




Annual Report & Accounts for the Year ended 31 March 2022 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 

## 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 2022|20|
|External support structure as at 31 March 2022|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 2022|26|
|Balance sheet as at 31 March 2022|28|
|Notes to the financial statements|31|



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| Trustees Report incorporating the Strategic Report 

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

## Executive Summary 

University Hospitals Birmingham Charity (“the Charity” or “UHB 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. We also support the 22,000 staff who work throughout our hospitals. 

The Charity also operates under four individual working names associated with each hospital – Queen Elizabeth Hospital Birmingham Charity, Heartlands Hospital Charity, Good Hope Hospital Charity and Solihull Hospital Charity – but the individual names continue to be phased out in favour of the official title of University Hospitals Birmingham Charity to reflect our work across all our hospitals. 

The 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 CyberKnife and Tomotherapy machines which were funded by the Charity 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 nearly 6,000 patients and family members in the nine years since it opened in June 2013 and has provided over 30,000 nights’ accommodation. 

The Charity also operates Bottle Cottages next to QEHB 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. The Charity has plans to expand this service by opening an additional Home from Home close to Heartlands Hospital. 

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 charities, Help for Heroes and SSAFA, for their support. Without their contribution, Fisher House could never have been built, and we are very grateful to Help for Heroes and SSAFA for their ongoing support of £50,000 each 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 being 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 is proud to have supported our incredible hospitals during a tough two years and we will look forward to supporting our patients and staff in the years to come with a range of exciting projects. 

Trustees Report incorporating the Strategic Report   |   3 



Trustees Report incorporating the Strategic Report  | 

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

## Chair’s Statement 

The past two years have been some of the toughest times the NHS has ever faced. I wish to commend the 22,000 staff across UHBFT for their dedication to their patients in the face of unrelenting pressures. Whilst normal life has started to return for the majority of us, our hospitals are still facing huge demands across all services and, once again, our staff are stepping up to the challenge. 

Looking back on the last twelve months I am amazed by the resilience of our staff, patients and their families as they navigated unprecedented challenges.  I also wish to express my gratitude to everyone who has continued to rally behind their local hospitals. As in the first year of the pandemic we have received generous support from across our local communities. 

Even with the restrictions, our donors and fundraisers continued to support the Charity, and over the past year we were able to raise an incredible £3.66 million. 

Many regionally based companies also provided much needed support to the Charity, with particular thanks to National Grid, Wesleyan and BIFFA for their kind financial donations. 

The region’s sporting clubs have continued to champion their local hospitals, with Birmingham City FC, Aston Villa FC, and Moseley Rugby Club continuing and strengthening their links with the Charity. We are delighted that Birmingham City FC chose the Charity as its official charity partner for a second year. 

These companies and organisations have enabled the 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. I believe they showcase the vital difference which the Charity is able to make, and why your support is so essential. 

The pandemic has only reinforced our appreciation of the fantastic work our NHS staff do day in, day out caring for their patients. We believe the role of the Charity is more important than ever as we continue to support our hospitals on the road to the ‘new normal’. We are committed to be there for patients, families and staff, providing equipment, facilities, research and welfare, thanks to our generous donors and fundraisers. 

We are looking forward to a brighter future and we know there is so much more to do. We have ambitious plans to support the building of the new Birmingham Transplant Centre next year which will revolutionise the care we can provide to transplant patients and their families. We will also open a new Home Away From Home close to Heartlands Hospital so that parents of premature babies can stay close by, whilst their little ones are cared for by our expert teams. We look forward to working in partnership with UHBFT in making the Heartlands Treatment Centre a reality, which will help speed up diagnosis, reduce waiting times and raise the standard of health for its users. 

Whilst we still use our four working names linked to our individual hospitals - Queen Elizabeth Hospital Birmingham Charity, Heartlands Hospital Charity, Good Hope Hospital 

Charity and Solihull Hospital Charity – the Charity has moved generally to using a single brand, University Hospitals Birmingham Charity, to demonstrate our work across the whole of the Trust. 

Our supporters will have noticed a rebrand of our materials and we have 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 UHBFT 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 funding we can attract and then 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. 

The Charity is an Organisational Member of the Institute of Fundraising, we encourage all our fundraising staff to join the Institute of Fundraising as part of their professional development, and our Chief Executive holds MInstF(Cert) status with the Institute. 

How we use your personal data is important to us and 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 more comfortable. 

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 

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

continue to be very supportive in carrying news stories about the charity and its support of patients. 

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 Dr David Rosser (Chief Executive of UHBFT) and his management team 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. 

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 through fundraising events, despite the current pressures they are facing. They have hiked Snowdon, abseiled off buildings and even jumped out of planes, all to raise money to make their wards and departments a better place for patients to be. 

dedication. Special thanks go to Peter Mayer and Andrew Pemberton who both retired as Trustees this year, after over a decade of service by both of them. Also, our thanks to our own Charity staff, who have worked tirelessly and selflessly throughout the pandemic. 

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 charities@uhb.nhs.uk or writing to me at University Hospitals Birmingham Charity, Fisher House, Mindelsohn Way, Queen Elizabeth Hospital, Birmingham, B15 2GN. You can see more about the hospital charity at our website, www.hospitalcharity. org. 

Thank you all for your support 


**Dave Mackay Chair** 

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

Trustees Report incorporating the Strategic Report   |   5 



Trustees Report incorporating the Strategic Report  | 

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

## 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 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. 

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. 

## Information about UHBFT 

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

It includes 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 the 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 QEHB. 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. 

## 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 

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

## 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 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 

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

## Key Performance Indicators 


**----- Start of picture text -----**<br>
KPI No. Status Aim KPI Action<br>1 To raise funds so the  Meet budgeted income  Achieved (£3,661,000).<br>charity can support  target of £3,000,000<br>patients across UHBFT (reduced from original<br>target of £5,000,000<br>because of COVID-19)<br>2 To spend charitable  Meet budgeted  Very nearly achieved (£4,866,000)<br>funds to support  expenditure target of<br>patients across UHBFT £4,900,000<br>3 To maximise how  Amount per £1 spent which  Achieved. 85p of every £1 spent is spent on<br>much per £1 spent is  is spent on charitable  charitable activities against the charity sector average<br>spent on charitable  activities to be above the  of 74p.<br>activities charity sector average<br>4 To maximise the  To strive to raise at least £5  Achieved. Raised £5.22 per £1 spent on fundraising<br>amount raised per £1  per £1 spent on fundraising  against the charity sector average of £4.<br>spent on fundraising  costs<br>costs<br>5 To raise awareness  Increase in followers on  Achieved – numbers grew across all three social<br>of the Charity across  Facebook, Twitter, Instagram media platforms plus new followings on TikTok and<br>social media channels YouTube.<br>6 To be an employer of  Monitor staff turnover rates  Staff turnover 18.5% against charity sector average of<br>choice with the aim to be lower  18.1%.<br>than the charity sector<br>average<br>7 To have a healthy and  Monitor staff absence rates  Achieved. Staff absenteeism of 2.2 days per<br>supportive working  with the aim to be lower  employee p.a. against charity sector average of 6.2<br>environment than the charity sector  days per employee p.a.<br>average<br>**----- End of picture text -----**<br>


Trustees Report incorporating the Strategic Report   |   7 



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

## 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. Heartlands Treatment Centre** 

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 £1,000,000 to support UHBFT in this area. This will fund a state of the art MRI scanner which will help patients be seen quicker, get diagnosed faster and therefore improve outcomes overall. Having an MRI can be a daunting experience; this is why the Charity will also decorate the MRI Suite, treatment and consultation rooms with wall glamour and comforting images which will create a more relaxing and calming environment for the patients who spend their time being treated there. 

## **2. Birmingham Transplant Centre** 

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

## **4. Fisher House** 

Fisher House provides a “home away from home” for military patients and their families. Fisher House offers a home away from home for injured military personnel, many of whom served in Iraq and Afghanistan and continue to return to the hospital for more surgery, and personnel who are receiving treatment for illness – from cancer care to transplants. 

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 and 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 the Charity at charities@uhb.nhs.uk 

You can also visit our website at www.hospitalcharity.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 the Charity, at mike. hammond@uhb.nhs.uk or on 0121 371 4852 or by writing to: 

## **Mike Hammond** 

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. 

## **Chief Executive** 

**University Hospitals Birmingham Charity** Fisher House Mindelsohn Way Queen Elizabeth Hospital Birmingham B15 2GN 

The Charity has identified a need to raise £2,054,000 to support UHBFT in this area by bringing together all of the specialist transplant care available to the patient, taking away a huge amount of stress and therefore speeding up recovery time, and as a result UHBFT will be able to offer even more transplants and therefore save even more lives. 

## **3. The 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 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. 

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| Trustees Report incorporating the Strategic Report 

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

## 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 excellent quality of care on offer to the over two 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 2021/22, the Charity spent £1,463,000 on new equipment. (2020/21: £523,000). 

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


**----- Start of picture text -----**<br>
Designated Fund Equipment<br>Ambulatory Care & Diagnostic  Philips MRI Scanner<br>Centre<br>UHB Charity Siemens Mobile Ultrasound<br>UHB Charity Heidelberg Angiography<br>upgrade<br>QE Cancer Appeal Panasonic Camera system<br>UHB Charity Orsim portable virtual<br>bronchoscope trainer<br>UHB Charity Accuvein portable vein<br>visualisation machine<br>Good Hope Hospital Charity Verathon bladder scanners<br>**----- End of picture text -----**<br>


Case study one: INR Testing Machines for Heart Transplant patients 

INR Testing Machines measure the levels of warfarin in a patients’ blood. For patients who are so unwell, it is essential they can monitor their levels before they become dangerously high. 

Patients on the heart transplant waiting list are now able to carry out essential tests in the comfort of their own home, and send the results to their doctor, thanks to the generous donation of home testing machines by Friends of Queen Elizabeth Hospital. The machines allow patients to monitor their levels of warfarin to ensure it is at safe levels at home, rather than having to go into hospital every week. This is incredibly important for their mental health. Having to constantly go to hospital can place a huge burden on a patient’s wellbeing, not to mention the financial and time constraints associated with travel. Being able to keep vulnerable patients out of hospital as much as possible has always been important, but this was made even more essential during the pandemic. 

