2023-03-31-accounts

Annual Report & Accounts for the Year ended 31 March 2023

Company Registration Number 10004003 Charity Number 1165716

Company Address

Fisher House, Mindelsohn Way, Queen Elizabeth Hospital, Birmingham B15 2GN

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	5
Charitable purpose and public benefit	5
Fundraising Regulator	5
Information about University Hospitals Birmingham NHS Foundation Trust	5
Our key performance indicators	6
Plans for the future	7
What we fund	8
Equipment	8
Research	9
Facilities	9
Training, education and patient support	10
How we are funded	12
Fundraising	12
Legacies	14
Governance	16
More about who we are and how we work	16
Our history	16
How do we do things?	16
Details of Trustees	16
Trustee recruitment, appointment and induction	17
Charity sub-committees	17
Our staff	17
Remuneration policy	18
Volunteers	18
Grant making structure and policy	18
Charitable expenditure	18
Charity’s advisors and agents	19
Wider networks and related parties	19
Administrative Structure as at 31 March 2023	19
External support structure as at 31 March 2023	19
Risk management	20
Investment policy	20
Reserves policy	21
Financial review	21
Statement of Trustees’ responsibilities	22
Independent Auditors’ report to the Trustees	23
Statement of Financial Activities for year ended 31 March 2023	25
Balance sheet as at 31 March 2023	27
Notes to the financial statements	30

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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 and the Charity care for nearly three million patients a year. Patients are referred to the hospitals’ many centres of excellence from across the UK. We also support the 25,000 staff who work throughout our hospitals.

Our patients and staff are at the heart of everything we do. Since 2010 the Charity has spent over £65 million funding projects to save and improve the lives of our patients and staff. Every day our work makes a real and lasting difference to those visiting and working in our hospitals.

After the challenges we faced during the COVID-19 pandemic, the Charity is moving back to its work as normal, support patients, families and staff.

At UHB Charity we support everyone from tiny babies who arrive too soon, brave children undergoing lifesaving treatment, cancer and transplant patients, injured military heroes and older patients suffering with dementia. We even work with our four legged friends, with our Pets in Hospital scheme bringing dogs to visit patients on wards for a cuddle.

The Charity is associated with each hospital – QEHB, Heartlands Hospital, Good Hope Hospital and Solihull Hospital – but uses the overall name 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.

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, continues to be a safe haven for the families of our injured and ill heroes so they can be close to each other whilst in hospital.

The Charity also operates Bottle Cottages next to QEHB which provides 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. We also opened Millie’s Home from Home this year which was generously supported by Millie’s Watch Charitable Trust.

This year the Charity is proud to have opened an additional Home from Home close to Heartlands Hospital. This home is being used by parents of babies on the neonatal unit after they entered the world a little early and need some extra care by our specialist teams.

We join University Hospitals Birmingham NHS Foundation Trust in being very excited to see the opening of Heartlands Treatment Centre in which we funded a state of the art MRI scanner and decoration of the MRI Suite and children’s recovery room.

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 always proud to have supported our amazing hospitals this year and we look forward to hitting new highs in excellent patient care.

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

We have always been immensely proud to support our hospitals and stand by their side, even more so after the pandemic.

As we look forward, we are very excited about all the work we have yet to do. We are setting our sights higher than ever before, in order to make the patient experience the best it can possibly be.

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. We are extremely grateful to A Edmonds & Co, whose large donation will enable us to start construction in 2023/24 and the Centre will be known as the Edmonds Transplant Centre.

We will expand our Home from Home facilities so even more families will be able to stay close to their loved ones in hospital.

Over the past year our fundraising income recovered from the previous year to exceed £4.7 million and as ever, we are overwhelmed by the dedication of our supporters.

Whether you have taken part in one of our events, made a donation, volunteered or joined our weekly lottery, we want to say a huge thank you for helping us reach our total. In whatever way you have chosen to support us, all of you mean we can continue to change and save lives.

This year is a milestone year for the Charity. Fisher House, our “home away from home” for military patients and their families, welcomed over 7,000 patients and family members since we opened our doors in June 2013 and has provided 40,000 free nights of accommodation.

2023 is also the year the NHS turns 75 years old and the Charity is as determined as ever to support NHS staff and the patients they care for.

In this landmark year we cannot stand still and we will keep pushing for innovative ways we can improve our patients’ hospital journeys.

I am pleased to welcome three new brilliant trustees, Alexia Binns, Amil Khan and Hannah Woodall-Pagan to the Charity.

They all bring with them a fresh new dynamism to the board with their broad range of skills and diverse viewpoints. Birmingham is one of the most diverse cities in the country and it is very important to the Charity that we try to be as representative of our communities as possible, so we can serve them best.

Although we operate as one brand across all our hospitals, we would like to note that donors and fundraisers can, of course, continue to choose to donate to the specific fund within the Charity that is closest to their heart.

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 to the wider public, and our job is made so much easier because of the wonderful level of support we get from local, regional and national media outlets.

Particular thanks must go to BBC Midlands Today, BBC Radio WM, Heart FM, Free Radio, ITV Central News, Birmingham Mail, Birmingham Post and British Forces Broadcasting who all continue to be very supportive in showcasing 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 Jonathan Brotherton (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.

I would also like to acknowledge the valuable support of our volunteers, both those in the hospitals and the numerous volunteers carrying out their own fundraising events across the country. As Chair of the Board I would like to express my gratitude to my fellow Trustees and I know we all are very proud to witness the dedication of our own Charity staff and the pride they take in their work.

I hope you will enjoy reading this report and hearing a bit more about the projects we have already funded and the stories behind some of our fundraising successes.

Please do let me know what you think of the report, either by emailing me at [e-mail] or writing to me at University Hospitals Birmingham Charity, Fisher House, Mindelsohn Way, Queen Elizabeth Hospital, Birmingham, B15 2GN. You can see more about the hospital charity via our website, www.hospitalcharity.org.

Thank you all for your support.

David Mackay Chair of Trustees

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| Trustees Report incorporating the Strategic Report

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

An Overview

Charitable purpose and public benefit

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

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

The Charity operates predominantly across four hospitals – QEHB, 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 QEHB, 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 2.5 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, QEHB 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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Trustees Report incorporating the Strategic Report | University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

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 -----
KPI No. Status Aim KPI Action
1 To raise funds so the Meet budgeted income Achieved (£4,686,000).
charity can support target of £4,500,000
patients across UHBFT
2 To spend charitable Meet budgeted Total expenditure of £4,313,000 as some projects
funds to support expenditure target of were delayed due to supply chain issues related to
patients across UHBFT £5,030,000 the ongoing effects of the pandemic.
3 To maximise how Amount per £1 spent which Achieved. 77p of every £1 spent is spent on charitable
much per £1 spent is is spent on charitable activities against the charity sector average of 74p.
spent on charitable activities to be above the
activities charity sector average
4 To maximise the To strive to raise at least £5 Raised £4.69 per £1 spent on fundraising against the
amount raised per £1 per £1 spent on fundraising charity sector average of £4.
spent on fundraising costs
costs
5 To raise awareness Increase in followers Achieved – numbers grew across all social media
of the Charity across on Facebook, Twitter, platforms.
social media channels Instagram, TikTok and
YouTube.
6 To be an employer of Monitor staff turnover rates Staff turnover 29% against charity sector average of
choice with the aim to be lower 30%.
than the charity sector
average
7 To have a healthy and Monitor staff absence rates Achieved. Staff absenteeism of 3.6 days per
supportive working with the aim to be lower employee p.a. against charity sector average of 8.1
environment than the charity sector days per employee p.a.
average
----- End of picture text -----

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

Plans for the future

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

4. Homes from Home

University Hospitals Birmingham Charity’s Homes From Home appeal provides patients and families with free accommodation near to our hospitals, helping to keep families together during difficult times in their lives.

1. Birmingham Transplant Centre

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

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

The Charity has identified a need to raise £4,100,000 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.

2. 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 consultant oncologists Sara Meade and Helen Benghiat to fund cutting edge medical equipment for the diagnosis and treatment of brain tumours, and has funded 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.

