or received any other benefits from an employment with University Hospitals Birmingham Charity. During the year, one of the Trustees was an employee of the University Hospitals Birmingham NHS FT and is paid on normal pay scales for their role in the Trust. They are not remunerated for their role as a Trustee of the charity or other work performed for the charity. Their remuneration for their work for the Trust is included in the accounts of the Trust along with any other disclosures. A further Trustee serves on the Trust's Board of Governors, unpaid. The trustees have not purchased trustee indemnity insurance

During the year expenses for trustees paid directly to a third party were paid as below. (2019/20 £135.93)

Trustee 2020/21	Accom/Subs Travel Training Total £ £ £ £
	0.00 0.00 0.00 0.00

Because of the Covid Pandemic, Trustee meetings during the year were conducted via zoom therefore there were no unclaimed travel expenses (£495.67 in 2019/20).

• 2.2 The Charity opened a wholly owned trading subsidiary in August of 2018. 'UHB Trading CIC' which gift aids all of its profits to the charity. UHB Trading CIC is a community interest company limited by guarantee, registered in England and Wales No. 11334657 (Registered Office 5th Floor Nuffield House, Queen Elizabeth Hospital, Birmingham B15 2TH) which sells branded merchandise and generates income from commercial exploitation of the charity's brands. As the Charity controls the Company its accounts have been consolidated into those of the charity. UHB Trading CIC stand-alone trading results for 2020/21 are shown below.

UHB Trading CIC Income Statement 2020/21 £'s Turnover Operating Income 10,520 Expenditure Cost of Sales (6,630) Gross profit 3,890 Administration Expenses (1,831) Interest receivable 0 Interest Payable (1,285) Profit for the year 774 15,836 Gift Aid Donation to UHB Charity Retained profit brought forward Retained Profit - UHB Trading CIC Statement of Position 2020/21 £'s Assets Employed Current Assets Stock 15,488 Debtors 0 Cash in Hand and at Bank 15,491 30,979 Current Liabilities (30,979) Net Assets - Financed by Reserves - (16,610)	2019/20 £'s 51,260 (21,190)
	30,070
	(3,108) 0 (1,126)
	25,836
	0
	(10,000)
	15,836
	2019/20 £'s 18,655 3,000 24,181
	45,836 (30,000)
	15836
	15836

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Notes to the accounts

University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity

Notes to the accounts

3 3.1 4	Income from Donations and Legacies 2020/21 Unrestricted Funds £000 Donations from individuals 885 Donations from companies 670 Legacies 1,327 Grants 1,275 4,157	Income from Donations and Legacies 2020/21 Unrestricted Funds £000 Donations from individuals 885 Donations from companies 670 Legacies 1,327 Grants 1,275 4,157	Restricted Funds £000 1 0 0 0	Total 2021 £000 886 670 1,327 1,275 4,158	2019/20 Unrestricted Funds £000 1,285 991 1,194 94	Restricted Funds £000 2.0 0 0.0 0 2	Total 2020 £000 1,287 991 1,194 94
		4,157	1		3,564		3,566
	Income from Charitable Activities Income from Fundraising Events	2020/21 Unrestricted Funds £000	Restricted Funds £000	Total 2021 £000 1,093	2019/20 Unrestricted Funds £000	Restricted Funds £000 1	Total 2020 £000
		1,093	0		1,033		1,034
	Loan Interest Receivable 23/08/2018 loan and Stock granted 14/01/2019 stock paid 21/02/2019 Interest paid 31/03/2019 interest 27/09/2019 Interest paid 31/03/2020 Interest prepaid 31/03/2020 Interest 01/04/20 Interest prepaid 07/01/2021 Interest paid 31/03/21 Interest		Capital £'s 49,720 (19,720)		Interest on loan Calculated Repayment £'s 712 (946) 234 (1,125) 10 1,115 (10) (1,285) 1,295		Outstanding £'s 50,432 30,712 29,766 30,000 28,875 28,885 30,000 29,990 28,705 30,000

• 5 Allocation of Support Costs and Overheads

6 Analysis of Charitable Expenditure

Expenditure on charitable activities was £3,425k (2020: £4,072k) of which £0k was restricted (2020: £12k).

