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2020-12-31-accounts

HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES – LEGAL AND ADMINSTRATIVE INFORMATION FOR THE YEAR ENDED 31st DECEMBER 2020

HEARTBEAT NORTHWEST CARDIAC CARE

(A COMPANY LIMITED BY GUARANTEE) REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31[st] DECEMBER 2020

Registered Charity No: 1168850 Company No: 10195311

Azets Audit Services Statutory Auditor Charter House Pittman Way Fulwood Preston PR2 9ZD

HEARTBEAT NORTHWEST CARDIAC CARE CONTENTS

Pages
Legal and Administrative Information 2 - 3
Annual Report of Trustees 4 – 30
Chief Executive’s Summary 31 – 32
Statement of Trustees’ responsibilities 33
Independent Auditor’s Report 34 - 37
Statement of Financial Activities 38
Balance Sheet 39
Statement of Cash Flows 40
Notes to the Financial Statements 41 - 55

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES – LEGAL AND ADMINSTRATIVE INFORMATION FOR THE YEAR ENDED 31st DECEMBER 2020

Charity Number 1168850
Company Number 10195311
Patrons: Somnath Kumar
Ranvir Singh
Derek Smith
Directors and trustees: Jackie Wilding (Chair)
Joe Mallabone (Treasurer)
John Dent
Jeannie Hayhurst
Nigel Sharples
Beryl (Bunty) Knowles
Christopher McCann
Chief Executive: Louise Bache
Secretary: Caroline Dransfield
Clinical Director: Dr Stewart Jones

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES – LEGAL AND ADMINSTRATIVE INFORMATION FOR THE YEAR ENDED 31st DECEMBER 2020

Registered Office: Heartbeat Northwest Cardiac Care
Preston North End Stadium
Sir Tom Finney Way
Preston
Lancashire
PR1 6PA
Bankers: Royal Bank of Scotland Plc
97 Fishergate
Preston
PR1 2DP
Shawbrook Bank Limited
Lutea House
Warley Hill Business Park
Brentwood
Essex
CM13 3BE
Scottish Widows Bank
PO Box 883
Leeds
LS1 9TY
Legal Advisors: Vincents Solicitors
72 Liverpool Road
Penwortham
Preston
PR1 0DQ
Financial Advisors: Mattioli Woods Plc
Lanson House
Winckley Gardens
Mount Street
Preston
PR1 8RY
Auditor: Azets Audit Services
Statutory Auditor
Charter House
Pittman Way
Fulwood
Preston
PR2 9ZD

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

The trustees are pleased to present their annual directors’ report and the financial statements of the charity for the year ended 31[st] December 2020 which are also prepared to meet the requirements for a directors’ report and accounts for Companies Act purposes.

Legal and administrative information set out on pages 2 and 3 form part of this report. The financial statements comply with the Charities Act 2011, the Companies Act 2006, the Memorandum and Articles of Association, and 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[st] January 2019).

Structure, Governance and Management

Heartbeat Northwest Cardiac Care is a company limited by guarantee governed by its Memorandum and Articles of Association dated 11[th] May 2016. It is registered as a charity with the Charity Commission. Trustees are elected from the membership at each Annual General Meeting. The trustees meet regularly at the charity’s administrative offices at Sir Tom Finney Way and carry out the governance of the affairs of the charity. During 2020 many of the trustee meetings have been held via Zoom. The trustees are permitted to appoint officers to act in the day to day management of the charity.

Anyone over the age of 18 who has signed a written declaration confirming support of the objectives and willingness to become a charity trustee of the charity can become a member of the company and there are currently 7 members (7 in 2019), each of whom agrees to contribute £1 in the event of the charity winding up.

The trustees must hold at least two meetings each year. A quorum at a meeting of the trustees is at least two or one third of the trustees in office, whichever is the greater. A meeting of the trustees may be held either in person or by suitable electronic means agreed by the trustees in which all participants may communicate with all the other participants, but at least one meeting in each year must be held in person.

Any issue may be determined by a simple majority of the votes cast at a meeting, but a resolution in writing agreed by all the trustees entitled to receive notice of a meeting is as valid as a resolution passed at a meeting. Every trustee has one vote on each issue but, in the case of equality of votes, the chair of the meeting has the casting vote.

Appointment of Trustees

As set out in the Articles of Association the chair of the trustees is nominated by the trustees. There must be a minimum of three trustees. One third (or the number nearest one third) of the trustees must retire in each year at an Annual General Meeting (AGM), those longest in office retiring first and the choice between any equal service being made by drawing lots. A retiring trustee who is eligible may be reappointed. No trustee may serve more than two three year terms of elected office, unless by exception the trustees permit an additional term of office for such period as they shall determine, but not exceeding three years. Any time served as a co-opted trustee shall not count when calculating periods of office as a trustee.

The trustees may at any time co-opt any individual who is eligible as an additional trustee, but a co-opted trustee holds office until the end of the AGM held after their appointment.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Directors and Trustees

The directors of the charitable company (the charity) are its trustees for the purpose of charity law. The trustees and officers serving during the year and since the year end were as follows:

Jackie Wilding Chair Joe Mallabone Treasurer John Dent Jeannie Hayhurst Nigel Sharples Beryl (Bunty) Knowles Christopher McCann

Organisation

The trustees are responsible for the governance and strategic leadership of the charity, ensuring Heartbeat Northwest Cardiac Care devotes maximum resources and assets towards meeting its objectives. None of the trustees have any beneficial interest in the charity other than using its services.

The operational management of the charity is delegated to the Chief Executive Officer and the trustees ensure that the delivery is in accordance with the charity’s aims and objectives by a number of internal controls which also provide appropriate reassurance against material misstatement or loss. The procedures include:

Induction and Training of Trustees

Trustees are recruited via several methods including internal / external adverts, press and recommendation. New trustees are welcomed to Heartbeat Northwest Cardiac Care by the Chief Executive Officer who commits significant time to provide the trustee with a comprehensive induction to the charity. New trustees are introduced to the management team and then introduced to all available colleagues. The Chief Executive Officer spends time introducing all aspects of governance and the role and responsibilities of trustees. As part of the induction, the Chief Executive Officer provides an overview of the operational aspects of the charity, organisational structure, format of trustee meetings, ensures he/she is accessible to trustees for enquiries, feedback or concerns throughout the year and ensures that each new trustee has a copy of the Heartbeat Northwest Cardiac Care Trustee guidelines booklet.

This contains information relating to the governance, structure and legal requirements of the charity, background information and an overview of the role of a trustee and board. This information is monitored and continually reviewed in accordance with the charity commission’s recommendations.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Budget and Remuneration Committee

A budget and remuneration committee was established at the behest of the trustees and is chaired by the Treasurer, Joe Mallabone. The Committee advises on Heartbeat Northwest Cardiac Care financial affairs and reports directly to the trustees. There is a separate remuneration committee that reviews and determines the salary of the Chief Executive Officer. All other salaries are reviewed annually by the Chief Executive Officer and normally increased in accordance with average earnings.

Key Management Personnel

The trustees consider the trustees, Chief Executive Officer and the Head of Finance as comprising the key management personnel of the charity.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

HEARTBEAT NWCC ORGANAGRAM 2020 HEARTBEAT NWCC ORGANAGRAM 2020 HEARTBEAT NWCC ORGANAGRAM 2020 HEARTBEAT NWCC ORGANAGRAM 2020 HEARTBEAT NWCC ORGANAGRAM 2020 HEARTBEAT NWCC ORGANAGRAM 2020 HEARTBEAT NWCC ORGANAGRAM 2020
Board of Trustees
Budget and Remuneration Committee
Clinical Director Chief Executive Officer FUNDRAISING AND
Stewart Jones Louise Bache LOTTERY
Sessional Testing Doctors
Dr Stewart Jones
Dr Jeremy Hann		 Head of Finance
Caroline Dransfield		 Head of Fundraising
Michelle Hunt
SERVICES Fundraising Officers
Lisa Riding
Cardiac Physiologists Head of Training and Lynn Preston
Debbie Crossley Education
Jo Duff Sian Percival-Edwards Lottery Officer
Karen Gildert
Nurse Healthy Lifestyles
6+
Lorraine Hope		 Engagement officer
Kieran Turner
Patient Support Officers
Rebecca Ellis
Sam Frankland		 Operations Manager
Carl Martinez
Heartbeat Fitness
Reception Instructors
Jo Widdows Jackie Lowry
Samim Patel Roger Berry
Julia Gardham
Debbie Dasse
Charlotte Flynn
Matthew Tidswell
Steve Jenkinson
Sessional Fitness instructors
6 instructors

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Objectives and Activities for the Public Benefit

Aims and Purposes

The trustees confirm that they have referred to the guidance contained in the Charity Commission’s general guidance on public benefit, including the guidance ‘Public benefit: running a charity (PB2)’ when reviewing the charity’s aims and objectives and in planning future activities .

The main aim and purpose of Heartbeat Northwest Cardiac Care is to apply the money as it accumulates (through various forms of fundraising) in furtherance of improving the health of the population of the North West of England with particular regard to coronary heart disease (CHD), stroke, cardiovascular and pulmonary conditions.

In particular as stated in the Memorandum and Articles:

Objectives

The “area of benefit” as referred to above collectively as the North West of England, includes the geographical counties of Lancashire, Cumbria, Cheshire, Greater Manchester and Merseyside.

