HEALTHWATCH MK CIO REPORT TO THE TRusfEES FOR THE YEAR ENDED 31 MARCH 2023 Charity number- 1166148
Healthwatch MK CIO YEAR ENDED 31 MARCH 2023 Contents Page Legal and administrative information Trustees, report Independent examinerfs report Statement of financial activities Balance sheet Notes to accounts 9-15
Healthwatch MK CIO YEAR ENDED 31 MARCH 2023 Legal and administrative information Charity name Healthwatch MK CIO Charity number 1166148 The trustees who senied during the year were: A Hancock V Bimpong P Egerton J Whild PDay M Lalani D Pearce Colder M Tait J Maslen S Lazell M Cass V Singh Resigned 22 September 2022 Resigned 22. September 2022 nd Resigned 22 September 2022 Trd Appointed 22 September 2022 Appointed IO, August 2022 Appointed 22. July 2022 Principal place of business Suite 113 Milton Keynes Busines5 Centre Linford Wood Milton Keynes MK14 6GD Independent examiner Steve Robinson FCA Silbury Court 420 Silbury Boulevard Central Milton Keynes MK9 2AF
Healthwatch MK CIO YEAR ENDED 31 MARCH 2023 Trustees. Report Objerts and activities The charity's objects are the advancement of health and the relief of those in need by reason of youth, ill health, disability or financial hardship. The policies adopted in furtherance of these objects are.. Providing information and advice to the general public about local health and social care services, Makin8 the views and experiences of members of the general public known to health and social care providers, Enabling local people to have a voice in the development, delivery and equality of access to local health and care services and facilitie5, and Providing training and the development of skills for volunteers and the wider community in understanding, scrutinising, reviewing and monitoring local health and care service5 and facilities, Healthwatch MK CIO, known as "Healthwatch Milton Keyne5" 3ims to give citizens and communities in the city of Milton Keynes a stronger voice to influence and challenge how health and social care services are provided within their locality. The charity is part of a network of local Healthwatch co-ordinated by a national organisation, Healthwatch England. Although using the national Healthwatch brand the charity, like other Healthwatch organisations in each of the other local authority areas across England. 15 governed as an independent charity. The trustees have paid due regard to guidance issued by the Charity Commission in deciding what activities the charity should undertake. The Trustees have examined the guidance issued by the Charity Commission and confirm that Healthwatch Milton Keynes meets the public benefit requirement in both of its aspects (the benefit aspect, and the public aspect). Healthwatch Milton Keynes has both statutory and voluntary attivities. Statutory responsibilities include representing the views and experiences of recipients of health and social care services on the local Health and Wellbeing Board, monitoring annual Quality Accounts produced by providers of NHS seryices and publishing evidence of service user, patient and carer experience of health and social care services. Voluntary activities include Enter and View visits, the organisation of public and patient engagement events, providing and monitoring signposting services for the public, conducting and asslsting with surveys and projects in the health and Social care field, and ensuring that the patient and public voice is heard and acted upon. While the work of Healthwatch Milton Keynes is coordinated an(5 administered by paid staff members, its governance and some of its activities depend upon volunteers. Achievements and performance Healthwatch Milton Keynes ensures that voices of the public, patients, service users, their families and carers are heard in policy decision-making in the health and social care field, through the publication of evidence-based research, engagement activities and its membership of Strategic Boards and Committees which include the Bedfordshire, Luton and Milton Keyne5 Integrated Care Board, Bedfordshire, Luton and Milton Keynes Health and Care Partnership, the Milton Keynes Health and Care Partnership, Milton Keynes City Council's Health and Adult Social Care Scrutiny Committee and Safeguarding Assurance Board, and Milton Keynes University Hospital Trust Council of Governors.