The charity, under a Scheme of Delegation, either incurred expenditure with third parties in pursuance of grants or reimbursed expenditure incurred by beneficiaries.

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

2020/21 Grant Funded Activity £000 Medical Research 83.8 Purchase of Equipment 377.8 Building and Refurbishment 603.5 Staff Education and Welfare 328.9 Patient Education and Welfare 767.7 Fisher House Running Costs 122.6 Depreciation Costs 408.5 Grants to other Bodies 348 3,040.8	Support Costs £000 65.8 144.6 5.8 88.6 46.3 31.5 0.9 0.5 384.0	Total 2021 £000 150 522 609 418 814 154 409 348 3,424	2019/20 Grant Funded Activity £000 590.0 936.7 358.9 656.9 693.0 107.3 408.5 3,751.4	Support Costs £000 44.9 92.0 4.3 117.3 47.3 14.8 0.5 321.1	Total 2020 £000 635 1,029 363 774 740 122 409
					4,072

6.1 The remaining £33.2k support costs (£36.8k 2019/20) have been allocated to the Costs of Raising Funds on the basis of the number of transactions. Due to the minimal level of transactions on Restricted funds all costs are assigned to Unrestricted funds (2019/20 nil).

2020/21 Grant Funded Activity £000 Costs of Raising Funds 404.3 Costs of Fundraising Events 165.3 Investment Management Costs 15.9 585.5	Support Costs £000 33.2 0.0 0.0 33.2	Total 2021 £000 438 165 16 619	2019/20 Grant Funded Activity £000 504.3 444.5 23.3 972.0	Support Costs £000 36.8 0.0 0.0 36.8	Total 2020 £000 541 444 23
					1,009

6.2 Grants

The charity does not make grants to individuals.

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

5.1 Analysis of Expenditure Salaries & Pension Travel Training Office Costs Stationery Insurance Subscriptions Trustee training and Expenses Professional fees Internal Audit External Audit Bank Charges Finance SLA Other	2020/21 Unrestricted Funds £000 226.2 0.0 1.1 8.4 4.2 8.2 1.9 0.0 0.0 2.0 13.2 0.7 139.1 12.0	Restricted Funds £000 0 0 0 0 0 0 0 0 0 0 0 0 0 0	Total 2021 £000 226.2 0.0 1.1 8.4 4.2 8.2 1.9 0.0 0.0 2.0 13.2 0.7 139.1 12.0 417.0	2019/20 Unrestricted Funds £000 153.5 1.0 3.4 2.1 5.3 6.2 4.9 0.2 0.5 7.4 14.2 0.2 136.7 22.4	Restricted Funds £000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0	Total 2020 £000 153.5 1.0 3.4 2.1 5.3 6.2 4.9 0.2 0.5 7.4 14.2 0.2 136.7 22.4
	417.0	0.0		357.9		357.9

All support costs have been allocated to unrestricted funds due to minimal restricted transactions on the basis of the number of transactions processed and is shown at note 6.1 of these accounts.

5.2 Governance Costs

Calculated governance costs for 2020/21 are £52.4k (2019/20 £94k). They relate to costs associated with the governance of operating the charity and include such items as Statutory Audit, Company registration and legal costs as well as an apportionment of remuneration and financial services costs for time spent on governance issues.

The Trustees operate a Scheme of Delegation under which Fund Advisors manage day to day disbursements in accordance with protocols set out by the Trustees. Funds disbursed in this way represent ongoing activity which is not possible to segment into individual grant awards.

