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2022-03-31-accounts

DocuSign Envelope ID: 3882D88E-1808-402E-AF8E-51E2C05E29B1

REPORT OF THE TRUSTEES AND FINANCIAL STATEMENTS

FOR THE PERIOD ENDED 31 MARCH 2022 FOR DAY ONE TRAUMA SUPPORT

(A company limited by guarantee)

(Company registration number 13155922)

REGISTERED NUMBER: 1194227

DocuSign Envelope ID: 3882D88E-1808-402E-AF8E-51E2C05E29B1

DAY ONE TRAUMA SUPPORT REPORT OF THE TRUSTEES AND FINANCIAL STATEMENTS

PERIOD ENDED 31 MARCH 2022

Contents

Page
Charity Reference and Administrative Details 1
Chair’s Statement 2
Trustees’ Annual Report (Including Directors’ Report and Strategic Report) 3
Independent Auditor’s Report 15
Statement of Financial Activities 18
Balance Sheet 19
Statement of Cash Flows 20
Notes to the Financial Statements 21

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DAY ONE TRAUMA SUPPORT CHARITY REFERENCE AND ADMINISTRATIVE DETAILS PERIOD ENDED 31 MARCH 2022

Charity registration number 1194227 Company registration number 13155922 Trustees Katherine Bratt-Farrar (Appointed 5 March 2021) David Hay (Appointed 25 June 2021) Professor Susan Proctor (Appointed 25 January 2021) (Chair) Professor Philip Turner (Appointed 5 March 2021) Dr Louise Johnson (Appointed on 24 June 2022) Simon Morrow (Appointed on 24 June 2022) Company Secretary Frances Limbert Chief Executive Officer Lucy Nickson Registered office Room LGI12/0B.017 Brotherton Wing B Floor Leeds General Infirmary Leeds West Yorkshire LS1 3EX Auditor TC Group 6 Queen Street Leeds LS1 2TW Bankers Barclays Bank plc Leeds 9 Leicester Leicestershire LE87 2BB

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DAY ONE TRAUMA SUPPORT CHAIR’S STATEMENT

PERIOD ENDED 31 MARCH 2022

I joined Day One Trauma Support as Chair in 2020, at the point that the charity was taking brave steps towards independence.

In one year, we have achieved an incredible amount and I am proud to be Chair of the Board of Trustees of such a young, dynamic and forward-thinking charity. More importantly, we have established a service in the Major Trauma Centres that is already meeting the needs of people when they are at their most vulnerable.

The difference Day One is making is already huge, and our dedicated and committed Trustees have worked hard to support our professional and hard-working teams of staff and volunteers. We are proud of our ambitions to become established as the only UK national charity which supports people affected by major physical trauma and all associated complexities and challenges.

Susan Proctor Chair

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DAY ONE TRAUMA SUPPORT

TRUSTEES’ ANNUAL REPORT (INCLUDING DIRECTORS’ REPORT AND STRATEGIC REPORT)

PERIOD ENDED 31 MARCH 2022

The Trustees present their report and the audited financial statements of the Charity for the period ended 31 March 2022. The Trustees have adopted the provisions of the Statement of Recommended Practice (SORP) “Accounting and Reporting by Charities” (FRS 102) in preparing the Trustees’ Annual Report and financial statements.

The financial statements have been prepared in accordance with the accounting policies set out in the notes to the accounts and comply with the Charity’s governing document, the Charities Act 2011 and Charities SORP (FRS102): 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.

TRUSTEES OF THE CHARITY

The Directors of the Charitable Company are its Trustees for the purposes of charity law. The Trustees who have served during the period and since the period end were as follows:

Katherine Bratt-Farrar (Appointed 5 March 2021) David Hay (Appointed 25 June 2021) Professor Susan Proctor (Appointed 25 January 2021) Professor Philip Turner (Appointed 5 March 2021) Dr Louise Johnson (Appointed on 24 June 2022) Simon Morrow (Appointed on 24 June 2022)

OBJECTIVES AND ACTIVITIES

The objectives of the charity, as contained in the company’s memorandum of association, are to preserve and protect good health for the public benefit of persons suffering from major trauma, in particular but not exclusively by:

Our mission is to be available for anyone affected by major trauma who needs us. Wherever they are. Whenever they need us. For as long as it takes.

The strategies for achieving our objectives include activities within three main pillars:

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DAY ONE TRAUMA SUPPORT TRUSTEES’ ANNUAL REPORT (INCLUDING DIRECTORS’ REPORT AND STRATEGIC REPORT)

PERIOD ENDED 31 MARCH 2022

STRATEGIC REPORT

ACHIEVEMENTS AND PERFORMANCE

A summary of the work of the Charity over the period is set out below:

We are just getting started and know there is significant unmet need.

The need for our support has never been more urgent. We have made significant developments during 2021/22 – moving from our home base in Leeds to a national stage. In addition to Leeds and West Yorkshire, we are now operating our caseworker model in Liverpool and the North West, and in Middlesborough and the North East. Since launching as an independent charity in 2021, our impact has been significant and is gaining momentum.

We have developed a service plan for the next three years and are developing our fundraising strategy to support that and to ensure financial sustainability.

Securing funding through our partnership model with trusted legal panels gives us the security and sustainability to invest in our long-term service delivery. We know we need to embed our service within the teams we work with to see real dividends, as NHS colleagues see just what a difference we can make to their patients.

We are working hard to ensure our services are evidence-based and complement and enhance existing care provided by the NHS and partners.

