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2023-03-31-accounts

University Hospitals Bristol & Weston Charity

Working name: Bristol & Weston Hospitals Charity

Report and Accounts for the Year Ended 31 March 2023

University Hospitals Bristol & Weston Charity Company Number: 10394287 Registered Charity Number: 1170973 Registered Office: 6[th ] Floor, Whitefriars, Lewins Mead, Bristol BS1 2NT

University Hospitals Bristol & Weston Charity

Summary of Contents
Contents Page No.
Chairman and ChiefExecutive’s Foreword 3
Trustees’Report 5
•
About University Hospitals Bristol & Weston Charity		 5
•
Structure, Governance and Management		 6
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TheCharity’s Impact		 17
•
Future Plans–2023/24		 20
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Trustees’ Responsibilities in Relation to theFinancial Statements		 21
Summary Financial Information 22
Further Charity Information 24

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University Hospitals Bristol & Weston Charity

CHAIRMAN AND CHIEF EXECUTIVE’S FOREWORD

The 12 months covered by this annual report have been an opportunity to reflect and refocus following the disruption caused by the pandemic. Awareness of the Charity’s purpose and its beneficiaries continues to positively improve, with significant branding opportunities across multiple platforms.

In 2022, the Charity carried out a strategic review, in conjunction with its Trustees, senior colleagues from the University Hospitals Bristol and Weston NHS Foundation Trust (UHBW, the Trust) and a range of other stakeholders. The new strategy was launched in this financial year, and focusses on four keys areas of targeted support:

As part of the strategic review, a key operational objective is to improve the value of unrestricted income the Charity can deliver, not only to support our refreshed strategic priorities but also to support any projects and initiatives that may evolve within the changing regional healthcare landscape. To this end, the Charity re-launched a more ambitious charity lottery in 2022 and it anticipates having over 10,000 registered players by the end of 2023. This compares with less than 150 regular players enrolled in our previous lottery. The Charity was granted a licence by the Gambling Commission in 2022 and has put in place very comprehensive policies and procedures to ensure compliance with the appropriate guidance.

Building on its new name and dynamic brand messaging, another key objective in the last 12 months has been to re-build our supporter base. Increased social media activity, the new lottery and an agreement with the Trust to be the official welcome page on a new wi-fi system operating in all 10 hospitals has seen our engagement with new supporters increase significantly, from 6,000 active supporters at the year ending 31 March 2022 to over 14,500 by 31 March 2023. There has also been very positive progress with developing both our presence and level of support at Weston General Hospital.

Two very significant Charity partnerships were agreed in 2022 with Deloitte (South West) and the Great Weston Ride, both for a three-year period. Deloitte is a leading professional services and accountancy organisation and, after a staff vote, the Charity was chosen to be their partner. This has delivered significant new income and additional support for the Charity. The Great Weston Ride is an organisation that arranges several cycle events in the South West and the Bristol to Weston ride alone often attracts 700 or more participants. The Charity is delighted to be partnering with two such noteworthy organisations.

In addition to supporting many hundreds of grant applications across our hospitals with a total value of grant approvals of £1.6m in the year, the Charity also launched a major capital appeal to support the development of the South West Children’s Research Facility, to be located at the Bristol Royal Hospital for Children (BRHC). As one of the leading top five children’s hospitals in the UK, BRHC is the only specialist hospital without

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University Hospitals Bristol & Weston Charity

a paediatric research facility. More information on this groundbreaking project can be found on page 15.

The combination of the pandemic, the war in Ukraine, closely followed by the “cost of living crisis “, has created significant economic uncertainty and serious financial challenges for most of the UK population. These factors have led to serious challenges across much of the charity sector. Despite this uncertain environment, the Charity (with the support of its amazing fundraisers, corporate partners and significant pledges from many Trusts and Foundations) has been able to fund innovative equipment and patient areas, and provide support for individuals from disadvantaged backgrounds. The Charity also continues to support its front-line colleagues in a variety of ways, through training and development and additional wellbeing resources.

NHS England introduced a new Integrated Care System in 2022, led by the Integrated Care Board (ICB) and the Integrated Care Partnership (ICP), replacing Clinical Commissioning Groups. The ICB and the ICP have representation from all NHS Healthcare Providers, Local Authorities and other regional stakeholders from the Bristol, North Somerset and South Gloucestershire localities (BNSSG). These agencies will develop strategies to focus on improving health, wellbeing and care in the BNSSG region. Closer collaboration, merging of specialist services, joined up approaches to both health prevention, care in the community and careful co-ordination of limited resources will feature strongly as plans are developed. The Charity will engage with both UHBW and other stakeholders, to ensure we play our part in making health outcomes and treatment the best they can be.

Chris Monk Chairman

Paul Kearney Chief Executive

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University Hospitals Bristol & Weston Charity

TRUSTEES ’ REPORT

ABOUT UNIVERSITY HOSPITALS BRISTOL & WESTON CHARITY (Working name Bristol & Weston Hospitals Charity)

University Hospitals Bristol & Weston Charity is the official hospital charity partner to University Hospitals Bristol & Weston NHS Foundation Trust, which includes:

Other community services through:

Our vision: To improve the health and happiness of every patient cared for by our hospitals.

Working in partnership with UHBW, every patient cared for by our hospitals has access to outstanding treatment, in hospital environments which match the first-class care they receive from NHS staff.

Our purpose: We’re here to bring moments of joy, comfort and hope to those who need it most.

We help our hospitals and their staff to do even more to treat and care for patients. We push the limits of what is possible where the NHS is unable to, going above and beyond to transform the experience patients receive at our hospitals, wherever the need is greatest.

We do this by:

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University Hospitals Bristol & Weston Charity

STRUCTURE, GOVERNANCE AND MANAGEMENT

Trustees

Christopher Monk (Chair) Lee Aston (Chair of Audit Committee) Steven Bluff Stephen Campling (Chair of Finance & Grants Committee) Jane Dean (resigned 27 Sep 2023) Deirdre Fowler James Fox (Vice Chair) Carlos Leira (appointed 25 May 2022) Jane Palmer Terence Rice (appointed 25 May 2022) Peter Scott (resigned 20 Dec 2022) Clare Titley (appointed 25 May 2022)

Committees

Audit Committee

Lee Aston (Chair) Steven Bluff Terence Rice (from Nov 2022)

Finance & Grants Committee (established May 2022) Stephen Campling (Chair) Jane Dean (resigned 27 Sep 2023) James Fox Jane Palmer

The Charity’s Professional Advisors

Legal advisors: Lyons Davidson, Bristol BDB Pitmans LLP, London Auditors: Moore Kingston Smith LLP, London Stockbrokers: Cazenove Capital, London Land/Property agents: Alder King, Bristol

Legal Structure

On 1 October 2018, the Charity was incorporated as an independent charity, solely regulated by the Charity Commission and no longer subject to NHS legislation. The entire undertakings of The Charitable Trusts for University Hospitals Bristol (the ‘Old Charity’) were transferred to a new charitable company limited by guarantee and registered with Companies House (registered company number 10394287) and with the Charity Commission for England and Wales (registered charity number 1170973) (the ‘Charity’).

The objects of the Charity are set out in its governing document, the Articles of Association of the company dated 26 September 2016.They encompass not only to support the patients of UHBW and the community health services associated with it but also, and more generally, the wider national health service and for the relief of sickness and the preservation of health and social welfare of people living in the United Kingdom.

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University Hospitals Bristol & Weston Charity

On 1st April 2020 University Hospitals Bristol NHS Foundation Trust became University Hospitals Bristol and Weston NHS Foundation Trust to encompass Weston General Hospital. As a result, the Charity was also required to merge with Weston Health General Charitable Fund (charity number 1057589).

On 1 October 2021 the funds, assets and liabilities of Weston Health General Charitable Fund were transferred into the Charity.

Above & Beyond, as the Charity was named up until 30 September 2021, changed its name to University Hospitals Bristol & Weston Charity on 1 October 2021. It has registered and is using the working name of Bristol & Weston Hospitals Charity.

Trustees

The Charity has an independent Board (currently 10 Trustees). Trustees are also known as Directors and are registered as such at Companies House. The minimum number of Trustees shall be three and the maximum number twelve. Any person who is willing to act as a Trustee, and is permitted by law to do so, may be appointed to be a Trustee by Ordinary Resolution, or by a simple majority of all the Trustees entitled to attend and vote at any meeting of the Trustees. In the Deed of Understanding UHBW and University Hospitals Bristol & Weston Charity, it was agreed that one of these Trustees would be a representative from the Trust. This position was filled by the Medical Director, William Oldfield, and from 28 July 2021 was replaced by Chief Nurse Deirdre Fowler.

Trustee vacancies are widely advertised and successful candidates are appointed for a term of four years at the end of which they will retire. A person retiring from office shall be eligible for re-appointment. No Trustee shall serve for a consecutive period of more than eight years save in exceptional circumstances and with the approval of at least two thirds of the other Trustees.

All new Trustees are given appropriate induction on their responsibilities, and University Hospitals Bristol & Weston Charity is committed to offering training and development for Trustees.

At their first meeting, the Trustees elected a Chairperson and Vice-Chair from among their number. The period for which they are to hold office is determined on appointment. The current Chairperson has served for four years.

The Trustees meet at least every quarter.

Administrative Information

The Trustees receive and administer the charitable funds for the hospitals, wards and departments of UHBW and its associated bodies as well as for the benefit of the patients in the wider National Health Service. They maintain a policy that any support provided must be capable of being sustained from charitable funds. It is not part of their responsibilities to subsidise the core services that are properly the responsibility of the NHS.

Organisation Structure

The Trustees have overall responsibility for the Charity and its decision-making. The Trustees particularly focus on developing and agreeing the organisation’s strategy, holding the management team to account for its implementation and for significant areas of the Charity’s grant -making.

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University Hospitals Bristol & Weston Charity

The Charity has one 100% subsidiary, Education Centre Management Limited (company number 04026846), whose principal activity is the management of the Education Centre, a facility for the provision of medical training in Bristol.

There are three members of the Senior Management Team: Chief Executive, Director of Finance & Operations and Director of Fundraising & Marketing, who oversee the running of the Charity, making all operational decisions. The Trustees review each year a scheme of delegation, which ensures that both Trustees and management understand their responsibilities.

Senior Management Team

Chief Executive : Paul Kearney Director of Finance & Operations : Sue Perrott Director of Fundraising & Marketing: Katie Walker

Employees

At 31 March 2023, the Charity had 28 part and full time staff positions. Past and present employees employed by the ‘Old Charity’ are covered by the provisions of the NHS pension scheme. Employees since the 1 October 2018 are covered by a direct contribution scheme.

Volunteers

Our dedicated volunteers have given 1,340 hours of their time this financial year. They have turned their hand to many tasks including working at our fundraising hub, cheering and supporting at events and administrative support. Our new Hospital Partnership Volunteer has made tremendous strides into raising awareness and relationships with staff. We also have many knitters and crafters who donate amazing creations and our knits alone sold at the hub in this year raised nearly £5,000.

