OpenCharities

This text was generated using OCR and may contain errors. Check the original PDF to see the document submitted to the regulator.

2024-03-31-accounts

St Ann's Hospice ¢11 Annual Report and Financial Accounts 2023124

ST ANN’S HOSPICE

Contents

----- Start of picture text -----
03 07 15
19 85 91
Our purpose, values and aims 3
Highlights of 2023/24 7
Chair and Chief Executive’s statement 15
19
Trustees’ report and financial statement
Independent Auditor’s Report 85
91
Officers and Professional Advisors
----- End of picture text -----

2 CONTENTS

Our purpose, values and aims 01

ST ANN’S HOSPICE

Our purpose and our values

St Ann’s is one of the oldest and largest hospices outside of London, and we care for thousands of patients from across Greater Manchester every year. Our services are delivered from our sites in Heald Green and Little Hulton, as well as via a range of community and outreach services, caring for people in the place they call home. Our support means different things to different people. Some people come to us for care at the end of their life, others for help managing their symptoms. Some join our outpatient sessions, while others enjoy complementary therapies or spend time with our counsellors. Our core purpose is to lead specialist care for people impacted by lifelimiting illness.

We believe everyone has the right to access the same high quality, specialist care at the end of their life as they do when they’re born.

We’re passionate about providing care that supports our patients right from the point of diagnosis, through treatment, and beyond.

----- Start of picture text -----
Our patients and their Our patients are
loved ones are at the individuals, and our care
heart of everything we addresses their unique
do, and always will be. needs, whatever they
The care we provide is may be.
truly holistic.
----- End of picture text -----

Our values

Our values are a set of guiding principles and behaviours which shape how we go about our day-to-day jobs to achieve our longer-term goals and plans. If you’re supported by the hospice, or are a fundraiser, volunteer, shop customer or staff member, you’ll experience our values being put into practice. They are what make us so unique and make St Ann’s such a special place to work.

People matter

People are at the centre of everything we do. We treat each other, and ourselves, with kindness and compassion. We value and celebrate diversity; recognising everyone as an individual.

Brave and bold

We want to grow for the future, not settle. We’re not afraid to do things differently, get creative, challenge ourselves and the status quo. We’re ambitious in our aims, accountable for our actions and learn from our experiences and successes.

Lead and learn

We’re experts in what we do, and we don’t stop there. We’re always learning; informing and shaping the sectors we’re in through education, training and research. We lead by example; sharing best practice, advancing in our fields and pioneering new approaches.

Together we are stronger

Together, we’re stronger and have a bigger impact than we could have alone. As a charity, we work in collaboration with supporters, partners and the communities around us. We think beyond traditional boundaries to make sure we’re here for our communities for years to come.

4 OUR PURPOSE, VALUES AND AIMS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

Strategic aims

Our new five-year strategy for 2023-2028 builds on the previous version and will outline our ambitions and what we aspire to achieve during the next five years.

Our Six Strategic Aims

Strategic Aims 1:

To provide outstanding person-centred care that is innovative and evidence-based.

Strategic Aims 2: To lead the sector in education, research and innovation.

Strategic Aims 3:

To be an organisation of choice for all.

OUR PURPOSE, VALUES AND AIMS 5

ST ANN’S HOSPICE

Strategic Aims 4:

To sustain and further develop a values-based culture within which there are high-performing people and teams.

Strategic Aims 5:

To ensure our buildings, estate and facilities are fit for the future to enable the delivery of outstanding person-centred care.

Strategic Aims 6:

To be financially viable and develop growth in our business for future sustainability.

6 OUR PURPOSE, VALUES AND AIMS

----- Start of picture text -----
02
----- End of picture text -----

Highlights of 2023/24

----- Start of picture text -----
HIGHLIGHTS OF 2023/24 7
----- End of picture text -----

ST ANN’S HOSPICE

St Ann’s in Numbers

Statistics are important to us at St Ann’s, they help us demonstrate our impact and reach, but more often than not, they are interesting and insightful.

----- Start of picture text -----
Our community
team made
114
1,900
home visits to our
patients.
Wedding Dresses were sold at
our Bridal shop in Stockport.
----- End of picture text -----

Our Trading Company completed 26 House Clearances raising £29,000 for our hospice.

----- Start of picture text -----
Patients
Our
benefitted from
Lymphoedema 26%
team held
of patients were
discharged from
complementary
our Inpatient
1,392 [645]
therapy Units and were
face-to-face treatments. able to go home.
treatment
sessions with
their patients.
39,000 entries to
There were more than
our Summer and Winter Raffles.
----- End of picture text -----

8 HIGHLIGHTS OF 2023/24

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

1,300 £300,000 donors gave us a monthly gift. raised in memory of loves ones.

raised in memory of loves ones.

Over 14,700

We had 3 cars donated to us for resale.

entries to play our lottery every week in 2023/24.

98 people left St Ann’s Hospice a gift in their will.

Our housekeeping team washed 25,550 bed sheets.

runners ran the Great 86 Manchester Run.

HIGHLIGHTS OF 2023/24 9

ST ANN’S HOSPICE

We couldn’t possibly list everything we’ve achieved in the last . . year, but here are a few highlights April 2023

May 2023

Lord-Lieutenant of Greater Manchester visits St Ann’s Hospice. The Lord-Lieutenant of Greater Manchester, Diane Hawkins JP LLB, visited St Ann’s Hospice in Heald Green to find out more about our Build It Together campaign to build a new hospice. The visit was an opportunity for Diane to hear first-hand from our patients about the amazing care they receive from the clinical staff at the hospice. But it was also an opportunity to see the realities of running the hospice in its current building.

Patient cocktail evening. Thanks to the Griffin pub in Heald Green, we had a fantastic cocktail evening at our hospice for one of our patient’s and her friends and family. This patient wanted to make memories with her friends, as she knew she had limited time left with them. The whole medical team of doctors, nurses and therapists worked with her to plan an evening with her friends to remember.

June 2023

£3,000 raised in abseiling challenge. Supporters of St Ann’s Hospice took on the Trafford Palazzo abseil on Friday 23rd and Saturday 24th June. Those participating for St Ann’s abseiled 170 feet down the side of the Trafford Palazzo tower with lots of other brave charity supporters!

July 2023

Celebrity Ambassadors visit St Ann’s to support our new hospice campaign. Actors Lee Boardman and Jennifer James visited staff and patients. The former Coronation Street stars have been incredible supporters of our new hospice campaign, and they came along to hear more about our plans and to encourage the public to support the fundraising. St Ann’s cared for Lee’s sister when she was ill and the couple have been great supporters of the hospice ever since.

10 HIGHLIGHTS OF 2023/24

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

August 2023

Celebrating Pride . At St Ann’s we welcome everyone from our community and care for anyone who needs us. We were very proud to be a part of Manchester Pride Parade and to show our support to the LGBTQ+ Community.

September 2023

Big milestone for our new hospice. We reached a huge milestone for our new hospice project in September as we confirmed the purchase of the land next door to our current Heald Green Hospice. This was a huge step for the project that will see a new purpose-built hospice created to care for the people of Greater Manchester.

October 2023

Christmas comes early at St Ann’s. Teams from across St Ann’s came together to help a patient fulfil her wish to celebrate Christmas early with her family.

Christine Budgen and her family transformed the Being You Centre lounge into a Christmas party with Christmas Dinner, festive decorations, party games and even a visit from Father Christmas.

Christine’s daughter Julie Ashton said: “As soon as the team at St Ann’s heard that she wanted to celebrate Christmas they all rose to the challenge and nothing was too much trouble. The nurses, physiotherapists and catering team all helped in any way they could to make the day possible.”

HIGHLIGHTS OF 2023/24 11

ST ANN’S HOSPICE

November 2023

Firewalk is a blazing success raising over £10,000 .

Success for the brave ‘soles’ that took on St Ann’s Hospice’s Firewalk! 35 people took part in our Firewalk at the start of November, all raising money for St Ann’s which amounted to over £10,000.

December 2023

Remembering loved ones at our Light Up A Life Services. Once again, our Light Up A Life services were a fantastic highlight of the year and the festive season. The events were so special and are a perfect way to remember loved ones.

January 2024

Christmas tree collection raises an incredible amount. St Ann’s Hospice announces over £60,000 raised from Christmas tree collections at the start of the year! We have been in partnership with Just Helping, who are a Manchester-based charity who facilitate a national Christmas Tree Collection across England and North Wales.

12 HIGHLIGHTS OF 2023/24

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

February 2024

Halfway to our target for our new hospice.

In February we reached the £1 million milestone for our Build it Together Campaign!

This incredible total is thanks to the generosity of individuals and organisations in the local community and beyond, and everyone at the hospice is so grateful to those supporters. This is now the halfway point in our public appeal to raising the final £2 million we need to build a new hospice for the future of St Ann’s.

March 2024

St Ann’s Hospice wins 3rd Sector Care Award.

St Ann’s Hospice were thrilled to announce that we won the End-of-Life Care Award at the 3rd Sector Care Awards 2024. The national awards aim to celebrate excellence, innovation and creativity in the voluntary care and support sector.

Emma Barclay, Head of Clinical Services at St Ann’s Hospice, said: “Our application focused on St Ann’s success in innovation by delivering the rehabilitative approach to palliative care.”

HIGHLIGHTS OF 2023/24 13

ST ANN’S HOSPICE

“

We are incredibly proud of every member of the St Ann’s community – both staff and volunteers - who work tirelessly to ensure we focus on what matters most to our patients. Our collaborative approach across teams makes sure their wishes and goals were achieved. Professor Jacqueline Oldham, Chair of the Board ”

14 CHAIR AND CHEIF EXECUTIVE’S STATEMENT

Chair and Chief Executive’s statement 03

ST ANN’S HOSPICE

Joint Statement from the Chair and Chief Executive

St Ann’s is looking to the future and our commitment to care for the people in our community for generations to come. It has been a challenging year, but our resilience has seen us through, with much to celebrate.

We are incredibly proud of all that we have achieved this year, especially against the backdrop of the continuing financial challenges faced by all hospices, and indeed all corners of society.

We have worked innovatively and confidently to ensure our services continue with the same quality of care and compassion that we demand for our patients and their families.

We are incredibly proud of every member of the St Ann’s community – both staff and volunteers - who work tirelessly to ensure we focus on what matters most to our patients. Our collaborative approach across teams make sure their wishes and goals were achieved.

It is this person-centred approach to care at our hospice that led to us being awarded the Markel 3rd Sector Award for End-ofLife Care this year. It was a wonderful achievement and something we should all be proud of. It is a wonderful endorsement of the care our patients and their loved ones receive here at St Ann’s Hospice.

We will all remember 2023/24 as the year we reached a

momentous milestone in our plans for a new hospice in Heald Green. After months, and even years, of planning and paperwork, we broke ground on the new land in October

“

We couldn’t achieve any of the things we do without the support and incredible fundraising efforts of our supporters. Every day we are reminded of your generosity. ”

  1. It was a huge milestone for our incredibly ambitious project to build a purpose-built hospice for our community and a wonderful occasion to celebrate with our staff, patients and neighbours.

Whilst this was a highlight of the project so far, we look ahead now to the construction of the new building and wait with anticipation and excitement for the day we can start caring for our patients in what will be an incredible new hospice.

We pride ourselves in being an organisation that looks boldly to the future and as we drive both the new hospice project and our plans for redevelopment at our Little Hulton hospice forward,

16 CHAIR AND CHEIF EXECUTIVE’S STATEMENT

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

we do so with the generations of patients in our community in our mind and how best to serve them.

When our founder Dr Moya Cole first championed the need for hospice care for the people of Greater Manchester, she did it with determination and tenacity.

She had a clear vision for what her community needed and deserved, and we continue to build St Ann’s Hospice in her name and with the same vision. We couldn’t achieve any of the

things we do without the support and incredible fundraising efforts of our supporters. Every day, of every year, we are reminded of your generosity, thoughtfulness and bravery all in support of St Ann’s Hospice.

Thank you to everyone who gives their time, donates their money and gets behind our incredible cause – St Ann’s Hospice exists because of you all.

Rachel McMillan

Chief Executive of St Ann’s Hospice 13[th] November 2024

Professor Jacqueline Oldham BSc (Hons) RGN PhD Chair of St Ann’s Hospice 13[th] November 2024

“ Despite the cha l enges, we have worked innovatively and confidently to ensure our services continue with the same quality of care that we demand for our patients and their families. ”

CHAIR AND CHEIF EXECUTIVE’S STATEMENT 17

ST ANN’S HOSPICE

“ Thank you to everyone who gives their time, donates their money and gets behind our incredible cause – St Ann’s Hospice exists because of you all. Professor Jacqueline Oldham, Chair of the Board

”

18 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

Trustees’ report and financial statement 04

ST ANN’S HOSPICE

Trustees’ Report including Strategic Report

The Trustees of St Ann’s Hospice, also Directors of the company for the purposes of the Companies Act 2006, submit their annual report, together with the financial statements and auditor’s report for the year ended 31st March 2024.

The financial statements comply with the Charities Act 2011, the Companies Act 2006 and the Charities Statement of Recommended Practice (SORP) applicable to charities preparing their accounts in accordance with the Financial Reporting Standard (FRS102).

Constitution and governing documents

St Ann’s Hospice is a company limited by guarantee (Company No 947220) and is registered as a charity under the Charities Act 1960 (Registered Charity No 258085). The company incorporated on 3rd February 1969 and is governed by a Memorandum and Articles of Association. A Board made up of Trustees (Directors) runs the company. Every Trustee undertakes to contribute to the assets of the company in the event of it being wound up during the time he/she is a Trustee or within one year afterwards. The amount that may be required will not exceed £1 (one pound) for payment of the debts and liabilities of the company contracted before the time when he/she ceases to be a Trustee.

Aims and objectives

The object of the charity, as set out in its Articles of Association, is to promote the relief of illness or suffering by:

St Ann’s Hospice provides holistic care to patients with life-limiting illnesses - comprising inpatient care, and supportive outpatient services - from its sites at St Ann’s Road North, Heald Green, Stockport

and Meadowsweet Lane, off Peel Lane, Little Hulton. The teams at the hospice also provide a range of community and outreach services to patients, including care in the place they call home via a Hospice @ Home service available in Salford and Trafford. The hospice’s Community Specialist Palliative Care Team also supports patients in Salford, and a 24-hour telephone advice line is available to patients, carers and healthcare professionals in Salford, Manchester, Trafford and Stockport.

Public benefit statement

In setting our objectives and planning our services, the Trustees of St Ann’s Hospice have carefully considered the Charity Commission’s general guidance on public benefit. St Ann’s Hospice provides hospice services free of charge to those individuals aged over 18 years with life-limiting illness living in the Greater Manchester and Cheshire areas. The charity also provides supportive care for their families and carers and our care services are available, without restriction, to all groups in the communities we serve.

20 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

Governance

Trustees are Directors of the company for the purposes of the Companies Act. The Articles of Association state there shall be a Board of Trustees (also referred to as the Board of Directors) which shall consist of not less than five members.

Trustees are appointed following advertisement and interview by a panel of existing Trustees. References and Disclosure and Barring Service checks are taken up before a formal recommendation is made to the Board by the Chair that the individual is appointed. Trustees have an annual appraisal, conducted by the Chair.

Trustee Induction

All new Trustees participate in an induction programme (reviewed annually) aimed at building knowledge and understanding of both the role and responsibilities of a Trustee and the work of the hospice. It includes attendance at the hospice’s organisational induction training attended by all new staff.