3. Fisher House

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

Our Homes from Home appeal began with Fisher House, our military home from home, and has continued with Karen’s Home from Home and now our new home from home at Heartlands Hospital, which provides accommodation for the families of poorly children being treated on the Neonatal unit.

For patients and their families, visiting the hospitals 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 home to alleviate that stress, and make visiting the hospital, under what can be very difficult circumstances, as easy as possible.

We are proud to support patients and their families when they need it the most.

The Charity needs to provide £250,000 each year to run its Homes from Home and the appeal allows groups, companies and individuals to support our Homes from Home 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 [e-mail]

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. [e-mail] or on 0121 371 4852 or by writing to:

Mike Hammond

Chief Executive University Hospitals Birmingham Charity

Fisher House Mindelsohn Way Queen Elizabeth Hospital Birmingham B15 2GN

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.

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

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 2022/23, the Charity spent £974,000 on new equipment. (2021/22: £1,463,000).

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

----- Start of picture text -----
Designated Fund Equipment
Heartlands Treatment Centre Phillips MRI Scanner
Liver Foundation Karl Stortz endoscopic
surgery system
UHB Charity 3D printer for Maxillofacial
department
UHB Charity Oticon rotating eye testing
and diagnosis chair
Trauma Education & Research GE portable ultrasound
UHB Charity Training simulation
mannequins
Trauma Education & Research Dermafocus 3D camera
----- End of picture text -----

Case study 1: Phillips MRI Scanner for Heartlands Treatment Centre

Heartlands Treatment Centre is a brand new facility developed to improve outpatients’ services at Heartlands Hospital. The Centre brings together a range of services under one roof – from audiology to cardiology – meaning more patients can be treated efficiently. The facility also has new features including multi-language and disabled-friendly self check-in kiosks for patients, large light-filled waiting areas, brand new theatre suites and advanced imaging equipment.

UHB Charity has funded a second MRI scanner for the Centre, improving patient care and reducing waiting times. The Phillips Blue Seal Scanner is a state-of-the-art MRI scanner which has the ability to follow a patient’s treatment over multiple scans, giving improved dating and mapping information whilst providing a clearer image quality.

The scanner is also able to work efficiently at a quicker speed which is 50% faster than traditional MRI scanning. This means that not only can we scan more patients and give them a more accurate diagnosis, but also patients get to spend less time in

the scanner which for some can be a claustrophobic and scary experience.

The scanner is also more eco-friendly using just 7 litres of helium compared to the standard 1,500 litres.

The MRI Scanner purchase has been aided by The Eveson Trust.

Claire Bowry, Chief Executive of The Eveson Trust said, “The Heartlands Treatment Centre will be a wonderful addition to healthcare facilities in the area and The Eveson Trust is delighted to have been able to support the appeal.”

The Charity also raised funds to decorate the MRI Suite and consultation rooms, making them more welcoming and less clinical, creating a relaxed, calming environment for patients.

Another incredibly important part of the facility is the paediatric recovery room. Before undergoing an MRI scan children are given a general anaesthetic, so having a child friendly room for the children to go to their scan from and wake up in is hugely comforting.

As ever we are delighted to work in partnership with UHBFT in making the Heartlands Treatment Centre a reality, helping to speed up diagnosis, reduce waiting times and, vitally, provide exceptional patient care.

Case study 2: MediJet 3D printer

The MediJet 3D printer is a revolutionary 3D printer which benefits patients from a wide variety of specialisms. It has the ability to print more detailed models showing the layers of intricacy and textures, mimicking the biomechanical properties of bone, vasculature and organ tissues.

These models can be used for medical and surgical training and can simulate a detailed operation enabling surgeons and consultants to develop their surgical skills outside of the operating theatre.

The MediJet 3D printer has enabled surgeons and consultants to plan operations more accurately. This means for patients undergoing surgery and reconstruction work the pre operation planning has significantly improved, leading to a reduction in waiting and operation times.

Procedures have become safer and quicker, with fewer complications resulting in a more positive experience for the patient.

The MediJet 3D printer also provides exciting possibilities in trauma and organ transplantation.

UHBFT has worked with the Ministry of Defence to create digital records of personnel prior to deployment, giving UHBFT access to a full library of specifics and internal organs enabling the team to create prosthetics and reconstructions even when the patient is halfway around the world.

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| Trustees Report incorporating the Strategic Report

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

For organ transplantation the team are able to create accurate copies of organs, helping to plan surgery and identify and solve any issues prior to procedures.

Stefan Edmondson, Consultant Maxillofacial Prosthetist, adds “The Maxillofacial prosthetics laboratory is one of the standout departments at QEHB where technicians have adapted the latest 3D design techniques to transform patient scans into bespoke 3D-printed models.

Thanks to funding from the Charity the Maxillofacial department has been able to drive new technologies and ideas, enabling the department to be at the forefront of technology not only for UHBFT but more importantly for the outcomes and improvement of patient care.”

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 each 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.

Research is the first step in medicine moving forward and we are proud to be part of the fight against life limiting and ending illnesses.

During 2022/23 the Charity awarded £566,000 in new research grants (2021/22 nil due to new research projects being put on hold during the COVID pandemic)

Case Study 1: Airway Disease Research

Respiratory Consultant, Iyad Ismail, is exploring an innovative treatment for patients with airway diseases such as expiratory airway collapse or excessive dynamic airway collapse.

As part of the study the Charity has funded portable CPAP machines, not normally available on the NHS for these diseases.

Patients will be monitored for two weeks before and two weeks after their use of a portable CPAP machine. The team will then be able to prove if there has been a positive increase in patients’ levels of activity and vital signs from using the machine.

This new treatment will enable patients to be more active, complete day to day tasks with less difficulty and remain more independent.

Proving a clear benefit to patient outcomes will enable the team to make this treatment part of the NHS standard care plan for future patients.

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 with their loved ones.

Case Study 2: Research Nurse

The liver transplant perfusion programme at QEHB is a worldleading clinical transplant programme. The Charity is very proud to have been supporting the transplant department at QEHB for many years, and this latest research funding is no different.

We have funded a research nurse to support the liver transplantation clinical research studies.

The nurse will recruit patients for trials and assist with research and data collection. The two trials are aiming to increase the number of livers suitable for transplants. One will look at using a normothermic machine to preserve livers for longer before they are transplanted and the second will look at defatting donor livers. If successful, this will mean more livers will be suitable for transplant, thereby reducing the time patients spend on the waiting list, and the time spent in hospital getting even sicker.

Crucially, both of these trials will hopefully increase the number of transplants QEHB can perform, which will save even more lives and give more families new hope.

A transplant journey is never easy and this research will hopefully help make that difficult path a little easier.

Facilities

As well as funding equipment and research, the Charity sometimes funds improvements to buildings or completely new facilities. In 2022/23 the Charity spent no new grants in this category but completed a number of projects included in last year’s financial spend. (2021/22 - £1,564,000)

The Charity’s Homes 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 is now provided at QEHB and Heartlands Hospital for the families of premature babies, children with cancer, brain tumour patients and leukaemia patients amongst others.

Case Study 1: ‘Sanctuary’ for parents of newborn baby

Beverley and Jonathan Watson live in Lincoln but when baby Taylor was born five weeks premature his lungs weren’t formed enough and he needed specialist care so he was transferred 90 miles away to Heartlands Hospital Neonatal unit.

The family were able to stay in UHB Charity’s Home away from Home. Dad Jonathan describes in his own words what the Home meant to him and his family.

“When your child is busy growing in mummy’s tummy thoughts go through your head about something going wrong but you never really think it will happen to your family. After an emergency C-Section, sadly we could tell something wasn’t quite right as he was struggling to breathe.

“Taylor was five weeks premature, his lungs weren’t fully developed yet and he needed specialist care. He took a further turn for the worse and had to be blue lighted to Heartlands

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

Hospital. I can’t explain the feeling of seeing your little baby with all these tubes keeping him alive.

“I’d kept it relatively together until that point but something inside me broke. I looked at Bev and could tell she clearly felt the same.