Staff remuneration

The Trustees consider all staff remuneration in the same way on an annual basis. Their pay policy allows for an annual cost of living increase, which is benchmarked against the voluntary sector. In addition, they review and benchmark all roles either when it needs to be recruited or as required. This is done in conjunction with an independent external HR adviser.

All Trustees give their time freely and no Trustee remuneration was paid in the year. Details of Trustee expenses are disclosed in note 9 to the Accounts.

Grant Making

The Charity’s officers may approve expenditure up to £1,000 . Above this, a minimum of two members of the Senior Management Team under delegated authority from the Trustees may approve, up to a limit of £5,000. Between £5,000 and £10,000 approval can be given by two members of the Senior Management Team, together with the Chair. Between £10,000 and £50,000 approval can be given by the Finance & Grants Committee, and above £50,000 by the Trustees.

Funds held on trust by Trustees

Unrestricted General Purpose Funds

These are funds held for general purposes. The Trustees have the freedom to use them at their discretion, in accordance with the objects of the Charity, to provide support for patients and staff, medical research and clinical developments where these are not normally funded from NHS sources.

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University Hospitals Bristol & Weston Charity

Unrestricted Designated Funds: General Purpose Funds

These are funds held for each hospital within UHBW that are only to be used within the particular hospital for which they are designated.

Special Purpose Funds

These funds form the largest part of the Charity’s funds. The Trustees make every effort to ensure that they are used for the purpose requested by the donor. The Trustees administer each of these funds on the advice of their individual Fund Advisors. At the end of March 2023, there were 307 of these funds.

Restricted Funds

These are funds where a very specific wish has been expressed by the donor. At the end of March 2023, there were 16 of these funds.

Investment policy statement

The Trustees seek to produce the best financial return by the prudent investment in property, quoted securities, and cash deposits taking into account available dividend and rental yield, and potential growth in the value of the investments.

All investments are made on due consideration of the advice and recommendation of the specialist property and investment advisors of the Trustees. Investments have now been transferred to a Responsible Multi-Asset Fund, which is a specialist fund designed to enable charity and not-for-profit organisations to invest in a professionally managed fund, which also minimises exposure to areas of investment that are deemed unsuitable. The fund structure also meets high Environmental, Social and Governance standards.

Investment income for the period amounted to £855k of which £415k came from property, £424k from dividends and £16k from interest. The total portfolio was valued at £16,724k of which property was £6,340k and stock market investments £10,384k. In addition, there was cash held at the bank and on deposit of £3,451k most of which is held to fulfil the unspent grants (commitments) which total £2,518k.

The properties held as fixed assets investment were last subject to a full valuation in accordance with the RICS Valuation – Global Standards January 2022 (Red Book) by a third party, Alder King, in August 2022. The Trustees are satisfied that the valuations remain appropriate and represent the best estimate of fair value at 31 March 2023.

Reserves Policy

Trustees wish to provide grants that will be for the ultimate benefit to patients using the hospitals within UHBW and healthcare facilities within its associated community. These grants may be for:

Reserves are held for the purpose of:

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University Hospitals Bristol & Weston Charity

Level of Reserves Required

In establishing the appropriate level of reserves for the Charity, the Trustees have considered forecast levels of income and expenditure, the obligations and operational requirements of the Charity and the likelihood and consequences of these requirements not being met.

The Trustees aim to maintain free reserves (unrestricted general purpose funds) which would cover six months’ expenditure for the Charity (such as staff costs, governance, office) based on the previous year’s expenditure, plus an estimate for the cost of c losure based on current cost of redundancy. In addition, non-cancellable operating lease expenditure has been included within the reserve requirement as well as an amount set aside for grant making which the charity would wish to continue to support.

The current level of expenditure from the accounts for the period ended 31 March 2023 is:

Expenditure Year
to
31.03.23
£000’s		 Year
to
31.03.23
£000’s		 Year
to
31.03.22
£000’s		 Year
to
31.03.22
£000’s
Support costs 744 773
Governance related costs 166 197
Cost of fundraising: staff and office costs 1,206 734
Total Costs for the period 2,115 1,704
6-month reserve required 1,058 852
Other costs
Redundancy estimate 62 65
Grant making 100 100
Non-cancellable operating lease expenditure 182 306
Estimated administration costs to close 50 50
Total Other Costs 394 521
Total Reserve Required 1,452 1,373

As at 31 March 2023, the Charity's own free reserves stood at £1,251k, which is £201k below the level of reserves required in its policy of £1,452k. in addition, there is £1k of reserves held in the subsidiary company. The Charity is committed to investing in a number of new fundraising initiatives, which in the case of the lottery is a three-year investment programme and, including movements on the Charity’s investment portfolio, this has impacted the level of free reserves for the financial year ending 31 March 2023. The Trustee Board is comfortable that this is likely to be a short-term impact as income from these new initiatives continues to grow.

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University Hospitals Bristol & Weston Charity

Additionally, known commitments must be able to be covered from designated funds. These funds hold monies where donors have expressed a preference without imposing a binding trust. A significant proportion of the designated funds are ear-marked for particular hospitals or areas of clinical practice and these are not available as free reserves.

As at 31 March 2023, there were 307 designated funds totalling £16,900k. This year known commitments (unspent grants) stand at £2,518k.

The group reserves comprise:

£000’s
Restricted funds 402
Designated funds 16,900
Unrestricted–free reserves 1,251
Reserves held in subsidiary company 1
Total Funds/Reserves 18,554

The level of funds held in reserve and the Charity’s requirements for such funds are reviewed annually by the Audit Committee. The reserves policy was reviewed at the Audit Committee meeting held on 16 November 2023 and approved at the Trustees meeting held on 23 November 2023.

FUNDRAISING

The Charity is reliant on the kindness and generosity of supporters to help improve the lives of patients in our hospitals.

Our approach

We promote the Charity locally and partner with individuals, community organisations, companies, charitable trusts and foundation to maximise the difference we can make for our hospitals.

We are committed to fundraising in an honest and respectful way and our fundraising approach reflects our charity values. Campaigns, appeals and activities are planned, delivered and reviewed regularly to ensure they further the charity’s purpose whilst ensuring resources are used efficiently and ethically to achieve sustainable income growth.

Regulation

We are registered with the Fundraising Regulator and comply with the Code of Fundraising Practice and the regulator’s Fundraising Promise.

In line with growth of our Charity lottery, we hold a large society licence with the Gambling Commission and comply with the Licencing Conditions and Code of Practice to prevent crime, ensure fairness and transparency and to safeguard vulnerable people. Our partner external lottery provider also holds their own operating licence with the Gambling Commission.

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University Hospitals Bristol & Weston Charity

How we monitor fundraisers

Our Charity fundraising and marketing team cultivate, develop and maintain relationships with supporters in line with our Supporter Charter and Fundraising Promise published on our website.

The Charity is a member of NHS Charities Together. As a member charity we have the opportunity to benchmark our fundraising activity with our peers, discuss matters of common concern, exchange information and participate in conferences and seminars which offer support and education for our staff and trustees.

We work with a professional fundraising agency to promote our charity lottery within a number of hospital locations. The agency was selected following a rigorous tender process and in recognition of their approach to fundraising within sensitive hospital environments. Fundraisers undertake comprehensive training and their performance is continually monitored and reviewed in accordance with our lottery policies and procedures.

Complaints

Our relationship with our supporters is very important to us and we monitor feedback and take complaints seriously.

When we receive a complaint, we endeavour to resolve it quickly, fairly and effectively. We recognise we can continue to improve the Charity’s effectiveness, by listening and responding to the views of our supporters, partners and stakeholders and by responding positively to complaints.

We aim to ensure that:

During the year the Charity received 13 formal complaints all of which were resolved and recorded. Five of these corresponded to the introduction of fundraisers in hospital reception areas to promote the lottery.

Protecting vulnerable supporters

We take our responsibilities to protect vulnerable people seriously and follow the guidance on treating donors fairly, and make sure all our agency partners are fully aware of our policies.

We have a vulnerable person’s policy and specify minimum and maximum age ranges to our agency partners, so that we never recruit new donors who are too young, too vulnerable or too elderly to consent.

We are always sensitive to signs that may indicate that any individual is in vulnerable circumstances and needs support to make an informed decision. If we reasonably believe the individual lacks capacity to make a decision then a donation will not be accepted or will be returned if already made.

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University Hospitals Bristol & Weston Charity

EQUITY, EQUALITY, DIVERSITY & INCLUSION (EEDI) STATEMENT

A fairer future for all

We believe in a fairer future for all, and we know that by working together we can do much, much more. We believe that everyone has the right to live without fear or prejudice regardless of race, age, gender, disability, sexual orientation, social class, religion and belief.

Everyone should be able to make a full contribution to society in their own unique way and live in a world which demonstrates respect and values diversity.

Our responsibility

Bristol & Weston Hospitals Charity (“BWHC”) complies with the Equality Act 2010 (the “Act”) and understands our duties under it. As an organisation we would treat any reports of discrimination seriously. Should such a report arise, BWHC will ensure it is investigated and appropriate action taken in line with our internal policies and procedures.

Our principles

BWHC is committed, though, to do more than just adhere to the Act. We strive to create an inclusive workplace and, in addition to a programme of Equity, Equality, Diversity and Inclusion training for our staff and Trustees, have launched an EEDI action plan, setting out key activities for all BWHC Charity staff and Trustees to work towards:

  1. Our Community - We will value our differences and benefit from our diversity of thought, background, and experience. We will reflect the diversity of those that we work with and for, including through all our communications and recruitment.

  2. Our Culture – Our leaders will act as role models and champions. Individually and collectively we will uphold our shared vision and stand up to challenge behaviours that don’t reflect it. We will provide training for all staff to support their development and learning in this area.

  3. Our Progress – Data will be central to our decision making in helping us measure and drive change. We will be honest and transparent about our progress.

Our vision

Our aim is to achieve a more equitable, diverse, and inclusive workforce by ensuring EEDI is reflected in our values and embedded in our practises and individual behaviours.

RISK MANAGEMENT

The Trustees recognise that they are ultimately responsible for all the Charity’s assets. During the period, they have assessed the major risks to which the Charity is potentially exposed. The risk registers are linked both to the strategic objectives of the charity and cover all departments. The management team regularly reviews these and drives actions to mitigate the risks. The risk register is reviewed at Board meetings and at regular meetings of its Audit Committee. The key risks considered this year were:

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ECONOMIC/COST OF LIVING LANDSCAPE

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University Hospitals Bristol & Weston Charity

PROGRESS AGAINST OUR STRATEGY 2022-2025

For the reporting year 2022/23 we launched our plan for the next three years, focused on the goals and priorities which would enable us to deliver our charitable purpose and bring us closer to achieving our vision.