Fundamentally, our services are driven by the lived experience of the people we support. This will remain a firm principal underpinning everything we do.

Our service performance

Since we de-linked from Leeds Hospitals Charity on 1 May 2021, the demand for our services has steadily risen. During the initial set-up phase, we had heavily restricted access to major trauma wards, hospitals and face-to-face meetings due to the coronavirus pandemic. Since the financial year end, and the removal of restrictions, the demand for our services has increased significantly and monthly total referrals have doubled between March 2022 and June 2022.

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DAY ONE TRAUMA SUPPORT TRUSTEES’ ANNUAL REPORT (INCLUDING DIRECTORS’ REPORT AND STRATEGIC REPORT)

PERIOD ENDED 31 MARCH 2022

The range of Day One services accessed by patients.

The people we support have suffered major trauma injuries from a wide range of causes. Vehicle incidents remains the most common (54%), which reflects the national picture.

“The lack of a service such as Day One Trauma Support was the biggest deficit in our Major Trauma Service. Already in such a short time, all members of the Major Trauma Centre have seen how vital this service has become to our patients”

Calum Edge, Major Trauma Nurse Practitioner

“My only regret, seeing the difference Day One has made over the last year, is thinking about all the people who would have benefited from their support in the nine years the Major Trauma Centre was open before Day One launched their service with us.”

Vanessa Lownsbrough, Ward Manager

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DocuSign Envelope ID: 3882D88E-1808-402E-AF8E-51E2C05E29B1

DAY ONE TRAUMA SUPPORT TRUSTEES’ ANNUAL REPORT (INCLUDING DIRECTORS’ REPORT AND STRATEGIC REPORT)

PERIOD ENDED 31 MARCH 2022

2021/22 highlights

During the year we created our core values and continue to embed these throughout everything we do:

Ambitious Authentic Caring Inclusive Open

Operational partnerships

By 31 March 2022, we had developed strategic partnerships with NHS trusts including:

Fundraising activities

As a charity, Day One relies heavily on donations from generous individuals, organisations and supporter groups. We gratefully received a transformational grant of £1 million from the Wyss Foundation to de-link from Leeds Hospitals Charity and kick start our aspiration to ensure no one experiences major trauma alone.

Income from fundraising allows us to offer a wide range of support services for people who need it most, in line with our charitable objectives. From May 2021 to March 2022, our fundraising strategy evolved from the work undertaken by Leeds Hospitals Charity, and emerged into our own brand of income generation, with supporter care at the heart of everything we do.

During this time, we received £205,000 in fundraising and grant income.

Trusts and Foundations will be a key source of funding, and during the financial year we received grants from:

Fundraising is a challenge when starting from scratch, following a global pandemic and as we enter an uncertain economic climate. Our small base of loyal supporters reflects our ambition for growth and our careful and realistic planning for fundraising growth.

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DAY ONE TRAUMA SUPPORT

TRUSTEES’ ANNUAL REPORT (INCLUDING DIRECTORS’ REPORT AND STRATEGIC REPORT)

PERIOD ENDED 31 MARCH 2022

Regulations

Day One Trauma Support donors can be assured we comply with the regulatory standards for fundraising. We are registered with the fundraising regulator and are committed to the Code of Fundraising Practice.

We have in-house fundraising expertise, an active fundraising and communications committee, and run all our appeals and events internally. This means we do not use third parties for income generating activities or mailings at this stage of development. We approach people who have supported us in the past and adhere to their contact preferences where stated. We have supporters who participate in challenge events, and they approach their own supporters for sponsorship. We support them with social media activities.

Our fundraising team understands that some of our supporters are likely to be vulnerable following their injuries and, while we welcome all financial gifts, our supporters are not placed under any pressure to donate. We are mindful that vulnerable adults may be particularly susceptible to requests for support.

Supporters are informed and able to opt out of receiving communications from Day One. We are signed up to the Fundraising Preference Service so individuals can opt out from receiving fundraising communications. During the year, we received no complaints regarding our fundraising practice via the Fundraising Preference Service. We have had requests from people to update their contact preferences and this has been actioned accordingly and recorded on our fundraising database.

Partnerships

We have strategic fundraising partnerships with our legal panel. These partnerships enable us to expand our support network at pace. These currently include:

Grant making and our policies

A key part of our offering is Emergency Funding, which helps people cope with the immediate financial impact of major trauma. Grants are provided to assist with unexpected costs directly incurred due to a major trauma injury, or to purchase items that have a positive impact on a patient’s wellbeing and recovery. Examples include travel and accommodation, healthcare items, wheelchair hire and clothing.

We also provide grants to purchase patient equipment, which is not otherwise available, to enhance recovery. This includes specialist beds and mattresses, safety equipment, and other specialist equipment to enable patients to be discharged from hospital.

To support our objective of conducting studies and research into new methods of surgery and recovery, we offer Research and Innovation grants. Research, or sponsorship of studies, has to demonstrate a benefit to patient care for those affected by major physical trauma and not be eligible to NHS funding.

Our guiding principles ensure grants are only awarded when applications meet set criteria. These include: aligning with our objectives; are within the approved budget; address a need that is beyond the level or outside of scope of other funding (including NHS when relevant); have potential to directly impact patients, their loved ones, and our partners; is something that would make stakeholders, donors, and supporters proud. Specific guidance on emergency funding is in place for caseworkers so we can focus on acute needs, rather than general costs and longer-term financial distress.

