2024-03-31-accounts - Healthbus Trust

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Trustees’ Annual Report for the period

From Period start date 01/04/2023 To Period end date 31/03/2024

Charity name: HEALTHBUS TRUST

Charity registration number: 1186790

Objectives and Activities

	SORP reference
Summary of the purposes of the charity as set out in its governing document	Para 1.17	To preserve and protect the health of homeless and rough sleepers in Bournemouth and the surrounding area.
Summary of the main activities in relation to those purposes for the public benefit, in particular, the activities, projects or services identified in the accounts.	Para 1.17 and 1.19	Provision of mobile and other premises in which individuals can seek medical advice; Advancing the education of the general public in all areas relating to the physical and mental health of our patients; Promoting residential accommodation for people who are experiencing homelessness.
Statement confirming whether the trustees have had regard to the guidance issued by the Charity Commission on public benefit	Para 1.18	The trustees have had regard to the guidance for the public benefit, specifically to deliver health care to the homeless and vulnerable members of society.

Additional information (optional) You may choose to include further statements where relevant about:

	SORP reference
Policy on grant making	Para 1.38
Policy on social investment including program related investment	Para 1.38
Contribution made by volunteers	Para 1.38	Our volunteers provide support to our healthcare service and operations, e.g. as drivers, fundraisers, hospitality support, listening companions and publicity.

Other

Achievements and Performance

	SORP reference
Summary of the main achievements of the charity, identifying the difference the charity’s work has made to the circumstances of its beneficiaries and any wider benefits to society as a whole.	Para 1.20	The HealthBus Trust delivers specialist healthcare to homeless individuals in Bournemouth and nearby areas through a mobile GP-led service, collaborating with local agencies, the local authority and third- sector providers. As an award-winning charity, we address health inequalities by reaching those unable to access mainstream healthcare due to significant barriers. From April 2023 to March 2024, the HealthBus facilitated 3,727 clinical interventions across 3-4 operational days weekly, catering to 344 patients with complex health needs. The team visited patients at designated temporary accommodations and those on the streets through homeless outreach. This work has been funded by BCP Funding, NHS Dorset ICB and 32 grant- giving organisations that contributed to restricted and unrestricted funding.

Additional information (optional) You may choose to include further statements where relevant about:

Achievements against objectives set	Achievements against objectives set	Para 1.41	Volunteering Award:Our volunteering commitments were recognised with the prestigious King’s Award for Voluntary Service (KAVS) in November 2023, a testament to our dedication and impact in the community, akin to an MBE. Electric Vehicle:A significant milestone was the launch of our new Electric Response Vehicle for Specialist Homeless Outreach, enhancing our ability to deliver essential healthcare. Leadership & Partnership Working:The Trust continues to demonstrate success in understanding that it isn’t just about _providing_healthcare, it’s about making sure that the systems and processes to access that care are built around the needs of the people it serves, for example, offering drop- in clinics rather than appointments.

HealthBus Hub CIC: The Trust has set up a Community Interest Company (CIC) the HealthBus Hub CIC to enable future clinical delivery, governance and statuary contracts. BCP Homeless Partnership: The Trust continues to be a vital member of Homelessness Partnership BCP, a local partnership in Bournemouth, Christchurch and Poole to help prevent people from losing their homes, and escape homelessness in all its forms. The Partnership has a Homelessness Reduction Board (HRB) that brings leaders together from the Council, NHS, Police, Probation, social housing, voluntary and faith groups to ensure activity is joined up and making a real difference. MDT: The Trust is a vital member of the local Homelessness MDT (MultiDisciplinary Team). The Homelessness MDT works to provide rough sleepers a person-centred and wrap-around support in consideration of their mental health needs, and physical, emotional, social, and spiritual wellbeing. PatientSource: Pioneering our digital cloud-based patient record system through the partnership with PatientSource has been instrumental in enhancing our organisational compliance and efficiency. VIP visits. Trustee’s welcomed esteemed figures like Professor Sir Stephen Powis, National Medical Director of NHS England, and Dr Michael Marsh, Southwest Medical Director & Chief Clinical Information Officer of NHS England, to explore our innovative model of care delivery. Education Engagement: The team have delivered a series of talks to schools, colleges and university students, churches, and local businesses. All these events help to educate, raise awareness of homeless issues and offer fundraising opportunities. Research: Our involvement in three vital homeless research projects, underscores our commitment to evidence-based solutions The Trust has seen a growth in its finances and employed team members due to successful fundraising.