Healthwatch MK CIO YEAR ENDED 31 MARCH 2023 Trustees, Report Continued Healthwatch Milton Keynes collaborates with other Healthwatch bodies in surrounding Local Authority areas to monitor the development and delivery of the Bedfordshire. Luton and Milton Keynes Integrated Care System. A memorandum of understandin8 is in place between Healthwatch Milton Keynes and other local Healthwatch in Luton, Central Bedfordshire and Bedford Borough that sets out a collaborative working agreement to ensure that the voices of all communities in Bedfordshire, Luton and Milton Keynes are equally and equitably involved in the work of the Bedfordshire, Luton and Milton Keynes Integrated Care System. Healthwatch Milton Keynes has a proBramme of service evaluation and scrutiny projects which includes a large programme of Enter and View visits into health and care services. Healthwatch Milton Keynes also delivers a programme of engagement with the public through planned and responsive engagement events and focus groups. Healthwatch Milton Keynes, Annual Member5 meeting was held in September 2022. Healthwatch Milton Keynes publishes an Annual Report on 30 June each year, and monthly digital newsletters for members and maintains a permanent telephone and web-based advice and signposting service for the public to seek support and raise compliments and concerns about health and social care services. Healthwatch Milton Keynes published findings from a pro8ramme of Enter and view visits to fourteen Care Homes. The charity also published a report exploring vaccine hesitancy in ethnic minority communities. Healthwatch Milton Keynes ran public engagement, surveys and listening event5 concerning Primary Care at¢ess, local Pharmacy services, Women's, Health, and inequalities in health and care, experienced by residents with physical and learning disabilities living in deprived areas, people from minority communities living in deprived areas and people from the LGBTQ+ community- In addition, the charity continued to take an active role in supporting the development of Bedfordshire, Luton and Milton Keynes Integrated Care System IICSI working with strategic partners on the development of the Integrated Care system's strategy, ICS Digital Strategy and Green plan. Healthwatch Milton Keynes continued to use data and insight from residents to inform ICS People and Community engagement strategies and support the development of resident engagement and co-production frameworks. Resident insight was also used to inform a review of NHS provi5i0n of NHS Dentistry and GP access undertaken by a task and finish group of Milton Keynes City Council's Health and Adult Social Care Scrutiny Committee. Healthwatch Milton Keynes involves it5 membership directly in its attivities including their views on what activities the charity should prioritise, in the planning and delivery of its Enter and View visits, in research and as patient representatives at local Boards and Forums. Healthwatch Milton Keynes maintains a group of up to volunteers, excluding Trustees. Review of the year The charity receives grant funding from Milton Keynes City Council, paid quarterly. The current grant agreement covers a period from 1st April 2020- 31st March 2023. On 21" March 2023 Milton Keynes City Council confirmed a new grant agreement with Healthwatch Milton Keynes for £173,644, coverin8 the period from l April 2023- 31" March 2026. There 15 no current indication of r15k in regard to the charivs main grant but Healthwatch Milton Keynes ICIOI holds sufficient funds for a solvent closure by mean5 of one month'5 operating cost5
Healthwatch MK CIO YEAR ENDED 31 MARCH 2023 Trustees. Report Continued held irt reserves and on these bases the Board of Trustees believe the going concern basis of preparation is appropriate. It is the policy of Healthwatch Milton Keynes to commit unrestricted funds which have not been designated for a specific activity to maintain reserves at a level to support running cost5 in the event that a change in government or commissioning policy necessitates the winding up of the organisation. On an annual basis Healthwatch Milton Keynes will produce a Budget for the full financial year, and a six-month Reforecast for October - March, and will set a Minimum resetves calculation based on its estimates of the sums required to achieve an orderly close-down of the orgonisation. This is balanced with the funding available and takes into consideration the likely funds required to support the organi5ation if there is a late payment of a contract invoice. ReseNes reviews will take into account staff costs Iduring the close down and at the end of the contract, assuming members of staff are not transferred to another organisation under TUPEI- any contract terms loffice accommodation and office suppliesl- legal and professional fees and running cost5. The Board will keep the level of reserves under an annual review to ensure that it is adequate and appropriate to meet the requirements of the organisation. Total Reserves at the year-end were £31,386, all of which is unrestricted. The cash funds at the year-end were £39,596. The trustees have assessed the major risks to which the charity is exposed and are satlsfied that systems are in place to mitigate exposure to the major risks. Basi5 of preparation These accounts are prepared on an accruals basis. Strurture. governance and management The charity is a charitable incorporated organisation governed by a Charity Commission model constitution for a Charitable Incorporated Organisation adopted on 9th March 2016. It registered as a charity with the Charity Commission on 21st March 2016, charity number 1166148. Trustees are appointed following the procedures laid down in the Constitution. One third of the trustees are required to step down annually, and elections, open to the membership of the CIO, are conducted and confirmed at the Annual General Meeting. The Board of Trustees is empowered to co-opt new trustees to fulfil specific need5, but co-opted trustees must put their names forward for election by the membership at the next AGM. The maximum number of trustee5 permitted is 12.