One patient, Dave, was given one of these machines and told the Charity about the difference it has made to his quality of life: “Before I got this machine, my little granddaughter thought I lived in hospital I was there so much! It hasn’t just changed my life, it’s given me my life back. I’m able to keep an eye on my levels from the comfort of my own home and take back a bit of control, something I don’t have much of living with end stage heart failure. I’m so grateful for the hospital charity for giving me some of my independence back and helping me feel more like my old self.” 

We know how important it is for patients to spend time with the people they love. We are proud to be able to give them the freedom, and security, to enjoy their lives in the knowledge they are being looked after. 

Case Study Two: VoxelMan Temporal Bone Simulator – this purchase has enabled the establishment of the ENT Temporal Bone Digital Lab at the QE. 

The Voxelman Temporal Bone Simulator is a virtual reality simulator that uses complex robotics and graphics technologies to allow the temporal bone to be simulated in 3D. This allows surgeons to be able to train and improve their surgical skills away from the operating theatre and also reduces the need for cadaveric specimens. The temporal bone is an incredibly complex structure and therefore the more time surgeons can spend honing their skills, the better outcomes for patients in surgery. Thanks to the purchase of this simulator, staff across UHB NHS Foundation Trust have more training and experience than their counterparts across the country. This helps to ensure Birmingham remains a hub of medical excellence in this field. 

The ultimate benefit of a Voxelman Simulator to patients is that they will have more experienced Ear Surgeons, who are more confident in their understanding of the complex temporal bone anatomy. This will enable them to plan and execute operations more accurately, leading to safer and quicker procedures with fewer post operative complications, and an overall shortened, and more comfortable patient journey. 

Lucy Dalton, Consultant ENT Surgeon, adds that: “This piece of equipment has stimulated ENT catch up training in ear surgery within the West Midlands Deanery.  This was a particular area of need in view of the significant impact the Covid-19 pandemic has had on training in craft specialties.  As such the establishment of the ENT Temporal Bone Digital Lab could not have been more timely. We are so grateful for the support of UHB Charity in this exciting venture.” 

Mike Hammond, Charity Chief Executive said: “The Charity is proud to continue to be at the forefront of technological developments and provide our staff with cutting edge equipment such as this which will increase the skills of our surgeons, and help establish the QE as a prestigious teaching institute for Ear Surgeons.” 

Trustees Report incorporating the Strategic Report   |   9 



Trustees Report incorporating the Strategic Report  | 

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

## 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 2021/22 no new research grants were awarded due to new research projects being put on hold during the COVID pandemic (2020/21: £150,000) but progress was made on research projects already awarded funding (see case studies below) 

Case Study One: Clinical trial for localised kidney Cancer using CyberKnife 

CyberKnife was brought to QEHB 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 in 2020 on the CyberKnife machine bought in 2013 by UHB Charity. This makes us the busiest CyberKnife unit in the UK. 

A research grant given this year by UHB Charity, funded a trial which aimed to treat previously untreatable kidney cancers. As CyberKnife is primarily used to treat head and neck cancers, this trial will see if CyberKnife’s effectiveness can be translated to kidney caners. 

The most important aspect of this trial is its potential to improve the quality of life for patients who were previously told they were out of options. 

With an ageing population and increasing incidence of kidney cancer, this trial represents a beacon of hope for patients who would otherwise be told there is nothing more that can be done for them. 

We are delighted to have funded this trial and give patients the ability to spend precious time with their loved ones and have a better quality of life. 

vulnerable patients out of hospital; they can remain in the comfort of their own home and avoid the potential stresses of a clinical environment. 

A patient who used the app told us: “My recovery has been amazing and far quicker than was expected. The pain has been nothing like my previous surgeries. The app has helped me both physically and psychologically adjust to my life post surgery. I would recommend it to anyone.” 

A pilot study of those using the app found that there were significant improvements to their recovery. This is brilliant not only for patients, but reduces the pressure on the hospital as they will see fewer post surgery complications. The team at QEHB are sharing the app with other Trusts and therefore the benefits of this grant will not only be felt in the West Midlands but all over the UK. 

Thanks to this research grant by the Charity, more people will be able to recover quicker, get back to their old selves and lead a happy healthy life. 

## Facilities 

As well as funding equipment and research, the Charity sometimes funds improvements to buildings or even completely new facilities. In 2021/22 the Charity spent £1,564,000 in this category. (2020/21 - £609,000) 

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’s Home away from Home appeal helps to provide patients and families with free accommodation near to our hospitals, helping to keep families together during difficult times in their lives. Our Homes from Home appeal began with Fisher House, and has continued with Karen’s Home from Home. We are grateful to the Karen Morris Memorial Trust for their funding of Karen’s Home from Home for leukaemia patients and their families. 

Case study One: Home Away From Home “was our salvation” 

For patients and their families, visiting hospital can be a stressful experience without the added pressure of trying to find somewhere to stay to be near a loved one. We provide these homes away from homes to alleviate that stress, and make visiting hospital, under what can be very difficult circumstances, as easy as possible. 

## Case study two: Fit4Surgery app 

Clinicians at QEHB have been able to create the Fit4Surgery App thanks to funding from the Charity. The app aims to improve patient outcomes by focusing on prehabilitation and rehabilitation surgery exercises as well as diet and lifestyle advice. The app allows patients to report their progress and therefore clinicians can monitor their patients from home rather than weekly clinic sessions. Most importantly this keeps 

One family we were proud to support this year was Hayley and her son Joe. Read in her own words about the difference having a Home Away From Home meant to her family. 

“Our son is 17 years old. He is autistic, has a mild learning difficulty and also suffers from PTSD. He has had various health problems from birth and has had numerous stays in hospital with many surgical procedures. In 2021 he required a liver 

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| Trustees Report incorporating the Strategic Report 

Charity Number 1165716  |  Company Number 10004003  | 

transplant, which thankfully he was able to receive. Up until the transplant, and due to COVID-19 restrictions, we as parents had to share his care, spending two days at a time with him, with the other parent travelling to and from our home in Wales; a round trip of around 120 miles. 

“It was an extremely trying time for us all. We were both absolutely exhausted. Following the transplant he was in ITU for four days. It was then that we were informed that there was accommodation available for us, which turned out to be an absolute blessing for our family at such a traumatic time. 

“We were still only able to visit him one at a time but to have a base so close was comforting. Being in the middle of the pandemic just added to the importance of having a safe haven so close to him. We got the keys and didn’t really know what to expect.  When we walked through the door our eyes lit up. It was a real home from home. We were able to rest and recuperate, to ‘recharge our batteries’ for what we knew would be an important period in our son’s recovery. 

“In time he was able to spend time with us at the cottage, which was agreed by all to be important in aiding his recovery. It became such a lifeline, with wonderful support staff at the end of the phone, and there was always someone on hand at the charity. 

“To be able to get a good night’s sleep, to be able to cook our own meals, launder our clothes, have a shower and have some ‘me’ time was so lovely and comforting. We look back now and realise that we were barely functioning before having the cottage. It was our salvation. It was such a big part in our son’s healing process, helping keep him safe. The respite we got from the Bottle Cottage project was incredible for our mental wellbeing. 

“I was able to video call my family in comfort, keep them up to date on his progress, have a cry but also feel rested and safe. He was able to enjoy a few home comforts, which mainly involved his gaming set up, in a family setting knowing he was only minutes away from the excellent care of the QE staff if it was required. 

“We can honestly say that to have the charity’s support, with their excellent facilities, so close to the QE is an absolute lifeline for families going through such traumatic times of having loved ones in hospital and we can’t thank them enough.” 

Charlotte Schofield, Director of Fundraising at the Charity, said: “As a mum myself I can’t begin to imagine what Hayley and Joe have been through. We know parents without question should be as close as possible to their children in hospital. I am so proud we are able to keep families together during the most difficult times of their lives.” 

Case Study Two – Refurbishment of the Oncology Treatment Suite at QEHB 

The treatment suite will see up to 400 patients a week attend for their varying cycles of 

(16-25) who will have their own dedicated area within the unit, with games consoles and tv’s to keep them entertained. 

Lesley Golby, Ward Manager said: “The area is now a bright, clean and a pleasant place for staff and patients alike to work and have treatment.” 

This refurbishment of the unit was carried out by the Trust, with the Charity being able to enhance this department by providing a brighter, more colourful and less clinical feeling environment to make patients feel more at ease during their treatment. 

The Charity is proud to help ensure the patient journey is as comfortable as possible and patients are put at ease whilst receiving treatment. Staff and patients tell us the ward feels completely different now and is a much nicer place to be and work. 

Case Study Three – Bringing joy to Children’s Departments across Heartlands, Good Hope and Solihull Hospitals. 

Going to hospital can be a very scary time for children and we want to do whatever we can to make their visit as easy as possible. 

The Charity has been upgrading and renovating the children’s wards at Heartlands Hospital, Good Hope Hospital and Solihull Hospital. The wards have been undergoing huge makeovers to create a more inviting and friendly environment for children when arriving at the hospital sites. Before the renovations, the wards appeared clinical looking and dull which created an intimidating environment for children. The Charity asked staff, patients and families what would make a difference. The new and improved wards feature their recommendations and have helped to improve children’s experiences when arriving in an unfamiliar and daunting environment. Children’s Outpatients at Heartlands has also had a facelift, making it clearer where the children’s departments are located within the hospital. At Good Hope Hospital, the Children’s Assessment Unit has been newly decorated and the Charity assisted the build of the new Children’s Emergency Department. It is a fantastic new department with lots of bright colours, friendly faces and interactive games to make children feel as relaxed and at ease as possible. 

Grandmother, Sue Arnold, attended the department with her three-year-old grandson Logan after he had an accident whilst on a tractor with his grandfather. Sue said, “Thank you to the brilliant staff at Good Hope Hospital for treating my grandson, the new facilities are superb! It was like an oasis of calm, all beautiful and bright. There was a TV with cartoons on and lovely artwork on the walls. It helped Logan relax as soon as we walked in. I was blown away by it because it’s all brand new and it’s wonderful that children are being given their own space because their needs are so different.” 