2020/21 Number of Institution Receiving Support Grants University Hospitals Birmingham NHS Foundation Trust University of Birmingham As per Scheme of Delegation 7 Analysis of staff costs No staff costs are contained within the Trading Company. Salaries and wages Social security costs Other pension costs Pension Costs are split as follows Defined Contribution Scheme NHS Pensions Defined Benefit Scheme Outstanding contributions at year end were:* Defined Contribution Scheme NHS Pensions Defined Benefit Scheme Average full time equivalents of employees in the year: Average head count during the year:	2020/21 Number of Institution Receiving Support Grants University Hospitals Birmingham NHS Foundation Trust University of Birmingham * As per Scheme of Delegation	Total 2021 £000 3,805 238 4,043	2019/20 Number of Grants	Total 2020 £000 3,606 145
				3,751
			Total 2021 £000 530 49 28 607 16 12 28 2 0 2 18.0 19.5	Total 2020 £000 517 47 28
				594
				14 15
				29
				3 0
				3
				19.3
				20.0

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Notes to the accounts

University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity

Notes to the accounts

• 8 The key management personnel for both the Charity and the UHB Trading CIC comprise the Trustees (unpaid) and the Charity Chief Executive who was paid a salary of £85,000 plus pension contributions of £12,223. No other members of staff were paid in excess of £60,000.

9 Auditor's Remuneration The external auditor's remuneration of £13,860 (2019/20: £14,160) related solely to statutory audit work. The charity did not commission any additional work from the auditor (2019/20 nil).

10

Analysis of Fixed Asset Investments

Movements during the year

Equities, Securities and Property Market value at start of year Transfer from Assets held for resale Less: Disposals at carrying value Add: Acquisitions at cost Net gains (losses) on revaluation Market value at end of year Historic cost at year end Proceeds from the sale of investments in year	2021 Charity £000 12,862 0 (11,037) 12,089 643 14,557 7,588 12,563	2021 Group £000 12,862 0 (11,037) 12,089 643 14,557 7,588 12,563	2020 Charity £000 14,409 86 (3,980) 3,740 (1,393) 12,862 7,711 4,030	2020 Group £000 14,409 86 (3,980) 3,740 (1,393)
				12,862
				7,711
				4,030

10.1 Market value at 31 March - All held in the UK 2021 Charity £000 Schroders Multi Asset Fund 0 Schroders Responsible Multi Asset Fund 12,732 Investment Property 1,740 Leasehold Properties 77 Other Investments 8 14,557 10.2 Total gross income from Charity and Group a) Fixed Asset Investments Investments listed on a recognised Stock Exchange b) Current Assets Interest earned on cash deposits and inter co. loan in the year c) Investment Properties Rent received 10.3 Programme Related Asset All assets relate to the Charity 2021 Freehold Property Charity £000 Market Value at start of Year 929 Additions 0 Net (Loss) Gain on revaluation 0 929 Historic Cost 867	2021 Group £000 0 12,732 1,740 77 8 14,557 2020/21 Total £000 527 3 57 587 2021 Group £000 929 0 0 929 867	2019/20 Total £000 604 20 4 628 2020 Total £000 265 664 0 929 867 2020 Charity £000 11,028 0 1,740 77 17 12,862	2020 Group £000 11,028 0 1,740 77 17
			12,862

10.4 Tangible Fixed Assets Cost as at 1 April 2020 Additions Disposals Cost as at 31 March 2021 ACCUMULATED DEPRECIATION As at 1st April 2020 Charge for the year Disposals Depreciation as at 31st March 2021 Net Book Value as at 31st March 2020 Net Book Value as at 31st March 2021	2021 2021 Charity Group £000 £000 3,724 3,724 0 0 0 0 3,724 3,724 2,607 2,607 373 373 0 0 2,980 2,980 744 744 Fisher House 1,117 1,117	2021 Charity £000 108 0 0 108 54 36 0 90 18 Man 54	2021 Group £000 108 0 0 Van	2021 2021 Charity Group £000 £000 3,832 3,832 0 0 0 0 3,832 3,832 2,661 2,661 409 409 0 0 3,070 3,070 762 762 Total 1,171 1,171	2021 2021 Charity Group £000 £000 3,832 3,832 0 0 0 0 3,832 3,832 2,661 2,661 409 409 0 0 3,070 3,070 762 762 Total 1,171 1,171
			108		3,832
			54 36 0		2,661 409 0
			90 54		3,070 1,171
			18		762