All staff and volunteers, including the trustees, must complete an annual mandatory training programme as well as attending adhoc training events, usually taking place at trustee away days.

Our annual mandatory training includes, but is not limited to, data security awareness, conflict resolution, equality & diversity, human rights, fire safety, health & safety, and infection control, as well as fundraising, and more recently, risk management, and financial investments.

172(1) of the Companies Act 2006 to have regard to various specific factors, including:

Organisation

The Board administers the charity and meets a minimum of four times each year.

The current structure allows the Board to focus on strategic and big picture issues by delegating responsibility and empowering each committee to examine the detail and provide the precise level of scrutiny that is necessary.

By employing this structure, it allows the committees to provide assurance to the Board and supports the flow of solutions, recommendations, and ideas.

Delegated Decision Making

A Scheme of Delegation approved by the Board is in place that sets out in detail the matters and powers delegated to the Chief Executive.

The Chief Executive is ultimately accountable to the Board for ensuring that the hospice meets its obligation to perform its functions within the available financial and other resources.

Section 172

Trustees have a duty to promote the success of the Charity and, in doing so, are required by section

The hospice ensures good governance through an effective committee structure. Each committee meets in between Board meetings and supports the Board with its work.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 21

ST ANN’S HOSPICE

Internal Control and Risk Management

The Audit Committee exists to advise on the effectiveness of the hospice’s internal control and management systems and to ensure all activities undertaken are subject to a continuous review for economy, effectiveness, and efficiency. The committee also has oversight of financial control, governance and risk-management across all facets of the organisation. The management of individual risks is delegated to relevant subcommittees of the Board.

The Audit Committee receives reports from the internal auditor on both financial and non-financial matters. Clinical audit responsibilities are discharged to the Clinical Quality and Performance Committee. It also receives reports from the Executive Leadership Team and relevant sub-committees on the identification and management of strategic and operational risks.

The Audit Committee also meets the external auditors. Efficient risk management remains a cornerstone of our operations at St Ann’s Hospice. In line with our ongoing commitment to operational excellence, we have successfully transitioned our risk registers from Pineapple to Vantage, our comprehensive electronic governance system. This strategic move represents a significant enhancement in our approach to risk management, ensuring that all governance

functions are now integrated within a single, cohesive platform.

Vantage has been a trusted system at the hospice for several years, supporting the management of incidents, complaints, and policies.

By consolidating our risk registers within Vantage, we have further streamlined our governance processes, making critical information more accessible and manageable across the organisation.

Our staff’s familiarity with Vantage has facilitated a seamless transition, minimising any potential disruption to daily operations. The platform’s customisable interface allows us to adapt the risk module to our unique requirements, ensuring it aligns with our existing processes and policies. Moreover, Vantage’s integration capabilities enable us to manage risks in a more coordinated manner, enhancing our overall risk management and incident response efforts.

This transition underscores our commitment to improving operational efficiency and transparency. By unifying all governance functions under Vantage, we have not only simplified processes but also ensuring greater consistency and accessibility across the hospice. Vantage’s interoperability strengthens the connection between risk and incident management, supporting more informed decision-making and proactive risk mitigation strategies across the organisation.

Engaging Stakeholders

Through regular engagement with key stakeholders, we maintain an

understanding of their needs that informs how we define our organisational objectives, policies, and strategy. The Board of Trustee’s decision-making process considers the impact of potential decisions on relevant stakeholders and obtains assurance that proper consideration is given by its committees to stakeholder interests through regular reports from each committee.

Our Beneficiaries

We are keen to learn from our beneficiaries’ experiences at St Ann’s and actively seek feedback and suggestions that help us make positive changes. Our teams regularly spend time with patients and help them complete a structured questionnaire that provides us with quantitative and qualitative data to inform our decision making and help us make continuous improvements.

Our Supporters

We engage with our supporters using a variety of proven and innovative strategies. To ensure our supporters remain with us, we proactively engage with them by phone, email, or face-to-face meetings. We regularly thank our supporters for everything they do, constantly encouraging and nurturing them to become dynamic ambassadors that champion the hospice and its purpose.

For those who have agreed to receive communications from us, we send them ‘Friends’, our newsletter that is sent three times a year. The circular helps keep our

22 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

supporters up to date with recent news, events, and stories from across the hospice. We also have invested effort in understanding our donor journey to ensure our supporters recognise the importance their support provides and enables them to see firsthand the impact it has. We have a significant presence online and across the social media platforms that we invest substantial effort in, creating interactive content and telling inspirational stories.

We invite all our supporters to our annual Light up a Life and Forgetme-not events as a way for us to come together as a community to remember and reflect. For those individuals who participate in any of our fundraising events, we build and develop strong relationships with them prior to the event by speaking to them regularly over the phone and inviting them to in-person meet ups with other participants.

This provides encouragement and support to their fundraising activity, but it helps strengthen our community and brings our supporters together to share their experiences. Every year we hold a thank-a-thon where the fundraising team attempt to phone as many of our supporters as possible in one day. We thank them for their ongoing support and loyalty and listen carefully to any feedback they have.

In addition to our active communication approaches, we regularly ask our supporters to complete surveys and questionnaires and encourage them to provide us with constructive criticism and feedback, especially where we can improve our engagement with them.

Our Staff & Volunteers

We are proud that we have such a wonderful team of highly professional, caring staff at the hospice, who are passionate about what they do, and we recognise the importance of engaging with, and listening to them. Our weekly Chief Executive’s brief goes out to all staff and volunteers and once a month our Executive Leadership team hold a Director’s Drop-in. We have several working groups where membership includes various staff roles across the hospice.

We use these groups to consult staff on new initiatives, ask them to participate in decisionmaking, and constructively provide feedback on policy and procedures. We also hold regular Schwartz rounds for staff and volunteers to share their experiences of working in what sometimes is a difficult and challenging environment.

At St Ann’s, volunteers work across the hospice in a variety of roles and with varying responsibilities. From running our café and providing visitors with a muchneeded cup of tea, to tending to the hospice gardens, working in our charity shops, supporting the fundraising team with events or office work, or supporting staff on our wards with our celebrated drinks trolley.

Our volunteers are the lifeblood of the organisation. We want to encourage people, whatever their skills and background, to consider volunteering for us.

We also want our volunteers to have every opportunity to develop themselves and offer them the

chance to apply for paid roles and access training and education to help support their personal and professional development.

At St Ann’s Hospice we are committed to providing equal employment opportunities for all candidates. The hospice is proud to be a disability confident employer, ensuring equitable access to vacancies based on the candidates, skills, experience and qualifications.

We strive to make reasonable accommodations during the recruitment process, for example, access to interview questions prior to interview and throughout employment to support all employees in the performance of their role and their career development, for example, accessing different learning styles and adapting training as required.

We are dedicated to supporting ongoing career development and are committed to providing a work environment that values diversity, is inclusive, accessible and responsive to the needs of all candidates and employees.

Our Suppliers

St Ann’s Hospice works with key suppliers to ensure the delivery of high-quality services to its staff and beneficiaries through regular contract reviews and monitoring of quality. A robust procurement process is in place to ensure the highest quality product is delivered at the most costeffective price point.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

23

ST ANN’S HOSPICE

Environmental Sustainability

We remain committed to move our organisation to more sustainable practices through continually reviewing and developing our working environments. Our aim is that informed and engaged employees work in low-carbon, efficient environments, using minimum resources, producing minimum waste and travelling only when necessary. Activities in this area range from, the development of a new modern hospice facility, efficiency projects for our existing estate, and working closely with our staff to transform culture and behaviours.

Carbon Dioxide Emissions (CO2e)

Tonnes of CO2e generated by St Ann’s from Gas, Fuel for Transport and Electricity for fuel and/or transport:

The total CO2e generated by St Ann’s Hospice during 2023/24 is 453.30 tonnes CO2e (2022/23 472.90)

Energy Consumed

The aggregate of the annual quantity of energy consumed from activities for which the charity is responsible during 2023/24 is 2,243,867 kWh (2022/23 2,390,546 kWh).

Methodology

Energy consumption data was generated from billing information. Business travel information was obtained from staff mileage claims for the period. As retrieving car type, fuel type etc. was not possible, aggregated conversion factors were used for petrol & diesel cars, based on an ‘average’ car in the government guidance.

Ambulances and vans applied the category of ‘Managed Vans; Average; Diesel’ for their conversion factor. Data on distance was taken from fuel invoice information with vehicle mpg information drawn from number of online sources noted in supporting documentation (ESOS calculation spreadsheet).

Current government guidance on all conversion factors was used throughout.

The ratio below is based on operational hours for St Ann’s, this equals:

A ratio expressing annual emissions in relation to a quantifiable factor is:

Energy Efficiency

and transport use reduced fuel consumption by 31.7% equating to 5.71 tons of Co2

Our new hospice has been designed with air source heat pumps to provide heating and hot water more sustainably Our new hospice will have no gas network included so to further reduce carbon footprint

Water Use

The Little Hulton site used 2,364m3 of water in 2023/24 (2022/23 3,437m3) and the Heald Green site used 2,418m3 (2,370m3 2022/23) of water for the same period.

24 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

25

ST ANN’S HOSPICE

Committees of the board

Each Board committee is chaired by a Trustee who reports to the Board at each meeting on the matters considered by each committee. Membership of a committee varies, with each containing at least three Trustees, two or more Directors, and a handful of department heads.

Audit Committee

Responsible for ensuring St Ann’s fulfils its corporate Audit responsibilities in relation to financial reporting, internal control systems, health & safety, risk management systems, internal and external audit function, and annual reporting. Clinical Quality & Performance Committee Responsible for ensuring appropriate scrutiny is provided Clinical Quality into quality standards, care delivery, and patient experience & Performance and safety, providing assurances on systems and processes, driving improvements in quality care, and monitoring all levels of risk. Finance Committee Responsible for high-level scrutiny of finance and business Finance performance, robustness of financial systems, analyses and assurances, strategic investments, pensions, risk, internal controls and policies, and annual reporting. People & Culture Committee Responsible for monitoring remuneration, employment

Responsible for ensuring appropriate scrutiny is provided into quality standards, care delivery, and patient experience and safety, providing assurances on systems and processes, driving improvements in quality care, and monitoring all levels of risk.

Responsible for monitoring remuneration, employment policies, changes in conditions, overseeing matters of equality diversity and inclusivity, and monitoring the delivery of nonclinical training and development.

People & Culture

Strategic Development Committee

Responsible for optimising and developing new strategic Strategic opportunities, analysing the external environment and planning for sustainability, overseeing strategic developments Development* and reviewing all income generation strategies, including the capital fundraising campaign.

*Assumed responsibility for the Capital Fundraising Appeal Committee (dissolved October 2019)

26 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

St Ann’s Directorates

Our Executive Leadership Team is responsible for each of the departments within the hospice. Our activities are organised under the following four directorates.

Clinical Services

Director of Clinical Services

Medical

Medical Director

Director of People, Culture & Support Services

People, Culture & Support Services

Business Development

Director of Business Development

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 27

ST ANN’S HOSPICE

Our reach

St Ann’s is one of the oldest and largest hospices in the UK and our services span Greater Manchester and Cheshire. We care for thousands of patients from across the area every year and provide support for their loves ones too.

Key to map

----- Start of picture text -----
St Ann’s Hospice Sites
@ Hospice@Home Areas
Little Hulton Shop
Hospice Shops
Little Hulton Site M60
@
Community Specialist
Palliative Care Team, Salford
@
Hospice@Home Salford
M
Manchester
City Centre
Ardwick
Homeless
Furniture
palliative care service
@ Shop
Hospice@Home Trafford
Ladybarn
Furniture Shop
Sale Shop
Romiley Shop
Stockport Shop
Edgeley Shop
Heald Green Site
Altrincham Shop
Heald Green Shop CLOSED Cheadle Hulme ShopClosed 27/4/2024
----- End of picture text -----

We have to raise around £20,000 a day to keep our services across Greater Manchester running.

28 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

Achievements and Performance

Medical and Clinical Services:

In 2023/24, we proudly reaffirmed our unwavering dedication to advancing our five-year strategy aimed at enhancing palliative and end-of-life care services throughout Greater Manchester. Through collaborative efforts and a steadfast commitment to continuous improvement, we strived to provide the highest quality care possible to our community.

Continuing our commitment, we recommissioned Health Innovation Manchester to conduct an updated assessment of the region’s palliative and end-of-life care needs. Building upon their previous work, this renewed effort provided crucial insights that informed our ongoing clinical strategy. This ensured alignment with the evolving healthcare landscape in our community and responsiveness to current needs.

As part of our ongoing collaboration with localities and hospices across Greater Manchester, we further strengthened the GM Hospices Collaborative. Together, we prioritised our efforts based on the outcomes of the updated assessment.

This collaborative approach empowered us to strategically allocate resources where they could make the most significant impact, effectively addressing the diverse needs of patients, families, and the broader community. Additionally, it elevated the profile of financial sustainability within hospices, ensuring longterm viability and resilience in our pursuit of providing exceptional care.

Over the last year, St Ann’s has been proactive in responding to national, regional, and local guidelines to ensure the uninterrupted provision of our services. We collaborated closely with our colleagues throughout Greater Manchester to ensure a synchronised response and to effectively manage the pressures on health and care services.

We maintained our proud and vocal presence as an integral part of Greater Manchester’s thriving hospice movement. Our collective and cohesive voice, as Greater Manchester’s Hospices, has allowed us to exert influence on the continuing developments throughout the region. Additionally, we continued to foster a

culture of rehabilitative palliative care, with an emphasis on individual priorities and goal setting.

St Ann’s showcased several of our quality improvement projects at regional and national conferences. We held our first Audit and Quality Improvement Seminar, enabling colleagues to present completed quality improvement projects across the hospice. Our consultant-led service was sustained over seven days on both of our sites, resulting in enhanced patient flow, including an increase in weekend admissions and prompt discharges, and more effective symptom management for our inpatients.

We made significant improvements in the governance of our clinical services. Our efforts focused on strengthening governance processes and procedures, including the management of incidents and complaints, and the recording of clinical risks. St Ann’s delivered, contributed to, and facilitated joint clinics with partner organisations to ensure the needs of patients and their loved ones were met in the right place, at the right time.

We enhanced communication and coordination between our inpatient units and community settings to improve admission and discharge planning. Collaborating with partners in the Greater Manchester Hospices group on various joint initiatives helped ensure the survival and continued role of hospices in providing specialist, supportive, and high-quality care to people from all corners of Greater Manchester when they needed it.

St Ann’s hosted several clinical nurse specialist clinics at our Being You Centres, building relationships with external colleagues, enabling external healthcare professionals to use our facilities, and providing more patients with access to hospice services.

Over the past year, we continued the provision of our homeless palliative care service, ensuring inclusivity and accessibility in our care offerings. We established partnerships with various specialty services across our communities, enhancing our reach and effectiveness in addressing diverse needs. By embedding the rehabilitative palliative care model throughout the hospice, we empowered patients to identify and pursue their personal goals.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 29

ST ANN’S HOSPICE

Our participation in the Manchester Pride event 2023 demonstrated our commitment to diversity, inclusion, and community engagement. We implemented various initiatives to promote diversity and equality within our organisation, fostering an environment of acceptance and respect. Our efforts to improve accessibility to our services for all individuals, regardless of background or circumstance, reaffirmed our commitment to being an organisation of choice for everyone.

