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Championing what matters to you Healthwatch North Yorkshire Annual Report 2021-22

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

Message from our Chief Executive Officer	3
About us	4
Our year in review	5
Listening to your experiences	7
Advice and information	11
Volunteers	13
Finances and future priorities	15
Statutory statements	16

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

Message from our CEO

Reflecting on the last year and looking ahead to our future at Healthwatch North Yorkshire.

Firstly, I would like to thank our staff, volunteers and board members who have worked incredibly hard to make the last year an eventful year for us all. Alongside this, I would like to thank all the people across North Yorkshire who have shared their health and social care experiences with us, for example over the phone, by email, via our website, at our outdoor events or by taking part in our surveys and focus groups.

Without your insight we wouldn’t have been able to make change happen and champion what matters to you.

Our relationships across health and social care have also been important to us and we have strived to continue building these across the system to ensure we play an instrumental role in bringing public insight and opinions to the forefront of decision making.

I would like to thank these colleagues for their cooperation, including those in; NHS Hospital Trusts (Acute & Mental Health), Clinical Commissioning Groups, North Yorkshire County Council, Primary Care, the Health & Care Partnerships in Humber & North Yorkshire and in West Yorkshire (including Craven), as well as those working in the Community Voluntary Sector.

I hope you enjoy reading our Annual Report for 2021-22 which provides a summary of the many things we have undertaken, achieved and will continue to champion over the coming year.

Ashley Green, Chief Executive Officer Healthwatch North Yorkshire

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

About us

Your health and social care champion

Healthwatch North Yorkshire is your local health and social care champion. From Whitby to Craven and everywhere in between, we make sure NHS and social care leaders hear your voice and use your feedback to improve care. We can also help you to find reliable and trustworthy information and advice.

Our vision

A world where we can all get the health and care we need.

Our mission

To make sure people’s experiences help make health and care better.

Our values

Listening to people and making sure their voices are heard.
Including everyone in the conversation – especially those who don’t always have their voice heard.
Analysing different people’s experiences to learn how to improve care.
Acting on feedback and driving change.
Partnering with care providers, Government, and the voluntary sector – serving as the public’s independent advocate.

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

Our year in review

Find out how we have engaged and supported people.

Reaching out

3,304 people

shared their experiences of health and social care services with us, helping to raise awareness of issues and improve care.

76,207 visits to our website

from people who came to us for advice and information about topics such as COVID-19 and NHS dentistry.

Making a difference to care

We published

8 reports and briefings

about people’s experiences and the improvements they would like to see.

Health and care that works for you

We’re lucky to have

80

outstanding volunteers, who gave up 157 days to make care better for our community.

We’re funded by our local authority. In 2021-22 we received:

£167,459

Which is the same as the previous year.

We currently employ

5 staff

who help us carry out this work.

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

How we’ve made a difference throughout the year

These are some of the projects we worked on from April 2021 to March 2022.

We worked collaboratively across the county with partner organisations in for example Selby, Scarborough and Craven to hear from local people about their health and care concerns.

We updated our website to ensure we provided clear, consistent, and engaging content and added new accessibility features to make our website more accessible and user friendly to all.

When people struggled to access an NHS dentist, we called for radical reform of dental provision in our report. We also facilitated several focus groups to hear what people would want from their NHS dental practice.

We began to hear from young people about their experiences, including working in partnership with colleges and university to help steer our future work to influence improvements in young people’s health and wellbeing.

We worked in partnership with Healthwatch York to speak with care homes to find out what they thought the impact of mandatory COVID-19 vaccinations would have on their staff and services.

We developed a network of both organisations and individuals who share feedback with us on a regular basis and keep us informed of timely local health and social care issues.

We looked at the innovative ways care homes adapted their services during the pandemic. Our report highlighted the ways care homes worked to keep their residents safe and how these changes had a positive long-term effect.

We highlighted people's experiences of GP appointments and whilst there was much positive feedback, there were still some concerns about long waiting times to book appointments and a mixed response to using digital support.

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

Listening to your experiences

Services can’t make improvements without hearing your views. That’s why over the last year we have made listening to feedback from all areas of the community a priority. This allows us to understand the full picture and provide feedback to services to help them improve. We’ve heard from people who have completed our surveys, participated in our focus groups, contacted us by phone, spoken to us at outdoor events and contacted us by social media.

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

Understanding the real-time health and care issues

We set up our networks of organisations and individuals to give people the opportunity to share their experiences of health and social care services with us by completing a regular survey focused on a set topic.

We published our COVID-19 report (Sep 2021) followed by two pulse reports, and one pulse briefing in the year. Our first pulse report (Nov 2021) focused on Delays to Treatment and our first pulse briefing (Dec 2021) focused on Access to GP Appointments.

Our second pulse report (Feb 2022) focused on public experiences of Mental Health and Well-Being, as mental health was raised as the biggest issue of concern in our first pulse report.

61% of respondents told us that they had experienced mental health or wellbeing issues in the past 12 months.

The key issues identified in our pulse report focusing on Mental Health and Well-Being included:

Around 60% of the sample had experienced mental health issues, particularly anxiety and stress, exacerbated by COVID-19.
Most people went to their GP as their first port of call regarding mental health. However, people had a mixed experience of seeing their GP.
53% of the sample did not seek any support.
Some people found the support offered useful once they managed to access it, but there were several barriers that prevented people from accessing help, including long waiting times, staff attitudes, the stigma around mental health and impersonal care.
A supportive network of family and friends, exercise and being in nature, a positive home or work environment and routine all helped to contribute towards positive mental health and well-being.