GOAL 1: Direct funding where it will have the greatest impact, aligned with our four key priorities

Over one million people are treated at UHBW every year and it is our aim that by 2025, 100% of patients benefit directly or indirectly from the work of the Charity. While we would love to fund every project identified by our hardworking NHS staff, we know there are some areas where we can have a greater impact and make a bigger difference to the people of Bristol and Weston. These are areas that might be short of traditional funding through the NHS or where there are opportunities for significant enhancement of the ‘core’ offer the NHS can provide.

In this first year, we have started to see a shift in our ability to be more proactive in where we direct our funding. This has been enabled by taking a more proactive approach to engaging with UHBW divisions to NHS Trust-wide and divisional patient priorities for support in line with our priority areas and emerging local need.

Examples of the charity’s impact can be seen on pages 17-19.

In 2023, the Charity launched a major appeal for a purpose-built paediatric Clinical Research Facility at Bristol Royal Hospital for Children (BRHC).

For people living in the South West and South Wales, the opportunity for their child to join relatively close-to home clinical trials has been limited, despite BRHC being one of the top four dedicated children’s hospitals in the UK in terms of population a nd clinical speciality. Sadly, it is the only big children’s hospital not to have a dedicated Clinical Research Facility (CRF), meaning trials are restricted, space to see patients is limited, and the impact is felt.

With joint funding from UHBW and a fundraising appeal from the Charity, we will build a purpose- built research facility in the children’s hospital that will:

In the latter months of 2022/23, the Charity raised £276,065 towards its fundraising goal and continues to fundraise into 2023/24.

GOAL 2: Work in partnership with UHBW and in collaboration with other organisations

As our primary beneficiary, supporting UHBW and ensuring charitable funds enhance their ability to deliver exceptional care, teaching and research is central to our work. We want to help them achieve their aims of growing regional specialist services; becoming a centre of excellence in Bristol and Weston for clinical education and research; and offering a supportive, inclusive and developmental working environment for all NHS staff.

We will also support the Trust to provide integrated care services, collaborating with primary and community care settings and supporting projects which improve the health and wellbeing of local people, whilst easing pressure on Bristol and Weston hospitals.

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University Hospitals Bristol & Weston Charity

This has been the first year of implementing our new grant-making service to UHBW to ensure we are providing a fair, transparent, consistent service to hospital staff. While we have met with some challenge as to be expected with the introduction or tightening of any new ways of working, the quality of applications, and those meeting our criteria, has significantly improved. Post the challenging pandemic years, we have made good progress in developing and reinstating key hospital staff group relationships. This has led to more regular dialogue, helping us to drive forward our charitable objectives in partnership. We also now have greater UHBW representation at our own decision-making committees, from Board and Committee meetings through to Charity staff meetings, bringing greater patient-centricity to our decision-making.

Analysis of grants funded in this financial year highlighted the volume and value of our grantmaking across divisions and hospitals, as well as some areas of imbalance which provides us with an equitability focus for the future.

The Charity remains committed to working in partnership with UHBW’s other associated charities. Opportunities for collaboration have been discussed with the Friends of the Eye Hospital, Friends of BHOC and Weston League of Friends charities.

Beyond UHBW and its associated charities, we have also collaborated with Southmead Hospital Charity, Bristol Health Partners and several other community organisations to strengthen delivery and partnerships within the wider local health landscape.

GOAL 3: Ensure we are sustainable for the future

Our aim will always be to maximise the amount of charitable funding we’re able to provide to our hospitals, while ensuring the Charity remains financially and operationally stable for the future. A Charity team who feel valued and appreciated for their hard work and achievements, supported by appropriate governance and infrastructure, will enable us to operate at our best.

A significant focus of this year was in launching our new charity lottery to increase our financial sustainability by growing our regular giving supporter base. We are pleased to report that in our first year we have exceeded our ambitious growth targets and the lottery is on track to generate a multi-million pound income within the next five years.

We are also proud to have secured two new major multi-year charity partnerships this year, with Deloitte (South West) and the Great Weston Ride cycle event series. Both partnerships present significant opportunities for fundraising, as well as significant added value via a range of volunteering, pro-bono and awareness-raising support.

As always, we remain hugely grateful to all of our wonderful supporters who have donated, fundraised and volunteered their time to ensure the Charity continues to be able to do great things for our hospitals.

We are committed to ensuring that all monies raised are spent wisely, efficiently and in line with donor wishes, for the benefit of patients, their families and the staff who treat them in our hospitals.

In 2022-23, for every £1 donated, 81p went directly to our hospitals, with the remaining 19p to raising future funds, accountability, administration and our dedicated people.

Our aim is to cover our operating and fundraising costs as fully as possible from alternative sources of funding, so that more of every pound donated goes directly to our hospitals.

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University Hospitals Bristol & Weston Charity

THE CHARITY’S IMPACT

2022/23 was another year where the Charity grant-making programme made a tangible impact to patients and NHS staff across all areas of the hospitals. Examples of grants and their impact are provided below, and the Charity publishes an annual full Impact Report.

Holistic education programme for children in hospital

In 2022-23, we launched a three- year partnership with Deloitte’s Bristol office. Aiming to raise £25,000 each year, the money raised goes towards a holistic learning programme for children spending long periods of time in hospital.

The money raised so far has funded a music teacher, a drama teacher and singing lessons. Ben, the music teacher, visits the hospital twice a week, an increase of what was previously on offer.

Children having sessions with Ben have learnt skills on the guitar, ukulele, xylophone and drums, and have rated the sessions overall as 4.9 out of 5.

The kids’ favourite things included ‘banging the drums’ and ‘learning new things’. One patient said: “My favourite thing is being able to play the ukulele, as I always wanted to do this, even when I was at my normal school.”

We also asked parents and guardians for their feedback, with comments including…

“The sessions J has had whilst in Bristol Children’s Hospital have been really beneficial for him whilst he has missed a lot of school. He has looked forward to all of the teachers coming to see him and it has also provided some respite for us as a family.”

“Lois loves music and is disappointed if she misses the lesson. She really enjoyed today’s lesson and in fact has loved all of the music lessons especially the one which came to her bed when she was unable to attend the classroom."

Little things that make a big difference

Improvements to The Bridge

The Bridge, Bristol’s sexual assault referral centre at Central Health Clinic, has been fitted with a range of improvements to make the centre a more welcoming environment for clients. Survivors of sexual assault come to The Bridge for forensic medical examinations or for informal discussions on accessing support and referrals from a crisis worker.

Thanks to generous donations from our supporters, we have funded improvements to this centre such as clearer signage, paints and supplies to decorate the walls with a welcoming colour, using curves and calming swirls, and a change of ceiling tiles to a bright blue sky and cloud design.

We have also funded additional features such as plants, a staff photo board, and a client feedback board. These improvements are paramount to reducing anxiety during what is likely to be a particularly distressing time.

Duncan Leckie, Crisis Support Worker at The Bridge, said: “Our photo board helps orientate and relax our clients to the staff supporting them with a welcoming smile. Our 'You said: We did' board' is to let our clients know that their feedback is important to us and that we to not only listen, but we respond. The feedback that our clients have given us has improved our service and we want that to continue.”

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University Hospitals Bristol & Weston Charity

We have also funded clothing for clients whose clothing needs to go for medical examination and toiletries for a shower. Little touches like these can go a long way in providing dignity, privacy and empathy at a particularly vulnerable and distressing time.

All of these improvements help clients to feel safe and supported, which is integral to work at The Bridge.

Activities for dementia patients

We have supplied dementia-friendly materials to the emergency departments at Bristol Royal Infirmary and Weston General Hospital, and the elderly care wards on both sites.

The activities include reminiscence cards, age-appropriate puzzles, picture books to encourage memories and aqua paints. These activities provide stimulation, distraction and an opportunity to improve the engagement between the patient and others, including staff, their carer and volunteers.

These activities help patients have a better hospital experience, reducing levels of distress and anxiety for both patients and their carers.

Healing environments

Bluebell Ward bathroom

A new bathroom on Bluebell Ward at Bristol Children’s Hospital is now benefitting more than 1,000 patients every year.

Bath time is part of a normal bedtime routine that’s relaxing for most children and staff on Bluebell Ward has been unable to offer this since 2014.

The new bathroom is kitted out with a bath with an adjustable seat, overhead hoists and a trolley to shower patients, as well as a new toilet, sink and flooring.

It is being used by three patients on the ward every day.

Previously patients were travelling to other wards to have baths, but this would take staff time to go with them and there wasn’t always a bath available. Some patients had been on the ward for more than a year and had only ever had bed baths. Patient carers commented on the new facilities:

World-class technology, treatments, knowledge and medical research

End of life training course for PICU staff

Staff in the paediatric intensive care unit (PICU) at Bristol Royal Hospital for Children have been on an end-of-life training course. The two-day course was attended by 24 members of staff and covered organ and tissue donation, communicating with children and young people about death and dying, and spiritual and religious care, amongst other topics. We funded actors to play the roles of parents, helping staff with realistic scenarios.

18

University Hospitals Bristol & Weston Charity

Before the course, 20% of the nurses attending rated their skills at managing potentially distressing conversations with families as 'very good'. After the course it was 100%.

Staff members described the course as 'great, informative and really engaging'.

There are no other courses like this being run by any other PICU in the country and we’ve now funded the course for more members of staff.

Equitable access for all

BDH study for survivors of sexual assault

Your donations funded a study to improve access to dental services for adult survivors of child sex abuse (CSA).

CSA survivors have poorer oral health than the general population and face additional barriers accessing oral health care. It is estimated that there are 11 million adult survivors of child sex abuse. Given this prevalence, health professionals are often unknowingly working in close contact with survivors of CSA.

The proximity and intimacy required in dental care alongside the differential in power dynamics between a dentist and patient can lead to potentially triggering unwanted memories or a traumatic response.

The study goes above and beyond the curriculum requirements of teaching to arm students at Bristol Dental Hospital with better skills and to make dental services more inclusive and safer for all patients. The research team is made up of a CSA survivor, and an interdisciplinary team of dentist, psychologist, scientist, and sociologist from Bristol Dental School.

The research has the potential of making a significant impact to dental teaching and training and result in improved access to dental care for this underserved group.

The study was made up of nine online creative workshops. The findings of this phase will also form the basis of ongoing research bids to further this work to build a robust and well-informed toolkit using a range of different mediums to allow dental professionals to build their knowledge of delivering trauma informed care and working with adult survivors of child sex abuse.

19

University Hospitals Bristol & Weston Charity

FUTURE PLANS 2023/24

Having delivered the first year of the 2022-2025 strategy, the Charity will remain focused on the goals and priorities, underpinned by our values, which will enable us to deliver our charitable purpose and bring us closer to achieving our vision:

  1. Directing funding to where it will have the greatest impact, aligned with our four key priorities

  2. Working in partnership with UHBW and others

  3. Ensuring we are sustainable for the future.

In 2023/24, the Charity will:

Finally, in 2024, the Charity will celebrate its 50[th] Anniversary. This promises to be a celebration of 50 years of charitable impact for UHBW hospitals and 50 years of incredible support from local people.

