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 joyT￿￿ed Ireslgnod July 2022} Mrs M8rlan Ncrfm•n Irs$ignod DeceTnber 20211 Mr Bemard Martey lappoiniad September 20211 Mr Gfaharne Damdl lapptyntsd NDvember 2021} Ms Manjit Lall lapwInt￿ April 20221 Chdr WI￿ Chalr. F&R, CQ&G HR. F&R F&C F&R F&R CQ&G HR. F&C CQ&G F&e HR Commtho M•mbprn Drcardine ChiTh Dr Eva Kalmus lapwinted Marth 20￿) Mr Steve Mulhall (appointed Marth 20221 Mr5 Heather HOV￿11 Irelir& April 20211 Mr Cwk CQ&G CQ&G F&C HR F&R Clerktr•thè Tru$t M$ Anna M¥chin Execuuve Team Mrg Gall ￿neha￿ Mr Nick Ste￿9 Ms Rebecca Tru*2r Ms Sara Jane Woods Dr Jenny Slrav&)n lfrorn Aprfl lo Septemter 20*1 Dr Gaby Tamara-R05e (from September 20221 Mr JohD Grootn lfrn and concerns and to plan further ways in which we can collaborate efficientty and to the advantage of our beneficiaries. The level of clinical staffing was a major theme of the year and mirrored both the national and the settor shortage of qualified nurses. Compounded by coronavirus-related absen￿$. our te8m covered the vac8ncies we operated with by working additional or different hours and we are thankful to them for this. In order to help address the difficulty in recruitmÈnt and alsts to increase our ability to retsin our excellent staff. we took the declsion to align pay to the NHS Agenda for Change IAfCI scales with Outer- London weightlng. This has added £300k to our annual payroll but ensurÈs that WÈ art cotnpetitwe in the rnarket for short- supply expertise. Although, like other hospices, we continue to operate under the historic anomaly of part181 NHS fijnding lin our case we re￿1vE around £1 for each £3 spent on cllnical servlce dellveryl. we are grateful that colleagues in South West London CCG were able to grant an additional £500k to help offset the impacts of the coronaviru5 pandernic. We a150 gratefully received £247k of NHSE COVID-19 support via Hospice UK and tommend the latter for how they have raised the profile of h05pice fundtng and the fragile naturÈ of thÈ sector. This year we were delighted to receive over £1.5m in generous legacies,. fund5 which are e55ential to our sustsinability but which are also whglly uncertain. We are pre55ing on with our plans to seek more regular and reliable income though our lottery and charity Shops, frorn our wonderful donor5 and from the wider community. In an envifènment of rising costs. onty the generoslty ol our 5UPPOrter5 can ensure that we will be there when we are needed lon8 Into the fut re. Norman Mcwhinney Chair Nick Stevens Joint CEO Joint CEO 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 aPpl￿d 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[g￿31 ￿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 re21= £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 fu￿re 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 t*athin& 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 vibrat￿n 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 u￿dertaken 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*-lrnuffk￿Tht income is ta15qdtod•l￿rourCkIrft￿b￿?¢tM￿es'.The Hospite needsto rai5B around 75%of thewralTunnln8 costsfr¢mvduntsry SOUr￿.Whhthe remai￿n8 25% b￿1n￿granted byth¢N￿S. There ha tontinual ri5kthat(ll5urfKient Irwelsynerated to COverthtsÈapandther8 15 Pa￿DjIarreII￿E•OThh￿h1OWql5DI *?cy Sncornewhlth boutsldÈthÈth)ntrolofth8 charity- Fhe Tru5fee5 o￿th￿EMe¢￿t1¥e teom hovesetu tGrgEtlevelof operoting thllt￿ &¢s1gtted toentsble rtt#rnOnogethefft￿t￿￿t￿￿solIficOffl¢ woronyejr. Itls d1ve￿rfvIrytt5 IncomestreomsondiSP104Jrtive inseekingnewwGys torolseo#dltion&lregtylorinctsme. Inuddi￿n t￿th￿IeVel￿f reserve. ¢heA05plcevlsohos ts deferredln¢ome bgbntEof EZ.7ffl [wh￿h 15fepfesentedbycosh otbortk)which isintendedtoofret rhgforECO5tshortyuU5 jrlsh1o￿rt￿e neAtIouryear5 whi15t the ¢horityundertule5it55trotegyDf EVE. T￿SstrO1¢9￿￿5 deslprtétOirtleo5eincomeGndoChieveG5U5to￿Obtre levelof reiulttrlunditythutLloe5nGtrelyupon ex¢eptrOnts1legacylewe151wh￿h iscurrenttya55uMed tobe0rtrfuoltottrlle￿ie5 inexce550trElmJ. PeOp￿-￿￿7￿1ltyto 5pRriali5t5tsff iBair6tJ bJckdropolan aslrfstaNprofik•tyJvridB5pr0ad￿0rt1leOrgVo1l￿e0st￿fI. The Tru5tee5undthe Exgcuthyrevm monitormom& stuff benefits, rEmunErutlononderyggeMtntthrowhsttsttiENe£t￿n5, exlt1nte￿￿WS, reg￿r￿￿￿&S DepartmeNtrnÉetings andolmfvopen wmmunKutionthrDughDutthe feorn. Internaitrolnln9 onddeveltspmentopportunitig50Tede5wnedtornoxlrntse bvork SOtisfvctionondllexlbllltylK wo. 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 and9￿r 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 Admifmstrèt￿m Wèrl and patient-facing Flower5 and Gardens PsychDlw(al Support HO5￿ce N￿ghbOUrS 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 Inst￿te 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 pre￿ratiO[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 SUffic￿nt 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, ind￿IdUal￿ 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. 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 adminiStra￿On 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 a￿ount$ 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[202￿21.. 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)a￿la1 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 Am￿D￿fallIng 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 Corona￿ruS pandemic arid to provide bed capacity and cotntnunity5UPPQrt forthe same purpose. The CCG cov1￿19 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 £,0￿0 725 451 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 T￿81 met assets 2,742 6.334 11.5511 11,6511 5.872 300 300 1,176 Restritted fvnd5 vooo GenerjIF￿nd 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 Hospi￿1. 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 cur￿nt 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 2￿19 289 214 637 142 637 959 817 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 fo￿ard at l Apfil 2021 46 168 214 Fund balances carried forward at 31 March 2022 3,802 1,214 275 5,291 214 34