Charity registration number: 1184771 

## Healthwatch City of London 

(A charitable incorporated organisation) 

Annual Report and Financial Statements 

for the Year Ended 31 March 2023 

MG Group (Professional Services) Limited Chartered Accountants 166 College Road Harrow Middlesex HA1 1BH 



## **Healthwatch City of London** 

## **Contents** 

|Reference and Administrative Details|1|
|---|---|
|Trustees' Report|2 to 8|
|Statement of Trustees' Responsibilities|9|
|Independent Examiner's Report|10|
|Statement of Financial Activities|11|
|Balance Sheet|12|
|Statement of Cash Flows|13|
|Notes to the Financial Statements|14 to 24|





## **Healthwatch City of London** 

## **Reference and Administrative Details** 

## **Trustees** 

Ms Gail Marie Beer (Chair) Francis Stevenson (Treasurer) Lynn Strother Malcolm Waters Sean Lee (Retired February 2023) 

## **Associate Board Members** 

Stuart Mackenzie Janet Porter Dr Cynthia White 

## **Staff Team** 

Rachel Cleave, General Manager Teri Anderson, Communications Assistant Salma Khatun, Administrative Support Officer 

## **Registered Office** 

Portsoken Community Centre 20 Little Somerset Street London E1 8AH 

**Charity Registration Number** 1184771 

**Bankers** 


National Westminster Bank Plc 250 Bishopsgate London EC2M 4AA 

**Independent Examiner** MG Group (Professional Services) Limited Chartered Accountants 166 College Road Harrow Middlesex HA1 1BH 

Page 1 



## **Healthwatch City of London** 

## **Trustees' Report** 

The trustees, present the annual report together with the financial statements of the charitable incorporated organisation for the year ended 31 March 2023. 

## **Structure, governance and management** 

## _**Description of the Charity’s Trusts**_ 

- **Type of Governing Document:** Constitution adopted on 11th July 2019. 

• **How the Charity is constituted:** Healthwatch City of London (“HWCoL”) is a Charitable Incorporated Organisation whose only voting members are its charity trustees. 

• **Trustee selection method:** Trustees are appointed for an initial term of four years by a resolution passed at a properly convened meeting of the charity trustees. All trustees are expected to provide a CV and are interviewed by the Board. 

## **Supporting Governance Activities:** 

**Trustee Appointments:** All Trustees give their time voluntarily. As a charity trustee, each Trustee is entitled to be reimbursed from the property of HWCoL or may pay out of such property reasonable expenses properly incurred by him/ her when acting on behalf of HWCoL. On appointment new Trustees receive a copy of the constitution, a copy of the latest Annual Report and statement of accounts, and staff handbook.Trustees are directed to read all HWCoL’s policies, including its Decision-Making Policy. 

**DBS Checks:** In accordance with HWCoL policy, all volunteers and staff must undergo Disclosure and Barring checks to enable them to carry out enter and view activities relating to Health and Social Care services. These checks are carried out on commencement of employment, or in the case of volunteers, on appointment. HWCoL uses an approved service provider. 

Page 2 



## **Healthwatch City of London** 

## **Trustees' Report** 

## **Objectives and activities** 

The objectives and activities of HWCoL are governed by its Constitution, the contractual obligations which it has undertaken to its main commissioner, the City of London Corporation, and the licence granted by Healthwatch England. 

Summary of the objects of the charity set out in its governing document: 

HWCoL’s Constitution provides that the objects of the charity are the advancement of Health and Social care by: 

(a) providing information and advice to the public about local Health and Social care services. 

(b) making the views and experiences of members of the public known to health and social care providers and commissioners. 

(c) enabling local people to have a voice in the development, delivery, improvement, and equality of access to local health and care services and facilities and. 

(d) providing training and the development of skills for volunteers and the wider community in understanding, scrutinising, reviewing, and monitoring local health and care services and facilities. 

SUMMARY OF THE MAIN ACTIVITIES UNDERTAKEN FOR THE PUBLIC BENEFIT IN RELATION TO THESE OBJECTS 

HWCoL was awarded the contract to deliver Healthwatch services for the City of London in September 2019. The contract was awarded for an initial three-year period, with the option to extend, one year at a time, for a further two years. It was agreed in September 2022 that the contract would be extended for one year to September 2023, with the potential for a further and final extension to September 2024. In planning HWCoL’s activities for the year 2022/23, the Trustees kept in mind at their meetings both the Charity Commission’s guidance on public benefit and the objectives of the charity. 

During 2022/23, HWCoL monitored how Health and Social care Services were recovering in the aftermath of the Covid-19 pandemic. That task was made more challenging by the rapid changes in the health and social care landscape which led to the introduction, with effect from 1st July 2022, of the new Integrated Care System (ICS), which covers the whole of North East London (NEL), including the City. HWCoL was involved with numerous committees and working groups to make sure that the City’s voice was heard in the development of the new system and, more importantly, that residents could participate in all stages of the process, from the design of services through to holding providers to account. The small team closely monitored the effectiveness of the newly constituted ICS, including the establishment of the City and Hackney Integrated Care Partnership and the Shoreditch Park and City Neighbourhood and Primary Care Network (PCN), seeking to ensure that they are responsive to the needs of and engage with City residents. This was not an easy task for a small organization with limited resources. 

HWCoL listened to patients’ concerns regarding the delivery of GP services by the Neaman Practice (the only GP’s practice based in the City of London) and made good progress in the resolution of these concerns. 

HWCoL successfully campaigned for increased footcare services in the City and for the provision of Echocardiograms and Electro-cardiograms test to be provided at the Neaman Practice. 

HWCoL held Patient Panels on the three areas which residents told us were of most concern, namely, foot health, getting their voice heard and access to emergency care. 