Vision

All people affected by coronary heart disease in the North West of England have access to support and services which enable them to rebuild their lives.

Mission

Heartbeat is committed to the fight to reduce the impact of coronary heart disease in all our communities within the North West of England through rehabilitation, information and advice, education, and lifestyle support.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Overview of Activities of the Charity

Heartbeat Northwest Cardiac Care is a well-established local heart charity that has been providing heart rehabilitation, clinical testing, holistic support, education, and heart disease prevention work to Lancashire residents since 1978. Based in Preston, Heartbeat operates a central bespoke heart centre located on-site at Preston North End (PNE) football club as well as a number of community-based outreach classes.

The Team consists of 23 employed staff, 2 General Practitioners (GPs), 1 National Health Service (NHS) Nurse, a Clinical Director and a range of volunteers who support the charity. The charity has been self-funding since 1978 supporting thousands of local residents.

Cardiovascular diseases (CVD), sometimes referred to as circulatory diseases, are diseases of the heart and blood vessels, including coronary heart disease (CHD), heart attack and stroke. CVD is caused by reduced blood flow to the heart, brain or body caused by atheroma or thrombosis and is common in people aged over 60.

The latest recorded prevalence figures (QoF 2018/19) show that the prevalence of coronary heart disease (all persons, all ages) in the Lancashire and South Cumbria ICS area (3.9%), higher than England (3.1%). Interestingly the long-term rate of premature mortality (under-75 years) is declining in the Lancashire area (81.4 per 100,000 persons) although this trend has slowed over recent years. It remains significantly higher than England (71.7) (2016-18).

Heartbeat Northwest Cardiac Care services are available to heart patients at any stage, in addition to those identified as at high risk of developing cardiovascular disease, for example, obese or overweight patients, those with high blood pressure, stroke survivors, diabetics, Chronic Obstructive Pulmonary Disease (COPD) patients, smokers, alcohol misusers and those living an unhealthy or sedentary lifestyle.

The charity provides:

Testing Exercise tolerance/treadmill tests 24 hour blood pressure monitors 24 hour electrocardiogram (ECG) Private health testing

Training/Education First aid training Defibrillator training Student placements Schools programme Community awareness programme

Rehabilitation and Prevention Fundraising and Community Events Cardiac patient assessment post NHS Sponsored events pathway Fundraising events Cardiac prevention and rehabilitation Heartbeat Lottery exercise programme Social events for heart patients and families Cardiac health and lifestyle programme Walks, runs and cycle-rides held annually Mental and social wellbeing support Peer support

The charity currently operates 07:00 to 19:00 Monday to Friday with some Saturday events. During 2020 we have had to close for much of the year whilst conforming with government guidance.

The charity has established relationships with NHS cardiac nurses in Preston and Chorley, local cardiac, stroke and vascular teams, a number of leisure centres and gymnasiums who provide facilities for classes as well as local charities, GP surgeries and health improvement providers.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

A personal Story

My Heartbeat Story - Julian Edghill

Like many other Heartbeat members, my introduction was directly after two sets of two stents fitted in March and May 2014 at Blackpool Victoria Hospital. I followed the suggested hospital-led Cardiac Rehabilitation Classes – after which it was recommended that I join Heartbeat.

I have to admit at this stage, prior to my cardiac issues in 2014, I was a stranger to the gym, and to exercise in general. Never a “sporty type”, and an ex-smoker in a sedentary job – I was textbook type-cast to expect cardiac problems. I’m not alone in thinking that I was invincible ...heart problems were never on my radar! I also have other health issues, which affect mobility and other aspects of daily life.

Fast forward to 2021 and I can look back on five happy years with Heartbeat! ....and what a tremendous personal change I have experienced! My other health issues remain, but with a positive attitude encouraged by Heartbeat (and their inspiring “can do” thinking) they are now in perspective.

I must say that to get the best out of Heartbeat, members need to accept that even Heartbeat can’t provide classes that will suit every individual. I live in Croston and retired on medical grounds – so was able to choose where and when I attended Heartbeat. I started at Clayton Green, enjoying the classes. However, an integral part of the class was Badminton, and joining in with this used to bring on my angina attacks. Speaking to Heartbeat HQ, I was able to move to a gym based Deepdale class – which I also enjoyed. It was during this class when our regular instructor was unavailable, and another instructor took the class. I then discovered that there was a class at Burscough, just five miles from where I live. So that’s where I went – and stayed (until Coronavirus appeared and created the chaos, we have all lived with for nearly a year now)!

I am looking forward to going back to Burscough Class when it is safe to do so. In the meantime, I am enjoying a variety of the online YouTube classes offered by Heartbeat during Lockdown. I’m fortunate that my wife can join in with me, I know that not everyone is in that situation. I do the Warm-up, choose a class to follow, then I do the Cool-down – all at the times / days I would have been at Burscough Class. (This helps with focusing my commitment). There are some interesting lifestyle YouTube presentations on Heartbeat’s channel. Also, as my mobility is affected from time to time – Jackie Lowry’s Chair based exercises have been wonderful.

The social side of attending class is sadly missed right now, but we have an active WhatsApp Group, and we keep in contact with one another by telephone, to try and support each other. I have been Shielding since 23 March 2020, and despite being fortunate enough to have had my first vaccination, my shielding will continue until at least 31 March 2021, or so I have been told.

I can’t speak too highly of Heartbeat, and along with my Cardiologist, I credit the Heartbeat team with bringing about a recovery and keeping me motivated and positive. I don’t keep this information to myself, I have shared it with my Cardiologist, Rheumatologist and my GP.

Once Lockdown Restrictions are lifted, and Heartbeat have assessed that it is safe to return to class, I am looking forward to re-joining and to many more years of involvement! Although the entire Heartbeat Team are superb, my Burscough Instructor – Debbie Dasse has a knack in getting the very best out of” The Burscough Bunch” individually and as a group.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Our Services

Cardiac rehabilitation after myocardial infarction (heart attack) or cardiac surgery has two main aims:

  1. To help people to recover from the physical and psychological effects of their heart condition.

  2. To try to increase the length and quality of life by:

  3. Reducing the numbers of patients smoking

  4. Reducing blood pressure where this is a factor

  5. Reducing cholesterol where this is a factor

  6. Reducing the numbers of patients who are considered obese or overweight

  7. Increasing the number of patients who take regular exercise

  8. Helping with the support and effects of patients diagnosed with diabetes

Initial Assessment

Heartbeat Northwest Cardiac Care provides a unique testing service for anyone wishing to join one of the cardiac rehabilitation and prevention exercise sessions. Prior to joining a class people undergo a thorough medical assessment in a friendly and comfortable environment to assess their exercise capacity and suitability for the exercise programme, to exclude any underlying cardiac problems and to set a suitable individual target heart rate for them to work to. This is carried out by the charity’s team of healthcare professionals who can provide advice and support. Heartbeat Northwest Cardiac Care has invested in highly specialised medical equipment which provides a selection of specialised investigatory tests.

The initial assessment typically includes a physical examination, a resting ECG, an Exercise Treadmill Test (ETT) which provides essential information regarding the level of exercise recommended as part of the individual exercise programme, together with lung function tests.

Other tests carried out at Heartbeat Northwest Cardiac Care are Pre-Operative Cardiopulmonary Exercise Testing (CPEX), 24 hour ECG monitoring, 24 hour blood pressure monitoring and cardiac event monitoring.

Occasionally ‘treadmill’ test results are provided by the hospital when possible or appropriate. In this instance people can then join a cardiac rehabilitation session once their results have been reviewed by one of the charity’s healthcare team without the necessity for a further initial Exercise Treadmill Test.

Heartbeat Northwest Cardiac Care offers exercise sessions to people who are considered by their Physician to be at high risk of developing vascular disease. This group of people also attend for an initial Exercise Treadmill Test prior to identifying a suitable Heartbeat Northwest Cardiac Care exercise session and have now been included in the ‘initial Exercise Treadmill Test’ figures.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Interim Testing

All Heartbeat Northwest Cardiac Care participants have their progress monitored, after the initial treadmill test a repeat treadmill is carried out 9 months later to measure progress.

Private Testing

People are sometimes referred to Heartbeat Northwest Cardiac Care who have not had a heart problem, for example for insurance purposes, or as part of their terms and conditions of employment. In these circumstances Heartbeat requests the individual to pay a financial contribution.

People attending rehabilitation programmes

Monitoring Heartbeat Northwest Cardiac Care rehabilitation classes has proven that many people can achieve a greater level of general fitness after a cardiac event than they had before the event. Other people who suffered a more severe cardiac event can be helped to achieve their optimum, if limited, fitness level. This gives them the greatest chance of returning to an active and enjoyable life.

A supervised and controlled exercise class provides a safe and reassuring environment. The psychological effects of a cardiac event can equally be as great a problem as the physical disability. People often need support with both aspects of their illness.

All people attending the charity’s cardiac rehabilitation exercise sessions are supervised by Heartbeat Northwest Cardiac Care British Association for Cardiac Prevention and Rehabilitation (BACPR) accredited Fitness Instructors.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Heartbeat at Home

During the COVID-19 pandemic we moved many of our services online to allow our class members to continue their fitness journey. Here is a review of the work we have completed.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

A few of our class members exercising from home.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Here are a few messages we have received from our class members during lockdown.