What difference did this make

We shared the report widely with stakeholders involved in the delivery and commissioning of mental health services. An example of the feedback we received can be seen below.

“Some really helpful information here and I think information that is vital to the mental health community transformation work. I am going to raise it at the cocreation programme board and ask how we can better use this information to inform our services.”

Sally Smith, Tees, Esk and Wear Valley NHS Foundation Trust

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

Call for radical reform of access to NHS dentistry

Thanks to people sharing their experiences of being unable to access an NHS dentist, we produced a report to highlight the key issues people across North Yorkshire are facing.

In August 2020, we published a report reviewing all public feedback we received from May 2020 to May 2021. The report included a review of 176 pieces feedback and signposting requests.

NHS dentistry has been a major area of concern for people across North Yorkshire and this report called for major, radical reform to the way that dentistry is commissioned. The lack of access to and availability to NHS dentistry has severely effected people, and it prompted an unprecedented response.

One of the main issues we heard was the lack of access to NHS dentists across North Yorkshire, and it is unsurprising that 83.5% of feedback we received relating to NHS dentistry was negative. Two other main issues we heard were related to long waiting times and concerns for children’s oral health.

“COVID-19 has had a massive impact on how we can provide services. It means more time is required between patients – we must leave the room empty between patients for a deep clean. The PPE that we wear is timeconsuming to put on and take off, as well as been exhausting to work with. This report by Healthwatch North Yorkshire demonstrates the need for improvements in the number and availability of NHS dentists.” - Zafran Majid, Dental Practice Manager.

What difference did this make

Due to our call for change, NHS England invited us to be a part of their procurement panel for new dental services in North Yorkshire where we have contributed to the review of public and patient engagement and accessibility to services.

The findings presented in the report contributed to the establishment of a new dental working group in the former West Yorkshire and Harrogate Health and Care Partnership, and to the work of the North Yorkshire County Council Health Scrutiny Board.

Additionally, due to our report and ongoing pressure by us and our Healthwatch colleagues in the region, we were invited to join a new Humber & North Yorkshire local dental network. Alongside this our report and public insight has helped to shape the development of a new NHS dental strategy for Yorkshire & Humber.

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

Three ways we have made a difference for the community

Throughout our work we gather information about health and social care by speaking to people about their experiences.

Working in partnership to hear more voices

We frequently work in partnership with other organisations to understand and amplify what is important to members of the public.

We supported North Yorkshire CCG to facilitate public events where people could have their questions answered on the provision of stroke services across the county. Alongside this we undertook a joint survey to hear from people who had experienced stroke care both at hospital and in the community to feed into the future delivery of stroke services. Additionally, we asked for public feedback on stroke services that we shared with the CCG, North Yorkshire County Council and the York & Scarborough NHS Hospitals Trust.

Getting services to involve the public

NHS England and NHS Improvement (NHSE&I) requested Healthwatch North Yorkshire’s help in conducting public engagement as part of the procurement of NHS dentistry in the Scarborough and Robin Hoods Bay areas.

Working with NHSE&I we held three focus groups and undertook two surveys to ask for members of the public in Scarborough and Robin Hoods Bay to share their views with us on accessing NHS dentistry.

We heard from over 240 people, and we used the feedback to let NHS England and NHS Improvement know what local people wanted from NHS dental services in the areas.

Improving care over time

Change takes time. We often work behind the scenes with health and care services to consistently raise issues and push for changes.

Our volunteers (including trustees) have been involved in several local NHS projects to ensure that Healthwatch and the voice of local people are included in the development of new services. These include the redevelopment of Whitby Hospital which has been undergoing rapid transformation to ensure it meets the needs of the local community. Plus, the development of Catterick Integrated Care Campus in Richmondshire to support both the MoD personal and local population.

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

Advice and information

Healthwatch North Yorkshire is here for you. In times of worry or stress, we can provide confidential support and free information to help you understand your options and get the help you need.

This year we helped people by:

Providing up to date information on COVID-19 and the vaccination programme
Signposting people to relevant organisations
Supporting the promotion of the NHS app
Sharing public feedback with health and care providers across North Yorkshire to ensure people in North Yorkshire were heard

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

Making sure service users are listened to and understood

Over the past year we have received lots of feedback from members of the public public who shared their experiences of getting the COVID-19 vaccine.

We frequently signposted members of the public to people they could speak with about the vaccine, and the places they could go to have the COVID-19 vaccination.

We also built connections with those people organising the roll out of the vaccination and we regularly got in touch to share feedback or ask for further advice and information.

In one instance, we raised a concern about disabled access to the Chain Lane Vaccination centre in Knaresborough on behalf of the Ripon Disability Forum. The issues were noted, and the NHS service committed to providing clearer accessibility information, particularly for electric wheelchair users.

Dealing with the issues at hand

We provide monthly updates to our NHS Trusts and health and care providers to ensure they receive the latest feedback

Our updates include all the feedback we have heard directly via people getting in touch, at engagement events, focus groups, comments on surveys and indirectly via Care Opinion (another place that captures patient feedback).

