St Raphael's Hospice Annual Report and Financial Statements 315t March 2022 Company Limited by Guarantee Company Re8iStration Number.. 11732567 IEn8land and W31esl Charlty Re8iStr3iion NumbÈr-. 1182636
St Raphaefs H05pi¢e Annual Report and Financial Statements 31st March 2022 Contents Reports Reference and administrative details Trustee5' report Independent auditor'5 report 14 FSnanclal Statements Statement of financial activitie5 Balance Sheet Statement of cash flows 17 18 19 Notes to the financial statements 20
St Raphael's Hosplc• Annual Reportand Fln$n¢l•l Statements 31st March 2022 Rofor•nco Andodmlnlstratlve Iletslls of the chaflty and Its trusto•s Mr Nom8n M¢Whifiney MrAl8n &thI1 SlsierV¢roni¢8 Hay$n Mr Paul Hrlm•g Mr Roderick O'connor Slster Kathleen O'R¥1 Mr Joseph Ryan tk joyTed Ireslgnod July 2022} Mrs M8rlan Ncrfm•n Irs$ignod DeceTnber 20211 Mr Bemard Martey lappoiniad September 20211 Mr Gfaharne Damdl lapptyntsd NDvember 2021} Ms Manjit Lall lapwInt April 20221 Chdr WI Chalr. F&R, CQ&G HR. F&R F&C F&R F&R CQ&G HR. F&C CQ&G F&e HR Commtho M•mbprn Drcardine ChiTh Dr Eva Kalmus lapwinted Marth 20) Mr Steve Mulhall (appointed Marth 20221 Mr5 Heather HOV11 Irelir& April 20211 Mr Cwk CQ&G CQ&G F&C HR F&R Clerktr•thè Tru$t M$ Anna M¥chin Execuuve Team Mrg Gall neha Mr Nick Ste9 Ms Rebecca Tru2r Ms Sara Jane Woods Dr Jenny Slrav&)n lfrorn Aprfl lo Septemter 201 Dr Gaby Tamara-R05e (from September 20221 Mr JohD Grootn lfr<Nn Awil 20221 JrAnt CEO JLxnt CEO CliniLzI Director DireGlor ol Incorne Generdlicn Scialisl Palliative Care Con5uttant s¢1$111 Palliative Care Con5uttanl tlire¢tor ol ITand E¥tales Fl•dl¢al LoadqrnhlpTeam DrGaby Tamar&Rose DrJenny Slrayéson Dr Naotni Gollins (from July 20211 Speciali51 Palliative Care Consultant Sp8¢151 Pallialbve Care Consultrdnl sp181 PallIale Care Consuttanl Company reglstrauon nUMr 11732567 ¢harlty rgy6stratlon number 1836 R•glstsred office st Rawael's HOS, LondM Road. Che8m. SM3 gDX T8lqphone Email webte 020 8099 TTTT uine5 wi.slr en haels.or .uk Audlth Haysma¢intyre LLP, 10 Queen Street Place, London, EC4R IAG Prfnclpal bonkèrg N•tlona1 We$lmin$l•r Bank pk. 93 Centra1 Road Worwter Pa, Surw, KT4 8DZ Investment Managers Sarasln & Pathers LLP. Juxon Houst, 100 St Paufs Churchyard, LondDn, EC4M 8BU clinic Quty Govww¢e ¢ommltt ICQ&GI Firnan and Resources Committea IF&RI Fundraising and Cornmunlcab¢n$ Ctyhmittee IF&CI Human Resources cornmiitee IHRI
St Raphael's Hospice
TN5tee5' Report 31st Marth 2022
Chair and Jolnt CEOS, Report
This was the flrst full year of operation for the newly indepÈndÈnt charity following the transfÈr of the h05pice actwity from the
Congregation of the Daughters of the Cross of LiÈge on 31st October 2020. These financial statements therefore show a full
twelve months of Bctivity for 2021-22 but only five tnonth5 of activity in the comparable figure5 for 2020-21.
Thi5 year Saw continued disruption arising from the coron8virus pandemic as, notwithstanding the strong rake-up of
vaccinations which reduced the Severity of the viru5, infection levels remained very hieh at times and precautions and
micigations remained in place.
We are very grateful to all our 5tsff team and v0unteer5 for how they have persevered throughout the year in all their roles to
ensure that our Services to the people of Merton and Sutton have been maintsined at the highest possible st8ndard. Many have
been willing to adjust their working patterns, locations and hours to meet the need and this demonstrates an attitude which
exemplifies all that we hope to stand for.
WÈ have pleased to rÈcèivè feedbatk frDm the new, and independent, Medical Examiner'5 Office which has illustrated
what a difference our team have tnade to those we sUPPOrt at a critical time. One family said that they "could not have hoped
for a better place for (their muml to be" Hnd th15 15 a great encouragement to us all as it shows that our determination to
provide a cotnbin8tion of expertise, comp355ion and kindness continues to be effective.
Alongside the management of the covonavirus pandemi£ impatts, we havÈ continued to pursue our progratnme of change to
delNer our"EVE" strategy., focussing first on the qualitiÈs of all OUT 5ervice5 by aspiring for extellenre in all that we do,. then by
seeking ways to raise our vlslblllty with the comtnunities we Serve to provide re355urance that we will be there when needed..
and then by increasing our en9tsgement with these cornmunities 50 that we can learn tnore Hbout how we can adapt to 5eYve
them more ÈffÈttivÈly and offer the oprx)rtunity for connecting with us through partnerin& volunteering and fundraising.
During the year, we continued to refresh our hospice buildings with significant improvements made to our In-p8tlent unit IIPUI.
To facilitate this, the unit was cbsed for the latter half of July and throughout AuEu5t. We are very grateful to our neSghbouring
hospice, Royal Trinity, who accepted some of our in-patients and to St Christopher's and Princess Alice who expressed their
willingne55 to be sUPPOrtive should it become necessary. Our own team also worked flexibly to support patlents In their own
home5 whi15t the refresh wa5 successfully completed, on time and on budget.
In July we welcotned Dr Naotni Colliris who completed the team of three 5peciali5t pHlli3tive care consultants with Dr Jennv
Str3wson and Dr Gaby Tatnura R05e. Together with our specialty doctor5, they have worked in collaboration with Princess Alice
H05pice and with Kingston Hospital to share on
St Raphaevs Hospice Tru5tees' Report 31st Marth 2022 The Trustees, who are also the direttors of the charitable company for the purp05es of company law, present their report and the financial statements of St Raphael's Hospice for the year ènded 31 March 2022. The financial statements are prÈsentÈd in accordance with the accounting policie5 Set out on pages 20 to 23 therein and comply with the Memorandum and Articles of Association of St Raphael's H05pice and United Kingdom Accountlng Standards (United Kingdom Generally Accepted Accounting Pr3cticel and Accounting and Reporting by Charitles.. Statement of Retomtnended Prartitè applicable to charitie5 preparing their accounts in accordance with the Financi81 Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021. Achievements forthe year In 2021-22 Our In Patient unitt3 for In 2021-22 OurCommunltyTeam made OurTearn undertODk 3,700 vlsits to patient5 homes12021'. 3,IM)01 160 patients 30.71X) calls 10 paiients, families and profÈssiDnal$12021.- 27.50DI Moftoginqthe impJ¢toAthe comnt7virusP17ndemic Whilst the impatt of the toronavirus pandetnic on public he31th diminished during this financial year following the rollout of the vaccination prograrntne, the prevalence of the viru5 remained very high at times. Many of the precautions taken during the prÈvious year remained in pla, flexed according to the rates occurine locally at the time. Footfall and visitin& whilst less ton5trained than in 2020-21, were Still limited for rnuch of the year. Other mitigatlons. such as rnask wearing, social distancing and working from home continued to be in place. with thÈ background of a nationHI shortage of clinical staff, we found recruitment very difficult ènd ran with a number of vatanties throughout the year, particularly within the IPU settin8. This was compounded by the ongoing impaets of the pandemit where many staff needed to isolate for periods because they or their close family had the virus, notwithstanding that over 95% of our team were protected from serious illness through the vaccination programme. staff continuÈd to be flèxiblÈ and willing to fill gaps in the rotas, often working additional hours to ensure we could remain open. Following on from the rigour5 of the first year, thi5 h35 left the team weary but unbowed. The irnpact a150 affected our retail teams where coronavirus-rel8ted absence and vatanties meant that there wa5 a constant challenge to keep shops open and stocked. The team rose to the ch811enges and showed 3 willingnes5 to work in diffeient location5 at short notice in order to maxlmlse our retall income. The H05pice has benefitted from further grants thèt have been made avai18ble to the Sector through P4HSE INHS England) and drninistered by Hospice UK, for which it is very grateful. It also benefitted frDtn 50tne ongoing furlough grants for stsff and business erants from the local authorltles where we hèvÈ shops. WÈ were Erateful to the south West London CCG which also supported the Hospice wlth addltlonal grant fundingto tacklÈ the thallenge5 Of the pandemic. In our reportforlèo year there were three majorslrand5 tothe plan for 2021-22.. l. EmbÈdding Excellence 3. Widening Engagement l. Emwding Excellence The critical element of our drive for excellence In all that we do is our team. During this financial year we completed the recruitment of our medical team v4ith the third tonsultant. Dr Naomi Collin51 joining in July 2021. Our three specialists work £s a 'peer team and take on different responsibilities on an 18 tnonth rotstion, allowing them each to broaden their experience accross clinital audit. general management. education and other area5 where the charity and our sector colleagues can beneflt from their expertise. We also increased hour5 for one of our two Specialty Doctor5, ensuring that our medical cover Is thorough at all titne5. The team have collaborated with Princess Alice Hospice and with Kingston Hospital to share on-call duties. This has been a55imilated 5ucce55fully and is a model of efficient co-operation we hope to evofve over tlme.
St Raphael's Hosplce Trustees, Report 31st March 2022 We have welcomed several new staff members Into our Community Service5 te4rN and we have also revised how services are delivered by assigning caseloads across three locations, each headed by 4 location lead. After a successful trial period, which saw improved continuity of patient experience and contact, this has been adopted as our standard going forward. In response to local needs our Community team stretched to rota two stèff across the weekends and we successfully aPpld for grant fundingfrotn SWL CCG in orderto recruit to 8n additional role to support this. We continued the work to Improve our Hosplce bulldings and environment In 2021-22. Our in-patient unlt IIPUI closed for slx weÈks during July and August to allow for a thorough refresh. The walls in all patient areas wÈrÈ repaired and repainted.. the flooring was replaced and levelled to aid acte5S to nèw re-laid private patio areas with new patio furniture., digitally tnanagèd lighting was installed and the digitBIIHudio/visual c3pability wa5 upgraded to enable p3tients and theirf3fflilie5 to acces5 Services that they might be used to at home- a new 3ir-handling 5yStern was Installed to irnprove ventilation for patient bathrooms and other areas. A new reception area was opened up within the IPU to provide a focal point for visitors and we have added 4 photo board of staff to aid recognition and to help personalise our relationships. We engaged with a charity providing artworks for healthcare settings to briehten the public areas and were 8rfted 8 large. framed print by a local professional photographer. During the tlme of closure some of our patlents were cared for in their homes, with some IPU stèff supportlng Community colleagues, whilst others were generousty recelved by our nelghbouring hospice. Royal Trlnity Hospice. 2. Rtsisin# Visibility Having recruited a part tlme D[g31 sIStant. we have Improved our soclal medla presence and responsiveness and ensured our website content is kept up to date. We also recruited to the part time Edltorial Assistant post which is designed to Ènable St Raphael's to provide strong copy for press and advertising (such as the advertorial in'my Merton fwlagazine'l as wÈll as within our own publications like ThÈ RaphèelitÈ. These posts have freed our Communications Manager to focus on the strategy and work c105ely with teatn5 throughout the charity. Our new portfolio of information leaflets progressed to publicatlon together with a bespoke St R8phael's folder which be used to present them, and other literature, to patSentS and their families ènd also as part of staff induction and fundraising. 3. Wldenlng ourEn909ement We widened the reach of our Wellbelng Centre by launching a new "Lwing Well" programme aSmed at people living with or rlng for those wlth a life-limiting. progressive or chronic illness, even if not referred to our Specialist senfice. This h8s grown steadily over the year from small b&ginlngs and aims to educate, empower and enable people to lfve Ilfe to the full and as independently as possible. We recruited to a new Compassionate Neighbours role to Prepa for rolling out the programme at 5t Raphael's. The scheme. described as a 'social movement" works alongside existing social networks that already provide 'nelghbourly care ènd support" providing access to skilled support and tralning. signposting and advice. We have been grateful to other local hosplces, who have run this programme for several years, for their guidance and support in this new venture. Our Psychological support tÈatn continued to link with RoÈhampton UnivÈisity to provide supèrvised platemÈrtts for a number of final year student coun5ellor5 to offer 5es5iOn5 for our patient5, families. We extended our Service to cover Six day5 per week and re<ommenced the bereHvement groups led by Sr Ann Venita who a150 provide5 spiritual sUPPOrtto our in-patient5 and theirfarniles. The refresh of our buildings also provided new coun5elling room5 for the team to work from and for others to Use for confidential conversations. Alongside collaborative ventures Wlth our neighbouring hospices, we have continued to be active in planning meetings and irnplementation workshops as part of the tr3nsformation of the NHS delivery 5yStem. Clinical Commissioning Groups ICCGS) are being subsumed Into the new Integrated Care System IICS) and our region is represented by Sutton Place and Merton Pla within the South West London ICS. We have Interfaced positively to ensure that the Hospice Is fully recognised In the planning and we have joined wlth other local hospices to ensure we are united in presenting our needs ènd opportunites to the South West London ICS which we 811 support. We welcomed many volunteers back to the hosplce as the strlctures of the pandemic 811owed. In the sprlng WÈ hosted over 40 members of thÈ Ismaili Community together with Several leaders of Sutton Place who volunteered to over parts of our grounds and plant hundred5 of plants and bulbs that they had provided in orderto brighten up the grounds. We a150 advert15ed our constsnt need for more volunteer 5UPPQrt 3cros5 all area5. Our appeal for retail volunteer5 yielded IW new active volunteers and we have been reassured to See our fundraising volunteer team5 begin to operate again as people become more willing to meet up and hold events.