We want to make sure any child visiting our hospitals feels safe and comfortable. We believe by making their surroundings friendly and welcoming, this goes a long way to making their treatment as quick and easy as possible. 

chemotherapy. We understand the cancer journey can be a challenging one and treatment can be tough so we want to ensure this treatment suite is as comfortable and welcoming as possible. This is especially important for our younger patients 

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

## 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 though 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 hospitals 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. 

## Case study two: Simulation suite at QEHB 

The Charity has a long record of assisting the Trust with simulation training. This year we awarded a grant of £300,000 to build a Simulation Suite at QEHB. The suite provides a space for staff to receive training, in simulated situations. 

High fidelity simulation training is fundamentally about improving patient safety through teaching teams to work effectively under pressure to deliver the best patient outcomes. 

By funding the Simulation Suite we have increased the amount of training that can be carried out on simulators rather than patients. This has many advantages, including being able to replicate rare and/or complex scenarios, trying out new technologies or techniques and teaching teams as well as individuals. 

This suite will help UHBFT to become a first class healthcare education and training centre within the West Midlands, providing a wide range of facilities in which to deliver local and national training to ensure staff deliver excellence in practice. 

One of our main priorities as a charity is to improve patient outcomes, this Simulation Suite will help to ensure our staff are best placed to deliver excellent care and help their patients lead the healthiest lives possible. 

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

In 2021/22, the Charity spent £791,000 in this category. (2020/21 £1,232,000). 

## Case study one – Cancer Cloud Kits 

It can be incredibly distressing and confusing for a child to be told their mum or dad has cancer. To try and help families through this difficult time, the Charity provides Cancer Cloud Kits for those families struggling to adjust to this life changing news. Cancer Cloud Kits are toolkits created for children, or young people, who are affected by their parents being diagnosed with cancer. They aim to help them to understand what cancer is, the treatment given, and the side-effects cancer may cause. There are three kits designed for three age ranges with varying tools to cater to the child’s capacity to understand. 

Mark Chambers, Unit Manager at Good Hope Hospital, explained how helpful these kits have been: “Thank you to the Charity for funding these incredibly valuable resources. Many of the people we treat have young children and it can difficult for a parent, or even a medical professional to truly explain what it is like to have a parent with cancer and these kits help facilitate these difficult, but important  conversations”. 

We know that if patients can be reassured that their family is being looked after, they will experience better clinical outcomes as they can focus on their treatment. Therefore not only do these kits benefit their children’s wellbeing, but they can contribute to a successful cancer journey overall. 

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| Trustees Report incorporating the Strategic Report 

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

## 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. 

You can follow the Charity on social media: 

Twitter @UHBCharity 

Facebook @UHBCharity 

Instagram @uhbcharity 

TikTok @uhbcharity_ 

Linkedin @UniversityHospitalsBirminghamCharity 

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 charities@uhb.nhs.uk 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. 


**----- Start of picture text -----**<br>
Donor Area of support<br>National Grid COVID/NHS Superheroes Appeal<br>Aston Villa FC COVID/NHS Superheroes Appeal<br>Birmingham City FC COVID/NHS Superheroes Appeal<br>Warwickshire County  COVID/NHS Superheroes Appeal<br>Cricket Club<br>Paragon Bank PLC COVID/NHS Superheroes Appeal<br>Warwickshire &  COVID/NHS Superheroes Appeal<br>Worcestershire<br>Freemasons<br>EH Smith Charitable Trust COVID/NHS Superheroes Appeal<br>Eveson Charitable Trust COVID/NHS Superheroes Appeal<br>Royal Sutton Coldfield  COVID/NHS Superheroes Appeal<br>Town Council<br>London Metric Property  COVID/NHS Superheroes Appeal<br>PLC<br>Winners Chapel  COVID/NHS Superheroes Appeal<br>International Birmingham<br>Guru Teg Bahadur  COVID/NHS Superheroes Appeal<br>Gurdwara<br>Sri Dasmesh Sikh Temple COVID/NHS Superheroes Appeal<br>Vinci Construction UK COVID/NHS Superheroes Appeal<br>Lockdown Legends  COVID/NHS Superheroes Appeal<br>Colouring Book Team<br>Millie’s Watch COVID/NHS Superheroes Appeal<br>Jaguar Land Rover COVID/NHS Superheroes Appeal<br>Western Power COVID/NHS Superheroes Appeal<br>IMI PLC COVID/NHS Superheroes Appeal<br>Sutton Coldfield  COVID/NHS Superheroes Appeal<br>Charitable Trust<br>Birmingham Assay Office COVID/NHS Superheroes Appeal<br>Shree Birmingham  COVID/NHS Superheroes Appeal<br>Pragmati Mandal<br>Veseyians RFC COVID/NHS Superheroes Appeal<br>Balsall Common Lions COVID/NHS Superheroes Appeal<br>Comic Relief COVID/NHS Superheroes Appeal<br>**----- End of picture text -----**<br>


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


**----- Start of picture text -----**<br>
Donor Area of support<br>Gordon Giltrap QEHB Charity<br>Joseph & Lena Randall  QEHB Charity<br>Charitable Trust<br>British Airways UHB Charity<br>Clarissa Greenfield UHB Charity<br>Friends of Good Hope  Good Hope Hospital<br>Hospital<br>Friends of Solihull  Solihull Hospital<br>Hospital<br>Friends of Queen  Queen Elizabeth Hospital<br>Elizabeth Medical Centre Birmingham<br>Bullring & Grand Central Queen Elizabeth Hospital<br>Birmingham<br>Birmingham District  UHB Cancer Appeal (Cancer<br>Nursing Charitable Trust Cloud kits)<br>Upper GI Support Group QEHB Upper GI Fund<br>Eveson Charitable Trust Stroke Unit<br>Millie’s Watch Homes Away from Home<br>B&Q Foundation Homes Away from Home<br>Screwfix Foundation Homes Away from Home<br>Sue McAllister Patient & Family Support Centre<br>Help Harry Help Others Solihull Haematology & Oncology<br>Centre<br>BBC Children in Need Teenage Cancer Trust Young<br>Person’s Unit<br>Steve Bull Foundation QEHB Haematology & Oncology<br>Centre<br>Birmingham Airport  Good Hope Children’s<br>Community Trust Fund Assessment Unit<br>Help for Heroes Fisher House<br>SSAFA Fisher House<br>Armed Forces Covenant  Fisher House<br>Fund Trust<br>TroopAid Fisher House<br>Royal Marines Association Fisher House<br>MacRobert Trust Fisher House<br>ABF The Soldiers Charity Fisher House<br>Royal Navy & Royal  Fisher House<br>Marines Charity &<br>Greenwich Hospital<br>Royal Air Force  Fisher House<br>Benevolent Fund<br>The Lt Dougie Dalzell MC  Fisher House<br>Memorial Trust<br>Veterans’ Foundation Fisher House<br>BAE Systems Ltd Fisher House<br>Stan Bowley Trust Cyberknife<br>Ladies Fighting Breast  QE Breast Cancer Appeal<br>Cancer<br>Stine & Ashley Giles The Giles’ Trust<br>Maggie Bate The Giles’ Trust<br>Cassidy Group The Giles’ Trust<br>**----- End of picture text -----**<br>



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Donor Area of support<br>Brian Travers & friends The Giles’ Trust<br>Tony Fox BEM, family &  The Ann Fox Foundation<br>friends<br>Karen Morris Memorial  Karen’s Home from Home<br>Trust<br>**----- End of picture text -----**<br>


Case study one – Team Colin raise £120,000 for the Giles Trust! 

Brain tumours are still the biggest killer of children and adults under the age of 40. 

11,000 people are diagnosed with primary brain tumours each year in the UK. 

Fewer than 20% of those diagnosed will live longer than five years. Sadly this was the case for Colin Broomfield. 

Friends and family of Colin Broomfield raised an astounding £120,000 for The Giles’ Trust between 2021 and 2022. Colin sadly lost his battle with cancer in February 2020, aged 52 – almost two years after being diagnosed with a terminal glioblastoma brain tumour. 

The Giles’ Trust Brain Tumour Fund was founded in 2015 by former England cricketer and now England’s Director of Cricket, Ashley Giles MBE, and his wife Stine following her own multiple battles with cancer. It aims to support those diagnosed with brain tumours and fund equipment and cutting edge research so they have the best possible chance against this dreadful disease. 

Colin’s friends and family named themselves ‘Team Colin’ and undertook various different fundraising activities from bike rides to collection goblets to gaining support from local businesses. 

A close friend of Colin’s for more than 40 years, Ivor Allchurch, said: “Myself and another close friend of Colin’s, Jim Weston, got talking after the funeral about doing some fundraising. 

“Colin’s wife Fiona said she would like it to benefit The Giles’ Trust because they knew Ashley and Stine Giles from Bromsgrove School and Stine had been helpful in supporting and giving her advice. 

“It was a good way to remember Colin, it has given us all some great memories and raised some funds towards the great work that The Giles’ Trust does. Colin was one of the good guys, great fun and a true friend.” 

Other support included £10,000 from a fundraising dinner hosted by The Fine Fourteen – a group of Worcestershire businessmen with digital support from Steve Thomas – another friend of Colin’s. 

Ivor added: “Colin was a charismatic, kind and loving man and this fundraising is our way of celebrating his life. Despite Colin having received fantastic treatment and fighting extremely hard, there’s still a long way to go in advancing the treatment of this disease and raising awareness.” 

The Charity is so grateful to Colin’s family and friends for helping us to fund vital research. 

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

Dr Sara Meade, Oncology Consultant at QEHB where Colin was treated, said: “The impact from The Giles’ Trust has been incredible. The contribution from the Charity has significantly impacted on the delivery of the highest standard of care in this patient group. The benefits of The Giles’ Trust have been felt deeply by patients and staff.” 