“Just a word of thanks for your continuing efforts to support us through these difficult times. Its really good to know that you guys are there! Heartbeat has made a massive positive contribution to my wellbeing. My family and I are very grateful. I have been doing most of the provided exercises shown on YouTube and will continue to do so until normality is restored”.

“Thanks for the videos they are great. Missing the gym so much. I am so grateful for the efforts that you are all putting in for us. Stay safe and I look forward to seeing all my Heartbeat friends again as soon as we are allowed to meet up”.

“Well done to all at the Heartbeat team, you really add do an amazing job. I would personally like to thank you, my husband has been coming to Heartbeat for a number of years, and to know there are truly dedicated people there looking out for him and others is wonderful. I know he absolutely loves coming to the gym. Thank you again”.

“Just a quick note to let you know how much I am enjoying the home exercise videos I am doing some each day.

Just to say thank you for encouraging me to do something that I would never have done without the incentive you gave me, YAHOO!! I completed the 100k in May by walking and it felt so good.

Thanks for the latest exercise routine and for all your continuing encouragement.

Thank you all so much for all you are doing for the Heartbeat family.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Achievements and Performance

During 2020 Heartbeat Northwest Cardiac Care followed government guidance and had to close their doors. This has not stopped us providing support to our class members with our newly developed Heartbeat at Home Programme.

We are thankful to all the companies we applied to for funding as these grants supported our programme that provided exercise, regular contact, wellbeing guidance and nutrition support to all our class members to access from home.

Sadly the number of class members taking part in our programmes has decreased during the period from 980 to 916 per week. We have had to cease many of our programmes especially training and education.

Summary of Performance

Referrals

In 2020 we saw a huge decrease in referrals overall from 688 last year to 303 this year. But on a positive note to this we now have over 100 people waiting to access our services when it is safe to do so. In preparation of this we have reviewed all our testing protocols.

Training and Education

This has been a very difficult year for training and education. We were planning to expand and deliver more in schools, but we have not been able to work in schools and provide any training. Our training sessions have also had to be restricted as they are very practical workshops.

7 educational sessions were delivered to:

First aid sessions were delivered across the North West:

Services

The number of class members on our programme in December 2020 was 916, which is a drop of 64 in comparison to 2019. This is due to a lack of referrals throughout the year. We know that these figures will increase again, and we understand that some of the people who have left us due to ill health, some are scared to come back and others have found their confidence to return to training on their own.

Volunteers

In 2020 our volunteers completed 8 store collections and although we had a full year of collections planned we could not continue with this area of fundraising. In the future we think that this will be a very competitive area of fundraising as many Charities are applying to stores to complete this type of fundraising.

In 2014 Heartbeat established the Members’ Advisory Group (MAG) recruiting class members to form a group with regular meetings to capture feedback from those accessing Heartbeat services. The group is now fully formed, but throughout 2020 only managed to meet once due to COVID-19 restrictions.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Lottery income

The ‘Heartbeat Lottery’ consists of both Heartbeat and beneficiary playing members. Beneficiary players are from other charities and fundraising groups. All playing members are part of the same prize pool. A fixed management fee is agreed with beneficiaries. The ‘Heartbeat Lottery’ currently includes the following beneficiaries:

Lottery income from Heartbeat playing members fell by £43,830 (11.33%) compared to £14,142 (4.17%) in the previous year. Lottery income from beneficiary playing members fell by £11,950 (12.25%) compared to £2,367 (1.47%) in the previous year.

Donations and Legacies

Income from donations and legacies has increased from £144,188 to £395,721. The increase is due to government grants in the form of furlough claims totalling £141,565. Legacy income reduced from £23,657 to £1,588.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Attendance at Heartbeat Cardiac Rehabilitation Classes

----- Start of picture text -----
2020 2019 2018
Preston Central UClan 18 19 22
Preston North End 540 594 618
Blackpool 15 21 21
Burscough 22 23 21
Ribby Hall 40 41 46
Chorley 211 198 189
Leyland 40 46 38
Penwortham 18 19 18
Total attendance year 904 961 973
----- End of picture text -----

This represents the total number of people accessing Heartbeat Northwest Cardiac Care rehabilitation and prevention programme. The figure attending is much lower than last year, due to the amount of people who have left the programme during 2020 and we have not been adding any new class members to our programme since March 2020. The figures at year end for attendance may drop again in 2021.This year we have kept in touch with all our class members, many of whom do want to return to the programme when it is safe to do so. During our closures we have been extremely lucky that our class members have continued to support us with monthly donations. The numbers at Clayton Green have continued to increase this year but since November we have begun to see a drop in people wanting to return.

Number Referred to Heartbeat Services

2020 2019 2018
Total number of new referrals
to 9 month programme		 246 387 375
Total number referred for
medical testing		 57 301 259
Total number referred to all
services		 303 688 634

Our numbers of referrals have dramatically reduced in 2020 as we have been closed for 8 months of the year. Once we do get to reopen we have a waiting list of over 100 people ready to be tested.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

High risk patients

GPs are now assessing patients for their risk of developing coronary heart disease during the next ten years. Patients assessed include those with high blood pressure, those with diabetes and those with other risk factors such as obesity or history of smoking. The National Framework for coronary heart disease advises intensive treatment for patients found to be at high risk. Many of these patients will have occult coronary artery disease, which will only be shown by testing. The charity is therefore continuing to offer these groups of patients an exercise test in the hope that this will pick up any patient with significant risk of coronary heart disease with a view to intervention before they have a coronary event. Heartbeat Northwest Cardiac Care also offers exercise programmes to this group of patients. During 2020 we offered an exercise treadmill test at a reduced price which is shown in 3 year retests in 2018, 2019 and 2020.

The following tests were carried out in 2020:

----- Start of picture text -----
2020 2019 2018
Initial exercise treadmill tests 90 313 318
9 month retests 44 185 124
Post 9 month restarts 0 5 1
3 year retests 4 2 52
High risk testing 0 6 9
Total for the year 138 511 504
----- End of picture text -----

Heartbeat Northwest Cardiac Care offers private testing for those who, as a term or condition of employment, may have to have an annual health check. In addition we offer health screening and testing for those who self-monitor their own health. The following private tests were carried out in 2020:

2020 2019 2018
Total Private ECG stress test 2 12 13

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

24 Hour ECG and Blood Pressure Testing

In 2020 Heartbeat Northwest Cardiac Care carried out 24 hour ECG monitoring and 24 hour blood pressure monitoring for General Practitioners in the Preston area. These tests require a Cardiac Physiologist perform the investigations and interpret the results. The charity also provides cardiac event recorders which offer a longer term monitoring for people affected by cardiac arrhythmias. This service is currently provided free of charge to GPs. As you can see from the figures below these have significantly dropped in 2020

----- Start of picture text -----
2020 2019 2018
24 hour ECG 17 157 153
24 hour Blood pressure 30 77 48
Resting ECG 10 64 56
Cardiac event monitors 0 3 2
Total annual other tests 57 301 259
TOTAL MEDICAL TESTS
2020 2019 2018
Total medical tests 197 824 776
----- End of picture text -----

As noted in the figures Heartbeat have not been providing testing since March 2020 but the clinical team have produced protocols for our testing when it is safe and we are able to return.

Education & Training Department

By the end of 2019 the Training and Education department had seen such growth and potential that it was decided to recruit another member for the team a 'Healthy Lifestyles Engagement Officer' who's focus would be on the Schools education provision and delivering sessions for both Primary and Secondary schools. They would also be tasked with developing a holiday club and after school club, providing activities with a focus on heart health. Recruitment went well and Kieran Turner an ex-employee of ABL was recruited immediately Kieran got to grips with the current provision and together the team started to work on a scheme of work and lesson plans for secondary schools and then COVID-19 closed us down, unfortunately this put a complete halt to our development and eventually and unfortunately, we would have to let Kieran go.

Schools Education

Heartbeat’s personal, social, health and economic (PSHE) workshops are designed to support primary schools when teaching pupils about their body and healthy living. Many of the schools Heartbeat visit choose us because they are running a Healthy Schools/Science/Health/Safety Week and are looking for activities and resources to support this week. Our PSHE workshops fit perfectly as our activities and resources help schools to teach the healthy living elements of the Science and PE curriculum with cross-curricula links to the PSHE framework.

Heartbeat offers five core workshops detailed below, each session can be tailored to support the current PSHE curriculum focus and can be adjusted to fit specifically to the school day timetable.

Workshops are stimulating and engaging with the key messages about making good decisions and being able to act on them.

KNOWLEDGE (+ SKILLS + ATTRIBUTES) = POWER!

