2023-03-31-accounts - St Raphael's Hospice

This text was generated using OCR and may contain errors. Check the original PDF to see the document submitted to the regulator.

Statement offinancial	activities	16
Balance sheet		17
Statement of cash flows		18
Notes to the financial	statements	19

		Trustees	Trustees	Mr Norman McWhinney					Chair; HR,	CQ&G
				Mr Alan Cogbill					Vice Chair;	F&R, CQ&G, IGC
				Sister Veronica Hagen					IGC
				Mr Paul Holmes					HR, F&R
				Sister Kathleen O'Reilly					F&R
				MrJoseph Ryan					F&R
				Mr Bernard Marley					CQ&G, IGC
				Mr Grahame Darnell					IGC
				Ms Manjit Lail (appointed May 2022)					HR
				Dr Carrie Chill (appointed February		2023)			CQ&G
				Dr Joy Tweed (resigned July 2022)					CQ&G
				Mr Roderick O' Connor (resigned	March 2023)				IGC
	Committee	Members		Dr Caroline Chill (became a trustee		February 2023)			CQ&G
				Ms Hazel Borthwick (appointed	October 2023)				HR
				Mr Ed Cook					F&R
				Dr Eva Kalmus (resigned October 2023)					CQ&G
				Mr Steve Mulhall (resigned July	2023)				HR
	Clerk to the	Trustees		Ms Anna Machin
	Executive		Team	Mrs Gail Linehan (to November	2022)				Joint CEO
				Mr Nick Stevens (from November 2022)					CEO (was	Joint CEO to November		2022)
				Ms Rebecca Trower					Clinical Director
				Ms Sara Jane Woods					Commercial	Director
				Ms Kate Billingham Wilson (from March 2023)					Director of	Fundraising and Communication
				Dr Gaby Tamara-Rose (from September 2022)					Specialist Palliative		Care Consultant
				Mr John Groom (from April 2022)					Director of	IT and Estates
				Mr Alex Rudkin (from April 2023)					Director of	Quality	and Governance
Medical Leadership			Team	Dr Gaby Tamara-Rose					Specialist Palliative		Care Consultant
				Dr Jenny Strawson					Specialist Palliative		Care Consultant
				Dr Naomi Collins					Specialist Palliative		Care Consultant
Company	registration	number		11732567
Charity registration		number		1182636
	Registered		office	St Raphael's Hospice, London Road, Cheam, SM39DX
	Telephone			020 80997777
			Email	en uiries stra haels. or .uk
		Website		www. stra haels. or .uk
		Auditor		Haysmacintyre LLP, 10Queen	Street Place, London,				EC4R 1AG
	Principal	bankers		National Westminster Bank pic,	93	Central		Road
				Worcester Park, Surrey, KT4 8DZ
	Investment	Managers		Sarasin & Partners LLP, Juxon	House, 100			St Paul's	Churchyard,	London,	EC4M 8BU
	Committees			Clinical Quality and Governance	Committee			(CQ&G)
				Finance and Resources Committee		(F&R)
				Human Resources Committee (HR)
				Income Generation and Communications			Committee		(IGC)

Clinical Staff ByAge	43-52	53-62
As at 31March 2023	19	22
As at 31March 2022	21	19
As at 31March 2021	18	27
As at 31March 2020	16	30

Volunteer Numbers	2022-23	2021-22
Reception	41	38
Office and Administration	24	28
Ward and Patient-facing	24	10
Flowers and Gardens	20	12
Psychological Support	18	14
Hospice Neighbours and Biographers	24	21
Orangery Cafe	14	14
Trustees and Committees	15	14
Training and Mentoring	2	3
Wellness Volunteers	28	7
Occasional Volunteers	19	45
Hospice Total	229	206
Shops	208	167
Fundraising Administration
Subtotal		380
Supporter Groups and Events		66
Occasional Events Volunteers	232	223
Total	735	669