## Case study two – Olivia is on the run! 

Between October 2021 and March 2022, nine year old Olivia ran regularly to reach her target of 158 miles to raise money for the Charity. She raised an incredible £2,000 for the new Birmingham Transplant Centre to say thank you after her grandad received a successful heart transplant at QEHB in 2020. When asked why she set her goal of 158 miles, Olivia said: “I live in Sussex which is 158 miles away from Birmingham, we would travel lots to go visit him while he was poorly in hospital. The staff at the hospital took such good care of my grandad, looking after him when we couldn’t be there with him and they got him the heart he needed. I wanted to say thank you to everyone at the hospital for giving me my grandad back which is why I started running to try and raise as much money for the Centre as possible.” 

Natasha Burton, Fundraising Officer, said: “It was amazing to see Olivia complete her epic challenge! Thanks to fundraisers like Olivia we will be able to make Birmingham Transplant Centre a reality. It will put patient care at the forefront of transplantation and bring innovative and ground-breaking medicine to the West Midlands. The new Centre will bring all the specialist care to patients, including pre-transplant consultations, additional fitness classes before surgery, patient support groups, and rehabilitation classes after surgery 

“The Charity wants to bring all of the specialist care available to the patient, taking away a huge amount of stress and therefore speeding up recovery time. UHBFt will be able to offer even more transplants and therefore save even more lives. 

“The new Birmingham Transplant Centre will revolutionise the way we treat transplant patients like Olivia’s grandad in the future.” 

Case study three: A heartfelt donation to the Special Care Baby Unit 

The Special Care Baby Unit at Good Hope Hospital looks after very poorly babies who need some extra care after they are born. 

The Special Care Baby Unit received an incredible £4,500 donation from Stephen and Leanne, proud parents of Cooper who fell ill shortly after being born. 

As a way to mark Cooper’s second birthday they decided to show their appreciation and raised money to honour and celebrate the Unit that saved their little boy’s life. 

Cooper arrived into the world at 5lb 10oz in December 2019. Cooper’s dad Stephen told us: 

we were being rushed to the Special Care Baby Unit at Good Hope Hospital. 

“The fear we felt when all the doctors and midwives came rushing in is something we will never forget, it literally dropped me to my knees. I felt broken as I just didn’t understand what was happening to our little boy. 

“When we arrived at Good Hope Hospital we were greeted by a team of nurses and doctors who not only stabilised Cooper but also cared for us as a family. We found out that the reason he became so poorly was due to him becoming hypothermic, hypoglycaemic and jaundiced. 

“The staff on the unit are unbelievably caring, kind and selfless individuals who look after those babies like their own and this is something that we will never be able to thank them enough for.” 

To thank staff for the wonderful treatment Cooper and the family received, they raised this incredible amount by the generosity of their friends and family, as well as corporate supporters. Overall there were 161 people who donated to this fantastic cause. 

Their generous donation will help make such a huge difference to the unit and help support countless other poorly babies and their families during such a difficult time. 

## Case study four: Long standing support from renowned artist Gordon Giltrap 

Legendary musician, Gordon Giltrap MBE, has raised an incredible total of £4,500 for UHB Charity after generously donating sales from his album Heartsongs. Gordon underwent two bouts of major surgery in 2016 and ever since has been giving back to the hospital that treated him. 

In 2018 his charity album was first released and copies flew off the shelves so quickly it sold out, raising £2,500 almost instantly! In the past three years profits have continued to come to UHB Charity bringing Gordon’s donation to an amazing £4,500. The money raised has allowed UHB Charity to provide equipment, resources and ‘added extras’ above and beyond what the NHS alone can provide, which has made a real and lasting difference to Birmingham’s communities. 

Cathryn Worth, Fundraising Manager at the Charity, said: “On behalf of UHB Charity I wish to say our heartfelt thanks to Gordon for his ongoing support and dedication to QEHB. It has been a pleasure to work with Gordon over the years and I hope our partnership can continue for many more.” 

Gordon said: “Since my personal ‘journey’ with the Queen Elizabeth Hospital starting in 2015, all I can say is it has been a privilege to have met some of the most remarkable people one could wish to meet. I’m proud to have been in my own small way a part of the fundraising team, and I look forward to more opportunities to offer my services as a musician to this wonderful and worthwhile charity.” 

“He seemed perfect, tiny but perfect, when he arrived into this world. However, he didn’t seem to cry at all and then when I held him for the first time, although it was the best feeling in the world, he felt cold and soon became unresponsive. The doctors and midwives came rushing in and next thing we knew 

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

## Legacies 

Gifts in wills are a much valued and major source of funding for the 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. 

The 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. 

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

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 2022 the Charity received generous legacies to the value of £1,203,000. (2020/21: £1,327,000). We would like to acknowledge the generous sums received from bequests made by the following people: 


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Donor Donor<br>Jennifer May Amatiello Therese Louise Armstrong<br>Roy David Aucott John Gresham Barron<br>Philip Richard Bentley Edna Birbeck<br>Brenda Dorothy Blake Valerie Lesley Bonehill<br>Sarah Bookey Lynda Anne Bridgman<br>Ronald James Broome Leonard Samuel Chorley<br>Francis Harold Coates Eileen Cook<br>Clarissa Louise Dawson John Alan Dun<br>Josephine Rose Edwards Beryl Eileen George<br>Sarah Elizabeth Hadley Jean Marion Hawker<br>Madge Hughes Robert Hutson<br>Davinderpal Kaur Jandu Doreen Jones<br>Jacqueline Kane Aja Lea<br>Robert Edwin Leighton Peter Lowe<br>Margaret Amy Loxley Arthur Peter Lynch<br>Iris June Marchant Mary Jane Marnell<br>Margaret Rose Mason Joan Margaretta Mary<br>Meredith<br>Joyce Audrey Mitchell Roger Phipps<br>Valerie Powell Lilian Florence Preece<br>Roy Purcel Iris Joan Ridley<br>Joyce Rogers Alma Ethel Sanders<br>Trevor Sherrington Edwin William Sims<br>Beryl Gladys Spare Charles Greenland Taylor<br>Beryl Wilcox Raymond Brian Woodcock<br>**----- End of picture text -----**<br>


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. 

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| Trustees Report incorporating the Strategic Report 

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

## 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 from: 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 QEHB. 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 2022 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 2022. 


**----- Start of picture text -----**<br>
Trustees who were in  Date of first  Date when<br>office during the year  appointment appointment<br>to 31 March 2022 expires (or expired<br>if in year)<br>Peter Mayer* 23 February 2016 22 August 2021<br>Andrew Pemberton* 23 February 2016 22 February 2022<br>David Ritchie* 23 February 2016 22 February 2024<br>Michael Seabrook* 23 February 2016 22 February 2025<br>David Mackay* 23 February 2016 22 February 2023<br>Ru Watkins* 23 February 2016 22 February 2023<br>Clara Day 22 September  21 September 2025<br>2021<br>Joanne Eales 21 August 2019 20 August 2023<br>Stan Baldwin 21 August 2019 20 August 2023<br>**----- End of picture text -----**<br>


*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. 

## 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. 

**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 

**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 

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

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. 

**Clara Day** is a Consultant Nephrologist. Clara qualified from the University of Oxford in 1995. She trained as a junior in general medicine at the Queen Elizabeth and Selly Oak hospitals before training in renal medicine. Clara has clinical interests in inflammatory renal diseases, pregnancy in renal disease and haemodialysis. 

**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. 

**Dr Peter Mayer** (term of office finished on 22 August 2021) 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** (term of office finished on 22 February 2022) 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 40 years and currently volunteers with the Lions organisation nationally. 

## 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 2022, UHBFT has nominated two Trustees (Stan Baldwin and Clara Day). 

All potential Trustees must be interviewed and recommended by a panel consisting of at least 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 2022 there are two formal sub-committees – the Performance & Finance Committee which met four times during the year 2021/22 and the Nominations Committee which met twice during the year 2021/22. 

## The Charity’s Staff 

The Charity directly employs 22 members of staff as at 31 March 2022, equivalent to 19.5 full time employees across the four hospital sites. 

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. 

18 



| Trustees Report incorporating the Strategic Report 

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

4. In deciding top levels of pay and rewards, Trustees will consider the purposes, aims and values of the Charity, and its beneficiaries’ needs. 

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

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

7. 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 5.88% 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 £4,164,000. (2020/21: £3,425,000) 

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. 

Trustees Report incorporating the Strategic Report   |   19 



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

## Other advisors 

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

- Î Mazars LLP, 2 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) 

## 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. 

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. 

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 from the COVID-19 fundraising campaign. 

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 Charity and the communities they serve. 

Administrative Structure as at 31 March 2022 


**----- Start of picture text -----**<br>
Board of Trustees<br>**----- End of picture text -----**<br>



**----- Start of picture text -----**<br>
Charity Chief Executive<br>Director of  Office Operations<br>Fundraising Manager Manager<br>Fundraising  Grants  Stewardship  Operations<br>Manager x2 Team x 2 Team x 1 Team x1<br>Communications<br>Team x3<br>Fundraising<br>Team x6<br>**----- End of picture text -----**<br>


External support structure as at 31 March 2022 

|||University Hospitals||||
|---|---|---|---|---|---|
|||Birmingham Charity||||
|UHBFT||Internal and<br>Legal||Investment||
|Finance||External Auditors<br>Advisors||Manager||



20 



| Trustees Report incorporating the Strategic Report 

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

## 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: 

## Risk Mitigation 


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


## 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.” 

- 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 

Trustees Report incorporating the Strategic Report   |   21 



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

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 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 2021/22 Statement of Financial Activities and Balance Sheet and accompanying notes to the accounts are set out on pages 27 to 43. 

Income during the year amounted to £3.661 million (2020/21: £5.849m) and expenditure in the year was £4.866 million. (2020/21: £4.054 million) 

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 2022 were £17,252,000 .  The total level of unrestricted reserves is analysed as follows: 


**----- Start of picture text -----**<br>
£<br>Total funds available at year end 31 March 2022 17,252,000<br>Less:<br>Restricted funds 363,000<br>Designated funds (including Fisher House and  16,359,328<br>Homes away from Home)<br>Total free reserves 529,672<br>**----- End of picture text -----**<br>


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 -----**<br>
£<br>Provision for six month’s  500,000<br>general fund expenditure<br>requirements*<br>Total target reserve  500,000<br>requirement:<br>**----- End of picture text -----**<br>


*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. 

