Company registration number.. CE018434 Charity registration number.. 1184771 Healthwatch City of London {A charitable incorporated organisab'onl Annual Report and Financial Statements for the Year Ended 31 March 2025 MG Group (Professional Services) Limited Chartered Accounlanls 166 College Road Harrow Middlesex HA1 18H
Healthwatch City of London Contents Reference and Adminislralive Details Trustees, Report 2to10 ststemenl of Trustees, Responsibilities Independent Examinerfs Report 12 Statement of FinancAal Activities 13 Balance Sheet 14 Statement of Cash Flows 15 Noles lo the Financial Statements 16to26
Healthwatch City of London Reference and Administrative Details Trustses Ms Gail Marie Beer (Chairl Francis Stevenson ITreasurer Lynn Slrolher Malcolm Waters Sonja Judith Guy-Briscoe Associate Board Members Stuart Mackenzie Janet Porter Dr Cynlhia White Staff Team Rachel Cleave. General Manager Liesa Sandt. Communications alld Engagement Officer Caillan Barrow, Volunteer and Projects Olficer Reglstered Offlce Portsoken Community Centre 20 Little Somerset Street London E1 8AH Cornpany Reglstratlon Number CE018434 Charlty Reglstratlon Number 1184771 Bankers National Westminster Bank PIC 250 Bishopsgale London EC2M 4AA Independenl Examlner Gavin Fernandes FCA, CTA MG Group (Professional Services) Limited Ch8rtered Accountants 166 College Road Harrow Middlesex HA1 1BH Page 1
Healthwatch City of London Trustees. Report The ITUStees present the annual report together with the financial slalemenls of the charitable incorporated organisalion for the year ended 31 March 2025. structure. governance and management Description of thg Charity's Trusts Type ol Governlng Document: Constitution adopted on 11th July 2019. How the Charity Is constituted.. Healthwatch City of London I"HWCoL"} is a Charitable Incorporated Organisation whose only voting members are tts charity Iruslees. Trustee $ele¢tion method: Tnjslees afe appointed for an initial term of four years by a resolution passed at a properly convened meeting of the charity Iruslees. All trustees are expected lo provide a CV and are interviewed by the Board. Supportlng Governance Actlvitles: Trustee Appolntments.. All Trustees give their lime volunlarity- As a charity Injslee, each Trustee is entitled lo be reimbursed from the property of HWCOL or may pay out of such property reasonable expenses properly incurred by himl her when acting on behalf of HWCOL. On appointment new Trustees receive a copy of the constitution. a copy of the lalesl annual report and slalement of accounts. and staff handbook.Trustees are directed to read all HWCOL'S polic¢es, including ils decision-making Policy. DBS Checks: In accordance with HWCOL policy. all volunteers and staff must undergo Disclosure and Barring checks lo 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 to carry out these checks. Tralnlng: Trustees are expected the make use of Heatthwalch England training modules and Charity Commission guidance to keep up to date with legal and regulatory requirements relevanl to the discharge of their governance responsibilities. Page 2
Healthwatch Clty of London Trustees. Report Objectlves and artlvltles The objectives and activities of HWCOL are govemed by its Constitution, the contractual obligations which it has undertaken lo ils main commissioner, the City of London Corporation, and the licence granted by Healthwalch England. Summary of the objects of the charity set out in ils governing document: HWCOL'S Constitution provides that the objects of the charity are the advancement of Health and Social Care by= lal providing information and advice to the public about local Heatth and Social Care services. (bl making the views and experience5 of members of the public known to Health and Social Care providers and commissioners. Icl enabling local people lo have a voice in the development, delivery. improvement. and equality of access lo local Heatth and Social Care services and facilities and. (dl providing training and the development of skills for volunteers and the wider wmmunity in understanding. scrulinising. reviewing. and monitoring local Health and Social 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 Heallhwatch seNices for the City of London in September 2019. The contract was awarded for an initial Ihree-year period, with the option lo extend, one year al a lime, for a further two years. 11 was agreed in September 2022 that the contract would be extended for one year to September 2023, and agreement was subsequently reached on a final one-year extension to September 2024. In September 2024 HWCOL was awarded a new contract for a Ihree-year period lo August 2027, with the potential to extend for a fijrther two years to August 2029. In planning HWCOL'S activities for the year 2024125. the Trustees kept in mind al their meetings both the Charity Commission's guidance on public benefit and the objectives of the charity. During 2024125, HWCOL monito0 how Health and Social care Services were providing their services. The small team closely monitored the effeeliveness of the Integrated Care System, including the Inlegraled Care Board, the Integrated Care Partnership, the Shoreditch Park and City Primary Care NeOrk IPCNI and the Shoredilch Park and City Neighbourhood, seeking to ensure that they are responsive lo the needs of and engage with City residents. Page 3