We developed and implemented a new series of Key Performance Indicators (KPIs) to measure the diagnosis of hospice patients and track ethnicity data, ensuring accountability and driving continuous improvement in providing equitable and high-quality care. Regular patient interviews helped us gauge the effectiveness of our services and identify areas for improvement, ensuring we meet the diverse needs and preferences of our community.

We actively engaged with local community leaders and advocacy groups to better understand and address the social determinants of health impacting access to hospice care for certain populations, advocating for resource allocation to promote health equity. Our organisational policies and procedures were regularly reviewed and updated to align with best practices in diversity, equity, and inclusion, actively seeking feedback from stakeholders to inform these efforts.

We maintained a robust system for reviewing and addressing complaints, using feedback as an opportunity for organisational learning and improvement, ensuring our services are responsive to the needs and concerns of all individuals within our care community. Additionally, our ongoing community outreach initiatives raised awareness about the availability and benefits of hospice care, particularly targeting underserved and marginalized populations, and actively seeking feedback to tailor our services to better meet the needs of these communities.

We invested in leadership development initiatives, including organising a ‘Clinical Team Leaders’ Away Day’, to nurture a cohort of capable and empathetic leaders who epitomize our organizational values. We introduced a ‘Healthcare Assistant Away Day’ facilitated by Advanced Clinical Practitioners, providing a platform for reflection, continuous development, and learning among our healthcare support staff. This initiative aimed to enhance their skills and support

their professional growth within our values-based culture.

We introduced the Patient Safety Incident Response Framework (PSiRF), which includes staff education, structured protocols for incident response, and the promotion of a “speak up” culture. This framework encourages all staff members to report safety concerns, promotes a learning culture, and contributes to continuous improvement efforts within our values-based care environment.

Over the past 12 months, we maintained a full programme of mandatory training for all staff, including moving and handling techniques and basic life support skills. We also reviewed and updated our mandatory training plan in alignment with our mandatory training policy to ensure any gaps were identified and bridged.

We provided a comprehensive training programme for clinical staff, including face-to-face training on medicine management and ward-based competencies. Additionally, we celebrated a number of high-performing individuals and teams, recognizing their efforts through our staff award programme.

At St Ann’s Hospice, our clinical teams operate under the leadership of the Director of Clinical Services, who holds the position of Senior Information Risk Owner (SIRO). Assisting the Director of Clinical Services are our Head of Clinical Services/CQC Registered Manager and Deputy Head of Clinical Services.

Our clinical teams encompass various specialised units:

30 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

Inpatient Units

Throughout 2023/24, our inpatient units have been operating at full capacity, providing a comprehensive inpatient service. Our efforts to improve access to seven-day services have enabled us to admit patients on weekends and bank holidays, thereby ensuring uninterrupted care. Our dedicated staff have tirelessly supported patients and their families in every aspect of their care, offering valuable information to help them to set realistic goals and make informed decisions on matters such as preferred priorities of care, nutrition and hydration, medicines, and visitation.

Being You Centres

At our Being You Centres, we have offered personalised face-to-face and virtual appointments to cater to individual needs. This ensures that all patients have access to medical, rehabilitation, and wellness services. In the last 12 months, our team has provided support to The Christie NHS Foundation Trust Systemic Anti-Cancer Therapy and Phlebotomy Clinic. In addition, our Heald Green site has been hosting a monthly Stepping Hill Hepatic, Pancreatic and Biliary Clinic and Upper Gastro-Intestinal joint clinic. Over the past year our Being You Centre outreach service has continued to gain interest, and the team have been working closely with partners across our localities.

Community Specialist Palliative Care Team

Throughout 2023/2024, our Community Specialist Palliative Care Team has maintained a complete range of services and observed a consistent growth in referral volumes. They have provided exceptional clinical guidance and proficiency for patients, our staff, the community, and acute hospital staff throughout the previous year. Moreover, the team has been adaptable in delivering services, including video and phone consultations, when necessary.

Homeless Palliative Care Co-ordinators

This is the fourth year of five of the Big Lottery funded project and the post has continue to grow in strength. The coordinators continue to provide support in the management of many complex cases to ensure individuals from this vulnerable population, who are approaching the end of their lives, have a voice which is heard. They continue to work collaboratively with other agencies and refer on when needed.

@

Hospice@Home

Throughout 2023/24, our Hospice@Home team has provided an uninterrupted full service. The team has efficiently triaged all referrals within 48 hours, assessed the unique needs of patients during each visit, and provided consistent emotional and psychological support to both patients and their families.

Rehabilitation Team

Throughout 2023/24, our Rehabilitation team has continued to provide critical services following the resumption of all services in the previous year. The team has played an essential role in promoting a more rehabilitative culture and has presented their work at several regional and national conferences.

Our Complementary Therapists have provided services in addition to supporting volunteers, enabling more patients to access these services. Our Dietitian has continued to work closely with nursing and catering colleagues to review and enhance our ability to meet the nutritional needs of our patients effectively.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 31

ST ANN’S HOSPICE

The Rehabilitation team has also provided specialist lymphoedema services to patients across Greater Manchester and Cheshire. Our team of experts has worked tirelessly to offer individualised treatment plans, including complex lymphatic drainage, compression bandaging, and skin care management, among other services. In addition, we have also provided patients with education on self-management techniques to help them manage their condition at home. The aim is to improve the quality of life for our patients by reducing pain, swelling, and discomfort associated with lymphoedema, and promoting selfconfidence and independence.

Patient and Family Support Team

Throughout 2023/24, our Patient and Family Support team has provided comprehensive services to assist our patients, their families/carers, volunteers, and staff. The team has demonstrated flexibility and responsiveness in meeting the spiritual, psychological, and social requirements of our patients and their carers.

In addition, the team has facilitated regular Schwartz Rounds for our staff and volunteers. They have also provided clinical supervision to the Social Work team at the Christie Hospital, while the Safeguarding Lead has delivered safeguarding training to a North West Hospice.

Pharmacy Team

Our Pharmacy team has continued to provide pharmacy services, throughout 2023/24 under our service level agreement with Salford and Wythenshawe hospitals. This team, with support from our Advanced Clinical Practitioners and medical team, has helped to maintain pain management, symptom management, medication administration and discharge planning. Over the latter end of the year, our pharmacists have led the start of our implementation of an e-prescribing and e-administration system onto our inpatient units. The system went live in April 2024 and will improve patient safety and medication management within the inpatient units.

Clinical Administration Team

The Clinical Administration team has supported the clinical and support services teams by working

innovatively and collaboratively throughout 2023/2024 whilst maintaining the administration of the clinical services and data collection.

Clinical Volunteers

We are pleased to report on the ongoing contributions of our clinical volunteers throughout the 2023/24 period. These volunteers have remained integral to the provision of high-quality care within our hospice, offering invaluable support to our patients and clinical teams.

Furthermore, we are proud to recognise the leadership of our Clinical Quality Volunteer, who has continued to lead patient interviews across both of our inpatient units. The feedback gathered through these interviews has been instrumental in identifying areas for improvement and enhancing the overall quality of care provided.

Medical teams

Our medical teams at St Ann’s are led by the Medical Director who is our Caldicott Guardian and is supported by our Associate Medical Director. Our medical teams consist of:

Throughout 2023/24, our consultant-led medical teams have delivered exceptional care across our inpatient units and the wider communities that we serve. Our medical teams have also continued to provide support for our 24-hour Advice Line.

32 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

24-hour Advice Line

St Ann’s Hospice 24-hour Advice Line is manned by a Registered Nurse with support from our medical team and pharmacists, and is provided 24 hours a day, seven days a week. The service has been maintained throughout the last 12 months and provides telephone support for both healthcare professionals and patients, families and care givers from across Greater Manchester (Salford, Trafford, Manchester and Stockport).

Commissioning for Quality and Innovation (CQUIN)

St Ann’s Hospice’s income in 2023/24 was not conditional on achieving quality improvement and innovation goals through the Commissioning for Quality and Innovation payment framework.

Quality improvement

St Ann’s has remained focused on quality improvement within our clinical services during 2023/24. Our Quality Improvement Group approve, monitor and support all quality improvement projects across our clinical services. We have continued to review and evaluate our meetings, looking at how to improve and how we can best evidence our amazing teams and the quality improvement work they undertake.

In June 2023, we held our first Audit and Quality Improvement Seminar at our Heald Green site to showcase the project work our teams carried out over the previous 12 months. There were five presentations and 12 posters which were judged by a panel made up of our Medical Director, our Heald Green Ward Manager and one of our Trustee’s.

The winners of the Best Poster were members of the Rehabilitation Team for their poster ‘How a rehabilitative approach helped us to transform patient outcomes and our hospice culture.’

The winner of the Best Oral Presentation was one of our medics for a presentation on ‘Using simulation training to improve management of opioid induced respiratory depression in the hospice setting: a quality improvement project’.

Feedback after the event was very positive with one

attendee saying: “Really motivating and inspiring to see what has been done.” Other feedback praised the session for being “educational and forward thinking.”

During 2023/24, we have carried out the following quality improvement projects:

Quality Accounts

The hospice produced the Quality Accounts for this reporting period in line with national guidance.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 33

ST ANN’S HOSPICE

Incident Reporting and Near Misses

At St Ann’s Hospice, all incidents, accidents, and near misses are reported via Vantage, our electronic incident management system. Staff are supported by a comprehensive suite of policies, training, procedures, and guidance on incident management within the organisation. Incidents and lessons learned from them are discussed at relevant team, departmental, and committee meetings. We have always encouraged openness and honesty, in line with the professional and legislative duty of candour. Our culture promotes candour, openness, and transparency across all departments within the hospice, and in any communication with patients and families regarding both notifiable and non-notifiable safety incidents. We have ensured that the requirements to be open when things go wrong are explicitly stated within our complaints, incident management, and whistleblowing policies.

The Year Ahead

St Ann’s Hospice remains committed to leading specialist care to those impacted by life limiting illness, not only for our patients, but also for their families and caregivers. During 2024, we will be actively working towards the realisation of our five-year strategy, with a particular focus on preparing for the opening of our new hospice in 2025 and writing the new clinical strategy set to launch in the same year.

Our commitment to excellence remains reflected in our collaborative approach to reviewing, reflecting upon, and monitoring the quality of our services. By incorporating our clinical strategy and hospice values into all aspects of our work, we aim to ensure effectiveness, efficiency, and continuous improvement.

34 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

People, Culture and Support Services

People and Culture

This year there was opportunity to review our HR and Education offer to ensure it supported the hospice in achieving its new strategy. As a result, the HR and Education teams have merged to form the new People and Culture Department. The new structure provides a focused approach to education and development as the organisation strives for high performance at an individual, team and organisational level. Additionally, it further enhances our business partner model to ensure departments are proactively supported.

Ongoing development for existing leaders has been delivered through Leadership Exchange Network (LEN) sessions.

Organisational Values and Behaviours

Following the launch of the hospice’s new values, work has been ongoing to ensure they are embedded across the workforce. This has included updating posters and other documentation together with developing a set of behaviours that sit alongside and support each value.

Wellbeing Programme

The hospice continues to ensure staff are supported with wellbeing initiatives including Wellbeing Week in January.

Staff can access external support from the Greater Manchester Resilience Hub and Care First, the hospice’s Employee Assistance Programme providers.

Digital Developments

Recruitment processes have been enhanced with the rollout of NHS Jobs self-service for mangers. This enables managers to see applications when they are submitted, shortlist online and arrange their own interviews. This has reduced the paperwork managers need to complete and created efficiencies for the People & Education Administrators.

Clinical Education

A new online education portal, Clinicalskills.net, has been introduced to enhance learning for clinical staff. The portal is a fully illustrated guide for practical clinical skills procedures. All teams have had an introduction to the site during their team meetings, and video demonstrations have been made accessible to anyone who wants to learn more. The site will be useful for annual Performance and Development Reviews. Clinical Managers can also create tests within the system to aid the continuous development of our clinical teams.

Leadership Development

The hospice’s Inspire Leadership Development Programme was delivered again this year for new leaders with some additional content focussing on the concept of leaders building trust using the Trust Equation from the Trusted Adviser.

This addition to the programme not only supported the hospice’s leadership behaviours but has also begun to address issues around psychological safety in the workplace.

The People Database has been adapted to record informal absence management meetings and send notifications to line managers when reviews are due. This is supporting the management of sickness absence and aims to reduce short term absence going forward.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 35

ST ANN’S HOSPICE

Support Services

Estates

Leadership

The estate’s leadership team structure has been strengthened with the appointment of a Catering Manager who oversees the catering functions across both hospice sites. This new role is enabling consistency across both sites together with the introduction of quality improvement initiatives. New menus have been introduced for patents and the cafés.

Little Hulton Redevelopment

PRP Architects has been appointed to support the next phase of redevelopment at Little Hulton. This project will follow a similar format to Phase One which commenced in 2019 and resulted in redevelopment of the main reception and surrounding areas. Planning has been undertaken to bring together two staff focus groups to inform a feasibility study.

Digital Developments

Improvements to Patient Areas and Facilities

Throughout the year it has been possible to make several improvements to our estates and facilities including:

The hospice’s IT Servers have been updated. This was a major project and has realised several benefits including compliance with the Data Security and Protection Toolkit, reduced the risk of malicious security breaches, improved the robustness of the network and increased computer speeds for users.

A rolling programme of replacing PCs and laptops was introduced due to the majority of devices being two or three generations old. The new technology is improving processing time as well as storage capacity and cybersecurity.

36 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

37

ST ANN’S HOSPICE

38 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

Business Development

Fundraising

Fundraising income from donations and legacies to the 31st March 2024 was £4,842,542 against the previous year of £5,909,716 (2022/23) a decrease of 19.0%.

The 2023-28 five year strategy drives the primary activity within the fundraising team and with the vision to deliver a surplus income of £5m in the financial year of 2027/28.

In line with the strategy, we have delivered the following:

To build a more sustainable base of fundraising income by investing in sustainable income streams including regular giving, in aid of activity, and trusts and foundations, by increasing income by 50% across these streams.

To be digital first and digital efficient in the planning and delivery of activity.

To protect future income by increasing legacy pledgers by 10% Year on Year.

To deliver sufficient income to build a new hospice at Heald Green.

To reduce our impact on the world’s finite resources.

Fundraising’s key priorities for 2024/25 are to:

To increase our capacity to fundraise through recruiting and empowering volunteers.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 39

ST ANN’S HOSPICE

We ensure all our activities are underpinned with correct governance:

St Ann’s Hospice and St Ann’s Hospice Trading Company are a member of the Institute of Fundraising (IoF) and the Fundraising Regulator (FR). No incidents were reported in the 12 months to 31st March 2024. We review all new activity in line with our information governance policy.

We continue to act ethically and responsibly, using best practice when communicating with our donors and supporters and adhere to The Code of Fundraising Practice and its associated Rulebooks for street and door fundraising that outline the standards expected

of fundraising activity. In the Year 2023/24, we received one request to cease communication through the Fundraising Preference Service. No complaints relating to Fundraising were received during the year.

We display the trusted logo of the Fundraising Regulator on all our fundraising communications.

The fundraising team and Trading Company undertake safeguarding training in line with the Charity’s policy for protecting vulnerable people. We engage with external fundraising contractors who act on our behalf to engage with Trusts and Foundations and carry out lottery promotions.

40 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

Trading Company

----- Start of picture text -----
Trading Company turnover in the year was
£2,522,472
(2022/23 £2,546,496), a 0.94%% decrease.
Operating profit in the year was
£880,934
(2022/23 £989,579), a 10.9% decrease.
----- End of picture text -----

----- Start of picture text -----
Goods sold under the Gift Aid Scheme, which are
reported as donations in the Charity, totalled
£227,905
(2022/23 £225,500), a 1.06% increase.
----- End of picture text -----

Retail

Retail income increased on the previous year, £845,508 (2022/23 £773,972) which includes online income which increased 82.1% following the appointment of an Online Sales Manager.