22 



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

## **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. 

Approved by Trustees on 24 August 2022 and signed on their behalf by: 


David Mackay  (Chairman) 

Trustees Report incorporating the Strategic Report   |   23 



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

## **Independent auditor’s report to the members of University Hospitals 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 2022 which comprise of the Consolidated Statement of Financial Activities, the Charity Statement of Financial Activities, the Consolidated Balance Sheet, the Charity Balance Sheet, the Consolidated Statement of Cash Flows and notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including FRS 102 “The Financial Reporting Standard applicable in the UK and Republic of Ireland” (United Kingdom Generally Accepted Accounting Practice). 

## In our opinion the financial statements: 

- give a true and fair view of the state of the group's and of the parent charity's affairs as at 31 March 2022 and of the group's and the parent charity's income and expenditure 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 of 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 Director's 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 the 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 Director' Report included within the Trustees' Report. 

24 



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

## **Independent auditor’s report to the members of University Hospital Birmingham Charity (cont')** 

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

- certain disclosures of trustees' remuneration specific 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 23, 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 non-compliance 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. 

Trustees Report incorporating the Strategic Report   |   25 



￿n￿￿[￿Hr￿pilak B11ftTr1IikwTr CIwiiiY Curiiwiry NuiiiLv lOtw)4LK)3 ChJily Number1165n6
Independent auditorfs reportto the members of University Hospital Birmingham Charlty Icont'l
Use of the audit report
This report 15 made solely to the charity's members as a body in accordance with Chaptei 3 of Part 16 of the Companies
Act 2006. Our audit work has been undertaken so that we might state to the Iharity'5 members those matters we are
required to state to thern in an auditorfs report and for no other purpose. To the fullest extent permitted by law. we do
not accept or assume responsibility tts anyone other than the charity and the charity's members as a body for our audit
work, for this report, or for the opinions we have formed.
David H005e
(Senior Statutory Auditorl
lor znd on behalf of Mazars LLP
Chartered Accountant5 and Statutory Auditor
First Floor
2 Chamberlain Square
Birmingham
B3 3AX
Date..
I li.

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**<br>Note ref.<br>Unrestricted funds<br>Restricted funds<br>**Total funds**<br>£000<br>£000<br>**£000**<br>**Income and endowments from:**<br>Donations, legacies and grants<br>3<br>2,610<br>0<br>**2,610**<br>Charitable activities<br>3.1<br>526<br>1<br>**527**<br>Other Trading Activities<br>UHB Trading CIC<br>2.2<br>2<br>0<br>**2**<br>Investments<br>10.2<br>522<br>0<br>**522**<br>_Total_<br>**3,660**<br>**1**<br>**3,661**<br>**Expenditure on:**<br>_Raising funds:_<br>UHB Charity<br>6.1<br>699<br>1<br>**700**<br>UHB Trading CIC<br>2.2<br>2<br>0<br>**2**<br>_Charitable activities:_<br>6<br>Medical Research<br>(368)<br>13<br>**(355)**<br>Purchase of Equipment<br>717<br>746<br>**1,463**<br>New Building and Refurbishment<br>1,564<br>0<br>**1,564**<br>Staff Education and Welfare<br>570<br>0<br>**570**<br>Patient Education and Welfare<br>220<br>0<br>**220**<br>Programe related Assets Running Costs<br>283<br>0<br>**283**<br>Depreciation Costs<br>420<br>0<br>**420**<br>Grants to other Bodies<br>(2)<br>**(2)**<br>_Total_<br>**4,106**<br>**760**<br>**4,866**<br>**_Income before gains and losses on investments_**<br>**(446)**<br>**(759)**<br>**(1,205)**<br>**_Other recognised gains and losses_**<br>Unrealised gains on investments<br>575<br>0<br>**575**<br>Realised gains on investments<br>231<br>0<br>**231**<br>Transfers between funds<br>16<br>(14)<br>14<br>**0**<br>**Net movement in funds for the year**<br>**346**<br>**(745)**<br>**(399)**<br>**Reconciliation of funds:**<br>Total funds brought forward<br>16,543<br>1,108<br>**17,651**<br>**_Total funds carried forward_**<br>17<br>**16,889**<br>**363**<br>**17,252**|**March 2022**<br>Prior Year 2021<br>£000<br>4,158<br>1,093<br>11<br>587<br>5,849<br>619<br>10<br>150<br>522<br>609<br>418<br>814<br>154<br>409<br>349<br>4,054<br>1,795<br>1,817<br>352<br>0<br>3,964<br>13,687<br>17,651|
|---|---|



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

The notes at pages 32 to 43 form part of these accounts. 

Trustees Report incorporating the Strategic Report   |   27 



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

## **Company Statement of Financial Activities for the year ended 31 March 2022** 

|Note ref.<br>**Income and endowments from:**<br>Donations, legacies and grants<br>3<br>Charitable activities<br>3.1<br>CIC Trading Income<br>2.2<br>Investments<br>10.2<br>_Total_<br>**Expenditure on:**<br>_Raising funds:_<br>6.1<br>_Charitable activities:_<br>6<br>Medical Research<br>Purchase of Equipment<br>New Building and Refurbishment<br>Staff Education and Welfare<br>Patient Education and Welfare<br>Programe related Assets Running Costs<br>Depreciation Costs<br>Grants to other Bodies<br>_Total_<br>**_Income before gains and losses on investments_**<br>**_Other recognised gains and losses_**<br>Unrealised gains on investments<br>Realised gains on investments<br>Transfers between funds<br>_16_<br>**Net movement in funds for the year**<br>**Reconciliation of funds:**<br>Total funds brought forward<br>**_Total funds carried forward_**|Unrestricted funds<br>Restricted funds<br>**Total funds**<br>£000<br>£000<br>**£000**<br>2,610<br>0<br>**2,610**<br>526<br>1<br>**527**<br>0<br>0<br>**0**<br>522<br>0<br>**522**<br>**3,658**<br>**1**<br>**3,659**<br>699<br>1<br>**700**<br>(368)<br>13<br>**(355)**<br>717<br>746<br>**1,463**<br>1,564<br>0<br>**1,564**<br>570<br>0<br>**570**<br>220<br>0<br>**220**<br>283<br>0<br>**283**<br>420<br>0<br>**420**<br>(2)<br>0<br>**(2)**<br>**4,104**<br>**760**<br>**4,864**<br>**(446)**<br>**(759)**<br>**(1,205)**<br>575<br>0<br>**575**<br>231<br>0<br>**231**<br>(14)<br>14<br>**0**<br>**347**<br>**(745)**<br>**(399)**<br>16,543<br>1,108<br>**17,651**<br>**16,889**<br>**363**<br>**17,252**|Prior Year 2021<br>£000<br>4,158<br>1,093<br>17<br>587<br>5,855<br>619<br>150<br>522<br>609<br>418<br>814<br>154<br>409<br>349<br>4,044<br>1,811<br>1,817<br>352<br>0<br>3,980<br>13,671<br>17,651|
|---|---|---|



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. 

The notes at pages 32 to 43 form part of these accounts. 

28 



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

## **Consolidated Balance Sheet as at 31 March 2022** 

|Note ref.<br>Unrestricted funds<br>Restricted funds<br>**Total funds**<br>£000<br>£000<br>**£000**<br>**Fixed assets:**<br>Investments-Equities, Securities and Property<br>10<br>12,444<br>363<br>**12,807**<br>Tangible Fixed Assets<br>10.4<br>457<br>0<br>**457**<br>Program Related Asset<br>10.3<br>1,485<br>0<br>**1,485**<br>_Total fixed assets_<br>**14,386**<br>**363**<br>**14,749**<br>**Current assets:**<br>Stock<br>11.3<br>16<br>0<br>**16**<br>Debtors<br>11.1<br>1,292<br>0<br>**1,292**<br>Cash at bank and in hand<br>11.2<br>5,967<br>0<br>**5,967**<br>_Total current assets_<br>**7,275**<br>**0**<br>**7,275**<br>**Liabilities:**<br>Creditors: Amounts falling due within one year<br>12<br>1,652<br>0<br>**1,652**<br>Provisions for liabilities: Amounts falling due within one year<br>14<br>2,468<br>0<br>**2,468**<br>_Net current assets/liabilities_<br>**3,155**<br>**0**<br>**3,155**<br>_Total assets less current liabilities_<br>**17,541**<br>**363**<br>**17,904**<br>Provisions for liabilities: Amounts falling due after more than one<br>year<br>14<br>**652**<br>**0**<br>**652**<br>**_Total net assets or liabilities_**<br>**16,889**<br>**363**<br>**17,252**<br>**The funds of the group:**<br>Restricted income funds<br>17.1<br>0<br>363<br>**363**<br>Unrestricted funds<br>17.2<br>16,889<br>0<br>**16,889**<br>**_Total funds_**<br>**16,889**<br>**363**<br>**17,252**|Prior Year 2021<br>£000<br>14,557<br>762<br>929<br>16,248<br>15<br>1,862<br>4,000<br>5,877<br>1,960<br>1,934<br>1,983<br>18,231<br>580<br>17,651<br>1,108<br>16,543<br>17,651|
|---|---|



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


Signed: 

Trustee    …………………………………………Dave Mackay (Chair) 


Trustee    …………………………………………Ru Watkins 

Date:       …………………………………………24 August 2022 

Date:       …………………………………………24 August 2022 

The notes at pages 32 to 43 form part of these accounts. 