St Raphael's Hospice Trustees, Report 31st Marth 2022 Fint7ncialrevtew The results of the previous financlal year are not fully comparablÈ wfth thè currènt year because of the transfer of operating assets and liabilities into St Raphael's Hospice tharity by the Congregation of the Daughter5 of the Cross of Liège IDOCI which took place on 31 Ottober 2020. There were only fwe month5 from l November 2020 to 31 March 2021 when there was full operating activity and the related fin4ncial transactions running through the entity. There was also the £3.4m transfer value which appear5 in the Statement of Financi31 Activities1SOFAI In the prior year. In addition a grant of £3.6m was made to the harity by Doc in order to 5UPPOrt the five year plan to achieve a sustainable future for the Hospice. This has been treated as deferred income land included in creditors on the balance sheet) to be released over the life of the projett wfth £667k released in the current financial year12020-21.. £280kl. Net income for the year Ènded 31 March 2022 wa5 £581k cornpared with £5.Itn for the year ended 31 March 2021 which arose after including thÈ £3.4m transfer noted above. The charity's totsl income for the year was £7.6m12020-21.. £8.Im, including the transfer) which Included leg8cles amounting to £1,533k12020-21. £1,790kl- £247k relating to the NHSE COVID-19 Hospice Support Scheme12020-21.. E817kl and £24k frotn UK Govt COVID-19 Furlough Scheme 12020-21-. £135kl. The charity was thankful for the grant of £5CKlk frorn the SWL CCG for pandemic support 12020-21". £200kl. Costs of charitable attivities amounted to £4.6m 12D2¢>21= £2.Om for fwe rnonth5 of activityl and cost of raisingfunds to £2.4m12020-21.. £1.Otn forfive tnonth5 of activityl. Acquisition and di5P05315 Of fixed a55ets during the year are recorded in the notes to the balance sheet. The charlty's cash balance Bt the end of thÈ year amounted to E4.4m12020-21.. £6.6ml of which £2.7m related to the deferred income creditor12020-21.. £3.3ml. Duringthe year the charty invested £2m from cash reserves into marketable investments. Thè operating a55ets and liabilitie5 of the Hospitr activity were gifted by Doc to the St Raphael's Hospice charitable entity with value of £3.4rn including cash of £2.7m. In addition a grant of £3.6rn was made to the charity by Doc in order to support the five vear plan to 3chieve a sustsinable future for the Hospice. ReseThes polky Total fund5 at 31 March 2022 arnounted to £5.9m1202&21.. £5.3rn1 including designated funds of £1.2m12021>21.. £1.2ml. The designated fund 15 represented by the net book value of tangible fixed assets which are used In the day to day work of the Ho5pitr and amount5 Set aside for fixed asset acquisitions In the next tr4elve months, and hence, the fund Is not avallable for working capital commitments. Free re5erve5 are that element of unrestricted funds which are available for fure spending and are therefore calculated by taking the total unrestricted funds of the charity and deducting any balances not available for future spendln& including designated funds which have been set aside by the Trustees for a pèrticular purpose. The Trustees have decided that the required level of free reserves should be betsveen three and six months, operating expendlture which Is between £1.8m and £3.6rn. The free reserves at the end of the year amounted to £4.4m12020-21.. £3.8ml and therefore the Trustees are happy that this Is Sufficient for the charity's foreseeable needs. Investmentpoliry The Trustees have an Investment Policy which mèets the Charity's obligations under the Charitie5 SORP FRS102 to ensure an effective system for the investment of t3sh, the transtnitting of titnely and reliable cash flow forecasts tg the Trustee5 and ensurin8 the cornpliance with relevant statutory and regulatory requirement5. The Policy is fu51y compliant with the requirèmènts Set out in'CC14.. Charitie5 and inve5trnent matter5: a guide fortru5tees' published by the Charity Commission. The Trustee Board hold5 overarching oversight of, and accountability for, the charity5 approach to cash management, investment and reserves. The Finance & Resources Committee is responsible for reviewing and monitoring the charity's cash In hand, cashflow forecasts, approach to investments and related performance on a regul8r basis. St Raphael's HospSce employs the services of investment m8nagers. (currently Sarasln & Partners), who provide updates on the performance of St Raph8el's H05pice's investments and advice on how returns can be achieved In Ilne wrch the chariws ovÈr8rthing approach. In accord8nce with the constitutional objects of the charity, the Trustees have instructed the investment m4nager to be sÈnsitive to the ethics and religiou5 principles of the Catholic Church. They are instructed to try to avoid any investments in tontravention ol these 4nd to highlight areas of potential sensitivity. The investment manaeers are also encouraged to engage actively with the underlying companies on these issues. Particular concern will be attsched to issues related to the protettion of hurnan life and human rSghts. as well as discrimlnatlon against any settors of society.
St Raphaèl's Hospite Trustees, Report 31st March 2022 Going Concern The 8oard and the FinanTr and Resource5 Committee regularly review the short and medium term financial forecasts and consider various scenarios and assumptions. The results for this financial year have exceeded expectstions but the longer term economic consequences of the coronavirus pandemic and the wèr In Ukraine remain uncertain. particularly given the inf1ation3ry pressure being experienced. The Trustees have considered the Impart that thls m8y have on individual donors, ability to support the hospice and remain satlsfied that there are sufficient funds in p18ce to continuÈ opÈrating and to meet liabilities as they fall duè for thÈ forÈseeable future. The Board's VIEW, therelore, is that the H05pice'5 balance gheet 15 sufficiently robust to provide resilience and that our reserves should allow the H05pice tirne tD respond effectively and in a tirnely tnanner if income projectlOll5 5ignrficantlydeteriorate. Plans for 2022-23 Embedding excellence now forms part of the foundation for all artwity at St Raphael'5 Hospice. An excellent service is what is needed by all the residents of Merton and Sutton whether as a direct beneficiary or by way of re£ssurance that, should we ever be needed, we will be there for each and every person. The focus of our strate8y will now move on to 'raising visibility" and 'widening engagement in order to raise the money that is required to make this level of servlce sust8inable long into the future. l. Rulslnq Vlslblllty We will comrnÈnce a Campaign with the purpose of raising awarene55 Of who we are and what we do and including a direct ask for financial and volunteer 5UPPOrt. We will engage with a design agency to plan the campaign and we will aim to agree a suitable str3pline that will be thought provoking and challenging a way that will resonate positively with our current supporter5 and those whom we hope will 5UPPOrt U5 in the future. Advert15ing will tske place over a period of around 12 months via social media channels, on radio and via print media such a5 bu5 back5 and at bus stops. We will also use the same material for in house posters and literature that can be used in the h05pice, by 5UPPOrter group5 and in our shops. We will pilot a fundraising event which enables us to connett with new potentlal supporters. "Woof Fest" will be a canine centered day of fun and attivities for all the family and will link in with our summer 2022 photo competition themed around life beine enhanced by our pets. We hope that both these will broaden awareness of who we are and what we do, en8bling us to approach people to become our supporters of the future. • We will aitn to open two new retail shop5 Within the geographic boundarie5 of our service, including one in Leopold Road, Wirnbledon Park. Thesè will raise our profile with re5ident5 In these are45 a5 well a5 add financial contribution to our retsil activity. 2. Widening our Engoqement We will cuntinue to broaden the reach of our Wellbeing Centre and the LNing Well. prografflme by increasing the awarenes5 of the service amounst the GP network5 of Merton and Sutton 50 that people can be referred to the Service as part of "social prescribing" • Our Wellbeing CÈntre offer will aly) be extended by the opening of the new'men's Den" a 30ft log cabin, installed voluntari by a local building cotnpanyi to provide 3 space for men to meet to Share experiences 3nd pursue hobbies in a supportNe and practical way. We will launch the Compassionate Neighbours proeramme in Merton and Sutton and provide trainlng and drop-in support for the volunteers we engage with. This will tie in with Wellbeing Centre and Men's Den servlces In th8t it is supporting a wlder eroup of our community who do not need speci81Ist palllatwe care, but where our expertise. experience and apprtsath is To meet demand, we will recruit a further part time counsellor to our Psychologlcal support team and also seek to build upon the number of final year students on supervised placements who currently provSde sesslons for our patients, families. WÈ wlll èlso develop a new Bereavement Journey" to provkle a flexlble strijcture to support people through the most difficult tirnès of reconciling with and managing the reality of grief and loss. This will dovÈtail with and add to the specialist professional intervention provided by our counsellors and psythotherapists. We currently have 4,810 lottery pl4yers, m3ny of whom have supported the Hospice loyally for many years. As this represents under 2% of the 4duft population of Merton and Sutton, we believe that this support base can be increased. To achieve thSs, we will appoint a specifically trained specialist agency to recrur( additional lottery players and, potentially. regular donors.
St Raphèel's Hospice Trustees, Report 31st March Z02Z Plans for 2022-23. continued We will continue the proce55 of growing volunteers across all areas, including department and specialist skills volunteers, retail 8nd Supporter Group volunteers. The marketing campaign will intlude a strand relating to volunteering and wè will rep2at the 8dvertlsing on a rolling basis. Strurture. govemance and management Conrtitution St Raph8È1's H05pice 15 3 charitable company limited by guarantÈe1117325671 incorporated on 18 L)ecÈmbÈr 2018 in England and Wale5. It is registered as a charity with the Charity comtni55ion111826361. Its governlng document is it5 Mernorandum and Article5 of Associath)n. Charitubleobjerts The object of the charlty Is the rellef of i11nes5 #nd Suffering in accordance wlth the tathin& rite5 and practices of the Cathollc Church, by.. l. The provlslon of palliative care, treatment or relief of people of èll 3$ with 6ttwei PTogre55ive or advanced illness on the basis of need regardless of their religlous. cultural or ethnic background,. 2. The provision of care Hnd sUPPOrt to those who have experienced 1055 3nd bereavement, in particular families, friend5 and carer5,' 3. Conducting promoting or commissioning research into the care, treatrnent and relief of people suffering frorn advanced, active and progressive illness and by providingforthe dissemination of the results of Such research,. and 4. The provision of education and training ft>r profe55ionals and volL¢nteers engaged in palliatwe care. Public benefit The Trustees give careful consideration to the Charlty Commission's guid3nce on public benefit when settlng the Hospice's aims and oblettive5 and planning activities. St ftaphael's Hospice tontracts with Merton and Sutton Clinical Commissioning Group5 ICCGsl to provide 5UPPOrt to people whose GP practice 15 based within the London Boroughs of Merton and Sutton, a population of around 420,000. Access to our services is on the ba515 of need and open to anyone via rÈferral frotn a heatthcare profÈssional, or, in the case of bereavement support and the new Living Well programme, self-referral. There 15 no charge to patient5 or their families for any of our care services. In addition to the direct benefit there is an indirÈtt benefit to all residents who can be reassured that the Hospice will be there for them or for their loved ones, should they ever need it. Referrals for hosplce serwices are accepted for people with a life limltlng condition who are entering the last twelve months of life and who require spÈcia1ist palliative and end of lrfe care. For Instance. they may need help with.. Symptom tontrol Psychological or spiriiual Issues Terminal care Drfficult decisions. advanced care planning, or conversations about managing end of life care Support for famlly or friends ClinicHI and nursing care provlded bythe Community team alongside practical and companionship 5UPPOrt provided by H05pice at Home or by ourvolunteer Hospi Neighbours in their home. Wellbeing and Llvlng well sÈrvices for patients and other 5elf-referred communlty members togetherwith their carers. The Hospi supports adults in Merton and Sutton who hove been referred to the Hospice and have agreed to that referral. If they do not have thÈ mental capacity to do so we will consider how we tan help rneet their best interests within the context of legislation suth as the Mentsl Capacity Act. Mental Health Act and Deprivation of Liberty guidance. Families, c3rer5 or those close to a patient accepted for h05pice servitrs c3n be referred or access tertain service5 in their own right, when they 3re affected by the patient's illne55 or death. These include bereavement support and counsellingi attendance at the Men's Den. Llving Well and other 5e5519n5 held in the Wellbeing Centre.