During the year the Retail team have;

In 2024/25 the Retail team plan to introduce a LED lighting across the Trading Company shops to reduce carbon footprint and lower utility costs.

Lottery

Lottery membership at the end of March 2024 was 17,446 (2022/23 17,650) with an average of 14,720 (85%) of members playing each week. During 2023/24 membership decreased by 1.16%. This decline was largely due to the continued impact of the cost-of-living crisis and the loss of some payment functions on our lottery website.

We continued to promote our lottery by telephone and face to face with an increased presence in venues during the winter months. We also attracted new lottery member sign-ups via the lottery website at an average of two new online players each week.

In addition to the weekly lottery, two raffles were promoted in 2023/24 with total ticket sales of over £39,000 (£23,008 Summer Raffle, £16,954 Winter Raffle).

During the coming year the Lottery team will continue to promote our lottery both by telephone and face to face. There are also planned campaigns to increase income from existing lottery players by utilising the pattern pricing function available with our lottery software and ensuring more players make regular payments to prevent draw misses.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 41

ST ANN’S HOSPICE

Finance

Recognising that the cash held was increasing in preparedness for the Capital project and to take advantage of high interest rates an active cash management account was proposed to Trustees. This went live in April 2023 and has resulted in an increase in interest income with the added benefit of easier administration of accounts.

Following the successful implementation of new accounting software in 2022/23 the Finance team have continued to explore and implement new processes to take advantage of the features the new software offers. A team brainstorming session was held in September 2023 each process within the team was discussed and ideas for efficiencies put forward the focus being on quick wins and labour-intensive processes.

The review of the Payroll function commenced in Autumn 2023, preferred software has now been identified and subject to approval will be implemented in 2024/25.

Marketing & Communications

The Marketing and Communications team at St Ann’s has moved away from its stewardship by High Rise Communications in the last year to a new in house team. This has allowed the development of new communications tools including the development of supporter emails to be much more targeted and specific, away from a monthly newsletter model.

Social media continues to be an important way to communicate with our supporters, patients and their families and engagement has continued to rise on all channels. The increased use of video content on our social media channels has contributed to this increased engagement.

The Marketing and Communications team has worked closely with the Fundraising team on direct mail campaigns including Phase 2 of the Capital Campaign, Forget-Me-Not Spring Appeal, Light Up a Life and the Christmas Appeal. This direct mail communication was supported with internal communications, social media and supporter emails.

42 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

The team has been involved in key market research projects for the future of St Ann’s Hospice, which involved stakeholders from across the organisation and our community.

The department continues to work closely with all departments across the organisation to support them in income generation, as well as providing clear and up to date information to our patients and their loved ones.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 43

ST ANN’S HOSPICE

Review of 2023/24 Priorities Construction of the new hospice at Heald Green

With secured finances and confirmation that adequate reserves can be maintained, we will appoint a contractor and start construction of our new building at Heald Green.

Land Ownership & Construction

After a series of delays and complications the legal purchase of the land adjacent to the current St Ann’s site was completed on 11th September 2023 and marked a significant milestone in the project.

Having completed a competitive tender process, Caddick Construction was selected as contractors for the project. Due to supply chain cost increases and design changes, there was a need for value engineering to reduce costs. Within the project team, we were able to reduce costs closer to levels discussed when initially planning the project.

Financial viability

In August 2023 the Board of Trustees were presented with up to date financial analysis and projections to allow a discussion around the financial viability of this project. This assurance gave them the confidence to proceed with the purchase of the land.

In February 2024 and following the completion of value engineering works, the Board of Trustees were again presented with up to date financial analysis and projections again giving assurance of the viability

of the project.

Legal advisors had been drafting the construction contract and this was the green light they needed to put the final touches to this contract. The Trustees approval of the value engineered quotation allowed for a letter of intent to be approved meaning Caddick could begin works on site prior to the signing of the construction contract. Works began on site under this letter of intent in February 2024.

We will intensify our capital fundraising campaign to achieve high public visibility and meet predefined targets, backed by a series of contingency measures for assured success.

A cornerstone of the financial viability of the Capital build project is the “Build it Together Capital Campaign”

The ambitious cumulative fundraising goal of £6.98m was launched in 2022/23 and whilst delays with the project have delayed elements of the campaign, it remains on track to deliver this ambitious target by the end of the project.

The “Build it Together Capital Campaign” is made up of a range of income streams to spread the risk including direct mail campaigns, applications to trusts and foundations, active solicitation from major donors and forging corporate partnerships. When presenting the Financial viability of the Capital Build to the Board of

Trustees, income streams within the “Build it Together” campaign were categorised as Low, Medium or High giving assurance to the Board.

Forecasts and risk profiles of income are kept under constant review.

We will start to plan the transition to the new hospice building in 2025, focusing on stakeholder identification, logistics, staff engagement, asset management, and workforce planning.

During 2023/24 the primary focus was on value engineering and assessing the financial viability of the project however the leadership team also turned their attention to what the transition to the new Hospice would look like.

13 Workstreams were created, each led by a Head of Department with a member of the Executive Leadership Team as sponsor. The workstreams cover areas such as move management, staff engagement, and saying goodbye to our current building.

Within each workstream there are a number of actions and projects. An example of such is the room by room documentation of all items and use of a traffic light system to indicate if items will be moving to the new site, disposed of or sold.

Staff engagement and orientation is also being considered as part of this work to ensure progress is communicated to staff and they are involved as much as possible. Work has also commenced on identifying training needs as we transition to the new building to achieve smooth orientation.

44 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

Workstreams are reported on monthly at the Heads of Department meeting ensuring the Executive Leadership Team have full oversight of the project.

This work will intensify during 2024/25 as the completion of the Hospice draws closer.

We will review the care we provide and ensure our care is evidence based and aligned to the Greater Manchester Commitments for Palliative and End-of-Life Care.

We continuously review the care we provide to ensure it is evidencebased and aligned with the Greater Manchester Commitments for Palliative and End-of-Life Care. As part of this process, we have introduced the Patient Safety Incident Response Framework (PSIRF) to help us systematically identify, address, and learn from any safety issues. By integrating PSIRF into our review, we aim to continuously improve the quality of our care, ensuring that it meets the highest standards and supports the needs of patients and their families.

We have remained focused on driving quality improvement across our clinical services. Our Quality Improvement Group continues to play a significant role in approving, monitoring, and supporting all audit and quality improvement initiatives.

We will review our education, training, and research activities, developing a strategy to address the challenges and position us as a centre of excellence in education, research, and innovation.

The hospice’s Inspire Leadership Development Programme was delivered again this year with some additional content focussing on the concept of leaders building trust. This addition has not only supported the

hospice’s leadership behaviours but has also begun to address issues around psychological safety in the workplace.

Working with local Universities and Practice Education Facilitators, a redesign of the student placement policy and process has ensured the best possible experience for students and staff.

The introduction of a new online clinical learning portal provides a fully illustrated guide for practical clinical skills procedures and is a valuable evaluation tool enabling managers to create tests aiding continuous development of clinical teams.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 45

ST ANN’S HOSPICE

Our priorities for 2024 - 2025

2024/25 marks year two of St Ann’s Hospice five-year organisational strategy which covers 2023-2028.

The upcoming year will see a lot of focus on the construction of the new hospice, financial management, capital fundraising and planning for the transition. It is important that the new hospice doesn’t demand all of our attention and so concurrently there will be a focus on digital transformation across both clinical and non clinical areas and a focus on developing a speaking up culture.

The priorities below are not a comprehensive list of everything we will do this year, it sets out where we will focus our efforts whilst retaining the flexibility to address new priorities and respond to emerging issues.

----- Start of picture text -----
1
----- End of picture text -----

We will sign contracts with the contractor and construction of our new hospice will commence on site.

We will continue to plan the transition to the new hospice, focusing on stakeholders, 2 logistics, staff engagement, asset management and workforce planning.

As work to construct the new hospice continues we will plan for the transition. It is essential this is a seamless transition which minimises disruption to services.

46 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

----- Start of picture text -----
3
----- End of picture text -----

We will begin a Digital Transformation project which will impact across the Organisation

In 2022/23 our Board designated funds to upgrade digital hardware across the organisation. It is essential we keep pace with the ever changing digital landscape to ensure the safety of our digital systems and take advantage of efficiencies digital processes can bring.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 47

ST ANN’S HOSPICE

4

We will implement digital prescribing and medication administration software to our Inpatient Units.

Implementation of such software will enhance patient safety by reducing medication errors, ensuring accurate and timely prescriptions and providing real time access to patient medication records. For our staff, the system will simplify the prescribing process, reduce administrative workload and promote seamless communication across care teams. Allowing for more efficient and focused patient care.

5

We will develop an infrastructure to support a speaking up culture.

A speaking up culture aims to empower the workforce to voice their ideas and challenges. By further developing the hospice’s culture, an environment can be created where staff are encouraged to share suggestions and voice concerns.

48 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

49

ST ANN’S HOSPICE

Manchester’s New Hospice

St Ann’s is one of the oldest and largest hospices in the UK, caring for people throughout Greater Manchester. Thanks to the generosity and support of our local community we opened our door more than 50 years ago, to look after people with life-limiting illnesses, and to provide support for their families.

We now need a new, purpose-built hospice that will serve the needs of our community now and in the future. If we do not act now, we’re at real risk of closing services in the near future. We will create a new hospice facility in Heald Green that ensures we can continue to deliver pioneering, outstanding care for people in Greater Manchester for generations to come.

Background and Vision

St Ann’s new hospice will be a complete care facility in Greater Manchester that people can come to from diagnosis of a lifelimiting illness, through treatment, and beyond. Our holistic approach to care will meet the complete medical, physical and spiritual needs of patients and their families, in an environment that is welcoming, caring and fully equipped with modern facilities.

Our new hospice will be a model of future hospice care; it will give us space to expand our work, becoming a centre of training and excellence and a hub of innovation, working with partners in palliative and end-of-life care across Greater Manchester. We know that care will change as the needs of our patients change, and we will be equipped for these changes so that we can always be at the forefront of innovative care – in the next 10, 50, or 100 years and beyond.

Outstanding Facilities

The building will offer more flexible accommodation which will mean we can increase our admissions, and care for patients with complex needs more easily.

People will benefit from improved privacy to attend consultations, assessments, activities and counselling therapies in a way that suits them; inpatients will have increased dignity with their own private space and facilities, and staff will benefit from an easier working environment and be able to focus more time on caring directly for patients.

The Being You Centre will be transformed by the increased space, offering an integrated dining area and lounge, consulting rooms for outpatient services – including counselling, patient and family support, and complementary therapies – and a fully equipped physiotherapy suite. Surrounding the whole facility will be landscaped gardens accessible to all patients and visitors.

The new hospice building will deliver improved social and financial sustainability, offering a training suite and bistro as available spaces for use by the local community. The environment focussed design will use the latest green initiatives.

Ultimately, it will mean a better working environment for staff and volunteers and vitally, result in a

hospice that will be able to care for whoever needs it for a further 50 years and more.

Planning and Construction

Commencing construction in June 2024, the Heald Green new build will be developed over a 67-week programme. Starting with the land clearance and soil removal, the new Hospice will emerge out of the ground in two elevations with a two story east facing site connected by a walkway to a single story inpatient unit to the West.

This unique design has allowed several historic protected trees to remain on site which will blend into the outside area. Constructed with a brick and steel design, the building is sympathetic to the style of the Victorian Cheadle Royal Hospital allowing it to better blend with its surroundings. During the construction additional designs will be incorporated to best suit the needs of its patients and visitors. Patient areas have been planned with a focus on creating a welcoming and calm environment, with the interiors designed with high quality soft furnishings to create high levels of

50 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

comfort.

Design of spaces including communal areas, patient bedrooms, gardens and cafes have been conducted through a consultation and feedback process when all stakeholders have been able to submit ideas to enable best practice and ensure spaces operate as efficiently and ergonomically as possible.

The mechanical and engineering design has allowed for a sustainable site with a reduced carbon footprint. Heating and hot water is provided by low emission air source heat pumps and complemented with a solar panel array to the roof space. Advanced insulation allows significant heat retention, and a sophisticated electronic building management system will control air temperature and lighting to further reduce energy consumption.

The building is due for completion around September 2025 at which point a handover and ‘soft-landing’ will be orchestrated to enable a seamless transition of Hospice services.

Capital Fundraising Campaign

This is an ambitious £24 million project with no statutory funding available for hospice buildings.

An ambitious fundraising plan for the new hospice commenced in 2019. Initially a focus was placed on trust and foundation income from both regional and national grant givers. In 2022 the public appeal was designed and launched in the summer. To the end of March 2024, the cash and

pledge figure is £3.2 million with approx. £3 million left to raise. Of this figure over £1.2 million is from the public campaign.

hosting a ball for the new build appeal along with TLC events and Truth creative.

Fundraising continues at a high pace to deliver the remainder of the funds whilst the building is being constructed on the land next door. This will consist of a continuation of the public facing appeal, increased focus on Major Donor giving and delivery of The Great Mancunian Ball.

Throughout 2023/24 individual, groups and organisations have demonstrated their support with donations, events and participation in St Ann’s Hospice led campaigns. We have been fortunate to partner with Gary and Emma Neville who are

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 51

ST ANN’S HOSPICE

Financial Review

The accounts for the year have been prepared in accordance with the Statement of Recommended Practice Accounting and Reporting by Charities (SORP 2019) and comply with all statutory requirements and the hospice’s governing document. The accounts consolidate the results of the hospice and it’s trading subsidiary.

The Trustees report a net increase to overall funds for the year of £0.6 million (2022/23 £2.3 million increase) and an overall funds balance of £26.3 million at 31st March 2024 (£25.7 million at 31st March 2023). The financial position of the group is set out in the balance sheet on page 57. The Reserves Policy relating to the funds held by the hospice is described in the Reserves Policy below.

Income and

expenditure

The Statement of Financial Activities is set out on page 56 of these financial statements. From an operating point of view, 2023/24 showed a surplus before investment gains/(losses) and pension liability movements of £593,232 (2022/23 surplus of £1,561,418).

The hospice’s principal sources of income are donations, legacies, NHS contracts and trading profits. Total income in 2023/24 was £13.1 million (2022/23 £13.8 million), a decrease of 5.4%. Income from donations (including capital build) in 2023/24 was £2.5 million, a 3.1% decrease compared to the previous year (2022/23 £2.6 million). Legacy income is 30.3% down this year (£2.3 million), recognised as received or as due under FRS102 (2022/23 £3.3 million). Funding from NHS

Clinical Commissioning Groups amounted to £5.3 million, an increase of 3.9% (2022/23 £5.1 million). The turnover of the Trading Company saw no change and remained at £2.5 million. The amount donated to the hospice is £0.9 million, a 12.1% decrease compared to 2022/23. Investment income and interest receivable in 2023/24 was £397k, this is an increase of 152.9% compared with 2022/23 of £157k. This was driven by increasing interest rates.

The cost of Charitable Activities increased slightly by 0.9% from £9.86 million in 2022/23 to £9.94 million in 2023/24. We continue to review our cost base to ensure that we are providing our services as efficiently as possible. The actuarial gain in the pension fund is £27k (2022/23 £1.9 million gain). In the Balance Sheet there is a slight increase in the liability to £0.7 million (2022/23 £0.6 million) The pension liability and its impact on the hospice’s financial position is monitored closely by the Trustees of the St Ann’s Pension Scheme. The major financial assumptions used to calculate the Pension Scheme Liability are shown in Note 24 in these financial statements.

