REGISTERED CHARITY NUMBEA.. 1203244 Report oltheTru5teos and for the Year Ended 31 Marth 20Z5 WR Partners Chartered ActDuntant5 elrnont House Shrewsbjry Bw%lw Park Shrewsbury Shrop5hire SY2 6LG Contents otthe Ananclal StatemÈnts for th• 31 March 2025 A•port ol the Tntstees Independert Exankn*s Rep( Stat•m•nt of AnÈrthl *LtITJllles io Balance St*rt li Nots5 to ¢h• Flnandal Statern 12 to 19 Detalled Statementof Anarnlal 20 to 21 The Gold Standwds Framv*ork Centr• CIO Report of the Trusteos yeor ended 31 Month 2025 The trustees present thelr report with the flnandal statements of the charliy for the year ended 31 March 2025. The trustees have adopted the provlslons of Accountin8 and Reportlr8 by Charltie5: Statetnent of R￿ornMended Pra¢Jce appllcable to Chart￿e5 preparlngthelr accounts In accordance wlth the nanclal Reportlngstandard ap￿leable in the UKand Republlcof Ireland IFKS 102) leffertive lJanuary20191. Introdurtlon HISt￿ and Context GSFwlthln NHS. For the firsttwefveyears11998-20101 thework of the Gold Standards Framework IGSFI Centre was funded by a Department of Health grant and hostèd within thè National Health 5èrvieè. Kerl Thomas as foundèr and GSF LÈad was appointed asthe Department of Health Natlonal ainlcal Lead for Palliative Care Igenerali5tl, tasked to spread GSFto all GP practices in the UL During th￿ period w￿hIrt the NHS as part ofthe implementstion ofthe National EOLC Strategy and under the leadershlp of the NHS End of Life Care Tearn, GSF at baslc levd was spread to tover every GP Pfadcè in the UK, though the BMA and Quallty Outcome Framework IQOFI . Public Health England monltored spread and by 2010 95% of all GP practlCE5 were undertaking bronze level GSF ie ttw had a GSFI Palliati¥e care rw5ter and a fjSF meeting to dlscuss proactNe care of these patients. trig8ered bythe GSF Proactive Identificatlon Tool. This national spread of GSF forrned the sprfngbwd forthe rest of ourwork In enabllng generallsts provide quallty care for people In thelr last yearls of lrfe with any condition, in any settin& 8Nen by ary care provider. During that time, the full GSFQualSty Impro¥ement Pn>gnmmes and fomialkad Atindltatlon were developed a￿1 spread to care hcvnes arld hrw>itsls. and now to a ￿￿e variety of health and care settings. The Independent GSF Centre as a acthen ao. At the end of the 8ranL The GSFCentre moved from belng part of the NHS to becomin£ an Independent Community Interest Company CIC incorporated in 2010, to contlnue thls work. The Department of Hea￿h conflmied a fomiallsed weement wlth the GSF Centre CIC at that time a5 to what was freety available thro￿ the NHS and whatwas thar8pable by the ac, all wfrthln the IP Copyrl8ht ar￿ License Agreement. and a kncense was given to the GSF Centre to continue the work. The GSF Centre ac re￿iVed commlssions from NHSClSnlcal Commlsslonlng Groups, Lotal Authorltles, tralnlng pro￿derS and other organIsat￿nSfor deliveryof traininB to large group5. ￿ well as dlrecttyfrorn indlvidual or corporate or8anisations. Ourgreatest uytske then vrds In care home5. whEre GSF was recognlsed a5 a nation￿ benchmarkof Pl￿11en(e. leadin8 to mary retwnlng for 3 yearty re-acrTedltstion5, some 516th tlme reacuedlted about 20 years slnTr first GSF Iralned. The GSF tharfty In May 2023 the G5F Centre¢￿Verted from a c￿ to became a re8iStered tharity ICIOI. Spreod Impact ReCO￿ltIOn ofGSF Bulldlng on this work origlnalty In wimary care, GSF tralnlng and 3 yearly ￿edI￿lsOn spread across all health and soclal care settings, and the GSF Centre ber3me reco8nlsed as the leadlng traSnlrrf provlder in End of Llfè Care (EOLa for generallst frontllne teams In the UK.GSF prlncoples were Included In natlonal guldance eg NICE Guidance 2013 and 2019. malnstreamed ￿thIn NHS polky egthe Lon8 Temi Plan 2019 and reco8nlsed by the Care Quallty Commlsslon ICQCI as a marker of èxcellence In EOLCacross all pro￿derS GSF Hospltal 3(credltation was recognised by CQC as the onfy End of Ufe Care accredlted scheme for hospitsls to be Included a5 CQC5 Information sour£e. GSF ha5 