Healthwatch City of London Trustees, Report HWCOL listened lo patients, concems regarding the inlroduction of the new appointment booking system al the Neaman Practice Ithe only GP'S practice based in the City of London) and made good progress in the resolution of these concems through focus groups and a Patient Panel on the subject. Heatthwatth have a legal power lo visit heamh and social care services lo see them in actton. These visits are called Enter and View visits and their purpose is to collect evidence of what works well and whal could be improved lo make people's experiences beller. This year HWCOL, rrIed out a visit lo the Cardiology Department al St Bartholomew's Hospital and produced a report with recornmendations (referred to in more detail below). HWCOL also visited the Neaman Practice bul the report Was not published in the timeframe of this return. HWCOL held eight Patient Panels on areas which residents told us were of most concern to them. The topics covered were.. 111 medicines management. 121 understanding diabetes, {31 mental health and social isolats'on, 141 the provision of cardiopulmonary resuscitation ICPRI training with the London Ambulance SeNice, 151 the City of London Health and Wellbeing Strategy, 161 the Sexual and Reproductive Health Strategy, 171 the Special Educational Needs and Disabilities {SENDI Strategy and18) Adutt Social Care Strategy. Monthly newsletters were produced lo ensure that City Residents had the most up lo date information from across Health and Social care in the City. HWCOL updated ils website on a regular basis. disseminating important patient information. In 2024125, HWCOL produced 12 newsletters, including one informing residents of the opening hours of healthcare facilities and pharmacies during the festive period. HWCOL also held two Board meetings in public as well as holding ils Annual Public Meeting and Annual General Meeting, a Health Mela event. a Health in the City Day and 8 Christmas party to which the public We invited. During 2024125, HWCOL carried out the following project for the benefit of the public: Dlgltal Apps: A help or a HSndrance? Understanding and accesslng dlgltal healthcare apps This year HWCOL undertook a focused research project in response lo concems from residents regarding their experiences when accessing NHS SeNices digitally. As heaKh providers increase their use of digital technology to deliver and support their services, the number of apps and platforms patients have to use has rapidly increased. without the support ngeded for patients to navigate them. Our report found that many residents felt confused and frustrated when allempting to use these apps. The project mapped digital technologies in use across North East London Hospitals and GPS, assessed what was on offer. how they worked and how easy they were to use. Our key findings were: 1 } there is a lack of accessibility for patients and carers, 21 the number of different apps and digital platforms which service users need lo have to aceess their healthcare remains unclear, and 31 there is a lack of language and disability options Page 4
Healthwatch City of London Trustees. Report These findings were sel out in our report, which was provided to Chief Information Officers and Digital leads from across the North East London Integrated Care System INEL ICSI. The report was acknowledged by the CIO of the ICS. who is using the recommendations and suggestions in new policies he will be introducing and in furtherance of his uttimate goal lo ensure consistency across digital applications lor all NHS p8tients in the ICS. Barts Heatth NHS Trust Cardiology Department Enter and View Report HWCOL undertook an Enter and View visit to the cardiology departmenl based at St Bartholomew's Hospital. The visit focused on the administrative teams and processes within the department and on patient communication. The team interviewed both staff, the management team and patients during the visit, with a pre-visil survey being Caled out to enable patients lo tell us their concems. The three key recommendations from the report focused on the need for.. 11 Consistency of systems used across the department 21 Consistency of letter templates and patient infomalion 31 Publication of wailing times for available appointments The report was sent to David Curran, Director of nursing at St Bartholomew's Hospital. who acknowledged these recommendations. The remMendatIOnS in the report have been adopted not only in the cardiology department at St B8rtholomew's Hospital bul also in outpatients departments acTOSS Barts Health NHS Trust hospitals. Patlent Advice and Liaison Sorrfice {PALSI,' A revlew of PALS servlces avallable to Clty of London Residents HWCOL undertook a project lo look al PALS provision across those health servtces which City iesidents access. The project looked al how easily PALS can be located, accessed and contacted for patients. and sought to give providers some insight into the user's experlen¢e. The three key recommendations focused on the need for-. 1) Standardising the navigation process lo gel to the PALS webpage on each servlce providerfs website. 2) User-friendly and consistent language lo ensure PALS advice is as accessible as possible. 3) Developing downloadable leaflets that provide detailed inlolmation, including translations and easy lo read versions. The report was sent to all CEOS of the service providers who currenuy host a PALS service. Homerton Healthcare NHS Foundation Trust have used the pOrt lo improve their PALS service after discussions with the Chair of the Trust. Page 5