“It dawned on us we’d be away from our home in Lincoln for some time with no place to stay in Birmingham. Thankfully we were told the hospital Charity would be able to provide us with accommodation within walking distance of our little fighter.

“I was amazed by the flat, it was beautiful. This felt like the turning point for us as the next day Taylor started to improve, and we could finally celebrate the joy of our new addition.

“I am so pleased to know this home is available for families like mine, making sure they can keep holding their baby’s tiny hand during one of the scariest and most stressful times in their lives is incredible.”

UHB Charity knows that nothing is more important for a parent than being close to their baby, especially when they come into the world too early.

Case Study 2: Transformation of Good Hope Oncology Unit

The Good Hope Haematology and Oncology Day Unit is one of the busiest departments in the hospital and the department supports patients through some of the most difficult times of their lives.

Sadly cancer is not always a straightforward journey and can have a profound impact on patients. We want to help make this journey as comfortable and easy as possible.

We have transformed the department making it colourful and brighter which will help ease the nerves and stress of those battling cancer. Instead of the department feeling clinical and cold, patients can concentrate on the peaceful images of nature we have used to decorate the walls. These will hopefully help distract them from the sometimes painful and nauseating treatment and create feelings of mindfulness.

The Charity also provides iPads for the Unit, preloaded with apps so that patients can keep themselves entertained and most importantly distracted from their treatment. We have installed a drinks machine so that patients can enjoy a hot drink and a chat with their loved ones who attend for moral support.

The transformation of the Unit marks the culmination of the Charity’s refurbishment project, having also completed works across QEHB, Heartlands and Solihull hospitals oncology units.

The refurbishment of The Good Hope Haematology and Oncology Day Unit means patients are now not only receiving second to none care and support by staff but also they are in a welcoming and peaceful environment to match.

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, Pets in Hospital visits, to memory lane cafes and activities for elderly patients.

Over the past year, the Charity has provided additional support for projects to support staff with their mental health including mindfulness and psychological support and wellbeing officers for Junior Doctors.

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

In 2022/23, the Charity spent £1,117,000 in this category. (2021/22 £791,000).

Case Study One: Little Linacs

The Little Linac is a miniature building block set that children can use to build a replica of the radiotherapy machine, CT scanner and MRI scanner that children with a cancer diagnosis will see throughout their treatment.

Playing with the Little Linac is a brilliant way to break down a child’s barriers, which can be at their highest from the fear and uncertainty surrounding their treatment.

Liam Herbert, Specialist Paedriatic Radiographer, told us

“The most significant benefit of the Little Linacs is for the children that are extremely anxious prior to their radiotherapy. There are cases where I will struggle to build a rapport with a child and they will need encouragement even to speak to me.

“Setting the challenge to help me build a Little Linac will help them gain trust in me and build on a working patient-healthcare professional relationship. Whilst building the Linac I am also able to begin introducing the treatment room environment and to talk about what they will be going through. Not only does this part make treatment fun and interesting but importantly gives the patient the power of choice to decide if they would like to achieve this treatment without the use of anaesthetic.

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“The Little Linac also gives parents the opportunity to assist in helping their child overcome these anxieties. They can often feel helpless in these situations but can take a Little Linac home and help their own child build their set and comfort them as they do.

“Unfortunately, there is a large proportion of patients who are receiving palliative care treatment, and radiotherapy is used to help alleviate symptoms or to extend the time that they have left with their loved ones. Building the Little Linac can help give those families lasting memories of the time they made the Linac together and the look of pride on their child’s face when they completed the build.”

The Little Linacs offer an opportunity for invaluable family time in a situation that can often be a whirlwind of appointments, travelling and treatment. These moments are precious and we are so proud to provide a little nugget of happiness for patients and their parents.

Case Study Two: Sprinkle Some Magic

We know the little things can sometimes make the biggest difference. We launched our Sprinkle Some Magic project which allows wards and departments to apply for open funding for items that go over and above what the NHS can provide.

UHB Charity has provided grants from £50 to £1,000 to help Sprinkle Some Magic across our hospitals.

Across our hospitals, 1 in 4 inpatients will have dementia or delirium. To help provide the best medical care to this cohort, the Sprinkle Some Magic project has provided £1,000 to fund activities for dementia patients.

Being in hospital as a patient with dementia can be incredibly scary and disorientating.

To help combat this we have provided jigsaws and dominoes to stimulate their minds and alleviate boredom.

For late stage dementia patients we provided dolls and toy pets as the sensation of holding a toy baby prompts the patient instinctively to sooth the doll as they would with their own child, which in turn calms them.

Another way the Sprinkle Some Magic scheme has supported our older patients is through the funding of LED writing pads for patients who are hard of hearing to enable better communication between them and the staff caring for them.

Quick and effective communication allows patients’ needs to be assessed quickly, helping them get treated faster and reducing overall wait times. It is very important for the Charity to make our hospitals as accessible as possible and reduce any barriers to excellent care.

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

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 and 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

Fisher House www.justgiving.com/fisherhouse.

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

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

----- Start of picture text -----
Donor Area of support
Gordon Giltrap QEHB Charity
Joseph & Lena Randall QEHB Charity
Charitable Trust
British Airways UHB Charity
Clarissa Greenfield UHB Charity
Friends of Good Hope Good Hope Hospital
Hospital
Friends of Solihull Solihull Hospital
Hospital
Friends of Queen Queen Elizabeth Hospital
Elizabeth Medical Centre Birmingham
Bullring & Grand Central Queen Elizabeth Hospital
Birmingham
Hospital Saturday Fund UHB Cancer Appeal (Cancer
Cloud kits)
The Michael Marsh UHB Cancer Appeal (Cancer
Charitable Trust Cloud kits)
The Birmingham District UHB Cancer Appeal (Cancer
Nursing Charitable Trust Cloud kits)
Upper GI Support Group QEHB Upper GI Fund
A Edmonds & Co Ltd Birmingham Transplant Centre
Willam A Cadbury Birmingham Transplant Centre
Charitable Trust
Lisa Chapman Birmingham Transplant Centre
Sue Boston Birmingham Transplant Centre
Eveson Charitable Trust Heartlands Treatment Centre MRI
Scanner
Millie’s Watch Homes Away from Home
Edward Cadbury Homes Away from Home
Charitable Trust
The Eric W Vincent Trust Homes Away from Home
Baron Davenport’s Charity Homes Away from Home
Sikh Arts & Cultural Homes Away from Home
Association (SACA) Bike
Ride
BBC Children in Need Teenage Cancer Trust Young
Person’s Unit
Help for Heroes Fisher House
SSAFA Fisher House
Armed Forces Covenant Fisher House
Fund Trust
ABF The Soldiers Charity Fisher House
Royal Navy & Royal Fisher House
Marines Charity &
Greenwich Hospital
Royal Air Force Fisher House
Benevolent Fund
Veterans’ Foundation Fisher House
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Donor Area of support
BAE Systems Ltd Fisher House
Stan Bowley Trust Cyberknife
Ladies Fighting Breast QE Breast Cancer Appeal
Cancer
Stine & Ashley Giles The Giles’ Trust
Maggie Bate The Giles’ Trust
Cassidy Group The Giles’ Trust
Brian Travers & friends The Giles’ Trust
Tony Fox BEM, family & The Ann Fox Foundation
friends
Karen Morris Memorial Karen’s Home from Home
Trust
Lillie Johnson Charitable Bereavement Services
Trust
Blakemore Foundation Bereavement Services, Pets in
Hospitals
The Kennel Club Pets in Hosptials
Charitable Trust
The Bernard Piggott Heartlands Antenatal Clinic
Charitable Trust
Rowlands Trust Paediatric Diabetes
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Case study two - Bond Wolfe

Bond Wolfe, a leading property auction company in the Midlands, have been supporting the Charity for many years, raising money for children and young people with cancer.

Not only did Bond Wolfe choose us as their charity partner in 2022, but we are pleased to say they have chosen to support us in 2023 as well. In 2022 team members took part in skydives, half marathons and a host of different fundraising events throughout the year to raise over £10,000 to support teenagers with cancer.