Healthwatch MK CIO YEAR ENDED 31 MARCH 2023 Tru5tees' Report Continued Healthwatch Milton Keynes has a nucleus of paid staff, including a full-time CEO and deputy CEO, and three part time officers, dealing respectively with administration, communications. engagement, and pro8ramme delivery. In 2022-23 the charity funded one temporary post for delivery of community outreach activities. All new trustees are inducted by the Chair of Healthwatch Milton Keynes and Chief Executive Officer and are given basic documentation on the work of the organi5ation. including the Constitution, Standing Procedures and Terms of Reference for Trustees. Healthwatch Milton Keynes is grant funded by Milton Keynes City Council but is independent of the local authority. The trustees, port wa5 approved by the Board of Trustees. -( K•[J-O Carol Older Chair of Trustees Is13
Healthwatch MK CIO YEAR ENDED 31 MARCH 2023 Independent Examinerfs Report I report to the trustees on my examination of the accounts of Healthwatch MK CIO (the CIO) for the year ended 31 M?rch 2023. Re5pon5ibilities and basis of report As the CIO trustees, you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 20111'the Artl. I report in respect of my examination of the CIOS account5 carried out under section 145 of the 2011 Act and in carrying out my examination, I have followed all the applicable Directions given by the Charity Commission under section 1451511bl of the Act. Independent examinerf5 statement I have Completed my examination. I confirm that no material matters have come to my attention in connection with the examination which gives me cause to believe that in any material respect.. accountin8 records were not kept in in accordance with section 130 of the Act; or the accounts do not accord with the accounting records. the accounts do not comply with the applicable requirements concerning the form and content of accounts set out in the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a 'true and fairf view which is not a matter considered as part of an independent examination. I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in order to enable a proper understanding of the accounts to be reached. Steve Robinson FCA Silbury Court 420 Silbury Boulevard Central Milton Keynes MK9 2AF Date: 1 Juno 2023
Healthwatch MK CIO YEAR ENDED 31 MARCH 2023 Statement of financial activities for the year ended 31 March 2023 (including income and expenditure account) Notes Unrestrirted Funds Restricted Funds Total 2023 Totsl 2022 Income from: Grants and funding 180.806 180,806 176,679 Total income 180,806 180,806 176.679 Expenditure on: Raising funds Charitable activities 1,677 182,404 1,677 4,466 182,404 179,033 Total expenditure 184,081 184,081 183,499 Net {deficitl/surplus for the year 13.275) 13,2751 16,8201 Reconciliation of fvnds Total funds brought forward 34,661 34,661 41,481 Total funds carried forward 31,386 31,386 34.661 The statement of financial activitie5 includes all gains and losses recognised in the year. All income and expenditure derive from continuing activities. The split of funds in the comparative year is in note IS of the financial statements.
Healthwatch MK CIO YEAR ENDED 31 MARCH 2023 Balance sheet as at31 March 2023 Note5 2023 2022 Fixed assets Tangible assets 1,770 1,689 Current assets Debtor5 Cash at bankand in hand 1,457 41.053 38,268 Creditors: amounts falling due within one year io Net current assets Net assets Funds: Unrestricted funds Restricted funds 11112 11112 31,386 34,661 Total tunds The notes on pages 9 to 15 form part of these financial statements -( IV•(J- Carol Older Chair of Trustees Sildls
Healthwatch MK CIO YEAR ENDED 31 MARCH 2023 Notes to the financial staternents l. AccountinE policies Basis of preparation 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 appli¢able in the UK and Republic of Ireland IFR5 1021 leffective l January 20191- (Charities SORP IFR5 10211. Healthwatch MK meets the definition of a publi¢ benefit entity under FRS 102. The financial statement5 are prepared on a going concern basis under the historical cost convention. The financial statements are presented in Sterling which is the functional currency of the charity and rounded to the nearest £. The Trustees have taken advantage of the exemption in Charities SORP IFRS1021 from including cashflow statement in the financial statements on the grounds that the organisation is small. The significant accounting policies applied in the preparation of these financial statements are set out below. These policies have been consistently applied to all years presented unless otheNise stated. The financial statements have been prepared on an accruals basis. Grant income Income from grants Is included in incoming resources when received. Income is then deferred when condition which is placed upon the Charity's entitlement to it has not yet been completed. Expenditure Expenditure is included in the Statement of Financial Activities on an accruals basi5, inclusive of any VAT which cannot be recovered. Fund accounting General funds are unrestricted funds which are available for use at the discretion of the Trustees in furtherance of the general objettives of the charity and which have not been designated for other purposes. Restricted funds comprise funds awarded for specific purposes. The aim and use of each fund is set out in the notes. Debtors Trade and other debtors are recognised at the settlement amount due after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due. Cash at bank and in hand Cash at bank and cash in hand includes cash and short term highly liquid investments with a short maturity of the months or les5 from the date of acquisition or opening of the deposit or similar account.