St Raphael's H05pice Trusteès, Report aist March 2022 rhe Trustee5 The Board of Trustees Iwhich constitute5 the Board of Directors for the purposes of the Companles Attl comprises a minlmum of five and a maximum of twelve trustees, of whom a majority must be Catholic. They should meet as a Board at least five times perye3r. The Board is guided in Its governan by an Independent. qualified Clerk who performs Cornpany Secretarial functiOn5. The Board delÈBatÈs powers and rÈsptrnsibilities to the following comrnittees.. Clinical Quality and Governance, Finance 3nd Resources, Fundraising and Communication5 and Hutnan Re50urce5 Iwhich 15 also the Remuneratv)n Coynrniteel. Terms of reference define re5PQn5ibilities and delegated authority and are reviewed regularly by the Board. The tnetnbership of comrnittees 15 made up of Trustees, independent advixirs who are selected for their specialist expertise and senior man3gers of the charity. Minute5 of committee meetings are circulated to the Board and Committee Chairs provide report to the Board on major issues and decisions. There 15 a framework for Board self-review and skills audi( which draws upon the Charity Governance Code for smaller charltles and the outcomes of the self£valuation are used to inform plans for Board 8nd Committee agendas, training opportunities. and further recruitment. There Is a formal process for the recruitment of new Trustees andlor Committee Mernbers who are needed to flll skllls gaps and vacancies as they arise. External advertising in suitablÈ media is ernployed with a formHI intetview proce55 taking place before a Candidate 15 proposed to the Board. A Simple tn8jority decision of the Board is required under the ttrnstitution in orderforÈn appointrnentto proceed. New Trustee5 and Comrnittee Members 4ttend an induction evening to be briefed on the charity and meet colleagues and they are provided with Charity Commission Euides. They are required to undertake mandatory training on a regular basis using the charity training portal, Duty of Candour and level 2 Safeguarding for Adults training 15 also available and encouraged with one Trustee required to undertake level 3 Safeguarding In order to serve as the Board's Sèfeguarding LÈad. The Trustees recogni5e that St Raphael'5 Hospice serves the whole, diverse population of Merton and Sutton and are proactwe in seeking to represent the whole community effectively. Training in EDI lequality, diversity and inclusion) has taken place on two occasion5 in the last 12 month5 for Trustees and staff and a new steering group formed to ensure EDI has a platform across the whole organi5ation. We are engaging at senior level with leader5 of different communities and fèiths across our geography in order to learn 3nd adjust our services accordingly. We are also developing a more eeneral £ommunlty servlce through our Wellbeing Centre and the Compassionate Neighbours programme (launchin8 in January 20231 part of whlch Is designed and expected to increase our abilityto connect wrth and to serve the whole of our diverse population. The Trustees are also consclous of our broader responslbllity to care for our community by taring for ourenvirDnment. We were early èdopters of professional qu8llty battery operated gardening equipment which reduces noise and fiJme5 for our patients and vibratn risks for our team. They are also low malntenance 8nd have lower njnning tosts. In the 5atne vein we have an all- electric van for our Retail dlstribution and another for our facilities and OT teams (distributing equipment to patient5 in their homes). We have installed èn electric charging point and operatÈ a hybrid pool car for all staff to Use on H05pice bu5ine55. Our recent refresh has upgradd the Hospice lighting to digital technologrf and we are planning to install addition31 solar panels to those we already have in order to contribute intothe National Grid and 53ve funds over time. The charlty has purchased Insurance to protect itseK from any loss arising from the neglect or default of it5 Trustee5 and Employees and to indÈmnify the Trustees or othÈr Officers againstthe consequences of any neglect or default on their part. This forms part of the organisational in5ur8nce prernium which atnounted to £1,619 and provides public and employer cover up to tnaximum of £IOm. Keymunqgemeryt Per50ftnel Key tnanagetnent personnel cornpri5e the trustees, and the Executive Teani. The Board of Trustees is responsible for the running of the ch3rity and delegate5 the operational activity to the Executwe Team (which comprises the Joint- CEOS, CliThitsl Director. Director of Income Generation and the Director of IT and Estates (with effect from l April 202211 whose p8y is reviewed annually by the Remuneration Committee. Salary leve15 are set with regard to similar roles in other local charities. Including other hospices. The Lead Consultant lon rotationl Is also a member of the Executwe Team but thelr pay follows the NHS pay formula. limitation of liability Members of the charrty guarantee to contribute an amount not Èxceedlng £1 to the assets of the charity in the of windinÈ up. The total number of such guarantors at 31 March 2022 was 1012021.. 91. The trustees afe member5 of the charity but this entitlÈs them onlyto voting rights. The trustees have no beneficial interest in the charity.
St Raphael's Hosplce Trustees, Report 31st March 2022 Principolrrsks ondutr7certolntles The mana8ement of risk retnain5 a key priority for the Hospice. Risk aS$SMentS are undertaken for every aspeet of its operation ranging frotn clinic31 risk a59essments, which are udertaken on ? continual b3SlS, through health and safety assessments for everydayta5ks to comprehensive assessments of all a5perts of rnajor fundraising events. Staff continue to be dedicated to the prevention, identrfication and reportine of Incidents, atcidents and near mi55es. The Hospice has an effective feedback infrèstructure including governance dnd clinic81 mènagement meetings that review the actlUn5 and le4rning points identifled in previDUS incidents to ensure that improvement remain5 continuous. The reporting 5y5tern is 5UPPOrted by the elertronic patient record which remains a corroborètlve sourte forthe reporting of patient incidents. The Board of trustees review the corporate level risk register, prepared by the Executive Team. on a regular basis and each Cornrnittee review5 the relevant risk register for that discipline. The principal risks fatins the H05pice and the steps being taken to mitigate them are as follows-. ln¢oTh-lrnuffkTht income is ta15qdtod•lrourCkIrftb?¢tMes'.The Hospite needsto rai5B around 75%of thewralTunnln8 costsfr¢mvduntsry SOUr.Whhthe remain8 25% b1ngranted byth¢NS. There ha tontinual ri5kthat(ll5urfKient Irwelsynerated to COverthtsÈapandther8 15 PaDjIarreIIE•OThhh1OWql5DI ?cy Sncornewhlth boutsldÈthÈth)ntrolofth8 charity- Fhe Tru5fee5 othEMe¢t1¥e teom hovesetu tGrgEtlevelof operoting thllt &¢s1gtted toentsble rtt#rnOnogethefftttsolIficOffl¢ woronyejr. Itls d1verfvIrytt5 IncomestreomsondiSP104Jrtive inseekingnewwGys torolseo#dltion&lregtylorinctsme. Inuddin tthIeVelf reserve. ¢heA05plcevlsohos ts deferredln¢ome bgbntEof EZ.7ffl [whh 15fepfesentedbycosh otbortk)which isintendedtoofret rhgforECO5tshortyuU5 jrlsh1orte neAtIouryear5 whi15t the ¢horityundertule5it55trotegyDf EVE. TSstrO1¢95 deslprtétOirtleo5eincomeGndoChieveG5U5toObtre levelof reiulttrlunditythutLloe5nGtrelyupon ex¢eptrOnts1legacylewe151whh iscurrenttya55uMed tobe0rtrfuoltottrlleie5 inexce550trElmJ. PeOp-71ltyto 5pRriali5t5tsff iBair6tJ bJckdropolan aslrfstaNprofik•tyJvridB5pr0ad0rt1leOrgVo1le0stfI. The Tru5tee5undthe Exgcuthyrevm monitormom& stuff benefits, rEmunErutlononderyggeMtntthrowhsttsttiENe£tn5, exlt1nteWS, regr&S DepartmeNtrnÉetings andolmfvopen wmmunKutionthrDughDutthe feorn. Internaitrolnln9 onddeveltspmentopportunitig50Tede5wnedtornoxlrntse bvork SOtisfvctionondllexlbllltylK wo<klnihoulSisfoIrtQteWher2VerpoS5lbl. Weoth toensyre I&t work4lfvb0lanIspo5tt1ve, w0éV1rnMe¥IslMpOVjI. DUrstoN/pgtlentr(ItiOislowe<ondLTllcfinO1srOff eVe5pr¥[SI0. Wernotth NHsp4endoJorChonge5GIGrylewe15Gndhuveimpfo¥edorhertwmsortd EronoMKerronrneTht-The nSequentlIna¢tsarI$bn1IrDtcuronIy1rUsPremt1dfheW?f1n Ukrnir,Indudins inflatioMry ye5yJr4 hiveJdded pr•swretonatyonJl4ndlndfvhYual jdsetshIth ImpactsthR Ha5pk•ca5fbJJthe Jbl1tyolour¢¢rnmunt&lffDrd th•5UPPOrtwoneed. Thts5 th8gJ5talnablltyotthe Hospke. The Trustee5 ondthe5toff teornor£ CDrnmityedtoflndlnginrtowtivewtsy5toreuchthecomfftunities Lvesrrve withj mess&yeoJo¥¢ellen¢e undfeq55urnnce toupledwith5honng olrhen8edfvrlncom¢ pettemtlon. We rttine to beIVeth0tte unjqueondvstolroleolhospeS willensure thatfuturefundingdoe5grow to mEetrheNeeds. In thgmeuntlme we howesyffiCientfvnd5tOrnonGgethecom years effertlvety. ITand Datè-Thp Ho5pKe re1•t uponltslTlnfrastw¢wre.systems,dats Tha8rntnbCnCwIdell¥erfn8 $SerVice. Allthese5VStqrrffja trlskof fIjr•0rltBrlUptiOThl8h MaIkk50rcIdetstsI inkr¥entiDni pJttin&pa¢Thtser¥kes?nd data atrk robu5tlock-upsystem tsifipltstewithoZ-3hourturnorDuNdlorcritFtalpotierttprtJormotitirt. Ou<experiencEdGndexperttgam ofÉsuppkmented4yo24J7 stspportse1¢e withunexpertcDn5ultttncNthut wastnvolveéw1ththeinsttsNtstnunL1(rf1gUti0n0s our5tern Rts*i%spreJd)ylhe useoJmultipleserver5 tsndtsfuiloverpower50urte. At[s$ Jntl-molworesoftworeis uSEdun 0115eerSK ctNnputers. updGtedln real-tlme. Firewtsvs COntrolunGuthofi5edentry rn thEinfefnetondw8b-fvlterlnqsoftworepiewents user5fvm occe5519 website5. Stufyoffe erfu¢utedt&Ov¢5k5 Jrompth5hing Gttock5 bockedupby rEgular5imulotlgn5 t?enstsrecornpbthnce. MundutDrytroynin9ynclude5cybersecursryfvr(IllstvM. ClinirolQut¥lityA55wmnce Great importance is glven by the Trustees to the Hospice's clinical govemance arrangements. The Clinic31 Quality and Govefnance Committee meets four tirnes each year and monitors the attivltles of the sub-committees and receives detailed reports from Clinical Direttor and feedback frotn the Medical Consultants. In addition to providing an opportunity to thank the managers and their staff for their contributions to the success of the Hospic2, the Committee is able to demonstrate engagement and attountability, to Manage patient fety, to 1n insight and to manage the risks facing the Hosplce. The Committee receives the mlnutes of the following Hospitr committees and questions 8nd challenges the relevant senior stsff.. The Quality Improvetnent Cornmittee focusses on multlple èspÈrts of Clinical, and corporate EoveTnance includlng data clini¢al audit. clinical and corporate effettiveness including guideline and PDlicy development. practice development and NICE Qu31ity Standards I CAS I MHRA clinical $3fety alerts, clinical incident management, patientluser feÈdback, organi5atK)nal 4nd regulatory a55urance, infection control and cornplaints. io