Statement of Financial A	ct	ivities including	an income and expenditure	account			Total
								Total funds
				Unrestricted			funds Year to31	Year to 31
				General	Designated	Restricted	March	March
			Notes	fund	fund	funds	2023	2022
				f'000	f'000	f'000	f'000	f'000
Income and expenditure
Income from:
Donations and legacies				3,447		352	3,799	3,466
Other trading activities				1,787			1,787	1,533
Investments				96			96	4
Charitable activities
Clinical Commissioning	Groups			1,632		66	1,698	2,265
Other income				87			87	298
Tota I income				7,049		418	7,467	7,566
Expenditure on:
Raising funds				2,500			2,500	2,406
Charitable activities				4,875		385	5,260	4,596
Tota I expenditure				7,375		385	7,760	7,002
Net operating (shortfall)	/	surplus		(326)		33	(293)	564
Net gains / (losses) on investments				(103)			(103)	17
Net income / (expenditure)		before transfers		(429)		33	(396)	581
Transfers between funds			15-16	48	76	(124)
Net movement in funds				(381)	76	(91)	(396)	581
Reconciliation offunds:
Fund balances brought forward at 1April			2022	4,396	1,176	300	5,872	5,291
Fund balances carried forward at 31March 2023			15-17	4,015	1,252	209	5,476	5,872

Balance Sheet
				Notes	2023	2023	2022	2022
					f'000	f'000	f'000	f'000
Tangible assets				10		857		725
Fixed Asset Investments						1,966		2,017
						2,823		2,742
Current assets
Debtors				12	1,406		1,978
Cash at bank and	in	hand			3,682		4,356
					5,088		6,334
Creditors: amounts		falling due within one year		13	(1,532)		(1,551)
Net current assets						3,556		4,783
Creditors: amounts		falling due after more than one	year	13		(903)		(1,653)
Tota I net assets						5,476		5,872
Represented by:
Funds and reserves
Income funds
Restricted funds				15		209		300
Unrestricted funds
Designated funds				16		1,252		1,176
General fund				17		4,015		4,396
Total funds						5,476		5,872
Approved by the	Board ofTrustees on 30 November		2023:

StatementofCashFlows
									Year to 31	Year to 31
									March 2023	March 2022
								Notes	f'000	f'000
Net cash provided by operating		activities						A	(440)	64
Cash flows from investing	activities:
Investment income									96	4
Purchase oftangible fixed	assets							10	(278)	(332)
Purchase ofinvestments								11	(S21	(2,000)
Net cash provided by (used in)		investing			activities				(234)	(2,328)
Change in cash and cash	equivalents			in the year					(674)	(2,264)
Cash and cash equivalents	at 1	April	2022						4,356	6,620
Cash and cash equivalents	at 31March 2023								3,682	4,356
A: Reconciliation ofnet movement			in	funds to		net cash provided	by operating		Year to 31	Year to 31
activities									March 2023	March 2022
									f'000	f'000
Net movement in funds (as per		the	statement			offinancial activities)			(396)	581
Adjustments for:
Depreciation charge / amounts		written		off				10	146	169
Investment income									(961	(4)
Net loss/(gain) on investments									103	(17)
Decrease in debtors									572	108
(Decrease) in creditors									(769)	(773)
Net cash provided by operating		activities						A	(440)	64
B:Analysis ofchanges in	net debt							2022	Cash flows	2023
								f'000	f'000	f'000
Cash at bank and in hand								4,356	(674)	3,682
Borrowings and debt
Total								4,356	(674)	3,682

	Unrestricted	Restricted	Tota I2023	Unrestricted	Restricted	Total 2022
	funds	funds		funds	funds
	f'000	f'000	E'000	E'000	E'000	E'000
Donations	1,800	82	1,882	1,416	247	1,663
Gifts in kind		270	270		270	270
Legacies	1,647		1,647	1,533		1,533
Total	3,447	352	3,799	2,949	517	3,466