Page 3 



## **Healthwatch City of London** 

## **Trustees' Report** 

Continued newsletters and bulletins were produced to ensure that City Residents had the most up to date information from across Health and Social care in the City. HWCoL updated its website on a regular basis disseminating important patient information. In 2022/23, HWCoL produced 10 newsletters, held two webinars, and hosted three Patient Panels. HWCoL also hosted five Board meetings in Public, as well as its Annual Public Meeting and Annual General Meeting 

During 2022/23, HWCoL carried out the following projects for the benefit of the public: 

**London Ambulance Engagement Strategy project.** The project sought views and opinions of residents on the London Ambulance Service (LAS). This was part of a wider project across the whole of London, but specifically across North East London with five other Healthwatch. In total 234 responses were submitted across NEL, with ten of those coming from City residents. HWCoL also held a patient panel to gain greater insight into the service. Results from the project were used to inform the LAS’s new organisational strategy 2023 - 2028 which describes the organisation’s vision and goals for the next five years including how they will improve urgent and emergency care and focus on areas such as health inequalities. As a result of this project the team have built relationships with the LAS and will continue to make sure they engage effectively with them in the future and have events planned for the coming year. 

**Long Covid Project.** Working with the City and Hackney COVID rehabilitation service and Healthwatch Hackney, the project was designed to understand the impact of Long COVID in the community, the degree of unmet need and the challenges in accessing Long COVID services. An online survey was produced, to which there were 289 responses with four focus groups held for greater insight, one of which was held specifically for City residents. Based on the findings, the report from the project set out several recommendations devised to enhance support structures for Long COVID patients. The primary focus of these was on the following: Awareness and Education, Enhanced Referral Process and Care Coordination, Support for Self-Management, Collaboration and Partnerships, and Inclusive Support Services. The report produced was presented to Homerton Healthcare NHS Trust who are the current providers of the service. 

## **SUMMARY OF THE MAIN ACHIEVEMENTS OF THE CHARITY DURING THE YEAR** 

During 2022/23 HWCoL used a wide range of approaches to gain insights about the experiences of local users of health and care services. The channels of communication used included phone, email, webform though the website, social media and virtual meetings of community groups and forums. To reach a broader group of residents, workers, and students: 

HWCoL worked with the City of London to ensure that HWCoL’s newsletters and bulletinswere available through all the City Corporation’s communication channels, including newsletters to residents of Cityowned estates, estates websites and business healthy communications. 

HWCoL increased its use of social media including X (previously Twitter) Instagram and Facebook to reach out to the local community. 

HWCoL’s newsletters and communication reached up to 2,000 people over the year, providing up-todate information on Health and Social Care provision and public health campaigns. HWCoL’s social media communications reached 700 followers, providing up-to-date messages: 

- from providers of health services to the City, including Barts Health, 

- from City and Hackney and national public health campaigns, 

- from North East London ICS; and 

- about HWCoL’s own activities. 

Page 4 



## **Healthwatch City of London** 

## **Trustees' Report** 

HWCoL is committed to taking additional steps to obtain the views of people from diverse backgrounds who may not be heard by Health and Social care decision-makers. 

HWCoL held the following online webinars to increase public knowledge of specialist topics: 

• A webinar was held on How to stay safe over Christmas, with colleagues from MIND, Samaritans and City of London who spoke about ways in which residents can stay safe during the festive period and who to contact in case of need. 

• A webinar was held with City Connections on the new City of London Homecare Contract, giving an important update on the contract. The Commissioning Manager from the City of London Corporation presented the new contract, the new supplier for the contract and how the transition to would take place. Following the feedback from the Carers community, the tender process provided for a 70% scoring for quality and 30% for price as key elements (usually 60% and 40% respectively for City of London Contracts), and a regular feedback mechanism from those receiving the care via the contract was included for both reporting and monitoring purposes. 

HWCoL launched a series of patient panels, designed for residents to come together to talk about their experiences of health and social care and share ideas for improvements. The panels included. 

• Advocating for better footcare: to address the struggle to obtain appointments, and the confusion as to where to access the services provided. As a result of this panel an additional foot clinic in the City was funded by the City of London Corporation. 

• Patient Participation and resident engagement: the speakers at this panel were Charlotte Pomeroy, Chief Participation and Place officer at NHS NEL and Nina Griffiths, Director of Delivery from the City and Hackney Place Based Partnership. The event explored how residents and service users can become more engaged in shaping service provision and how their views can make an impact. • London Ambulance Service: this panel was held to inform the London Ambulance Organisational Strategy as mentioned above. 

## Board meetings in Public included presentations from the following: 

• Dr Chor of the Neaman Practice gave an update on the practice’s action plan for improved patient access and care. The action plan included training for reception staff and their communication with patients, the wearing of name badges and the installation of a new telephone system making it much easier for patients to contact the practice to book appointments. 

• The health inequalities lead from the Shoreditch Park and City PCN provided an update on the work being carried out by the PCN to address Health Inequalities, and progress on the recommendations in our report from last year on this. The main areas of focus for the PCN because of our report are child and adult obesity, drug and alcohol misuse and smoking cessation. 

• Charlotte Pomeroy, Chief Participation and Place officer at NEL gave an overview of the new ICS and how the system is ensuring patient participation by residents of the City of London. As described above, this was followed up with a dedicated Patient Panel for our community to give direct feedback to the ICS. Darren Barnes from Barts Health NHS Trust spoke about the Trust’s Engagement, Participation and Experience Strategy for 2022/25. This led to Healthwatch City of London attending and reporting back of residents’ concerns to the Barts Patient Experience group on a monthly basis. 

• Representatives from Barts Cardiology and Cardiac Centre gave an overview of the development of virtual wards and clinics. The information and support given to patients receiving care in these ways provided reassurance to those who had been anxious about the programme. 

• A representative from Barts Cancer Centre gave an overview of the cancer patient experience survey results. HWCoL raised the concern that the patient’s confidence in the service had fallen. 

Page 5 



## **Healthwatch City of London** 

## **Trustees' Report** 

## **Representing residents, workers, and students.** 

During 2022/23, HWCoL represented City residents on the following boards and committees, and attended meetings to ensure that residents’ interests are represented and that their voice is heard: 

## **Neaman Practice Patient Participation Group** 

The group discuss the services delivered by Practice, and how improvements can be made for the benefit of patients. HWCoL asked the Neaman Practice to widen the membership of the PPG, following which the Practice has advertised the group more widely via the City of London’s social media and via their own website. 