St Raphael's Hosplcè Trustees. Report 31st March 2022 CliniculQUaIA5surun¢e, continued Drugs and Therapeutics Committee focusses on all medicine issues Including management of Control Drugs ICDS), Medicines Incident Analysis. Staff competency, service and practice developments e.g. nurse prescribing ènd patient self-administrètlon, policy and guideline review, and medical gases. E8ch meeting is 8ttended by an independent pharmacist who also audits all aspetts of medicines management every fortnight. The Chief Pharmacists from Merton and Sutton CCGS are invitèd tri 8ttÈnd or send representatives, and receive the minutes of the Committeè's rnèetings as routine. The tninutes are included in the Merton and Sutton Meditine5 Managetnent Committee. To inforrn the managefflent of rnedicine5 the Account3ble Officer ICO AOI attend5 the regional Accountsble Officer Loral Intelligence Network meetingS1 incident5 Invo1ng controlled drugs are disCU55ed with the comrnittee. HeaEth and Safety Committee (which includes Water Quality as a regular zgenda iteml receives reports from m8nager5 involved In health and safety matters across the rènge of Hospice activities and reviews incidents to ensure good prartice evolves and improves on a continual basls. Cure Qujlity CommlOn fCQC} The most recent inspection of the Hospice by the CQC was in November 2019. The subsequent report was published In April 2020. Whilst noting a number of 8reas of outstanding prattice, the report also recommended that the carpet in the IPU be replaced and that the navig8tk)n of the elettronic notes system be improved. Attions to comply with these rÈcommÈndations have been taken and the flooring was renewed as part of a wider IPU refresh in late summer 2021. ThÈ COFnpletÈ text is available from thÈ CQC website orvia the CQC widget" on the Hospice website's homÈpagÈ. We are pleased that the quality of care was recognised as being"Good" in 811 of the 5 dornalns of care- namely that our serylces are safe, effertive, caring, responsive to people's needs and well-led. Complgint5 All complaints or comments about the service provided are taken very seriously by the Hospice. Complaints are dealt with in line with the Complaints Policy and are fulty investigated and reflecting on complaints is one of the ways we seek to maint8ln standards and improve pr8Ctices. All complaints are reported to the CQ&G Committee and onwèrds to the Board of Trustees. A new incident reporting system. Datix, was successfully launched in 2021. This has provided a slmple and transparent mechanism for recording incidents across all parts of the charity. monltoring measures taken to address them and changes implemented to reduce risks of recurrance. Employees St. Raphael's H05pice is an Equal Opportunities Employer and applie5 objective criteria to assess merit. It aims to ensure that no job applicant or employee retrives le55 favourable treatrnent on the grounds of age, race. colour, nationality, religion. ethnic or nation31 origin, gender, maritsl ststus, sexual orientation or disability. Selection criteri8 and prOdureS are constantly reviewed to ensure thèt Individuals are selerted, promoted and tre3ted on the basis of thelr relevant merits and 8blllties. All employees wlll be given equ81 opportunlty and where appropriate and possible. special trainlng to enable them to progress both within and outside the organisation. St. Raphael's Hospite is cotnmitted to a progrèmmÈ of attion to tnake this policy and to ensure that it is brDught tD thÈ attention of all employee5. The workforce 15 predominHntW fernale with men making up 14% of the total. This ratlo 15 maintsined 4mongst the upper pav quartile where 12% 3re men. Our pay gap favour5 our fernale employees with the mean pay for women being 6% above the mean payfor men. The median pay ha5 a greater disparity, being 32% higherthan rnen. This latter figure arises because a higher proportion of our male colleague$123% of the totall work within the lower pay quartile, particularly in our retail and facilities teams. Poy Durlng the toursè of the yÈar it became clèar that St Raphael's wès struggling to recruit to clifiical vacancie5 and risked 105ing existing team tnetnbers because it did not meet the NHS leve15 of salary as prescribed under Agenda for Change (Afc). At the Trustee Board on 22nd September 2022, the Trustees approved aligning the clinical sa13rie5 Wlth Afc rates including the Outer Loridon Weighting 3llow4nce. It W35 estimated th3t this would a(Id £250k of cost to the charity each year. Future pay increases would follow the NHS decisions. The decision wa5 implernented with effect from 1st October 2022. A5 a result the clincial pay is now on 4 par with our competitors in the market and is tr3nsp4rent and consistent across all teams. The annual pay review, which was prepared by the Executive and ratified by the Board on 26 January 2022, attetted only non- clini1 stèff members as the cllnical team had been aligned to Afc rates and increments. In thÈ light of thÈ increasing rate of nfl8tlon, the fart thèt no pay increase had been awarded in the prior year and with retruitrnent proving particularly difficuk following thÈ coronaviru5 pandemit and "Brexit" a 5% award was tnade12020-21.. 0%>. Staff on tninimum wages ieceived a higher awHrd equivalent to 15%. Thi5 moved the lowest pay level from £8.91 to £10.25 and beyond the new minimum wage of level £9.50. Thi5 was done in recoenition of the vital role played by our team and the high cost of living in the outer London area. li
St Raphael's Hospice Trusteès. Report 31st March 2022 Enpployee profile At the year end the Hospitè had 132 contracted employees12020-21.' 1401 of whom 48 were full time and 84 part-time12020- 21". 47 and 931. The Hospice also has 30 active bank stsff who do not want to corntnit to working specific regular hours and ère offerÈd WDrk a5 and when the need arises12020-21.. 251. At the year end the H05pice clinical Staff had the followlng age profile. Thi5 presents a risk as a significant number are approaching retirement over the course of the next flve years. ThÈ risk ha5 been reducing over the L35t several years with fewer in the 53-62 age band. The average age has fèllen mèrginèlly from 51 in 2020 to 49 in 2022. ainital 5taflByAE under35 3342 5542 63 and9r 21 19 Asat 31 Marth2021 16 27 Asat 31 Marth2020 16 30 Voluntee St Raphael's Hospice relies on a largÈ number of volunteers who freely contribute their time and expertise. ThÈy impact and add value to all areas of our work and thi5 is hugely apprecièted. The risks associated wlth the pandetnit, the c105ure of shops and the need to restrlct footfall across all 51te5, led to m3ny volunteers bein@ stood down for the duration. Nonetheless, there w35 still a considerable Contribution to core service5 includin8 our receptlon, our gardens, adtninistration Hnd our Trustee group. This contribution ha5 begun to increase again. although still behind pre-pandernic levels, and there were 669 volunteer roles undertaken in the year, amountin8 to 34.337 hours of time 12020-21.. 247 roles and 9,557 houFsI- This provides an estimèted financial value of between £400.000 and £500,00012020-21.. between £IOO,000 and £150,000 for the five month perlod undÈr thi5 governance The breakdown of volunteer roles for the Hosplce attivity the year wa5 35 follow5: VoluntEErNurnb8n 2021-22 202ty21 31 55 Officeartd Admifmstrètm Wèrl and patient-facing Flower5 and Gardens PsychDlw(al Support HO5ce NghbOUrS and Bio8r&pher5 Dransery Café TiuStee$ 3ndComtnittee TfaininE and fvlentoring 17 12 14 io li 21 14 14 45 16 157 Hospi¢eTOtal Shops 167 216 supporter Groups and Events occ351(al Eventsvolunteers 31 223 Total 669 247 Fundmlslng St Raphael's Hosplce employs an èxperienced fundraising and donor management team under the leadership of the Director of Income Generation. We alw have two cornmercial contracts with thifd-p8rty fundraisers. Sèlvia FundrÈising acts on our beha by fundraising from Tru5t5, Foundations and The Big Lottery Fund whilst Sterling Lotteries runs oui weekly draw and our two raffle draws each year. At the end of this reporting year we h8d 4,810 weekly players12020-21.. 5.2291 with 7,035 chances to win12020-21.. 7,5581. 5t Raphael's H05pice Cotnmunity Fundraisine Team also manages 7 volunteer Supporter Group5 12020-21.. 81. These are committees which funclraise in their local area on behalf of the Hospice by organising events, attending fair5, placing collection cans, banking funds and 5uppDrting Hospice-run 8ttivlties. The coronavirus pandemic caused much activity to cease, but we have seen thi5 begin to reverse and our groups currently tontain 66 members 12020-21.. 311. They are all issued with 8n information pack which includes a bannÈr. leaflet5 ett. Thi5 contain5 guidance including how each group should be run. what support to expect from the Comrnunity Fundrai5er5, the process of joining a group, suggested areas of 8Ctivity and what is expetted frotn tnetnber5. how to bank funds and the process of distributing collettion cans. Each Supporter Group rnembef reteives 6 photo ID badge to allow them to fundraise and collett legally on bèhalf of St RaphaÈl's. 12
St Raphael's Hosplce Trustees, Report 31st March 2022 Fundruisingtr contlnued We are siened up to the Instte of Fundraising and we follow it5 Code of PractKe, whilst also complylng with thÈ Charity Commission guidance, 'CC20.. Charity Fundrai5ing'. During the period of thi5 report there were no complaints or reported failures in compliance with the Fundraising Regulator or other regulatory bodies1202fv21'. none). St R8phael's also benefi'ts from the sUPPOrt of individual fundraisers who carry out artivities In aid of the Hospice. At first point of contart they are 85ked to complete an online event form to ensure contact details are retainÈd and intentions 3re made clear. Afundraising pack is sent which includes legal advice, e.g. gambling laws surrounding raffles. The office keeps in regular communication with these fundraisers and ensures funds raised 8re rèceived by the Hospice as swiftly as Possible. There were no ¢ornplaints received in the period to be reported to the Gambllng Commission in our return12020-21.' none). We have contlnued to ensure that we protect vulnerable people from undue pressure to donate or support our tharitable work we adhere to the following Fundraising Prornise.. • We wlll always tell you about how you are tnaking a drfference to the lives of our patients, thelr famllles and friÈnds We will alway5 take action if others acting on our behalf fall to meet our high standards. We will never phone you unless you have expressed an interest in our work * We will alway5 checkfirst thatyou are happy to speak to us when we phone We will never sell your d8ta to anyone else or share it without your permi55ion If you tell us you don't want to hearfrom u5 again, orwant to hear from us less, we will always respect that A¥ditor5 Following the resignation of the previous auditor5 Buzzacott LLP, the Trustees appointed Haysrn8cintyre LLP to the wacant office of auditor in atcordance with section 485131 of the Companies Act 2006. H8ysmacintyre LLP, having expressed their willingness to continue in office, will be deemed reappointed for the next financi81 year in accordance with sÈction 487121 of the Companies Act 2006. unle55 the company receives notice under section 48811) of the Companies Att 2006. Trustees'responsybilititS5tutement The Trustees (who are a150 the dirertor5 of the ch3rf(able company for the purposes of company lawl are responsible for preparing the trusteÈs' annual report and the financi41 statements in accordance wlth èpplicable law and United Kingdom Accounting Standards IUnite(J Kingdom General Accepted Accountin8 Prècticel. Comp3ny13w requires the Trustees to prepare financi81 statements for Èath finantial year which give a true and fair view of the 5tste of affairs of the charitable company and of Its income and expènditure for earh period. In preparing these flnancial statements, the trustees are required to.. select suitable accounting policies and then apply them con515tentlyi observe the methods and principles in A£countSng and Reporting by Charities.. Statement of Recommended PractKe appllcable to charities preparing their accounts In 8ccordance with the Financial Reporting Standard applicable to the UK and Republic of Ireland IFRS 1021,- rnake judgements and estimates that are reasonable and prudent,. stste whether applicable United Kingdom Accountlng Standards have been followed, Subject to any material departures disclosed and explained In the financial statements., and * prepare the financial statements on the going concern basis unless It is Inappropriate to PfÈ5ume that the charity will continue in operatign. The trustees are re5pon5ible for keepine proper accountlng records that distlose with reasonable accurary at any time the rinancial position of the charitable company which en8bles them to Ènsure that the financial statements comply with the requirements of the Companies Act 2006. They are also rÈsponsible for Safeguarding the a55ets of the charitable company and hence for taking reasonable steps forthe prevention and detettion of fraud and other irregularities. The trustees confirm that.. So far as they ère aware, there is no relevant audit information of which the charitable company's 8uditor is unaware,. and • They hHve tsken all the steps that they ought to have taken In order to make themselves aware of any relevant audit inforfflation and to establish that the charitable company's 8uditrJr is aware of that infortnation. Approvedbythe Boordof Truste¢sondslpn¢don its IMTrholAby.' A_ pi, Norman Mc Date.. hin y.. Chair 13