20

University Hospitals Bristol & Weston Charity

TRUSTEES ’ RESPONSIBILITIES IN RELATION TO THE FINANCIAL STATEMENTS

The Trustees are responsible for preparing the Report of the Trustees and the 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 financial statements for each financial period that 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 period. In preparing those financial statements, the trustees are required to:

The Trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the charitable company 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 charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

In so far as the Trustees are aware:

The Trustees’ Annual Report is approved by the Trustees of the Charity.

Signed on behalf of the Trustees on 23 November 2023.

Christopher Monk Chair of Trustees

21

University Hospitals Bristol & Weston Charity

SUMMARY FINANCIAL INFORMATION

The summarised financial information below is not the statutory accounts but a summary of information relating to the audited consolidated Statement of Financial Activities and the Balance Sheet. The full financial statements were given an unqualified opinion.

The Trustees approved the full financial statements on 23 November 2023.

The full financial statements are available from Jane Lucker. Please email her for a copy at jane.lucker@bwhospitalscharity.org.uk

CONSOLIDATED BALANCE SHEET

As at 31 March 2023

Fixed assets
Tangible assets
Intangible fixed assets
Investments
Heritage assets
Total fixed assets
Long term debtors
Debtors
Current assets
Debtors
Cash at bank and in hand
Total current assets
Creditors:
Amounts falling due within one year
Net current assets
Total assets less current liabilities
Creditors:
Amounts falling due after more than one year
Net assets
Income funds
Restricted
Unrestricted–designated
Unrestricted–undesignated
Total funds		 31.03.2023
31.03.2022
£000’s
£000’s
141
183
1
2
16,724
17,358
92
92
16,958
17,635
2,208
2,669
773
1,132
3,451
4,660
4,224
5,792
(3,732)
(3,922)
492
1,870
19,658
22,174
(1,104)
(1,540)
18,554
20,634
402
205
16,900
17,821
1,252
2,608
18,554
20,634
18,554
20,634		 31.03.2023
31.03.2022
£000’s
£000’s
141
183
1
2
16,724
17,358
92
92
16,958
17,635
2,208
2,669
773
1,132
3,451
4,660
4,224
5,792
(3,732)
(3,922)
492
1,870
19,658
22,174
(1,104)
(1,540)
18,554
20,634
402
205
16,900
17,821
1,252
2,608
18,554
20,634
18,554
20,634
17,635
2,669
1,132
4,660
5,792
(3,922)
1,870
22,174
(1,540)
20,634
205
17,821
2,608
20,634
20,634

22

University Hospitals Bristol & Weston Charity

CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES

For year ended 31 March 2023

Income and endowments from:
Donations
Legacies
Charitable activities
Other trading activities
Investments
Other income
Transfers from other charities
Total income and endowments
Expenditure on:
Raising funds:
Fundraising costs
Investment management costs
Charitable activities:
Patient’swelfare and amenities
Staff welfare and amenities
Research
Purchase of equipment
Staff education & training
Building & associated works
Other charitable activities
Other:
Removal of long-term commitment
Total expenditure
Net (losses) / gains on investments
Net (expenditure) / income
Net movement in funds
Fund balances brought forward at beginning of period
Fund balances carried forward at end of period		 Year to
31.03.2023
Year to
31.03.2022
£000’s
£000’s
1,040
870
108
398
199
191
252
48
855
636
-
1
-
499
2,454
2,643
1,206
734
21
42
1,227
776
464
541
381
426
49
145
78
255
513
343
999
366
187
178
2,671
2,254
-
(1,500)
3,898
1,530
(636)
851
(2,080)
1,964
(2,080)
1,964
20,634
18,670
18,554
20,634		 Year to
31.03.2023
Year to
31.03.2022
£000’s
£000’s
1,040
870
108
398
199
191
252
48
855
636
-
1
-
499
2,454
2,643
1,206
734
21
42
1,227
776
464
541
381
426
49
145
78
255
513
343
999
366
187
178
2,671
2,254
-
(1,500)
3,898
1,530
(636)
851
(2,080)
1,964
(2,080)
1,964
20,634
18,670
18,554
20,634
2,643
734
42
776
541
426
145
255
343
366
178
2,254
(1,500)
1,530
851
1,964
1,964
18,670
20,634

23

University Hospitals Bristol & Weston Charity

FURTHER CHARITY INFORMATION

Trustees’ terms of office and other interests

Chris Monk (Chair)

– (Term of Office: March 2020 July 2024)

Other interests:

Lee Aston FCA

– (Term of Office: April 2021 April 2025)

Relevant interests:

Other interests:

Steven Bluff

– (Term of Office: April 2021 April 2025)

Relevant interests:

Other interests:

Stephen Campling

– (Term of Office: May 2019 May 2025) Other interests:

Jane Dean

( Term of Office: March 2020 – September 2023) Other interests:

Deirdre Fowler

– ( Term of Office: September 2021 August 2025)

Relevant interests:

Other interest:

24

University Hospitals Bristol & Weston Charity

James Fox

– (Term of Office: April 2021 April 2025) Relevant interests:

Other interests:

Carlos Leira

– (Term of Office: May 2022 May 2026) Relevant interests:

Other interests:

Jane Palmer

– (Term of Office: May 2019 May 2025) Other interests:

Terence Rice

– (Term of Office: May 2022 May 2026) Other interests:

Peter Scott

– (Term of office: June 2021 December 2022)

Other interests:

Director of Education Centre Management Limited (until December 2022)

Clare Titley

– (Term of Office: May 2022 May 2026) Relevant interests:

Memberships

NHS Charities Together (Formerly The Association of NHS Charities)

University Hospitals Bristol & Weston Charity is an active member of NHS Charities Together. NHS Charities Together seeks to support, and to be the voice of all NHS Charities in England and Wales. The principal aim of NHS Charities Together is to promote the effective working of NHS Charities. Through this membership, University Hospitals Bristol & Weston Charity can ensure that it adopts best practice from across the sector and provide training, support and insight both for Staff and Trustees. To find out more visit www.nhscharitiestogether.co.uk

25

University Hospitals Bristol & Weston Charity

Fundraising Regulator

The Charity is a member of the Fundraising Regulator which was created in June 2016, replacing the Fundraising Standards Board (FRSB). The FR holds the code of fundraising practice for the whole of the UK. To find out more, visit www.fundraisingregulator.org.uk

Chartered Institute of Fundraising

The Charity is an Organisational Member of the Chartered Institute of Fundraising, the professional fundraising membership body providing support and advice on fundraising standards, professional development opportunities, networking, conferences and events. Members sign up to support the Code of Fundraising Practice to ensure fundraising activities represent best practice and increase public trust and confidence in the voluntary and community sector.

Lotteries Council

Since introducing a new charity lottery requiring a licence with the Gambling Commission, the Charity is a member of the Lotteries Council, which acts on behalf of all Society Lottery promoters and works closely with the Gambling Commission. Members are regulated by a Code of Practice and are thus regarded as being responsible lottery operators by the public, legal authorities and potential contributors.

The CEO belongs to a regional Charity network. The Charity benefits from sharing best practice, advice and shared experience of sector challenges.

26

Independent auditor's report

To the Trustees of University Hospitals Bristol & Weston Charity

For the Year Ended 31 March 2023

Opinion

C F?TC ?SBGRCB RFC DGL?LAG?J QR?RCKCLRQ MD CQRML .F?PGRW "RFC ZAMKN?LWZ# DMP RFC WC?P ended 31 March 2023 which comprise the Group Statement of Financial Activities, the Group and Parent Charitable Company Balance Sheets, the Group Cash Flow Statement and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and <LGRCB 5GLEBMK ,AAMSLRGLE :R?LB?PBQ$ GLAJSBGLE 09: '&( Y;FC 0GL?LAG?J 9CNMPRGLE :R?LB?PB ,NNJGA?@JC GL RFC <5 ?LB 9CNS@JGA MD 3PCJ?LBZ "<LGRCB 5GLEBMK 1CLCP?JJW ,AACNRCB ,AAMSLRGLE 8P?ARGAC#%

In our opinion the financial statements:

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs(UK)) and applicable law. Our PCQNMLQG@GJGRGCQ SLBCP RFMQC QR?LB?PBQ ?PC DSPRFCP BCQAPG@CB GL RFC ,SBGRMPZQ 9CQNMLQG@GJGRGCQ DMP RFC ?SBGR MD RFC DGL?LAG?J statements section of our report. We are independent of the charitable company in accordance with the ethical PCOSGPCKCLRQ RF?R ?PC PCJCT?LR RM MSP ?SBGR MD RFC DGL?LAG?J QR?RCKCLRQ GL RFC <5$ GLAJSBGLE RFC 09.ZQ /RFGA?J :R?LB?PB$ ?LB we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

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

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

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

Other information

The other information comprises the information included in the annual report, other than the financial statements and our ?SBGRMPZQ PCNMPR RFCPCML% ;FC RPSQRCCQ ?PC PCQNMLQG@JC DMP RFC MRFCP GLDMPK?RGML% 7SP MNGLGML ML RFC DGL?LAG?J QR?RCKCLRQ does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

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

We have nothing to report in this regard.

Opinions on other matters prescribed by the Companies Act 2006

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

27

Independent auditor's report

To the Trustees of University Hospitals Bristol & Weston Charity

For the Year Ended 31 March 2023

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the group and parent charitable company and its environment obtained GL RFC AMSPQC MD RFC ?SBGR$ UC F?TC LMR GBCLRGDGCB K?RCPG?J KGQQR?RCKCLRQ GL RFC RPSQRCCQZ ?LLS?J PCNMPR%

We have nothing to report in respect of the following matters where the Companies Act 2006 and the Charities Act 2011 require us to report to you if, in our opinion:

Responsibilities of trustees

,Q CVNJ?GLCB KMPC DSJJW GL RFC RPSQRCCQZ PCQNMLQG@GJGRGCQ QR?RCKCLR , the trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the trustees are responsible for assessing the group and parent charitable AMKN?LWZQ ?@GJGRW RM AMLRGLSC ?Q ? EMGLE AMLACPL$ BGQAJMQGLE$ ?Q ?NNJGA?@JC$ K?RRCPQ PCJ?RCB RM EMGLE AMLACPL ?LB SQGLE RFC going concern basis of accounting unless the trustees either intend to liquidate the group or parent charitable company or to cease operations, or have no realistic alternative but to do so.

Auditor’s responsibilities for the audit of the financial statements

We have been appointed as auditor under the Companies Act 2006 and section 151 of the Charities Act 2011 and report in accordance with those Acts.

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from K?RCPG?J KGQQR?RCKCLR$ UFCRFCP BSC RM DP?SB MP CPPMP$ ?LB RM GQQSC ?L ?SBGRMPZQ PCNMPR RF?R GLAJSBCQ MSP MNGLGML% 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 aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

As part of an audit in accordance with ISAs (UK) we exercise professional judgement and maintain professional scepticism throughout the audit. We also:

28

Independent auditor's report

To the Trustees of University Hospitals Bristol & Weston Charity

For the Year Ended 31 March 2023

We communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit.