## **North East London Integrated Care Board** 

NHS North East London is responsible for planning and commissioning health services across NEL to meet the population’s needs, making sure all parts of the local health system work effectively together. HWCoL have attended meetings of the board to ensure that the needs of the people of the City are recognised and listened to and that its voice is not lost amongst the wider NEL population. 

## **City of London Health and Wellbeing Board** 

This board aims to align the City's approach to the NHS Outcomes Framework, the Adult Social Care Outcomes Framework and the Public Health Outcomes Framework through improving the integration of services - positively influencing the health of everyone who lives and works in the City, enabling them to live healthily, preventing ill health developing, and promoting strong and empowered groups of individuals who are motivated to drive positive change within their communities and businesses. HWCoL raise the issues that are of concern to residents in these meetings and report back to the Board on the issues we have received from the community. 

## **Health and Social Care Scrutiny Committee** 

This committee fulfils the City’s health and social care scrutiny role in proactively seeking information about the performance of local health and care services and institutions, challenging the information provided to it by commissioners and providers of services for the health service and testing this information by drawing on different sources of intelligence. Healthwatch City of London have a seat on this committee. 

## **Integrated Care Communications and Engagement Enabler Group** 

This group supports and facilitates effective engagement with key stakeholders in the ICS and voluntary sector in the City of London and Hackney. The group gives HWCoL the opportunity to express a view on the effectiveness of the communications from the ICS to residents and helps to shape those messages. It gives HWCoL a vote in the projects funded by the group to improve patient access to services. 

## **City and Hackney Safeguarding Committee** 

This committee oversees the discharge of the City of London’s and Hackney’s responsibilities for safeguarding those adults who have been identified as requiring support and protection. HWCoL raise any safeguarding issue that it has been alerted to and monitor historical concerns to ensure they are properly addressed, enabling statutory requirements to be met. 

## **City of London Adult Safeguarding Sub-Committee** 

This committee oversees the discharge of the City of London’s responsibilities for safeguarding those adults who have been identified as requiring support and protection. Our role on this Board is to ensure that the voice of the City residents is heard, and that their interests are protected. 

Page 6 



## **Healthwatch City of London** 

## **Trustees' Report** 

## **North East London Integrated Care Board Healthwatch Meeting** 

A meeting with the Chair of the Integrated Care Boards and representatives from Healthwatch across NEL to focus on resident involvement and insight gathered by NEL Healthwatch. This gives HWCoL direct access to the Board of the ICS, which allows the team to raise any issues directly. It also gives an opportunity to have open discussions on areas that need improvement, project work, and on any concerns HWCoL have. 

## **Shoreditch Park and City Neighbourhood Forum** 

The Neighbourhood forum brings residents, voluntary sector, health, education, and care services together in the Shoreditch Park and City Neighbourhood, to work together on what matters to local people and address health inequalities. Forums are held on a regular basis which are advertised via HWCoL social media and newsletters. HWCoL attend these forums to ensure that projects funded by the Neighbourhood include City residents, and that those services that are available are showcased in the Forum. 

## **Financial review** 

HWCoL’s primary source of funding is the money received through the contract with the City of London Corporation for the provision of a Healthwatch in the City of London. As stated above, the contract was awarded for an initial three-year period, with the option to extend, one year at a time, for a further two years. It was agreed in September 2022 that the contract would be extended for a further year until September 2023, with the potential for a further and final extension to September 2024. 

• The contract value was £81,889 per annum, which was paid in monthly instalments. Additional funding is provided to carry out any agreed assignments during the period. 

HWCoL’s total income for the year ended 31 March 2023 was £87,868, which included grant income in the sum of £81,889 from the City of London Corporation. HWCoL also secured a grant from London Ambulance Service in the sum of £5,000 and £979 from Healthwatch Norfolk. 

Total expenditure during the year was £63,474. 

The assets of HWCoL as of 31 March 2023 consisted of £57,370 cash at bank and tangible fixed assets of £243. Creditors falling due within one year were £2,913. 

The balance of funds at the end of the year was as follows: 

## **Unrestricted funds** 

General- £874 Designated- £243 **Total unrestricted funds- £1,117** 

## **Restricted funds- £53,583** 

Page 7 



## **Healthwatch City of London** 

## **Trustees' Report** 

## **Reserve policy** 

HWCoL’s reserves policy is to maintain a reserve which is sufficient to cover the estimated costs of carrying out its committed expenditure in the promotion of health, social care, and community engagement for a period of two months in the event of an unforeseen delay in payment of HWCoL’s grant from the Corporation of London and to provide a cushion against unforeseen expenditure in delivering its contract with the Corporation of London. 

HWCoL’s policy on its restricted and unrestricted funds is to have enough funds to cover at least three months of its operations costs. In making this policy, the potential risks which may be encountered by HWCoL have been considered as well as the funds required to cover such risks. In the current year the balance of unrestricted and restricted funds in the sum of £54,700 is sufficient to cover such risks. 

## **Risk statement** 

HWCoL trustees in producing the annual accounts have considered the major risks to which the charity is exposed and satisfied themselves that systems or procedures are established to manage those risks. The trustees acknowledge that they have an ongoing responsibility to identify and manage the risks faced by the charity, and have sought to discharge this responsibility by: 

(a) preparing a risk register which identifies the main risks to the charity and itemises the actions to be taken to mitigate each of those risks, and 

(b) the trustees regularly reviewing the risk register at closed board meetings of the charity. 

The main financial risk to the charity is loss of Grant funding from the City of London Corporation. 

## _**Public benefit**_ 

The Trustees have referred to the guidance contained in the Charity Commission's general guidance on public benefit when reviewing the Trust's aims and objectives and in planning its future activities. In particular, the Trustees consider how planned activities will contribute to the aims and objectives that have been set. 