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

----- Start of picture text -----
Workshop numbers 2020 2019 2018 2017 2016 2015 2014 2013
What's under my skin? 3 5 12 14 10 10 10 27
This educational and interactive workshop will
explore ‘What’s under our skin?’ with specific focus
on the heart as well as an overview of the skeletal,
muscular and digestive systems.
(30 minutes)
Healthy hearts 2 4 30 20 54 20 90 80
This workshop explores the cardiovascular system,
giving children an understanding of its components
with a specific focus on understanding how to keep
their heart healthy.
Cardiovascular disease is discussed along with its
risk factors with a focus on making ‘healthy choices’.
(45-60 minutes)
From farm to fork 0 4 19 6 19 11 10 9
This session will explore the digestive system and its
components, children will learn about the journey of
a cheese sandwich. Sources of food will be explored,
and children will look to identify the sources of some
of their favourite food items. Children will be
introduced to the eat well guide and learn about the
different food groups.
(Up to 60 minutes)
What's in my drink - sugar workshop 0 4 19 7 12 20 10 10
This workshop takes the form of a discussion and
activities that demonstrate getting to grips with the
ingredients within some of the most popular drinks.
Children will calculate various nutritional values of the
drinks and have an opportunity to weigh out the
amount of sugars within some drinks.
(Up to 60 minutes)
Mini medics 2 20 9 13 21 10 7 0
This workshop focuses on emergency life support
(ELS) skills that can help to keep someone alive until
professional help arrives. Pupils will learn when and
how to act in a life-threatening emergency. The
workshop allows maximum time for practice and
hands-on learning using resuscitation training
mannequins.
(60-120 minutes)
Presentations delivered 7 37 89 60 116 71 127 126
----- End of picture text -----

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Schools Education testimonials

“Our pupils very much enjoyed the experience, and it was fantastic to see them engaged and learning something new. The whole day was an overwhelming success”.

Emma Birks, Preston Muslim Girls High School

“Year 5 enjoyed a visit from Heartbeat, where we learnt about the heart and how to keep it healthy. We looked at the model of a heart, what fat looks like inside our bodies, what blocked arteries might look like if we chose to have an unhealthy diet and we also weighed out portions of cereals and worked out the sugar content in our bowls. All this is helping in our science topic: Keeping Healthy”.

Claire Panther, Medlar with Wesham Primary School

Schools attended, and workshops presented annual breakdown

----- Start of picture text -----
2020 2019 2018 2017
Secondary schools 0 0 0 0
Primary schools 2 16 17 14
Total number of schools 2 16 17 14
Presentations delivered 7 37 89 60
Number of children 300 1,298 2,394 1,701
Income from schools £500 £2,300 £2,994 £1,824
----- End of picture text -----

Community Education

Cardiovascular disease (CVD) includes coronary heart disease, stroke, peripheral vascular disease and other diseases of the cardiovascular system. It is the main cause of reduced life expectancy of residents in the most deprived areas across Lancashire. The estimated prevalence of cardiovascular disease in Lancashire for people aged 16+ is slightly higher than the North-West average (12.35% vs 12.27%) (Office of National Statistics, 2014).

Heartbeat is dedicated to raising awareness of this largely preventable disease and offers community groups the opportunity to have a Heartbeat speaker visit to deliver talks to their group regarding CVD prevention.

Community Education annual breakdown

2020 2019 2018 2017
Sessions held at Heartbeat 0 0 0 6
Community workshops 1 17 31 30
Number of adults 25 1,024 921 355
Income from community groups £0 £280 £30 £50

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

First Aid Training

In 2014 Heartbeat launched its first aid training and assessing service delivering OFQUAL approved First Aid courses, to include; Emergency First Aid at Work (1 day course), First Aid for Mental Health (1 day course), Basic community ‘Heartstart’ sessions and more advanced clinical first aid training delivered to clinical staff, both GPs and dentists.

The programme of training Heartbeat NWCC is now offering is listed below:

----- Start of picture text -----
OFQUAL certified courses Other
----- End of picture text -----
First Aid for Mental Health – Level 2- What is First
Aid for Mental Health? Identifying mental health
conditions;
Providing
advice
and
starting
a
conversation; Drugs and alcohol; First Aid for Mental
Health action plan; First Aid for Mental Health in the
workplace
Emergency First Aid at Work (EFAW) – Level 2-
This comprehensive course covers a wide range of
first aid emergencies, enabling all participants to deal
with emergency situations with confidence in a prompt,
safe and effective way		 Clinical first aid- These are annual (medical) and
three yearly (non-medical) courses which all dental
practices and GP surgeries must undertake to fulfil
their Quality and Outcomes Framework (QOF)
points.
Heartstart (Community First Aid) - These two hour
basic first aid courses have been run internally and
offered to smaller charity's and groups throughout
Lancashire.
Mini-medics (Ages 8-16) -See schools

First aid training 2020 highlights

COVID 19 completely changed the way face to face first aid training would need to be delivered, gone were the days of delivering session to 30+ members of staff in one session, the new guidelines were strict, and we needed to change how we delivered face to face training to allow businesses to train their staff. In order to be open businesses had to have certified first aid qualified staff onsite and GPs and dentists had to keep their annual certificates up to date although the HSE extended the renewal period for most qualifications, there was still a duty of care that needed to be addressed.

Before designing the course and providing the options a focus group was formed including our Clinical Director, Dr Stewart Jones and 3 other practice managers for their feedback on the new format, all agreed that the format was more suitable as it meant only having to free GP's and admin staff up for 20 minutes rather than 90 minutes, along with the benefit of doing the theory in their own time.

To try to provide a solution the following options were presented to anyone looking for any first aid training:

Option 1 – Face to face training but with a limit of 6 people with strict COVID-19 guidelines in place.

Option 2 – Online only course, all learning was presented electronically through a host website www.osgolearn.co.uk, each member of staff would receive their own personal log in details and password. Videos, demonstrations, quizzes and up to date first aid information was presented in a format which allowed individuals to work through in their own time and a completion certificate could be printed at the end of the course. This certificate would then be used as part of their CPD training as many of the CCG's allowed online learning during the pandemic.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

The course is split into 5 sections:

Option 3 - Blended learning course - utilised option 2 for the theory (see above) but with the option of small group practical workshops to allow learners to put theory into practice. Maximum or 4 people in a session, 20-minute slots with strict COVID-19 guidelines in place. Staff were asked to demonstrate the following:

Option 4 - For anyone who had received theory elsewhere but still wanted a practical session (as above).

Uptake has been good and the clinical first aid training has continued in its new format throughout 2020.

First aid training aannual breakdown

----- Start of picture text -----
2020 2019 2018 2017
First aid for schools 0 0 1 11
First aid for community (Heartstart) 3 23 10 6
First aid for medical professionals:
Face to face 10 70 52 48
Online 2 0 0 0
Blended learning 3 0 0 0
Practical only 2 0 0 0
First aid for industry 4 7 13 11
Income from training £4,630 £14,255 £13,494 £8,442
----- End of picture text -----

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Community Access Defibrillators (cPAD) and AED static units

Here in the UK 700,000 people suffer a sudden cardiac arrest every single year (That is the same amount of people that would fill Old Trafford Football stadium 9 times over!)

Out of hospital cardiac arrest (OHCA) is the biggest killer in the country. Most happen outside of a hospital environment and can happen anywhere in everyday life, at work, at school, at the train station, in the shop or on the street. When a cardiac arrest happens, every minute is vital.

Defibrillator annual breakdown

Although Heartbeat NWCC buy these units on the behalf of the organisation, they are not our property or responsibility, but we do include a fee to every unit/housing unit we purchase.

2020 2019 2018
AED static units 3 17 12
Community Access Defibrillators (cPAD) 0 2 5
Income £2,866 £2,976 £1,990

Education and Training development

2020 has been a year where we have had to adapt the way we deliver training and education, and no doubt will need to continue to do so. We have been able to provide a solution for first aid training by moving this online and in the future, it may be that this will continue, the feedback from those who are accessing it is positive.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Heartbeat’s Heroes

We want to thank all our class members for taking part and fundraising for us however they did that

We were even immortalised on the Preston Monopoly Board

When we were ready to return the dedicated Heartbeat team pulled together and Eddie was our first class member through the doors

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

The winner of our poetry competition wrote this wonderful poem.

AN ODE TO HEARTBEAT

Well, what a shock as I came round “What happened? “ I asked to those around You dropped like a stone – out like a light. Had you not quite been feeling right?

Well, I’m often tired, light in the head. “We need an ambulance” the doctor said. So, in Preston they fitted a magic pacemaker. ICU did not need their resuscitator.

I feel really great and ready to go “Can I now get back to life’s ebb and flow?” No, a new heart valve is now required. It will also stop me feeling tired.

So within eight weeks with new valve in place I increased my daily walking pace. Now 2 years gone by, HEARTBEAT’S the rule. It’s much more fun than gym at school.

I feel so good when taking part. The moral is to love your heart. With a healthy diet and exercise You will live much longer with LIFE the prize!!!!

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Financial Review

The Statement of Financial Activities for the year is included on page 33.

  1. Income for the year was £1,067,182 (2019: £962,504).

Income from donations and legacies has increased from £144,188 to £395,721. The increase in donations is from government grants in the form of furlough claims. The charity made 9 claims in the year, resulting in income of £141,565.

The charity received restricted grants totalling £123,035 (2019: £5,041). A summary of the restricted grants can be found within note 18.

Income from charitable activities has reduced from £304,029 to £223,684. The income from testing, education and training has reduced due to government COVID-19 restrictions. Further information on classes is as follows:

The charity request people attending the cardiac rehabilitation and prevention programme to donate a ‘contribution’ to the running costs of these sessions. These regular ‘contributions’ of £178,667 allow the charity to provide cardiac rehabilitation sessions every week across the region and are invaluable to the charity. Many of our class members have very kindly continued to donate to the programme during Heartbeat’s lockdown and this money will help to will ensure our return as soon as we are able.