a150 been adopted bymany 5ettinKs together within the GSF Cros5 Boundary Care 51tes, preludes to Integrated Care Boards In England. GSF recelved much atterrtlL￿ Intemation21ty and wa5 Tery)gni4ed by many a5 the leadiThq model for integrated palliafjve and end of Ilfe care Ser￿ceS across provlders (Canada 20161. Intematlonal work condnues independently of the GSF UKwork, rnanoged by GSF Internatlonal ¢H￿zOn) and the work of the Andrew Rodger Charltable Trust In Afrka to tmprove EOLC In Afrlcan settlngs. Pageli Report oftheTru5tse5 forth• year •nded 31 Marth 2025 OWEcnvESANDAcrivmES Objectlvos and alms Charitable Object, core purpose and alms The oblert of the Gold Standards Framework ao is to ad￿nce the health and wellbelng of people In last years of Ilfe and thelr famllies and taretsthrO￿h Èdutstlon of the publlc inÉÈneral Ipartitularly amongst thè workfortÈ respondble for provldlngcare for peWe In the last years of lffel on the sublect of carefor people In the last years of lffe, Includlng by F￿vIdIng tralning to enzble the dellvery of Improved and approprlate re for peoEAe in the last years of Ilfe. We bell$ve that"Everyone deserves'8old standard care, at the end of thelr lffe". The Gold Stsndards Framework IGSFI hasbeenthe UK'S leadingtraining pr0￿derf0r8enPralIstfr0nt11ne staff carinB for people in the last years of life for over 25 year5. Jt was founded by Prof. Keri Thomas in 1998 to Improve the care for people nearlng t￿end of life Érven by generalist frontlinÈ pmiders. GSF Is a prartIc￿ systematic evldenc&based appro¥h to optimising Cart for people nearlng the end of I￿e. given bygeneralistfrontline care profe5sk)naLs in health and 50oal care. Our alm Is to enable a'8old standard, of care for all people In the last years of Ilfe, supportfing them to live well until they dle. Thls Includes people wlth any condltlon, In any5ettin& given by any ￿re provider. at anytime in a persrm's last year5 of life. GSF has been shu4¥n to Improve the quality of care. COnfide￿e of Staff. coordination, team workin& and documentatlon and redu￿ hDspItsI deaths, in many ca5e5 halvi￿ the numbers of people admltted to and In hospltals, ellabling rnore to live and dle at home. leading to signifKant C05t Sa￿nE5. Traininu is based on qua15ty Improvement principles and is delivered thro￿h Interacdve workshops. accompanied by supporting trainlng materials customlsed for team5 within the particular rK8an15ations, this Include5 prlmary care. care homes, aatte h05Pitals and cornmun5ty h05pitsb. hospi￿. domliiliary (ore oreanlsatlons, retiremerrt ￿lIageS arhd pri%)ns. Publlc benEfit Currently about 670.IJJ) peO￿e dlelyear Inthe UK and If we indudethe final 3 years of Iffe, thls totals about 2 mllllan people. In addition. it is estlmated at about 7 people are 5eriousty affected for every de4th, 50 thls work could Indlrectly affect about 14 mEl￿on people. There are ab)ut 1,8 milllon people worklng in soual care arjd 1,2 mlllion In healthcare. 50 over 3 rnllllon health and care workforce are also potentlally affected and may beneflt from thls worL The wcfk of GSF tralning and accred￿atIon helps to:. Train the workforce across health and sodal care to hdp people Ilve and dle better. Enable eartier identif1rat1￿ and pro4cbve planning Provide more per50naltsed care by offering3￿anCe (are plannlng dlscusslon ASS￿Ing cllnlcal needs a￿1 approprlate referrals Plannlng tare In alignrnent the peopleg wishes, eg more dying at hDrne Aeducin8 Out of hours ulses, hospltal emergency admlsslons and enabllng more to dle well at hDme upS￿lI1ng andsupportlng the generallst WLM*force, boostlng confiden￿, competence and morale Ensurlnggreater retention in the workfo Page12 Report ofthÈTwstÈes forihe year endéd 31 Maych 2025 The workof tho fjold Stsndard5 Framvworkls th•r•for• of great benefft lothè publlc kn sÈ¥ernl ways:. For people In thelr last year5 of Thfe there is ¢orsKlerable publlc benefit in the proM5ion of hl8h quality proactive end of life care to people to enable them to lfve well and to dle well In the pla and manner