Healthwatch City of London Trustees. Report SUMMARY OF THE MAIN ACHIEVEMENTS OF THE CHARITY DURING THE YEAR During 2024125 HWCOL used a wide range of approaches to gain insights about the experiences of local users of Health and Social Care services. The channels of communication used included phone, email, webfomi though the website. social media and virtual meetings of wmmunity groups and forums lo reach a broader group of residents. workers, and students: HWCOL worked with Ihe City of London to ensure that HWCOL'S newsletters and bulletins were available Ihrough all the City Corporation's communication channels. including newsletters to residents of City-owned estates. estates, websites and business healthy communications. HWCOL increased ils use of social media including X (previously Twtterl Inslagram and Facebook to reach out to the local community. HWCOL'S newsletters and communication reached up to 2,000 people over the yeÈr. providing up-lo-date information on Health and Social Care provision and public health campaigns. During the year there were over 13,500 visits to the website and HWCOL'S social media communications reached 950 followers, providing up-to-date messages= from providers of heatth ServIS to the City. including Barts Heallh, from City and Hackney and national public health campaigns, . from North East London ICS.. and aboLrt HVVCOL'S own aclivilies. HWCOL is committed lo tsking additional steps lo obtain the views of people from diverse backgrounds who may not be heard by Health and Social Caie decision-makers. In partnership with NHS North East London and Heallhwatch Hackney, HWCOL hosted a Heallh Mela Day to promote slayng well and warm in Winter. The event was aimed primarily at our Bangladeshi community. Over 40 people, predominantly females. attended the event, which raised awareness of both Healthwalch and the local services available to the Portsoken Community. HWCOL also held a successful Health in the City Day wtth over 100 local residents from across the City attending. Hosted at the Golden Lane Community ntre, the event was attended by two of the partners from the Neaman Practice and representatives from health and community services across North Easl London. including the NEL Cancer Alliance, Diabetes UK, City Advice, the Older Persons reference group, the Together Beller programme, the Social Prescribing team and City Carers. The ovenl raised awareness for local residents of local health and social care serVIS available from charities and other providers. HWCOL conb'nued its series of patient panels. designed to enable residènts to come together to talk aboijt their experiences of health and social care and share ideas for improvements. Each session had around 15 residents in attendance, which allowed for open discussion and questions lo be asked of the PTofessionals. Many of the sessions assisted the City of London Corpora110n lo constjlt on its health and social care strategies by giving it a platform lo engage with residents and seNice users.The panels covered the following topics.. Page 6
Healthwatch City of London Truslees. Report Medicines management. Understanding diabetes. Mental health and social isolation, Strategy consultations on the City of London Health and Wellbeing Strategy, Sexual and Reproductive Health Strategy, The Special Educational Needs and Disabilities ISENDI Strategy Adult Social Care Strategy. Cardiopulmonary resuscitation {CPRI training with the London Ambulance. Board meetings in Public included the following.. Annual Public Meeting and Annual General Meeting. In October, HVVCOL held its Annual General Meeting with Mary Durcan, Chair of the City of London ealth and Wellbeing Board. and Dr Sue Mann, National Clinical Director for Women's Health and lead for women's health in City and Hackney. The topics covered during the meeting were the NHS Big Conversation inilialive. access to footcare, digital exclusion and accessibility of services in the City. The 35 residents who allended were able lo direcl questions to Councillor Durcan. Dr Mann and to members of HWCOL'S Board. HWCOL gave an overyiew of the previous year's achievements and was able to check the relevance of the objectives which il has sel for the upcoming year. Local service providers also had stslls lo talk to residents al)oul their services. Residents were able to talk to Age UK, Imago, City Advice, Department of Children Services and Gloji. Board meeting in Public In April, Dr Sandra Husbands and the City and Hackney Public Health team joined the Public Board meeting lo present their Annual Report and lo take questions from Ihe audience. Representlng rosldents. workers, and Students. During 202415. HWCOL represented City residents on the followlng boards and committees. and attended meetings to ensure that residents, interests are represented and that their voice is heard.. Neaman Pra¢tl¢e Patlent Participatlon Group IPPGI The group discusses the services delivered by Practice. and how improvements can be made for the benefit of patients. HWCOL asked the Neaman Pfaclice lo widen the membership of the PPG, following which the Practice has advertised the group mor& widely via the City of London's social media and via their own website. North East London Integrated Carg Board NHS North East London is responsible for planning and commissioning heath serviees across NEL to meet the population's nee(Ss, making sure all parts of the Eocal health system work effectively together. HWCOL has attended meetings of the board to ensure that the needs of the people of the City are recognised and listened to and that the Cills voice is not lost amongsl the wider NEL population. Page 7