Investment Performance, Policy & Management

At 31st March 2024 the value of the investment portfolio was £2.4 million. Compared to 31st March 2023 balance

of £2.2million. The total return of the investment portfolio (income plus capital change) to the 31st March 2024 stood at 9.3%. This is against WMA Income index and RBC Brewin Dolphin’s benchmark, which experienced returns of 8.9% and 10.9% respectively. The effects of high inflation and the invasion of Ukraine have led to some degree of underperformance in the value of the portfolio. However, when viewed on a longer-term time frame the performance of the assets over a 3-year and 5-year rolling period continues to be strong and ahead of wider markets.

The investment managers have been given delegated responsibility to manage the investment portfolio, subject to agreed asset allocations Funds are invested in a portfolio of UK and overseas equities, fixed interest investments, and alternative investments such as property and cash. Investment performance is reviewed quarterly at each Finance Committee.

The investment policy is to seek the best financial return within an acceptable level of risk and the investment objectives are a balance between income and capital growth.

Investments made on behalf of the hospice are restricted in that no investments may be made directly in companies manufacturing tobacco related products.

52 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

Policy on Reserves

A Statement of Unrestricted Funds is shown in Note 22 to the Accounts. The Charities SORP defines reserves as that part of a charity’s funds that is freely available to spend. The Trustees have agreed to reduce the level of free reserves held to a minimum of 3 months running costs, having previously stated they should not exceed more than twelve months running costs. The minimum target of free reserves for 2023/24 was 3 months running costs. This reduction is to allow for greater funds to be designated to the Capital Build project and recognises the diversified income streams of the Organisation.

The free reserves at 31st March 2024 are £3.11m (2022/23: £3.06 million), an increase of £0.05million. This represents three months of normal running costs for the hospice (2022/23 three months).

The Charities SORP specifically allows for funds held as ‘tangible fixed assets for charity use’ to be excluded from free reserves. The Trustees therefore set aside a designated fund of £1.7 million, equal to the net book value of tangible fixed assets (2022/23: £1.7 million). This amount has slightly decreased on the previous year. In 2020/21 this fund reduced significantly as the Trustees unanimously agreed to remove the proportion of funds attributed to the Heald Green site due to the forthcoming rebuild project and the planned demolition of the building on this site.

In addition, the Trustees have designated a fund to be held for

Property Refurbishment and Development which totals £18.4 million (2022/23: £18.6 million). This fund relates mainly to the Heald Green site and reflects the immediate requirement to set aside funds towards the rebuilding of our new hospice to meet the increasingly complex clinical and care requirements of patients.

In 2022/23 the Trustees agreed to create a new designated fund for Information Technology upgrade works £0.12m was designated for this purpose. There has been no change to this fund in 2023/24 with the implementation of the upgrade due to be carried out in 2024/25.

Strategic Risks

The Trustees have oversight of the strategic and operational risks across the organisation through both the Board and its committees. The three key strategic risks (red risks) facing the charity are the uncertainty of voluntary and Trading Company income; clinical staffing recruitment and retention and future ICB funding. These three risks are discussed in more detail below.

Uncertainty of voluntary and Trading Company income Voluntary income from fundraising, particularly legacies is uncertain by its very nature. Changes to legislation in relation to fundraising practices, could reduce income and the capacity to fundraise through usual channels. Downturns in the economy can reduce fundraising income. The hospice is in direct

competition with other major charities for fundraising income. Loss of key staff from income generating teams can lead to gaps and affect continuity and capacity to fundraise whilst a reduction in Lottery subscribers leads directly to a fall in income and profit. In mitigation of this risk, the Trustees regularly review external influences and legislative implications.

We take a proactive approach in encouraging supporters to consider legacies and a strategic approach to securing Trusts and grant awards for both restricted and unrestricted monies.

The Trading Company Corporate Strategy and the Fundraising Digital Transformation Strategy are now live, with the aim of identifying new income streams and building on the success of existing ones to support transformational income growth.

In addition, the Communications & Marketing team is being strengthened with the creation of two new posts which will be recruited to in early 2024/25.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

53

ST ANN’S HOSPICE

Recruitment and Retention of Clinical Staff

Vacancies in clinical areas compounded by ongoing above average sickness absence puts pressure on existing staff and could affect delivery of care.

We have produced new guidance for inpatient unit staffing using an external organisaton, Establishment Genie. Using this guidance to ensure that staffing levels are adequate to meet the needs of patients on each shift and to assure the hospice board as to the safety of staffing levels, that there are processes in place to maintain safety and quality for patients and providing strategic leadership to all nursing and AHP staff.

St Ann’s Hospice continues to align its pay scales with NHS workforce increases to further support the recruitment and retention of skilled staff.

Integrated Care Board (ICB) Funding

The Hospice has been proactive in raising the persistent issue of a widening and unsustainable funding gap between the actual costs of Hospice care and the limited contribution from the NHS ICB localities.

The Hospice has engaged in discussions with our localities, working in collaboration with other GM Hospices and presenting the ICB with a brochure demonstrating Hospice services, securing non recurrent additional funding for 2024/25.

A GM Specialist Palliative and End of Life Care Review is

underway to ensure the future provision of Specialist Palliative and End of Life Care to the GM Population (inpatient and community) ensuring equity, quality of care and best use of the financial resource, led by the GM ICB. A six month timeframe was placed on the review, however it is anticipated that the review may take longer. St Ann’s Hospice has submitted all requested information thus far.

Going Concern

The Trustees are satisfied that the hospice has considerable financial resources available to be financially viable from the date of signing this report. Total Hospice income is slightly behind budget. Fundraising income is behind budget, however legacy income, statutory income and investment income are all performing ahead of budget. The hospice has also made significant savings in expenditure from a wide range of areas due to the changes in working practices. Consequently, the Trustees believe that, overall, the hospice is in a strong position to manage its business risks successfully.

Accordingly, they continue to adopt the going concern basis in preparing the Annual Report and Financial Statements.

54 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

Trustees’ Responsibility Statement

The trustees (who are also directors of St Ann’s Hospice for the purposes of company law) are responsible for preparing the Trustees’ Annual Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice) including FRS 102 “The Financial Reporting Standard applicable in the UK and Republic of Ireland”.

Company law requires the trustees to prepare financial statements for each financial year which give a true and fair view of the situation of the charitable company and the group and of the incoming resources and application of resources, including the income and expenditure, of the charitable group for that period. In preparing these financial statements, the trustees are required to:

The trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company’s website.

Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

The Trustees report, including the Strategic Report, was approved by the Board and signed on its behalf.

The trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company 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 charitable company and the group and hence for taking reasonable steps for the prevention and detection of fraud and other Irregularities.

Professor Jacqueline Oldham BSc (Hons) RGN PhD Chair of St Ann’s Hospice 13[th] November 2024

In so far as the trustees are aware:

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 55

ST ANN’S HOSPICE

Consolidated statement of financial activities

(including consolidated income and expenditure account)

For the year ended 31st March 2024

Notes Unrestricted
funds
£		 Restricted
funds
£		 Total
funds
2024
£		 Total
funds
2023
£
INCOME FROM:
Donations and legacies
Charitable activities
Other trading activities
Other Income
Investments
3
4
5
6
7		 4,136,644
4,098,803
2,540,955
11,395
395,426		 705,898
1,256,287
-
-
1,113		 4,842,542
5,355,090
2,540,955
11,395
396,539		 5,909,716
5,204,647
2,561,605
962
156,816
TOTAL INCOME 11,183,223 1,963,298 13,146,521 13,833,746
EXPENDITURE ON:
Raising funds
Charitable activities
8
9		 2,605,338
8,738,733		 -
1,209,218		 2,605,338
9,947,951		 2,412,977
9,859,351
TOTAL EXPENDITURE 11,344,071 1,209,218 12,553,289 12,272,328
Net income/(expenditure) before investment gains/(losses) (160,848) 754,080 593,232 1,561,418
Net Gains/(losses) on Investments
Net income/(expenditure) before tax
Taxation
16
11
14		 152,270
(8,578)
(21,061)		 -
754,080
-		 152,270
745,502
(21,061)		 (319,502)
1,241,916
477
Net income/(expenditure) for the year (29,639) 754,080 724,441 1,242,393
Transfer Between Funds
Other Recognised Gains/(Losses):
22		 - - - -

Actuarial Gains/(Losses) on Defned Beneft Schemes
24		 (88,000) - (88,000) 1,091,000
NET MOVEMENT IN FUNDS
FUND BALANCES BROUGHT FORWARD AT
1st April		 (117,639)
23,532,884		 754,080
2,163,984		 636,441
25,696,868		 2,333,393
23,363,475
FUND BALANCES CARRIED FORWARD AT
31st March
22		 23,415,245 2,918,064 26,333,309 25,696,868

There were no other recognised gains or losses other than those listed above and the net income for the year. All income and expenditure derives from continuing activities.

The surplus of the parent charity for the year for Companies Act purposes is £636,441 (2023: £2,333,393).

As permitted by Section 408 of the Companies Act 2006, no separate Statement of Financial Activities is presented in respect of the parent charity.

See note 21 for the comparative consolidated statement of financial activities analysed by funds.

56 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

BALANCE SHEET
As at 31st March 2024		 Group Group Charity Charity
Note 2024
£		 2023
£		 2024
£		 2023
£
FIXED ASSETS
Tangible assets for use by the charity
Investments
15
16		 8,636,423
2,428,546
11,064,969		 5,110,373
2,243,861
7,354,234		 8,614,562
2,428,548
11,043,110		 5,101,067
2,243,863
7,344,930
CURRENT ASSETS
Stocks
Debtors
Cash at bank and in hand
17
18
19		 32,048
3,589,746
13,667,413		 36,267
4,137,206
16,127,823		 20
4,185,560
12,768,725		 30
4,836,953
15,142,800
17,289,207 20,301,296 16,954,305 19,979,783
CREDITORS: amounts falling due
within one year
20		 (1,366,867) (1,331,662) (1,010,106) (1,000,845)
NET CURRENT ASSETS 15,922,340 18,969,634 15,944,199 18,978,938
TOTAL ASSETS LESS CURRRENT LIABILITIES
LIABILITIES 26,987,309 26,323,868 26,987,309 26,323,868
NET ASSETS EXCLUDING
PENSION LIABILITY 26,987,309 26,323,868 26,987,309 26,323,868
PENSION LIABILITY
NET ASSETS INCLUDING
24		 (654,000) (627,000) (654,000) (627,000)
PENSION LIABILITY 26,333,309 25,696,868 26,333,309 25,696,868
FUNDS
Unrestricted Funds 23,415,245 23,532,884 23,415,245 23,532,884
Restricted funds 2,918,064 2,163,984 2,918,064 2,163,984
TOTAL FUNDS
22		 26,333,309 25,696,868 26,333,309 25,696,868

These financial statements of St Ann’s Hospice,(registered number 00947220), were appoved by the Directors and authorised for issue on 13[th] November 2024. They were signed on its behalf by:

Mr Darren Holt BA (Hons) FCA Honorary Treasurer

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 57

ST ANN’S HOSPICE

CASH FLOW STATEMENT

For the year ended 31st March 2024

Group
2024
£		 Group
2023
£
Net cash fow from operating activities 983,635 3,447,400
Cash fows from investing activities:
Interest received
Investment net proceeds
Investment income received
Proceeds from sale of equipment
Purchase of property, plant and equipment		 342,730
(32,415)
53,809
-
(3,808,168)		 92,241
2,160,013
64,575
-
(468,158)
Net cash fows from in investing activities (3,444,044) 1,848,671
Net increase/(decrease) in cash and cash equivalents (2,460,409) 5,296,071
Cash and cash equivalent at beginning of year 16,127,823 10,831,752
Cash and cash equivalents at the end of the year 13,667,413 16,127,823
Reconciliation of net income and net cashfow
from operating activities		 Group
2024
£		 Group
2023
£
Net income before investment gains 593,232 1,561,418
Adjustments for:
Investment income
Interest Receivable
Corporation Tax Paid
Depreciation
Proft on sale of tangible fxed assets		 (53,809)
(342,730)
-
282,119
-		 (64,575)
(92,241)
-
287,873
-
478,812 1,692,475
Decrease in stock
Decrease/(Increase) in debtors
(Decrease)/increase in creditors
Adjustment for pension funding		 4,219
547,460
14,144
(61,000)		 3,790
1,671,318
(183)
80,000
983,635 3,447,400

58 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

Notes to the financial statements For the year ended 31st March 2024

1. ACCOUNTING POLICIES

Company and charitable status

St Ann’s Hospice, a public benefit entity, is incorporated in England and Wales as a company limited by guarantee not having a share capital. There are currently 9 Trustees who are also the members of the company. Each member has undertaken to contribute to the assets in the event of winding up a sum not exceeding £1. The charity is a registered charity. The registered office is given on page 93.

Basis of accounting

The financial statements are prepared under the historical cost convention, with the exception of investments which have been included at market value, and in accordance with the Statement of Recommended Practice “Accounting and Reporting by Charities (SORP 2019) applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102), effective 1 January 2019; and the Companies Act 2006.

The principal accounting policies are set out below.

Preparation of financial statements - going concern basis

The charity and group’s activities, together with the factors likely to affect its future development, performance and position are set out in the Trustees’ Report which also describes the financial position of the group including its cash, investments and reserves policies. The group forecasts and projections, taking account of reasonably possible changes in donations, legacies, fundraising activities and other income, show that the group should be able to operate with the current level of reserves it has. After making enquiries, the Trustees have a reasonable expectation that the charity and the group have adequate resources to continue in operational existence from the date of signing. Thus they continue to adopt the going concern basis of accounting in preparing the annual report and financial statements.

Basis of consolidation

Group financial statements have been prepared in respect of the charity and its wholly owned subsidiary undertaking St. Ann’s Hospice Trading Company Limited. These financial statements have been consolidated on a line by line basis and the results of the subsidiary undertaking are disclosed in note 16.

Cash flow statement

In accordance with FRS 102 the group is exempt from the requirement to present its parent charity cash flow statement.

Income

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

Donations and fundraising activities

Donations and all other receipts from fundraising are reported gross and the related fundraising costs are reported in the costs of raising funds. Cash collections to which the charity is entitled but which it has not received by the year end are included in income in the statement of financial activities and shown as debtors in the balance sheet.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 59

ST ANN’S HOSPICE

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

1. ACCOUNTING POLICIES (continued) Income (continued)

Legacies

Legacies are accounted for when conditions for receipt have been met. Material legacies receivable at the year-end are included at their probate value.

Grants receivable

Income from grants is included in income when receivable, except as follows:

Trading activities

Income from trading activities includes fundraising revenue as well as sales recognised in the group’s trading subsidiary. The trading subsidiary’s turnover represents the net amount receivable from all activities, excluding value added tax. Turnover from the sale of goods is recognised upon exchange of goods for payment. Income from lottery ticket sales comprises income in relation to draws held in the period and is recognised upon completion of the draw. Receipts in advance of future draws are included in deferred income until the date of the draw.

Investment income

Investment income is accounted for when receivable.

Donated goods and services

Donated professional services and donated facilities are recognised as income when the charity has control over the item, any conditions associated with the donated item have been met, the receipt of economic benefit from the use by the charity of the item is probable and that economic benefit can be measured reliably. In accordance with the SORP 2019, general volunteer time is not recognised - refer to the Trustees’ annual report for more information about their contribution.