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DAY ONE TRAUMA SUPPORT TRUSTEES’ ANNUAL REPORT (INCLUDING DIRECTORS’ REPORT AND STRATEGIC REPORT)

PERIOD ENDED 31 MARCH 2022

Our amazing volunteers

We are incredibly proud of, and grateful to, our volunteers. They give their time to our Peer Support Programme, directly supporting people who are newly affected by life-changing or catastrophic injury. They also work with us to amplify the far-reaching psychosocial impact of such injuries, recognising that the impact of major trauma stretches beyond the physical body, deeply impacting many areas of a person’s life. Peer support at Day One brings a crucial dimension of empathetic, authentic, and non-clinical emotional support to people impacted by their injuries, and to their families. This model of support is central to our origin as a charity. Day One began with a mantra “care by patients for patients”, and as the organisation has expanded into a charity with national reach, peer support, and all our volunteers, remain at the heart of what we do.

BENEFITS TO THE PUBLIC FROM THE SERVICES OF DAY ONE TRAUMA SUPPORT

The Trustees confirm that we operate in compliance with the Companies Act 2006, the Charities Act 2011, the Accounting and Reporting by Charities; Statement of Recommended Practice 2019 (SORP), other applicable accounting structures and the provisions of the Memorandum and Articles of Association of the organisation. In shaping our objectives and planning our activities, the Trustees confirm that they have considered the Charity Commission’s guidance on public benefit, including the guidance “Public benefit: running a charity (PB2)”.

We are here to provide expert practical and emotional support. No one wakes up in the morning expecting to be the victim of a life-changing catastrophic injury. The impact of any injury of this nature extends to friends, family, work colleagues and beyond.

With so much to take on board, and no blueprint to work from, having someone by your side from the earliest moment is essential to ensure you, and those you care about, understand what is important and what decisions need to be made.

Our caseworkers are experts at navigating and signposting people in the immediate aftermath of injury, helping ensure they have the best possible recovery, regardless of what they are facing. To help achieve this we offer peer support, counselling, legal, welfare and benefits advice, and emergency grants to help cover the unexpected costs that people can incur.

We can provide this support within hospitals, and remotely via our website and telephone line, which will soon be open 24-hours-a-day, 365-days-a-year.

We align with, and complement, the work of the NHS by supporting anyone affected by major trauma, not just the individual. This ensures limited NHS staff resources are focussed on where it will have the biggest impact. For many people, their greatest concern and worry is the impact their injury will have on those they care about. Knowing that we are supporting their loved ones allows them to focus on their own recovery, while others affected can access direct support, as soon as they need it, from day one.

By working with our partners, we can ensure that, together, no one faces recovery from life-changing or catastrophic injury alone.

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DocuSign Envelope ID: 3882D88E-1808-402E-AF8E-51E2C05E29B1

DAY ONE TRAUMA SUPPORT

TRUSTEES’ ANNUAL REPORT (INCLUDING DIRECTORS’ REPORT AND STRATEGIC REPORT)

PERIOD ENDED 31 MARCH 2022

PRINCIPAL RISKS AND UNCERTAINTIES

The charity has developed an approach to good governance that includes the development of a strategic risk register and a risk management strategy. These enable us to review the risks the charity faces and establish a system and procedures to mitigate those risks. The Risk Register is presented to and reviewed by the Finance, Audit and Risk Committee, and the Board of Trustees on a regular basis.

As of 31 March 2022, the Trustees believe the following to be the key risks facing the organisation:

Identified Risk Mitigation
The
organisation’s
infancy
means
sustainable
income
streams
remain
immature
in
their
development. As such, there is a reliance on a low
number of income sources.		 •
A new three-year strategy, underpinned by a
comprehensive fundraising strategy, is being
developed, ready for launch next year.
•
Fundraising
planning
is
being
carefully
developed
to
prioritise
sustainable
income
sources in realistic timeframes – giving a broader
mix to income over time.
•
Potential
new
income
sources
are
being
developed, such as an increase in grant funding
applications, which we will be eligible to apply
for, following publication of our first annual
accounts.
The lifecycle stage of the organisation has resulted
in the cost base increasing. However, the majority of
the associated income is not expected until the
2023/24 financial year. As a result, the organisation
has a negative net cashflow and a depleting bank
balance.		 •
Significant investment has been made in the
fundraising
team,
through
recruitment
and
external support.
•
Cashflow forecasts are regularly produced for the
Senior Leadership Team and reviewed by the
Finance, Audit and Risk Committee.
•
We have a revenue model associated with
service delivery and expansion. This is supported
by legal panel partnership. This ensures revenue
and predictable cash flow while all other sources
of voluntary income are being developed.
Recruitment and retention of staff. •
A creative and flexible approach to recruitment has
been deployed utilising a mix of recruiters, own
social media sources and networks.
•
The charity has committed to paying competitive
salary levels to ensure it attracts the right skills and
expertise in this sensitive area of work.
Information security/data protection and IT systems
breach / failure.		 •
Data Protection/GDPR and IT security are
outsourced to specialist external providers.
•
Appropriate insurance is in place.
•
Internal control procedures ensure staff are aware
oftheserisks.

In the next financial period, as our services grow, we will continue to develop robust risk assessments and contingency plans to ensure we are safe in all aspects of service delivery.

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DAY ONE TRAUMA SUPPORT TRUSTEES’ ANNUAL REPORT (INCLUDING DIRECTORS’ REPORT AND STRATEGIC REPORT)

PERIOD ENDED 31 MARCH 2022

PLANS FOR FUTURE PERIODS

Our long-term ambition to have a presence across all Major Trauma Centres and networks across the UK is clear. We have focussed our efforts on a stepped approach to growth with a three-year plan which focusses on realistic, sustainable and responsible growth. This will be launched in Spring 2023.