Thanks to their support, UHB Charity was able to fund ‘added extras’ that have helped our Young Person’s Unit to become a ‘home from home’ for teenage cancer patients and their families. From providing DVDs and Xbox games, to pizza nights and ‘grab bags’ filled with essential items, Bond Wolfe’s donation means we can be there every step of the way to support young patients with cancer.

In 2023 they are focusing their fundraising efforts towards our Children’s Appeal. Across the four hospitals the Charity supports over 100,000 children, with life debilitating and life-limiting conditions, who are treated every year.

Being in hospital can be an incredibly scary time for anyone, but especially for a child. A huge thank you to all at Bond Wolfe for helping us make the children’s time in hospital more comfortable and less daunting and creating a child friendly environment.

Case Study one - A Mother’s Love

Two mums, Lisa and Sue, came together to raise an incredible £5,223 for Birmingham Transplant Centre.

Lisa and Sue have both been touched by organ donation in very different ways. Lisa sadly lost her son Josh at just 24 years old when he tragically died in a road accident in 2019.

Josh was a registered organ donor and his selflessness saved the lives of six people and brought new hope for them. Lisa describes him as being the “life and soul of the family” and in his memory pledged to raise money to help other transplant patients and their families.

Her friend, Sue, has a daughter named Jenny who has had one kidney transplant and is currently awaiting a second transplant at QEHB.

When asked why she wanted to support the Charity, Sue said, “I’ve been the parent in hospital, I know what it’s like waiting to hear what has happened to my child. I’ve watched the fierce dedication of the staff who carefully tended to my daughter after she came out of surgery. I want to give back to the hospital, help other transplant patients in the future and raise awareness of the importance of organ donation.”

Lisa and Sue have raised this fantastic amount of money from hosting their own events and receiving an incredible outpouring of support from their friends, family and local community.

Thanks to Lisa and Sue’s commitment to their children and QEHB and the other donors to our appeal we will be starting construction on the Birmingham Transplant Centre next year.

Case study three - In memory of baby Ava-Quinn

Elizabeth completed an astonishing six challenges in a year to raise money for the Eden Suite at Heartlands Hospital in loving memory of her beautiful daughter Ava-Quinn.

The Eden Bereavement Suite cares for those families who sadly lose their baby through miscarriage, stillbirth or neonatal death. The unit provides a peaceful and private environment for parents in their time of need.

UHB Charity works to provide ‘added extras’ for the Eden Suite, complementing the amazing quality of care given by the staff. The Charity has been able to fund a CuddleCot for the suite which allows families to spend extra time with their baby before their funeral.

Thanks to fundraisers like Elizabeth, the hospital Charity will be able to continue to provide ‘added extras’ for the unit, from cutting-edge technology, to patient comforts and support.

In her own words, Elizabeth told us why raising money for the Eden Suite means so much to her and her family:

“Sadly my beautiful daughter Ava-Quinn was stillborn on 19 January 2016. As Ava-Quinn would have been six years old in 2022, I decided I would take part in six challenges across the year to honour her 6th birthday and to raise money for the Eden Suite.

“I walked 16,000 steps every day for a whole month, completed a 42km trail through London, a wolf run, a colour run, a skydive and finished by climbing Scafell Pike in January 2023 to celebrate Ava-Quinn’s birthday.

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

“Like most people I never knew the Eden Suite existed, but why would I? I even work for the Trust and had no idea. Sadly AvaQuinn died at 26 weeks however due to the rooms within the Eden Suite being occupied by two other families I had to give birth and stay in the maternity unit which was harrowing. I gave birth and stayed in a side room, which although it was private, it was still on a maternity ward. It was devastating to hear new life carrying on around us whilst our world was crashing down.

“Finally after what felt like an eternity, but in reality was only a day, we could return to a room in the Eden Suite. This allowed us to spend time with Ava-Quinn, it allowed our families to meet her and we were able to spend time with her right up until the day before her funeral. The staff who work within Eden Suite are on hand 24 hours a day, to provide not only midwifery care but also emotional support during the worst time of your life. They helped and guided us through planning Ava-Quinn’s funeral and even to this day they are on hand if I ever need them.

“The most important aspect of the Eden Suite is the extra time it gives you with your baby, as you sadly know you will never get to take them home.”

Case study four – Maggie Bate

Maggie Bate has been a key supporter of the The Giles’ Trust Brain Tumour Fund here at University Hospitals Birmingham Charity for many years.

Maggie’s husband Dick was treated at QEHB for a brain tumour, before sadly passing away in April 2018. He was a legendary football coach, having spent a successful career coaching football stars across the country, including in the England youth set up.

When asked what Dick was like, Maggie replied “He was such a humble and giving man, he was very passionate about passing on his knowledge, especially to younger people.”

In recognition of Dick’s life and work he was honoured with a pitch named after him at St George’s Park. He was the very first coach to be honoured this way.

To pay tribute to her incredible husband, Maggie has been determined to raise money to help brain tumour patients receive the best possible care. Maggie said, “The team at QEHB were brilliant and they really did help me through the very darkest of times. I wanted to do something to give back as a thank you for how they cared for Dick and me. Fundraising in his honour helps me feel close to him, as he was my soulmate.”

With the support of friends, family and the football community, Maggie has raised over £100,000 for The Giles’ Trust and isn’t stopping there. In 2019 she organised a star-studded fundraising ball which raised an amazing £50,000! The ball was attended by sporting royalty from the worlds of football and cricket, and even featured a special message of support from none other than England football manager Gareth Southgate.

Rooney and Ole Gunner Solskjaer. Work is also underway to release a podcast detailing Dick’s substantial contribution to the footballing world.

Maggie said, “Fundraising for The Giles’ Trust gave me a focus at a time of my life when I felt so sad and lost and in need of a reason to carry on. Whether spending time organising car boot sales, coffee mornings, raffles to larger scale events – it all helped. I’m so pleased to have raised money for The Giles’ Trust and I’m so grateful to all of Dick’s friends and colleagues who have helped me make this possible, in particular Sean Dyche and Steve Rutter.

“When I told Steve we had surpassed our target of £100,000 this was his response which I think sums up my husband and what he would have wanted. He said: “This is wonderful news, you must be incredibly proud and it is a reflection of the esteem Dick was held in, all over the football world, by people who really love football. Dick’s legacy continues through those he inspired in the world of coaching and now it will impact massively through the money raised in his memory and the research it will fund.”

Cathryn Worth, Senior Fundraising Manager, said: “On behalf of UHB Charity I want to convey our most heartfelt thanks to Maggie for everything she has done to support The Giles’ Trust. She has made a real and lasting difference to brain tumour patients here at QEHB and we are so grateful for her ongoing support.”

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 2023 the Charity received generous legacies to the value of £654,000. (2021/22: £1,203,000). We would like to acknowledge the generous sums received from bequests made by the following people:

Maggie continued to fundraise through the pandemic with the release of an anthology of Dick’s work. The Dick Bate Football Anthology is a collection of thousands of documents written by Dick over the course of his fifty year career and has received support from football stars including Gareth Southgate, Wayne

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----- Start of picture text -----
Donor Donor
Francis Coates Rita Cooper
Robin Darby Curigwyn Dittrich
Colin Edgerton Josephine Edwards
Annie Elmer Diane Ford
Olive Geddes Brian Hanson
Glyn Hayes Clement Lee
John Lenton Brenda Mathieson
Molly Melhuish Brian Norgrove
EL Perry Donal Porter
John Raines Iris Ridley
Ian Robertson Gordon Rodger
Beryl Shore Irene Snape
Winston Spruce Constance Tompkins
Helen Turner Arthur Wassall
Anne Wright
----- End of picture text -----

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

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 and 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 and 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 2023 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 2023.