On receipt, donated professional services and donated facilities are recognised on the basis of the value of the gift to the charity which is the amount the charity would have been willing to pay to obtain services or facilities of equivalent economic benefit on the open market; a corresponding amount is then recognised in expenditure in the period of receipt.

60 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

1. ACCOUNTING POLICIES (continued)

Expenditure

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

The charity’s operating costs include staff costs, premises costs, governance costs and other related costs. Such support costs are allocated between cost of raising funds and charitable expenditure. Staff costs are allocated according to the costs of staff working directly in the relevant activity and property costs are allocated according to the space used by each activity. Where costs are not directly attributable to any activity, they have been apportioned using an appropriate basis. Governance costs represent expenditure incurred in the management of the charity’s assets, organisational administration, and compliance with constitutional and statutory requirements

Charitable expenditure

Costs of activities in furtherance of the charity’s objects include all expenditure directly related to the objects of the charity.

Cost of raising funds

Cost of raising funds includes the following:

This represents other costs incurred by the trading company for fundraising activities.

Fund accounting

The charity maintains various types of funds as follows.

Restricted funds

Restricted funds are funds subject to specific restrictions imposed by the funding authorities and donors. These funds are not available for the Trustees to apply at their discretion. The purpose and use of the restricted funds is set out in the notes to the financial statements.

Unrestricted funds

• General unrestricted funds

Designated funds are amounts which have been put aside at the discretion of the Trustees.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 61

ST ANN’S HOSPICE

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

1. ACCOUNTING POLICIES (continued)

Taxation

The parent company is a registered charity and has no liability to corporation tax on its charitable activities under the Corporation Tax Act 2010 (chapters 2 and 3 of part ii, section 466 onwards) or Section 256 of the Taxation for Chargeable Gains Act 1992, to the extent surpluses are applied to its charitable purposes.

Current tax for the subsidiary company, comprising UK corporation tax, is provided at amounts expected to be paid (or recovered) using the tax rates and laws that have been enacted or substantively enacted by the balance sheet date.

Deferred tax is recognised in respect of all timing differences that have originated but not reversed at the balance sheet date where transactions or events that result in an obligation to pay more tax in the future or a right to pay less tax in the future have occurred at the balance sheet date. Timing differences are differences between the trading company’s taxable profits and its results as stated in the financial statements that arise from the inclusion of gains and losses in tax assessments in periods different from those in which they are recognised in the financial statements.

Deferred tax is measured using the tax rates and laws that have been enacted or substantively enacted by the balance sheet date that are expected to apply to the reversal of the timing difference. Deferred tax is measured on a nondiscounted basis.

Tangible fixed assets and depreciation

Tangible fixed assets are stated at cost, net of depreciation and any provision for impairment. Depreciation is provided on all tangible fixed assets, other than freehold land, at rates calculated to write off the cost or valuation, less estimated residual value, of each asset on a straight-line basis over its expected useful life, as follows:

Freehold buildings 50 years Leasehold improvements period of the lease on a reducing balance Leasehold buildings period of lease Fixtures, furniture and equipment 4 years Motor vehicles 4 years

Investments

Investments are included in the financial statements at market value. The Statement of Financial Activities includes the net gains and losses arising on revaluations and disposals throughout the year.

Current investments represent monies invested in short-term liquid money market instruments.

The best evidence of fair value is a quoted price for an identical asset in an active market. When quoted prices are unavailable, the price of a recent transaction for an identical asset provides evidence of fair value as long as there has not been a significant change in economic circumstances or a significant lapse of time since the transaction took place. If the market is not active and recent transactions of an identical asset on their own are not a good estimate of fair value, the fair value is estimated by using a valuation technique.

In the parent charity balance sheet, investments in subsidiary undertakings are measured at cost less impairment.

62 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

1. ACCOUNTING POLICIES (continued)

Stocks

Stocks are stated at the lower of cost and estimated selling price less costs to sell, which is equivalent to the net realisable value. Cost is calculated using the FIFO (first-in, first-out) method. Provision is made for obsolete, slowmoving or defective items where appropriate. Items donated for resale are not included in the financial statements until they are sold.

Operating leases

Rentals under operating leases are charged on a straight-line basis over the lease term, even if the payments are not made on such a basis. Benefits received and receivable as an incentive to sign an operating lease are similarly spread on a straight-line basis over the lease term.

Employee benefits

For defined benefit schemes the amounts charged to the Statement of Financial Activities are the costs arising from employee services rendered during the period and the cost of plan introductions, benefit changes, settlements and curtailments. They are included as part of staff costs.

The net interest cost on the net defined benefit liability is charged to the Statement of Financial Activities and included within support costs. Remeasurement comprising actuarial gains and losses and the return on scheme assets (excluding amounts included in net interest on the net defined benefit liability) is recognised immediately in the Statement of Financial Activities.

Defined benefit schemes are funded, with the assets of the scheme held separately from those of the group, in separate trustee administered funds. Pension scheme assets are measured at fair value and liabilities are measured on an actuarial basis using the projected unit credit method. The actuarial valuations are obtained at least triennially and are updated at each balance sheet date.

For defined contribution schemes the amount charged to the Statement of Financial Activities in respect of pension costs and other retirement benefits is the contributions payable in the year. Differences between contributions payable in the year and contributions actually paid are shown as either accruals or prepayments in the balance sheet.

Other long-term employee benefits are measured at the present value of the benefit obligation at the reporting date.

Financial instruments

Financial assets and financial liabilities are recognised when the group becomes a party to the contractual provisions of the instrument. All financial assets and liabilities are initially measured at transaction price (including transaction costs).

The charity and group only have financial assets and financial liabilities of a kind that qualify as basic financial instruments. With the exception of fixed asset investments, basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value.

Trade and other debtors are recognised at the settlement amount due after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due.

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

Creditors and provisions are recognised where the charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount after allowing for any trade discounts due.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 63

ST ANN’S HOSPICE

NOTES TO THE FINANCIAL STATEMENTS

For the year ended 31st March 2024

2. CRITICAL ACCOUNTING JUDGEMENTS AND KEY SOURCE OF ESTIMATION UNCERTAINTY

In the application of the group’s accounting policies, which are described in note 1, the Trustees are required to make judgements, estimates and assumptions about the carrying amounts of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates.

The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised if the revision affects only that period, or in the period of the revision and future periods if the revision affects both current and future periods.

The Trustees acknowledge that judgement and estimates have been used in establishing legacy valuation, and are satisified these are based on acceptable underlying assumptions.

Estimates of the pension valuation depend on a number of complex judgments relating to the discount rate used, changes in retirement ages, mortality rates, and the calculation of pension increases. The group engages a firm of actuaries to provide expert advice about the assumptions made and the effect on the pension valuation of changes in these assumptions.

64 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

NOTES TO THE FINANCIAL STATEMENTS

For the year ended 31st March 2024

3. ANALYSIS OF INCOME FROM DONATIONS AND LEGACIES

3. ANALYSIS OF INCOME FROM DONATIONS AND LEGACIES
Donations
Legacies
Donations - HG Capital Project		 2024
£
1,860,894
2,298,383
683,265		 2023
£
1,860,268
3,298,611
750,837
4,842,542 5,909,716

4. ANALYSIS OF INCOME FROM CHARITABLE ACTIVITIES

4. ANALYSIS OF INCOME FROM CHARITABLE ACTIVITIES
NHS Contracts
Grants		 2024
£
5,288,427
66,663		 2023
£
5,091,614
113,033
5,355,090 5,204,647

5. ANALYSIS OF INCOME FROM OTHER TRADING ACTIVITES

Fundraising activities
Lottery and rafe income from trading subsidiary
Other income from trading subsidiary		 2024
£
18,483
1,573,263
949,209		 2023
£
15,109
1,651,312
895,184
2,540,955 2,561,605

6. ANALYSIS OF INCOME FROM OTHER INCOME

Other Income 2024
£
11,395		 2023
£
962
11,395 962
7. INVESTMENT INCOME
UK listed investments
Bank Interest		 2024
£
53,809
342,730		 2023
£
64,575
92,241
396,539 156,816

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 65

ST ANN’S HOSPICE

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

8. ANALYSIS OF EXPENDITURE ON RAISING FUNDS

8. ANALYSIS OF EXPENDITURE ON RAISING FUNDS
Employee costs
Ofce and sundry costs
Direct costs
Share of support costs
Lottery and rafe prizes and organisation costs
Other costs associated with trading activity		 2024
£
561,538
118,978
248,466
75,818
498,651
1,101,887		 2023
£
441,729
114,462
269,789
71,080
470,649
1,045,268
2,605,338 2,412,977

9. ANALYSIS OF EXPENDITURE ON CHARITABLE ACTIVITIES

2024
Provision of Hospice services:
In-patient Care
Being You Centre
Community Specialist Palliative Care Team
Hospice at Home
Education		 Activities
undertaken
directly
£
7,025,991
1,361,969
752,985
258,909
253,542		 Support
costs
£
226,287
37,475
8,311
22,482
-		 2024 Total
£
7,252,278
1,399,444
761,296
281,391
253,542
9,653,396 294,555 9,947,951
2023
Provision of Hospice services:
In-patient Care
Being You Centre
Community Specialist Palliative Care Team
Hospice at Home
Education		 Activities
undertaken
directly
£
6,943,609
1,421,134
693,197
160,343
405,421		 Support
costs
£
177,143
30,251
7,362
20,891
-		 2023 Total
£
7,120,752
1,451,385
700,559
181,234
405,421
9,623,704 235,647 9,859,351

In the financial year 2023/24 the hospice have merged the Day Therapy and Outpatient provisions into the Being You Centre.

Changed the classification of the Homeless Grant from Hospice at Home to the Being You Centre. This as been amended in the 2022/23 figures for comparison.

66 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

10. ANALYSIS OF SUPPORT COSTS

2024
Governance
Finance
Information Technology
Human Resources
Communications
2023
Governance
Finance
Information Technology
Human Resources
Communications		 In-patient
care
£
137,932
35,300
19,315
21,520
12,220
Community
SPCT
£
4,936
1,348
738
822
467
Out-patients
£
3,776
969
530
591
336
Raising
funds
Total
£
46,079
11,881
6,501
7,243
4,114
Day
therapy
£
19,022
4,895
2,678
2,984
1,694
Hospice at
Home
£
13,354
3,647
1,996
2,223
1,262
Charitable
Activities
Total
£
179,020
46,159
25,257
28,140
15,979
2024
Total
£
225,099
58,040
31,758
35,383
20,093
226,287
8,311
6,202

75,818

31,273

22,482

294,555

370,373
In-patient
care
£
91,536
37,329
19,500
18,641
10,137
Community
SPCT
£
4,314
1,329
694
664
361
Out-patients
£
3,056
1,214
634
606
330
Raising
funds
Total
£
37,399
14,687
7,672
7,334
3,989
Day
therapy
£
12,838
5,047
2,636
2,520
1,370
Hospice at
Home
£
12,243
3,771
1,970
1,883
1,024
Charitable
Activities
Total
£
123,987
48,690
25,434
24,314
13,222
2023
Total
£
161,386
63,377
33,106
31,648
17,211
177,143
7,362
5,840
71,081
24,411
20,891
235,647
306,728

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 67

ST ANN’S HOSPICE

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

11. NET INCOME/(EXPENDITURE) FOR THE YEAR

2024 2023
£ £
Net income/(expenditure) is stated after charging:
Depreciation of owned asset 175,117 172,347
Depreciation of leased assets 91,766 92,940
Depreciation of motor vehicles 15,236 22,586
Rentals under operating leases - -
Land and buildings 133,094 121,853
Other 4,834 5,379
Auditor’s remuneration
Fees payable to the charity’s auditor for the audit of the charity’s annual
fnancial statements		 34,150 32,500
Fees payable to the charity’s auditor for other services to the group
Te audit of the charity’s subsidiary		 -
8,350		 -
7,950

68 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

12. ANALYSIS OF STAFF COSTS, TRUSTEE REMUNERATION AND EXPENSES AND THE COST OF KEY MANAGEMENT PERSONNEL

OF KEY MANAGEMENT PERSONNEL
Group Charity
Te average monthly number of employees was:
Charitable activity
Raising funds
Trading activities
Support		 2024
No.
155
16
23
49		 2023
No.
191
15
24
57		 2024
No.
155
16
-
49
243 287 220
Group
Teir aggregate remuneration comprised:
Wages and salaries
Social security costs
Pension costs		 2024
£
7,202,537
675,360
778,154		 2023
£
7,568,504
681,039
742,834		 2024
£
6,520,295
618,969
730,180		 2023
£
6,923,908
627,993
710,193
8,262,094
8,656,051 8,992,377 7,869,444

The 2024 aggregate remuneration includes a deduction for the total redundancy costs amounting to £234,600 This is due to restructuring and the consultation period being completed in March 2023 with the 2022/23 figures reflecting this.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 69

ST ANN’S HOSPICE

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

13. ANALYSIS OF STAFF COSTS, TRUSTEE REMUNERATION AND EXPENSES AND THE COST OF KEY MANAGEMENT PERSONNEL (continued)

2024 2023
No. No.
£60,001 - £70,000 2 -
£70,001 - £80,000 - 3
£80,001 - £90,000 2 -
£90,001 - £100,000 1 1
£100,001 - £110,000 - 1
£110,001 - £120,000 2 -

Key Management Personnel

There have been changes to the key management personnel of the parent charity and group and these are listed on page 93. The total remuneration (including pension contributions and employer’s national insurance costs) of the key management personnel of the charity and group for the year totalled £456,284 (2023: £484,323).