The annual report was approved by the trustees of the charity on 26 January 2024 and signed on its behalf by: 


......................................... Ms Gail Marie Beer Chairman and Trustee 


......................................... Francis Stevenson Trustee 

Page 8 



## **Healthwatch City of London** 

## **Statement of Trustees' Responsibilities** 

The trustees are responsible for preparing the trustees' report and the financial statements in accordance with the United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice) and applicable law and regulations. 

The law applicable to charities in England and Wales requires the trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charity and of its incoming resources and application of resources, including its income and expenditure, for that period. In preparing these financial statements, the trustees are required to: 

- select suitable accounting policies and apply them consistently; 

- observe the methods and principles in the Charities SORP; 

- make judgements and estimates that are reasonable and prudent; 

- state whether applicable UK Accounting 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 presume that the charity will continue in operation. 

The trustees are responsible for keeping adequate accounting records that are sufficient to show and explain the charity’s transactions and disclose with reasonable accuracy at any time the financial position of the charity and enable them to ensure that the financial statements comply with the Charities Act 2011, the Charity (Accounts and Reports) Regulations 2008 and the provisions of the Constitution. They are also responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. 

Approved by the trustees of the charity on 26 January 2024 and signed on its behalf by: 


......................................... Ms Gail Marie Beer Chairman and Trustee 


......................................... Francis Stevenson Trustee and Treasurer 

Page 10 



## **Healthwatch City of London** 

## **Independent Examiner's Report to the trustees of Healthwatch City of London** 

I report to the charity trustees on my examination of the accounts of the charity for the year ended 31 March 2023 which are set out on pages 11 to 24. 

## **Respective responsibilities of trustees and examiner** 

As the trustees of Healthwatch City of London you are responsible for the preparation of the accounts in accordance with the requirements of the Charities Act 2011 ('the 2011 Act'). 

Having satisfied myself that the accounts of Healthwatch City of London are not required to be audited under section 144(2) of the 2011 Act and are eligible for independent examination, I report in respect of my examination of your charity’s accounts as carried out under section 145 of the 2011 Act. In carrying out my examination I have followed the Directions given by the Charity Commission under section 145(5)(b) of the 2011 Act. 

## **Independent examiner’s statement** 

I have completed my examination. I confirm that no matters have come to my attention in connection with the examination giving me cause to believe: 

1. accounting records were not kept in respect of Healthwatch City of London as required by section 130 of the 2011 Act; or 

2. the accounts do not accord with those records; or 

3. the accounts do not comply with the accounting requirements of the Charities (Accounts and Reports) Regulations 2008 other than any requirement that the accounts give a ‘true and fair view' which is not a matter considered as part of an independent examination; or 

4. the accounts have not been prepared in accordance with the methods and principles of the Statement of Recommended Practice for accounting and reporting by charities [applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102). 

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached. 


...................................... 

MG Group (Professional Services) Ltd Chartered Accountants 3[rd] Floor 166 College Road Harrow Middlesex HA1 1BH 26 January 2024 

Page 10 



## **Healthwatch City of London** 

## **Statement of Financial Activities for the Year Ended 31 March 2023 (Including Income and Expenditure Account and Statement of Total Recognised Gains and Losses)** 

||**Unrestricted**<br>**Restricted**<br>**Total**|
|---|---|
||**funds**<br>**funds**<br>**2023**|
|**Note**|**£**<br>**£**<br>**£**|
|**Income and Endowments from:**||
|Charitable activities<br>3|-<br>87,868<br>87,868|
|Total income||
||-<br>87,868<br>87,868|
|**Expenditure on:**||
|Raising funds|(76)<br>(3,526)<br>(3,602)|
|Charitable activities<br>4|(683)<br>(59,189)<br>(59,872)|
|Total expenditure||
||(759)<br>(62,715)<br>(63,474)|
|Net(expenditure)/income||
||(759)<br>25,153<br>24,394|
|Net movement in funds||
||(759)<br>25,153<br>24,394|
|**Reconciliation of funds**||
|Total funds brought forward||
||1,876<br>28,430<br>30,306|
|Total funds carried forward<br>12||
||1,117<br>53,583<br>54,700|



||**Unrestricted**<br>**Restricted**<br>**Total**|
|---|---|
||**funds**<br>**funds**<br>**2022**|
|**Note**|**£**<br>**£**<br>**£**|
|**Income and Endowments from:**||
|Donations and legacies<br>3|-<br>91,092<br>91,092|
|Total income||
||-<br>91,092<br>91,092|
|**Expenditure on:**||
|Raising funds|-<br>(3,588)<br>(3,588)|
|Charitable activities<br>4|-<br>(74,489)<br>(74,489)|
|Total expenditure||
||-<br>(78,077)<br>(78,077)|
|Net income||
||-<br>13,015<br>13,015|
|Net movement in funds||
||-<br>13,015<br>13,015|
|**Reconciliation of funds**||
|Total funds brought forward||
||1,876<br>15,415<br>17,291|
|Total funds carried forward<br>12||
||1,876<br>28,430<br>30,306|



All of the charity's activities derive from continuing operations during the above two periods. The funds breakdown for 2022 is shown in note 12. 

Page 11 



## **Healthwatch City of London** 

## **(Registration number: CE018434) Balance Sheet as at 31 March 2023** 

||**2023**<br>**2022**|
|---|---|
|**Note**|**£**<br>**£**|
|**Fixed assets**||
|||
|Tangible assets<br>9|243<br>1,002|
|**Current assets**||
|||
|Cash at bank and in hand|57,370<br>33,659|
|**Creditors: Amounts falling due within oneyear**<br>10||
||(2,913)<br>(4,355)|
|**Net current**assets||
||54,457<br>29,304|
|**Net**assets||
||54,700<br>30,306|
|**Funds of the charity:**||
|**Restricted funds**||
||53,583<br>28,430|
|**Unrestricted income funds**||
|||
|Unrestricted funds|1,117<br>1,876|
|**Total funds**<br>12||
||54,700<br>30,306|



For the financial year ending 31 March 2023 the charity was entitled to exemption from audit under section 144(2) of the Charities Act 2011. 