11 Analysis of Current Assets

11.1 Amounts falling due within one year: Assets held for sale (Leaseholds) Transferred to Fixed Investment Assets 11.2 Amounts falling due within one year: Trade debtors Accrued income Prepayments Inter Company balance Due Total debtors falling due within one year 11.3 Cash at Bank and in Hand Cash 11.4 Stock held for sale Stock 12 Creditors Amounts falling due within one year: Trade creditors Accruals Total creditors falling due within one year	2020/21 Charity £000 0 0 0 2020/21 Charity £000 136 1,720 5 30 1,891 2020/21 Charity £000 3,985 2020/21 Charity £000 0 2020/21 Charity £000 1,302 657 1,959	2020/21 Group £000 0 0	2019/20 Total £000 86 (86)
		0	0
		2020/21 Group £000 136 1,720 5 0	2019/20 Total £000 75 944 102 0
		1,861	1,121
		2020/21 Group £000	2019/20 Total £000
		4,000	3,011
		2020/21 Group £000	2019/20 Total £000
		15	19
		2020/21 Group £000 1,314 646	2019/20 Total £000 936 400
		1,960	1,336

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Notes to the accounts

University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity

Notes to the accounts

13 Contingent assets – legacy income

As at 31 March the charity had been notified of 12 legacies, the value of which cannot be ascertained with accuracy, all being a share of a residue amount.

14 Liabilities and Provisions of Charity and Group Movements during the year Opening Provisions Add: New provisions charged in the year Less: Provisions released in the year Change in value of brought forward provisions Provisions outstanding at end of year Provisions Payable within one year Provisions payable after more than one year Provisions outstanding at end of year	Charitable Other Expenditure Expenditure £000 £000 4,090 0 1,413 0 (2,975) 0 (14) 0 2,514 0 1,934 0 580 0 2,514 0	2021 Total £000 4,090 1,413 (2,975) (14) 2,514 1,934 580 2,514	2020 Total £000 4,622 2,344 (2,048) (828)
			4,090
			3,428 662
			4,090

Provisions included in the accounts relate to grants payable, (charitable expenditure for both years) which have been approved by the Trustees but not yet paid.

15 Commitments of Charity and Group

Trustees have entered into arrangements with future commitments as follows:

2021 Land & Buildings Expiring within a year £000 Finance SLA 0 0 Expiring between 2 - 5 years 0	2021 2020 Other Land & Buildings £000 £000 139 0 139 0 0 0	2020 Other £000 137
		137
		0

16 Transfers Between Funds

There have been no transfers between funds during the year, (2019/20 none)

17 Analysis of Charitable Funds

17.1	Restricted funds of Charity and Group	Restricted funds of Charity and Group	Balance	Income	Expenditure	Transfers	Gains and	Balance
			1 April				Losses	31 March
			2020					2021
			£000	£000	£000	£000	£000	£000
	R1	Hollier Legacy	1,084.8	0.0	0.0	0.0	0.0	1,084.8
	R2	Hear and Now	21.2	0.9	0.0	0.0	0.0	22.1
	R3	Get Ahead	1.4	(0.4)	0.0	0.0	0.0	1.0
	Total	Restricted Funds	1,107.4	0.5	0.0	0.0	0.0	1,107.9

The objects of the restricted funds are as follows

• R1 For the training and education of doctors at Good Hope Hospital

• R2 For the cochlear implant programme.

• R3 Funds used to purchase vital equipment, education and research into cancer and other head and neck diseases.

17.2 Unrestricted and Designated (Earmarked) Funds

The Trustees set a balance (opening or closing) of £110,000 or above as the threshold for reporting material designated funds. In the interest of accountability and transparency a summary of all designated funds is available upon written request.