Healthwatch Clty of London Trustees. Report Clty of London Health and Wellbeing Board This board aims lo align the Citvs approach lo 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 heahh of everyone who lives and works in the City, enabling them to live healthily, preventing ill health developing, and promoting strong arld empowered groups of individuals who are motivated to drive positive change within their communities and businesses. HWCOL raises the issues that are of concem to residents in these meetings and reports back to the Board on the issues il has received from the community. Hoatth and Soclal Car¢ Scrutlny Cornmlttee This committee fuifils the City's health and social care scrutiny role in proactively seeking infomiation about the performance of local health and care services and institutions. challenging the infomialion provided to it by commissioners and providers of healthcare services and lesling this information by drawing on different sources of intelligence. HWCOL has a seat on this committee. Int?grated Care Comrnunications 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 lo express a view on the effectiveness of the communications from the ICS lo residents and helps lo shape those messages. 11 gives HWCOL a vote in the projects funded by the group lo improve patient access to services. City and Hackney Safeguarding Adults Board 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 raises any safeguarding issues that il has been alerted lo and monitors historical concems to ensure that they are properly addressed, enabling slatulory requirements to be mel. City of London Adult Safeguardlng Sub4ommltteo 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. HWCOL'S role on this Board is to ensure that the voice of the City residents is heard, and that their interests are prolecled. North East London Integrated Care BoaTd Healthwatch Meetlng This meeting is attended by the Chair of the NEL Integrated Care Board and represenlalives from the different Healthwatch organisalions across NEL. The meeting focuses on resident involvement and insight gathered by NEL Heallhwalch. This gives HWCOL direct access to the Board of the ICS, which allows the team to raise any issues directly. 11 also gives an opportunity to have open discussions on areas that need improvement, project work. and on any concems HWCOL have. City and Hackney Health and Care Board The purpose of the Board is lo consider the best interests of service users and residents in City and Hackney, when taken as a health and care system as a whole. Page 8
Healthwatch City of London Trustees. Report Shoreditch Park and City Neighbourhood Forum The Neighbourhood forum brings together residents, representatives of voluntary sector organisations and providers of health. education, and care services in the Shoredilch Park and City Neighbourhood. to work together on what matters to local people and address health inequalities. Forums are held on Tegular basis which are advertised vi8 HWCOL social media and newsletters. HWCOL attends these forums lo ensure that projects fijnded by the Neighbourhood indude C(ty residents, and that those services that are available are showcased in the Forum. Flnancial review HWCOL'S primary source of funding is the money received through the contract with the Clty of London Corporation for the provision of a Heallhwalch in the City of London. As slated above. the conlracl was awarded for an initial three-year period, with the option lo extend. one year al a lime, for a further two years. 11 was agreed in September 2023 that the contract would be extended for second and final year until September 2024. A new contract was signed in September 2024 for the continued provision by HWCOL of a Heahhwalch setvice for an initial three- year period. The payments received from the City of London Corporation during the year ended 31 March 2025 amounted lo 8 total of £93.200. That sum was paid in part under the final extension of the original contract and in part under the new contract Additional funding was provided lo carry out any agreed assignments during the period. HWCOL'S total income for the year ended 31 March 2025 was £98.200. which included grant income in the sum of £93,200 from the City of London Corporation. HWCOL also received fvnding from NHS Northeast London for resident engagement in the sum of £5,000. Total expenditure during the year was £91,182. The assets of HWCOL as of 31 March 2025 consisted of £100,451 cash al bank, debtors of £529 and tangible fixed assets of £1,380. Creditors falling due within one year were £11,612. The balance of funds at the gnd of thg year was as follows.. Unre$trScted funds General- £814 Designated- £0 Total unre$tri¢ted funds. £814 Restrictod fund$- £89,934 ReseNe pollcy HWCOL'S rèserves policy is lo maintain a reserve which is sufficient to cover the estimated costs of Carrn9 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 Corporaliofi of London and to provide a cushion against unforeseen expenditure in delivering its eonlr8Ct with the Corporallon of London. HWCOL'S policy on ils restricted and unrestrieled funds is tr) have enough funds to cover al least three months of ils 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 unreslricled and reslricled funds in the sum of £90,748 is sufficient to cover such risks. Page 9