St Raphael's Hosplte Annual Report and Flnanclal Statements 31st March 2022 Independent audltorfs report to the members of St Raphael's Hospi Opinion We have audfted the financial statement5 of St Raphael's Hosplce for the year ended 31 March 2022 which comprise the Statement of Financial Actwities, the Balance Sheet, the Staternent of Cashflows and notes to the financial Statements, including a summary of significant accounting policies. The financi81 reporting fratneworkthat ha5 been applied in their preratiO[l IS pplicable law and United Klngdom Attounting Standards. including Financial Reporting Standard 102 The Financial Reportlng Standard applicable in the UK and Republic of IrÈl3nd Iunited Kingdom Generally Accepted Attounting Practice). In our opinion, the financial ststeynents.. give a true and fair view of thÈ st3te of the chaFitsble companls affairs as at 31 March 2022 and of the charitable companws net mo¥emÈnt in fund5, includinethe income and expenditure, for the ye3r then ended.. have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice," and have been prepared in accordance with the requirernents of the Companies Att 2006 Basi5 for opinion We conducted our audit in accordance with International 5tand8rds on Auditing IUKI IISAS IUKII and applicable law. Our respon5ibilitie5 underth05e standards are further described in the Auditorfs responsibilr(ies for the audit of the financial statements section of our rÈport. We are independent of the charity in accordance with the ethical requirements that are relevantto our audit of the financial statements in the UK, including the FRC'S Ethical Stand8rd, and we have fulfilled our other ethical responsibilities In èccordante wfLh these requirements. We believe thatthè audit evidence we have obtained is SUfficnt and appropriate to provide a basis for our opinion. Concluslons relatlng to 80in¥ concern In auditing the financial statements, we have concluded th8t the tru5tee5' Use of the going concern basls of acttrunting in the preparation of the financial ststements is appropri3ts. Based on the work we have performed, we have not identlfled any material uncertainties relating to events or conditionsthaL indwidually or collertively, may tast significant doubt on the charitsble company's ability to continue as a going concern for period of at least twelve months from when the financial statements are authorised for issue. Our responsibilitie5 and the responsibilities of the trustees with rÈspÈrtto going concern are descrlbed In the relevant 5ection5 Of this report. Other information The trustees are responsiblE forthe other information. The other information compri5e5 the inforrnation included in the Trustees, Report. Our opinion on the financial statements does not coverthe other information and, extrpt to the extent otherwise explicitty stated in our report, we do not express any forrn ol Hssurance conclusion thereon. In connettion with our audit of the financi41 statements, our responsibility 15 to read the other inform3tioTr and, in dolng so, consider whether the other information is tnaterially inconsistent with the financial ststsments or our knowledge obtained in the audit orotherwise appears to be rnaterlally misstatÈd. If we identify such material incon5Istencles or apparent rnaterial misstatements. we are required to deterynine whether there Is a material rni55tatement in the financial statements or 8 material misstatement of the other information. If. based on the work we have performed, we conclude thatthere is a material mi55taternent of this other Information, we are required to reportthat fact. We have nothing to report in this regard. Oplnlons on othèr matter5 prescribed by the Companles Act 2f*)6 In our opinion, based on the work undertaken in the course of the audit.. the information given in the Tru5tee5' Report (which includes the strategic repDrt and the directors, report prepared for the purposes of company lawl foi the financial year for which the flnancial statements are prepared is consistent with the financlal statement5.' and the strategic report and the direttor5' report included within the Trustses. Report have been prepared in accordance with applicable legal requirements. 14
St Raphael's Hospice Annual Report and Flnanclal Statements 31st March 2022 Matter5 on which we are required to report by exception In the light of the knowledge 8nd understanding of the tharitable cornpany and it5 environment obtsined in the course of the 8udit, we have not identified matÈrial misstatement5 in the Tru5tees' Report (which incorpor8te5 the strategic report and the dirertors, rÈportl. We have nothing to ieport in respect of the following Matters in relation to which the Companies Att 2006 require5 US to report to you if, in our opinion= • adequate accounting records have not been kept by the charitable company,. or the financial statements are not in agreement with the accounting records 8nd returns., or the charitsble company financial statements are not in agreement with the accounting records and returns,- or certain di5cIosure5 of tru5tees' reniuneration specified by law are not made,. or we have not received all the information and explanations we Tequire for our audit. Responslbllltles of trustees for the financial statements As explained rnore fully in the tru5tees' responsibilities statement set out on page 13, the trustees (who are also the directors of the charitable company for the purposes of company lawl are responsiblÈ forthÈ preparation of the financial statements and for being satisfled thatthey give a true and fair view. and for guch intern31 control 35 the trustee5 determine is necessary to enabl 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 35se55ing the charitable companys ability to continue as a going concern, di5c105ing, as applicable. matters related to going concern and using the going concern b8515 of accounting unless the trustees either intend to liquidate the charitable company or to ce3se operations, or have no realistic alternative butto do 50. Audltorfs responsibilities for the audit of the financial statements Our objectives are to obtain reasonable assurance about whethÈr the finèncial statements a5 a whole 3re free from material Fn155tatement, whether due to fraud or error, and to Issue 8n auditor's report that includes our opiniDn. Rea59nable assurance is a high level of a55urance, but is not a guarHntee that an audit conducted in accordance with1SAs IUKI will always detect material misststement when it exists. Mi55tatements can 3rise from fraud or error 4nd are con51dered material if, indIdUal or in the aEgreg8te, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements. Irregul3ritie5, includin8 fraud, are instances of non-compliance with laws and rÈgulatlOn5. We design procedures in line wrth our responsibilities, outlined above. to detect material mi55t3tements in respect of irregularitles. including fraud. The extent to which our procedure5 are capable of detecting irregularities, including fraud 15 detailed below.. ased on our understanding of the charitable totnpany and the environtnent in which it operates, we identified that the princlpal risks of non<ompliantÈ with laws and regulations re13ted to regulatory requirements of the Care Quèlity Commission. Charity Commission, Fundraising regulations, Employment law and GDPR, and we considered the extent to which non<ompliance might h8ve 8 materi31 effèct on thÈ financial statement5. We also considered those laws and regulations that have a dirert impatt on the preparation ol the financi81 statements such as the Companies Act 2CK16, the Charitie5 Act 2011, income tax, payroll tax and sèles tax. We evaluated management's Incentives and opportunitie5 for fraudulent manipulation of the financial statements (including the risk of override of controls), 8nd determined that the principal ri5k5 were related to P05ting inappropriate journal entries to revenue, management bias in accounting Èstimate5 and the 5tHternent of opening balances. Audit procedures performed by the engagÈmÈntteam included.. Inspecting correspondence wlth regulators and tax 8uthoritie5,' Discussion5 Wlth management including consideration of known or susperted Instsnces of non-compliance with laws and regulation and fraud., Evaluating man8gement's controls designed to prevent Hnd detect irregularitie5- • Identifying and te5tingjournals, in particular journal entrie5 Posted with unusual account combinations, posting5 by unusual user5 or with unusual descript5.. and Challenging assumptions and judgements made by management in their critical accounting estimates. 15
St Raphael's Hosplce Annual Report and Flnanclal Statements 31st March 2022 Independent audltorfs report to the members of St Raphaevs Hospl¢e, Continued Audltorfs responsibilities for the audlt of the financial statements, tontlnued Because of thÈ inherent limi(ation5 of an audit, there is a risk that we will notdetect all irregularl1s, including those leading to material mlsstatement in the financial Statements or non-compliantr with regulation. This risk increases the more that compllance wfth a law or regulation is removed from the Èvents and transartions reflected in the flnancial statements, a5 we will be less Ilkelyto be¢ome aware of instances of non<ompllante. The risk is a150 greater reearding irregularlties occurring due to fraud rather than error, as fraud involves intentional toncealment, foigery. collusion. omission or misrepre5entstK)n. A further description of our responsibilities for the audlt of thè financial Statements is located on the Financial Reporting Council's website at.. www.frc.org.uk/auditorsresponsibilitie5. This description forms part of our 8uditorfs report. Use of our report This report is made solely tothe charitable comp4ny's members, as a body, in accordance with Chapter 3 of Part 16 of the Companie5 Art 2006. Our &udit work has been undertaken 50 that we might state to the charltable company's fTiernber5 those m3tters we are required to state tg them in an Audff(or's report and for no other purp05e. To the fullest extent permltted by law, we do not accept or assume responslbllity to anyone otherthan the charitable company and the charitable company's rnembers, as a body, forour audit work, for this report or for the opinions we have formed. Siobhan HolmÈs (Senior 5tstutory Auditorl For and gn behaw of Haysmacintyre LLP, Statutriry Auditor 10 Queen Street Place London EC4R IAG Oate.. 4 November 2022 16
St Raphaevs Hosplce At)nual Report and Flnanclal Statemeffls 31st March 2022 Statement of Flnancial Artlvltles IncludlNg an Income and expendtlure at¢ourf Total funds Yearto 31 March Unrestricted Total fundsyear to31 March General DesignatÈd Restrirted months ol OPÈration51 Note5 fund fund £'ooo funds £'ooo 2022 2021 £'ooo Income ¢xpenditu Income from= Donations and legaciÈs Other trading attivities Investments 2.949 1.533 517 3A66 1.533 2,819 289 Clinical Commissioning Groups Other income 1,615 51 650 247 2.Z65 298 637 959 Total income e¥cludinB assetstrarthfred from the Daughiers of the Cross 6,152 1,414 7,566 4.706 Assetstransferred from the Daughters of the Cros$ 18 3,405 Total income 6.152 1.414 8,111 Expendilure on: Raisingfunds charable acrivrcles 2.406 3.439 2A06 4,596 1,005 2,029 1,157 Total experlture S.845 1.157 7.OOZ 3,034 Net gain5 111055e51 on inve5tment5 li 17 17 Net Income/ lexpendlturel before transfers 324 257 581 5,077 Transfers between funds 15-16 270 12321 Net movement In funds 594 1381 25 581 5,077 Reconciliation of funds: Fund balan$ brought fotward at l April 2021 3,802 1,214 275 5,291 214 Fund balances carried forward at 31 March 2022 15-17 4,396 1,176 300 5.872 5,291 All of the charity's activities during the above twoflnancial periods derfved from continuing opÈrations. A full rotnparatwe statement of financial activities is shown at note 23 to the financial statements. 17
St Raphael's Hospice Annual Report and Flnan¢lal 5taiemerfs 31st MaKh 2022 Balance Sheet Notes 2022 2022 2021 2021 £'ooo E'ooo £'ooo Tangible assets Flxed Asset Investments io 725 562 li 2.017 2.742 562 Current assws Debtors 12 1,978 2,086 sh at bank and in hand 4,3S6 6.620 6.334 8,706 Credltors= amounts falllng due within one year 13 11,5511 11.5971 Net current assets 4,783 7.109 Creditors: arnount5 falling due after more than one year 13 11.6531 12,3801 Total net assets 5,872 5,291 Represented by: Funds and reser Income funds Restricted funds 15 300 275 Unrestricred funds Designated funds General fund 16 1,176 1,214 17 4396 3.802 Total funds 5.872 5,291 Approved by the Board of Trustees on.. and signed on its behalf by Mr Norman Mcwhinney (Chairl.. L_ rk, St Raphaèl's Hospice, a tharitabfecompany limited by Éuaftntee,. Company Re8lsrrnUon Number.. 11732567 (England and Wales),. Charity Re8isir3tlon Number.. 1182636 18