All information is anonymous and shared by location and issue.

Pleasingly, those organisations that we send our updates to all respond to let us know what actions they have or are taking as a result of the feedback. Often issues and complaints are raised with teams, and actions agreed to deal with the specific issues.

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

Volunteers

We’re supported by a team of amazing volunteers who are the heart of Healthwatch North Yorkshire. Thanks to their efforts in the community, we’re able to understand what is working and what needs improving in the NHS and social care.

This year our volunteers:

Helped gather experiences from people across North Yorkshire which informed our COVID-19 intelligence briefings.
Attended public engagement events and spoke with members of the public.
Raised awareness of our work by sharing our reports with their networks.
Facilitated our focus groups and interviewed participants – making notes, and ensuring we had rich content for our reports.
Attended meetings for Healthwatch North Yorkshire and fed back any key information to the team.

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

Patrick

“If you are thinking of volunteering, I would recommend Healthwatch North Yorkshire. You can contribute as much or little as you want whilst contributing to the local communities. You will also meet brilliant health and social care professionals and have engaging debates and discussions. But more importantly, you will be able to influence change for the better.”

Shaun

“I volunteer for Healthwatch North Yorkshire because I like the concept of “ taking the nation's pulse ” by talking to patients about their health and social care experiences. By talking to people and gathering these experiences we can highlight health inequalities that would only become apparent after long periods or harmful incidents."

Agnes

“I became a trustee of Healthwatch North Yorkshire because as a parent of a child with a hearing impairment we have benefited for several years from the support and care of the NHS, and I wanted to give something back. Being a trustee has allowed me to see the importance that Healthwatch has in improving local care.”

Do you feel inspired?

We are always on the lookout for new volunteers, so please get in touch today.

www.healthwatchnorthyorkshire.co.uk 01423 788 128 admin@hwny.co.uk

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

Finance and future priorities

To help us carry out our work we receive funding from our local authority under the Health and Social Care Act 2012.

Income	Expenditure
Funding received from local authority £167,459	Staff costs £146,160
Additional funding £17,600 Total income £185,059	Operational costs £12,773
	Support and administration £11,611
	Total expenditure £170,544

Our priorities for 2022–23

Work with partners across social care, including care homes, to listen to those people delivering & receiving care to support service improvements. Including our enter & view programme and exploring the impact of workforce shortages on people and services.
Listen to and gather the views of younger people to ensure they help to influence the design, delivery & commissioning of services they receive. Involving, for example younger people, mental health providers and educational colleges.
Listen to & gather the views & experiences of people to ensure they help to improve the provision & delivery of health & care services . Prioritising work around NHS dental provision, helping people to receive the right health information for their needs, and ensuring that people have improved access and understanding of continence services.
Work with key stakeholders & organisations to support & influence improvements in health & care services. Including working with the newly established Integrated Care Systems in Humber & North Yorkshire and West Yorkshire (includes Craven).

Next steps

The pandemic has shone a stark light on the impact of existing inequalities when using health and care services, highlighting the importance of championing the voices of those who all too often go unheard.

Over the coming years, our goal is to help reduce these inequalities by making sure your voice is heard, and decision makers reduce the barriers you face, regardless of whether that’s because of where you live, income or race.

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

Statutory statement

About us

Healthwatch England, 2 Redman Place, Stratford, E20 1JQ.

Healthwatch North Yorkshire uses the Healthwatch Trademark when undertaking our statutory activities as covered by the licence agreement.

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

The way we work

Our Healthwatch board consists of 7 trustees who work on a voluntary basis to provide direction, oversight and scrutiny of our activities. Our board ensures that decisions about priority areas of work reflect the concerns and interests of our diverse local community. Through 2021/22 the board met ten times and made decisions on matters such as the recruitment of new trustees, our work with the new ICSs, and agreeing work priorities, such as working with care homes and younger people. The board also provided support and direction to the CEO and team.

We ensure wider public involvement in deciding our work priorities. This includes for example speaking with and involving our volunteers, using the feedback and issues that we have received to help shape our decisions. Listening to our partners and stakeholders in health and social care, as well as considering the opinions and concerns of those people and communities who are seldom heard or unrepresented.

Methods and systems used across the year’s work to obtain people’s views and experience.

We use a wide range of approaches to ensure that as many people as possible can provide us with insight about their experience of health and care services. During 2021/22 we have been available by phone, by email, provided a web-form on our website, attended virtual meetings of community groups and forums, provided our own virtual activities and engaged with the public through social media, outdoor events and community networks.

We ensure that this annual report is made available to as many members of the public and partner organisations as possible. We will publish it on our website, promote it across our engagement networks, share it on social media and with our volunteers, and promote it via our newsletters.

Responses to our reports and recommendations

We received much feedback and praise from health and social care providers, managers and commissioners about the reports and briefings that we shared with them. On the majority of occasions our findings and recommendations have been discussed and acted upon and have helped to influence service changes.

This year, due to the COVID-19 pandemic, we did not make use of our Enter and View powers. Consequently, no recommendations or other actions resulted from this area of activity. We will, however, be undertaking Enter and Views in the coming year.