Performance of fundraising activities against objectives set	Para 1.41	Engagement with local businesses and schools deepened, fostering mutual support and awareness with successful fundraising campaigns. The Trust’s fundraising plan complements the Trust’s strategic plan and outlines the prioritising goals and activities, accesses the investment, measures impact and identifies multichannel fundraising approaches to maximise the charity’s resources which has been evident in its achievements in 2023-24.
Investment performance against objectives	Para 1.41	The Trust has benefitted from the support from local government (BCP)and the ICB (CCG) to maintain our work with social prescribing.
Other

Financial Review

Review of the charity’s financial position at the end of the period	Para 1.21	The Trust’s financial position appears to be positive, with income exceeding expenditure by £40,495.00. This surplus indicates effective financial management and suggests that the charity is operating sustainably within its means. The surplus is saved as reserves for future periods.
Statement explaining the policy for holding reserves stating why they are held	Para 1.22	Reserves are held to ensure the uninterrupted service provided to patients and the on-going work of the charity.
Amount of reserves held	Para 1.22	The reserves held are calculated as three months fixed running costs, which include salary, PAYE, pensions.
Reasons for holding zero reserves	Para 1.22
Details of fund materially in deficit	Para 1.24	N/A
Explanation of any uncertainties about the charity continuing as a going concern	Para 1.23	Where any charity is dependent on fundraising, there is always the risk that sufficient funds may not be raised.

Additional information (optional) You may choose to include further statements where relevant about:

The charity’s principal sources of funds (including any fundraising)	Para 1.47	Regular donations from supporters; Fundraising activities, crowdfunding and submissions particularly for core costs from UK grant-giving organisations. Grants from BCP Council and the ICB for clinical support.

Investment policy and objectives including any social investment policy adopted	Para 1.46	All excess funds during the financial year were held in the charity’s Lloyds TSB current bank account.
A description of the principal risks facing the charity	Para 1.46	Principle risks are: • Loss of key staff – the organisation remains dependent on its clinical staff and CQC Registered Manager. • Loss of key revenue streams – the current level of delivery of services depends on a commissioned service for the local authority. • Loss of key partnerships with local homeless services and designated PCNs. • Reputational damage if compliance not followed.
Other

Structure, Governance and Management

Description of charity’s trusts:
Type of governing document (trust deed, royal charter)	Para 1.25	Constitution
How is the charity constituted? (e.g unincorporated association, CIO)	Para 1.25	Charitable Incorporated Organisation
Trustee selection methods including details of any constitutional provisions e.g. election to post or name of any person or body entitled to appoint one or more trustees	Para 1.25	There are no constitutional requirements for the appointment of trustees. All are independent and are invited to join by current trustees based on their commitment to this highly specialised sector and the skills they can bring to governance.

Additional information (optional) You may choose to include further statements where relevant about:

Policies and procedures adopted for the induction and training of trustees	Para 1.51
The charity’s organisational structure and any wider network with which the charity works	Para 1.51	The Trust works in close association with all bodies, whether government or not for profit, who are concerned with the provision of services to the homeless in Bournemouth, Christchurch and Poole.
Relationship with any related parties	Para 1.51	The Trust has CQC Registration and is affiliated to the Fundraising Regulator. The charity is a member ofHomelessness Partnership BCP, a local partnership of 50 organisations across BCP, that helps prevent people from losing their homes, and escape homelessness in all its forms, whether hidden sofa surfing or visible rough sleeping. The Trust is a vital member of the local Homelessness MDT (Multi-Disciplinary Team). The Trust is participating in the Homewards BCP Coalition, directed by the Royal Foundation. With its shared vision to end homelessness in the next 5 years, the Trust is contributing to coalition governance, expansion strategies, and action plan development, enriched by community insights and other local partner expertise.
Other

Reference and Administrative details

Charity name	HealthBus Trust
Other name the charity uses
Registered charity number	1186790
Charity’s principal address	c/o Chessel House, 15 Boscombe Overcliff Drive, Boscombe Manor, Bournemouth, Dorset BH5 1LN