St Raphaefs Hospice Annual Report and Flnanclal Statements 31st March Z022 statement of Cash Flows Yearto 31 Mar¢h 2022 Year to 31 March 2021 Notes Net cash provided by operating activities 3,903 Cash flows from Investln8 a¢tivlties: Investment income Purchase of tangible fixed assets Purchase of investment5 Sale of investments Write off of tangible fixed assets Cash transferred from the Congregation of the Daughters of the Cross of Liege Net cash provided by lused in) investlng attivitie5 13321 12.0001 11351 loo 2,702 2,669 12,3281 Change in cash and $h equlvalents In the year 12.2641 6,572 Cash and cash equlvalents at l April 2021 6,620 48 Cash and cash equivalents at 31 March 2022 4,356 6,620 A: RencIlIatIon of net movernent in funds to net cash provided by operating artlvltles Year to 31 March 2022 Year to 31 March 2021 £'ooo Net movement In funds las per the 5tztement of financlal a¢tlvltlesl Adjustments for: Depreciation charge l amount5 written off Investment incotne Net Igainl110$5 on investments Decreaselllncreasel in debtors IDecreasel/lncrease in creditors Transfer from the Congregation of the Daughter5 of the Cross of Liege Net cash provided by operatln8 attivitie5 581 5,077 169 58 121 1171 108 17731 11.0651 3,240 13.4051 3,903 B.. Analysis of changes in net debt 2021 E'ooo Cash flows £'ODO 21)22 Cash at bank and in hand Total 6,620 6,620 12,2641 12,2641 4,356 4.358 19
St Raphaevs Hospl¢e Annual Report and Financial Statements 31st March 202Z Notestothe Financial statements l A¢¢ountlng Poll¢ies General Inlormation St R8phael's Hospice is a private company limited by guar8ntee in England and Wale5 (company number 117325671 and a charity registered in England and Wales (charity number 11826361. The registered office 15 St Raphael's Hospice, London Road, Cheam. Shrt3 9DX. Basis of accountlng The financial statements have been prepared for the ye3r ended 31 March 2022. The financial statements have been prepared under the historical cost convention with iterns initially recognised at cost or tr3nsaction value, unless otherwise stated in the relevant accounting policy note. The financial staternents have been prepared in accordance with Accounting and Reporting by Charities.. Statetnent of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (Charities SORP FRS 102. updated 20191 and the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021. St Raphael'5 Hospice is a ch8rity which is a public benefit entity as defined in FRS 102. The financial statements are prepared in Sterling and are rounded to the nearest thousand pound5. Critical accountlng estlmate$ and area5 of judgement The most significant areas of adjustment and key as5umption5 that affert items in the flnancial statement5 are in respect of.. the recognition 8nd deferral of income.. • assessing the probability of receiving legacies of which the Charity has been notified,. estimatinE the value of the gift in kind of propenies occupied under a peppercorn rental agreement with the Congregation of the Daughters of the Cr05s of Liege., determining exPted future income and expenditure flows for the purpose of assessing going concern. With respett to the next reporting period. the general economic environment, the potential for a continuing irnpatt from the coronavirus pandetnic, the consequences of the Russian invasion of Ukraine and the inflationary pressures being felt in the economy are all factors that may affect future income flows and the carrying value of a$5et5 held by the Charity. Assessment of Bolng ¢tsncern As stated in the Trustees, Report, the Trustees have assessed whether the use of the going concern assumption is appropriate in preparing these financial statement5 and they have made this assessment in respect of a period one year from the date of the approval of these financial staternent5. The Trustee5 have considered the impact of the current and projected economic and inflationary uncertainties on the Hospice's operations, with a particular focu5 on its effect Dn the Hospice's financial position including the Hospice's incorne, expenditure and reserves. Whilst the H05pice 15 reliant upon the generosity of the community of Merton and Sutton in order to raise sufficient funding and is conscious of the imapct of the economic environment on people's ability to be generous, it is felt that it ha5 sufficient cash resources to continue operations for the foreseeable future. The Trustee5 have concluded that there are no rnaterial uncertainties related to events or conditions that would cast $18nificant doubt on the ability of St Raphael's Hospice to continue as a going concern. This is because they believe that they have sufficient reserves and resources to withstand any temporary drop in income or any additional unexpected liability.
St Raphael'5 Hospice Annual Report and Finandal Statements 31si March 2022 Notes tothe Flnanclal Statements Income re¢ognitlon Income comprises donations, legacies, 8ifts in kind for donated services and facilities. lottery income, income from retail sales, grants frorn Clinical Commissioning fjroups and other organisations together with the Government's Coronaviru5 Job Retention Scheme and the NHSE Covid Hospice Support Grant. Income is recognised in the period in which the charity 15 entitled to receipt, the amount can be measured reliab and it is prob3ble that the funds will be received. Donations and transfers from other registered charities amounting to donations are recogni5ed when the charity has confirmation of both the amount and settlement date. In the event of donations pledged but not received, the amount is accrued for where the receipt is considered probable. In the event that a donation is subject to conditions that require a level of performanc& before the charity is entitled to the fund5, the income is deferred and not recognised until either those conditions are fully met. or the fulfilment of those condilions is wholly within the control of the charity and it is probable that those conditions will be fulfilled in the reporting period. Legacies are included in the statement of financial activities when there has been a grant of probate. the executors have established that there are sufficient surplus assets in the estate to paythe le8acy. and any conditions attached to the le8acy are Wbthin the control of the charity. Lottery income is recogni5ed during the period in which the lottery draw is held. Interest on funds held on deposit 15 included when receivable and the amount can be measured reliably by the charity., this 15 normally upon notification of the interest paid or payable by the bank. Grants from government, other agencies and voluntary bodies have been included a5 incorne from charitable activities where these are akin to a contract for services. but bs donations where the money is given in response to an appeal or with greaterfreedom of use, for example monies for ctsre funding. Incorne frorn retail grant5, lincluding the Coron3virus Job Retention Scheme) is (dited to the Statement of financial activities when the Charity is entitled to receive the funds and when the amount receivable can be quantified. Shop income arises from the sales of donated goods at charity shop5 Wlthin the Surrey and Greater London areas. Donated goods are normally distributed very soon after receipt by the charity. Stock5 held at the reporting date are immaterial. Under these circumstance5, the c05t of valuing all donated goods upon receipt by the charity outweigh5 the benefit to the users of the accounts of providing thi5 inform£tion. Consequently, donated goods are included within income when 501d or distributed and no value is placed on stock of such items at the year end. In accordance with the Charities SORP FRS 102 no financial valuation of voSunteer time is recognised in these financial statements, refer to the'volunteers" settion of the Annual Report lorfurther details. Deferred incorne includes a cash grant given by the Congregation of Daughte of the Cross of Liège towards strategic investment in the new charity- Thi5 was granted as part of the transfer arrangements in order to bridge the anticipated funding gap that wi11 arise over a period of five or more years a5 the charity invests in its strategy of EVE (excellence, visibility and engagernentl. The deferred income will bÈ released to the Staternent of Financial Activity in line with its use. Donated 5eNSces and facllitles Donated 5ervice5 and facilities are recognised in income and expenditure when the charity has control over the item, conditions a550ciated with the donated itern have been met. the receipt of economic benefit from the use by the charity of the item is probable and that the economic benefit can be measured reliably. The charity benefits from the use of the hospice building5 and grounds which are leased to it by the Congregation of the Daughters of the Cross of ege at 8 peppercorn rent. The value of this gift in kind has been estimated by the Trustees following the receipt of professional valuation5 for the market rent of the administrative building 1759 London Road) and the St Bede's Conference Centre and the capital value of the hospice building and grounds. A 5% rate of return on the capital value has been used to estimate the annual rental value. Th? Trustees consider that the valuation of goods donated for reIe at the point of receipt is impractical due to the high volume of low value items and the administrative costs involved in valuation. Goods donated for resale are therefore recogni5ed at the point of resale. 21
St Raphael's Hospice Annual Report and Financial 5tatement5 3l$t Marth 202Z Notes to the Financial Statements Expenditure and the basis trf apportioning costs Expenditure is recognised once there is a legal or constructive obligation to transfer resources to a third party. it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. All expenditure is accounted for on an accrua15 basis and includes any VAT that cannot be recovered under the $33c VAT refund scheme. This scheme 15 specific to charites which are wholly operating as Hospices and allows recovery of VAT incurred on the non-business activities (hospice service delivery and rnost fundrai5ingl as well as the usual business activities (retail etcl. In turn that allows for a high proportion recovery of VAT on 'apportioned activity" that whieh serves to support the entire enterprise. VAT cannot be recovered on exempt 3ctivity levents, education and lottery). Expenditure comprises the followin8'. The cost of raising funds include5 fundraising and publicity expenditure which comprises costs associated with fundraising and shop overheads, publicity, advertising and event Staging. It also includes a Share of 5UPPOrt costs. including Bovernance costs. The c05t of charitable activities comprises all the costs of operating the Hospiee, includin8 all Staff. supplies and property COSt5. It a150 includes a Share of 5UPPOrt C05t5, including governance costs. Tanglble fixed assets Tangible fixed assets are shown on the balance sheet at cost, less accumulateil deprecIatn. All assets which cost in excess of £5,000 and have an expetted useful life exceeding one year are capitalised. Depreciation is calculated at the followin8 annual rates on a straight-line ba515 in order to write off each asset over it5 estimated useful life.. Computer and other eguiprnent Shop fixtures and fittings Motor vehicles 20- 33.33% 33% 25% Improvements to long leasehold property is depreciated evenly over the period of the lease. Fund accountlng Any restricted funds are monies raised for, and their use restritted to, a specific purpose or are donation5 subject to donor-imposed conditions. The designated funds are those which represent the value of tangible fixed a55et5 or rnonies which rnay be used towards meeting the charitable objectives of the Hospice but which have been desi8nated for a specific purpose by the Trustee5. The general fund repre5ent5 free reserves and comprises those monies which may be used towards meeting the charitable objecrives of the Hospice at the discretion of Trustees. Both the general fund and designated funds are unrestricted. Leased assets Rentals applicable to oper8ting leases where substantially all of the benefits and ri5k5 of ownership rernain with the le550r are charged to the Statement of Financial Activities on a straight-line basis over the period of the lease term. Debtors Debtors are recognised at the settlement amount, less any provision for non-recoverability. Prepayrnents are valued at the amount paid in advance. They have been discounted to the present value of the future eash receipt where such discounting 15 tnaterial. Cash Cash is held in bank accounts or in hand and money available on demand or terrn dep051t5 Wlth an expiry date within three months of the balance sheet date. 22