Healthwatch City of London Trusteas. Report Rlsk statement HWCOL trustees in producing the annual accounts have considered the major risks lo which the charity is exposed arkd satisfied themselves that systems or procedures are established lo manage those risks. The trustees acknowledge that they have an ongoing responsibility lo identify and manage the risks fad by the charity, and have sought to discharge this responsibility by. lal preparing a risk register which identifies the main risks to the Chartty and itemises the actions lo be taken lo mitigate each of those risks, and (bl the Iruslees regulaty reviewing the risk register al closed board meetings of the charity. The main financial risk lo the charity is loss of Grant funding from the City of London Corporation. Publlc benefit The Trustees have referred to the guidance contained in the Challty Commission's general guidance on public benefit when reviewing the Trust's aims and objectives and in planning ils future activities. In particular, the Trustees consider how planned activities will contribute lo the aims and objectives that have been sel. The annual report was approved by the trustees of the charity on behalf by: 2710112026 and signed on its Ms Gail Marie Beer Chair and Trustee Francis Stevenson Trustee Page 10
Healthwatch City of London Statement of Trustees. Responsibilities The Iruslees are responsible for preparing the Iruslees, report and the financial slalemenls in accordance with the United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Praelicel and applicable law and regulations. The law applicable lo 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 slate of affairs of the charity and of ils incoming resources and application of resources. including ils income and expenditure, for that period. In preparing these financial statements. the trustees are required to.. Se¢1 suitable a¢counting policles and apply them consislenlly.. observe the methods and principles in th8 Charities SORP- make judgements and estimates that are reasonable and prudent.. stste whether applicable UK Accounting Standards have been followed. subject lo any material departures disclosed 8nd explained in the financi81 statements.. and prepare the financial statements on the going concern basis unless it 15 inappropriate to presume that the charity will continue irs operation. The trustees are responsible for keeping adequate accounting records that are sufficient lo show and explain the charity's transactions. and disclose with reasonable accuracy at any time the financial position of the charty, and enable them lo ensure that the financial statements comply with the Charities Act 2011, the Charity {Accounts and Reports) Regulations 2008 and the provisions of the Conslilulion. 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 ' and signed on ils behalf by. Ms Gail Marie Beer Chair and Tnjstee Francis Stevenson Trustee Page11
Healthwatch City of London Independent Examinerfs Report to the trustees of Healthwatch City of London I report lo the charity trustees on my examination of the accounts of the charity for the year ended 31 March 2025 which are set out on pages 13 10 26. Respective Te5ponslbllitles of trustees and examiner As the charity's trustees of Healthwalch City of London you are resporisible for the preparation of the accounts in accoTdance with the requirements of Ihe Charities Act 20111.the 2011 Acl'l. Having satisfied myself that the accounts of Heallhwalch City of London are not required lo be audited undef section 144121 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 carying out my examination I have followed the Directions given by the Charity Commission under section 145151{bl of the 2011 Acl. Independent examiner's statement I have completed my examination. I confim 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 Healthw8tch 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 nol comply with the accounting requirements of the Charities (Accounts and Reportsl Regulation 2008 other than any requirement that the accounts give a 'true and fair vieyl which is not a matter considered as part of an independent ex8minalion', or 4. the accounts have not been prepared in accordance with the methods and principles of the Slalement of Recommended Practice for accounling and reporting by charities applicable lo charities prepartng their accounts in accordance wlh the Financial Reporting Standard applicable in the UK and Republic of Ireland {FRS 1021. I have no ¢on¢erns 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. Gavin Femandes FCA. CTA MG Group (Professional Services) Limited Chartered Accountants 166 College Road Harrow Middlesex HA1 1BH Date.. Page 12
Healthwatch Clty of London Statement of Financial Activities for the Year Ended 31 March 2025 (Including Income and Expenditure Account and Statement of Total Recognised Gains and Losses) Unrestricted fund$ Restri¢ted funds Total 2025 Note Income and Endowments from: Charitable activities 98.200 98.200 Total income 98,2(10 98.200 Expenditure on: Raising furbds Charitable activities {4,9031 86,219 14.9091 86.273 54 Total expenditure Net {expenditureyincome Net movoment in funds 60 91.122 91.182 60 7,078 7,018 1601 7,078 7,018 Re¢on¢lllation of funds Total funds brought forward Total funds carried forward 874 82,856 83,730 13 814 89,934 90,748 Unreslrlcted funds Restrlcted funds Total 2024 Note Income and Endowments from: Donations and legacies 104,192 104,192 Total income 104,192 104.192 Expendlture on: Raising funds Charitsble aclimties 1241 219 {4,0571 70.862 14.0811 71.081 Totsl expenditure 243 74,919 75,162 Net {expenditurellincome Net movement in fijnds 243 29,273 29,030 12431 29,273 29,030 Reconclllatlon of funds Total funds brought forward Total fvnds carried forward 1,117 53.583 54.700 13 874 82.856 83,730 All of the charity's activities derive from continuing operations during the above tsvo periods. Page 13