----- Start of picture text -----
Trustees who were in Date of first Date when
office during the year appointment appointment
to 31 March 2023 expires (or expired
if in year)
Ru Watkins 23 February 2016 22 August 2023
David Ritchie 23 February 2016 22 February 2024
Michael Seabrook 23 February 2016 22 February 2025
David Mackay 23 February 2016 22 February 2026
Clara Day 22 September 23 February 2023
2021
Joanne Eales 21 August 2019 20 August 2023
Stan Baldwin 21 August 2019 20 August 2023
Hannah Woodall- 24 August 2022 23 August 2024
Pagan
Alexia Binns 24 August 2022 23 August 2024
Amil Khan 24 August 2022 23 August 2024
----- End of picture text -----

*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.

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

He is a Fellow of the Royal Society of Arts and of the Chartered Institute of Management. He led the first UK expeditions to conquer the Miette Mountains in Canada and navigate the Monkey River in Belize.

Clara Day (term of office finished on 23 February 2023) 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.

Hannah Woodall-Pagan is Company Secretary at Severn Trent Plc. Hannah has extensive listed company experience, gained in a number of senior leadership roles spanning the FTSE100 and FTSE250. She is responsible for providing governance advice and guidance to the Board and senior management, as well as leading the Company Secretariat function and is a chartered company secretary, being a Fellow of the Chartered Governance Institute.

Alexia Binns is an experienced solicitor who has a Corporate Governance Certificate accredited by the Association of Corporate Governance Practitioners. In her previous role as Head of Legal Procurement at the Birmingham Organising Committee for the 2022 Commonwealth Games Ltd she led on the Legal elements of Procurement and strategic planning in relation to the same. She has a background in providing proactive advice and mentoring colleagues to develop their potential.

Amil Khan is the Director of Remembering Srebrenica, a national organisation part-funded by the Department for Levelling Up, Housing and Communities and supported by the Foreign, Commonwealth and Development Office. The charity promotes Srebrenica Memorial Day to honour the victims and educate people about the consequences of hatred and intolerance to help build more cohesive communities here in the UK. Amil sits on the Warwickshire Cricket Board as a Non-Executive Director and Equality, Diversity and Inclusion Lead. He also serves as a Trustee of United by 2022, the official legacy charity of the Birmingham 2022 Commonwealth Games.

Trustee recruitment, appointment and induction

Trustee recruitment is carried out by the Charity.

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 2023 there are three sub-committees – the Performance & Finance Committee which met four times during the year 2022/23 the Nominations Committee which met once during the year 2022/23 and the Grant Review Committee which met twice during the year 2022/23.

The Charity’s Staff

The Charity directly employs 23 members of staff as at 31 March 2023, equivalent to 20.6 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.

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 2023, UHBFT has nominated one Trustee (Stan Baldwin).

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

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 retain appropriately qualified staff to lead, manage, support and deliver the Charity’s aims.

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

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

4. In deciding top levels of pay and rewards, Trustees will 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, and the outstanding contribution made by the Charity Chief Executive since his appointment, Trustees awarded the Charity Chief Executive a salary increase of 3.50% 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 £4,288,000. (2021/22: £4,852,000)

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 year is the final year this will show in charitable expenditure.

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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.

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.

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)

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 2023

Board of Trustees

----- Start of picture text -----
Charity Chief Executive
Office Operations
Manager Manager
Grants Stewardship
Team x 2 Team x 2
----- End of picture text -----

----- Start of picture text -----
Director of
Fundraising
Senior Communications
Fundraising Team x3
Managers x2
Fundraising
Team x8
----- End of picture text -----

External support structure as at 31 March 2023

University Hospitals Birmingham Charity

UHBFT Internal and Legal Investment Finance External Auditors Advisors Manager

Trustees Report incorporating the Strategic Report | 19

Trustees Report incorporating the Strategic Report |

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

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

Investment policy

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

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

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

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

The Trustees have adopted the following investment policy:

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

• ii. The balance between capital growth and income generation

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

• iii. Consideration of risk “The Trustees desire a low to medium risk investment portfolio. Charitable funds should be spent in a timely manner, thus investments that require a long period of investment are not to be recommended.”

• 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.”

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| Trustees Report incorporating the Strategic Report

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

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 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 available reserves are below the target range and the Trustees and the Trustees have tasked the Charity Chief Executive to bring the level of reserves back to the target range to be at a sufficient and prudent level.

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

Financial review

The full 2022/23 Statement of Financial Activities and Balance Sheet and accompanying notes to the accounts are set out on pages 31 to 42.

Income during the year amounted to £4.686 million (2021/22: £3.661m) and expenditure in the year was £4.313 million. (2021/22: £4.866 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 2023 were £16,912,000. The total level of unrestricted reserves is analysed as follows:

----- Start of picture text -----
£
Total funds available at year end 31 March 2023 16,912,000
Less:
Restricted funds 1,003,000
Designated funds (including Fisher House and 15,789,000
Homes away from Home)
Total free reserves 120,000
----- End of picture text -----

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

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

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

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

Trustees Report incorporating the Strategic Report | 21

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

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 23 August 2023 and signed on their behalf by:

David Mackay (Chairman)

22

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

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 2023 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 2023 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. Report.

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

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

Auditor's responsibilities for the audit of the financial statements

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

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

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

Our audit procedures were designed to respond to those identified risks, including non-compliance with laws and regulations (irregularities) and fraud that are material to the financial statements. Our audit procedures included but were not limited to:

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

• Communicating identified laws and regulations throughout our engagement team and remaining alert to any indications

• of 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.

24

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

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

Use of the audit report

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

David Hoose (Senior Statutory Auditor) for and on behalf of Mazars LLP Chartered Accountants and Statutory Auditor

First Floor 2 Chamberlain Square Birmingham B3 3AX

Trustees Report incorporating the Strategic Report | 25

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

Consolidated Statement of Financial Actvites (including consolidated Income and Expenditure	Consolidated Statement of Financial Actvites (including consolidated Income and Expenditure	Consolidated Statement of Financial Actvites (including consolidated Income and Expenditure	account) for	the year ended 31 March 2023	the year ended 31 March 2023
	Note ref.	Unrestricted funds	Restricted funds	Total funds	Prior Year 2022
		£000	£000	£000	£000
Income and endowments from:
Donations, legacies and grants	3	2,421	891	3,312	2,610
Charitable activities	3.1	682	1	683	527
Other Trading Activities
UHB Trading CIC	2.2	39	0	39	2
Investments	10.2	652	0	652	522
Total		3,794	892	4,686	3,661
Expenditure on:
Raising funds:
UHB Charity	6.1	975	0	975	700
UHB Trading CIC	2.2	24	0	24	2
Charitable activities:	6
Medical Research		566	0	566	(355)
Purchase of Equipment		724	250	974	1,463
New Building and Refurbishment		(52)	0	(52)	1,564
Staff Education and Welfare		1,015	0	1,015	570
Patient Education and Welfare		99	3	102	220
Programme related Assets Running Costs		328	0	328	283
Depreciation Costs		411	0	411	420
Grants to Other Bodies		(30)	0	(30)	(2)
Total		4,060	253	4,313	4,866
Net (expenditure) / income before gains and losses on investments		(266)	639	373	(1,205)
Other recognised gains and losses
Unrealised (losses) / gains on investments		(713)	0	(713)	575
Realised gains on investments		0	0	0	231
Transfers between funds	16	(1)	1	0	0
Net movement in funds for the year		(980)	640	(340)	(399)
Reconciliation of funds:
Total funds brought forward		16,889	363	17,252	17,651
Total funds carried forward	17	15,909	1,003	16,912	17,252

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 31 to 42 form part of these accounts.