It’s important for us to address the inequity people face during recovery and rehabilitation in trauma care in the UK. But first, it is fundamentally important we raise awareness about how people’s lives are widely impacted by life-changing and catastrophic injuries. We will do this alongside stepping up our efforts to highlight the help that is available to people now.

The next three years are critical for us to embed our brand and ambition, as well as our service aims.

We know developing long-term relationships with key partners is vital as part of a diverse funding portfolio. We also need to grow our supporter base urgently and we will focus on acquisition of new supporters and donors over the next three years. With that comes responsibility to our donors. Part of our three-year plan involves mapping our donor journey so we can serve them well and retain the right level of interest and support.

We know our model is right and our case for support is compelling. But we need time to build relationships with organisations, individuals and grant-making organisations. This will help bolster our much-needed case for support. Our aim is to build confidence and credibility with a diverse income portfolio and sustainable financial model by 2025.

At the heart of Day One are the people we support. We will continue to amplify the voices of those affected by major trauma and develop robust evaluation measures so we can further evidence our need, relevance and impact.

We will also look to strengthen our partnerships with the NHS, social care organisations, charity partners, and stakeholders who are relevant to UK major trauma care.

STRUCTURE, GOVERNANCE AND MANAGEMENT

Day One Trauma Support is a company limited by guarantee without share capital, governed by its Memorandum and Articles of Association adopted on incorporation on 25 January 2021, and amended by special resolution on 31 March 2021. Our Articles of Association underpin how we operate, and our charitable objects are to preserve and protect good health for the public benefit of persons suffering from major trauma as detailed earlier in our report. It is a registered charity with the Charity Commission.

Day One does not have a share capital and the guaranteed liability of each member (trustee) is limited to £1. No member of the Board has an interest in shares required to be registered and reported under the Companies Act 2006. The charity does not have any subsidiaries.

Day One is overseen by a Board of Trustees, which consists of six Trustees, led by the Chair, who provide governance to the organisation. The Trustees formally meet as a Board at least four times a year to discuss, challenge and review the activities of Day One in line with the roles and responsibilities as defined by the Charity Commission.

The Trustees act on a voluntary basis and receive no remuneration for the performance of their duties. Trustee indemnity insurance is in place and paid for by Day One.

The Board delegates responsibility to three Committees, each led by a Trustee, which enhances the decision making of the Board. The Committees include the CEO and Senior Leadership Team members are in attendance. The sub-committees are:

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DAY ONE TRAUMA SUPPORT

TRUSTEES’ ANNUAL REPORT (INCLUDING DIRECTORS’ REPORT AND STRATEGIC REPORT)

PERIOD ENDED 31 MARCH 2022

Good governance is fundamental to our sustained success as a charity. With good governance in place, we are best placed to deliver our mission and achieve our objectives. It enables all our people to use their skills, together with our resources, to best effect. It helps ensure we are compliant with all relevant legislation, constantly reviewing the risks we are facing to provide standards of the highest quality, and supporting a positive culture, including for our volunteers. To build on the embedding of our governance practices that took place during 2021/22, we will conduct an annual review of our charity governance, using the Charity Governance Code.

During 2021/22 we have created many policies, procedures and processes that have allowed us to have a solid foundation during our ‘start up’ phase. This foundation is robust and will allow us to achieve our growth and ambitions as we move forward to our ‘scale up’ phase.

During 2021/22 the Board agreed our Scheme of Delegation, giving further clarity on how decisions are made and who holds that responsibility. Operational decision making is delegated from the Board of Trustees to the Chief Executive. To allow effective operations, the Chief Executive has delegated authority for all operational matters including finance, fundraising, employment and the delivery of charitable activities. A Senior Leadership Team is in place to support operational decision-making comprising:

Lucy Nickson Chief Executive Chris Farrell Director of Service Delivery and Development Fran Limbert Director of Corporate Services and Company Secretary Sarah Martin Director of Fundraising and Communications

There are also a range of groups established internally to ensure focus on key strategic developments. These include:

Appointment, induction and training

Appointments to staff or Trustee roles are made on merit, following a robust recruitment campaign. We support our staff and Trustees with a formal onboarding process, including a tailored induction, and training. During 2021/22 we embedded our staff mandatory training framework.

New trustees are provided with key documentation to allow them to understand their role and responsibilities. An induction process is in place and additional relevant training is available.

Trustees are appointed for terms of three years. A Trustee who has served their term must retire at the next Board meeting that occurs nearest to the expiry of their term. A retiring Trustee who remains eligible may be re-appointed for a maximum of three consecutive terms of office including their initial term. The Trustees may, in circumstances which they consider to be exceptional, permit one or more of the Trustees to serve one or more additional consecutive terms of office, provided that any such further appointment may only take effect with the consent of at least 75 percent of the other Trustees.

Remuneration

We undertook a benchmarking exercise during 2021/22 to support us in creating our Pay Scale framework. The framework, associated policy, and pay scales were approved by the Board, and allow us to recognise and value the unique worth and contribution of every staff member. We’re committed to ensuring we pay our team a fair and appropriate salary informed by the local labour market.