The trustees acknowledge their responsibilities for complying with the requirements of the 2011 Act with respect to accounting records and the preparation of accounts. 

The financial statements on pages 11 to 24 were approved by the trustees, and authorised for issue on 26 January 2024 and signed on their behalf by: 


......................................... 

Ms Gail Marie Beer Chairman and Trustee 


......................................... Francis Stevenson Trustee and Treasurer 

Page 13 



## **Healthwatch City of London** 

## **Statement of Cash Flows for the Year Ended 31 March 2023** 

||**2023**<br>**2022**|
|---|---|
|**Note**|**£**<br>**£**|
|**Cash flows from operating activities**||
|Net cash income||
||24,394<br>13,015|
|**Adjustments to cash flows from non-cash items**||
|||
|Depreciation|759<br>759|
||25,153<br>13,774|
|**Working capital adjustments**||
|||
|Decrease in creditors<br>10|(1,442)<br>(724)|
|Net cash flows from operatingactivities||
||23,711<br>13,050|
|Net increase in cash and cash equivalents||
||23,711<br>13,050|
|Cash and cash equivalents at 1 April||
||33,659<br>20,609|
|Cash and cash equivalents at 31 March||
||57,370<br>33,659|



All of the cash flows are derived from continuing operations during the above two periods. 

Page 13 



## **Healthwatch City of London** 

## **Notes to the Financial Statements for the Year Ended 31 March 2023** 

## **1 Charity status** 

The charity is limited by share capital, incorporated in. The address of its registered office is: Portsoken Community Centre 20 Little Somerset Street London E1 8AH 

These financial statements were authorised for issue by the trustees on 26 January 2024. 

## **2 Accounting policies** 

## **Summary of significant accounting policies and key accounting estimates** 

The principal accounting policies applied in the preparation of these financial statements are set out below. These policies have been consistently applied to all the years presented, unless otherwise stated. 

## **Statement of compliance** 

The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019) - (Charities SORP (FRS 102)), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102). They also comply with the and Charities Act 2011. 

## **Basis of preparation** 

Healthwatch City of London meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy notes. 

The accounts are presented in GBP rounded to £1. 

## **Going concern** 

The trustees consider that there are no material uncertainties about the charity's ability to continue as a going concern nor any significant areas of uncertainty that affect the carrying value of assets held by the charity. 

## **Income** 

All income is recognised once the charity has entitlement to the income, it is probable that the income will be received and the amount of the income receivable can be measured reliably. 

Page 14 



## **Healthwatch City of London** 

## **Notes to the Financial Statements for the Year Ended 31 March 2023** 

## _**Grants receivable**_ 

Grants are recognised when the charity has an entitlement to the funds and any conditions linked to the grants have been met. Where performance conditions are attached to the grant and are yet to be met, the income is recognised as a liability and included on the balance sheet as deferred income to be released. 

## _**Gifts in kind**_ 

Gifts in kind are recognised in different ways dependent on how they are used by the charity: 

(i) Those donated for resale produce income when they are sold. They are valued at the amount actually realised. 

(ii) Those donated for onward transmission to beneficiaries are included in the Statement of Financial Activities as incoming resources and resources expended when they are distributed. They are valued at the amount the charity would have had to pay to acquire them. 

(iii) Those donated for use by the charity itself are included when receivable. They are valued at the amount the charity would have had to pay to acquire them. 

## _**Donated services and facilities**_ 

Where services or facilities are provided to the charity as a donation that would normally be purchased from our suppliers, this benefit is included in the financial statements at it's fair value unless it's fair value cannot be reliably measured, then at the cost to the donor or the resale value of goods that are to be sold. 

## **Expenditure** 

Expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party, it is probable that settlement will be required, and the amount of the obligation can be measured reliably. Expenditure is classified under the following activity headings: 

- Costs of raising funds relate to the costs incurred by the charity in inducing third parties to make voluntary contributions to it, as well as the cost of any activities with a fundraising purpose 

- Expenditure on charitable activities includes the costs of engagement undertaken to further the purposes of the charity and the associated support costs 

- Other expenditure represents those items not falling into any other heading 

## **Governance costs** 

Governance costs include those costs associated with meeting the constitutional and statutory requirements of the charity and include its audit fees and other costs linked to strategic management of the charity. These are allocated in line with other support costs. 

Page 15 



## **Healthwatch City of London** 

## **Notes to the Financial Statements for the Year Ended 31 March 2023** 

## **Allocation of support costs** 

Resources expended are allocated to the particular activity where the cost relates directly to that activity. However, support costs, being cost of overall direction and administration of each activity, comprising the staff salary is apportioned on the basis of estimated staff time attributable to each activity, as follows: • Cost of raising funds - 3% 

- Health, social care and community engagement - 90% 

- Governance cost - 7% 

Other overhead costs are charged according to the specific use of the facilities. Governance and support costs are finally allocated as follows: 

- Cost of raising funds - 10% 

- Health, social care and community engagement - 90% 

## **Taxation** 

The charity is exempt from corporation tax as all its income is charitable and is applied for charitable purposes. 

## **Tangible fixed assets** 

Depreciation costs are allocated to activities on the basis of the use of the related assets in those activities. Assets are reviewed for impairment if circumstances indicate their carrying value may exceed their net realisable value and value in use. 

## **Depreciation and amortisation** 

Depreciation is provided at rates calculated to write down the cost of each asset to its estimated residual value over its expected useful life. The depreciation rates in use are as follows: 

**Asset class Depreciation method and rate** Computer equipment 25% on straight line method 

## **Cash and cash equivalents** 

Cash and cash equivalents comprise cash on hand and call deposits, and other short-term highly liquid investments that are readily convertible to a known amount of cash and are subject to an insignificant risk of change in value. 