Trustees Report incorporating the Strategic Report   |   29 



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

## **Balance Sheet as at 31 March 2022** 

|Note ref.<br>Unrestricted funds<br>Restricted funds<br>**Total funds**<br>£000<br>£000<br>**£000**<br>**Fixed assets:**<br>Investments-Equities, Securities and Property<br>10<br>12,444<br>363<br>**12,807**<br>Tangible Fixed Assets<br>10.4<br>457<br>0<br>**457**<br>Program Related Asset<br>10.3<br>1,485<br>0<br>**1,485**<br>_Total fixed assets_<br>**14,386**<br>**363**<br>**14,749**<br>**Current assets:**<br>Debtors<br>11.1<br>1,322<br>0<br>**1,322**<br>Cash at bank and in hand<br>11.2<br>5,952<br>0<br>**5,952**<br>_Total current assets_<br>**7,274**<br>**0**<br>**7,274**<br>**Liabilities:**<br>Creditors: Amounts falling due within one year<br>12<br>1,651<br>0<br>**1,651**<br>Provisions for liabilities: Amounts falling due within one year<br>14<br>2,468<br>0<br>**2,468**<br>_Net current assets/liabilities_<br>**3,155**<br>**0**<br>**3,155**<br>_Total assets less current liabilities_<br>**17,541**<br>**363**<br>**17,904**<br>Provisions for liabilities: Amounts falling due after more than one<br>year<br>14<br>**652**<br>**0**<br>**652**<br>**_Total net assets or liabilities_**<br>**16,889**<br>**363**<br>**17,252**<br>**The funds of the charity:**<br>Restricted income funds<br>17.1<br>0<br>363<br>**363**<br>Unrestricted funds<br>17.2<br>16,889<br>0<br>**16,889**<br>**_Total charity funds_**<br>**16,889**<br>**363**<br>**17,252**|Prior Year 2021<br>£000<br>14,557<br>762<br>929<br>16,248<br>1,892<br>3,985<br>5,876<br>1,959<br>1,934<br>1,983<br>18,231<br>580<br>17,651<br>1,108<br>16,543<br>17,651|
|---|---|



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


Signed: 

Trustee    …………………………………………Dave Mackay (Chair) 

Date:       …………………………………………24 August 2022 


Trustee    …………………………………………Ru Watkins Date:       …………………………………………24 August 2022 

The notes at pages 32 to 43 form part of these accounts. 

30 



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

## **Consolidated Statement of Cash Flows** 


**----- Start of picture text -----**<br>
|||||
|---|---|---|---|
|2021/22|2020/21|
|£000|£000|
|Cash flows from operating activities:|
|Net cash used in / provided by operating activities|Table A|(443)|(72)|
|Cash flows from investing activities:|
|Dividends, interest and rents from investments|10.2|522|587|
|Proceeds from the sale of property, plant and equipment|0|0|
|Purchase of property, plant and equipment|10.3|(112)|0|
|Proceeds from sale of investments|10|2,000|12,563|
|Purchase of investments|10|0|(12,089)|
|Net cash provided by (used in) investing activities|2,410|1,061|
|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|1,967|989|
|Cash and cash equivalents at the beginning of the reporting period|4,000|3,011|
|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|5,967|4,000|
|Table A|: Reconciliation of net income/(expenditure) to net cash flow from|
|2021/22|2020/21|
|operating activities|
|£000|£000|
|Net movement in funds for the period|(399)|3,964|
|Adjustments for:|
|Depreciation charges|10.4|417|409|
|(Gains) on investments|(806)|(2,169)|
|Dividends, interest and rents from investments|10.2|(522)|(587)|
|(Increase)/Decrease in Stock|11.4|(1)|4|
|(Increase) / Decrease in debtors|11.2|570|(740)|
|(Decrease) / Increase in creditors|12|(309)|624|
|(Decrease) / Increase in provisions|14|606|(1,577)|
|Net cash (used in) provided by operating activities|(443)|(72)|
|Table B|: Analysis of cash and cash equivalents|2021/22|2020/21|
|£000|£000|
|Cash in hand|11.3|5,967|4,000|
|Total cash and cash equivalents|5,967|4,000|

**----- End of picture text -----**<br>


Trustees Report incorporating the Strategic Report   |   31 



Notes to the accounts 

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

## **Notes to the Accounts** 

The company was incorporated as a company limited by guarantee on 1st April 2016.  It is registered in England. 

## **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 the recovery of revenue and do not anticipate a significant doubt on the company’s ability to continue as a going concern. COVID-19 caused a reduction in income for 2021-22 but Trustees are confident income levels will recover in the future. 

## 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 

## **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** 

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). 

32 



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. 

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. 

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. 

33 



Notes to the accounts 

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

## **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.  The restatement is due to the cost price of the investment holdings being adjusted and the incorporation of the value of the investment properties which had previously been omitted. 

## **Investment Property** 

In February 2020 the charity acquired Bottle Cottages comprising of 11 flats, of which 5 flats are being held as program related assets with the remaining being held as investment properties.  A further property at Elmbank was also acquired for the program related asset portfolio on 6th November 2019.  The value of the properties were reviewed by Cottons Chartered Surveyors and evaluated against local market conditions etc. 

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** 

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

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

Man Van - This mobile unit has been depreciated over the deemed useful life of 3 Years 

## **Programme Related Asset** 

The programme related  asset No 2 Elizabeth Court (50% share)has been transferred to an Investment asset in the current year and  is carried at market valuation as at 31st March 2022, provided by Cottons Chartered 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 11 flats, of which 5 flats are being held as program related assets with the remaining being held as investment properties.  A further property at Elmbank was also acquired for the program related asset portfolio.  The value of the properties were reviewed by Cottons Chartered Surveyors and evaluated against local market conditions etc. 

## **1.9 Gains and Losses** 

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. 

34 



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

Notes to the accounts 

## **1.13 Pensions** 

## **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. 

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 2022, is based on valuation data as 31 March 2021, updated to 31 March 2022 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%, of pensionable pay. . 

The 2016 funding valuation was also expected to test the cost of the scheme relative to the employer cost cap set following the 2012 valuation. There was initially a pause to the cost cap that was set following the 2021 valuations, due to the uncertainty around member benefits caused by the discrimination ruling to the McCloud case 

HMT published valuation directions dated 7 October 2021 (see Amending Directions 2021) that set out the technical detail of how the costs of remedy are included in the 2016 valuation process. Following these directions, the scheme actuary has completed the cost control element of the 2016 valuation for the NHS Pensions Scheme, which concludes no changes to benefits or member contributions are required. The 2016 valuation reports can be found on the NHS Pensions website at https;//nhsbsa.nhs-pension-scheme-accounts-and-valuation-reports. 

## **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. 

35 



Notes to the accounts 

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

## **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** 

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. (2020/21 £0) 

|**2021/22**|**Accom/Subs**<br>**Travel**<br>**Training**<br>**Total**<br>**£**<br>**£**<br>**£**<br>**£**<br>0.00<br>0.00<br>0.00<br>**0.00**|
|---|---|



The value of unclaimed travel expenses during the year was £381.52 (nil 2020/21 because of virtual meeting only) 

- **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 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. 

Registered office for UHB Trading CIC: 5th Floor Nuffield House, Queen Elizabeth Hospital, Birmingham, West Midlands, B15 2TH 

|**UHB Trading CIC Income Statement**<br>Turnover<br>Operating Income<br>Expenditure<br>Cost of Sales<br>Gross profit<br>Administration Expenses<br>Interest receivable<br>Interest Payable<br>Profit for the year<br>Gift Aid Donation to UHB Charity<br>Retained Profit b/f<br>**UHB Trading CIC Statement of Position**<br>Assets Employed<br>Current Assets<br>Stock<br>Debtors<br>Cash in Hand and at Bank<br>Current Liabilities<br>Net Assets<br>Financed by<br>Reserves|**2021/22**<br>**£'s**<br>2,312<br>(839)<br>1,473<br>(431)<br>(955)<br>87<br>(87)<br>0<br>**2021/22**<br>**£'s**<br>15,877<br>14,457<br>30,334<br>(30,334)<br>0<br>0|**2020/21**<br>**£'s**<br>10,520<br>(6,630)<br>3,890<br>(1,831)<br>0<br>(1,285)<br>774<br>(16,610)<br>15,836<br>**2020/21**<br>**£'s**<br>15,488<br>0<br>15,491<br>30,979<br>(30,979)<br>0<br>0|
|---|---|---|



36 



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

Notes to the accounts 

## **3 Income from  Donations and Legacies** 


**----- Start of picture text -----**<br>
2021/22 2020/21<br>Unrestricted Restricted Total Unrestricted Restricted Total<br>Funds Funds 2021 Funds Funds 2020<br>£000 £000 £000 £000 £000 £000<br>Donations from individuals 756 0 756 885 1 886<br>Donations from companies 452 0 452 670 0 670<br>Legacies 1,203 0 1,203 1,327 0 1,327<br>Grants 199 0 199 1,275 0 1,275<br>2,610 0 2,610 4,157 1 4,158<br>3.1 Income from Charitable Activities 2021/22 2020/21<br>Unrestricted Restricted Total Unrestricted Restricted Total<br>Funds Funds 2021 Funds Funds 2020<br>£000 £000 £000 £000 £000 £000<br>Income from Fundraising Events 526 1 527 1,093 0 1,093<br>4 Loan Interest Receivable<br>Capital Interest on loan Outstanding<br>Calculated Repayment<br>£'s £'s £'s<br>01/04/21 Bal B/Fwd 30,000 30,000<br>31/03/22 Interest applied  0 955 30,955<br>04/02/2022 Interest Paid 0 -955 30,000<br>**----- End of picture text -----**<br>


## **5 Allocation of Support Costs and Overheads** 

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

|**5.1**<br>**Analysis of Expenditure**<br>Salaries & Pension<br>Travel<br>Training<br>Office Costs<br>Stationery<br>Insurance<br>Subscriptions<br>Trustee training and  Expenses<br>Professional fees<br>Internal Audit<br>External Audit<br>Bank Charges<br>Finance SLA<br>Other|**2021/22**<br>Unrestricted<br>Funds<br>£000<br>192.1<br>0.4<br>4.4<br>23.9<br>8.6<br>7.5<br>1.6<br>0.0<br>0.9<br>16.2<br>16.4<br>0.0<br>139.1<br>5.1<br>**416.2**|Restricted<br>Funds<br>£000<br>0<br>0<br>0<br>0<br>0<br>0<br>0<br>0<br>0<br>0<br>0<br>0<br>0<br>0<br>**0.0**|**Total**<br>**2021**<br>**£000**<br>**192.1**<br>**0.4**<br>**4.4**<br>**23.9**<br>**8.6**<br>**7.5**<br>**1.6**<br>**0.0**<br>**0.9**<br>**16.2**<br>**16.4**<br>**0.0**<br>**139.1**<br>**5.1**<br>**416.2**|**2020/21**<br>Unrestricted<br>Funds<br>£000<br>226.2<br>0.0<br>1.1<br>8.4<br>4.2<br>8.2<br>1.9<br>0.0<br>0.0<br>2.0<br>13.2<br>0.7<br>139.1<br>12.0<br>417.0|Restricted<br>Funds<br>£000<br>0<br>0<br>0<br>0<br>0<br>0<br>0<br>0<br>0<br>0<br>0<br>0<br>0<br>0<br>0.0|Total<br>2020<br>£000<br>226.2<br>0.0<br>1.1<br>8.4<br>4.2<br>8.2<br>1.9<br>0.0<br>0.0<br>2.0<br>13.2<br>0.7<br>139.1<br>12.0<br>417.0|
|---|---|---|---|---|---|---|



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 2021/22 are £66.1k (2020/21 £52.4k).  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. 