St Raphael'5 Hospice Annual Report and Financial Statements 31st Marth 2022 Notes to the Financial Statement5 Creditor5 Creditors and provisions are recognised when there 15 an obligation at the balance sheet date as a result of a past event. it is probable that 3 transfer of economic benefit will be required in settlement, and the amount of the Settlement can be estimated reliably. Creditors and provisions are recognised at the amount St Raphael's H05pice anticipate5 It will pay to settle the debt. They have been discounted to the present value of the future cash payment where such discounting is material. Pension Costs St Raphael's Hospice operates a defined contribution pension scherne. The arnounts charged represent the employers, contributions payable to the scheme in the year. St Raphael'5 Hospice also participates in the NHS pension Scheme, a defined benefit Kheme which is underwritten by the UK Treasury. The li)bilitie5 of the 5cheffle are not calculated and there is no attribution of liability to the participant org8nisations, including the Hospice. Accordinglyi the contributions are accounted for as if it were defined contribution pension scheme. Employee Costs St Raphael'5 H05pice holiday year operate5 from April to March. A week'5 Worth of holiday that is earned in one year but not utilised In that year can be carried over to the followin8 year. The c05t to the charity of that holiday carry-over 15 estimated and accrued in the financial statements. During the coronavirus pandemic the restriction5 on carrying holiday over were1005ened and this 15 reflected in the accrual for the years ending 31st March 2022 and 2021. St Raphael's H05pice values the loyal service of its stsff and makes an award to staff who 3ttsin ten years of service. The award is repeated and enhanced at five year intervals thereafter. The potential cost to the charity 15 calculated for all staff who have reached the end of their fifth year of service in proportion to the time worked toward5 the next award milestone. 23
St Raphael'5 H47Spice Annual Report and Flnanclal Statements 3151 Marth 2022 Notesto ihe actouAts Donatlonsand legacles Unrestrictet funds £'ooo 1,416 Restrscted furHIs f'ooo 247 270 Unrestricted fund5 £'ooo 812 Restrirted funds Total 2022 Totu12021 £'ooo 1.663 270 1.533 3A66 £'ooo 917 112 1,790 2.819 DoriatlOn5 Gifts in klnd Legacie5 Total 105 112 1,533 2.949 517 2,602 217 Grfts in Kind include a donation from the Con8re8ation of the DÈu8hters of the Cr055 of tsège which represents the estimated marketvalue of the lease of the land and buildings used by the charty, provided by the Congregation at no cost to the tharity. The market value of the rent for the property ha5 bpen estimated at £270,000 for the year12021- £112,000 for period). The e5tifflated value ha5 been recognised within income as a donation. and an equivalent charge included within support costs. In addition, the H05pice enjoy5the benefit of volunteers for help in the runnin8 of the H05pice, fundraising and the Shops. In accordance th the accountinE poliry, the value of these benefits h35 nDt been reflected in the financial statements. 3 othtradIng activitles Year ended 31 Marrh 2022 Unrestricted fund5 £,0 423 i.iio 1,533 Restritted funds £'ooo Uftrestricted funds Restricted funds Total 2022 Totu12021 Lottery income Retsil sales and related income 2022Total 423 I,iio 1.533 205 84 289 205 For the year endln8 Marth 2021, cther trading 3ctivity relate5 to the five month period from 1st November 2020. Retail salp5 were severely Impacted by the coronaviru5 pandernic and shops were closed for a large part of this period. ntomefrorn charitable athities Unrestrftted fund5 £'ooo 1,615 Restritted fund5 Unrestricted funds Total 2022 Restricted fvrtds Toto12021 £'ooo £'ooo 1.615 500 150 CCG service funding CCG Local COVID-19 funding CCG Grants Income from ainlcal CommlssioniA8 Groups ICCGS) 637 637 500 150 1.615 650 2,265 637 637 NHS Enelènd COVID-19 fundin Coronaviru5 Job Retention kheme Other Other Int¢)me 247 247 817 817 135 25 26 51 135 26 Z47 142 817 959 Expenditure on Rai%ng Funds of thetotal belnE Unrestricted Restslrted Yearended 31 March 2022 Staff co$ £'ooo 460 43 498 i.ooi Othercosts Support C05t5 £'ooo £'LNJO 250 139 146 io 626 234 Total Fundraising Lottery CharityShop5 199 1,358 199 1,358 24
St Raphael'5 H05Pif Annual Report and Flnanclal Smements 31st Marth 2022 Notes tothe accounts Expet)dlture on Ralslng Funds. contlnued Athe tattslb¢ini Unrestrirted Re5trirted £'ooo Yewended31 Murch2021 Stottcosts £'ooo 177 16 182 375 Othercosts Supportcosts Tothl £.0 306 72 627 I.t705 Fundroisirjg Lottery Chority5hops 57 56 318 431 72 306 72 627 1.005 127 199 Expenditure on Charitable acbvities of thetotal belmg Urtrestrirted Re#rirted £'ooo 652 318 115 Year erthd 31 March 2022 Staff Costs Other C05t5 SupportC05ts £'(M)O £'ooo 53L 373 91 201 19 29 34 18 24 18 34 697 T81 £'ooo 1,716 1,164 Hespice In-P3tient Unit 'H05pice at Home" Community teom Psychological Support team Education Orangery Volunteers Wellbeing Centre 1.464 1,190 151 2,368 1,482 199 138 127 119 163 4,596 129 93 112 141 3,439 19 81 76 3,Q67 20 53 832 22 1,157 oAthe tottslbeiny Unrestryrted Restrirttd Yetstrend31 Morch2021 Stoff Costs £'ooo 667 485 Othercosts SupwtC05ts Totol vooo 1.039 Hosplce In-Potient Unit 'Hospi¢eut Horne. Communityteam PsychologiculSupport teJm Educotion Oronoery Volunteets Wellbeing Cefitre 208 iii 18 io 164 93 14 552 382 97 307 97 73 38 54 39 2,J29 58 15 35 24 1,349 69 35 50 37 985 14 376 304 1,044 Net Income is stated afterchar8ln8 Auditorf5 remuneration StatutoryAudit Other work Staff c05t5 Lease rental costs Depreciatlon 17 4,830 332 149 See note 7 for an analysis of Support Costswhich are allocated atross activities on the following basis.. facilities costs- based on hospice floorspace with a portion to incorne generating activity. Quality costs- based on h05pice headcount with a portion to incorne generating actyvity. Othef Support costs- based on the headcount of each actmty. 25
St Raphael's Hospice Annual Reportand Flnanclal smements 3151 March 2022 Notes to the accounts 7 Staff wsts tharftable Actlvltles Year ended 31 Marth 2022 HOSPI In-Patient Unit 'Hospice at Home" Community team Psychological Support team Edutation Orangery Volunteers Wellbeing Centre Salarfes £'OOD 1,175 988 133 73 19 73 70 2,531 NIC £'ooo 102 102 13 Pen5ion5 Other £'ooo Tthal £'ooD 1,464 1,190 151 86 19 81 76 £'ooo 69 £'ooo 118 234 184 118 Income Gener*lon Year ended 31 Marth 2022 Fundraising Lottery Retail Shops Salartes £'OOD 404 NIC £'ooo 38 Pen$i•n5 Agency £'L¥JO Other £'LX)O Total f'ooo 460 £'ooo 16 457 31 72 io 28 498 I,ooi 899 5upffi Team Yearended 31 March 2022 Total 5pport Co NIC Total Staff co$ Non-stsff Costs Penslons £'ooo 256 76 203 £'ooo li £'OOD 175 38 79 23 ExecutNe Office and Communicatyons 29 296 87 231 76 72 762 471 125 310 99 74 1.079 HR 20 Flnance Quality 62 663 68 31 317 Forthe year ended Marth 2021, all actwty relates tothe period from 1st NDvember 2020 to 31st March 2021 orltubleActlvltles Yeorended31 Morch 2021 Hospice In-Potient Unit "H05pice atllome. Community reom Psychologicc¥15tspportteLTm Edu£otion Diangery Volunteers Wellbeirtg Centre 5olwles P4 £'ooo 50 37 Totol £'ooo £'ooo 63 £'ooo 519 424 58 38 14 32 22 1,097 667 33 65 58 15 35 24 1.349 13 100 74 63 15 IncomeGenerutlon Yeurended31 Morth 2021 Fundrolslng Lottery Retui1Shops Solurie5 Agenry Other Total rooo 177 16 182 375 £'ooo li £'ooo £'ooo 160 14 167 341 li 23 26
St RaphaeY5 Hospice Annual Report and Financial Ststernenl$ 31st March ZOZ2 N¢)tÈ5to the accouhts 7 Staff costs, contiThued Support Teum Yeorended31 Mtsrch2021 Suluries NK TotolStuAA Costs PIon-5toff Costs Totul Support Cost £'ooo 97 37 £0 112 42 loi 37 32 55 379 £'ooo Executive Office AR ITondFGcllltles 156 72 130 30 29 32 27 55 337 Other Hosplce holldoyoccrual 5S 503 29 13 124 In common th other Hospices. St Raphael's employs experlenced Speclalty Doctors and 5pecSali5t Palliatfve Care Consultants on standard NHS rates of payand this is reflected in the higher paid employee5 report. Oue to the short period from 1st November 2020 during whith the charity employed staff, there were no employees who earned over £60,000 in the year ending 2021. The nurnber of ernployeps who earned £60,OOD per annum or more (including benefits) during the yearwas as follow5.. 202Z 2021 No. £60,001- £70.0(M) £70,001- £80,0 £80,(X)1- £90.000 Durin8 the year the charity made payments amountSng to £14,454 in respect of two redundancies and £16,596 in respect of three ether terrninations of etnployment. KtymttnogÉmentpetsonnel Key management personnel comprfse the trustees. the Joint- CEOS, the Clinical Oirector and the Director of Income Generation together wth our three specialist pa51iative care tonsultsnts. One of the consultants takes the role of lead consultant on a rotational basls and Is a member ofthe Executive Cornme of the Hospice. They are not included in the key tnanagement personel tosts shown below. None of the trustees received any remuneration in respect of their services during the year12021.. fnill. No out of pocket expenses were reimbursed totrustees durln8the year12021.. £nill. The total employment cost (including taxable benefits and employerf5 pension and national insuronce contributions) of the key rnanagement personnel of the charity were £371,80512021." £154,251>. 8 Staff numbers Year ended 31 March 2022 Headcount 2022 36 26 Heudcotmt 2021 2022 23 19 2021 26 19 Hospice In-Patlent Unit 'Hospice at Home" Communityteam Psychological Supportteam Education Volunteers Wellbeing Centre HousekeepinE and OranEery Hespice adminiStraOn Medical tearn tharitableActwities 26 19 22 io iio 106 65 Fundraising Lottery Retail Shops Income Generatlon 14 13 12 io 27 42 22 36 25 38 18 Support Services Executive and Finance support 5etsNfjces li io li io 19 16 17 15 I Staft 167 117 165 114 27
St Raphaeys H05pice AnThual Report and FinaDr4al StatemeThts 31st March 2022 Notestothe aount$ 8 Staff numbers, contlnued Year ended 31 March 2022 Headcount 2022 50 87 30 FfE 2022 50 55 12 2021 38 104 23 2021 38 68 Permanent full time Permanent part time 'Bank" variable hours 167 117 165 114 In addition to our paid Staff. St Raphael'5 Nc>5pice benefitted from the support of 669 volunteers who contributed their time[20221.. 2471. Volunteer time is not accounted for In these financial ststements. Taxation St. Rophael's Hospice is a rewstered charity and therefore benefits from not being liable for income tax or corporation tax on income derived from its charitable èctivities. A5 a Hcspice it has taken advantage of the s33c VAT 3llowances which enable it to reclaim a large portion of Its VATpaid. At the end of the year a refund 15 due for £69,00012021.. £90,QOOI and thls Is Included wlthln debtors. 10 Tangible fixed assets Site Leasehold Improvements Computer and other Equipment £'ooo Shop Fixtures and Fittin8S Motor Vehicle5 Leasehold ImprovemÈnt £'O()D Assets under Construction Total 2022 £,0 £'ooo £'ooo £'OOD Costor valuatioth At l April 2021 Transfer between 49 537 45 44 19 878 233 12331 Additions Di5posJlslWritten-off At 31 Marth 2022 26 40 io 256 332 1401 144 308 S77 S4 1,170 DepretTratlon At l April 202L Charge in year Eliminated on disposal I write-off At 31 March 2022 247 83 19 316 149 13 36 1201 io 330 28 21 56 445 Net book values At 31 March 2022 298 247 17 33 725 At 31 M3rch 2021 47 290 26 36 19 562 The land and bulldings thèt are occupied by St Raphael'5 Hospice are owned by The Congregation of the Daughters of the Cross of Liège and are leased to the charity at a peppercorn rental. The value of the gift in kind is recognised in these financial statements, as described In the principal accounting policies at note l.