The charity also undertakes fundraising events to support its activities such as raffles and collections, etc. There are also various fundraising activities undertaken by benevolent individuals. Heartbeat Northwest Cardiac Care does not have a direct input into such activities but ultimately benefits from the surplus generated. The trustees have recently reviewed the fundraising and consider that it is efficient and effective.

Income from other trading activities comes mainly from the lottery (£428,343). The lottery income has decreased from £484,123 to £428,343. This income continues to provide vital funds for the charity.

  1. Expenditure in the year was £896,894 (2019: £1,002,223) resulting in a surplus of £170,288 (2019: deficit of £39,719).

  2. The total net assets of the charity are £655,887 (2019: £485,599). This is made up of designated funds of £380,784 (2019: 408,800) and restricted funds of £26,091 (2019: Nil) leaving free reserves of £249,012 (2019: £76,799). Designated funds represent the property assets fund, being monies already spent on the fixed assets of the charity.

Investment Policy

In accordance with its power of investment, the trustees have agreed that any funds held in excess of that which is required for immediate running purposes are transferred into interest earning investment accounts.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Risk Management

The trustees continually review, in detail, the risks to which the charity may be exposed. The trustees see this as an on-going commitment in order to continually establish systems to mitigate those risks. A risk register has been developed which is reviewed at least annually.

The principal risk faced by Heartbeat Northwest Cardiac Care is the charities ability to raise sufficient funds annually to deliver the charitable objects whilst sustaining financial viability for the charity’s future. The trustees regularly consider variability of fundraising methods and have a structured monitoring programme. Trustees meet a minimum of twice per year in between which a budget and remuneration committee meet to monitor all things financial and report to the trustee board. The charity produces a risk register annually as part of statutory accounts procedures and this register is reviewed and updated on an annual basis. Fundraising is split into a variety of activities tried and tested since 1978. Each year they are reviewed and updated to meet the ever-changing economic climate and fundraising environment nationally, regionally, and locally.

Historically the charity has relied heavily on one activity, a lottery, run by the charity. However, in the last five years, by resourcing and applying extra focus on other fundraising areas, this reliance has reduced and forms part of a longer-term strategic plan to continue to grow other areas.

Reserves Policy

Having a reserves policy helps form the way in which Heartbeat Northwest Cardiac Care manages its cash, liquid assets, and debt. It also assists with planning and communicating the charity’s approach to interested parties. This policy contributes significantly to the trustee’s ability to balance the needs of current and future beneficiaries, ensure the charity is well managed and that the trustees manage the level of reserves carefully for the benefit of Heartbeat Northwest Cardiac Care.

The pro-active management of the charity reserves, through planned management reporting systems, ensures that the level of reserves are not too high or low for the needs of the charity.

Our policy is to maintain reserves at a level equivalent to 26 weeks of annual operating expenditure, which currently equates to £448,447. At the end of this year, as shown in note 18 to the accounts, the charity has free reserves of £249,012 which whilst not sizeable illustrates the extent of the investment in our new bespoke cardiac centre which should allow Heartbeat Northwest Cardiac Care to raise its profile; increase the number of participants using the facilities; create new income generation possibilities and strengthen relationships with key partners. The trustees consider that given the strength of the charity’s balance sheet, the stable cash flows from the lottery and rehabilitation classes, the current level of free reserves are sufficient and the target is now to build them so that they are, once again, at least equivalent to 26 weeks of annual operating expenditure.

The trustees recognise that the level of reserves fluctuates during periods of investment and arrangements are in place with our bankers to provide an adequate ‘safety net’ should it be required.

The trustees have delegated financial monitoring to a budget and remuneration committee which has an active involvement in reviewing and monitoring the financial activities of the organisation. The budget and remuneration committee reports to the trustees on a six monthly basis regarding the amount of reserves required to ensure that they are adequate to fulfil the charity’s continuing obligations.

29

HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Plans for the future

Heartbeat Northwest Cardiac Care is committed to the fight to reduce cardiovascular disease. We will continue to work with our key partners, supporters, and class members to deliver the right services to achieve this objective. In the next 12 months, the trustees anticipate Heartbeat will;

30

HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Chief Executive Officer Summary

2020 has been a most unusual year for the Charity and I am sure that I am not the only Chief Executive Officer starting a year-end report with these words. The year started on a very positive note with a very kind legacy donation of £70,000 and continued having 2 full months of working, class provision and development of our services with the Peripheral Arterial Disease and Pulmonary Rehabilitation teams across Central Lancashire. We were also hoping to expand our school’s services by adding a new team member.

On March 16[th] Heartbeat closed its doors to class members to comply with the Government’s guidance on curbing the impact of the COVID 19 Pandemic. This left the staff team cleaning and tidying the building and making telephone calls from the offices. Regretfully, on the 23[rd ] March we had to close the building and move our services online. 15 team members were furloughed and the 6 members of staff that continued to work were given the following brief:

With this in mind, the ‘Heartbeat at Home programme’ was established. The programme allowed class members to:-

Our team made regular telephone calls and sent emails to check members were keeping well and safe. Members without internet access were contacted via telephone and sent relevant information and DVD’s by post.

In addition to our normal exercise regime 3 new programmes were established:-

  1. Stress management

  2. Nutrition support

  3. Top tips to support class members with essential advice necessary to maintain a healthy heart.

Thankfully, in September Heartbeat were able to reopen its doors although, due to COVID restrictions, members could only attend one class per week.

We were delighted to welcome our class members back into Heartbeat’s Preston North End facility and open most of our external sites. This came with some difficulties: -

In October all testing, wellbeing and training and education staff members were re-furloughed. Regretfully, we had to make the difficult decision to make one of our new team members redundant.

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

We continued to provide 1 class per week and managed to reopen more of our external classes while bringing some to Heartbeat’s Preston North End facility, leaving only classes in Blackpool to restart. The Heartbeat Management Team liaised with the Blackpool Sports Centre and they eventually agreed to allow classes to recommence. Unfortunately, the Friday before they were due to restart the UK went into another lockdown and gyms and leisure centres were once again forced to close.

The second lockdown in November meant a return to home working. In December a change in Government guidance meant that we could not reopen. We returned to our ‘Heartbeat at Home programme’ and added classes via Zoom to all those who liked the contact with our instructors.

There have been many financial implications to our closure, rent, maintenance, insurance and utilities still having to be paid. Our class members have continued to be very supportive and we cannot thank them enough for their donations during this time. Our Head of Fundraising, Michelle Hunt, successfully applied to many grant providers to resource the ‘Heartbeat at Home programme’

Heartbeat have been immortalised on the Preston Monopoly Board Game which really lifted our spirits. It was a fitting tribute to Keith and Rose Redman who founded Heartbeat in 1978 after their teenage daughter, Gillian, died of heart disease in December 1977, aged just 16.

The Heartbeat team have come into their own in 2020 and we owe a debt of gratitude to the tireless team of 6 for keeping motivated throughout this turbulent COVID19 pandemic. Heartbeat’s Senior Management Team are also very mindful of the staff who have been furloughed which has enabled us to claim money from the Government’s Job Retention Scheme.

Life has been difficult for us all this last year but what has kept us going and striving to be better is our Heartbeat family. I feel that this report would not be compete without mentioning those Heartbeat members who died during the COVID19 pandemic; they will always be in our thoughts and hearts.

So, Heartbeat moves into the New Year with a very positive attitude that we are here to stay, to provide our classes and support as soon as we can, to the many people in the North West who need our services.

Together we are Heartbeat.

Louise Bache

Chief Executive Officer

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HEARTBEAT NORTHWEST CARDIAC CARE REPORT OF THE TRUSTEES FOR THE YEAR ENDED 31st DECEMBER 2020

Statement of Trustees’ responsibilities in relation to the financial statements

The charity trustees (who are also the directors of the Heartbeat Northwest Cardiac Care for the purposes of company law) are responsible for preparing a trustees’ annual report and financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

Company law requires the trustees to prepare accounts for each financial year which give a true and fair view of the state of affairs of the charitable company and of the incoming resources and application of resources, including the income and expenditure, of the charitable company for that year:

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 for 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.

In accordance with company law, in so far as the trustees are aware:

Auditor

A resolution will be proposed at the Annual General Meeting that Azets Audit Services be re-appointed as auditor to the charity for the ensuing year.

Approved and signed on behalf of the board of trustees:

Joe Mallabone (Treasurer) Date: 6 April 2021 Jackie Wilding (Chair) Date: 6 April 2021

33

HEARTBEAT NORTHWEST CARDIAC CARE INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF HEARTBEAT NORTHWEST CARDIAC CARE FOR THE YEAR ENDED 31st DECEMBER 2020

Opinion

We have audited the accounts of Heartbeat Northwest Cardiac Care (the ‘charity’) for the year ended 31 December 2020 which comprise the Statement of Financial Activities, the Balance Sheet, the Statement of Cash Flows and the notes to the accounts, 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 Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In our opinion, the accounts:

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs(UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the accounts section of our report. We are independent of the charity in accordance with the ethical requirements that are relevant to our audit of the accounts 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 use of the going concern basis of accounting in the preparation of the accounts 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 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.