Names of the charity trustees who manage the charity

Trustee name	Office (if any)	Dates acted if not for whole year
Christopher Wakefield	Chair
Dr Gareth Sherwood	Vice-Chair
Susan Baker	Trustee
Darren Slade	Trustee
Dr Luke Turley	Trustee	Appointed 18/05/2023
Myka Wilshire	Trustee	Appointed 20/07/2023
Sara Turner	Trustee	Appointed 14/09/2023

– Corporate trustees names of the directors at the date the report was approved

Director name

Name of trustees holding title to property belonging to the charity

Trustee name Dates acted if not for whole year

Funds held as custodian trustees on behalf of others

Description of the assets held in this capacity

Name and objects of the charity on whose behalf the assets are held and how this falls within the custodian charity’s objects

Details of arrangements for safe custody and segregation of such assets from the charity’s own assets

Additional information (optional)

Names and addresses of advisers (Optional information)

Type of Name Address adviser

Name of chief executive or names of senior staff members (Optional information)

Exemptions from disclosure

Reason for non-disclosure of key personnel details

Other optional information

Declarations

The trustees declare that they have approved the trustees’ report above.

Signed on behalf of the charity’s trustees

Signed on behalf of	the charity’s trustees
Signature(s) Full name(s) Position (eg Secretary, Chair, etc) Date
	Mr Chris Wakefield	Dr Gareth Sherwood
	Chairman	Vice-Chairman
	05 September 2024
	05 September 2024

REGISTERED CHARITY NUMBER: 1186790

Report of the Trustees and Audited financial statements for the year ended 31 March 2024 for Healthbus Trust

Healthbus Trust

Contents of the Financial Statements for the year ended 31 March 2024

	Page
Report of the Trustees	1 to 2
Independent Examiner's Report	3
Statement of Financial Activities	4
Balance Sheet	5
Notes to the Financial Statements	6 to 9
Detailed Statement of Financial Activities	10 to 11

Healthbus Trust

Report of the Trustees for the year ended March 2024

The Trustees present their report with the financial statements of the Charity for the year ended 31 March 2023. The Trustees have adopted the provisions of the Statement of Recommended Practice (SORP) 'Accounting and Reporting by Charities issued in March 2005.

REFERENCE AND ADMINISTRATIVE DETAILS Registered Charity number

1186790

Principal address

Chessel House 15 Boscombe Overcliff Drive Boscombe Manor Dorset BH5 1LN

Trustees

C M Wakefield D Slade G Sherwood M Wilshire - appointed 20/7/2023 Dr L E Turley - appointed 18/5/2023 S A Baker S Turner - appointed 14/9/2023

Independent examiner

The Accounting Bureau Ltd 87 North Road Poole Dorset BH14 0LT

STRUCTURE, GOVERNANCE AND MANAGEMENT Governing Document

The charity is controlled by its governing document and constitutes a charitable incorporated oraganisaton.

Recruitment and appointment of new trustees

There are no constitutional requirements for the appointment of trustees. All are independent and are invited to join by current trustees based on commitment to this highly specialised sector and the skills they can bring to governance.

Risk Management

The trustees have a duty to identify and review the risks to which the charity is exposed and to ensure appropriate controls are in place to provide reasonable assurance against fraud and error.

OBJECTIVES AND ACTIVITIES

Objectives and aims

To preserve and protect the health of homeless and rough sleepers in Bournemouth and the surrounding area.

Provision of mobile and other premises in which individuals can seek medical advice.

Advancing education of the general public in all areas relating to the physical and mental health of our patients.

Promoting residential accommodation for people who are experiencing homelessness.

Page 1

Healthbus Trust

Report of the Trustees

for the year ended 31 March 2024

OBJECTIVES AND ACTIVITIES

Volunteers

Our volunteers provide support to the healthcare workers, for example as drivers and security.

ACHIEVEMENT AND PERFORMANCE

Charitable activities

The Healthbus Trust delivers specialist healthcare to homeless individuals in Bournemouth and nearby areas through a mobile GP-led service, collaborating with local agencies, the local authority and third-sector providers. As an award winning charity, we address health inequalities by reaching those unable to access mainstream healthcare due to significant barriers.