26

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

Company Statement of Financial Activities for the year ended 31 March 2023

Note ref. Income and endowments from: Donations, legacies and grants 3 Charitable activities 3.1 CIC Trading Income 2.2 Investments 10.2 Total Expenditure on: Raising funds: 6.1 Charitable activities: 6 Medical Research Purchase of Equipment New Building and Refurbishment Staff Education and Welfare Patient Education and Welfare Programme related Assets Running Costs Depreciation Costs Grants to Other Bodies Total Net (expenditure) / income before gains and losses on investments Other recognised gains and losses Unrealised (losses) / gains on investments Realised gains on investments Transfers between funds 16 Net movement in funds for the year Reconciliation of funds: Total funds brought forward Total funds carried forward	Unrestricted funds Restricted funds Total funds £000 £000 £000 2,421 891 3,312 682 1 683 15 0 15 652 0 652 3,770 892 4,662 975 975 566 0 566 724 250 974 (52) 0 (52) 1,015 0 1,015 99 3 102 328 0 328 411 0 411 (30) 0 (30) 4,036 253 4,289 (266) 639 373 (713) 0 (713) 0 0 0 (1) 1 0 (980) 640 (340) 16,889 363 17,252 15,909 1,003 16,912	Prior Year 2022 £000 2,610 527 0 522
		3,659
		700 (355) 1,463 1,564 570 220 283 420 (2)
		4,864
		(1,205) 575 231 0
		(399) 17,651
		17,252

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 31 to 42 form part of these accounts.

Trustees Report incorporating the Strategic Report | 27

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

Consolidated Balance Sheet as at 31 March 2023

Consolidated Balance Sheet as at 31 March 2023
	Note ref.	Unrestricted funds	Restricted funds	Total funds	Prior Year 2022
		£000	£000	£000	£000
Fixed assets:
Investments-Equities, Securities and Property	10	11,725	203	11,928	12,807
Tangible Fixed Assets	10.4	47	0	47	457
Programme Related Asset	10.3	1,670	0	1,670	1,485
Total fixed assets		13,442	203	13,645	14,749
Current assets:
Stock	11.3	0	0	0	16
Debtors	11.1	1,615	800	2,415	1,292
Cash at bank and in hand	11.2	4,770	0	4,770	5,967
Total current assets		6,385	800	7,185	7,275
Liabilities:
Creditors: Amounts falling due within one year	12	640	0	640	1,652
Provisions for liabilities: Amounts falling due within one year	14	2,813	0	2,813	2,468
Net current assets/liabilities		2,932	800	3,732	3,155
Total assets less current liabilities		16,374	1,003	17,377	17,904
Provisions for liabilities: Amounts falling due after more than one	14	465	0	465	652
year
Total net assets or liabilities		15,909	1,003	16,912	17,252
The funds of the group:
Restricted income funds	17.1	0	1,003	1,003	363
Unrestricted funds	17.2	15,909	0	15,909	16,889
Total funds		15,909	1,003	16,912	17,252

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

Signed:

----- Start of picture text -----
Trustee …………………………………………
Date: …………………………………………
David Mackay
23 August 2023
----- End of picture text -----

----- Start of picture text -----
Trustee …………………………………………
Date: …………………………………………
David Ritchie
23 August 2023
----- End of picture text -----

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

28

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

Balance Sheet as at 31 March 2023

Balance Sheet as at 31 March 2023
	Note ref.	Unrestricted funds	Restricted funds	Total funds	Prior Year 2022
		£000	£000	£000	£000
Fixed assets:
Investments-Equities, Securities and Property	10	11,725	203	11,928	12,807
Tangible Fixed Assets	10.4	47	0	47	457
Programme Related Asset	10.3	1,670	0	1,670	1,485
Total fixed assets		13,442	203	13,645	14,749
Current assets:
Debtors	11.1	1,615	800	2,415	1,322
Cash at bank and in hand	11.2	4,770	0	4,770	5,952
Total current assets		6,385	800	7,185	7,274
Liabilities:
Creditors: Amounts falling due within one year	12	640	0	640	1,651
Provisions for liabilities: Amounts falling due within one year	14	2,813	0	2,813	2,468
Net current assets/liabilities		2,932	800	3,732	3,155
Total assets less current liabilities		16,374	1,003	17,377	17,904
Provisions for liabilities: Amounts falling due after more than one	14	465	0	465	652
year
Total net assets or liabilities		15,909	1,003	16,912	17,252
The funds of the charity:
Restricted income funds	17.1	0	1,003	1,003	363
Unrestricted funds	17.2	15,909	0	15,909	16,889
Total charity funds		15,909	1,003	16,912	17,252

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

----- Start of picture text -----
Signed:
David Mackay
23 August 2023
----- End of picture text -----

----- Start of picture text -----
David Ritchie
23 August 2023
----- End of picture text -----

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

Trustees Report incorporating the Strategic Report | 29

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

Consolidated Statement of Cash Flows

Consolidated Statement of Cash Flows
		2022/23	2021/22
		£000	£000
Cash flows from operating activities:
Net cash used in / provided by operating activities	Table A	(1,830)	(443)
Cash flows from investing activities:
Dividends, interest and rents from investments	10.2	652	522
Purchase of property, plant and equipment	10.3	0	(112)
Proceeds from sale of investments	10	0	2,000
Purchase of investments	10	(19)	0
Net cash provided by (used in) investing activities		633	2,410
Cash flows from financing activities:
Net cash provided by (used in) financing activities		0	0
Change in cash and cash equivalents in the reporting period		(1,197)	1,967
Cash and cash equivalents at the beginning of the reporting period		5,967	4,000
Change in cash and cash equivalents due to exchange rate movements		0	0
Cash and cash equivalents at the end of the reporting period	Table B	4,770	5,967
Table A: Reconciliation of net income/(expenditure) to net cash flow from operating activities		2022/23	2021/22
		£000	£000
Net movement in funds for the period		(340)	(399)
Adjustments for:
Depreciation charges	10.4	410	417
Losses / (gains) on investments		713	(806)
Dividends, interest and rents from investments	10.2	(652)	(522)
Decrease / (increase) in Stock	11.4	16	(1)
(Increase) / decrease in debtors	11.2	(1,123)	570
(Decrease) / increase in creditors	12	(1,012)	(309)
Increase in provisions	14	158	606
Net cash (used in) provided by operating activities		(1,830)	(443)
Table B: Analysis of cash and cash equivalents		2022/23	2021/22
		£000	£000
Cash in hand	11.3	4,770	5,967
Total cash and cash equivalents		4,770	5,967

30

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

Notes to the accounts

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 as well as the increase in cost of living and do not anticipate a significant doubt on the company’s ability to continue as a going concern.

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).

31

Notes to the accounts

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

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 75, who volunteer in the Fund Raising Hubs within the hospitals, assist with fundraising events and visit wards and departments with the Pets in Hospitals scheme.

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 is 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.

32

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

Notes to the accounts

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 investment properties with the remaining being held as programme related assets. A further flat at Bottle Cottages was exchanged in December 2022 but the Charity are yet to fully complete. This flat is also being held as an investment property.

Along with Bottle Cottages, No2 Elizabeth Court (50% share) is being held as an investment property. The value of the properties were reviewed by Cottons Chartered Surveyors and evaluated against local market conditions etc in February 2022. Trustees have concluded that it reflects the market value at the year end.

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 has been depreciated over the deemed useful life of 10 years.

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

In February 2020 the charity acquired Bottle Cottages comprising of 11 flats, of which 7 flats are being held as programme related assets with the remaining being held as investment properties.

The programme related asset No7 Elizabeth Court has been transferred to an investment asset in the current year. (100% share)

Elmbank Court is also being held as a programme related asset. The value of the properties were reviewed by Cottons Chartered Surveyors and evaluated against local market conditions etc in February 2022. Trustees have concluded that it reflects the market value at the year end.

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.

33

Notes to the accounts

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

1.13 Pensions

NHS Pension Scheme

Some past and 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, general practices and other bodies, allowed under the direction of the Secretary of State for Health and Social Care in England and Wales. They are not designed to be run in a way that would enable NHS employers 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 Trust 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 the scheme liability as at 31 March 2023, is based on valuation data as 31 March 2022, updated to 31 March 2023 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 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 actuarial valuation as at 31 March 2020 is currently underway and will set the new employer contribution rate due to be implemented from April 2024.

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.