Healthwatch City of London (Registration number: CE018434) Balance Sheet as at 31 March 2025 2025 2024 Note Fixed assets Tangible assets 1,380 Current assels Debtors Cash at bank and in hand 10 529 100.451 33.181 60,949 100,980 94,130 Creditors: Amounts falllng due within one year 11 11.612 10,400 Net current assets 89,368 83,730 Net assets 90,748 83,730 Funds of thg Charity: Rostricted funds 89,934 82,856 Unrestricted income funds Unreslricled funds 814 874 Total funds 13 90.748 83,730 For the financial year ending 31 March 2025 the charity was entitled to exemption from audit under section 144{21 of the Charities Act 2011. The Iruslees acknowledge thelr responsibilities for complying wllh the Tequlrement of the 2011 Act with respect of accounting records and preparation of the accounts. The financial statements on pages 12 to 25 were approved by the trustees. and aulhorised for issue on and signed on their behalf by.. Ms Gail Marie Beer Chair and Trustee Francis Stevenson Trustee Page 14
Healthwatch City of London Statement of Cash Flows for the Year Ended 31 March 2025 2025 2024 Nole Cash Ilows from operatlng a1vItieS Nel cash income 7,018 29,030 Adjustments to cash flows from non4ash Items Depreciation 60 243 7.078 29,273 Worklng Capital adjustments Decreasellincreasel in debtors Increase in creditors 10 32,652 1.212 133.181) 7,487 Net cash flows from operating activities Cash flows from invgsting actlvities Purchase of tangible fixed assets Net increase in cash and cash equiv81ents Cash and cash equivalents at 1 Aprll Cash and cash equivalents at 31 March 40,942 3,579 1,440 39,502 3,579 60,949 57.370 100,451 60,949 All of the cash flows are derived from continuSng operation$ during the above periods. Page 15
Healthwatch City of London Notes to the Financial Statements for the Year Ended 31 March 2025 1 Charity status The charity is a charitable incorporated organisation, incorporated in England and Wales . The address of its registered office is- Portsoken Community Centre 20 Little Somersel Street London E18AH These financial statements were aulhorised for issue by the trustees on 271Q112O26 2 Accountlng pollcles Summary of signiflcant accounting poli¢ie$ and key accountlng estimates The principal aOuntIng policies applied in the preparation of these financial slalements are set OL51 below. These policies have been consistently applied to all the years presented, unless otherwise staled. statement of compliance The financial stslernenls have been prepared in accordance with Accounting and Reporting by Charities.. Statement of Recommended Pradice applicable lo charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021 (effective 1 January 20191- (Charities SORP IFRS 10211, the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021. They also comply with the Charities Act 2011. Bas15 of preparatlon 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 otheiSe staled in the relevant accounting policy notes. The accounts are presented in GBP rounded to £1. Golng ¢on¢ern The Iruslees have considered the charitys ability lo continue as a going concem for 8 period of at least IMelve months from the date of approval of these financial stslements. In making this assessment, the trustees have noted recent Government announcements regarding potential fijlure changes lo the stalulory framework for Healthwalch organisalions in England. As at the date of approval of these financial stalemenls, no le9islalive changes have been enacted and the charity continues lo operate in line with its existing statutory duties and funding arrangements. The charity is funded primarily through commissioning arrangemenls with the local authority, which remain in place. Based on the charills Quent financial position, forecast income and expenditure, and available reserves. the Iruslees consider that the charity has sufficient resources lo continue its operations and meet ils liabilities as they fall due. Accordingly, the tru51ees consider it appropriate lo prgpare the financial statements on a going concern basis. Page 16
Healthwatch City of London Notes to the Financial Statements for the Year Ended 31 March 2025 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 re1vable can be measured reliably. Glfts In klnd Gifts in kind are recognised in different ways dependent on how they are used by the charity.. {il Those donated for resale produce income when they are sold. They are valued at the amount actually realised. (ill Those donated for onward transmission lo beneficiaries are induded in the Statement of Financial Activities as incoming resources and resoLrrces expended when they are dislribuled. They are valued at the amount the charity would have had to pay lo acquire them. {iiil Those donated for use by the charity itself are included when receivable. They are valued al the amount the charity would have had lo pay to acquire them. Donated services and facilities Where services or facilities are provided to the charity as a donation that would nomially be purchased from our suppliers, this benefit is included in the financial slalemenls al il's fair value unless it's fair value cannot be realiably measured. then at the cost lo the donor or the resale value of goods that are lo be sold. Expenditure Expendilure is recognised once there is a legal or constructive obligation to make a payment lo a third party. il is probable that settlement will be required, and