## **Trade creditors** 

Trade creditors are obligations to pay for goods or services that have been acquired in the ordinary course of business from suppliers. Accounts payable are classified as current liabilities if the charity does not have an unconditional right, at the end of the reporting period, to defer settlement of the creditor for at least twelve months after the reporting date. If there is an unconditional right to defer settlement for at least twelve months after the reporting date, they are presented as non-current liabilities. 

Trade creditors are recognised initially at the transaction price and subsequently measured at amortised cost using the effective interest method. 

Page 16 



## **Healthwatch City of London** 

## **Notes to the Financial Statements for the Year Ended 31 March 2023** 

## **Fund structure** 

Unrestricted income funds are general funds that are available for use at the trustees' discretion in furtherance of the objectives of the charity. 

Designated funds are unrestricted funds set aside for specific purposes at the discretion of the trustees. 

Restricted income funds are those donated for use in a particular area or for specific purposes, the use of which is restricted to that area or purpose. 

## **Financial instruments** 

The charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value with the exception of bank loans which are subsequently measured at amortised cost using the effective interest method. 

## **Public benefit entity** 

Healthwatch City of London constitutes a public benefit entity as defined by FRS 102. 

## **3 Income from charitable activities** 

|**3**<br>**Income from charitable activities**||
|---|---|
||**Restricted**<br>**Total**<br>**Total**|
||**funds**<br>**2023**<br>**2022**|
||**£**<br>**£**<br>**£**|
|Grants received from City of London Corporation|81,889<br>81,889<br>86,092|
|Hackney Giving|-<br>-<br>3,500|
|Healthwatch Tower|-<br>-<br>1,500|
|Grant received from London Ambulance Service|5,000<br>5,000<br>-|
|Grant received from Healthwatch Norfolk|979<br>979<br>-|
||87,868<br>87,868<br>91,092|



Page 17 



## **Healthwatch City of London** 

## **Notes to the Financial Statements for the Year Ended 31 March 2023** 

## **4 Analysis of expenditures** 

||**Cost of**<br>**Charitable**<br>**Activity**<br>**Health, social**<br>**care,**|
|---|---|
||**raising**<br>**community**<br>**Governance**<br>**Support**<br>**Total**|
||<br>**funds**<br> <br>**engagement**<br>**costs**<br> <br>**costs**<br>**2023**|
|**For current year**|**£**<br> <br>**£**<br>**£**<br>**£**<br>**£**|
|Staff costs (note 7)|1,307<br>39,203<br>3,049<br>-<br>43,559|
|Accountant’s fees|-<br>-<br>4,192<br>-<br>4,192|
|Legal and||
|professional fees|-<br>-<br>126<br>-<br>126|
|Telephone and||
|internet|-<br>-<br>-<br>1,501<br>1,501|
|Consultancy|-<br>-<br>1,200<br>-<br>1,200|
|Printing, stationery||
|and subscriptions|-<br>-<br>-<br>442<br>442|
|IT domain hosting,||
|<br>service and||
|maintenance|-<br>-<br>-<br>1,195<br>1,195|
|Depreciation|-<br>-<br>-<br>759<br>759|
|Advertising|-<br>-<br>-<br>1,204<br>1,204|
|Travelling|-<br>-<br>-<br>62<br>62|
|Hall hire|-<br>-<br>-<br>9,234<br>9,234|
||1,307<br>39,203<br>8,567<br>14,397<br>63,474|
|Support costs|1,440<br>12,957<br>-<br>(14,397)<br>-|
|Governance costs|857<br>7,710<br>(8,567)<br>-<br>-|
||3,604<br>59,870<br>-<br>-<br>63,474|



Page 18 



## **Healthwatch City of London** 

## **Notes to the Financial Statements for the Year Ended 31 March 2023** 

|||**Charitable**||||
|---|---|---|---|---|---|
|||**Activity**||||
|||**Health, social**||||
||**Cost of**|**care,**||||
||**raising**|**community**|**Governance**|**Support**|**Total**|
||**funds**|**engagement**|**costs**|**costs**|**2022**|
|**For prior year**|**£**|**£**|**£**|**£**|**£**|
|Staff costs (note 7)|2,009|60,283|4,689|-|66,981|
|Accountant’s fee|-|-|2,400|-|2,400|
|Legal and||||||
|professional fees|-|-|98|-|98|
|Rent of Lease of||||||
|Buildings|-|-|-|1,098|1,098|
|Telephone and||||||
|Internet|-|-|-|1,680|1,680|
|Consultancy|-|-|1,500|-|1,500|
|Insurance|-|-|-|950|950|
|Printing, stationery||||||
|and subscriptions|-|-|-|1,642|1,642|
|IT domain hosting,||||||
|service and||||||
|maintenance|-|-|-|849|849|
|Shipping, Freight||||||
|and Delivery|-|-|-|120|120|
|Depreciation|-|-|-|759|759|
||2,009|60,283|8,687|7,098|78,077|
|Support cost|710|6,388|-|(7,098)|-|
|Governance cost|869|7,818|(8,687)|-|-|
||3,588|74,489|-|-|78,077|



## **5 Net incoming/outgoing resources** 

Net incoming resources for the year include: 

|Net incoming resources for the year include:||
|---|---|
||**2023**<br>**2022**|
||**£**<br>**£**|
|Accounting & independent examination fees|4,192<br>2,400|
|Depreciation of fixed assets|759<br>759|



Page 19 



## **Healthwatch City of London** 

## **Notes to the Financial Statements for the Year Ended 31 March 2023** 

## **6 Trustees remuneration and expenses** 

No trustees, nor any persons connected with them, have received any remuneration from the charity during the year. 

No trustees have received any reimbursed expenses or any other benefits from the charity during the year. 