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DAY ONE TRAUMA SUPPORT TRUSTEES’ ANNUAL REPORT (INCLUDING DIRECTORS’ REPORT AND STRATEGIC REPORT)

PERIOD ENDED 31 MARCH 2022

FINANCIAL REVIEW

Overview

Incoming resources in the period to 31 March 2022 were £1.3 million. Expenditure in the same period was £0.7 million, resulting in net income for the period of £0.6 million.

Income

The majority of income in the period relates to funds transferred from Leeds Hospitals Charity of £1.05 million when the charity became independent. The majority of these funds related to the Wyss Foundation donation, plus additional fundraising while Day One operated as part of Leeds Hospitals Charity. Grants totalling £127,000 were received during this period from various organisations, including firms as part of strategic fundraising partnerships with our legal panel. In addition, the charity benefited from the generous support of individual and organisational donors.

The charity was grateful to benefit from donated services relating to caseworker support in Aintree and James Cook Major Trauma Centres, prior to our own caseworkers being recruited. Income of £10,000 was restricted to funding the salary of an Outreach Worker. All other income in the period was unrestricted.

Expenditure

Expenditure on charitable activities in this period totalled £464,000, which was funded solely from incoming resources. Costs of £163,000 relate to the salaries of staff within the Service Delivery and Development team, including our caseworkers and outreach workers. A further £73,000 of expenditure related to direct Patient Services. The costs of the Support function totalled £228,000, including management and administration salaries, governance costs and other centralised costs such as IT and audit fees. A significant proportion of these costs relate to the initial set up of the charity in the first period of operation.

The remaining expenditure of £205,000 relates to raising funds for the charity, which is critical for the sustainability of the organisation. Expenditure of £161,000 relates to staff salaries of the Fundraising and Communications team.

Capital Expenditure

There were no assets capitalised during this period.

Financial position as of 31 March 2022

Net assets total £585,000 at the period end.

Financial investments

The charity does not hold any financial investments.

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DAY ONE TRAUMA SUPPORT

TRUSTEES’ ANNUAL REPORT (INCLUDING DIRECTORS’ REPORT AND STRATEGIC REPORT)

PERIOD ENDED 31 MARCH 2022

RESERVES

In line with Charity Commission guidance, the Trustees have examined the charity’s requirements for reserves to ensure the continued furtherance of its objectives, whilst considering the main risks to the organisation. The Trustees recognise that holding reserves at an appropriate level allows Day One Trauma Support to be seen by its donors, beneficiaries, employees and other supporters as financially viable, and ready for unforeseen circumstances, new opportunities, and planning for the longer term.

The Trustees consider readily realisable (free) reserves to be the amount of reserves that are easily converted into cash, therefore excluding restricted funds, designated funds, and any part of unrestricted funds not readily available for spending. These unrestricted funds are required to:

Given the lifecycle stage of the organisation and the unpredictable nature of the charity’s income, the reserves policy of Day One, which has been approved by the Trustees, states that we should aim to hold a minimum of 3 months of reserves, based on running costs, together with wind up costs in the first year of operation. This figure is £180,000 for the period ending 31 March 2022, based on average running costs through the period from the date of de-linking. As of 31 March 2022, the total reserves of Day One were £585,000, of which £3,000 was restricted, therefore free reserves totalled £582,000 which is above the target level.

The Trustees continue to monitor the level of free reserves at regular intervals via the Finance, Audit and Risk Committee.

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DAY ONE TRAUMA SUPPORT

TRUSTEES’ ANNUAL REPORT (INCLUDING DIRECTORS’ REPORT AND STRATEGIC REPORT)

PERIOD ENDED 31 MARCH 2022

TRUSTEES’ RESPONSIBILITIES STATEMENT

The Charity Trustees (who are also the Directors of Day One Trauma Support for the purposes of company law) are responsible for preparing a Trustees’ Annual Report and Strategic Report and financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

Company law requires the Trustees to prepare financial statements for the year which give a true and fair view of the state of affairs of the charitable company and of the incoming resources and application of the resources of the Charity for that period.

In preparing these financial statements, the Trustees are required to:

The Trustees are responsible for keeping proper accounting records that 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 Companies Act 2006. 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.

AUDITOR

TC Group has indicated its willingness to continue in office. Statement of disclosure of information to auditor The Trustees confirm that, at the date of the approval of these financial statements, so far as they are each aware:

By order of the Trustees

Susan Proctor Chair of the Board of Trustees

Dated: 30 September 2022

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INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF DAY ONE TRAUMA SUPPORT

Opinion

We have audited the financial statements of Day One Trauma Support (the ‘charitable company’) for the period ended 31 March 2022 which comprise the Statement of Financial Activities (Including Income and Expenditure Account), the Balance Sheet, the Statement of Cash Flows and notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In our opinion the financial statements:

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor's responsibilities for the audit of the financial statements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC's Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the charitable company’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report.

Other information

The other information comprises the information included in the trustees annual report, other than the financial statements and our auditor’s report thereon. The trustees are responsible for the other information contained within the annual report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

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INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF DAY ONE TRAUMA SUPPORT

Opinions on other matters prescribed by the Companies Act 2006

In our opinion, based on the work undertaken in the course of the audit:

Matters on which we are required to report by exception

In the light of our knowledge and understanding of the charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the strategic report and the directors' report.

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, in our opinion:

Responsibilities of Trustees

As explained more fully in the Trustee' responsibilities statement, the Trustees (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the Trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the Trustees are responsible for assessing the charitable company's ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the Trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative to do so.

Auditor's responsibilities for the audit of the financial statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an Auditor's Report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these Group financial statements.