the amount of the obligation can be measured reliably. Expenditure is classified undef the following adivity headings.. Costs of raising funds relate lo the costs incurred by the charity in inducing third parb'es lo make voluntary contributions tr) it, as well as the cost of any activities with a fundraising purpose Expenditure on charitable activits'es includes the costs of engagement undertaken lo further the purposes of the charity and the associated support costs Other expenditure represents those items not falling inlo any other heading Governance costs Govemance costs include those costs associated with meeting the constitutional and stalulory requirements of the charity and include ils audit fees and other costs linked to strategic management of the charity. These are allocated as foltows= Cost of raising funds - 10¥. Health, social care and community engagement - 900/0 Page 17
Healthwatch City of London Notes to the Financial Statements for the Year Ended 31 March 2025 Allocation of support costs Resources expended are allocated to the particular aclivsty where the cost relates dlrectly lo that activity. However, support costs. being cost of overall direction and administration of each aclivily, comprising the staff salary is apportioned on the basis of eslimaled staff bme attributable lo each activily, as follows.. Cost of raising fvnds- 3./. Heamh. social care and community engagement- 90¢A Govemance cost . 7(1tty Other overhead costs are charged according to the specifiG use of the facilities which as per best estimate is as follows= Cost of raising funds - 10Yo Health. social care and community engagement - 90Y. Taxatlon The charity is exempl from corporation tax as all ils income is charitable and is applied for charitable purposes. Tangiblg fixed assets Depreciation cosls are allocated lo activities on the basis of the use of the related assets in those activities. Assets are reviewed for impairment if circumstances indicate their Carrn9 value may exceed their nel realisable value and value in use. Depreciatlon and amortlsatlon Depreciats'on is provided at rates calculated lo write down the cost of each asset to ils estimated residual value over its expected useful life. The depreciation fates in use are as follows.. Asset class Computer equipment Depreclatlon method and rate 25 /0 on straight line method Trade debtors Trade debtors are amounts due from customers for merchandise sold or services performed in the ordinary course of business. Trade debtors are cOgnised Inilialty 8t the transaction price. They are subsequently measured al 8mortised cost using the effective interest method, less provision for impairment. A provision for the impairment of trade debtors is established when there is objective evidence that the charity will not be able lo collect all amounts due according lo the original terms of the receivables. Cash and cash equlvalents 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. Page 18
Healthwatch City of London Notes to the Financlal Statements for the Year Ended 31 March 2025 Trade creditors Trade creditors are obligations lo pay for goods or services thal have been acquired in the ordinary ourse of business from suppliers. Accounts payable are classified as current liabilities rf the charity does not have an uncondib'on81 right. at the end of the reporting period, to defer selllemenl of the redilor for at least twelve months after the reporting dale. If there is an unconditional right to defer settlement for at least twelve months after the reporting date, they are presented as non-current Trade creditors are recognised initially at the Iransaetion price and subsequently measured at amortised wst using the effective interest method. Fund structure Unreslricled income funds are general funds that are avaiEable for use al the trustees. discretion in furtherance of the objectives of the charity. Designated funds are unrestricted funds sel aside for specifi¢ purposes at the discretion of the trustees. Restricted income funds are those donated for use in a particular area or for specific PLtrposes. the use of which is reslricled lo that area or PLsrpose. Flnanclal instruments The charity only has financial assets and financial liabilities of a kind that qualify as basic financial inslrumenls. 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. Publlc beneflt entlty Heallhwatch City of London nStituteS a public benefit entity as defined by FRS 102. 3 Income from charitable activities Restricted funds Total 2025 Total 2024 Grants received from City of London Corporation Funds received - NHS Northeast London Received from Public Heatth Community Champion NeOrk 93,200 5,000 93.200 5,000 92.722 10,000 1,470 98,200 98.200 104,192 Page 19
Healthwatch City of London Notes to the Financial Statements for the Year Ended 31 March 2025 4 Analysls of expendStures Charitable Actlvlty Health, soclal care. communlty Governance engagement costs Cost of raising funds Support cost5 Total 2025 FOT current year Staff costs Inole 71 Accountants fee Legal and professional fees Telephone and Inlemel Consultancy Insurance Printing. slalionery and subscriptions Entertainment-1 OOYO Business Sundry IT domain hosting. service and maintenance Travelling Hall hire Advertising Depreciation 1.953 59.670 4,641 4.200 66,264 4,200 250 250 1,651 1.651 1,231 608 1.231 1.913 1,913 266 73 266 73 4,273 234 7.488 2.671 60 4,273 234 7,488 2,671 60 1.953 1.924 1.032 59.670 17,313 10.322 19,237 119,2371 91.182 Support cost Governance cost 10,322 4,909 86.273 91,182 Page 20