34

HEARTBEAT NORTHWEST CARDIAC CARE INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF HEARTBEAT NORTHWEST CARDIAC CARE FOR THE YEAR ENDED 31st DECEMBER 2020

Other information

The other information comprises the information included in the annual report, other than the accounts and our auditor’s report thereon. The trustees are responsible for the other information. Our opinion on the accounts 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 accounts, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the accounts or our knowledge obtained in 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 accounts 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 our audit:

Matters on which we are required to report by exception

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

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

35

HEARTBEAT NORTHWEST CARDIAC CARE INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF HEARTBEAT NORTHWEST CARDIAC CARE FOR THE YEAR ENDED 31st DECEMBER 2020

Responsibilities of Trustees

As explained more fully in the Statement of Trustees’ Responsibilities, the trustees, who are also directors of the charity for the purpose of company law, are responsible for the preparation of the accounts and for being satisfied that they give a true and fair view, and for such internal control as the directors determine is necessary to enable the preparation of accounts that are free from material misstatement, whether due to fraud or error.

In preparing the accounts, the trustees are responsible for assessing the charity’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 company or 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 accounts 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 these accounts.

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

Extent to which the audit was considered capable of detecting irregularities, including fraud

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above and on the Financial Reporting Council’s website, to detect material misstatements in respect of irregularities, including fraud.

We obtain and update our understanding of the entity, its activities, its control environment, and likely future developments, including in relation to the legal and regulatory framework applicable and how the entity is complying with that framework. Based on this understanding, we identify and assess the risks of material misstatement of the financial statements, whether due to fraud or error, design and perform audit procedures responsive to those risks, and obtain audit evidence that is sufficient and appropriate to provide a basis for our opinion. This includes consideration of the risk of acts by the entity that were contrary to applicable laws and regulations, including fraud.

In response to the risk of irregularities and non-compliance with laws and regulations, including fraud, we designed procedures which included:

36

HEARTBEAT NORTHWEST CARDIAC CARE INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF HEARTBEAT NORTHWEST CARDIAC CARE FOR THE YEAR ENDED 31st DECEMBER 2020

Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of noncompliance. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control.

Use of our report

This report is made solely to the charitable company’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 charitable company’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 charitable company and the charitable company’s members as a body, for our audit work, for this report, or for the opinions we have formed.

Azets Audit Services

Julie Flintoff BA (Hons) FCA (Senior Statutory Auditor) Azets Audit Services Statutory Auditor PRESTON

Date: 8 April 2021

Azets Audit Services is eligible to act as an auditor in terms of section 1212 of the Companies Act 2006

37

HEARTBEAT NORTHWEST CARDIAC CARE STATEMENT OF FINANCIAL ACTIVITIES (INCLUDING INCOME AND EXPENDITURE ACCOUNT) FOR THE YEAR ENDED 31st DECEMBER 2020

Unrestricted Restricted Total Total
Funds Funds Funds Funds
Note 2020 2020 2020 2019
Income from: £ £ £ £
Donations and legacies 2 272,686 123,035 395,721 144,188
Charitable activities 3 223,684 - 223,684 304,029
Other trading activities 4 447,713 - 447,713 514,042
Investment income 5 64 - 64 245
- - - -
Total income 944,147 123,035 1,067,182 962,504
- - - -
Expenditure on:
Raising funds 6 87,207 22,651 109,858 152,576
Charitable activities 7 407,381 47,626 455,007 458,952
Other – Lottery costs 8 307,087 24,942 332,029 390,695
- - - -
Total expenditure 801,675 95,219 896,894 1,002,223
- - - -
Net income/(expenditure) and net 142,472 27,816 170,288 (39,719)
movement in funds for the year
Transfers between funds 1,725 (1,725) - -
Net movement in funds 144,197 26,091 170,288 (39,719)
Reconciliation of funds:
Total funds brought forward 485,599 - 485,599 525,318
- - - -
Total funds carried forward 629,796 26,091 655,887 485,599
══════ ══════ ══════ ══════

The statement of financial activities includes all gains and losses recognised in the year.

All income and expenditure derive from continuing activities.

The statement of financial activities also complies with the requirement for an income and expenditure account with the Companies Act 2006.

The notes on pages 41 to 55 form part of these accounts.

38

HEARTBEAT NORTHWEST CARDIAC CARE BALANCE SHEET AS AT 31st DECEMBER 2020

Note 2020 2019
£ £ £ £
Fixed Assets
Tangible assets 13 380,784 408,800
Current Assets
Stock - -
Debtors 14 18,905 31,331
Cash at bank and in hand 330,082 142,296
- -
Total Current Assets 348,987 173,627
Creditors:Amounts falling due within
one year 15 (73,884) (96,828)
- -
Net Current Assets 275,103 76,799
- -
Total assets less current liabilities 655,887 485,599
══════ ══════
The funds of the charity
Unrestricted income funds:
Designated funds 18 380,784 408,800
General unrestricted funds 18 249,012 76,799
Restricted funds 19 26,091 -
- -
655,887 485,599
══════ ══════

Approved by the Board of Trustees and signed on its behalf by:

Joe Mallabone (Treasurer) Jackie Wilding (Chair) Date: 6 April 2021 Date: 6 April 2021

The notes on pages 41 to 55 form part of these accounts.

39

HEARTBEAT NORTHWEST CARDIAC CARE STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31st DECEMBER 2020

Reconciliation of net movement in funds to net cash flow from operating activities

2020 2019
£ £
Net movement in funds – Page 37 170,288 (39,719)
Add back depreciation charge 32,550 32,101
(Increase)/decrease in stock - -
Decrease/(increase) in debtors 12,426 (18,825)
(Decrease)/increase in creditors (22,944) 8,645
Deduct interest income (64) (245)
- -
Net cash provided by operating activities 192,256 (18,043)
══════ ══════
Statement of cash flows
2020 2019
£ £
Net cash provided by operating activities 192,256 (18,043)
Cash flows from investing activities
Interest 64 245
Purchase of fixed assets (4,534) (5,041)
- -
Net cash (used in) / provided by investing activities (4,469) (4,796)
 
Change in cash and cash equivalents in the year 187,786 (22,839)
Cash and cash equivalents at the beginning of the year 142,296 165,135
- -
Cash and cash equivalents at the end of the year 330,082 142,296
══════ ══════

40

HEARTBEAT NORTHWEST CARDIAC CARE NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31st DECEMBER 2020

1. ACCOUNTING POLICIES

Company information

Heartbeat Northwest Cardiac Care is a private company limited by guarantee incorporated in England and Wales. The registered office is Sir Tom Finney Way, Preston, Lancashire, PR1 6PA.

Basis of Preparation

The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities presenting their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS102) and the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS102) (effective 1 January 2019) and the Companies Act 2006.

Heartbeat Northwest Cardiac Care meets the definition of a public entity under FRS102.

The accounts are prepared in sterling, which is the functional currency of the charity. Monetary amounts in these financial statements are rounded to the nearest £.

The accounts have been prepared in accordance with the historical cost convention. The principal accounting policies adopted, judgements and key sources of estimation uncertainty in the preparation of the financial statements are as follows.

Going Concern

At the time of approving the accounts, the trustees have a reasonable expectation that the Charity 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 accounts.

Charitable Funds

General unrestricted funds comprise accumulated surpluses and deficits on general funds which are available for use at the discretion of the trustees in furtherance of the general objectives of the charity.

Designated funds are unrestricted funds of the charity which have been set aside to reflect the value of funds represented by the tangible fixed assets of the charity.

Restricted funds are subject to restrictions on their expenditure imposed by the donor. Expenditure which meets these criteria is charged to the fund.

41

HEARTBEAT NORTHWEST CARDIAC CARE NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31st DECEMBER 2020

Income

All income is recognised once the charity has entitlement to the income, it is probable that the income will be received and the amount of income receivable can be measured reliably.

Gifts and donations received for the general purposes of the charity are included in unrestricted funds when received. Where these comprise of donated fixed assets, they are included at market value where this is readily ascertainable. Gift Aid is recorded on a receivable basis.

Legacies are recorded on a receivable basis, where the value of the legacy is measurable and all conditions associated with receipt of the legacy have been fulfilled.

Lottery income is received for Heartbeat and beneficiaries. Lottery income is recorded on a receivable basis. Income received in advance for future draws is deferred until the corresponding draw has occurred, at which time the income will be recognised in the SOFA.

Event income comprises income raised from various fundraising events, the sale of donated and bought in goods and sponsorships during the year, which is recorded on a receipts basis.

Income from charitable activities comprises contributions from patients towards the costs of medical testing and the rehabilitation programme, which is recorded on a receipts basis.

Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the charity, this is normally upon notification of the interest paid or payable by the bank.

Grant income is recognised when there is evidence of entitlement to the gift, receipt is probable and its amount can be measured reliably.

Expenditure

Expenditure is recognised once there is a legal or constructive obligation committing the charity to that expenditure, it is probable that settlement will be required and the amount of the obligation can be measured reliably.

All expenditure is accounted for on an accruals basis inclusive of VAT which cannot be recovered. All expenses, including support costs and governance costs, are allocated or apportioned to the applicable expenditure headings in the statement of financial activities based on income directly associated to the activity, undertaken on a pro rata basis.

The costs of raising funds comprise the direct costs associated with attracting donations, legacies, grants and fundraising and their share of support costs and governance costs.