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

Health and Wellbeing Board

Healthwatch North Yorkshire is represented on the North Yorkshire Health and Wellbeing Board by Ashley Green, Chief Executive Officer. During 2021/22 our representative has effectively carried out this role by contributing to discussions around strategic priorities and public involvement. Ashley has brought public insight and issues to the Board, including the effect that a lack of NHS dentists is having on the oral health of people in North Yorkshire.

2021-2022 Outcomes

Projects, Reports and Briefings	Impact
NHS dentistry in North Yorkshire: A review of public feedback 2020 – 2021 (Aug 2021).	1. We received an increased media interest as a result of this report, including interviews with BBC radio York and Greatest Hits Yorkshire. 2. We were invited to join the procurement process for new NHS services. This involved joining the procurement panel, with a focus on engagement and accessibility. 3. The findings contributed to the establishment of a dental working group for West Yorkshire and Harrogate Health and Care Partnership. 4. The findings contributed to the work of North Yorkshire County Council Health Scrutiny Board. 5. We were invited to join a newly established Humber and North Yorkshire NHSE dental network.
Covid-19 in North Yorkshire April – July 2021 (Sep 2021).	1. This report was shared with key stakeholders across the county, including the North Yorkshire County Council Covid outbreak advisory group. 2. The Vale of York CCG used the findings on GP services to contribute to their primary care development.
Mandatory vaccinations in Care Homes – Briefing (Sep 2021).	1. This briefing was welcomed by North Yorkshire County Council and supported their ongoing work around care home provision and development. 2. We had significant media coverage and were interviewed on Yorkshire Coast News radio station.

Championing what matters to you | Healthwatch North Yorkshire | Annual Report 2021-22

Project / Activity Area	Impact
Public engagement in Scarborough and Robin Hood’s Bay (Sep 2021).	1. NHSE&I acted upon the public views we gathered on dentistry, for example in the provision of preventative dentistry for future commissioning of services.
Pulse report: public delays to treatment (Nov 2021).	1. The report contributed to discussions within the Humber and North Yorkshire Health and Care partnership to improve waiting times and support people manage their health.
Pulse briefing: the public experiences of GP appointments (Dec 2021).	1. This briefing led to discussions with North Yorkshire CCG and Vale of York CCG to explore wider engagement with the public around primary care provision and health professional access. 2. Our insight supported digital media campaigns by both the CCG’s. 3. The briefing was shared and discussed at the Humber Coast and Vale digital inclusion partnership.
Care home’s and COVID-19: lessons from an unprecedented time (Jan 2022).	1. The report received praise from the North Yorkshire County Council and from the Independent Care group. 2. It was used as a tool to contribute to positive stories to attract and retrain social care staff and it was shared across the care sector to promote good practice.
Being healthy: ideas and reflections from Scarborough (Jan 2022).	1. This report acted to support future work by the Healthier Communities programme in Scarborough by identifying public need and service development. 2. The report was presented and discussed at the NHS Scarborough and Ryedale Partnership Board.
Pulse report: the public experience of mental health and well-being (Feb 2022).	1. We were interviewed by BBC Look North and local Greatest Hits Radio Yorkshire. 2. The report was discussed with Tees, Esk and Wear Valley NHS Foundation Trust (who deliver mental health services across the county), and the findings contributed to the community mental health transformation programme.

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Healthwatch North Yorkshire

CHARITY REGISTRATION NUMBER: 1171152 Healthwatch North Yorkshire Unaudited Financial Statements 31 March 2022 CRI OP ACCO NT Chartered accountants Unit 1. Borough House Business Centre. 5 Borough Road. Richmond. North Yorkshire DL10 4SX

Healthwatch North Yorkshlre Financial Statements Year ended 31 March 2022 Page Trustees, annual report Independent examinerfs report to the trustees ststement of financial activities Statement of financial position Notes to the flnancial statements The following pages do not fomb part of the financlal statements Detailed statement of financial activities 15 Notes to the detailed statement of financial activities 16

Healthwatch North Yorkshlre Trustees, Annual Report Year ended 31 March 2022 The trustees present their r8FJOrt and the unaudited financial statements of the charity for the year ended 31 March 2022. Refergncè and administrativo dotsils Rogistered tharhy name Healthwalch North Yorkshire Charity regi5tratlon numbeT 1171152 Prlncipal 0tt1¢g Jesmond House 33 Victoria Avenue Harrogate North Yorkshire Thg trustses J Bromfield R Peacock A F Crutchard P Southgale J CLÈnningham L Adams L V Wolstenholme (Appointed 11 February 20221 (Appointed 11 February 2022} Independent exam¢ner Mr R I Cfl8op FCA Unit 1. Borough House Busin8ss Contre, 5 Borough Road, Richmond, North Yorkshire DL10 4SX structure. govemanco and management The charity 1$ 8 Challtable IOrporated Organisation (CIO) registered with the Charity Commission on 17th January 2017. The charity is managed by the board of trustees. Tru5tses are appointed for 8 term of 3 years. New trustees receive an induction and briefing on their legal obligations under charitabl8 law 8nd the content of the constitution as w811 as management committee papers to famliarise themselves with their roie and responsibilities. Funding is granted through a grant from North Yorkshire County Council and eamed incomè for time limited projects.