	Unrestricted	Restricted	Tota I2023	Unrestricted	Restricted	Total 2022
	funds	funds		funds	funds
	E'000	E'000	f'000	E'000	E'000	5'000
Lottery income	368		368	423		423
Retail sales and related income	1,419		1,419	1,110		1,110
	1,787		1,787	1,533		1,533

			Unrestricted	Restricted	Tota I2023	Unrestricted	Restricted	Total	2022
			funds	funds		funds	funds
			E'000	E'000	E'000	E'000	E'000	E'000
CCG service funding			1,632		1,632	1,615		1,615
CCG Local COVID-19 funding							500		500
CCG Grants				66	66		150		150
Income from Clinical Commissioning Groups(CCGs)			1,632	66	1,698	1,615	650	2,265
NHS England	COVID-21 funding		10		10		247		247
Coronavirus Job Retention		Scheme				25			25
Other			77		77	26			26
Other Income			87		87	51	247		298
Expenditure	on Raising	Funds
							ofthe total	being
Year ended 31March 2023			Staff Costs	Other Costs	Support Costs	Tota I	Unrestricted	Restricted
			E'000	E'000	E'000	f'000	E'000		E'000
Fundraising			451	280	142	873	873
Lottery			22	147	11	180	180
Charity Shops			607	594	246	1,447	1,447
			1,080	1,021	399	2,500	2,500

												of the total	being
Year ended 31March 2022							Staff	Costs	Other Costs	Support Costs	Total	Unrestricted	Restricted
								E'000	E'000	E'000	f'000	E'000	E'000
Fundraising								460	250	139	849	849
Lottery								43	146	10	199	199
Charity Shops								498	626	234	1,358	1,358
								1,001	1,022	383	2,406	2,406
Expenditure		on Charitable		activities
												ofthe total	being
Year ended 31March 2023							Staff	Costs	Other Costs	Support Costs	Total	Unrestricted	Restricted
								f'000	f'000	f'000	f'000	f'000	f'000
Hospice In-Patient			Unit					1,741	589	395	2,725	2,534	191
"Hospice at Home" Community					team			1,396	96	210	1,702	1,622	80
Psychologicai		Support team						195	22	29	246	206	40
Education								75	38	19	132	130	2
Orangery								27	89	26	142	108	34
Volunteers								89	23	20	132	125	7
Wellbeing	Centre							90	55	36	181	150	31
								3,613	912	735	5,260	4,875	385
												of the total	being
Year ended 31March 2022							Staff	Costs	Other Costs	Support Costs	Total	Unrestricted	Restricted
								E'000	E'000	E'000	f'000	E'000	E'000
Hospice In-Patient			Unit					1,464	531	373	2,368	1,716	652
"Hospice at Home" Community					team			1,190	91	201	1,482	1,164	318
Psychological		Support team						151	19	29	199	84	115
Education								86	34	18	138	129	9
Orangery								19	84	24	127	93	34
Volunteers								81	20	18	119	112	7
Wellbeing	Centre							76	53	34	163	141	22
								3,067	832	697	4,596	3,439	1,157
Net Income is		stated after charging							f'000
			Auditor's			remuneration
				Statutory			Audit		18
			Staff		costs				5,461
			Lease		rental		costs		317
			Depreciation						146

Charitable Activities	Charitable Activities		Salaries	NIC	Pensions	Agency	Other	Total
Year ended 31March 2023			f'000	f'000	f'000	f'000	f'000	f'000
Hospice In-Patient	Unit		1,385	133	90	133		1,741
"Hospice at Home"	Community	team	1,151	125	120			1,396
Psycho logica I Support tea m			171	18	6			195
Education			65	6	4			75
Orangery			26	1	0			27
Volunteers			80	7	2			89
Wellbeing Centre			82	5	3			90
			2,960	295	225	133		3,613
Income Generation			Salaries	NIC	Pensions	Agency	Other	Total
Year ended 31March 2023			f'000	f'000	f'000	f'000	f'000	f'000
Fundraising			393	42	16			451
Lottery			20	1	1			22
Retail Shops			553	41	13			607
			966	84	30			1,080
Support Team Year ended 31March 2023			Salaries	NIC	Pensions	Total Staff Costs	Non-Staff Costs	Total Support
								Cost
			f'000	f'000	f'000	f'000	f'000	f'000
Executive Office and Communications			202	26	12	240	216	456
HR			91	9	4	104	43	147
ITand Facilities			226	24	8	258	79	337
Finance			74	7	4	85	24	109
Quality			70	7	4	81	4	85
			663	73	32	768	366	1,134