## **7 Staff costs** 

The aggregate payroll costs were as follows: 

|The aggregate payroll costs were as follows:||
|---|---|
||**2023**<br>**2022**|
||**£**<br>**£**|
|**Staff costs during the year were:**||
|||
|Wages and salaries|42,865<br>64,969|
|Social security costs|-<br>761|
|Pension costs|694<br>1,251|
||43,559<br>66,981|



The monthly average number of persons (including senior management team) employed by the charity during the year expressed as full-time equivalents was as follows: 

||**2023**<br>**2022**|
|---|---|
||**No**<br>**No**|
|Number of staff|3<br>3|



No employee received emoluments of more than £60,000 during the year (2022: Nil). 

The total employee benefits of the key management personnel of the charity were £Nil (2022 - £Nil). 

## **8 Taxation** 

The charity is a registered charity and is therefore exempt from taxation. 

Page 20 



## **Healthwatch City of London** 

## **Notes to the Financial Statements for the Year Ended 31 March 2023** 

## **9 Tangible fixed assets** 

|**9**<br>**Tangible fixed assets**||||
|---|---|---|---|
||**Computer**|||
||**equipment**<br>**£**||**Total**<br>**£**|
|**Cost**||||
|At 1 April 2022||3,035|3,035|
|At 31 March 2023||3,035|3,035|
|**Depreciation**||||
|At 1 April 2022||2,033|2,033|
|Charge for theyear||759|759|
|At 31 March 2023||2,792|2,792|
|**Net book value**||||
|At 31 March 2023||243|243|
|At 31 March 2022||1,002|1,002|
|**10**<br>**Creditors: amounts falling due within one year**||||
||**2023**||**2022**|
||**£**||**£**|
|Trade creditors||258|63|
|Accruals and deferred income||2,040|2,940|
|Other taxation and social security||476|1,113|
|Pension - Employer's contribution||139|239|
|||2,913|4,355|



## **11 Pension and other schemes** 

## **Defined contribution pension scheme** 

The charity operates a defined contribution pension scheme. The pension cost charge for the year represents contributions payable by the charity to the scheme and amounted to £694 (2022: £1,251). 

Page 21 



## **Healthwatch City of London** 

## **Notes to the Financial Statements for the Year Ended 31 March 2023** 

|**12**<br>**Funds**||
|---|---|
||**Balance at 1**<br>**Incoming**<br>**Resources**<br>**Balance at**<br>**31 March**|
||**April 2022**<br>**resources**<br>**expended**<br>**Transfers**<br>**2023**|
||<br>**£**<br>**£**<br> <br>**£**<br>**£**<br>**£**|
|**Unrestricted funds**||
|General||
||(874)<br>-<br>-<br>-<br>(874)|
|Designated||
||(1,002)<br>-<br>759<br>-<br>(243)|
|**Total unrestricted funds**||
||(1,876)<br>-<br>759<br>-<br>(1,117)|
|Restricted funds: Health,||
|social care and community||
|engagement|(28,430)<br>(87,868)<br>62,715<br>-<br>(53,583)|
|**Total funds**||
||(30,306)<br>(87,868)<br>63,474<br>-<br>(54,700)|
|||
||**Balance at 1**<br>**Incoming**<br>**Resources**<br>**Balance at**<br>**31 March**|
||**April 2021**<br>**resources**<br>**expended**<br>**Transfers**<br>**2022**|
||<br>**£**<br>**£**<br> <br>**£**<br>**£**<br>**£**|
|**Unrestricted funds**||
|General||
||(115)<br>-<br>-<br>(759)<br>(874)|
|Designated||
||(1,761)<br>-<br>-<br>759<br>(1,002)|
|**Total unrestricted funds**||
||(1,876)<br>-<br>-<br>-<br>(1,876)|
|Restricted funds: Health,||
|social care and community||
|engagement|(15,415)<br>(91,092)<br>78,077<br>-<br>(28,430)|
|**Total funds**||
||(17,291)<br>(91,092)<br>78,077<br>-<br>(30,306)|



## **Purposes of restricted funds** 

Grant from City of London Corporations is to cover costs of core services provided by the charity which are: 

Health, social care services and community engagement. 

Page 22 



## **Healthwatch City of London** 

## **Notes to the Financial Statements for the Year Ended 31 March 2023** 

## **13 Analysis of net assets between funds** 

||**Unrestricted**|**Unrestricted**|
|---|---|---|
||**2023**<br>**funds**||
||**Designated**<br>**Restricted**<br>**funds**<br>**Total funds**||
||<br>**£**<br>**£**<br>**£**||
|Tangible fixed assets|243<br>-<br>243||
|Current assets|-<br>57,370<br>57,370||
|Current liabilities|-<br>(2,913)<br>(2,913)||
|Total net assets as at 31 March 2023<br>243<br>54,457<br>54,700|||
||**Unrestricted**||
||**2022**|**funds**|
|||**Restricted**|
|||**Designated**<br>**funds**<br>**Total funds**|
|||<br>**£**<br>**£**<br>**£**|
|Tangible fixed assets||3,035<br>(2,033)<br>1,002|
|Current assets||-<br>33,659<br>33,659|
|Current liabilities||-<br>(4,355)<br>(4,355)|
|Total net assets as at 31 March 2022|||
|||3,035<br>27,271<br>30,306|
|**14**<br>**Analysis of net funds**|||
|||**At 31 March**|
|||**At 1 April 2022**<br>**Cash flow**<br>**2023**|
|||<br>**£**<br>**£**<br>**£**|
|Cash at bank and in hand||33,659<br>23,711<br>57,370|
|||33,659<br>23,711<br>57,370|
|Net debt|||
||||
|||**At 31 March**|
|||**At 1 April 2021**<br>**Cash flow**<br>**2022**|
|||<br>**£**<br>**£**<br>**£**|
|Cash at bank and in hand||20,609<br>13,050<br>33,659|
|||20,609<br>13,050<br>33,659|
|Net debt|||



## **15 Capital commitments** 

The Charity had no operating lease or capital commitments at the year-end. 

Page 23 



## **Healthwatch City of London** 

## **Notes to the Financial Statements for the Year Ended 31 March 2023** 

**16 Related party transactions** 

There are no related party transactions to disclose for the year. 