Healthwatch MK CIO YEAR ENDED 31 MARCH 2023 Notes to the financial statements Iconvdl 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. Creditors and provisions are normally recogni5ed at their settlement amount after allowing for any trade discounts due. Tangible fixed assets Tangible fixed assets are initially measured at cost and subsequently measured ot C05t or valuation, net of depreciation and any impairment losses. Tangible fixed assets are stated at cost or valuation less depreciation. Depreciation is provided at rates calculated to write off the cost or valuation less estimated residual value of each asset over its expected useful life as follows: Fixtures & fittings Computer Equipment 15% Straight-Line 33% Straight-Line Going Concern At the time of approving the financial statements, the Trustees have a reasonable expectation that the CIO has adequate resources to continue in operational existence for the foreseeable future. Thus, the Trustees continue to adopt the going concern basis of accounting in preparing the financial statements. 2 Income from grants & funding 2023 2022 Services provided under grant 180,806 176.679 Analysis by fund Unrestricted funds- general Restricted funds 180,806 176,679 180,806 176,679 3 Expenditure on raising tunds 2023 2022 Fundraising and publicity Other fundraising c05ts-unrestricted Other fundraising costs- restricted 1,677 4,466 1,677 4,466 io
Healthwatch MK CIO YEAR ENDED 31 MARCH 2023 Notes to the financial statements Iconydl 4 Expenditure on charitable activities 2023 2022 Staff costs Catering costs Recruitment costs Printing, postage and stationery Insurance Meeting room costs Legal and professional fee5 Rent Establishrnent costs Staff development and training Telephone and internet Travelling Bankfees Depreciation 140,162 438 139,224 1,451 5,873 2,177 249 6,551 11,736 1,470 1,953 1,883 442 3.007 2.316 1,913 9,249 11,974 619 2,415 2,329 1,360 385 380 1,301 174,690 176,811 Governance costs (see note 51 5,593 182,404 4,343 179,033 Analysis by fund Unrestricted funds Restricted funds 182,404 179,033 182.404 179,033 5 Support costs Support costs Governance 2023 2022 costs Trustee development Trustee expenses Accountancy 252 252 15 S,326 5,593 148 15 5,326 5,593 27 4,168 4,343 li
Healthwatch MK CIO YEAR ENDED 31 MARCH 2023 Notes to the financial statement5 {conVdl 6 Trustees None of the trustees lor any persons connected with theml received any remunerations or benefits from the charity during the year other than reimbursement of training costs totalling £25212022.. £1481 and travelling expenses totalling £1512022: £271. 7 Employees Number of employees The average monthly number of employees during the year was- 2023 Number 2022 Number Operations Administration and communications Employment costs 2023 2022 Wages and salaries Social security costs Pension costs Total staff costs 130,665 6,104 3,393 140,162 128,977 7,294 2,953 139.224 There were no employees whose annual remuneration were £60,000 or more. 12
Healthwatch MK CIO YEAR ENDED 31 MARCH 2023 Notes to the financial statements Iconvdl 8 Tangible Fixed Assets Fixtures and fittinES Computer equipment Total Cost At l April 2022 Additions 2,177 6,175 724 8,352 724 At 31 March 2023 2.177 Depreciation and impairment At l April 2022 Depreciation charged in the year At 31 March 2023 1,056 326 5,607 317 6,663 643 1,382 7,306 Carrying amount At 31 March 2023 795 975 At l April 2022 1,121 568 1,689 9 Debtors 2023 2022 Prepayments 1,457 1,457 10 Creditors: amounts falling due within one year 2023 2022 Other taxation and 59cial security Other creditors Accruals and deferred income 2.628 709 938 8,100 11,437 4,358 5,296 13
Healthwatch MK CIO YEAR ENDED 31 MARCH 2023 Notes to the financial statements Iconvdl 11 Analysis of net assets between funds Unrestricted Funds Restrirted Funds Totsl 2023 Total 2022 Fund balances at 31 March 2023.. Tangible fixed assets Current assets 1,770 41,053 111,4371 31,386 1,770 41,053 111,4371 31,386 1,689 38,268 15,2961 34,661 Creditors due within one year 12 Analysis of charitable funds Unrestricted Funds Re5trirted Funds Total Funds Brought forward at l April 2022 34,661 34,661 Income 180,806 180,806 Expenditure 1184,0811 1184,0811 Balance at 31 March 2023 31.386 31,386 13 Related parties There were no transactions Wlth related parties in the year other than the reimbursements disclosed in Note 6. 14 Guarantees and secured debts There have been no guarantees given by the CIO in the year, nor does the CIO have any debts at 31 March 2023 which are secured by an express charge on any of the assets of the CIO. 14
Healthwatch MK CIO YEAR ENDED 31 MARCH 2023 Notes to the financial statements Iconvdl 15 Comparative SOFA Unre5tritted Funds Restrirted Funds Total 2022 Income from: Grants and funding 176,679 176,679 Total income 176.679 176,679 Expenditure on: Raising funds Charitable activities 4,466 179,033 4,466 179,033 Total expenditure 183,499 183,499 Net deficit for the year 16,820) {6,8201 Reconciliation of funds Total funds brought forward 41A81 41,481 Total funds carrled forward 34,661 34,661 15