Explantation as to what extent the audit was considered capable of detecting irregularities, including fraud

Irregularies, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material mistatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below.

The objectives of our audit in respect of fraud, are; to identify and assess the risks of material misstatement of the financial statements due to fraud; to obtain sufficient appropriate audit evidence regarding the assessed risks of material misstatement due to fraud, through designing and implementing appropriate responses to those assessed risks; and to respond appropriately to instances of fraud or suspected fraud identified during the audit. However, the primary responsibility for the prevention and detection of fraud rests with both management and those charged with governance of the charitable company.

Our approach was as follows:

There are inherent limitations in the audit procedures described above. We are less likely to become aware of instances of non-compliance with laws and regulations that are not closely related to events and transactions reflected in the financial statements. Also, the risk of not detecting a material misstatement due to fraud is higher than the risk of not detecting one resulting from error, as fraud may involve deliberate concealment by, for example, forgery or intentional misrepresentations, or through collusion.

Use of our report

;FGQ PCNMPR GQ K?BC QMJCJW RM RFC AF?PGR?@JC AMKN?LWZQ KCK@CPQ$ ?Q ? @MBW$ GL ?AAMPB?LAC UGRF .F?NRCP ) MD 8?PR ' MD RFC .MKN?LGCQ ,AR (&& ?LB$ GL PCQNCAR MD RFC AMLQMJGB?RCB DGL?LAG?J QR?RCKCLRQ$ RM RFC AF?PGRWZQ RPSQRCCQ$ ?Q ? @MBW$ GL accordance with Chapter 3 of Part 8 of the Charities Act 2011. Our audit work has been undertaken so that we might state RM RFC AF?PGR?@JC AMKN?LWZQ KCK@CPQ ?LB RPSQRCCQ RFMQC K?RRCPQ UFGAF UC ?PC PCOSGPCB RM QR?RC RM RFCK GL ?L ?SBGRMPZQ report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to any N?PRW MRFCP RF?L RFC AF?PGR?@JC AMKN?LW$ RFC AF?PGR?@JC AMKN?LWZQ KCK@CPQ$ ?Q ? @MBW$ ?LB RFC AF?PGRWZQ RPSQRCCQ$ ?Q ? body, for our audit work, for this report, or for the opinion we have formed.

Adam Fullerton (Senior Statutory Auditor)

for and on behalf of Moore Kingston Smith LLP, Statutory Auditor

6th Floor 9 Appold Street London EC2A 2AP

Date:

Moore Kingston Smith LLP is eligible to act as auditor in terms of Section 1212 of the Companies Act 2006.

29

University Hospitals Bristol & Weston Charity

Consolidated and Charity Balance Sheets

31 March 2023

Group
31.03.2023
Note
£ '000's
Fixed assets
Tangible fixed assets
10
141
Intangible fixed assets
11
1
Investments
12
16,724
Heritage assets
13
92
Total fixed assets
16,958
Long term debtors
Debtors
14
2,208
Current assets
Debtors
14
773
Cash at bank and in hand
3,451
Total current assets
4,224
Creditors: amounts due within one year
15
(3,732)
Net current assets
492
Total assets less current liabilities
19,658
16
(1,104)
Net assets
18,554
Funds
Income funds
Restricted
21
402
Unrestricted funds:
Designated funds
21
16,900
General funds
21
1,252
Total funds
18,554
Creditors: amounts falling due after more than one
year		 Group
31.03.2023
Note
£ '000's
Fixed assets
Tangible fixed assets
10
141
Intangible fixed assets
11
1
Investments
12
16,724
Heritage assets
13
92
Total fixed assets
16,958
Long term debtors
Debtors
14
2,208
Current assets
Debtors
14
773
Cash at bank and in hand
3,451
Total current assets
4,224
Creditors: amounts due within one year
15
(3,732)
Net current assets
492
Total assets less current liabilities
19,658
16
(1,104)
Net assets
18,554
Funds
Income funds
Restricted
21
402
Unrestricted funds:
Designated funds
21
16,900
General funds
21
1,252
Total funds
18,554
Creditors: amounts falling due after more than one
year		 Group
31.03.2022
£ '000's
183
2
17,358
92		 Charity
31.03.2023
£ '000's
141
1
16,724
92
16,958
2,208
787
3,416		 Charity
31.03.2022
£ '000's
183
2
17,358
92
16,958 17,635 17,635
2,208 2,669 2,669
773
3,451		 1,132
4,660		 1,145
4,626
4,224
(3,732)		 5,792
(3,922)		 4,203
(3,712)
491
19,657
(1,104)
18,553
402
16,998
1,153
18,553		 5,771
(3,902)
492 1,870 1,869
19,658 22,174 22,173
(1,540) (1,540)
18,554 20,634 20,633
402
16,900
1,252		 205
17,821
2,608		 205
17,821
2,607
18,554 20,634 20,633

A separate Statement of Financial Activities is not presented for the Charity itself, as the Charity has taken advantage of the exemptions afforded by Section 408 of the Companies Act 2006. The net expenditure of the Charity for the period was £2,080k (2022: net income £1,964k).

Approved by the Trustees on 23 November 2023 and signed on their behalf by

Christopher Monk (Chair)

Lee Aston (Trustee)

Company number: 10394287

30

University Hospitals Bristol & Weston Charity

Consolidated Statement of Financial Activities

For the Year Ended 31 March 2023

Year to
31.03.2023
Unrestricted
Note
£ '000's
Income and endowments from:
Donations
559
Legacies
108
Charitable activities
199
Other trading activities
2
252
Investments
3
855
Other income
-
Transfers from other charities
22
-
Total income and endowments
1,973
Expenditure:
Raising funds:
Fundraising costs
4
1,206
Investment management costs
21
1,227
Charitable activities:
6
Patient's welfare and amenities
255
Staff welfare and amenities
381
Research
49
Purchase of equipment
11
Staff education & training
513
Building & associated works
999
Other charitable activities
179
2,387
Other:
Removal of long-term commitment
6.3
-
Total expenditure
3,614
Net (losses) / gains on investments
(636)
Net (expenditure) / income
7
(2,277)
Transfers between funds
21
-
Net movement in funds
(2,277)
Reconciliation of funds
Funds at the beginning of the period
20,429
Funds at the end of the period
18,152		 Year to
31.03.2023
Restricted
£ '000's
481
-
-
-
-
-
-
481
-
-
-
209
-
-
67
-
-
8
284
-
284
-
197
-
197
205
402		 Year to
31.03.2023
Total
£ '000's
1,040
108
199
252
855
-
-
2,454
1,206
21
1,227
464
381
49
78
513
999
187
2,671
-
3,898
(636)
(2,080)
-
(2,080)
20,634
18,554		 Year to
31.03.2022
Unrestricted
£ '000's
474
398
191
48
636
1
499
2,247
734
42
776
333
148
126
238
343
366
178
1,732
(1,500)
1,008
851
2,090
-
2,090
18,339
20,429		 Year to
31.03.2022
Restricted
£ '000's
396
-
-
-
-
-
-
396
-
-
-
208
278
19
17
-
-
-
522
-
522
-
(126)
-
(126)
331
205		 Year to
31.03.2022
Total
£ '000's
870
398
191
48
636
1
499
2,643
734
42
776
541
426
145
255
343
366
178
2,254
(1,500)
1,530
851
1,964
-
1,964
18,670
20,634

All of the above results are derived from continuing activities. There were no other recognised gains or losses other than those stated above. Movements in restricted funds are disclosed in note 21.1 to the financial statements.

31

University Hospitals Bristol & Weston Charity

Statement of Cash Flows

For the Year Ended 31 March 2023

Cash flows from operating activities:
Net cash used in operating activities (see below)
Cash flows from investing activities:
Dividends, interest and rents from investments
Purchase of fixed assets
Purchase of investments
Proceeds from sale of investments
Net cash provided by investing activities
Cash flows from financing activities:
Repayments of borrowing
Net cash from / (used in) financing activities
Change in cash and cash equivalents in the reporting period
Cash and cash equivalents at the beginning of the reporting period
Cash and cash equivalents at the end of the reporting period
Reconciliation of net income/(expenditure) to net cashflow operating activities
Net (expenditure) / income for the reporting period
Adjustments for:
Depreciation charges
Losses / (Gains) on investments
Dividends, interest and rents from investments
Decrease in debtors
Decrease in creditors
Net cash provided by operating activities
Analysis of cash and cash equivalents
Cash at bank
Total cash and cash equivalents		 Year to
31.03.2023
£ '000's
(1,634)
855
(2)
(1,001)
979
831
(406)
(406)
(1,209)
4,660
3,451
(2,080)
45
656
(855)
820
(220)
(1,634)
3,451
3,451		 Year to
31.03.2022
£ '000's
(700)
636
(5)
(12,242)
11,801
190
(380)
(380)
(890)
5,550
4,660
1,964
44
(417)
(636)
400
(2,055)
(700)
4,660
4,660

32

University Hospitals Bristol & Weston Charity

Statement of Cash Flows

For the Year Ended 31 March 2023

Analysis of Changes in Net Debt

Cash and cash equivalents
Cash
Borrowings
Loans falling due within one year
Loans falling due after more than one year
Total		 At 01.04.2022
Cash-flows
Other non-
cash changes
At 31.03.2023
£'000's
£'000's
£'000's
£'000's
4,660
(1,209)
-
3,451
4,660
(1,209)
-
3,451
(408)
406
(436)
(438)
(1,540)
-
436
(1,104)
(1,948)
406
-
(1,542)
2,712
(803)
-
1,909

33

University Hospitals Bristol & Weston Charity

Notes to the Financial Statements

For the Year Ended 31 March 2023

1. Accounting policies

The principal accounting policies adopted in the preparation of the financial statements are set out below. They have been applied consistently during the year and in the preceding year.

1.1 Basis of preparation

These financial statements are prepared on a going concern basis, under the historical cost convention, as modified by the revaluation of investments and fixed asset land & buildings being measured at fair value through income and expenditure within the Statement of Financial Activities.

The financial statements have been prepared in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102). The Charity is a public benefit entity for the purposes of FRS 102 and therefore the Charity also prepared its financial statements in accordance with the 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 (The FRS 102 Charities SORP including update Bulletin 2), the Companies Act 2006 and the Charities Act 2011.

The financial statements are prepared in sterling, which is the functional currency of the charity. Monetary amounts in these financial statements are rounded to the neared one thousand pounds.

The principal accounting policies adopted in the preparation of the financial statements are set out below.