From April 2023 to March 2024, the HealthBus Trust facilitated 3,727 clinical interventions across 3-4 operational days weekly, catering to 344 patients with complex health needs.

The team visited patients at designated temporary accommodations and those on the streets through homeless outreach.

This work has been funded by BCP Funding, NHS Dorset ICB and 32 grant-giving organisations that contributed to restricted and unrestricted funding.

Fundraising activities

Engagement with local businesses and schools deepened, fostering mutual support and awareness with successful fundraising .

The Trust's fundraising plan complements the Trust's strategic plan and outlines the prioritising goals and activities, accesses the investment, measures impact and identifies multichannel fundraising approaches to maximise the charity's resources which has been evident in its achievements in 2023-24.

FINANCIAL REVIEW

Reserves policy

Reserves are held to ensure the uninterrupted service provided to patients and the ongoing work of the charity.

The reserves are calculated as three months running costs, which include salary, PAYE, pensions and GP/nurse sub-contractor costs.

Principal funding sources

Regular donations from supporters; Fundraising activities, particularly for the new bus; Grant applications to charities and organisations; Grants from BCP Council for additional sessions.

Investment policy and objectives

All excess funds during the financial year were held in the charity's Lloyds bank account.

Mr C. Wakefield Chairman, HealthBus Trust

Page 2

Independent Examiner's Report to the Trustees of Healthbus Trust

I report on the accounts for the year ended 31 March 2024, which are set out on pages 4 to 9.

Responsibilities and basis of report

As the charity's trustees you are responsible for the preparation of the accounts in accordance of the Charities Act 2011 ('the Act').

I have examined your charity's accounts as required under section 145 of the Charities Act 2011 ('the Act'). In carrying out my examination I have followed the directions given by the Charity Commission under S145(5)(b) of the 2011 Act.

My role is to state whether any material matters have come to my attention giving me cause to believe:

That accounting records were not kept as required by section 130 of the Act; or
That the accounts do not accord with those records; or
That the accounts do not comply with the requirements of the Act; or
That there is further information needed for a proper understanding of the accounts.

Independent examiner's statement

I have completed my examination and have no concerns in respect of the matters 1 to 4 listed above and in connection with following the Directions of the Charity Commission I have found no matters that require drawing to your attention.

A Carr AAT Date

Page 3

Healthbus Trust

Statement of Financial Activities for the year ended 31 March 2024

Notes INCOMING RESOURCES Incoming resources from generated funds Voluntary income 6 RESOURCES EXPENDED Cost of generating funds Costs of generating voluntary income Charitable activities Governance costs Other resources expended Total resources expended NET INCOMING/(OUTGOING) RESOURCES RECONCILIATION OF FUNDS Total funds brought forward TOTAL FUNDS CARRIED FORWARD	Unrestricted funds £ 210,823 4,419 146,994 75,304 36,963 263,680 -52,857 107,139 54,282	Restricted funds £ 273,210 - 112,542 70,124 - 182,666 90,544 243,338 333,882	Year Ended 31.3.24 Total funds £ 484,033 4,419 259,536 145,428 36,963 446,346 37,687 350,477 388,164	Year Ended 31.3.23 Total funds £ 440,018 1,455 125,822 99,332 13,770
				240,379
				199,638 150,839
				350,477

The notes form part of these financial statements

Page 4

Healthbus Trust

Balance sheet at 31 March 2024

Notes FIXED ASSETS Intangible assets 1 Tangible assets 4 CURRENT ASSETS Debtors 5 Cash at bank CREDITORS Amounts falling due within one year 7 NET CURRENT ASSETS TOTAL ASSETS LESS CURRENT LIABILITIES NET ASSETS FUNDS 8 Unrestricted funds Restricted funds TOTAL FUNDS	Unrestricted funds £ 370 21,885 2,940 37,644 40,584 8,557 32,027 54,282 54,282	Restricted funds £ - 59,325 - 274,557 274,557 0 274,557 333,882 333,882	31.3.24 Total funds £ 370 81,210 2,940 312,201 315,141 8,557 306,584 388,164 388,164 54,282 333,882 388,164	31.3.23 Total funds £ 370 74,460 58,153 252,942
				311,095 35,448 275,647
				350,477
				350,477
				107,139 243,338
				350,477