		Balance	Income	Expenditure	Transfers	Gains and	Balance
		1 April				Losses	31 March
Earmarked Funds		2020					2021
		£000	£000	£000	£000	£000	£000
E1	Miscellaneous Fundraising	1,030.6	423.2	(455.5)	485.8	0.0	1,484.1
E2	Midwifery Led Unit	604.7	1.3	(848.1)	243.4	0.0	1.3
E3	Ward 19 CharityFund Heartlands	490.5	46.0	(28.6)	0.6	0.0	508.5
E4	Richard Salt Refurbishment	405.9	0.0	(391.1)	(14.5)	0.0	0.3
E5	Liver Laparoscopic Operating Theatre	360.9	0.0	0.0	(7.8)	0.0	353.1
E6	Heartlands Hospital Childrens Fund	360.2	30.7	(190.0)	(198.8)	0.0	2.1
E7	Man Van	306.3	0.0	(58.5)	0.0	0.0	247.8
E8	BHam Hospitals Childrens Fund	250.6	0.1	0.0	256.9	0.0	507.6
E9	Oncology Research Fund	248.9	0.3	0.0	0.0	0.0	249.2
E10	Ambulatory Care and Diagnostics	226.0	0.0	0.0	90.3	0.0	316.3
E11	Fisher House	215.9	125.9	(101.6)	1.9	0.0	242.1
E12	Endocrine Research Fund	166.3	0.0	(0.4)	0.0	0.0	165.9
E13	Junior Doctors Welfare	165.0	0.6	0.0	173.0	0.0	338.6
E14	Inherited Metabolic Disease	131.0	0.8	(0.5)	0.0	0.0	131.3
E15	Prostate Cancer	125.0	(128.3)	(0.2)	9.8	0.0	6.3
E16	Macs Club	119.9	5.5	(110.2)	0.0	0.0	15.2
E17	Plastic Surgery	101.6	20.7	(5.1)	(0.0)	0.0	117.2
E18	The Giles Trust	59.3	79.9	(8.7)	(8.5)	0.0	122.0
E19	UHB Transplant Centre	52.1	1.2	0.0	515.7	0.0	569.0
E20	Staff Welfare and Support	19.7	1,872.5	(365.3)	(729.0)	0.0	797.9
E21	UHB Sustainability & Green Travel	0.0	0.0	300.0	0.0	0.0	300.0
	Other earmarked funds	7,803.0	3,357.1	(1,779.8)	(802.0)	0.0	8,578.3
	All Funds Gain/(Loss) on Investments	(680.0)	0.0	0.0	0.0	2,169.0	1,489
	Total Unrestricted Funds	12,564	5,837	(4,044)	17	2,169	16,543
	UHB Trading CIC	16	11	-10	-17	0	0
	Consolidated Total	13,687	5,849	(4,054)	0	2,169	17,651

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41

Notes to the accounts

University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

Unrestricted and Designated (Earmarked) Funds - continued

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

• E1 Miscellaneous Fundraising not specific to any appeal

• E2 To create a midwife led unit at Good Hope Hospital.

• E3 For the support of haematology and oncology services at HGS.

• E4 Richard Salt Refurbishment Programme

• E5 Support for the Liver Laparascopic Operating Theatre Unit

• E6 Support for the Childrens' Unit at Heartlands Hospital

• E7 Support costs for the Man Van Project (Prostate Cancer)

• E8 Support for Children across all Hospitals

• E9 Research Fund - Welfare & Amenities for oncology patients and staff.

• E10 Support for the Amubulatory Care and Diagnostics Unit

• E11 Fisher House; Forces and Families Centre.

• E12 Endocrine related research including clinical and laboratory research.

• E13 Support of Junior Doctors

• E14 Support for the Inherited Metabolic Disease unit.

• E15 Funds raised to support Prostate Cancer.

• E16 For the Patient Support Service

• E17 Support for the Plastic Surgery

• E18 The Giles Trust

• E19 UHB Transplant Centre

• E20 Staff Welfare and Support

• E21 UHB Sustainability & Green Travel

Other Designated Funds related to other wards and clinical departments within the University Hospitals Birmingham NHS Foundation Trust for which donors have indicated their non-binding wishes when making their generous gifts.

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