Healthwatch City of London Notes to the Financial Statements for the Year Ended 31 March 2025 Charitable Activity Health, so¢ial caro. cornmunity Govemance engagement ¢osts Cost of raislng funds Support osts Total 2024 For prfor year Staff costs (note 71 Accountants fees Legal and professional fees Telephone and internet Consultancy Printing. stationery and subscriptions IT domain hosting, service and maintenance Depreciation Advertising Travelling Hall hire 1,645 49.349 3,838 3.110 54,832 3.110 70 70 2.724 2,724 483 483 898 898 1,391 244 2,329 65 9,016 1,391 244 2,329 65 9,016 1,645 1.667 769 49,349 15.000 6,732 7.501 16,667 116.6671 75.162 Support costs Govemance costs 17.5011 4.081 71.081 75.162 Page 21
Healthwatch City of London Notes to the Financial Statements for the Year Ended 31 March 2025 5 Net Incomlngloutgoing resources Nel incoming resources for the year include-. 2025 2024 counting & independent examination fees Depreciation of fixed asselg 3,360 60 3,110 243 6 Trustees remuneratlon and expenses No Iruslees, nor any persons connected with Ihem. have received any femuneration 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.. 2025 2024 staff costs during the year were: Vvages and salaries Social security cosls Pension costs Other staff costs 65,022 208 1,034 53.765 744 323 66.264 54,832 The monthly average number of persons lincluding senior management team) employed by the charity during the year expressed as full lime equivalents was as follows= 2025 2024 No Number of staff No employee received emoluments of mora than £60,000 during the year12023'. £Nill. The lolal employee benefits of the key management personnel of the charity were £Nil12024= £Nill. 8 Taxation The charity is a registered charity and is therefore exempl from taxation. Page 22
Healthwatch City of London Notes to the Financial Statements for the Year Ended 31 March 2025 9 Tanglble fixed assets Computer equipment Total Cost At 1 April 2024 Additions 3.035 1,440 3.035 1,440 At 31 March 2025 4,475 4.475 Dgpreciation At 1 April 2024 Charge for the year At 31 March 2025 3,035 60 3,035 60 3,095 3,095 Net book value Al 31 March 2025 1,380 1.380 Al 31 March 2024 10 Debtors 2025 2024 Trade debtors Prepayments 33.181 529 529 33,181 11 Credltors: amounts falllng due wlthln one year 2025 2024 Trade creditors Accruals and deferred income Other taxation and social security Pension - Employerfs contribution 793 10,443 141 235 7.704 2,040 489 167 11,612 10,400 Page 23
Healthwatch City of London Notes to the Financial Statements for the Year Ended 31 March 2025 12 Penslon and other schemes Defined contrlbutlon pension scheme The charity operates a defined contribution pension scheme. The pension cost charge for the year represents conlribulions payable by the charity lo tho scheme and amounted to £1,03412024..£7441. 13 Funds Balance at 1 April 2024 Balance at 31 March 2025 Incoming Resources resources expended Transfers Unrestrlcted funds General 18741 60 18141 Restricted funds.. Health. social care and community engagement 82,856 98,200 91,122 89,9341 Total funds 83,730 98.200 91,182 90,748 Balance at 31 March 2024 Balance at 1 prll 2023 Incomlng resources Re$ourcgS expgndod Unrestrl¢ted funds General 18741 243 18741 Designated 243 Total unrestrlded funds {1,1171 243 1874) Reslricled funds: Health, social eare and community engagement 53.583 104.192 74.919 82.856 Total funds 54.700 104,192 75,162 {83,730 Purposes ol restrlcted funds Grant from City of London Corporations is lo cover eosts of core services provided by the charity which are: Heamh, social care services and community engagement. Page 24
Healthwatch City of London Notes to the Financlal Statements for the Year Ended 31 March 2025 14 Analysls of net assets botwgen funds Unrestricted funds Total funds at 31 March 2025 Restricted funds General Tangible fixed assets Cuffent assets Current liabilities 1,380 100,166 11.612 1.380 100,980 11,612 814 Total net assets 814 89,934 90,748 Unrestrided funds Total funds at 31 March 2024 Reslricted funds General Current assets Current liabilities 94.130 10,400 94.130 10.400 Total net assels 83.730 83,730 Page 25
Healthwatch City of London Notes to the Financial Statements for the Year Ended 31 March 2025 15 Analysis of net funds At 31 March 2025 At 1 Apfll 2024 Cash flow Cash at bank and in hand 60.949 39,502 100,451 60,949 39,502 100,451 At 31 Mah 2024 At 1 Aprfl 2023 Cash flow Cash at bank and in hand 57,370 3.579 60,949 57.370 3,579 60.949 16 Capitsl commitments The Charity had no operating lease or capital commitments at the yeaf*nd. 17 Related party transactions There are no related party transactions to disclose for the year. 18 Non-ad}ustlng events after the flnanclal per5od After the reporting dale of 31 March 2025, the UK Governmenl announced proposals lo review and refomi the statutory arrangements for Healthwalch organisalions in England as part of wider heatth and social care reforrns. These proposals include potential changes to the way Heallhwalch functions are delivered in the future, subject to the development and enaclment of primary legislation. As at the dale of approval of these financial stalemenls, no legislation has been enacted and Healthwalch City of London continues to operate under its existing slalutory framework and contractual arrangements. Accordingly, these proposals have been treated as a non-adjusting event after the reporting period. and no adjustment has been made lo the financial stalemenls. The trustees will ntinUe lo monitor developments as further information becomes available. Page 26