Trustees remuneration

No Trustees received any remuneration during the current or prior year. No travel and subsistence expenses were paid during the year (2023: £Nil)

14. TAX ON PROFIT OF TRADING SUBSIDIARY

The hospice is not liable to corporation tax. The tax charge, all of which arises in the trading subsidiary comprises:

Current tax on proft
UK corporation tax
Adjustments in respect of prior year
 2024
£
64,911
(43,850)		 2023
£
43,850
(44,327)

Total tax on proft		 21,061 (477)

The standard rate of tax for the year, based on the UK standard rate of corporation tax is 25%. The actual tax charge for the year differs from the standard rate for the following reasons:

Proft on ordinary activities before tax
Tax on proft at the standard rate - 25% (2023 - 19%)
Efects of:
Gift aid donations at 20%
Expenses not deductible for tax purposes
Capital allowances (in excess of)/less than depreciation
Other timing diferences
Adjustments to tax charge in respect of previous periods		 2024
£
894,987
223,747
(217,814)
956
324
57,698
(43,850)		 2023
£
993,931
188,847
(188,938)
103
(489)
44,327
(44,327)

Total tax charge/(credit) for the year		 21,061 (477)

70 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

15. TANGBLE FIXED ASSETS FOR USE BY THE CHARITY

GROUP
Cost
At 1 April 2023
Additions
Disposal		 Assets
Under
Construction
£
1,086,088
3,638,846
-		 Freehold
land and
buildings
£
4,294,762
-
-		 Expenditure
on leasehold
property
£
3,552,990
61,694
-		 Leasehold
buildings
£
202,299
3,338
-		 Fixtures,
furniture and
equipment
£
2,640,214
88,790
(39,412)		 Motor
vehicles
£
230,342
15,500
-		 Total
£
12,006,695
3,808,168
(39,412)
At 31 March 2024 4,724,934 4,294,762 3,614,684 205,637 2,689,593 245,842 15,775,451
Accumulated depreciation
At 1 April 2023
Charge for the year
Disposal		 -
-
-		 2,002,539
85,054
-		 1,982,250
90,691
-		 201,892
1,075
-		 2,490,660
90,063
(39,412)		 218,981
15,236
-		 6,896,322
282,119
(39,412)
At 31 March 2024 - 2,087,593 2,072,941 202,967 2,541,311 234,217 7,139,029
Net book value
At 31 March 2024 4,724,934 2,207,169 1,541,743 2,670 148,281 11,625 8,636,423
At 31 March 2023 1,086,088 2,292,223 1,570,740 407 149,554 11,361 5,110,373
CHARITY
Cost
At 1 April 2023
Additions
Disposals		 Assets
Under
Construction
£
1,086,088
3,638,846
-		 Freehold
land and
buildings
£
4,294,762
-
-		 Expenditure
on leasehold
property
£
3,552,990
61,694
-		 Fixtures,
furniture and
equipment
£
2,245,139
85,318
(39.412)		 Motor
vehicles
£
221,045
-
-		 Total
£
11,400,024
3,785,858
(39,412)
At 31 March 2024 4,724,934 4,294,762 3,614,684 2,291.045 221,045 15,146,470
Accumulated depreciation
At 1 April 2023
Charge for the year
Disposals		 -
-
-		 2,002,539
85,054
-		 1,982,250
90,691
-		 2.104.484
85,257
(39.412)		 209,684
11,361
-		 6,298,957
272,363
(39,412)
At 31 March 2024 - 2,087,593 2,072,941 2,150,329 221,045 6,531,908
Net book value
At 31 March 2024 4,724,934 2,207,169 1,541,743 140,716 0 8,614,562
At 31 March 2023 1,086,088 2,292,223 1,570,740 140,655 11,361 5,101,067

The Freehold land and building relates to the Heald Green site which has been sold subject to contract. It has been agreed that St Anns will remain insitu until operations have been fuljy transferred to the new Hospice.

The new Hospice assets are currently in assets under construction. Funding for the new Hospice will be obtained from designated reserves and the sale of the current site. An expected £4 millon bridging loan will be required until funds from the sale are received.

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

71

ST ANN’S HOSPICE

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

16. FIXED ASSET INVESTMENTS

Group & Charity Group & Charity
2024
£		 2023
£
Market value at 1 April 2023
Additions
Disposals proceeds
Net Investment Gain
Movement in cash held by investment managers		 2,243,851
862,444
(3,210,702)
152,270
2,380,673		 4,723,366
2,310,658
(4,354,199)
(319,502)
(116,472)
Market value at 31 March 2024 2,428,536 2,243,851
Cost at 31st March 2024 2,428,536 6,354,717
Market value analysed between: £ £
Investments
Cash held by investment managers
Investment in Hospice Quality Partnership		 573
2,427,963
2,428,536
10		 2,080,091
163,760
2,243,851
10

Total Group Investment		 2,428,546 2,243,861
Investment in Subsidiary Trading Company 2 2

Charity Investment		 2,428,548 2,243,863

The Hospice Quality Partnership Company is owned by Hospices and was formed to help hospices save money by improving procurement, reducing operating costs and sharing data for best practice. The Charity owns 1.5% of the issued ordinary share capital.

The charity owns the entire issued ordinary share capital of St Ann’s Hospice Trading Company Limited, a company incorporated and registered in England and Wales, whose principal activity is the management of the charity’s trading activities.

The investment management company sold the majority of the investments in March 2024. The cash is held by the investment managers at year end and transferred to the Hospice in April 2024. At March 2024 there were £573 of investments held which were sold in April 2024

During the year it was identified that the split of investments and cash held at 31st March 2023 was incorrect. In agreement with auditors this does not require the 2023 comparative value to be restated.

The result of the charity’s trading activities through its subsidiary is detailed below. St Ann’s Hospice Trading Company Limited’s taxable profits are donated to the charity annually.

72 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

16. FIXED ASSET INVESTMENTS (continued) RESULTS OF TRADING SUBSIDIARY

The results for St Ann’s Hospice Trading Company Limited, a wholly owned subsidiary of St Ann’s Hospice for the year ended 31 March 2024 are given below.

2024
£		 2023
£
Turnover
Cost of sales
Gross proft
Administrative expenses
Operating proft
Interest receivable
Proft before taxation
Tax on proft		 2,522,472
(262,022)
2,260,450
(1,379,516)
880,934
14,053
894,987
(21,061)		 2,546,496
(266,151)
2,280,345
(1,290,766)
989,579
4,352
993,931
477

Proft for the fnancial year attributable to the
equity shareholders of the company		 873,926 994,408

Statement of changes in equity

Proft and loss
account
£
Balance at 1 April 2022
Proft after tax for the year
Gift aid distribution
Balance at 31 March 2023
Proft after tax for the year
Gift aid distribution		 -
994,408
(994,408)
-
873,926
(873,926)
Balance at 31 March 2024 -

BALANCE SHEET

The aggregate of the assets and liabilities was:

2024 2023
£ £
Fixed assets 19,191 9,303
Current assets 1,005,256 1,100,483
Creditors: amounts falling due within one year (1,024,445) (1,109,784)
Total net assets 2 2

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

73

ST ANN’S HOSPICE

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

17
STOCKS		 Group Group Charity Charity
2024 2023 2024 2023
£ £ £ £
Finished goods and goods for resale 32,048 36,267 20 30
18
DEBTORS		 Group Group Charity Charity
2024 2023 2024 2023
£ £ £ £
Trade debtors 49,186 61,866 48,130 59,466
VAT Recoverable 581,502 565,857 577,454 576,390
Prepayments and accrued income 141,247 145,068 99,853 105,774
Other debtors 2,817,811 3,364,415 2,790,090 3,326,886
Amounts due from subsidiary company - - 670,033 768,437
3,589,746 4,137,206 4,185,560 4,836,953
19
CASH AND CASH EQUIVALENTS		 Group Group Charity Charity
2024 2023 2024 2023
£ £ £ £
Interest bearing accounts 13,666,013 16,126,324 12,767,325 15,141,301
Current accounts and cash 1,400 1,499 1,400 1,499
13,667,413 16,127,823 12,768,725 15,142,800
20
CREDITORS (Amounts falling due		 Group Group Charity Charity
within one year) 2024 2023 2024 2023
£ £ £ £
435,865 326,410 381,006 271,644
Trade Creditors 544,726 690,397 380,454 507,908
Accruals and deferred income 164,538 159,110 150,278 144,137
Taxation and social security 156,827 111,895 98,368 77,156
Other creditors 64,911 43,850 - -
Corporation tax 1,366,867 1,331,662 1,010,106 1,000,845

74 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

21. COMPARATIVE CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES

Unrestricted
funds
£		 Restricted
funds
£		 Total funds
2023
£
INCOME FROM:
Voluntary income
Donations and legacies
Charitable activities
Other trading activities
Other Income
Investments
3
4
5
6
7		 5,047,883
4,022,472
2,561,605
962
155,961		 861,833
1,182,175
-
-
855		 5,909,716
5,204,647
2,561,605
962
156,816
TOTAL INCOME 11,788,883 2,044,863 13,833,746
EXPENDITURE ON:
Raising funds
Charitable activities
8
9		 2,412,977
8,707,367		 -
1,151,984		 2,412,977
9,859,351
TOTAL EXPENDITURE 11,120,344 1,151,984 12,272,328
Net (expenditure)/income before investment gains 668,539 892,879 1,561,418
Net gains on Investments
Net income before tax
Taxation
Net (expenditure)/income for the year
Transfer Between Funds
Other Recognised Gains:
Actuarial Gain on Defned Beneft Schemes
NET MOVEMENT IN FUNDS
16
11
14
22
25		 (319,502)
349,037
477
349,514
48,925
1,091,000
1,489,439		 -
892,879
-
892,879
(48,925)
-
843,954		 (319,502)
1,241,916
477
1,242,393
-
1,091,000
2,333,393
FUND BALANCES BROUGHT FORWARD AT 1st April 22,043,445 1,320,030 23,363,475
FUND BALANCES CARRIED FORWARD AT 31st March
22, 23		 23,532,884 2,163,984 25,696,868

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 75

ST ANN’S HOSPICE

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

22. STATEMENT OF RESERVES

2024 Group
At 1 April
2023
£		 2024 Group
At 1 April
2023
£		 2024 Group
At 1 April
2023
£		 Expenditure
(incl taxation)
£
Income
£		 Expenditure
(incl taxation)
£
Income
£		 Gains
£		 Transfers
£		 At 31 March
2024
£
Unrestricted funds:
General fund
Designated funds
Fixed assets
IT upgrade
Property refurbishment and development
Unrestricted funds
Restricted Fund
Specifc donations		 3,068,082
1,732,062
120,000
18,612,740
23,532,884
2,163,984		 11,183,223
-
-
-
11,183,223
1,963,298		 (11,365,132)
-
-
-
(11,365,132)
(1,209,218)		 64,270
-
-
-
64,270
-		 187,883
(27,743)
-
(160,140)
-
-		 3,138,326
1,704,319
120,000
18,452,600
23,415,245
2,918,064
25,696,868 13,146,521 (12,574,350) 64,270 - 26,333,309
2024 Charity At 1 April
2023
£		 Expenditure
(incl taxation)
£
Income
£		 Gains
£		 Transfers
£		 At 31 March
2024
£
Unrestricted funds:
General fund
Designated funds
Fixed assets
Subsidiary
IT upgrade
Property refurbishment and development
Unrestricted funds
Restricted Fund
Specifc donations		 3,077,386
1,722,756
2
120,000
18,612,740
23,532,884
2,163,984		 9,561,624
-
-
-
-
9,561,624
1,963,298		 (9,743,533)
-
-
-
-
(9,743,533)
(1,209,218)		 64,270
-
-
-
-
64,270
-		 200,438
(40,298)
-
-
(160,140)
-
-		 3,160,185
1,682,458
2
120,000
18,452,600
23,415,245
2,918,064
25,696,868 11,524,922 (10,952,751) 64,270 - 26,333,309

The restricted reserves relate to donations or grants given with restrictions on the uses for the care of patients or for capital purchases. Once the capital purchases have been made the restriction is released and transferred to unrestricted funds.

The designated fixed asset fund represents the net book value of the Charity’s tangible fixed assets. This is used to fund annual depreciation costs as allowed by the Charities SORP. In 2021 the Trustees agreed to remove the net book value of the Heald Green site from this fund due to the forthcoming rebuild project and the planned demolition of the existing site.

76 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

22. STATEMENT OF RESERVES (continued)

2023 Group At 1 April
2022
£
Expenditure
(incl taxation)
£
Transfers
£
Income
£
Gains
£
At 31 March
2023
£
Unrestricted funds:
General fund
Designated funds
Fixed assets
IT upgrade
Property refurbishment and
development
Unrestricted funds
Restricted Fund
Specifc donations		 6,881,507
1,723,237
-
13,438,701
(11,119,867)
-
-
-
(5,253,939)
8,825
120,000
5,174,039
11,788,883
-
-
-
771,498
-
-
-
3,068,082
1,732,062
120,000
18,612,740
22,043,445
1,320,030
(11,119,867)
(1,151,984)
48,925
(48,925)
11,788,883
2,044,863
771,498
-
23,532,884
2,163,984
23,363,475

(12,271,851)

-
13,833,746
771,498
25,696,868
2023 Charity At 1 April
2022
£
Expenditure
(incl taxation)
£
Transfers
£
Income
£
Gains
£
At 31 March
2023
£
Unrestricted funds:
General fund
Designated funds
Fixed assets
Subsidiary
IT upgrade
Property refurbishment and
development
Unrestricted funds
Restricted Fund
Specifc donations		 6,890,072
1,714,670
2
-
13,438,701
(9,604,427)
-
-
-
-
(5,253,200)
8,086
-
120,000
5,174,039
10,273,443
-
-
-
-
771,498
-
-
-
-
3,077,386
1,722,756
2
120,000
18,612,740
22,043,445
1,320,030
(9,604,427)
(1,151,984)
48,925
(48,925)
10,273,443
2,044,863
771,498
-
23,532,884
2,163,984
23,363,475

(10,756,411)

-

12,318,306
771,498

25,696,868

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 77

ST ANN’S HOSPICE

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

23. ANALYSIS OF ASSETS AND LIABILITIES BETWEEN FUNDS

Unrestricted Restricted
funds funds Total
£ £ £
2024 GROUP
Tangible fxed assets 8,636,423 - 8,636,423
Investments 2,428,546 - 2,428,546
Current assets 14,371,143 - 17,289,207
Current liabilities (1,366,867) 2,918,064 (1,366,867)
Provision for pension scheme liability (654,000) - (654,000)
At 31 March 2024 23,415,245 2,918,064 26,333,309
2024 CHARITY
Tangible fxed assets 8,614,562 - 8,614,562
Investments 2,428,548 - 2,428,548
Current assets 14,036,241 2,918,064 16,954,305
Current liabilities (1,010,106) - (1,010,106)
Provision for pension scheme liability (654,000) - (654,000)
At 31 March 2024 23,415,245 2,918,064 26,333,309
2023 GROUP
Tangible fxed assets 5,110,373 - 5,110,373
Investments 2,243,861 - 2,243,861
Current assets 18,137,312 2,163,984 20,301,296
Current liabilities (1,331,662) - (1,331,662)
Provision for pension scheme liability (627,000) - (627,000)
At 31 March 2023 23,532,884 2,163,984 25,696,868
2023 CHARITY
Tangible fxed assets 5,101,067 - 5,101,067
Investments 2,243,863 - 2,243,863
Current assets 17,815,799 2,163,984 19,979,783
Current liabilities (1,000,845) - (1,000,845)
Provision for pension scheme liability (627,000) - (627,000)
At 31 March 2023 23,532,884 2,163,984 25,696,868

78 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

24. EMPLOYEE RETIREMENT BENEFITS - GROUP AND CHARITY

The charity has two active pensions schemes for staff and these are described below.

Pension Scheme Contributions Recognised in
Paid SoFA
2024 2024
£’000 £’000
NHS Pension 417 417
Stakeholder 303 303
St Ann’s Hospice Defned Beneft 141 (168)
861 552

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 79

ST ANN’S HOSPICE

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

24. EMPLOYEE RETIREMENT BENEFITS (continued) National Health Superannuation Scheme

The Hospice is an admitted body for the purposes of the National Health Service Superannuation Scheme and members of staff who are former NHS employees are able to continue membership of the Scheme during their employment at St Ann’s.

The assets of the scheme are held separately by the National Health Service Superannuation Scheme.

Contributions to the scheme are charged to the Statement of Financial Activities so as to spread the cost of pensions over employees working lives with the group. This pension scheme does not have a real pension fund, but as a statutory scheme, benefits are fully guaranteed by the Government. Contributions from both members and Employers are paid to the Exchequer, which meet the cost of increasing benefits each year by the rate of inflation. This extra cost is not met by contributions from Scheme members or Employers.

As a result of the nature of the pension scheme, there are no separately identifiable assets and liabilities which can be identified as relating to St Ann’s Hospice therefore, the scheme has been accounted for as a defined contribution scheme.

The pension cost charge for the year amounted to £416,831 (2023: £411,261). An amount of £59,423 (2023: £62,508) is included in creditors, being the outstanding contributions to the scheme at the balance sheet date.