1.2 Going concern

The trustees have assessed whether the use of the going concern basis is appropriate and have considered possible events or conditions, including the cost of living crisis, that might cast significant doubt on the ability of the charity to continue as a going concern. The trustees have made this assessment for a period of at least one year from the date of approval of the financial QR?RCKCLRQ% 3L N?PRGASJ?P RFC RPSQRCCQ F?TC AMLQGBCPCB RFC AF?PGRWZQ DMPCA?QRQ ?LB A?QF DJMU NPMHCARGMLQ ?LB F?TC D?ARMPCB GL pressures on donation, legacy and investment income with the situation being kept under constant review. After making enquiries the trustees have concluded that the charity has adequate resources to continue in operational existence for the foreseeable future. The charity therefore continues to adopt the going concern basis in preparing its financial statements.

1.3 Basis of consolidation These consolidated financial statements include the financial statements of University Hospitals Bristol & Weston Charity and Education Centre Management Limited company number 04026846, its wholly owned subsidiary made up to 31 March 2023.

These financial statements consolidate the results of the charity and its wholly owned subsidiary on a line by line basis.

The results of the subsidiary are disclosed in note 12 to these financial statements.

1.4 Income

All income is included in the Statement of Financial Activities when the all of the following criteria are met:

Intangible income

Intangible income is included in the financial statements with an equivalent amount in expenditure. If there is a financial cost borne by another party the value placed on such income is the financial cost of the third party providing the resources.

Legacy income

Legacy gifts are recognised on a case by case basis following the granting of probate when the administrator/executor for the estate has communicated in writing both the amount and settlement date. In the event that the gift is in the form of an asset other than cash or a financial asset traded on a recognised stock exchange, recognition is subject to the value of the gift being reliably measurable with a degree of reasonable accuracy and the title to the asset having been transferred to the Charity.

Lottery income

Lottery income is recorded gross of prize money and other expenditure. Income is typcially recognised at the point of receipt.

34

University Hospitals Bristol & Weston Charity

Notes to the Financial Statements

For the Year Ended 31 March 2023

1.4 Income (continued)

Investment income

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. Dividends are recognised once the dividend has been declared and notification has been received of the dividend due. This is normally upon notification by our investment advisor of the dividend yield of the investment portfolio.

1.5 Expenditure

Liabilities and constructive obligations are recognised in the Statement of Financial Activities when approval has been given by the Trustees and this has been confirmed in writing to the applicant. All charitable activities expenditure relates to grants awarded and there are no directly undertaken activities.

Exemptions to this are as follows:

Commitments which are dependent upon explicit conditions being met by the recipient, and that remain within the control of the charity, are treated as contingent liabilities where those conditions have not yet been met.

Central support costs have been allocated to funds on the basis of the number of grants over £250 approved during the period.

1.6 Tangible fixed assets

Capitalisation

All assets with a cost equal to or greater than £500 are capitalised.

Valuation

Fixed assets are valued as follows:

i Equipment is valued at the lower of estimated net replacement cost or recoverable amount. ii Assets in the course of construction are valued at current cost.

Depreciation

i Depreciation is not charged on each of the following: land and assets in the course of construction. ii Equipment and buildings are depreciated over the estimated life of the asset using the following standard lives:

Buildings 50 years Improvements to property 10 years Computer & associated equipment 5 years Fixtures and fittings 5 years Hot air balloon 5 years

Donated assets

Donated assets are capitalised at their valuation on full replacement cost basis on receipt and are re-valued and depreciated as described above.

1.7[Intangible fixed assets]

Software assets and improvements are capitalised as intangible fixed assets where they are capable of being used for more than one year. The assets are valued at cost less accumulated amortisation.

Software assets are amortised over the estimated life of the asset, which is 5 years.

35

University Hospitals Bristol & Weston Charity

Notes to the Financial Statements

For the Year Ended 31 March 2023

1.8 Investment fixed assets a) Investment assets are shown at market value. i) Property assets are shown at market valuation. Valuations are carried out professionally and reviewed at each reporting period with ? DSJJ T?JS?RGML SLBCPR?ICL UFCL RFC ;PSQRCCQ BCCK LCACQQ?PW% , DSJJ T?JS?RGML GL ?AAMPB?LAC UGRF RFC 93.: =?JS?RGML X 1JM@?J Standards January 2022 (Red Book) was undertaken by a third party, Alder King, in August 2022. The Trustees are satisfied that the valuations remain appropriate and represents the best estimate of fair value as at the balance sheet date. ii) Quoted stocks and shares are included in the balance sheet at mid-market price, ex-dividend. b) Realised gains and losses All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and losses on investments are calculated as the difference between sales proceeds and their opening carrying value or purchase value if acquired during the period. Unrealised gains and losses are calculated as the difference between the fair value at the year end and their carrying value. Realised and unrealised investment gains and losses are combined in the Statement of Financial Activities. 1.9 Heritage assets Heritage assets are included at the Trustees' best estimate of market value. The Charity has determined this by using the latest insurance valuation which was carried out on 15 August 2011, discounted to take account of expected market value. It is likely that in the future a review of heritage assets may be carried out in order to determine whether to revalue them or to sell some of them in order to generate funds to reinvest. 1.10 Leases Leases are classified as finance leases whenever the terms of the lease transfer substantially all the risks and rewards of ownership of the leased asset to the Charity. All other leases are classified as operating leases. Finance leases are shown within debtors, "Finance Lease Receivables", at the amount equivalent to the capital repayment for the remaining life of the lease. The interest element received is credited and the interest element payable is charged, to the Statement of Financial Activities over the period of the mortgage repayment. Operating lease rentals are credited to the Statement of Financial Activities on a straight-line basis over the term of the lease. 1.11 Financial instruments The Charity only has financial assets and financial liabilities 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 with the exception of bank loans which are subsequently measured at amortised cost using the effective interest method. 1.12 Pension costs The charity operates two pension provisions. Staff who were formerly employed by the Old Charity, participate in the NHS Pension Scheme. New employees participate in a direct contribution scheme set up by the new entity to which the employer's contribution matches that of the employee up to a maximum of 8%. 1.13 Judgements and key sources of estimation uncertainty The preparation of the financial statements requires management to make judgements, estimates and assumptions that affect the amounts reported for assets and liabilities as at the balance sheet date and assumptions that affect the amounts reported for income and expenditure during the period. However, the nature of estimation means that actual outcomes could differ from those estimates. The following judgements are considered by the Trustees to have the most significant effect on amounts recognised in the financial statements.

The most significant area of uncertainty that would affect the carrying value of assets held by the Charity is the level of investment return and the performance of investment markets (see investments policy section of the Trustees' Annual Report for more information).

The charity's investment property portfolio is included in the financial statements at a valuation as described in note 12 to the financial statements. This is considered to be a key accounting estimate in view of the amounts involved and the judgements applied in their valuation.

36

University Hospitals Bristol & Weston Charity

Notes to the Financial Statements

For the Year Ended 31 March 2023

2. Other trading activities
Other trading activities
Lottery
Community & individual giving		 Year to
31.03.2023
£ '000's
197
55		 Year to
31.03.2022
£ '000's
-
48
252 48
3.
Gross investment income
UK Investments
Investment properties
Listed stock exchange investments
Current asset interest		 Year to
31.03.2023
£ '000's
415
424
16		 Year to
31.03.2022
£ '000's
450
183
3
855 636

4. Cost of raising funds - fundraising costs

Staff costs
Lottery costs
Office costs
Promotional costs
Events
Other		 Unrestricted
Funds
£ '000's
529
499
25
90
24
39		 Restricted
Funds
£ '000's
-
-
-
-
-		 Year to
31.03.2023
£ '000's
529
499
25
90
24
39		 Year to
31.03.2022
£ '000's
475
18
146
11
84
1,206 - 1,206 734

5. Governance and support costs

The breakdown of support costs and how these were allocated between governance and other support costs is shown in the table below:

Staff costs
Office expenses
Establishment costs
Professional fees
Insurance
Depreciation
Miscellaneous costs
Trustee expenses
External audit
Interest payable
Other charitable activities		 Governance
£ '000's
10
1
4
-
1
1
-
-
20
37
129
-
166		 Support costs
£ '000's
457
47
161
13
20
44
2
-
-		 Year to
31.03.2023
£ '000's
467
48
165
13
21
45
2
-
20		 Year to
31.03.2022
£ '000's
505
Staff time
49
Staff time
158
Staff time
16
Actual
15
Staff time
45
Staff time
6
Staff time
-
Actual
20
Actual
814
156
178
1,148
744
-
187		 781
129
187
931 1,097

37

University Hospitals Bristol & Weston Charity

Notes to the Financial Statements

For the Year Ended 31 March 2023

5. Governance and support costs (continued)

The total support costs attributable to charitable activities is apportioned by the number of grants awarded as shown in the table below. All governance costs are met by unrestricted funds and no allocation is made to restricted funds for governance related costs.

Patient's welfare and amenities
Staff welfare and amenities
Research
Purchase of equipment
Staff education & training
Building & associated works		 Year to
31.03.2023
£ '000's
142
267
16
44
388
53		 Year to
31.03.2022
£ '000's
224
304
57
46
287
52
910 970

Central costs (administration and management, governance and fundraising office) have been allocated to each hospital based on the number of grants over £250 awarded during the period except in the case of endowment funds where no allocation has been made.

6. Charitable expenditure

The charity did not undertake any direct charitable activities of its own accord during the period. Grants that were approved in favour of beneficiaries are shown on the face of the Statement of Financial Activities. The Charity's officers may approve expenditure up to £1,000. Above this, a minimum of two out of the three members of the Management Team may appove, up to a limit of £5,000. Between £5,000 and £10,000 approval can be given by the Management Team together with the Chair. Between £10,000 and £50,000 approval can be given by the Finance & Grants Committee, and above £50,000 by the Trustees. The Charity then either reimburses expenditure incurred by beneficiaries or pays third parties directly in respect of goods or services supplied in pursuance of these grants. Central support costs have been allocated against levels of grant activity and so charitable activities shown on the face of the Statement of Financial Activities represents the grants made in the period plus central support costs. A further analysis of the total value of grants made to each hospital and other beneficiaries for whom funds are held is given in note 21.

6.1. Analysis of charitable expenditure

Patient's welfare and amenities
Staff welfare and amenities
Research
Purchase of equipment
Staff education & training
Building & associated works
Other charitable activities		 Grant
funded
activity
£ '000's
322
114
33
34
125
946
-		 Support and
governance
costs
£ '000's
142
267
16
44
388
53
187		 Year to
31.03.2023
£ '000's
464
381
49
78
513
999
187		 Year to
31.03.2022
£ '000's
541
426
145
255
343
366
178
1,574 1,097 2,671 2,254

38

University Hospitals Bristol & Weston Charity

Notes to the Financial Statements

For the Year Ended 31 March 2023

6.2. Analysis of grants expenditure in year

Patients' welfare and amenities
Staff welfare and amenities
Research
Purchase of equipment
Staff education & training
Building & associated works
Recipients of material institutional grants approved in year
University Hospitals Bristol & Weston NHS Foundation Trust
Southmead Hospital
Bristol Health Partners		 Grants to
Institutions
£ '000's
-
-
33
34
-
946		 Grants to
Individuals
£ '000's
322
114
-
-
125
-		 Year to
31.03.2023
£ '000's
322
114
33
34
125
946
1,013 561 1,574
Year to
31.03.2023
£ '000's
1,647
34
155		 Year to
31.03.2022
£ '000's
1,396
68
36
1,836 1,500

Grants approved to institutions during the year totalled £1,836k (prior year £1,500k). This may differ to the analysis of grants expediture shown above due to the impact of any changes to commitment values and writeoffs of any remaining balances at the end of a completed project.