Charitable Activities	Charitable Activities		Salaries	NIC	Pensions	Agency	Other	Total
Year ended 31March 2022			f'000	f'000	f'000	E'000	f'000	f'000
Hospice In-Patient	Unit		1,175	102	69	118		1,464
"Hospice at Home"	Community	team	988	102	100			1,190
Psychological Support team			133	13	5			151
Education			73	7	6			86
Orangery			19	0	0			19
Volunteers			73	6	2			81
Wellbeing Centre			70	4	2			76
			2,531	234	184	118		3,067
Income Generation			Salaries	NIC	Pensions	Agency	Other	Total
Year ended 31March 2022			f'000	f'000	f'000	E'000	f'000	f'000
Fundraising			404	38	16			460
Lottery			38	3	2			43
Retail Shops			457	31	10			498
			899	72	28			1,001

Support Team Year ended 31March 2022	Support Team Year ended 31March 2022		Salaries	Salaries				NIC	Pensions	Pensions	Total Staff Costs	Total Staff Costs	Non-Staff Costs	Non-Staff Costs	Total Cost
			E'000				E'000		E'000		E'000			E'000	E'000
Executive Office and Communications				256				29	11			296		175	471
HR				76				7		4		87		38	125
ITand Facilities				203				20		8		231		79	310
Finance				66				6		4		76		23	99
Quality				62				6		4		72		2	74
				663				68	31			762		317	1,079
In common with other Hospices, St		Raphael's	employs		experienced			Specialty	Doctors	and Specialist		Palliative	Care	Consultants	on standar
NHS rates of pay and this	is reflected	in the higher		paid	employees		report. The		CEO is not the highest			paid employee.
The number ofemployees	who earned f60,000 per annum					or more		(including	benefits)	during the year was as			follows:
												2023		2022
												No.		No.
E60,001 —E70,000												3		4
E70,001 —E80,000												4		2
E80,001 —E90,000												2		2
E90,001 —E100,000												1

Year ended 31March 2023	Year ended 31March 2023		Headcount	FTE	Headcount	FTE
			2023	2023	2022	2022
Hospice In-Patient	Unit		37	23	36	23
"Hospice at Home"	Community	team	25	19	26	19
Psycho logica I Support tea m			4	3	3	2
Education & Quality			4	2	2	1
Volunteers			1	1	2	1
Wellbeing Centre			4	3	4	2
Housekeeping and	Orangery		16	7	19	8
Hospice administration			11	6	7	4
Medical team			6	5	7	5
Charitable Activities			108	69	106	65
Fundraising			11	9	14	13
Lottery			1	1	1	1
Retail Shops			31	24	27	22
Income Generation			43		42
Support Services			13	10	11	10
Executive and Finance			5	4	8	6
Support Services			18	14	19	16
All Staff			169	117	167	117

Staff numbers,	Staff numbers,	continued
Year ended	31	March 2023	Headcount	FTE	Headcount	FTE
			2023	2023	2022	2022
Permanent	full	time	51	51	50	50
Permanent	part	time	90	57	87	55
"Bank"variable		hours	28	9	30	12
			169	117	167	117