34

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

Notes to the accounts

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. (2021/22 £0)

2022/23	Accom/Subs Travel Training Total £ £ £ £
	0.00 0.00 0.00 0.00

The estimated value of unclaimed travel expenses during the year was £400 (£381.52 2021/22)

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 2022/23 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 Turnover Operating Income Expenditure Cost of Sales Gross profit Administration Expenses Interest receivable Interest Payable Profit for the year Gift Aid Donation to UHB Charity Retained Profit b/f UHB Trading CIC Statement of Position Assets Employed Current Assets Stock Debtors Cash in Hand and at Bank Current Liabilities Net Assets Financed by Reserves	2022/23 £'s 39,250 (23,826) 15,424 (48) 0 (708) 14,668 (14,668) 0 2022/23 £'s 0 10,662 0 10,662 (10,662) 0 0	2021/22 £'s 2,312 (839)
		1,473
		(431) 0 (955)
		87
		(87)
		0
		2021/22 £'s 15,877 0 14,457
		30,334 (30,334) 0
		0

35

Notes to the accounts

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

3 3.1 4	Income from Donations and Legacies Donations from individuals Donations from companies Legacies Grants	2022/23 Unrestricted Funds £000 1,060 523 653 185	Restricted Funds £000 3 0 1 887 891	Total 2023 £000 1,063 523 654 1,072 3,312	2021/22 Unrestricted Funds £000 756 452 1,203 199	Restricted Funds £000 0 0 0 0 0	Total 2022 £000 756 452 1,203 199
		2,421			2,610		2,610
	Income from Charitable Activities Income from Fundraising Events	2022/23 Unrestricted Funds £000	Restricted Funds £000 1	Total 2023 £000 683	2021/22 Unrestricted Funds £000	Restricted Funds £000 1	Total 2022 £000
		682			526		527
	Loan Interest Receivable 01/04/22 Bal B/Fwd 06/10/22 Capital repaid 20/10/2022 Interest paid 10/11/22 Interest applied 11/11/22 Capital repaid 24/11/22 Interest repaid		Capital £'s 30,000 -20,000 0 0 -10,000 0		Interest on loan Calculated Repayment £'s -909 708 201		Outstanding £'s 30,000 10,000 9,091 9,799 -201 0

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 Analysis of Expenditure Salaries & Pension Travel Training Office Costs Stationery Insurance Subscriptions Trustee training and Expenses Professional fees Internal Audit External Audit Bank Charges Finance SLA Other	2022/23 Unrestricted Funds £000 222.0 0.7 4.9 51.1 7.5 6.4 1.2 0.0 2.7 10.4 18.5 0.1 145.6 4.4	Restricted Funds £000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0	Total 2023 £000 222.0 0.7 4.9 51.1 7.5 6.4 1.2 0.0 2.7 10.4 18.5 0.1 145.6 4.4 475.5	2021/22 Unrestricted Funds £000 192.1 0.4 4.4 23.9 8.6 7.5 1.6 0.0 0.9 16.2 16.4 0.0 139.1 5.1	Restricted Funds £000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0	Total 2022 £000 192.1 0.4 4.4 23.9 8.6 7.5 1.6 0.0 0.9 16.2 16.4 0.0 139.1 5.1
	475.5			416.2		416.2

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 2022/23 are £63.09k (2021/22 £66.1k). 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.

36

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

Notes to the accounts

6 Analysis of Charitable Expenditure

Expenditure on charitable activities was £3,314k (2022: £4,164k) of which £5k was restricted (2022: £759k).

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.

2022/23 Grant Funded Activity £000 Medical Research 528.8 Purchase of Equipment 886.3 Building and Refurbishment -55.7 Staff Education and Welfare 842.3 Patient Education and Welfare 48.2 Programme related running costs 281.6 Depreciation Costs 409.9 Grants to other Bodies (31.1) 2,910.3	Support Costs £000 37.2 88.2 3.2 172.3 53.6 46.6 1.3 0.7 403.1	2021/22 Total Grant Funded 2023 Activity £000 £000 566 (405) 974 1,346.0 (52) 1,559.0 1,015 474.0 102 174.0 328 244.9 411 419.5 (30) (3) 3,313 3,809.8	Support Costs £000 50.0 117.0 4.6 96.4 45.9 38.5 0.9 0.8 354.1	Total 2022 £000 (355) 1,463 1,564 570 220 283 420 (2)
				4,164

6.1 The remaining £72.2k support costs (£62.6k 2021/22) 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 (2021/22 nil).

2022/23 Grant Funded Activity £000 Costs of Raising Funds 699.0 Costs of Fundraising Events 186.0 Investment Management Costs 17.5 902.5	Support Costs £000 72.3 0.0 0.0 72.3	2021/22 Total Grant Funded 2023 Activity £000 £000 771 545.6 186 75.1 18 16.6 975 637.3	Support Costs £000 62.6 0.0 0.0 62.6	Total 2022 £000 608 75 17
				700

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.

2022/23 Number of Institution Receiving Support Grants University Hospitals Birmingham NHS Foundation Trust University of Birmingham As per Scheme of Delegation 7 Analysis of staff costs No staff costs are contained within the Trading Company. Salaries and wages Social security costs Other pension costs Pension Costs are split as follows Defined Contribution Scheme NHS Pensions Defined Benefit Scheme Outstanding contributions at year end were:* Defined Contribution Scheme NHS Pensions Defined Benefit Scheme Average full time equivalents of employees in the year: Average head count during the year:	2022/23 Number of Institution Receiving Support Grants University Hospitals Birmingham NHS Foundation Trust University of Birmingham * As per Scheme of Delegation	Total 2023 £000 4,085 203 4,288	2021/22 Number of Grants	Total 2022 £000 4,787 65
				4,852
			Total 2023 £000 643 64 47 754 34 13 47 6 0 6 19.9 22.0	Total 2022 £000 518 49 36
				603
				13 23
				36
				5 0
				5
				16.3
				19.0

37

Notes to the accounts

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

• 8 The number of employees whose total earnings in the year (excluding employer pension contributions) fell into the bands below were:

into the bands below were:
	2022/23	2021/22
£60,000-£69,999	1	0
£90,000-£99,999	1	1

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 £93,150 plus pension contributions of £13,395.

9 Auditor's Remuneration

The external auditor's remuneration of £16,200 (2021/22: £14,825) related solely to statutory audit work. The charity did not commission any additional work from the auditor (2021/22 nil).

10 2023 Charity £000 12,807 0 19 (185) (713) 11,928 11,343 Analysis of Fixed Asset Investments Movements during the year Equities, Securities and Property Market value at start of year Less: Disposals at carrying value Add: Acquisitions at cost Transfer from programme related asset Net gains (losses) on revaluation Market value at end of year Historic cost at year end Proceeds from the sale of investments in year 0 10.1 Market value at 31 March - All held in the UK 2023 Charity £000 Schroders Responsible Multi Asset Fund 10,751 Investment Property 1,092 Leasehold Properties 77 Other Investments 8 11,928 10.2 Total gross income from Charity and Group a) Fixed Asset Investments Investments listed on a recognised Stock Exchange b) Current Assets Interest earned on cash deposits and inter co. loan in the year c) Investment Properties Rent received 10.3 Programme Related Asset All assets relate to the Charity 2023 Freehold Property Charity £000 Market Value at start of Year 1,485 Transfer to Investment Asset 185 Net Gain on revaluation 0 1,670 Historic Cost 1,594	2023 Group £000 12,807 0 19 (185) (713) 11,928 11,343 0 2023 Group £000 10,751 1,092 77 8 11,928 2023 Group £000 1,485 185 0 1,670 1,594	2022 Charity £000 14,557 (1,864) 0 (240) 354 12,807 11,857 2,000 2022 Charity £000 11,463 1,259 77 8 12,807 2022/23 Total £000 512 4 136 652 2022 Charity £000 929 240 316 1,485 772	2022 Group £000 14,557 (1,864) 0 (240) 354
			12,807
			11,857
			2,000 2022 Group £000 11,463 1,259 77 8
			12,807
			2021/22 Total £000 477 13 32
			522
			2022 Group £000 929 240 316
			1,485
			772