37 



Notes to the accounts 

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

## **6 Analysis of Charitable Expenditure** 

Expenditure on charitable activities was £4,164k (2021: £3,425k) of which £759k was restricted (2021: £0k). 

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

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

|**2021/22**<br>**Grant Funded**<br>**Activity**<br>**£000**<br>Medical Research<br>(405)<br>Purchase of Equipment<br>1,346.0<br>Building and Refurbishment<br>1,559.0<br>Staff Education and Welfare<br>474.0<br>Patient Education and Welfare<br>174.0<br>Programme related running costs<br>244.9<br>Depreciation Costs<br>419.5<br>Grants to other Bodies<br>(2.7)<br>**3,809.7**|**Support**<br>**Costs**<br>**£000**<br>50.0<br>117.0<br>4.6<br>96.4<br>45.9<br>38.5<br>0.9<br>0.8<br>**354.1**|**2020/21**<br>**Total**<br>**Grant Funded**<br>**2022**<br>**Activity**<br>**£000**<br>**£000**<br>**(355)**<br>83.8<br>**1,463**<br>377.8<br>**1,564**<br>603.5<br>**570**<br>328.9<br>**220**<br>767.7<br>**283**<br>122.6<br>**420**<br>408.5<br>**(1.9)**<br>347.9<br>**4,164**<br>3,040.8|**Support**<br>**Costs**<br>**£000**<br>65.8<br>144.6<br>5.8<br>88.6<br>46.3<br>31.5<br>0.9<br>0.5<br>384.0|**Total**<br>**2021**<br>**£000**<br>150<br>523<br>609<br>418<br>814<br>154<br>409<br>348<br>3,425|
|---|---|---|---|---|



**6.1** The remaining 62.6k support costs (£33.2k 2020/21)  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 (2020/21 nil). 

|**2021/22**<br>**Grant Funded**<br>**Activity**<br>**£000**<br>Costs of Raising Funds<br>545.6<br>Costs of Fundraising Events<br>75.1<br>Investment Management Costs<br>16.6<br>**637.3**|**Support**<br>**Costs**<br>**£000**<br>62.6<br>0.0<br>0.0<br>**62.6**|**2020/21**<br>**Total**<br>**Grant Funded**<br>**2022**<br>**Activity**<br>**£000**<br>**£000**<br>**608**<br>404.3<br>**75**<br>165.3<br>**17**<br>15.9<br>**700**<br>585.5|**Support**<br>**Costs**<br>**£000**<br>33.2<br>0.0<br>0.0<br>33.2|Total<br>2021<br>£000<br>438<br>165<br>16<br>619|
|---|---|---|---|---|



## **6.2 Grants** 

The charity does not make grants to individuals. 

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. 

|**2021/22**<br>**Number of**<br>**Institution Receiving Support**<br>**Grants**<br>University Hospitals Birmingham NHS Foundation Trust<br>*<br>University of Birmingham<br>*<br>* As per Scheme of Delegation<br>**7 Analysis of staff costs**<br>No staff costs are contained within the Trading Company.<br>Salaries and wages<br>Social security costs<br>Other pension costs<br>**Pension Costs are split as follows**<br>Defined Contribution Scheme<br>NHS Pensions Defined Benefit Scheme<br>**Outstanding contributions at year end were:**<br>Defined Contribution Scheme<br>NHS Pensions Defined Benefit Scheme<br>Average full time equivalents of employees in the year:<br>Average head count during the year:|**Total**<br>**2022**<br>**£000**<br>4,787<br>65<br>**4,852**|**2020/21**<br>**Number of**<br>**Grants**<br>*<br>*<br>**Total**<br>**2022**<br>**£000**<br>**518**<br>**49**<br>**36**<br>**603**<br>**13**<br>**23**<br>**36**<br>**5**<br>**0**<br>**5**<br>**19.0**<br>**16.3**|Total<br>2021<br>£000<br>3,805<br>238<br>4,043<br>Total<br>2021<br>£000<br>530<br>49<br>28<br>607<br>16<br>12<br>28<br>2<br>0<br>2<br>18.0<br>19.5|
|---|---|---|---|



During the year £6.6k has been received via HMRC in relation to furloughed staff. 

38 



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 £90,000 plus pension contributions of £12,942.  No other members of staff were paid in excess of £60,000. 

## **9 Auditor's Remuneration** 

The external auditor's remuneration of £16,400 (2020/21: £13,860) related solely to statutory audit work.  The charity did not commission any additional work from the auditor (2020/21 nil). 

## **10 Analysis of Fixed Asset Investments Movements during the year** 

|**2022**<br>**Charity**<br>Equities, Securities and Property<br>**£000**<br>Market value at start of year<br>14,557<br>Less: Disposals at carrying value<br>(1,864)<br>Add: Acquisitions at cost<br>0<br>Transfer (to) from programe related asset<br>(240)<br>Net gains (losses) on revaluation<br>354<br>Market value at end of year<br>**12,807**<br>Historic cost at year end<br>**11,857**<br>Proceeds from the sale of investments in year<br>**2,000**<br>**10.1**<br>**Market value at 31 March - All held in the UK**<br>**2022**<br>**Charity**<br>**£000**<br>Schroders Responsible Multi Asset Fund<br>11,463<br>Investment Property<br>1,259<br>Leasehold Properties<br>77<br>Other Investments<br>8<br>12,807<br>**10.2**<br>**Total gross income from Charity and Group**<br>a) **Fixed Asset Investments**<br>Investments listed on a recognised Stock Exchange<br>b) **Current Assets**<br>Interest earned on cash deposits and inter co. loan in the year<br>c) **Investment Properties**<br>Rent received<br>**10.3**<br>**Programme Related Asset**<br>All assets relate to the Charity<br>**2022**<br>**Freehold Property**<br>**Charity**<br>**£000**<br>Market Value at start of Year<br>929<br>Transfer to Investment Asset<br>240<br>Net (Loss) Gain on revaluation<br>316<br>**1,485**<br>Historic Cost<br>772|**2022**<br>**Group**<br>**£000**<br>14,557<br>(1,864)<br>0<br>(240)<br>354<br>**12,807**<br>**11,857**<br>**2,000**<br>**2022**<br>**Group**<br>**£000**<br>11,463<br>1,259<br>77<br>8<br>**12,807**<br>**2022**<br>**Group**<br>**£000**<br>929<br>240<br>316<br>**1,485**<br>772|2021<br>Charity<br>£000<br>12,862<br>(11,037)<br>12,089<br>0<br>643<br>14,557<br>13,898<br>12,563<br>2021<br>Charity<br>£000<br>12,732<br>1,740<br>77<br>8<br>14,557<br>**2021/22**<br>**Total**<br>**£000**<br>477<br>13<br>32<br>**522**<br>**2021**<br>**Charity**<br>**£000**<br>929<br>0<br>0<br>**929**<br>867|2021<br>Group<br>£000<br>12,862<br>(11,037)<br>12,089<br>0<br>643<br>14,557<br>13,898<br>12,563<br>2021<br>Group<br>£000<br>12,732<br>1,740<br>77<br>8<br>14,557<br>2020/21<br>Total<br>£000<br>527<br>3<br>57<br>587<br>**2021**<br>**Group**<br>**£000**<br>929<br>0<br>0<br>**929**<br>867|
|---|---|---|---|