Healthwatch North Yorkshire Trustees. Annual Report f¢ondnuedJ Year ended 31 March 2022 Obje¢tives and activities The objÈGts of the charity are: - provlding Infom)ation and advlce to the general publtc about local health and social care seNices'. making the views and experiences of M8Mr8 of the gen8r81 public known lo health and social care ptoviders and commissioners., enaIng local people to have a voice in the development. d¢livery, Improvement and equality of access to local health and care setvices and f8cililies- and promding training and the d8velopment of skills for volunle6rs 8nd the WKlèr community in understsnding, scrulinising, reviewing and monitoring loeal health and care serwces and facilities. Trustee5 have considered the Charity Commlssion's guidance on public benefit and believg that Heallhwalch North Yorkshire meets the public benefit requirements in delivering the activities that contribute to the objects of the charity. The achievements are set out in this report detailing how we deliver our charitable objects and who the benefsCIaes are. Achlev•ments and perFornFan¢e Thls port hi9hliglrts the key achievemgnts of the charity in this year of operation and how it has met its charitable objectives. Providing infomiation and advice lo the 98néral public about Ioc81 health and social car• servleèg We engaged %wlh a diverse wide range of voluntary organisations reaching dder people, families and children, mental health users. veterans and carer5. We engaged with the public via market stall events, fayres. summer shows and publtc sector consultation events. Making the views and experiences of members of the general public known lo health and social care providers and commissioners H8allhwatch North Yorkshire is a member of North Yorkshire Health & Wellbeing Board direcuy feeding back views and experiènces to commissioners in health and Social care. We have wwked closely with local health and social care providers attending meetings at a strategic level and operational level. Our trustees, staff and volunteers attendfj¢J public consultation events to hear public opinion and ensur8 those oplnions are heard. Enabling local people to have a voice in the development, delivery, improvement ar equality of access to local health and care services and facllilies Providing training and the development of skills for volunlaers and tha wider community in understsnding, scrutinising, reviewing and monitoring local health and care serwces and faeilit5es

Healthwatch North Yorkshire Trustees. Annual Report I1$U9rf) Year ended 31 March 2022 Financial review The trustees are sab'5fted wth Ihe finanGial position of Ihe charity. Res8rv¢s policy Hoalthwatch North Yorksh5rè will work towards ensuring Unrestrict funds are equivalen* to 3 months running (xisls. This is lo ensure we can provide financial stability and the me8ns for the development of our raquired activtties_ The Board wll annually review the amount of reserves that are required lo ensure that they are adequate lo ftjlfill our continuing obligations. The trustees, annual report was approved on 16 January 2023 and signed on behalf of th8 board of trustees by. J Bromfield Trustee L Adams Trustee LN, L V Wolstenholme Tnjstee

Healthwatch North Yorkshire Independent Examlnerfs Report to the Trustees of Healthwatch North Yorkshire Year ended 31 March 2022 I report tr) the trustees on my examination of the financial statements of Healthwatch North Yorkshi {'Ihe charity) for the year enLled 31 March 2022. Respon8lbllltio$ and basis of report As the trustees of the charity you are responsrble for the preparatlon of the financial statements in accordance wth the requiremen15 of the Charities Act 2011 Ilhe Act'}. I report in respect of my examinallon of the ¢hariWs financial statements carried out %Jndar section 145 of the 2011 Act and in carrying oul My examination I have followed all the applicable Dirèctions given by the Charity Commission under section 145151(bl of the Act Independent examlnerfs statsm8nt I have Gompleled my examination. I confimi that no material matters have come to my attention in connection with the oxaminallon giwng me cause lo L)elieve that in any material respact: accounting records were not kept in respect of the charity as required by Secon 130 of the Act.. or the financial statements do not accord with those records- (x Ehe financial slalements do not comply th the applicable requirements eonceming the form and contant of a¢counls sel in tha Charities (Account5 and Reports) Regtjlations 2008 other than any requirèment that the accounts give a 'true and fairf view which is not a matter considered as part of an independeftt examination. I have no concems and have come across no other matters in conrFection with the examination lo which attention should be drawn in this report in ord8r to enable a proper understanding of the accounts lo be reached. Mr R I Crisop FCA Independent Examiner Unit 1, Borough House Business Centre. 5 Borough Road. Richmond. North Yorkshire DL10 4SX 16 January2023

Healthwatch North Yorkshire Statement of Financial Position 31 March 2022 2022 2021 Fix8d assets Tangible fixed as5etS 11 3.060 5,757 Current assets Debtors Cash at bank and in hand 12 1,167 135.807 152.604 152.604 136.974 Credltors: amounts falling due within onè yÈar current assets 13 636 636 151,968 136,338 Total assets less currerrt Ilabilitles 155,028 142,095 Net assots 155,028 142,095 Funds of the charity Unrestrieled funds 155.028 155,028 142.095 Total tharity fvnd¥ 15 142,095 These financial statements were approved by the board of tfuslees and autho¥tsed for issue on 16 January 2023, and are signed on behalf of the board by. J Bromfield Trustee L Adams Trustee L V Wolslenholme Trustee The notes on pag•s 7 to 13 fLYm part ofthese flnancial 5tstem8nts.