of thdr chooslng. This woukl ensu￿ care wa5 in line their w5hes, enabling more to lfve and dle at homp, and reducing the r￿d for unnecessary hosKltsl admlsslons and deaths. This work also support5theirwtdercommunityof faThllle4 rarev5 and frlerKl$. reducSng dlstress and 5UPPDrting them In bereavement by encourwng better plann1￿ before d￿th. fulfillln8 people5, 5he5 and supportlng carers wlth acce5S to berezvementcare. GSF is a150 ofgreat benefftto hèalthandore workfor￿ who grow in Confiden￿ and lobsatlsfattlon as they are tralned and enabled wfth the necessary skllls to ensu￿that they are deltverlng the best quality'gold standard, end of lrfe tare to all patien15 and residerrts. There Is wlder Impart therefore of thls work affetting13rge nurnber5 Invofved In care for people nearlng the end oi life In all areas- potential￿ up to3 mllllon In the heath 3nd carefn)ntlinp workforce. Improvin8 Cost effe¢tknss for the NHS and sodal are problders. Reducing h05Pltali53tion for people In the last year5 of life advantageou5 to the wlder NHS and sodal care or8ani5atlons as It enable5 best and most C05t effecdve use of hospthl beds and frees up capaclty for thern to carE for others In the wlder populallon In need. Redudr8 emergency admbslons, reduces the backlog of h05Pital adm5$51ons, Improve5 flow In secondary care thereby reducinE WaI￿n8 Umes, whilst also reducing patlent1fami￿ distress * thls Important stage of life. This knockon effett of fftrlKJspItsIL5atlon affects a wlder population In each area with Improved a￿e$S redudngcr15e5 Calls. unneeded derauk urgent care response, ambulan hold ups, quwjes In hospIts￿, corrldor bed5 et We are also In-reachlngto more VulnErablear￿ of sodetysuchas pri50n5 50aal care providers givir4 home care where there are cU￿entlY serious Inequalltle Durln8 the year ihe GSF Centre have strlve(I to achleve our tsrget numbers of teams tralned and accredited, meanlng that even more people were hel￿d delivering a greater benefrt to the genefal publlc by empowerinB the workfor￿. M05t or8anlsadon5 pay for the tralnlng prugrammB5 dlrecdy. kmrt we are seekirq fundralsed Income to be able to offer 5ub5idi5ed programmes to reach more organ￿atiOnS who wsh to Improvè thelr Ènd of 51fè tare but are currently unableto pay. Ontè orBanlsations are GSF accredlted, we con￿nUel0 provlde free support and resource5 on our members area of the webslte to further enhance learning and updated information, and offer free mlcro leamlng events I live Wel￿nar5 for the health and sodal care sector, these take pl reguladythrouEhout the year. PagÈ13 Rèport oftheTft￿ee5 lorth• ended 31 MBrth 2025 ACHIEVEMENT AND PERFORMANCE 2024 was oursecond year as a Charitylthblished 20231. We hwe begun the pro¢e5s offundratsln& havin developed our case for support and subm￿ted 12 b5ds to support Domlclliary care tralnlng and are awaltlng the outcome havlng applled tOWdrlDustrusts and organi5ations toenable us to reach rnrKe of the population In the195t stsges of Ille. For the year 2024 to 31st Marth 2025. our Intome was derived predom1nan￿Y from the traInI￿ programmes and accreditaknon protedures. Actlvlty leve15 old tralnl leadl oG5FA Durlng the finaneiil yearN￿rI1 to 31st Marth 2025 The Goldstandards Fram￿OrkTraIned 136 Organlsatlons over 13 cohorts. The average number of attendees from eath ryEanisation wa5 4, meaning thtt 478 Heath and Soclal care workers have been trained dlrectty and shared thelr learnlTrd wrth theirteams lapprox. 