Extent to which the audit was considered capable of detecting irregularities, including fraud

Irregularities, including fraud, are instances of non-compliance with laws and regulations. In identifying and assessing risks of material misstatement in respect of irregularities, including fraud and non-compliance with laws and regulations, our procedures included the following:

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DocuSign Envelope ID: 3882D88E-1808-402E-AF8E-51E2C05E29B1

INDEPENDENT AUDITOR’S REPORT TO THE MEMBERS OF DAY ONE TRAUMA SUPPORT

o management override of controls; and

o revenue recognition.

We designed and executed procedures in line with our responsibilities to detect material misstatements in respect of irregularities, including fraud. These procedures, together with the extent to which they are capable of detecting irregularities, including fraud, are detailed below:

We also communicated relevant identified laws and regulations and potential fraud risks to all engagement team members and remained alert to any indications of fraud or non-compliance with laws and regulations throughout the audit.

Our audit procedures were designed to respond to risks of material misstatement in the financial statements. There are inherent limitations in the audit procedures performed not least due to the following:

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our Auditor's Report.

Use of our report

This report is made solely to the charitable company's members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable company's members those matters we are required to state to them in an auditors' report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company's members as a body, for our audit work, for this report, or for the opinions we have formed.

Steven Williams FCA Senior Statutory Auditor for and on behalf of TC Group Statutory Auditors

6 Queen Street Leeds LS1 2TW Date: 24/10/2022

17

DocuSign Envelope ID: 3882D88E-1808-402E-AF8E-51E2C05E29B1

DAY ONE TRAUMA SUPPORT STATEMENT OF FINANCIAL ACTIVITIES (Including Income and Expenditure Account)

PERIOD 25 JANUARY 2021 TO 31 MARCH 2022

Note
Income from:
Donations and legacies
2
Total income
Expenditure on:
Raising funds
3
Charitable activities
3/4
Total expenditure
Net income
Transfers between funds
Net movement in funds
10
Reconciliation of funds:
Total funds brought forward
10
Total funds carried forward
10		 Unrestricted
funds
Restricted
funds
Total
2022
£
£
£
1,244,950
10,000
1,254,950
1,244,950
10,000
1,254,950
(205,587)
-
(205,587)
(456,999)
(6,887)
(463,886)
(662,586)
(6,887)
(669,473)
582,364
3,113
585,477
-
-
-
582,364
3,113
585,477
-
-
-
582,364
3,113
585,477

All income and expenditure derive from continuing activities.

The statement of financial activities includes all gains and losses recognised during the period.

18

DocuSign Envelope ID: 3882D88E-1808-402E-AF8E-51E2C05E29B1

DAY ONE TRAUMA SUPPORT BALANCE SHEET

AS AT 31 MARCH 2022
**Company **		 Registration No. 13155922
Note
Current assets
Debtors
8
Cash at bank and in hand
Creditors: amounts falling due within one period
9
Net current assets
Total assets less current liabilities
Net assets
Funds
Restricted funds
10
Unrestricted funds
10
Total funds
10		 2022
£
12,404
686,202
698,606
(113,129)
585,477
585,477
585,477
3,113
582,364
585,477

The financial statements were approved and authorised for issue by the Board on 30 September 2022

Signed on behalf of the Board of Trustees

Susan Proctor Chair of the Board of Trustees

The notes on pages 21 to 28 form part of these financial statements.

19

DocuSign Envelope ID: 3882D88E-1808-402E-AF8E-51E2C05E29B1

DAY ONE TRAUMA SUPPORT STATEMENT OF CASH FLOWS PERIOD ENDED 31 MARCH 2022

Note
Cash flow from operating activities
12
Net cash flow from operating activities
Cash flow from investing activities
Net cash flow from investing activities
Net increase in cash and cash equivalents
Cash and cash equivalents at start of period
Cash and cash equivalents at end of period		 2022
£
686,202
**686,202 **
-
686,202
-
686,202

Cash and cash equivalents consist of cash at bank and in hand.

20

DocuSign Envelope ID: 3882D88E-1808-402E-AF8E-51E2C05E29B1

DAY ONE TRAUMA SUPPORT NOTES TO THE FINANCIAL STATEMENTS

PERIOD ENDED 31 MARCH 2022

1 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

(a) General information and basis of preparation

Day One Trauma Support is a company limited by guarantee registered in the United Kingdom. In the event of the Charity being wound up, the liability in respect of the guarantee is limited to £1 per member of the Charity. The address of the registered office is:

Room LGI12/0b.017 Brotherton Wing B Floor Leeds General Infirmary Leeds West Yorkshire LS1 3EX

The nature of the Charity’s operations and principal activities are set out in the Trustees’ Annual Report.

The Charity constitutes a public benefit entity as defined by FRS 102. The financial statements have been prepared in accordance with Charities SORP (FRS 102): 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), the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102), the Charities Act 2011, the Companies Act 2006 and UK Generally Accepted Practice.

The financial statements are prepared on a going concern basis under the historical cost convention. The financial statements are prepared in sterling, which is the functional currency of the Charity, and rounded to the nearest £1.

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

(b) Funds

Unrestricted funds are available for use at the discretion of the Trustees in furtherance of the general objectives of the Charity and which have not been designated for other purposes.

Designated funds comprise unrestricted funds that have been set aside by the Trustees for particular purposes. The aim and use of each designated fund is set out in the notes to the financial statements.

Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors or which have been raised by the Charity for particular purposes. The cost of raising and administering such funds are charged against the specific fund. The aim and use of each restricted fund is set out in the notes to the financial statements.