The financial statements were approved by the Board of Trustees on …05 September 2024... And were signed on its behalf by:

----- Start of picture text -----
…………………………………….
----- End of picture text -----

Mr C. Wakefield Chairman, HealthBus Trust

The notes form part of these financial statements

Page 5

1 ACCOUNTING POLICIES

2 TRUSTEES' REMUNERATION AND BENEFITS

Healthbus Trust

Notes to the Financial Statements for the year ended 31 March 2024

Accounting convention

The financial statements have been prepared under the historical cost conventionand in accordance with the Financial Reporting Standard for Smaller Entities (effective April 2008), the Charities Act 2011 and the reuirements of the Statement of Recommended Practice. Accounting and Reporting by Charities.

Incoming resources

All incoming resources are included on the Statement of Financial Activities when the charity is legally entitled to the income and the amount can be quantified with reasonable accuracy.

Resources expended

Expenditure is accounted for an accruals basis and has been classified under headings that aggregate all cost related to the category. Where costs cannot be directly attributed to particular headings they have been allocated to activities on a basis consistent with the use of resources.

Intangible fixed assets

A registered trademark has not been amortised due to its indefinite useful economic life.

Tangible fixed assets

Depreciation is provided at the following annual rates in order to write off each asset over its estimated useful life.

Plant and machinery - 10% straight line Motor vehicles - 10% straight line

Taxation

The charity is exempt from tax on its charitable activities.

Fund accounting

Unrestricted funds can be used in accordance with the charitable objectives at the discretion of the trustees.

Restricted funds can only be used for particular restricted purposes within the objects of the charity. Restrictions arise when specified

Further explanation of the nature and purpose of each fund is included in the notes to the financial statements.

Hire purchase and leasing commitments

Rentals paid under operating leases are charged to the Statement of Financial Activies on a straight line basis over the period of the lease.

Pension costs and other post-retirement benefits

The charity operates a defined contribution pension scheme. Contributions payable to the charity's pension scheme are charged to the Statement of Financial Activities in the period to which they relate.

There were no trustees' remuneration or other benefits for the year ended 31 March 2024 nor for the year ended 31 March 2023.

Trustees' expenses

There were no trustees' expenses paid for the year ended 31 March 2024 nor for the year ended 31 March 2023.

Page 6

Healthbus Trust

Notes to the Financial Statements - continued for the year ended 31 March 2024

3 STAFF COSTS

Wages and salaries Social security costs Other pension costs	Year ended 31.3.24 £ 217,873 12,986 4,229 235,088	Year ended 31.3.23 £ 161,810 8,324 2,816
		172,950

No employees received emoluments in excess of £60,000.

4 TANGIBLE FIXED ASSETS Plant & machinery £ COST At 1 April 2023 14,991 Additions 407 At 31 March 2024 15,398 DEPRECIATION At 1 April 2023 (1,571) Charge for year (1,557) At 31 March 2024 (3,128) NET BOOK VALUE At 31 March 2024 12,270 At 31 March 2023 13,420 5 DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR Other debtors 6 INCOMING RESOURCES Donations Gift aid Grants Government/NHS grants Local authority grant/Contract Other income	Motor vehicles £ 67,495 12,773 80,268 (12,931) (8,012) (20,943) 59,325 54,564 Core £ 9,877 1,242 198,095 1,609 - - 210,823	Computer equipment £ 6,823 4,131 10,954 (347) (992) (1,339) 9,615 6,476 31.3.24 £ 2,940 Restricted £ - - 200,745 72,465 - - 273,210	Totals £ 89,309 17,311
			106,620
			(14,849) (10,561)
			(25,410)
			81,210
			74,460
			31.3.23 £ 58,153
			31.3.24 £ 9,877 1,242 398,840 74,074 - -
			484,033

