##
##
##
##
##
##
|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)||||
##
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##
|Clinical Staff ByAge|under 33|33-42|43-52|53-62|63and over|
|---|---|---|---|---|---|
|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||
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||||||||||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|