Expenditure on charitable activities includes those costs incurred by the charity in the delivery of its activities and services for its beneficiaries and their share of support costs and governance costs.

Other costs comprise the lottery prizes, beneficiary management fees and their share of support costs and governance costs. Beneficiary management fees are an agreed share of the beneficiary lottery income.

Irrecoverable VAT

The charity is not registered for Value Added Tax and accordingly income and expenditure includes the irrecoverable Value Added Tax element where applicable.

42

HEARTBEAT NORTHWEST CARDIAC CARE NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31st DECEMBER 2020

Allocation of Support and Governance Costs

Support costs and governance costs are those functions that assist the work of the charity but do not directly carry out charitable activities. These costs have been allocated on a pro rata basis between the expenditure headings on the statement of financial activities, based on income received directly associated to the activity undertaken.

Support costs are defined as shown in note 9

Governance costs are defined as shown in note 10

Tangible Fixed Assets and Depreciation

Tangible fixed assets are stated at cost less depreciation. All assets costing more than £500 are capitalised. Depreciation is provided at rates calculated to write off the cost of fixed assets, less their estimated residual value, over their expected useful lives on the following basis:

Preston North End – Buildings Over the term of the lease Over the term of the lease
Preston North End – Integral fixtures 10% straight line
Computer equipment 25% straight line
Medical equipment 10% straight line
Office equipment 10% straight line
Sports equipment 17% straight line

Stocks

Stocks are valued at the lower of cost or net realisable value.

Cash and cash equivalents

Cash and cash equivalents include cash in hand, deposits held at call with banks and bank overdrafts. Overdrafts are shown within borrowings in current liabilities.

Financial Instruments

The charity only has financial assets (debtors, cash and bank balances) and financial liabilities (creditors and accruals) of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value.

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 recognised at their settlement amount after allowing for any trade discounts due.

Operating Lease Agreements

Rentals applicable to operating leases where substantially all of the benefits and risks of ownership remains with the lessor are charged as an expense in the SOFA on a straight line basis over the period of the lease.

Taxation

The company is a registered charity and as such is entitled to tax exemptions on all its income and gains, properly applied for charitable purposes.

43

HEARTBEAT NORTHWEST CARDIAC CARE NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31st DECEMBER 2020

Pensions

The charity operates a defined contribution pension scheme using a Group Personal Pension Plan, and the pension charge represents the amounts payable by the charity to the fund in respect of the year.

Legal Status

The Trust is a company limited by guarantee and has no share capital. In the event of the charity being wound up, the liability in respect of the guarantee is limited to £1 per member of the charity.

2. Income from donations and legacies

3.

Income from donations and legacies
2020 2019
Total Total
£ £
Unrestricted:
Donations 116,673 109,456
Legacies 1,588 23,657
Gift Aid 12,860 6,034
Government Grants 141,565 -
- -
272,686 139,147
Restricted:
Grants 123,035 5,041
- -
395,721 144,188
══════ ══════
Income from charitable activities
2020 2019
Total Total
£ £
Voluntary contributions from rehabilitation classes 178,667 201,349
NHS/Service users contributions to the cost of testing 11,170 30,783
Education and training 8,757 35,871
Gift Aid 25,090 36,026
- -
223,684 304,029
══════ ══════

All income from charitable activities relates to unrestricted funds in both 2020 and 2019.

44

HEARTBEAT NORTHWEST CARDIAC CARE NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31st DECEMBER 2020

4. Income from other trading activities

come from other trading activities
2020 2019
Total Total
£ £
Fundraising events 1,091 10,222
Sale of goods 943 1,360
Letting of offices 17,336 18,337
Lottery – Heartbeat 295,808 325,070
Lottery – Beneficiary 132,535 159,053
- -
447,713 514,042
══════ ══════

All income from other trading activities relates to unrestricted funds in both 2020 and 2019.

5. Income from investments

All the charity investment income arises from money held on interest bearing deposit accounts and related to unrestricted funds in both 2020 and 2019.

6. Analysis of expenditure on raising funds

nalysis of expenditure on raising funds
2020 2019
Total Total
£ £
Staff salaries 49,652 55,795
Advertising/Promotion 119 577
Event costs 446 379
Postage 1,697 2,262
Sundry costs 2,220 5,257
- -
54,134 64,270
Governance costs (see note 10) 2,557 3,542
Support costs (see note 9) 53,167 84,764
 
109,858 152,576
══════ ══════

Included within raising funds expenditure are staff salaries of £5,204 (2019 £Nil) and support costs of £17,447 (2019: £Nil) which are restricted.

45

HEARTBEAT NORTHWEST CARDIAC CARE NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31st DECEMBER 2020

7. Analysis of expenditure on charitable activities

Cardiac rehabilitation classes and related testing

2020 2019
Total Total
£ £
Staff salaries 314,812 308,491
Freelance staff for testing 750 6,200
Rehabilitation costs 14,248 54,863
Training and development 361 1,102
Advertising/Promotion 216 -
Subscriptions 101 186
Postage 1,462 1,949
Stationery 658 2,235
Telephone, fax and internet 3,603 3,644
Premises costs 1,440 1,440
Repairs & renewals 6,049 6,645
Medical consumables 767 1,969
Education 3,346 17,404
Pulse watches 1,826 -
Sundry costs 6,787 10,944
- -
356,426 417,072
Governance costs (see note 10) 4,522 1,680
Support costs (see note 9) 94,059 40,200
 
455,007 458,952
══════ ══════

Included within charitable activities expenditure are staff salaries of £37,485 (2019 £Nil), telephone costs of £280 (2019: £Nil) and support costs of £9,861 (2019: £Nil) which are restricted.

46

HEARTBEAT NORTHWEST CARDIAC CARE NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31st DECEMBER 2020

8. Analysis of other expenditure – Lottery costs

nalysis of other expenditure – Lottery costs
2020 2019
Total Total
£ £
Staff salaries 40,187 39,503
Lottery wins 79,070 80,517
Beneficiary lottery fees 92,306 111,109
Agent commission 359 1,024
Advertising/promotion 276 427
Postage 1,689 2,262
Sundry costs 6,609 6,549
- -
220,496 241,391
Governance costs (see note 10) 5,116 5,989
Support costs (see note 9) 106,417 143,315
 
332,029 390,695
══════ ══════

Included within other expenditure are staff salaries of £5,203 (2019 £Nil) and support costs of £19,739 (2019: £Nil) which are restricted.

9. Allocation of support costs – Current year

location of support costs – Current year
Other
Raising Charitable lottery 2020
funds activities costs Total
£ £ £ £
Depreciation 12,069 6,824 13,657 32,550
Insurance 4,435 2,507 5,017 11,959
Premises rent - Unrestricted 12,979 7,337 14,684 35,000
Premises rent - Restricted 9,271 5,240 10,489 25,000
Council tax 3,322 1,877 3,758 8,957
Gas & Electric 9,373 5,298 10,605 25,276
Water 41 23 46 110
Bank charges 4,090 2,312 4,627 11,029
Building maintenance - Unrestricted 6,794 3,840 7,687 18,321
Building maintenance - Restricted 260 147 294 701
Management/Admin- Unrestricted 23,509 13,288 26,597 63,394
Management/Admin- Restricted 7,916 4,474 8,956 21,346
   
94,059 53,167 106,417 253,643
══════ ══════ ══════ ══════

47

HEARTBEAT NORTHWEST CARDIAC CARE NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31st DECEMBER 2020

Allocation of support costs – Previous year

Other
Raising Charitable lottery 2019
funds activities costs Total
£ £ £ £
Depreciation 10,143 4,810 17,148 32,101
Insurance 3,334 1,581 5,637 10,552
Premises rent 18,957 8,991 32,052 60,000
Council tax 909 431 1,537 2,877
Gas & Electric 11,892 5,640 20,107 37,639
Water 118 56 199 373
Bank charges 3,938 1,868 6,658 12,464
Building maintenance 9,279 4,400 15,688 29,367
Management/Admin salaries 26,194 12,423 44,289 82,906
   
84,764 40,200 143,315 268,279
══════ ══════ ══════ ══════

10. Allocation of governance costs – Current year

location of governance costs – Current year
Other
Raising Charitable lottery 2020
Funds activities costs Total
£ £ £ £
Auditors remuneration 2,747 1,553 3,108 7,408
Legal and professional 1,775 1,004 2,008 4,787
   
4,522 2,557 5,116 12,195
══════ ══════ ══════ ══════

Total auditor’s remuneration included the statutory audit fee of £7,408 (2019: £7,193), accountancy costs of £1,536 (2019: 1,536) and payroll costs of £1,534 (2019: £1,134). There was also an additional charge of £1,956 (2019: £Nil) for the furlough preparation. Accountancy and furlough costs are included within legal and professional.