7455 staff) improved the care lor the populatton in the last years of lile lapproL 9360 peoplEI. The breakdown of ihe Going for Gold tralning is.. Care Home- 107 Organisations Domlclliary Care- 16 Hospitals- 11 wards16 hOSp￿al5) Retirement Vllla8es-O Prfson- I H05pitsI for complex mental health needs- I The breakdown of the ChampIon5￿urSe Is: 142 champloD5 At our conference In September 2024, 140 organlsthns athleved acuedttstlon, broken down asfollow5.' Care Home-98 organ￿atIOnS Domltlllary Care- 5 Hospltal wards- 27 RetirementVlllages- 8 Prlmary Care- I Prlson- I 11 Care homeorBanlsatlon5were2 Ilmeaccredlted, 12 carèhomes 3rd tlmÈ accredrted, Scare homes were 4th tlme acC￿d{tÈd, 9 care horn￿ were 5th tlme accredSted and S care homes 6 tiffle accredlted whlch means that they had followed the GSF proBramme for almost 20 year5. We contlnue to ddhrer th•'Champlons' progrdmme in response to customer feedback ThT5 proBramrnè15 shorter and 15 more accEsslbleto the busyworklorce and focuses on tare In the flnal days of Ilfe. Staffing was reassessed durlng the year, Increaslng our cllnlEal a5soti*es wlth 3 further 4 people to support accredltation assessment proces5 and the thlefoperatlng Offlcer reduced her hou￿ from 37.5 to 32 hours per week PaBe14 From 2023, GSF h85 been afoundlng member of the Coplltlon of Fronth• Car•forP•opl• N•arfn8 th• End of Llfe. composed orlginalty of many organlsatlons that cfrbadge GSF attredltauon. The Founder and Chalr of GSF remalns the Chalr of the Coalltion. The Coalitlon camp£lgns for Improvements In end of Ilte care. and rts unlque fo¢us is on Care for people nearlng the end of Ilfe provtde(I by the frondlne general￿t workforce a¢r055 both health and sodal care 5ertors. The Coalltlon Is made upof Itadrn8 or8an15atk)ns across health and care who together representthe malorltyof thegeneralistfrondlne health and socfial tareworkForce- it15thisbsx)rkforcethat are the providers of mostof the carefor most people in their lastyears of I￿e In our country. Page15 The Gold Stsndan15 FTrMV￿Centre ao Report ofth¢TrusteÈs forthe year onded 31 March 2025 FINANaAL REVIEW Flnpnclal po￿tIon The ststement of financ￿1 Kuvities shows the totsl Incomi￿ resourcesfor theyear at£460K12024 £533kl. £lk12024 £80KI of this was donat￿ income. This is In hne wrth expectstlons. 2024 was the first perfod of tradè and donattons in that perfod Included the transfer of assets from the previous CIC which were treated as a donation folbwing the chan8e in dassffKatK)n from a ac to a CIO. Other trading artivities amounted to £449k 12024 £443kl rnainty through the sale of trainlng prngrams and for organlsatlon completing accredltstknn. The prlmary expense of the tharityis Salarie5, accountin8 for 74%1202478%1 of costs. The surplus forthe yearwas £35k12024 £223KI. and b in line with exr*rtatK>n5 for 2024-25. Deferred Income is £585k 12024 £67LK]. tse1￿ the trarni￿a¢treditation paid for In adwdn¢e by organISa￿On5. I￿estM¢1rt pollw and oblertlves The investment assets are marketabte finanual instruments. whi¢h a￿ ¢onstdered to be low rtsk The strudure of the portfolio aims atgenerati￿ capltsl growth In the lo￿ temi. Re5eNe5 poliri The board of dlrectorsltrustees consldef It prudentthat unrèstrittÈd rÈserves ShO￿d bè sufficient 11 to cover three- si% month5 inwme from care hDme5 lour main 50urce of Income) 2} To coverthree- srA months of governanceand support costs 31 To cover potential reflundarncy costs The level of reser￿ Is monitored every two months at board or at a frequenry tonsldered prudeni by the board and the reserves poli￿ Is reviewed annualty. Short-tem workn￿ capltal doe5 not reprtsent an operatlrvd rfthcultjy due to the funding model for the tralnlng programmes, whereby all tTrinin8 and accreditation 15 paid for up front, the accreditation typical tokes place 12-24 months after start of tralnlng and therefore represents a larÈe balance but remalns on the balance Sheet a5 a liabllity. G￿￿￿ that worklng Qpital doe5 not become an issue, the reserves policy [5 PTtmarity In place to ensure continuation of Servi￿ tlmes of low I￿7[￿￿ and to FifDvide a dt5501ution fund in the event uf 105ure. Minimum re5erve5 are set at £75k with a mayjmum of £126i all Un￿Stritted. Page 16 R•port 01th•Tn￿•s for th• year ended 31 Marth Z025 srRucfuRi GOVEANANCE AND MANAfjEMEiir Legal and Adminlstratwe The char￿Y Is govemed ￿ fts Co￿lUtIon and forms a tharttable IrKorporated or8anlsatJon as deflned by the tharitles Act 2011. Trnnsferfrom OC-The Gold Stsndards Framework operated 35 a ac from Aprll 2010 untll It converted to CIO In May ZU23. The day to day managemènt of The ￿ld Standar