39 



Notes to the accounts 

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

|**10.4**<br>**Tangible Fixed Assets**<br>**COST as at 01 April 2021**<br>Additions<br>Disposals<br>**ACCUMULATED DEPRECIATION**<br>As at 1st April 2021<br>Charge for the year<br>Disposals<br>Depreciation as at 31st March 2022<br>Net Book Value as at 31st March 2021<br>Net Book Value as at 31st March 2022<br>**11**<br>**Analysis of Current Assets**<br>**11.1**<br>**Amounts falling due within one year:**<br>Trade debtors<br>Accrued income<br>Prepayments<br>Inter Company balance Due<br>**Total debtors falling due within one year**<br>**11.2**<br>**Cash at Bank and in Hand**<br>Cash<br>**11.3**<br>**Stock held for sale**<br>Stock<br>**12**<br>**Creditors**<br>**Amounts falling due within one year:**<br>Trade creditors<br>Accruals<br>**Total creditors falling due within one year**|**2022**<br>**Charity**<br>**£000**<br>3,724<br>0<br>0<br>**3,724**<br>2,980<br>371<br>0<br>**3,351**<br>**744**<br>**373**<br>**Fisher Ho**|**2022**<br>**Group**<br>**£000**<br>3,724<br>0<br>0<br>**3,724**<br>2,980<br>371<br>0<br>**3,351**<br>**744**<br>**373**<br>**use**|**2022**<br>**2022**<br>**Charity**<br>**Group**<br>**£000**<br>**£000**<br>0<br>0<br>112<br>112<br>0<br>0<br>**112**<br>**112**<br>0<br>0<br>28<br>28<br>0<br>0<br>**28**<br>**28**<br>**0**<br>**0**<br>**84**<br>**84**<br>**2021/22**<br>**Charity**<br>**£000**<br>**107**<br>**1,053**<br>**132**<br>**30**<br>**1,322**<br>**2021/22**<br>**Charity**<br>**£000**<br>**5,952**<br>**2021/22**<br>**Charity**<br>**£000**<br>**0**<br>**2021/22**<br>**Charity**<br>**£000**<br>**950**<br>**701**<br>**1,651**<br>**Hepititus Van**|**2022**<br>**Charity**<br>**£000**<br>108<br>0<br>0<br>**108**<br>90<br>18<br>0<br>**108**<br>**18**<br>**0**<br>**2021/22**<br>**Group**<br>**£000**<br>**107**<br>**1,053**<br>**132**<br>**0**<br>**1,292**<br>**2021/22**<br>**Group**<br>**£000**<br>**5,967**<br>**2021/22**<br>**Group**<br>**£000**<br>**16**<br>**2021/22**<br>**Group**<br>**£000**<br>**950**<br>**702**<br>**1,652**<br>**Man**|**2022**<br>**Group**<br>**£000**<br>108<br>0<br>0<br>**108**<br>90<br>18<br>0<br>**108**<br>**18**<br>**0**<br>**2020/21**<br>**Charity**<br>**£000**<br>**136**<br>**1,720**<br>**5**<br>**30**<br>**1,891**<br>**2020/21**<br>**Charity**<br>**£000**<br>**3,985**<br>**2020/21**<br>**Charity**<br>**£000**<br>**0**<br>**2020/21**<br>**Charity**<br>**£000**<br>**1,302**<br>**657**<br>**1,959**<br>**Van**|**2022**<br>**2022**<br>**Charity**<br>**Group**<br>**£000**<br>**£000**<br>3,832<br>3,832<br>112<br>112<br>0<br>0<br>**3,944**<br>**3,944**<br>3,070<br>3,070<br>417<br>417<br>0<br>0<br>**3,487**<br>**3,487**<br>**762**<br>**762**<br>**457**<br>**457**<br>**2020/21**<br>**Group**<br>**£000**<br>**136**<br>**1,720**<br>**5**<br>**0**<br>**1,861**<br>**2020/21**<br>**Group**<br>**£000**<br>**4,000**<br>**2020/21**<br>**Group**<br>**£000**<br>**15**<br>**2020/21**<br>**Group**<br>**£000**<br>**1,313**<br>**646**<br>**1,959**<br>**Total**|
|---|---|---|---|---|---|---|



40 



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. 


**----- Start of picture text -----**<br>
14 Liabilities and Provisions for Charity and Group Charitable Other 2022 2021<br>Expenditure Expenditure Total Total<br>Movements during the year £000 £000 £000 £000<br>Opening Provisions 2,514 0 2,514 4,090<br>Add: New provisions charged in the year 3,149 0 3,149 1,413<br>Less: Provisions released in the year (1,870) 0 (1,870) (2,975)<br>Change in value of brought forward provisions (673) 0 (673) (14)<br>Provisions outstanding at end of year 3,120 0 3,120 2,514<br>Provisions Payable within one year 2,468 0 2,468 1,934<br>Provisions payable after more than one year 652 0 652 580<br>Provisions outstanding at end of year 3,120 0 3,120 2,514<br>**----- End of picture text -----**<br>


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 for Charity and Group** 

Trustees have entered into arrangements with future commitments as follows: 

|**2022**<br>**Land & Buildings**<br>Expiring within a year<br>**£000**<br>Finance SLA<br>**0**<br>**0**<br>Expiring between 2 - 5 years<br>**0**|**2022**<br>2021<br>**Other**<br>Land & Buildings<br>**£000**<br>£000<br>**145**<br>0<br>**145**<br>0<br>**0**<br>0|2021<br>Other<br>£000<br>139<br>139<br>0|
|---|---|---|



## **16 Transfers Between Funds** 

The transfer of £13.8k back into the restricted Get Ahead fund has been made due to the post the money was funding not being filled.  The origianl transfer was made to cover salary costs. (2020/21 Nil) 

41 



Notes to the accounts 

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

## **17 Analysis of Charitable Funds** 

|**17.1**|**Restricted Funds for Charity and Group**|**Restricted Funds for Charity and Group**|**Balance**|Income|Expenditure|Transfers|Gains and|**Balance**|
|---|---|---|---|---|---|---|---|---|
||||**1 April**||||Losses|**31 March**|
||||**2021**|||||**2022**|
||||**£000**|£000|£000|£000|£000|**£000**|
||**R1**|Hollier Legacy|1,084.8|0.0|(746.5)|0.0|0.0|**338.3**|
||**R2**|Hear and Now|22.1|0.3|(0.8)|0.0|0.0|**21.6**|
||**R3**|Get Ahead|0.9|0.8|(12.7)|14|0.0|**3.0**|
||Total|Restricted Funds|1,107.8|1.1|(760.0)|14|0.0|**363**|



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. Those funds above the Trustees set balance of £110,000 are disclosed below: 

|**Earmarked Funds**|**Earmarked Funds**|Balance<br>Income Expenditure<br>Transfers<br>Gains and<br>**Balance**<br>1 April<br>Losses<br>**31 March**<br>2021<br>**2022**|
|---|---|---|
|**E1**|Miscellaneous Fundraising|£000<br>£000<br>£000<br>£000<br>£000<br>**£000**<br>1,484.1<br>46.6<br>7.7<br>435.5<br>0.0<br>**1,973.9**|
|**E2**|UHB Transplant Centre|569.0<br>49.3<br>0.0<br>514.8<br>0.0<br>**1,133.1**|
|**E3**|Dormant Funds|8.1<br>0.3<br>(1.3)<br>574.5<br>0.0<br>**581.6**|
|**E4**|Ward 19 CharityFund Heartlands|508.5<br>17.7<br>1.5<br>(14.0)<br>0.0<br>**513.7**|
|**E5**|Good Hope Legacies|50.5<br>261.2<br>0.0<br>0.0<br>0.0<br>**311.7**|
|**E6**|BHam Hospitals Childrens Fund|507.6<br>51.5<br>(242.8)<br>(44.6)<br>0.0<br>**271.7**|
|**E7**|Oncology Research Fund|249.2<br>0.1<br>0.0<br>0.0<br>0.0<br>**249.3**|
|**E8**|Man Van|247.8<br>0.0<br>(40.5)<br>0.0<br>0.0<br>**207.3**|
|**E9**|Junior Doctors Welfare|338.6<br>0.0<br>0.0<br>(133.8)<br>0.0<br>**204.8**|
|**E10**|Ambulatory Care and Diagnostics|316.3<br>0.9<br>0.0<br>(114.4)<br>0.0<br>**202.8**|
|**E11**|Fisher House|242.1<br>139.7<br>(99.9)<br>(100.0)<br>0.0<br>**181.9**|
|**E12**|Inherited Metabolic Disease|131.3<br>1.2<br>(8.0)<br>47.4<br>0.0<br>**171.9**|
|**E13**|Staff Welfare and Support|797.9<br>26.7<br>(71.9)<br>(588.8)<br>0.0<br>**163.9**|
|**E14**|The Giles Trust|122.0<br>72.5<br>(4.3)<br>(30.1)<br>0.0<br>**160.1**|
|**E15**|Endocrine Research Fund|165.9<br>0.0<br>(6.2)<br>0.0<br>0.0<br>**159.7**|
|**E16**|UHB Miscellaneous|102.6<br>36.3<br>0.0<br>(1.4)<br>0.0<br>**137.5**|
|**E17**|Plastic Surgery|117.1<br>26.2<br>(6.4)<br>0.0<br>0.0<br>**136.9**|
|**E18**|QE Fighting Skin Cancer|99.2<br>11.2<br>(0.1)<br>4.1<br>0.0<br>**114.4**|
|**E19**|Neuro Endocrine Tumours|104.3<br>6.3<br>0.0<br>0.0<br>0.0<br>**110.6**|
|**E20**|Heartlands Neonatal Unit|87.6<br>23.8<br>(1.1)<br>(0.6)<br>0.0<br>**109.7**|
|**E21**|Medical Research|1.2<br>0.0<br>(1.4)<br>109.7<br>0.0<br>**109.5**|
|**E22**|UHB Sustainability & Green Travel|300.0<br>0.0<br>0.0<br>(200.0)<br>0.0<br>**100.0**|
|**E23**|Liver Laparoscopic Operating Theatre<br>Other earmarked funds<br>All Funds Gain/(Loss) on Investments|353.1<br>0.0<br>0.0<br>(353.1)<br>0.0<br>**(0.0)**<br>8,150.0<br>2,885.9<br>(3,629.2)<br>(118.8)<br>0.0<br>**7,287.9**<br>1,489.0<br>0.0<br>0.0<br>0.0<br>806.0<br>**2,296**|
||Total Unrestricted Funds|16,543<br>3,657<br>(4,104)<br>(14)<br>806<br>**16,889**|
||UHB Trading CIC|0<br>2<br>-2<br>-0<br>0<br>0.00|
||Consolidated Total|17,651<br>3,661<br>(4,866)<br>0<br>806<br>17,252|



42 



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

Notes to the accounts 

## **Unrestricted and Designated (Earmarked) Funds -** _**continued**_ 

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

- E1 Various fundraising projects that are not identified in another earmarked fund 

- E2 To create a Birmingham Transplant Centre at UHB 

- E3 Funds not active for over twelve months 

- E4 Support for the Haematology & Oncology Units 

- E5 Legacies for the benefit of Good Hope Hospital 

- E6 Support for the children’s wards and departments at UHB 

- E7 Support for cancer research at UHB 

- E8 Support costs for the Man Van project (Prostate Cancer) 

- E9 Support of junior doctors 

- E10 Support for the Heartlands Treatment Centre (formerly Ambulatory Care & Diagnostics) 

- E11 Fisher House, home away from home for military patients and their 

- E12 Support for the inherited metabolic disease unit 

- E13 Staff welfare andd Support 

- E14 Support for brain tumour departments at UHB 

- E15 Support for the endocrine service at UHB 

- E16 General support of services at UHB 

- E17 Support for the plastic surgery service at UHB 

- E18 Support for the skin cancer department at UHB 

- E19 Support for the skin cancer department at UHB 

- E20 Support for the neuro endocrine service at UHB 

- E21 Medical Research 

- E22 Sustainability and green travel programmes at UHB 

- E23 To create a liver laparoscopic operating theatre 

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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