Tangible fixed assets
	Property and Freehold		Computer and other Equipment	Shop Fixtures and Fittings	Motor Vehicles	Retail Leasehold Improvement	Assets under Construction	Tota I2023
	f'000		f'000	f'000	f'000	f'000	f'000	f'000
Cost or valuation
At 1April 2022		308	577	45	54	144	42	1,170
Transfer between classes		66					(66)
Additions		37	24		29	47	141	278
Disposa Is/Written-off
At 31March 2023		411	601	45	83	191	117	1,448
Depreciation
At 1April 2022		10	330	28	21	56		445
Charge in year		13	78	9	13	33		146
Eliminated on disposal
/ write-off
At 31March 2023		23	408					591
Net book values
At 31March 2023		388	193		49	102	117	857
At 31March 2022		298	247	17		88	42	725

		Property and Freehold	Property and Freehold	Property and Freehold	Computer and other	Shop Fixtures and	Motor Vehicles	Retail Leasehold	Assets under Construction	Total 2022
					Equipment	Fittings		Improvements
			E'000		E'000	E'000	E'000	E'000	E'000	E'000
	Cost or valuation
	At 1April 2021				537			184	19	878
	Transfer between classes			233					(233)
	Additions			26	40		10		256	332
	Disposals/Written-off							(40)		(40)
	At 31March 2022			308	577	45	54	144	42	1,170
	Depreciation
	At 1April 2021				247	19	8	40		316
	Chargein year				83	9	13	36		149
	Eliminated on disposal / write-off							(20)		(20)
	At31March 2022			10	330	28	21	56
	At31March 2022			29S	247	17	33	88		725
	At 31March 2021			47	290	26	36	144		562
11	Investments
							2023	2023	2022	2022
	Marketable investments						E'000	Units 000's	E'000	Units 000's
	Sarasin Endowments	Fund
	Market value at start	ofyear					1,417	1,163
	Net additions at cost						638	542	1,400	1,163
	Net gain/(loss) on revaluation/disposal						(103)		17
	Market value at 31March						1,952	1,705	1,417	1,163
	Liquid Assets						2023	2023	2022	2022
	ICS-Sterling Liquidity	Fund					E'000	Units 000's	E'000	Units 000's
	Market value at start	ofyear					600
	Investment Income						52
	Net additions at cost								1,400	13
	Disposals at market value						(638)	(6)	(800)	(7)
	Market value at 31March						14		600
							2023	2023	2022	2022
							E'000	Units 000's	E'000	Units 000's
	Total investments						1,966	1,705	2,017	1,163
	Cost at 31March						2,052	1,705	2,000	1,163
	Marketable investments	comprise
	Fixed Income						290		99
	Equities						1,292		986
	Property						86		79
	Alternative Investments						242		179
	Short term deposits and	cash					56		674
							1,966		2,017

									Total funds
					Unrestricted			Total	Year to 31
								funds Year	March
								to31	(being 5
					General	Designated	Restricted	March	months of
									operations)
				Notes	fund	fund	funds	2022	2021
					f'000	f'000	f'000	f'000	f'000
Income and expenditure
Income from:
Donations and legacies					2,949		517	3,466	2,819
Other trading activities					1,533			1,533	289
Investments					4			4	2
Charitable activities
Clinical Commissioning	Groups				1,615		650	2,265	637
Other income					51		247	298	959
Total income excluding assets transferred Daughters ofthe Cross			from the		6,152		1,414	7,566	4,706
Assets transferred from the Daughters		ofthe Cross		18					3,405
Tota I income					6,152		1,414	7,566	8,111
Expenditure on:
Raising funds					2,406			2,406	1,005
Charitable activities					3,439		1,157	4,596	2,029
Tota I expenditure					5,845		1,157	7,002	3,034
Net gains / (losses) on investments					17			17
Net income/(expenditure)	before transfers				324		257	581	5,077
Transfers between funds				15-16	270	(38)	(232)
Net movement in funds					594	(38)	25	581	5,077
Reconciliation offunds:
Fund balances brought forward at 1April 2021					3,802	1,214	275	5,291	214
Fund balances carried forward at 31March 2022				15-17	4,396	1,176	300	5,872	5,291