21

DocuSign Envelope ID: 3882D88E-1808-402E-AF8E-51E2C05E29B1

DAY ONE TRAUMA SUPPORT NOTES TO THE FINANCIAL STATEMENTS

PERIOD ENDED 31 MARCH 2022

1 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)

(c) Income recognition

All incoming resources are included in the Statement of Financial Activities (SoFA) when the Charity is legally entitled to the income after any performance conditions have been met, the amount can be measured reliably, and it is probable that the income will be received.

For donations to be recognised the Charity will have been notified of the amounts and the settlement date in writing. If there are conditions attached to the donation and this requires a level of performance before entitlement can be obtained, then income is deferred until those conditions are fully met or the fulfilment of those conditions is within the control of the Charity and it is probable that they will be fulfilled.

Donated facilities and donated professional services are recognised in income at their fair value when their economic benefit is probable, it can be measured reliably, and the Charity has control over the item. Fair value is determined on the basis of the value of the gift to the Charity. For example, the amount the Charity would be willing to pay in the open market for such facilities and services. A corresponding amount is recognised in expenditure.

No amount is included in the financial statements for volunteer time in line with the SORP (FRS 102).

Income from trading activities includes income earned from fundraising events and trading activities to raise funds for the Charity. Income is received in exchange for supplying goods and services in order to raise funds and is recognised when entitlement has occurred.

Income from the provision of charitable services and government and other grants is recognised at fair value when the Charity has entitlement after any performance conditions have been met, it is probable that the income will be received, and the amount can be measured reliably. If entitlement is not met, then these amounts are deferred.

Investment income is earned on bank deposits and is recognised in the period in which it is receivable.

(d) Expenditure recognition

All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category. Expenditure is recognised where there is a legal or constructive obligation to make payments to third parties, it is probable that the settlement will be required, and the amount of the obligation can be measured reliably. It is categorised under the following headings:

Irrecoverable VAT is charged as an expense against the activity for which expenditure arose.

(e) Support costs allocation

Support costs are those that assist the work of the Charity but do not directly represent charitable activities and include office costs, professional fees and governance costs. They are incurred directly in support of expenditure on the objects of the Charity and include project management carried out at the Charity’s Headquarters. Where support costs cannot be directly attributed to particular headings they have been allocated to cost of raising funds and expenditure on charitable activities on a basis consistent with use of the resources.

Fund-raising costs are those incurred in seeking voluntary contributions and do not include the costs of disseminating information in support of the charitable activities.

The analysis of these costs is included in note 3.

22

DocuSign Envelope ID: 3882D88E-1808-402E-AF8E-51E2C05E29B1

DAY ONE TRAUMA SUPPORT NOTES TO THE FINANCIAL STATEMENTS

PERIOD ENDED 31 MARCH 2022

1 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (continued)

(f) Debtors and creditors receivable / payable within one period

Debtors and creditors with no stated interest rate and receivable or payable within one period are recorded at transaction price. Any losses arising from impairment are recognised in expenditure.

(g) Cash at bank and in hand

Cash at bank and in hand includes cash and short term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening the deposit or similar account.

(h) Employee benefits

When employees have rendered service to the Charity, short-term employee benefits to which the employees are entitled are recognised at the undiscounted amount expected to be paid in exchange for that service.

The Charity operates a defined contribution plan for the benefit of its employees. Contributions are expensed as they become payable.

(i) Going concern

The financial statements have been prepared on a going concern basis as the Trustees believe that no material uncertainties exist. The Trustees have considered the level of funds held and the expected level of income and expenditure for 12 months from authorising these financial statements. The budgeted income and expenditure is sufficient with the level of reserves for the Charity to be able to continue as a going concern.

(j) Judgements and key sources of estimation uncertainty

Key sources of estimation uncertainty

The key assumptions concerning the future and other key sources of estimation uncertainty at the reporting date that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial period include:

Deferred income

Income is recognised when the charity has entitlement to the funds, any performance conditions attached to the income have been met, it is probable that the income will be received and the amount can be reliably measured.

Allocation of support costs

The allocation of support costs on an activity basis is an estimate, including the allocation of support costs to restricted funds where applicable.

(k) Financial instruments

The Charity only has financial assets and 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 financing transactions that don’t qualify as concessionary loans, which are subsequently measured at amortised cost using the effective interest method.

23

DocuSign Envelope ID: 3882D88E-1808-402E-AF8E-51E2C05E29B1

DAY ONE TRAUMA SUPPORT NOTES TO THE FINANCIAL STATEMENTS

PERIOD ENDED 31 MARCH 2022

2 INCOME FROM DONATIONS AND LEGACIES

Gifts and donations receivable
Grants
Donated services		 2022
£
1,118,004
126,582
10,364
1,254,950

Total income from donations and legacies activities was £1,254,950 of which £10,000 was attributable to restricted funds and £1,244,950 was attributable to unrestricted funds.