Page 7

Healthbus Trust

Notes to the Financial Statements - continued

for the year ended 31 March 2024

CREDITORS: AMOUNTS FALLING DUE WITHIN 1 YEAR

Trade creditors Taxation and social security Other creditors MOVEMENT IN FUNDS Unrestricted funds General fund Restricted funds Various TOTAL FUNDS Net movement in funds included in the above are as follows: Unrestricted funds General fund Restrictedfunds Various TOTAL FUNDS	31.3.24 31.3.23 £ £ 1,837 1,790 4,416 4,492 2,305 29,166 8,558 35,448 Net movement At 1.4.23 in funds At 31.3.24 £ £ £ 107,139 52,857 - 54,282 243,338 90,544 333,882 350,477 37,687 388,164 Incoming Resources Movement in resources expended funds £ £ £ 210,823 263,680 52,857 - 273,210 182,666 90,544 484,033 446,346 37,687	31.3.23 £ 1,790 4,492 29,166
		35,448
		At 31.3.24 £ 54,282 333,882
		388,164
		37,687

Page 8

Healthbus Trust

Notes to the Financial Statements - continued for the year ended 31 March 2024

MOVEMENT IN FUNDS - continued

MOVEMENT IN FUNDS - continued
Comparatives for movement in funds Unrestricted funds General fund Restricted funds Funds held for a new bus TOTAL FUNDS Comparative net movement in funds, included in the above are as follows: Unrestricted funds General fund Restrictedfunds Funds held for new bus TOTAL FUNDS	Net movement At 1.4.22 in funds At 31.3.23 £ £ £ 60,471 46,668 107,139 90,368 152,970 243,338 150,839 2,865 350,477 Incoming Resources Movement in resources expended funds £ £ £ 163,799 -117,131 46,668 276,219 -123,249 152,970 440,018 -240,380 199,638	At 31.3.23 £ 107,139 243,338
		350,477
		199,638

Page 9

Healthbus Trust

Detailed Statement of Financial Activities for the year ended 31 March 2024

INCOMING RESOURCES Voluntary income Donations Gift aid Grants Other income Total incoming resources RESOURCES EXPENDED Cost of generating voluntary income Advertising Networking Fund raising expenses Charitable activities GP and nurse wages Medical director fees Paramedic fees Security costs Bus hire and driver wages Direct expenses Miscellaneous purchases Medical purchasing and testing Healthbus Hub CIC Plant and machinery Motor vehicles Computer equipment Governance costs Wages and salaries Social security Pensions Training Accountancy Consultancy Subscriptions Carried forward	Year ended 31.3.24 £ 9,877 1,242 472,914 - 484,033 484,033 3,449 661 309 4,419 114,103 16,960 - 4,034 1,821 3,200 675 2,182 107,268 1,557 6,744 992 259,536 103,770 12,986 4,229 646 7,269 10,727 3,123 142,750	Year ended 31.3.23 £ 57,875 1,273 379,695 1,175
		440,018
		440,018 860 182 413
		1,455 91,875 18,280 600 3,592 118 633 1,149 1,547 - 963 6,744 321
		125,822 69,935 8,324 2,816 335 3,330 2,114 1,319
		88,173

This page does not form part of the statutuory finanical statements

Page 10

Healthbus Trust

Detailed Statement of Financial Activities for the year ended 31 March 2024

Governance costs Brought forward Staff welfare Legal and professional fees Conference fees Support costs Management Rent Insurance Telephone Printing, postage and stationery IT costs Patient database Repairs and renewals Sundries Motor and travel Electric vehicle Subsistence Meeting costs Finance Bank charges Total resources expended Net income	Year ended 31.3.24 £ 142,750 - 2,678 - 145,428 - 4,479 1,010 1,241 5,426 10,800 511 2,201 8,257 1,268 717 977 36,887 76 446,346 37,687	Year ended 31.3.23 £ 88,173 - 9,271 1,888
		99,332 265 1,033 709 1,407 1,778 - 311 1,333 6,395 - 393 96
		13,719 51
		240,380
		199,638

This page does not form part of the statutory financial statements

Page 11

Independent Examiner's Report to the Trustees of Healthbus Trust

I report on the accounts for the year ended 31 March 2024, which are set out on pages 4 to 9.

Responsibilities and basis of report

As the charity's trustees you are responsible for the preparation of the accounts in accordance of the Charities Act 2011 ('the Act').

My role is to state whether any material matters have come to my attention giving me cause to believe:

That accounting records were not kept as required by section 130 of the Act; or
That the accounts do not accord with those records; or
That the accounts do not comply with the requirements of the Act; or
That there is further information needed for a proper understanding of the accounts.

Independent examiner's statement

A Carr AAT Date

Page 3