Page 24 



## **SIGNATURE CERTIFICATE** 


**REFERENCE NUMBER C7ED99C2-3971-4F67-B405-22FF8942B683** 

**TRANSACTION DETAILS Reference Number C7ED99C2-3971-4F67-B405-22FF8942B683 Transaction Type Signature Request Sent At 01/26/2024 11:39 EST Executed At 01/26/2024 13:39 EST Identity Method email Distribution Method email** 

## **DOCUMENT DETAILS** 

**Document Name 230331 - Accounts - Final Filename 230331_-_Accounts_-_Final.pdf Pages 26 pages Content Type application/pdf File Size 335 KB** 

## **Original Checksum** 

**96424debefd5c98f0586e8e3ba85ab98fb46f13b1b66567efc76b186c160636a** 

## **Signed Checksum** 

**467214790c52d55c8e6702ea63c51f1bfa904bf502f732eee46703c3b1e3651d** 

**Signer Sequencing Enabled Document Passcode Disabled** 

## **SIGNERS** 

|**SIGNER**|**E-SIGNATURE**|**EVENTS**|
|---|---|---|
|**Name**|**Status**|**Viewed At**|
|**Gavin Fernandes**|**signed**|**01/26/2024 13:36 EST**|
|**Email**|**Multi-factor Digital Fingerprint Checksum**|**Identity Authenticated At**|
|**gavin.fernandes@mggroup.co.uk**|**cdac9c30b8ab4463742b4fb565d3f86e9f50e4075b1d27a280454ebe33463147**|**01/26/2024 13:39 EST**|
|**Signer Sequence**|**IP Address**|**Signed At**|
|**2**|**195.224.42.254**|**01/26/2024 13:39 EST**|
|**Components**|**Device**||
|**1**|**Microsoft Edge via Windows**||
||**Typed Signature**||
||||
||**Signature Reference ID**||
||**730F37ED**||
|**Name**|**Status**|**Viewed At**|
|**Francis Stevenson**|**signed**|**01/26/2024 12:34 EST**|
|**Email**|**Multi-factor Digital Fingerprint Checksum**|**Identity Authenticated At**|
|**stevexs@icloud.com**|**7de877aa63f4eb0fa81f7c615f90467cacd6f573e994c4bdeb615c9a3e421cee**|**01/26/2024 12:36 EST**|
|**Signer Sequence**|**IP Address**|**Signed At**|
|**1**|**147.12.128.170**|**01/26/2024 12:41 EST**|
|**Components**|**Device**||
|**3**|**Mobile Safari via Mac**||
||**Typed Signature**||




**Signature Reference ID 65A557EB** 



|**SIGNER**|**E-SIGNATURE**|**EVENTS**|
|---|---|---|
|**Name**|**Status**|**Viewed At**|
|**Gail Marie Beer**|**signed**|**01/26/2024 11:40 EST**|
|**Email**|**Multi-factor Digital Fingerprint Checksum**|**Identity Authenticated At**|
|**gail@healthwatchcityoflondon.org.uk**|**77b9f0777458c1abe33b21a963f0a178eea0de17e15e92591727fe21d5e73c9d**|**01/26/2024 11:41 EST**|
|**Signer Sequence**|**IP Address**|**Signed At**|
|**0**|**86.142.1.38**|**01/26/2024 11:41 EST**|
|**Components**|**Device**||
|**3**|**Microsoft Edge via Windows**||
||**Typed Signature**||
||||
||**Signature Reference ID**||
||**CC87465B**||



## **AUDITS** 

|**TIMESTAMP**|**AUDIT**|
|---|---|
|**01/26/2024 11:39 EST**|**Suman Gurung (suman.gurung@mggroup.co.uk) created document '230331_-_Accounts_-_Final.pdf' on Chrome**<br>**via Windows from 195.224.42.254.**|
|**01/26/2024 11:39 EST**|**Gail Marie Beer (gail@healthwatchcityoflondon.org.uk) was emailed a link to sign.**|
|**01/26/2024 11:40 EST**|**Gail Marie Beer (gail@healthwatchcityoflondon.org.uk) viewed the document on Microsoft Edge via Windows from**<br>**86.142.1.38.**|
|**01/26/2024 11:41 EST**|**Gail Marie Beer (gail@healthwatchcityoflondon.org.uk) authenticated via email on Microsoft Edge via Windows**<br>**from 86.142.1.38.**|
|**01/26/2024 11:41 EST**|**Gail Marie Beer (gail@healthwatchcityoflondon.org.uk) signed the document on Microsoft Edge via Windows from**<br>**86.142.1.38.**|
|**01/26/2024 11:41 EST**|**Francis Stevenson (stevexs@icloud.com) was emailed a link to sign.**|
|**01/26/2024 12:34 EST**|**Francis Stevenson (stevexs@icloud.com) viewed the document on Mobile Safari via Mac from 147.12.128.170.**|
|**01/26/2024 12:36 EST**|**Francis Stevenson (stevexs@icloud.com) authenticated via email on Mobile Safari via Mac from 147.12.128.170.**|
|**01/26/2024 12:41 EST**|**Francis Stevenson (stevexs@icloud.com) signed the document on Mobile Safari via Mac from 147.12.128.170.**|
|**01/26/2024 12:41 EST**|**Gavin Fernandes (gavin.fernandes@mggroup.co.uk) was emailed a link to sign.**|
|**01/26/2024 13:36 EST**|**Gavin Fernandes (gavin.fernandes@mggroup.co.uk) viewed the document on Microsoft Edge via Windows from**<br>**195.224.42.254.**|
|**01/26/2024 13:39 EST**|**Gavin Fernandes (gavin.fernandes@mggroup.co.uk) authenticated via email on Microsoft Edge via Windows from**<br>**195.224.42.254.**|
|**01/26/2024 13:39 EST**|**Gavin Fernandes (gavin.fernandes@mggroup.co.uk) signed the document on Microsoft Edge via Windows from**<br>**195.224.42.254.**|