6.3. Removal of long-term commitment

With the agreement of University Hospitals Bristol & Weston NHS Foundation Trust, a long-term commitment of £1.5m was released during the year ended 31 March 2022 due to ongoing delays to a ward refurbishment project.

7.
Net income/(expenditure)
This is stated after charging the following:
8.
Staff costs and numbers
Staff costs were as follows:
Auditor's remuneration- tax advice
Salaries and wages
Social security costs
Pension costs
Auditor's remuneration- audit fee		 Year to
31.03.2023
£ '000's
18
2		 Year to
31.03.2022
£ '000's
17
2
Year to
31.03.2023
£ '000's
816
79
79		 Year to
31.03.2022
£ '000's
742
69
77
974 888

The number of employees who earned more than £60,000, during the period was as follows:

The average number of employees in the period was:
£70,000 - £79,999
£60,000 - £69,999		 Year to
31.03.2023
No.
1
1
Year to
31.03.2023
No.
28		 Year to
31.03.2022
No.
-
1
Year to
31.03.2022
No.
28

39

University Hospitals Bristol & Weston Charity

Notes to the Financial Statements

For the Year Ended 31 March 2023

8. Staff costs and numbers (continued)

The Charity considers its key management personnel comprises the Trustees, the Chief Executive, the Director of Finance and Operations and the Director of Fundraising & Marketing. The total employment benefits including pension contributions of the key management personnel were £239,825 for the year (2022: £204,679).

9. Trustee and connected persons transactions

No remuneration has been paid to the Trustees during the period (2022: Nil)

Expenses of £43 have been reimbursed to one Trustee during the period (2022: Nil)

An indemnity provision of £3,000,000 has been taken out by the Charity at a cost of £2,085 (2022: £2,075).

10. Tangible fixed assets- group and charity

Cost or valuation:
Balance at beginning of period
Additions
Disposals
Balance at end of period
Accumulated depreciation
Balance at beginning of period
Charge for period
Eliminated on disposal
Balance at end of period
Net book value at 31 March 2023
Net book value at 31 March 2022		 Improvements
to property
£ '000's
147
-
-
147
39
15
-
54
93
108		 Hot air
balloon
£ '000's
18
-
-		 Fixtures and
fittings
£ '000's
130
-
-		 Office
equipment
£ '000's
55
2
-		 31.03.2023
Total
£ '000's
350
2
-
18 130 57 352
18
-
-		 65
26
-		 45
3
-		 167
44
-
18 91 48 211
- 39 9 141
- 65 10 183

40

University Hospitals Bristol & Weston Charity

Notes to the Financial Statements

For the Year Ended 31 March 2023

11. Intangible fixed assets - group and charity

Cost or valuation:
Balance at beginning of period
Additions
Balance at end of period
Accumulated depreciation
Balance at beginning of period
Charge for period
Balance at end of period
Net book value at 31 March 2023
Net book value at 31 March 2022
Historic cost at 31 March 2023
Historic cost at 31 March 2022		 Software
£ '000's
4
-
4
2
1
3
1
2
4
4		 31.03.2023
Total
£ '000's
4
-
4
2
1
3
1
2
4
4

41

University Hospitals Bristol & Weston Charity

Notes to the Financial Statements

For the Year Ended 31 March 2023

12. Fixed asset investments

Market value at beginning of period
Less: Disposals at opening market value
Add: Additions at cost
Net gains/ (losses) on revaluation		 Investment in a
Common Deposit/
Investment
Investment
Total
properties
Fund
31.03.2023
£ '000's
£ '000's
£ '000's
6,340
11,018
17,358
-
(979)
(979)
-
1,001
1,001
-
(656)
(656)
6,340
10,384
16,724		 Investment in a
Common Deposit/
Investment
Investment
Total
properties
Fund
31.03.2023
£ '000's
£ '000's
£ '000's
6,340
11,018
17,358
-
(979)
(979)
-
1,001
1,001
-
(656)
(656)
6,340
10,384
16,724		 Investment in a
Common Deposit/
Investment
Investment
Total
properties
Fund
31.03.2023
£ '000's
£ '000's
£ '000's
6,340
11,018
17,358
-
(979)
(979)
-
1,001
1,001
-
(656)
(656)
6,340
10,384
16,724		 Total
31.03.2022
£ '000's
16,500
(11,801)
12,242
417
6,340 10,384 16,724 17,358

The properties held as fixed asset investments are shown at market valuation. Valuations are carried out professionally and reviewed at each reporting period with a full valuation undertaken when the trustees deem LCACQQ?PW% , DSJJ T?JS?RGML GL ?AAMPB?LAC UGRF RFC 93.: =?JS?RGML X 1JM@?J :R?LB?PBQ 4?LS?PW (&(( "9CB -MMI# was undertaken by a third party, Alder King, in August 2022. Following the review by Alder King in 2022, the Trustees are satisfied that the valuations remain appropriate and represents the best estimate of fair value as at balance sheet date.

Market value at 31 March 2023

Investment properties
Common Deposit Fund/Common Investment Fund
Investment in subsidiary undertakings
Portfolio content
Multi-Asset fund
UK Equity funds
UK Property funds
Overseas Equity funds
UK Bond funds
Overseas Bond funds
Portfolio funds
Other alternative funds
Cash		 Group
31.03.2023
£ '000's
6,340
10,384
-		 Group
31.03.2022
£ '000's
6,340
11,018
-		 Charity
31.03.2023
£ '000's
6,340
10,384
-		 Charity
31.03.2022
£ '000's
6,340
11,018
-
16,724 17,358 16,724 17,358
31.03.2023
£ '000's
10,384
-
-
-
-
-
-
-
-		 31.03.2022
£ '000's
10,040
-
978
-
-
-
-
-
-
10,384 11,018

Charity investment in subsidiary undertaking

The charity has a wholly owned trading subsidiary, which is incorporated in the UK. Education Centre Management Limited (company no.: 04026846) facilitates management services to the University Hospitals Bristol & Weston NHS Foundation Trust's Education Centre. The following is an extract of the company's financial statements for the period to 31 March 2023:

Income
Expenditure
Net income/(loss)
Gift aid payable to parent charity
Net movement in funds		 Year to
31.03.2023
£ '000's
335
(335)		 Year to
31.03.2022
£ '000's
346
(345)
-
-		 1
(1)
- -

42

University Hospitals Bristol & Weston Charity

Notes to the Financial Statements

For the Year Ended 31 March 2023

13. Heritage assets

13.
Heritage assets
Carrying amount at beginning and end of period
14.
Debtors
Amounts falling due within one year
Trade debtors
Intercompany debtors
Finance lease receivables
Prepayments and accrued income
Other debtors
Total due within one year
Amounts falling due after more than one year
Finance lease receivables
Total debtors		 Group
31.03.2023
£ '000's
26
-
460
285
2		 Group
31.03.2022
£ '000's
15
-
440
676
1		 Total
31.03.2023
£ '000's
92		 Total
31.03.2022
£ '000's
92
773 1,132 787 1,145
2,208 2,669 2,208 2,669
2,981 3,801 2,995 3,814

The Charity received £608,500 (2022: £608,500) for the use of the Education Centre. In the period to 31 March 2023 £439,639 (2022: £419,999) relates to the repayment of capital. The finance lease expires in 2028.

15. Creditors: amounts falling due within one year

Loans and overdrafts
Trade creditors
Accruals and deferred income
Other creditors
Commitments		 Group
31.03.2023
£ '000's
438
497
217
62
2,518		 Group
31.03.2022
£ '000's
408
400
239
58
2,817		 Charity
Charity
31.03.2023
31.03.2022
£ '000's
£ '000's
438
408
480
384
214
235
62
58
2,518
2,817
3,712
3,902		 Charity
Charity
31.03.2023
31.03.2022
£ '000's
£ '000's
438
408
480
384
214
235
62
58
2,518
2,817
3,712
3,902
3,732 3,922 3,712 3,902

43

University Hospitals Bristol & Weston Charity

Notes to the Financial Statements

For the Year Ended 31 March 2023

16. Creditors: amounts falling due after more than one year

Loans and overdrafts Group
31.03.2023
£ '000's
1,104		 Group
31.03.2022
£ '000's
1,540		 Charity
Charity
31.03.2023
31.03.2022
£ '000's
£ '000's
1,104
1,540
1,104
1,540		 Charity
Charity
31.03.2023
31.03.2022
£ '000's
£ '000's
1,104
1,540
1,104
1,540
1,104 1,540 1,104 1,540

With the agreement of University Hospitals Bristol & Weston NHS Foundation Trust, a long-term commitment of £1.5m was released during the year ended 31 March 2022 due to ongoing delays to a ward refurbishment project.

An original loan of £3,169,265 was provided by the Bank of Ireland to refinance previous borrowings provided by the Bank, of the Old Charity which had been borrowed to fund the construction of the Education Centre, Upper Maudlin Street, Bristol. The loan is secured on the site and repayable, at 7.14% interest, in equal instalments over 93 months (7.75 years) from October 2018. The balance remaining at 31 March 2023 was £1,542k (2022: £1,948k).

The loans and overdrafts balance falls due as follows:

Not later than one year (see note 14)
Later than one year and not later than five years		 Group
31.03.2023
£ '000's
438
1,104		 Group
31.03.2022
£ '000's
408
1,540		 Charity
Charity
31.03.2023
31.03.2022
£ '000's
£ '000's
438
408
1,104
1,540
1,542
1,948		 Charity
Charity
31.03.2023
31.03.2022
£ '000's
£ '000's
438
408
1,104
1,540
1,542
1,948
1,542 1,948 1,542 1,948

17. Related parties

The Charity Trustees receive and administer the charitable funds for the Hospitals, Wards and Departments of University Hospitals Bristol & Weston NHS Foundation Trust and its associated bodies formerly known as Bristol Clinical Commissioning Group, Bristol Community Health, North Somerset Clinical Commissioning Group, North Somerset Community Partnership and South Bristol Community Hospital. The objectives of University Hospitals Bristol & Weston Charity are to provide grants that will be for the ultimate benefit to patients using the hospitals within University Hospitals Bristol & Weston NHS Foundation Trust and healthcare facilities within the relevant community partnerships. These grants may be for medical equipment, patient and staff facilities, staff training and medical research.

In addition, University Hospitals Bristol & Weston NHS Foundation Trust also incur the costs of equipment, salaries and other grant related expenditure on behalf of the Charity for which they are fully reimbursed.