3 ANALYSIS OF EXPENDITURE

Basis of
allocation
Costs directly allocated
Staff costs
Direct
Fundraising costs
Direct
Communications costs
Direct
Patient services
Direct
Total directly allocated costs
Support costs allocated to
activities
Management and admin
Usage
Communication and IT
Usage
Other office expenses
Usage
Bank charges
Usage
Audit fees
Governance
Legal fees
Governance
Total support costs
Total expenditure		 Raising
funds
Charitable
Activities
Total
2022
£
£
£
161,077
163,103
324,180
14,104
-
14,104
30,406
-
30,406
-
72,660
72,660
205,587
235,763
441,350
-
187,858
187,858
-
17,184
17,184
-
10,809
10,809
-
960
960
-
7,200
7,200
-
4,112
4,112
-
228,123
228,123
205,587
463,886
669,473

4 ANALYSIS OF EXPENDITURE ON CHARITABLE ACTIVITIES

Caseworker support within MTCs Directly
allocated
costs
Support costs
(excluding
Governance)
Support
Costs
(Governance)
Total
£
£
£
£
235,763
216,811
11,312
463,886
235,763
216,811
11,312
463,886

Expenditure on charitable activities was £463,886 of which £6,887 was attributable to restricted and £456,999 was attributable to unrestricted funds.

24

DocuSign Envelope ID: 3882D88E-1808-402E-AF8E-51E2C05E29B1

DAY ONE TRAUMA SUPPORT NOTES TO THE FINANCIAL STATEMENTS

PERIOD ENDED 31 MARCH 2022

5 AUDITOR’S REMUNERATION

Fees payable to the Charity’s auditor for the audit of the Charity’s annual
accounts		 2022
£
7,200
7,200

6 TRUSTEES’ AND KEY MANAGEMENT PERSONNEL REMUNERATION AND EXPENSES

The Trustees neither received nor waived any remuneration during the period.

The total amount of employee benefits received by Key Management Personnel is £267,835. The Trustees did not have any expenses reimbursed during the period.

7 STAFF COSTS AND EMPLOYEE BENEFITS

The average monthly number of employees and full time equivalent (FTE) during the period was as follows:

Service development and delivery
Fundraising and communication
Corporate service		 2022
2022
Number
FTE
3
3
3
3
3
3
9
9

The total staff costs and employee benefits was as follows:

Wages and salaries
Social security
Defined contribution pension costs		 2022
£
370,893
40,966
20,449
432,308

There were three employees who received total employee benefits (excluding employer pension costs) of more than £60,000.

25

DocuSign Envelope ID: 3882D88E-1808-402E-AF8E-51E2C05E29B1

DAY ONE TRAUMA SUPPORT NOTES TO THE FINANCIAL STATEMENTS

PERIOD ENDED 31 MARCH 2022

8 DEBTORS

Prepayments and accrued income 2022
£
12,404
12,404

There was no provision for impairment of trade debtors in either the current or prior period.

9 CREDITORS: AMOUNTS FALLING DUE WITHIN ONE PERIOD

Trade creditors
Taxes and social security
Deferred income
Accruals
Other creditors
Deferred income
Deferred income at start of period
Released from previous periods
Resources deferred in the period
Deferred income at end of period		 2022
£
17,613
13,919
68,750
9,732
3,115
113,129
2022
£
-
-
68,750
68,750

At the balance sheet date, the charity was holding funds received in advance in respect of unearned income from performance related grants.

10 FUND RECONCILIATION

Restricted funds

Kings Chambers Balance at
25 January
2021
Income
Expenditure
Transfers
£
£
£
£
-
10,000
(6,887)
-		 Balance at
31 March
2022
£
3,113
10,000
(6,887)
-		 3,113

26

DocuSign Envelope ID: 3882D88E-1808-402E-AF8E-51E2C05E29B1

DAY ONE TRAUMA SUPPORT NOTES TO THE FINANCIAL STATEMENTS

PERIOD ENDED 31 MARCH 2022

10 FUND RECONCILIATION (continued)

Unrestricted funds

Unrestricted Balance at
25 January
2021
Income
Expenditure
Transfers
Balance at
31 March
2022
£
£
£
£
£
-
1,234,586
(652,222)
-
582,364
-
1,234,586
(652,222)
-
582,364

Purposes of restricted funds

a) Kings Chambers

Kings Chambers provide funding to recruit and support an Outreach Worker with the purpose of engaging with more people across the major trauma network and supporting an increased number of major trauma patients.

Unrestricted general funds include:

11 ANALYSIS OF NET ASSETS BETWEEN FUNDS

Fund balances at 31 March 2022 are represented by:

Fixed assets
Cash
Other current assets / liabilities
Total		 Unrestricted
funds
Designated
funds
Restricted
funds
Total
£
£
£
£
-
-
-
-
683,089
-
3,113
686,202
(100,725)
-
-
(100,725)
582,364
-
3,113
585,477

27

DocuSign Envelope ID: 3882D88E-1808-402E-AF8E-51E2C05E29B1

DAY ONE TRAUMA SUPPORT NOTES TO THE FINANCIAL STATEMENTS

PERIOD ENDED 31 MARCH 2022

12 RECONCILIATION OF NET INCOME TO NET CASH FLOW FROM OPERATING ACTIVITIES

Net income for period
Changes in working capital:
(Increase)/decrease in debtors
Increase/(decrease) in creditors
Net cash flow from operating activities		 2022
£
585,477
585,477
(12,404)
113,129
686,202

13 PENSIONS AND POST-RETIREMENT BENEFITS

a) Defined contribution pension plans

The Charity operates a defined contribution pension plan for its employees. The amount recognised as an expense in the period was £20,449.

The defined contribution liability as at 31 March 2022 is allocated to unrestricted funds and amounted to £3,115.

14 FINANCIAL INSTRUMENTS

The carrying amounts of the Charity’s financial instruments are as follows:

Financial assets
Financial assets measured at amortised cost
Financial liabilities
Financial liabilities measured at amortised cost		 2022
£
686,202
686,202
99,210
99,210

28