38

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

Notes to the accounts

10.4 11 11.1 11.2 11.3 12	Tangible Fixed Assets COSTS Cost as at 1st April 2022 Cost as at 31st March 2023 ACCUMULATED DEPRECIATION As at 1st April 2022 Charge for the year Depreciation as at 31st March 2023 Net Book Value as at 31st March 2022 Net Book Value as at 31st March 2023	2023 Charity £000 3,724 3,724 3,351 373 3,724 373 0 Fisher Ho	2023 Group £000 3,724 3,724 3,351 373 3,724 373 0 use	2023 2023 Charity Group £000 £000 112 112 112 112 28 28 37 37 65 65 84 84 47 47 Hepititus Van	2023 2023 Charity Group £000 £000 112 112 112 112 28 28 37 37 65 65 84 84 47 47 Hepititus Van	2023 Charity £000 108 108 108 0 108 0 0 Man	2023 Group £000 108 Van	2023 2023 Charity Group £000 £000 3,944 3,944 3,944 3,944 3,487 3,487 410 410 3,897 3,897 457 457 47 47 Total	2023 2023 Charity Group £000 £000 3,944 3,944 3,944 3,944 3,487 3,487 410 410 3,897 3,897 457 457 47 47 Total
					112		108		3,944
					28 37		108 0		3,487 410
					65		108		3,897
					84		0		457
					47		0		47
	Analysis of Current Assets Amounts falling due within one year: Trade debtors Accrued income Prepayments Inter Company balance Due Total debtors falling due within one year Cash at Bank and in Hand Cash Stock held for sale Stock				2022/23 Charity £000 459 1,833 113 10	2022/23 Group £000 469 1,833 113 0 2,415 2022/23 Group £000 4,770 2022/23 Group £000 0	2021/22 Charity £000 107 1,053 132 30	2021/22 Group £000 107 1,053 132 0 1,292 2021/22 Group £000 5,967 2021/22 Group £000 16 2021/22 Group £000 950 702 1,652
					2,415		1,322
					2022/23 Charity £000		2021/22 Charity £000
					4,770		5,952
					2022/23 Charity £000		2021/22 Charity £000
					0		0
	Creditors Amounts falling due within one year: Trade creditors Accruals Total creditors falling due within one year				2022/23 Charity £000 250 390	2022/23 Group £000 250 390 640	2021/22 Charity £000 950 701
					640		1,651

39

Notes to the accounts

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

13 Contingent assets – legacy income

As at 31 March the charity had been notified of 32 legacies, the value of which cannot be ascertained with accuracy, all being a share of a residue amount.

14 Liabilities and Provisions for Charity and Group Movements during the year Opening Provisions Add: New provisions charged in the year Less: Provisions released in the year Change in value of brought forward provisions Provisions outstanding at end of year Provisions Payable within one year Provisions payable after more than one year Provisions outstanding at end of year	Charitable Other Expenditure Expenditure £000 £000 3,120 0 1,621 0 (705) 0 (758) 0 3,278 0 2,813 0 465 0 3,278 0	2023 Total £000 3,120 1,621 (705) (758) 3,278 2,813 465 3,278	2022 Total £000 2,514 3,149 (1,870) (673)
			3,120
			2,468 652
			3,120

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:

2023 Land & Buildings Expiring within a year £000 Finance SLA 0 Office Accommodation 17 Capital Commitments 167 184 Expiring between 2 - 5 years 20	2023 2022 Other Land & Buildings £000 £000 166 0 0 0 0 0 166 0 0 0	2022 Other £000 145 0 0
		145
		0

16 Transfers Between Funds

The transfer of £0.8k from the restricted Get Ahead fund has been made to cover salary costs in the Get Ahead ring-fenced fund. (2021/22 £13.8k)

40

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

Notes to the accounts

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
		2022					2023
		£000	£000	£000	£000	£000	£000
R1	Hollier Legacy	338.3	0.0	(250.0)	0.0	0.0	88.3
R2	Hear and Now	21.6	1.3	(0.5)	0.0	0.0	22.4
R3	Get Ahead	3.0	90.9	(2.9)	0.8	0.0	91.8
R4	Edmonds Transplant Games	0.0	800.0	0.0	0.0	0.0	800.0
Total	Restricted Funds	363	892	(253)	1	0	1,003

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.

R4 Grant to be used against the Transplant Games.

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:

		Balance	Income	(Expenditure)	Transfers	Gains and	Balance
		1 April				Losses	31 March
Earmarked Funds		2022					2023
		£000	£000	£000	£000	£000	£000
E1	Miscellaneous Fundraising	1,973.9	(59.1)	11.6	243.3	0.0	2,169.7
E2	UHB Transplant Centre	1,133.1	69.9	(7.3)	616.0	0.0	1,811.7
E3	Dormant Funds	581.6	0.0	0.0	(201.2)	0.0	380.4
E4	Ward 19 Charity Fund Heartlands	513.7	16.1	(9.8)	(83.6)	0.0	436.4
E5	Good Hope Legacies	311.7	121.5	0.0	(169.6)	0.0	263.6
E6	BHam Hospitals Childrens Fund	271.7	6.4	(8.1)	4.9	0.0	274.9
E7	Oncology Research Fund	249.3	0.0	(1.5)	0.0	0.0	247.8
E8	Man Van	207.3	0.0	(5.6)	(36.7)	0.0	165.0
E9	Junior Doctors Welfare	204.8	0.0	(69.4)	(54.8)	0.0	80.6
E10	Ambulatory Care and Diagnostics	202.8	75.0	0.0	(75.0)	0.0	202.8
E11	Fisher House	876.7	327.8	(597.9)	(110.0)	0.0	496.6
E12	Inherited Metabolic Disease	171.9	1.4	(6.7)	0.0	0.0	166.6
E13	Staff Welfare and Support	231.7	1.9	(42.1)	9.5	0.0	201.0
E14	The Giles Trust	265.3	38.7	(6.6)	(45.5)	0.0	251.9
E15	Endocrine Research Fund	159.7	0.0	(12.3)	(0.5)	0.0	146.9
E16	UHB Miscellaneous	137.5	41.6	0.0	0.0	0.0	179.1
E17	Plastic Surgery	136.9	26.0	(17.5)	0.0	0.0	145.4
E18	QE Fighting Skin Cancer	114.4	25.1	(0.6)	0.0	0.0	138.9
E19	Neuro Endocrine Tumours	110.6	5.4	(4.2)	0.0	0.0	111.8
E20	QEHB Legacies	1,472.5	246.8	0.0	(411.8)	0.0	1,307.5
E21	UHB Online Fundraising	198.2	49.6	(0.8)	0.0	0.0	247.0
E22	UHB Sustainability & Green Travel	300.0	0.0	(86.8)	0.0	0.0	213.2
E23	Liver Laparoscopic Operating Theatre	473.7	0.0	(390.0)	0.0	0.0	83.7
E24	Simulation Suite	746.5	0.0	250.0	0.0	0.0	996.5
E25	Older Persons Assessment Liaison Unit	0.0	0.0	0.0	133.2	0.0	133.2
E26	Trustee approved future projects	0.0	0.0	0.0	279.4	0.0	279.4
	Other earmarked funds	3,548.2	2,775.4	(3,030.0)	(98.4)	0.0	3,195.2
	All Funds Gain/(Loss) on Investments	2,295.5	0.0	0.0	0.0	(713.0)	1,582.5
	Total Unrestricted Funds	16,889	3,770	(4,036)	(1)	(713)	15,909
	UHB Trading CIC	0	24.00	(24.0)	0	0	0.00
	Consolidated Total	17,252	4,686.00	(4,313.0)	(0.0)	(713.0)	16,912

41

Notes to the accounts

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

Unrestricted and Designated

(Earmarked) Funds - continued

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

• E1 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) Fisher House, home away from home for military patients and their

• E11 families

• 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 neuro endocrine service at UHB

• E20 Legacies for the benefit of Queen Elizabeth Hospital Birmingham

• E21 Income received from online fundraising

• E22 Sustainability and green travel programmes at UHB

• E23 To create a liver laparoscopic operating theatre

• E24 Support costs for the creation of a Digital Simulation Suite

• E25 Supporting the Older Persons Assessment Liaison Units across the Trust Funds set aside for future projects approved by Trustees that do not

• E26 have a current confirmed start date 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. wishes when making their generous gifts.

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