The Charity leases property to its subsidiary Education Centre Management Limited who in turn leases the property to University Hospitals Bristol & Weston NHS Foundation Trust. The value of invoices raised by both organisations was £575,000 (2022: £575,000). The amount owed to the Charity and Education Centre Management Limited in respect of these invoices at 31 March 2023 was £nil (2022: £nil).

The Charity leases other properties and land to University Hospitals Bristol & Weston NHS Foundation Trust. During the year, the Charity issued rental invoices to University Hospitals Bristol & Weston NHS Foundation Trust totalling £285,250 (2022: £294,439). The amount owed to the Charity in respect of these invoices at 31 March 2023 was £nil (2022: £14,863).

The Charity charges its subsidiary, Education Centre Management Limited management and service charges. During the year, the Charity charged Education Management Limited £29,395 (2022: £29,085). The amount owed to the Charity in respect of these invoices at 31 March 2023 was £12,000 (2022: £12,000).

44

University Hospitals Bristol & Weston Charity

Notes to the Financial Statements

For the Year Ended 31 March 2023

18. Operating leases income

At the reporting date the charity had outstanding minimum future receipts from non-cancellable operating leases, which fall due as follows:

which fall due as follows:
Not later than one year
Later than one year and not later than five years
Later than five years		 31.03.2023
£ '000's
285
1,141
1,243		 31.03.2022
£ '000's
285
1,141
1,528
2,669 2,954

Operating leases expenditure

At the reporting date the charity had outstanding minimum future payments under non-cancellable operating leases, which fall due as follows:

which fall due as follows:
Not later than one year
Later than one year and not later than five years		 31.03.2023
£ '000's
130
52		 31.03.2022
£ '000's
132
174
182 306

19. Members' Liability

The charitable company is limited by guarantee, not having a share capital, and consequently the liability of members is limited, subject to an undertaking by each member to contribute to the net assets or liabilities of the charitable company on winding up such amounts as might be required not exceeding £1.

45

University Hospitals Bristol & Weston Charity

Notes to the Financial Statements

For the Year Ended 31 March 2023

20. Analysis of net assets by fund

Tangible fixed assets
Intangible fixed assets
Investments
Heritage assets
Long term debtors
Current assets
Current liabilities
Creditors due after more than one year
Tangible fixed assets
Intangible fixed assets
Investments
Heritage assets
Long term debtors
Current assets
Current liabilities
Creditors due after more than one year		 Unrestricted
Funds
£ '000's
141
1
16,724
92
2,208
3,822
(3,732)
(1,104)		 Restricted
Funds
£ '000's
-
-
-
-
402
-
-		 Total
31.03.2023
£ '000's
141
1
16,724
92
2,208
4,224
(3,732)
(1,104)
18,152 402 18,554
Unrestricted
Funds
£ '000's
183
2
17,358
92
2,669
5,587
(3,922)
(1,540)		 Restricted
Funds
£ '000's
-
-
-
-
-
205
-
-		 Total
31.03.2022
£ '000's
183
2
17,358
92
2,669
5,792
(3,922)
(1,540)
20,429 205 20,634

21. Analysis of funds

The Charity holds restricted, unrestricted and endowment funds for the University Hospitals Bristol & Weston NHS Foundation Trust and former Community Partnerships and local Clinical Commissioning Groups (CCGs). The restricted funds arise where money is held which can only be used for a specific purpose. Within the unrestricted funds there is one undesignated fund, the rest being designated funds. Of the designated funds there is one general purpose fund for each of the hospitals, former CCGs and community services, the rest being held for the benefit of patients, staff, research, training and education, equipment and specific projects.

Transfers arise where a contribution is made by one fund towards the income or expenditure of another or where there is the transfer of a balance to another NHS charity so that it follows the service or department to which it relates.

46

University Hospitals Bristol & Weston Charity

Notes to the Financial Statements

For the Year Ended 31 March 2023

21.1. Analysis of funds (continued)

Restricted funds:
Bristol Royal Infirmary
Fonseka
Bristol Heart Institute Appeal
Implantable Electronic Devices
Bristol Royal Hospital for Children
PICU Mobility Equipment
Patient Travel
Bluebell Ward
School Resources
School Room
Garden Projects
Audiology Test Room
Clinical Research Facility
Paediatric Cardiology
Bristol Haematology & Oncology Centre
Ward D603 Refurbishment
Psychologist
Weston General Hospital
NHS Charities Together
Eye Clinic
Harris Fund
Dibble Fund
Accident & Emergency
Oncology Unit
University Hospitals Bristol & Weston NHS
Foundation Trust
Volunteering
University Hospitals Bristol & Weston
Charity
NHS Partner Awards
NHS Development Grant
COVID Fund
Unrestricted funds:
Designated
University Hospitals Bristol & Weston
Charity
Bristol Royal Infirmary
Bristol Dental Hospital
Bristol Eye Hospital
Bristol Haematology & Oncology Centre
St Michael's Hospital
Bristol Clinical
North Somerset Clinical
Weston General Hospital
Undesignated
Total Universtity Hospitals Bristol &
Weston Charity Undesignated Reserves
Total All Funds
University Hospitals Bristol & Weston NHS
Foundation Trust
Bristol Royal Hospital for Children
Commissioning Group and Bristol Community
Health
Unrestricted Trading Subsidiary
South Bristol Community Hospital
Commissioning Group and North Somerset
Community Partnership		 Balance
31 March
2022
£ '000's
7
8
34
7
4
29
-
-
-
-
-
-
29
2
27
4
16
36
-
-
2
-
-
-		 Income
£ '000's
-
-
33
-
-
-
3
7
2
1
207
7
-
-
-
-
-
-
1
1
-
189
30
-		 Expenditure
£ '000's
-
-
(67)
(7)
-
-
(3)
(7)
(1)
(1)
-
-
-
-
-
-
-
-
-
(1)
-
(189)
(8)
-		 Gain/(loss) on
investments &
tangible fixed
assets
£ '000's
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-		 Net transfers
£ '000's
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-		 Balance
31 March
2023
£ '000's
7
8
-
-
4
29
-
-
1
-
207
7
29
2
27
4
16
36
1
-
2
-
22
-
205 481 (284) - - 402
2,291
5,380
238
1,891
2,798
402
517
1,400
2,492

74
262
76		 (127)
118
-
45
(7)
58
16
49
-
217
-
-		 85
119
(2)
(1,028)
(13)
(184)
(31)
(37)
(199)
-
-
-		 -
-
-
-
-
-
-
-
-
-
-
-		 98
(14)
(1)
(6)
-
-
-
(10)
-
(67)
-
-		 2,347
5,603
235
1,871
2,672
387
519
1,351
74
76
262
1,503
17,821 369 (1,290) - - 16,900
2,607 1,269 (2,137) (636) 148 1,251
1 335 (187) - (148) 1
2,608 1,604 (2,324) (636) - 1,252
20,634 2,454 (3,898) (636) - 18,554

47

University Hospitals Bristol & Weston Charity

Notes to the Financial Statements

For the Year Ended 31 March 2023

21.2. Analysis of funds (continued)

Restricted funds:
Bristol Royal Infirmary
Fonseka
Respiratory Ward Chairs
Bristol Heart Institute Appeal
Implantable Electronic Devices
Research Project - Pain
Bristol Royal Hospital for Children
PICU Mobility Equipment
Refurbishment of Ward 30 Medical Unit
Physiotherapy Department
Patient Travel
Bluebell Ward
Crafts
Specialist Beds
NICU Transport Incubator
Garden Projects
St Micheal's Hospital
Child Life Research
Bristol Haematology & Oncology Centre
Ward D603 Refurbishment
Chemotherapy Day Unit - Chairs
Psychologist
Bristol Eye Hospital
Pre-Op for Cataract Surgery
Weston General Hospital
NHS Charities Together
Eye Clinic
Harris Fund
Dibble Fund
University Hospitals Bristol & Weston
NHS Foundation Trust
Volunteering
Menopause Oncology Clinic
University Hospitals Bristol & Weston
Charity
NHS Partner Awards
COVID Fund
Unrestricted funds:
Designated
University Hospitals Bristol & Weston
Charity
Bristol Royal Infirmary
Bristol Dental Hospital
Bristol Royal Hospital for Children
Bristol Eye Hospital
Bristol Haematology & Oncology Centre
St Michael's Hospital
South Bristol Community Hospital
Bristol Clinical
Commissioning Group and Bristol
North Somerset Clinical
Weston General Hospital
Undesignated
Total University Hospitals Bristol &
Weston Charity Undesignated Reserves
Unrestricted Trading Subsidiary
Total All Funds
Commissioning Group and North
Somerset Community Partnership
University Hospitals Bristol & Weston NHS Foundation
Trust		 Balance
31 March
2021
£ '000's
7
1
8
-
9
9
5
8
4
29
-
-
-
-
10
-
10
-
-
-
-
-
-
2
-
-
229		 Income
£ '000's
-
-
-
34
-
-
-
-
-
-
5
3
3
1
-
9
-
2
6
74
4
16
36
-
13
189
2		 Expenditure
£ '000's
-
(1)
-
-
(9)
(2)
(5)
(8)
-
-
(5)
(3)
(3)
(1)
(10)
20
(10)
-
(6)
(47)
-
-
-
-
(13)
(189)
(231)		 Gain/(loss) on
investments &
tangible fixed
assets
£ '000's
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-		 Net transfers
£ '000's
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
0
-
-
-		 Balance
31 March
2022
£ '000's
7
-
8
34
-
7
-
-
4
29
-
-
-
-
-
29
-
2
-
27
4
16
36
2
-
-
-
331 397 (523) - - 205
3,540
5,493
240
2,887
1,887
1,216
393
296
79
152
81
945		 9
174
5
54
24
93
25
(5)
-
368
-
448		 217
(264)
(7)
(427)
(13)
1,463
(8)
(1)
(5)
(2)
(5)
(31)		 -
-
-
-
-
-
-
-
-
-
-
-		 (1,475)
(23)
-
(22)
(7)
26
(8)
(28)
-
(1)
-
38		 2,291
5,380
238
2,492
1,891
2,798
402
262
74
517
76
1,400
17,209 1,195 917 - (1,500) 17,821
1,129 705 (1,746) 851 1,668 2,607
1 346 (178) - (168) 1
1,130 1,051 (1,924) 851 1,500 2,608
18,670 2,643 (1,530) 851 - 20,634

48

University Hospitals Bristol & Weston Charity

Notes to the Financial Statements

For the Year Ended 31 March 2023

22. Weston Health General Charitable Fund

The Board of University Hospitals Bristol & Weston NHS Foundation Trust agreed that the assets and liablities of Weston Health General Charitable Fund (charity number 1057589) would be transferred into University Hospitals Bristol & Weston Charity on 1st October 2021.

The total amount transferred was £479,551, which comprised £129,919 of restricted funds and £349,632 of unrestricted.

49