Healthwatch North Yorkshire Statement of Flnanclal Activities Year ended 31 March 2022 2022 2021 UnStrIcted funds Total funds Total funds come and endowments Donatlons and legacies Total incomo 185,059 185,059 185,059 185,059 167.459 167.459 Exponditure Expenditure on ch8rttable activitses Total expendltu &6 172.126 172,126 172.126 135,004 172.128 135,004 N•t income and not mov•mènt in funds 12,933 12.933 32,455 Re¢on¢illation of funds Tot81 fvnds brought forward Totsl funds carrled forward 142,095 142.095 155,028 109.640 155.028 142,095 The statement of financial actNi"es include5 all gains and losses recognised in the year. All income and oxpunditure derivo from continuing 8Ctivilies. Th• notss on pag•s 7 t¢ 13 forrn part of thgs• financlal $tst•ments.

Healthwatch North Yorkshlre Notes to the Financial Statements Year ended 31 March 2022 General inforniation The charity is a public benefit entity and a Tegistered charity in England and Wales and is unincorporgted. Tha gddre99 of tho prineip91 offieo ig JBgmond Hougo. 33 VietoiiA Avonuo, Harrogate North Yorkshire, HG1 5QE. Statement of compliance These financial statements have been prepared in compliance with FRS 102. The Financial Reporting Standard applicable in the UK and the Republic of Ireland,. the Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and RepLiblic of Ireland {FRS 1021 {Chartties SORP IFRS 102)) and the Charities Act 2011. Accountlng pollclos Ba$1$ of prèparation The financial statemonts have baon prepared on the historical cost basis, as modified by the revaluation of certain financial assets and liabilities and investment properties measured at fair value through Iorne or expenditure. Tha financial stalom•nls aro propared in sterfing. which is the ftjndional currency of the enlity- Golng ¢oncgm There are no malerial uncertainties about the chartys ability to conlinue. Judgements and key SOUTces of •smatIon uncertalnty The preparalion of the financial statements requirès management to make judgements, estimates and assumptions that affect the amounts reported. These estimates and judgements are continually rgviewgd alld are based on experience and other factors. inclLEdsng expectation5 of future events that are believed lo be reasonable unrjer the Gircum*an¢es. Fund accounting Unreslrictsd furmls are available use at the dlscretyon of the trustees to further any of the chaTitys purposes. Designated f¥Jnds are unrestricted fvnds eam)arked by the trustees for particular fLthir& project or commitimenl. Restricted funds are subjected lo restriekn.ons on their expenditure dedared by the donor or through the terms ol an appeal. and fall into one of two sUtrdaSses'. restricted income funds or endowment funds.

Healthwatch North Yorkshire Notes to the Financial Statements (COnllnu•d) Year ended 31 March 2022 Accountlng policies {GontinuedJ In¢omlng r•sources All in¢oming resources are induded In the statement of financial activities when enlttlement has passed to thè ¢harity- it IS PTobable that the economic benefrts associated with the transaction will flow to the tharily and the amounl can be reliably measu. The foll¢)wing specific policies are applied to partscular categories of income- income from donations or grants is recognised when there Ts evldersce of enliuement to the . reIpt is probable and its amount can be measured reliably. legacy income is recognised when receipt is probable and entitlement is establlshed. income from donated goods is measured at the fair value of the goods unless this is Impractical lo measure reliably. in whi¢h ¢8se the value is derived from the cost lo the donor or the estimated resale value. Donated faciltties and services are recognised in the accounts when received if the value can be reliably measured. No amounts are Induded for the contribution of general volunteers. income fmm ¢oRtracts for the suPY of Services is recognised with the delSvery of the onlracted servi. This Fs classified as untestricted funds unless there is a contractual requirement for it to be spent on a particular purpose and returned if unspent, in which case it may be regarded as restricted. Resources ¢xpended Expènditure is recognised on an accruals basis as a liability is incurr8d. Expenditure include5 any VAT which Cannot be fulty recovered, and is dassified under headings of the slalemenl of financial actrvÈlies to which il relgles: expenditure on raising funds irKludes the costs of all fundraising activitie5, &V8nts. non- charitable trading a¢tivltles, and the sale of donated g(y)ds. expendrture on charitsb18 activities indudes all costs inc#Jrred by a charity in undertaking activities that further ils charitable aims for the benefit of its b8neficiari8s. includin9 those support costs and costs relats.ng lo tha gov8rnan¢e of the charity apportioned lo charitable activitie8. other expenditure indudes all expendtture that is neither related to raislng fijnds for the chartty nor part of its expenditure on charitable aclNities. All costs are allocated to 8xpendlture categories reflecting the use of the resour. Direct costs attributsble lo a single activity are allocated direGly lo that activty. Shared costs are apportioned b&tw&on tho 2Qtivitia2 th&y contribLtst to on # rg4Bonablo. jy$tffiaE>Jo and oon8iètsnt boaiv. Tangible as$ets Tangible assets are initially recorded al cost. and subsequently stalad At cost less any accumulated depCiation and impaiment losses. Any tangible assets Garried al revalued amounts are recorded at the fair value at the dale of revaluation less any subsequent accumulated depreciatlon and subsequent accumulated impainnent losses.