Allocation of governance costs – Previous year

location of governance costs – Previous year
Other
Raising Charitable lottery 2019
funds Activities costs Total
£ £ £ £
Auditors remuneration 2,272 1,078 3,843 7,193
Legal and professional 1,270 602 2,146 4,018
   
3,542 1,680 5,989 11,211
══════ ══════ ══════ ══════

48

HEARTBEAT NORTHWEST CARDIAC CARE NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31st DECEMBER 2020

11. Analysis of staff costs and remuneration of key management personnel

2020 2019
£ £
Gross wages and salaries 440,583 437,429
Pension contributions 17,103 16,528
Social security costs 31,705 32,737
- -
489,391 486,694
══════ ══════

The trustees consider the board of trustees, Chief Executive and the Finance Controller as comprising the key management personnel of the charity in charge of directing and controlling the charity and running and operating the charity daily. The total employee benefits of the key management personnel of the charity were £85,395 (2019: £83,547).

Trustees are required annually to disclose any relevant interests and register them with the Chief Executive and in accordance with the charities policy withdraw from any decisions where a conflict of interest arises.

The charity has set up a remuneration committee who review the Chief Executives salary package to ascertain whether it is appropriate for the role, and is bench marked against other like for like charities with similar activities and operations.

No employee earned over £60,000. The number of staff to whom retirement benefits were accruing under a money purchase pension scheme was 15 (2019: 18).

The average number of persons employed during the year, analysed by function was follows:

2020 2019
Medical services 16 15
Fundraising 4 4
Lottery 1 1
Management and administration 2 2
- -
23 22
══════ ══════

Commission and fees payable to part-time freelance staff

ommission and fees payable to part-time freelance staff
2020 2019
£ £
Commissions/expenses paid to lottery collectors and agents 359 1,024
Professional fees paid to doctors and exercise staff 750 6,200
- -
1,109 7,224
══════ ══════

49

HEARTBEAT NORTHWEST CARDIAC CARE NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31st DECEMBER 2020

Average number of persons working on a part-time freelance basis:

Lottery – external collectors 3 4
Professional – GPs and outreach instructors 8 13
- -
11 17
══════ ══════

12. Trustee remuneration & related party transactions

All trustees give of their time freely and no trustees or any person connected to them received any remuneration for their services during the year.

The charity has not met any individual expenses incurred by the trustees for services provided to

the charity during the year.

Insurance premiums during the year amounting to £448 (2019: £480) were incurred by the charity in respect of indemnity insurance for the trustees.

13. Tangible fixed assets

PNE
Lease- Office &
hold Computer Medical Sports
Property Equipment Equipment Equipment Total
£ £ £ £ £
Cost
At 1 January 2020 417,278 62,731 68,747 97,519 646,275
Additions - 3,700 834 - 4,534
Disposals - - - - -
- - - - -
At 31 December 2020 417,278 66,431 69,581 97,519 650,809
══════ ══════ ══════ ══════ ══════
Depreciation
At 1 January 2020 60,289 52,036 60,238 64,912 237,475
Charge for the year 13,657 2,844 2,463 13,586 32,550
On disposals - - - - -
- - - - -
At 31 December 2020 73,946 54,880 62,701 78,498 270,025
══════ ══════ ══════ ══════ ══════
Net Book Value
At 31 December 2020 343,332 11,551 6,880 19,021 380,784
══════ ══════ ══════ ══════ ══════
At 31 December 2019 356,989 10,695 8,509 32,607 408,800
══════ ══════ ══════ ══════ ══════

All tangible fixed assets are unrestricted funds classified as designated.

50

HEARTBEAT NORTHWEST CARDIAC CARE NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31st DECEMBER 2020

14. Debtors

ebtors
2020 2019
£ £
Program/ Testing debtors 1,172 7,852
Gift Aid 2,448 3,085
Prepayments and accrued income 15,285 20,394
- -
18,905 31,331
══════ ══════

All debtors relate to unrestricted funds in both 2020 and 2019.

15. Creditors: Amounts falling due within one year

Creditors: Amounts falling due within one year
2020 2019
£ £
Bank overdraft 4,526 9,603
Trade creditors 2,614 17,926
PAYE / NI 6,298 8,726
Pension contributions 3,053 2,768
Other creditors 1,193 -
Accruals 12,908 11,708
Deferred income (Note 16) 43,292 46,097
- -
73,884 96,828
══════ ══════
All creditors relate to unrestricted funds in both 2020 and 2019.

16. Deferred income

Contributions

Contributions
to
Rehabilitation Lottery Programmes 2020 2019
Classes Income Total Total
£ £ £ £ £
As at 1 January 2020 3,525 41,226 1,346 46,097 48,591
Released in the year (3,525) (41,226) (1,346) (46,097) (48,591)
Deferred to next year 9,494 33,226 572 43,292 46,097
- - - - -
As at 31 December 2020 9,494 33,226 572 43,292 46,097
══════ ═════ ═════ ═════ ═════

51

HEARTBEAT NORTHWEST CARDIAC CARE NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31st DECEMBER 2020

17. Financial instruments

Financial instruments
2020 2019
£ £
Carrying amount of financial assets
Financial instruments measured at amortised cost 3,619 10,937
Carrying amount of financial labilities
Financial instruments measured at amortised cost 20,048 39,237

18. Analysis of charitable funds

Analysis of movement in unrestricted funds:

Balance Gains/ Balance
b/fwd Income Expenditure Transfers c/fwd
£ £ £ £ £
General Fund 76,799 944,147 (769,125) (2,809) 249,012
Designated Funds:
Property Assets Fund 408,800 - (32,550) 4,534 380,784
- - - - -
485,599 944,147 (801,675) 1,725 629,796
══════ ══════ ══════ ══════ ══════

Analysis of movement in unrestricted funds – previous year:

Balance Gains/ Balance
b/fwd Income Expenditure Transfers c/fwd
£ £ £ £ £
General Fund 89,458 957,463 (970,122) - 76,799
Designated Funds:
Property Assets Fund 435,860 - (32,101) 5,041 408,800
- - - - -
525,318 957,463 (1,002,223) 5,041 485,599
══════ ══════ ══════ ══════ ══════

General Fund: The “free” reserves of the charity after allowing for all designated funds.

Designated Funds: The property assets fund is the value of the unrestricted funds already spent and represented by the tangible fixed assets of the charity (note 13).

52

HEARTBEAT NORTHWEST CARDIAC CARE NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31st DECEMBER 2020

Analysis of movement in restricted funds:

Balance Gains/ Balance
b/fwd Income Expenditure Transfers c/fwd
£ £ £ £ £
Restricted Funds:
National Lottery Community Fund - 97,010 (80,392) (527) 16,091
AstraZeneca - 10,000 - - 10,000
Sport England Grant - 5,500 (5,500) - -
Community Foundation - 5,000 (3,802) (1,198) -
Edward Gostling Foundation - 4,025 (4,025) - -
Persimmon Grant - 1,000 (1,000) - -
Tesco Grant - 500 (500)
- - - - -
- 123,035 (95,219) (1,725) 26,091
═════ ══════ ══════ ══════ ══════

National Lottery Community Fund The charity received a grant for the programme, Coronavirus Community Support Fund. This was used towards the running of Heartbeat at Home and for rent and salaries associated with this. This money is to be used by the end of January 2021.

The charity received this grant for use on Pulmonary and Vascular classes but none were run in the year, therefore, the full grant is carried forward

Sport England Grant

Persimmon This was provided for Heartbeat at Home and all funds were spent.

53

HEARTBEAT NORTHWEST CARDIAC CARE NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31st DECEMBER 2020

Analysis of movement in restricted funds – previous year:

Balance Gains/ Balance
b/fwd Income Expenditure Transfers c/fwd
£ £ £ £ £
Restricted Funds:
Westinghouse Springfields - 5,041 - (5,041) -
- - - - -
- 5,041 - (5,041) -
══════ ══════ ══════ ══════ ══════

Westinghouse Springfields: The charity received a grant towards the purchase of a Health Monitor. This money was fully spent in the year.

Transfers between funds represent assets purchased by a restricted donation which, when purchased, cease to be restricted and become part of the general assets.

19. Analysis of net assets between funds

Current year General Designated
Fund Fund Total
£ £ £
Tangible Fixed Assets - 380,784 380,784
Current Assets 348,987 - 348,987
Current Liabilities (73,884) - (73,884)
- - -
Total 275,103 380,784 655,887
══════ ══════ ══════
Previous year General Designated
Fund Fund Total
£ £ £
Tangible Fixed Assets - 408,800 408,800
Current Assets 173,627 - 173,627
Current Liabilities (96,828) - (96,828)
- - -
Total 76,799 408,800 485,599
══════ ══════ ══════

54

HEARTBEAT NORTHWEST CARDIAC CARE NOTES TO THE FINANCIAL STATEMENTS (continued) FOR THE YEAR ENDED 31st DECEMBER 2020

20. Commitments under operating leases

At 31 December 2020 the charity had an annual commitment under a non-cancellable operating lease for rent of the property at PNE. The remaining lease term is 29 years and analysis of the commitment is set out below:

set out below:
2020 2019
Land and Land and
Buildings Buildings
£ £
Operating lease which expires:
Due within 1 year 60,000 60,000
Due within 2- 5 years 240,000 240,000
Due after 5 years 1,440,000 1,500,000
══════ ══════
1,740,000 1,800,000
══════ ══════

At the reporting end date, the charity also had other outstanding commitments for future minimum lease payments under non-cancellable operating leases, which fall due as follows:

2020 2019
£ £
Operating lease which expires:
Due within 1 year 2,530 -
Due within 2- 5 years 6,707 -
Due after 5 years 321 -
══════ ══════
9,558 -
══════ ══════

55