Stakeholder Pension Scheme

The group supports a Stakeholder Pension Scheme which has been offered to staff since the closure of the defined benefit scheme.

The stakeholder pension scheme is operated by Scottish Widows. Employee contributions are collected by St Ann’s Hospice and the matching employers contribution passed to Scottish Widows.

All the assets of the scheme are held by Scottish Widows. As a result there are no separately identifiable assets or liabilities which can be identified as relating to St Ann’s Hospice. Therefore the scheme has been accounted for as a defined contribution scheme.

The pension cost charge for the year amounted to £303,093 (2023: £382,922). An amount of £30,262 (2023: £Nil) is included in creditors, being the outstanding contributions to the scheme at the balance sheet date.

80 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

The group operates a closed defined benefit scheme funded by contributions from members and from the group. The total pension cost of the group is assessed in accordance with the advice of Broadstone -Employee Benefits & Actuarial Consultants.

The assets of the pension scheme are held in a separate trustee administered fund.

The most recent full actuarial valuation of scheme assets and the present value of the defined benefit obligations were carried out at 31 March 2018. The Hospcie Trustees are cognisant of their duty as an employer to ensure the solvency of the St Ann’s Hospice Pension Scheme. In consultation with the Trustees of the St Ann’s Hospice Scheme, and upon the advice of the actuary, the Hospice Trustees agreed in 2022-23 a 7 year funding recovery plan that would eliminate the deficit. The Hospice Trustees agreed with the Pension Scheme Trustees that a lower amount would be repaid in the first two years, with the remaining balance then split equally across the subsequent 5 years. Should the deficit reduce/increase further following future valuations, the Hospice Trustees may need to consider a different approach. The present value of the defined benefit obligation, the current related service cost and past service cost were measured using the projected unit credit method.

The projected unit credit method is an accrued benefits valuation method in which the scheme liabilities make allowance for projected earnings. The accumulated benefit obligation is an actuarial measure of the present value for service already rendered but differs from the projected unit credit method in that it includes no assumptions for future salary increases.

2024
2023		 2024
2023
Discount rate
Expected return on assets
Rate of increase in salaries
Rate of increase in pensions in payment
%
4.70
4.70
1.00
3.80
%
4.70
4.70
1.00
3.70
Mortality Assumptions

nvestigations have been carried out within the past three years into the mortality experience of the group’s defned beneft schemes. Te
nvestigations concluded that the current mortality assumptions include sufcient allowance for future improvements in mortality rates.
ssumed life expectations on retirement at age 65 are:
Retiring today:
Males
Females
Retiring in 20 years:
Males
Females
Te amounts recognised in the statement of fnancial activities are as follows:
Current service cost
Interest on obligations
Expected return on scheme assets
Total operating charge
Actuarial gain
Total cost recognised in the statement of fnancial activities
Te amount included in the balance sheet arising from the group’s obligations in respect
of its defned beneft scheme is as follows:
Present value of defned beneft obligations
Fair value of scheme assets
Net liability recognised in the balance sheet
2024
years
85.0
87.6
86.6
89.3
2024
£000’s
(53)
(515)
488
(80)
(88)
(168)
2024
£000’s
10,500
(9,846)
654
2023
years
85.8
88.3
87.5
90.0
2023
£000’s
(52)
(419)
373
(98)
1,091
993
2023
£000’s
11,300
(10,673)
627
Retiring today:
Males
Females
Retiring in 20 years:
Males
Females		 85.0
87.6
86.6
89.3
Te amounts recognised in the statement of fnancial activities are as follows:
Current service cost
Interest on obligations
Expected return on scheme assets		 2024
£000’s
(53)
(515)
488
Total operating charge (80)
Actuarial gain (88)
Total cost recognised in the statement of fnancial activities (168)
Te amount included in the balance sheet arising from the group’s obligations in respect
of its defned beneft scheme is as follows:
Present value of defned beneft obligations
Fair value of scheme assets
Net liability recognised in the balance sheet		 2024
£000’s
10,500
(9,846)
654

Mortality Assumptions

Investigations have been carried out within the past three years into the mortality experience of the group’s defined benefit schemes. These investigations concluded that the current mortality assumptions include sufficient allowance for future improvements in mortality rates. The assumed life expectations on retirement at age 65 are:

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

81

ST ANN’S HOSPICE

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

24c. EMPLOYEE RETIREMENT BENEFITS (continued)

Movements in the present value of defned beneft obligations were
as follows:		 2024
£000’s		 2023
£000’s
At 1 April
Current service cost
Interest cost
Contributions by scheme participants
Administrative expenses
Actuarial (gains)
Benefts paid		 11,300
53
515
8
(44)
(621)
(711)		 15,300
52
419
9
(28)
(3,776)
(676)

At 31 March		 10,500 11,300
Movements in the fair value of scheme assets were as follows: 2024
£000’s		 2023
£000’s
Opening fair value of scheme assets
Expected return on scheme assets
Actuarial (losses)/gains
Contributions by the employer
Contributions by scheme participants
Benefts paid
Administration Expenses		 10,673
488
(709)
141
8
(711)
(44)		 13,662
373
(2,685)
18
9
(676)
(28)
9,846 10,673
Te analysis of the fair value of the scheme’s assets at the balance
sheet date was as follows:		 2024
£000’s		 2023
£000’s
Equities
Gilts and bonds
Liability Driven Investment
Cash		 -
4,789
4,069
988		 4,252
1,064
5,248
109
9,846 10,673

82 TRUSTEE’S REPORT AND FINANCIAL STATEMENTS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

NOTES TO THE FINANCIAL STATEMENTS For the year ended 31st March 2024

25. FINANCIAL COMMITMENTS

Operating lease commitments

At the balance sheet date the total future minimum lease payments under non-cancellable operating leases were as follows:

GROUP
Land and buildings
£		 GROUP
Land and buildings
£		 Land and buildings
£
Other
£		 Land and buildings
£
Other
£		 Other
£
Leases which expire:
within one year
between one and fve years
after fve years		 140,594
431,879
327,717		 -
-
-		 133,094
396,673
412,617		 4,834
-
-
900,190 - 942,384 4,834
CHARITY
Land and buildings
£		 CHARITY
Land and buildings
£		 Land and buildings
£
Other
£		 Land and buildings
£
Other
£		 Other
£
Leases which expire:
within one year
between one and fve years
after fve years		 4,400
17,600
36,300		 -
-
-		 4,400
17,600
40,700		 -
-
-
58,300 - 62,700 -

26. RELATED PARTY TRANSACTIONS

All transactions between the charity and its subsidiary, St Ann’s Hospice Trading Company Ltd, are eliminated on consolidation.

No trustee received payment for professional or other services supplied to the charity during the year (2023: Nil)

The total value of donations received from the trustees during the year was £1,591 (2023: £1,186)

TRUSTEE’S REPORT AND FINANCIAL STATEMENTS 83

ST ANN'S HOSPICE 84 INDEPENDENT AUDITOR'S REPORT

Independent Auditor’s Report 05

ST ANN’S HOSPICE

Independent Auditor’s Report to the Members of St Ann’s Hospice

Opinion

We have audited the financial statements of St. Ann’s Hospice ‘the charitable company’ and its subsidiary St. Ann’s Hospice Trading Company Limited ‘the group’ for the year ended 31st March 2024 which comprise the statement of financial activities, balance sheet, cash flow statement and notes to the financial statements, including 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 group 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 trustee’s 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 or the group’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 trustees are responsible for the other information contained within the annual report. The other information comprises the information included in the annual report, other than the financial statements and our auditor’s report thereon. 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 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.

86 INDEPENDENT AUDITOR’S REPORT

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

Opinions on other matters prescribed by the Companies Act 2006

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

Matters on which we are required to report by exception

In light of the knowledge and understanding of the group and charitable company and their environment obtained in the course of the audit, we have not identified material misstatements in the the directors’ report included within the trustees’ 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 trustees’ responsibilities statement set out on page 55, 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.

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 but to do so.

Auditor’s responsibilities for the audit of the financial statements

We have been appointed as auditor under section 151 of the Charities Act 2011 and under the Companies Act 2006 and report in accordance with the Acts and relevant regulations made or having effect thereunder.

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 financial statements.

Details of the extent to which the audit was considered capable of detecting irregularities, including fraud and non-compliance with laws and regulations are set out below.

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.

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

Irregularities, including fraud, are instances of noncompliance with laws and regulations. We identified and assessed the risks of material misstatement of the financial statements from irregularities, whether due to fraud or error, and discussed these between our audit team members. We then designed and

In preparing the financial statements, the trustees are

INDEPENDENT AUDITOR’S REPORT 87

ST ANN’S HOSPICE

performed audit procedures responsive to those risks, including obtaining audit evidence sufficient and appropriate to provide a basis for our opinion.

We obtained an understanding of the legal and regulatory frameworks within which the charitable company and group operates, focusing on those laws and regulations that have a direct effect on the determination of material amounts and disclosures in the financial statements. The laws and regulations we considered in this context were the Companies Act 2006 together with the Charities Act 2011. We assessed the required compliance with these laws and regulations as part of our audit procedures on the related financial statement items.

In addition, we considered provisions of other laws and regulations that do not have a direct effect on the financial statements but compliance with which might be fundamental to the charitable company’s and the group’s ability to operate or to avoid a material penalty. We also considered the opportunities and incentives that may exist within the charitable company and the group for fraud. The laws and regulations we considered in this context for the UK operations were the Companies Act 2006 and the Charities Act 2011 together with the Charities SORP (FRS 102). We assessed the required compliance with these laws and regulations as part of our audit procedures on the related financial statement items.

In addition, we considered provisions of other laws and regulations that do not have a direct effect on the financial statements but compliance with which might be fundamental to the charitable company’s ability to operate or to avoid a material penalty. We also considered the opportunities and incentives that may exist within the charitable company for fraud.

Auditing standards limit the required audit procedures to identify non-compliance with these laws and regulations to enquiry of the Trustees and other management and inspection of regulatory and legal correspondence, if any.

We identified the greatest risk of material impact on the financial statements from irregularities, including fraud, to be within the timing of recognition of legacy and grant income and the override of controls by management. Our audit procedures to respond to these risks included enquiries of management,

and the Trustees about their own identification and assessment of the risks of irregularities, sample testing on the posting of journals, reviewing accounting estimates for biases, reviewing regulatory correspondence with the Charity Commission, and reading minutes of meetings of those charged with governance.

Owing to the inherent limitations of an audit, there is an unavoidable risk that we may not have detected some material misstatements in the financial statements, even though we have properly planned and performed our audit in accordance with auditing standards. For example, the further removed non-compliance with laws and regulations (irregularities) is from the events and transactions reflected in the financial statements, the less likely the inherently limited procedures required by auditing standards would identify it. In addition, as with any audit, there remained a higher risk of nondetection of irregularities, as these may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal controls. We are not responsible for preventing non-compliance and cannot be expected to detect non-compliance with all laws and regulations.

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, and to the charitable company’s trustees, as a body, in accordance with Part 4 of the Charities (Accounts and Reports) Regulations 2008. Our audit work has been undertaken so that we might state to the charitable company’s members and trustees those matters we are required to state to them in an auditor’s 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, the charitable company’s members as a body and the charitable company’s trustees as a body, for our audit work, for this report, or for the opinions we have formed.

Vicky Szulist Senior Statutory Auditor For and on behalf of Crowe U.K. LLP, Statutory Auditor, 3rd Floor, St George’s House 56 Peter Street, Manchester, M2 3NQ

20th December 2024

88 INDEPENDENT AUDITOR’S REPORT

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

INDEPENDENT AUDITOR’S REPORT 89

ST ANN’S HOSPICE

90 OFFICERS AND PROFESSIONAL ADVISORS

Officers and Professional Advisors 06

ST ANN’S HOSPICE

Officers and Professional Advisors

Trustees and Officers

PRESIDENT

The Right Reverend Prof. David Walker Bishop of Manchester

TRUSTEES CHAIR

Professor Jacqueline Oldham BSc(Hons) RGN PhD

HON. TREASURER

Mr Darren Holt BA FCA,

VICE PRESIDENTS

Sir Warren Smith KCVO KStJ JP HM Lord Lieutenant of Greater Manchester (resigned 1st September 2023)

Mr Alan Bond FCCA, ACIS (resigned 25th March 2024)

Mr Mike Brown (Vice Chair) MSc, FHSM, CMIPM (resigned 10th June 2024)

Mrs Anne Mack

Mrs Ann Hughes

Professor Sir Cary Lynn Cooper CBE FAcSS

Kathy Cowell OBE DL

Dr Stephanie Gomm MD FRCP

Mrs Fiona Taylor (Vice Chair) RGN, RM, RHV, Dip HE, BSc (Hons), MA

Mr Steven Wilson CPFA BA (Hons) DipMHC

Ms Melanie Ogden BPham FRPhamS

Ms Kate Squire BA (Hons)

Mr Russell Kaminski LLB (Hons), LPC, TEP (appointed 15th May 2024)

Mrs Paula Tanner LLB, ACA (appointed 15th May 2024)

Mrs Anita Rolfe RGN DN (appointed 15th May 2024)

92 OFFICERS AND PROFESSIONAL ADVISORS

ANNUAL REPORT AND FINANICIAL ACCOUNTS 2023/24

Key Management Personnel

CHIEF EXECUTIVE

Rachel McMillan RGN BA(Hons) MSc (appointed Company Secretary 22nd January 2024) (resigned Company Secretary 26th June 2024)

DIRECTOR OF PEOPLE, CULTURE, & SUPPORT SERVICES

Gill Turnpenney BA(Hons) CMCIPD

DIRECTOR OF BUSINESS DEVELOPMENT & COMPANY SECRETARY

Dr Paul Jarvis (resigned 19th January 2024)

Claire Murphy BSc (Hons) FCA (appointed 26th June 2024)

Professional Advisors and Registered Office

SOLICITORS

Brabners LLP

55 King Street, Manchester M2 4LQ and Exchange Flags, Liverpool L2 3YL Manchester M2 3NQ

AUDITOR

Crowe UK LLP

Crowe U.K. LLP 3rd floor St George’s House 56 Peter Street Manchester M2 3NQ

INVESTMENT MANAGERS Brewin Dolphin

1 The Avenue Spinningfields Square, Manchester M3 3AP Manchester M2 3NQ

BANKERS

DIRECTOR OF CLINICAL SERVICES

Emma Dixon RGN BA(Hons)

MEDICAL DIRECTOR

Dr David Waterman MBBS FRCP

ASSOCIATE MEDICAL DIRECTOR

Dr Alison Roberts MBChB FRCP

The Royal Bank of Scotland

5th Floor 1 Spinningfields Square, Manchester M3 3AP

REGISTERED & PRINICIPAL OFFICE St Ann’s Hospice

St Ann’s Road North, Heald Green, Stockport, SK8 3SZ

ST ANN’S HOSPICE TRADING CO LTD

Subsidiary of St Ann’s Hospice

COMPANY DIRECTORS

Rachel McMillan Gill Turnpenney Claire Murphy

OFFICERS AND PROFESSIONAL ADVISORS 93

Contact details

St Ann’s Hospice

St Ann’s Road North, Heald Green,Cheadle, Cheshire SK8 3SZ Tel: 0161 437 8136

St Ann’s Hospice

Meadowsweet Lane, off Peel Lane, Little Hulton, Worsley, Manchester M28 0FE Tel: 0161 702 8181

www.sah.org.uk

www.facebook.com/StAnnsHospice

@StAnnsHospice @StAnnsHospice

Registered charity number 258085. Registered in England No. 947220.