Healthwatch North Yorkshire Notes to the Financial Statements (conthu6dJ Year ended 31 March 2022 Accounting policies (witlnued) Tangible assets (contlnued) An increase in the carrying amount of an asset as a result of a revaluation. is recognised in other recognised gains and10sses. unless il reverses a charge for impairment that has previously been recognised as expendittjfe within the statement of financial activities. A decrease in the carryng amount of an asset as a result of reVaIallon, is recognised in other re¢ognised gains and losses, axcept to which it offsets any previous revaluation gain. in which case the bss is shown within other recognised gabns and losses on the statement of financial activities. Depreclatlon Depreciation is calculated $0 as to write off the cost or valuation of an asset, less its residual value. over the useful economic life of that assat as follows= Flxtures, equipment elG. 20% stralghl Ilne Impairmenl of fixèd assets A rtrvlew for Indicators ot impaimient is carried out at each reporting datè, with thé recoverable amount being estimated where such indicators exist. Where Ihe carwn9 value exce$ the recoverable amount, the asset is impaire(l accornlingly. Pdor impaimients are also reviewed for possibl8 reversal al each reporting date. For the purrKJses of impaimient testing, when it is not pjssible to estimate the recoverable amount of an indiwdual asset, an estimat& is made of Ihe reeoverable amount of the cash- generating unil lo whleh the asset belongs. The cash-generating unit is the smallest identifiable group of assets that inGludes the asset and generate5 cash inllows that largely independent of the cash inllows trom other assets or groups of assets. For impairrnenl tesbng of gwthll. the odWIll acquired in a business combination is. from the acquisition date, allocated lo each of the e8sh-gener8ting units that are expected lo benefit from the synergies of the combinatron, irre5pecUve of whether other assets or liabilities of the charity are assigned to those ullrts. Financial in¥trumant$ A financial asset or 2 financial liability is recogni5ed only en the charity becomes a party to the contractual provisiofis of the instnjment Basic financial instruments are initiatly recogniwt at th8 amount receivab or payabl8 including any rdated transaction costs. Current assets and current liabllilles are subsequently measur8d at the cash OT Other consideration expectsd lo be paid cr received and not discosjnted. Debt inslruments are subsequently measured at amortised ¢osL Where investments In shares are publidy traded or Ihelr fair value can OtheSe be meastjred reliably, the Inveskn)ent is subsequenlly measured at fair value with changes in fair value recognised in income and expenditure. All other suGh invèstments are subsequenlly measured at cost les5 imp8irmenL

Healthwatch North Yorkshlre Notes to the Financial Statements (¢onlimiedJ Year ended 31 March 2022 counting pollcies {continue Financial instruments Other lifjanci instruments. includlng derivatives. are inthally recognised at fair value, unless paymént for 8n asset is deferred b8yond nomiaj business tarms or financed at a rate of Intèrèst that is not a market rate, in which case the asset is measured at tha prèsènt value of the future payments discounl6d at 8 market rate of interest for a $imitar debt instwmenl Other financial instruments are sub5equ8lltly measured at fair valuè, with any changes recognised in the statement of finan¢181 actiwties, wlh the exceptson of hedgiro instruments in a designated hedging relationshlp. Financial assets that are maasurgd at cost or amortised cost 8r8 reviewed for objective 8vid8n of 4mp2irm8nt at the end of each reporting dale. If there is objective 8vidence of impaimient, an impairment loss is recognised under the appropriate heading in the SeMent of financial actlvllles in which the inrtial gain was reGognised. For all equity instruments regardless of significan. and other financial assets that ar8 individually signtficanl, these are assessed individually for impaim)ent. Other financial assets are either assessed individualty or grouped on the basls of similar credit risk Characteristics. Any reversals of impairment are recognised immediately, to the extent that the revarsal doo5 not result a carryng amount of the financial asset that exceeds what the carrw'ng amount would have been had the Impalrment not previous been recognised. Defined contribution plans Contributions to defined Contribution FanS are rew3nised as an expense in the period in which the related service is provided. Prepaid contributions are recognised as an asset to the extent that the prep2ymenl will lead to a reduction in future pay7nenls or a cash refund. When contriixjlions a not expected to be s8ttted wholly within 12 tnonths of the end of the reporting date in which the employees render the related sarvica, tho Ilability is measured on a discounted present value basis. The unwinding of the discoufjt is recogriisad as an expense In the peiiod In which it arises. Donations and legaclgs Unrestrtcted fotal Funds Unrestricted Totsl Funds Funds 2022 Funds 2021 Grants NYCC semce grant Other grants 167.459 17.600 167,459 17.600 185.059 167,459 167.459 185.059 167,459 167,459 Expendlturo on charitable actfvitie8 by fvnd type Unrestrtcted Total Funds Unresthcted Total Funds Funds 2022 Funds 2021 Charitable adNity 172.126 172,126 135,004 135,004 10-

Healthwatch North Yorkshlre Notes to the Flnanclal Statements (tOnllnu6dJ Year ended 31 March 2022 Expenditure on charitable activities by artivity type A¢lIvQ$ ndortakon Total funds directly 2022 Total fund 2021 Charitable activity 172.126 172.126 135.004 Net In¢omo Net in¢ome is ststed after chargingllcreditingl.. 2022 2021 Depreciation of tangible fixed assets 2,697 2,697 Independont examination fèas 2022 2021 Fees payable to the independent examiner for. Ind8pendent examinati( of the fiTrancial statements 660 636 Staff ¢05ts The average head count of empioyEes during the year was 512021: 5). No employee racetved em 0Yea beneffts of more than £60.000 during the year {2021.' Nil). 10. Trustee remuneratton and axponsos No remuneration OT Other benefits from employment with the charty or a related entity were reiVed by the trustees. 11. Tanglble flxed assets Equipment Total Cost At 1 April 2021 and 31 March 2022 Depreciation At 1 ApTiI 2021 Charge for th8 ye8r At 31 March 2022 14,207 14.207 8.450 2,697 8.450 2,697 11.147 11,147 Catryinu amount At 31 March 2022 3.060 3.060 At 31 Mar¢h 2021 5,757 5.757 11