StltaphaeY5 H05pice At)nual Report at)d Flnanclal Smements 31st March 2022 Notesto the accouhts 10 Tanglblefixed a55ets, continued Retail Leasehold Asset5 under lrnprovEment Consrruction Site Letssehold Improvemerjts Computer andother Equlpment Shop Fixtures ond Flttinos Motor Vehlcles Totu12021 £'ooo fooo £'ooo £'ooo £'ooo Costorvoluutlon At l April 2020 A55ets trorJ5frrred from Doc TTonsJerbetween cIosse5 Additions 49 17 102 389 45 27 182 71 714 182 11821 52 f86} 537 27 125} 51 1231 19 135 f1391 878 141 49 At31 MJrch 2021 At l April 2020 Acc, Deprn tran5Jefred from Doc 250 15 32 297 Churgeitt yetsr Elirnin(Tted on disposal At31 MGrch 2021 29 132) 247 15 17} 40 58 {391 316 19 Iletbook vulues At31 Morch 2021 47 290 26 36 144 19 562 At31 Mthrch 2020 17 102 Assets transferred frorn the CiJn8rÈ8ation of the Dau8hters of the Cross of Liege IDOCI were br)UEht Into the charity at their net book value 5 St3ted in the Doc's accounting records as at 31 October 2020 and will depreciated over their remaining lives in line wth the chariws accountinE policv. 11 lfive#ments 2022 2022 Unit5 (X)O's 2021 2021 000 UntsOOO'5 Marketable Ikwesknents Sarasin Endowment5 Fund Marketvalue Bt start of year Net additions at C05t Net gainllbssl on revaluatlonldSsposal Market value at 31 March 1.40D 17 1.417 1,163 1,163 Liquid Asseis IC5-sierllnE Ilquldlty Fund Marketvalue at start of year Net additlOn5 at cost Di5posa15 at market value Market value at 31 March 2022 2022 Units (X)O's 2021 2021 IMIO UnitsOOO'5 1.4QO 18001 600 13 2022 2021 2022 pooo 2021 Total investments Cost at 31 March Marketable investments comprise 2,017 1,417 600 1,163 Short terrn dep05ts and cash
St Raphael's Hospice Annual Report and FI1)ala1 Statements 315t March 2022 Note5tothe accounts 12 Debtors ZOZ2 £'ooo 992 206 69 2021 rooo 1,577 200 90 58 145 Le8aCiE5 receivable Piepayments VAT receivable Coronaviru5 Job RetentSon Sheme paytnent5 receniable NHSE COWD-19 Ho&pite Support Grant CCG local COVID-19 Funding and other CCG grants Other Debtors 153 440 118 1,978 16 2,086 13 tsedltt*S 2022 2021 Amounts falllngdue within oneyear Trade creditor5 social security and other taxes Othèrcreditors and accruals Deferred incorne releBse of Doc Erant Lottery deferred Income Otherdeferred Income Provision lor onerou5 lease commitments 115 loo 245 1,000 62 24 67 92 314 63 42 19 1,597 1,551 AmDfallIng due after mor¢thon one year 2022 2021 Deferred income release of Doc grant Provision for onerous lease commttments 1.653 2,320 1.653 2,380 14 Deferred Income 2022 Doc Grant 2022 Other 1022 Total 2021 Totol Broughtforward at l April 2021 Introduced in the year Released durin8 the year 3.320 105 796 18151 3,425 796 11,4821 4,011 1586} 16671 CarrSed forward at 31 March 2022 2,653 86 2,739 3,425 A cash grafrt of £3.6m, given by the ConEreEation of Daughter5 of the Cross of Liège IDOCI tDwards strategic investment in the new charity, h35 been included in deferred income. This will be rele3sed to the Statement of Financial Activity ISOFAI in line th the conditions of its use. 5 Stipulated In the transfer arrangernent between the Congre8atiDn and the charity. A sum of £667k wès released to the SOFA in the current vear12021.. £280kl and the release of a further £ltn has been budgeted for the year trj 31st March 2023 and 15 shown as Creditors. amounts due in under one year. at note 13, above. The rernaininE balance of £1.65m is included under "Creditors," amounts due in more than one vear. and is due to be relÈa5ed overthe ensuing four to ftve years as the Strategic plan progresses. Otherdeferred income balances includes lottery subscriptions made forfuture lottery draw5 and to challenge event income raised in advance Df the challenge tskin8 place.
St Raphael'5 M05pice Annual Report and finantial Statements 31st Marih 2022 Notes tothe accourbt5 IS Re5trided Funds The restritted funds are monies received for, and their use restricted to, the following.. At tstApril 2021 Transfer between Funds £'ooo Al 31st March 2022 Income Expenditure f'ooo £'ooo iio rooo Iiioi Bereavement supportfund Doc capital improvernent grant Doc gift In kind NHSE COVID-19 Hospice Support Grant CCG COVID-19 Support Grant CCG Erants Other restrirted donatlons 165 11651 270 247 500 L50 137 1,414 12701 15001 142 158 300 iio 275 1,1571 AtIstApril 2020 Funds Introduced fvrn Doc TnJn5fer betLveeft Funds Income At31rt Morth2021 Expenditure £'ooo £'o( 92 £'oDo (921 Bereovementsupportfund Doccopitttl improvementgronr Docgiftin kind MHSE CQVID-19 Hospicesupport Gfant Orherrestrlrteddonutions 139) 165 112 817 13 11121 18171 123) 120 324 iio 275 39 The Bereavement support fund represents the funding of the psychosocial team and related cost5. The Doc capitsl improvement grantwas given Sn order to progress certsin capitjl projects including the IT upgrade Icornpletedl and the IPU The Doc gift in kind relates to the provlslon of the land and building5 on a 20 year lease at a peppercorn rental. The Gift in Kind recogni5e5the valuation placed upon the use of the properties by an independent surveyor. The cost 15 also recognised in the financial ststement5. The NH5E awarded funding to allow the Hospice to make available bed capacityand community5UPPOrtfrDm Novetnber 2020 to March 2021 and from Oecember 2021 to March 2022 to provide support to people with complex need5 in the context of the CoronaruS pandemic arid to provide bed capacity and cotntnunity5UPPQrt forthe same purpose. The CCG cov119 Support Grant relates to Erants made by the South West London CCG which was designed to 5UPPQrt the charity in the face of the1055 of intome arisingfrom the impattof the coronavirus pandemic. The CCG grants comprlse two awards by South West London CCG. A grant of £120k was made to cover the additional costs of providing two Clinical Nurse Speciali5t5 for weekend and bank holiday cover. The grant 11 be utilised over 8 24 month period. A Erant of £30k was made towards the new patient administration projert which 15 being planned 2022 lor delDiery in 2023. Other restricted donations represent ether smaller restricted donations and le8acie5 donated to the Hospice for specthc purp05e5. 16 Deslgn*ed Funds At IstApril 2021 Transfer between Funds rooo 11691 iiooi Expenditure At315t Marth 2022 £'ODO 562 100 552 1.214 £'ooo 332 Fixed AssÈt Fund Acguired Committed Budgeted within 12 months ns 451 332 1370 At 1stApril 2020 Introduced from Doc Transfer between Funds pooo 123) 100 552 629 t31st Marth2021 pooo 168 rooo 417 Acquired Committed 6udoeted within 12 months 562 100 552 1,214 Fi¥edA55et Fund 168 417 31
St Raphaevs Hospice Annual Report and Flnanclal Statements 31st March 2022 Notes to the accounts 16 DeSIgnat Fumd& tontimued The vnre5tricted funds of the Hospice include the followin8desi8ll8ted funds which have been Set aside by the trustees for specific purposes. The fSxed asset fund represents the net book value oltangible fixed assets, which Jre used in the day-to4ay work of the Hosplce and hence is not available forworkingcapital. The transfer in the fixed assets'acquired" fvnd represents thE net rnovement of addition5. disposa15 and depreciation in fixed assets ever the year."Committed expenditure relate to additions which the charity is contractually obliEed to complete and"Bud8eted' rel3tss to prDposed additions that have been approved by the Board of Trustees. 17 Analysls of asseis bettveen funds Restricted funds Generèl Fund Designated fund £,00 725 451 Total 2022 £'wo £'ooo 2.017 5,583 11,5511 11,6531 4,396 Fixed assets Current assets Creditor5'. amount5falling due within one year Creditors.. 3mounts falling due after more than one year T81 met assets 2,742 6.334 11.5511 11,6511 5.872 300 300 1,176 Restritted fvnd5 vooo GenerjIFnd Designoted fvnd Toto12021 £'ooo Flxedossets Ctstrentos$$ Creditors.. omountsfvllln9due wirhin orte yetsr Creéitors.. omountsfvlling dueoftermore th(¥n one yeor 562 652 562 275 7,779 (1,5971 {2,3801 3.802 11.5971 113801 275 IB Netassets transferred intothe Charity On 31 October 2020, the following assets were transferred tothe Charity from the CDngregatiDn of the Daughters ofthe Cr055 of tiege.. Tangible fixed assets Debtors Cash Creditor5'. arnountsfalling due in less than I year Total 417 1,021 2,702 17351 19 Leasing tommitmehts Opemtlnq le¢vses At 31 March 2022 the Hosplce had total tommitments under non-cancellable operating lea5e5 for retail shops and re13ted office and warehouse buildings asfollow5'. Lwdand buildings 2022 L¢mdontl bulldlnqs 2021 Commitments fallSnE due.. Within Dne year Within one to two years Within twoto five year5 218 177 174 569 313 230 394 937 32
St Raphael's H¢wi Annval Report and Financial Ststement$ Jlsi Marth 2022 Notestothe accounts 20 Related p8rtytraAsattions St Raphael'5 H05pice wa5 established as a work (rf The CDn8re¥ètion of the Daughters of the Cross of Lie8e l Doc" charfty number 1068661 and company number 34929211 in 1987 and its activitie5 were reported as part of that enttty. The activities and the operating assets and Ilabllltles of the work were transferred into St Raphael's Hospice Icharity number 1182636 and company number 117325671 on 31 Ortober 2020 and frorll that point its activities are reported through this entity. Two of the trustees of Doc are a150tru5tees of St Raphael'5 Hospice Isrveronica Hagen and Sr Kathleen O'Reillyl. One member of the Finante & Resourtrs Committee is a paid adviser of the Doc (Mr Ed Cook). The freehold of the land and buildings that comprise the St Raphael's Hospice site are owned by Doc. These have been1eased to St Raphael's Hospite under three separate leases for the three plots (the Hospice. St Bede's and 759 London Roadl each for tsventy years and at a peppercorn rental of £100 per annum. Atotal of £300 was paid in the period in respect Df these leases12021.. £1501. The leases are valued at £270k per annum and a gift-ln-kind is recognised In these financial statement5 for this amount1202L.. £112kl. The notional rental of £270k 15 also reco6nised in these financial statements12021.. £112KI. No grants were rnade by Doc during the year.12021.. £3.7m of which £3.6rn re5ated to the transfer a8reernent between Doc and St Rèphael's Hospi1. During 2020-21 Doc wfted the net assets of the activity of the Hospice ata book value of £3.4rn Isee note 18, abovel- Doc continue5 to receive gccasional incorne on behalf of the Hospice, such a5 legacies and sotne donations and these are passed through to St Raphael's Hospice without deduction. During the year there were 3 such transactions amounting to £812k12021.. 9 and £615kl. There were no other related party transacti$. 21 C8pfjtal commltmentS There were no capital commitment5 3$ at 31 March 202212021.. £IOOkl. 22 Pension commltsnents The Hospice makes contributions in respect of the curnt service of its employees to eitherthe NHS pension Scheme or Royal London. The Royal London pension scheme is a defined contributlon scheme, with contributions accounted for in the period in which they arise. The contrSbutions payable for the year were £115,70712021.. £54.579 forthe five month periodl. The NHS pension scheme is a defined benefrt scheme which is underwritten by the UK Treasury. The liabilitie5 of the Scheme are not caltulated and there is no attribution of liability to the partlcipant orEanisations, including the Hospice. Accordingly. it has accounted for its contribution5 a5 if it were a defined contribution scheme. The contributlOn5 payable to the scheme for the year were £IL5.99212021.. £40,656 for the flve month perlojl. 33
St Raphael's Hospice Annual Report and Fi¢111 Statemerts 31st March 2022 Notes to the account$ 23 Compar4ti¥e Statement of Financlal Actlvities Year Ended 31 Mar¢h 1021 UnrÈstrirted General Designated Restritted Notes fund fund £'ooo fund5 £'ooo 2021 2020 £'ooo Income and expenditure Income from.. Donations and legacies Othertrading attivities Investments Charitsble attivities Clinical CommissionSn8 Groups Other income 2,602 289 217 219 289 214 637 142 637 959 817 Tthal Intome excluding a55ets transferred ftom the Daughters of the Cr055 3,672 1.034 4.706 214 Assets transferred from the DauEhter5 of the Cross 18 2,664 417 324 3.405 Total income 6,336 417 1.358 .111 214 ExpÈndilure on: Raisingfunds CharftablE artivities 1,005 985 1,005 2.029 Total expendlture 1.990 1,044 3,034 Net income lexpendlturel beforèiransfers 4.346 417 314 5,077 214 Transfers bètween fund5 15-16 15901 629 1391 Net movement In fvnds 3,756 1,046 275 5,077 214 Recom¢iliation of funds.. Fund balances brought foard at l Apfil 2021 46 168 214 Fund balances carried forward at 31 March 2022 3,802 1,214 275 5,291 214 34