Healthwatch North Yorkshire Notes to the Financlal Statements {contlnu6d) Year ended 31 March 2022 12. Debtors 2022 2021 Prep8ymenls and 8ccnJed income 1,167 13. Creditors: amounts falling within on• y•ar 2022 2021 Accnjals and deferred in¢om8 636 636 14. Pen$lo•s and other post retirement b•nofits Defined contrlbutton plans The emoLFnl recognised in income or expenditure as an expense in relation to defined contribution plans was £3.18412021'. £1.8541. 15. Analysls of charltable funds Unrestrlcted funds At 1 April 2021 31 March 202 Income Expenditure General funds 142,095 185.059 {172,126} 155,028 At 31 March 202 1 Awtl 2020 Income Expendtturo General funds 109,640 167,459 (135,004) 142,095 12-

Healthwatch North Yorkshire Notss to the Flnanclal Statements (cOntId} Year ended 31 March 2022 16. Analysis of net assets between funds Unteststcled Total Funds Funds 2022 Tangible fixed assets Current assets Creditors less than 1 year Net 883ets 3,060 152,604 16361 155,028 3,060 152.604 1636} 155.028 UnrestrS¢ted Totsl Fund8 Funds 2021 Tangible fixed assets Current assets Creditors less than 1 year Net assets 5,757 136,974 1636) 142,095 5,757 136,974 1636} 142.095 -13-

Healthwatch North Yorkshire Management Inforniation Year ended 31 March 2022 The following pages do not fomi part of the financial sL2temants. 14-

Healthwatch North Yorkshire Detailed Ststsment of Financial Activities Year ended 31 March 2022 2022 2021 Income and endowments Donations and lega¢ies NYCC se¢vice grant Other grants 167A59 17.600 167,459 185.059 167,459 Total In¢omo 185,059 167.459 Expenditure Exp•nditure on charltable actlvltles Wages13alaries inc fees Pension costs Subs & publications Sundry expenses Insuran¢8 Staff travel and expensgs Repairs and sofiware matnlenance Volunteer travel expeTr5e5 Legal, professional and consultancyfees Truslees expenses Office rent, broadband and phone Depreciation Bank charges Printing. stationery and postage Marketing and publicity Room hire and hospitality 140,922 3.184 1,902 176 1.503 3,581 113.915 1,854 643 150 1,067 2,279 3,718 73 5,271 436 1,687 2.697 69 317 165 663 2.407 560 3.341 2,697 96 3,306 353 1.470 172,126 135,004 Total expgnditurn 172.126 135,004 Net In¢ome 12,933 32,455 15-

Healthwatch North Yorkshire Notes to the Detailed Statement of Financial Activities Year ended 31 March 2022 2022 2021 Expenditure on charltable activities Activity type 1 AGt4vities undertaken directly Wageslsalaries inc fees Pension costs Subs & PLtblications Sundry expenses Insurance Staff travel and expenses Repairs and software maintenance Volunteer travel expensès Legal, profession81 and consuFtancyf8es Tmstee5 expenses Office rent, broadband and phone Depreciation Bank charges Printing, stationery and postage Marketing and publicity Room hir& an(f hospitalty 140.922 3,184 1,902 176 1,503 3,581 6.556 72 2,407 113,915 1,854 150 1.067 2,279 3.718 73 5,271 436 1.687 2.697 69 317 165 663 3,341 2,697 3,306 353 1.470 172,126 135.004 Expenditurè on charltable activities 172.126 135.004 -16-

Healthwatch North Yorkshire Management Inforniation Year ended 31 March 2022 The following pages do not fomi part of the financial sL2temants. 14-

2022-03-31-accounts

Championing what matters to you Healthwatch North Yorkshire Annual Report 2021-22

Contents

Message from our CEO

About us

Your health and social care champion

Our vision

Our mission

Our values

Our year in review

Reaching out

3,304 people

76,207 visits to our website

Making a difference to care

8 reports and briefings

Health and care that works for you

80

£167,459

5 staff

How we’ve made a difference throughout the year

Listening to your experiences

Understanding the real-time health and care issues

We set up our networks of organisations and individuals to give people the opportunity to share their experiences of health and social care services with us by completing a regular survey focused on a set topic.

What difference did this make

Call for radical reform of access to NHS dentistry

What difference did this make

Three ways we have made a difference for the community

Working in partnership to hear more voices

Getting services to involve the public

Improving care over time

Advice and information

Making sure service users are listened to and understood

Dealing with the issues at hand

Volunteers

Patrick

Shaun

Agnes

Do you feel inspired?

Finance and future priorities

Our priorities for 2022–23

Next steps

Statutory statement

About us

The way we work

Methods and systems used across the year’s work to obtain people’s views and experience.

Responses to our reports and recommendations

Health and Wellbeing Board

2021-2022 Outcomes

t: 01423 788 128