REGISTERED COMPANY NUMBER: 1627610 {En8land and Wales) REGISTERED CHARITY NUMBER.. 284701 Report of the Trustees and riftancial Statements For The Year Ended 31 Marth 2022 for Salnt Catherine's Hospicè Trust Ingham & Co. Chartered Accountants Statutory Auditor George Stanley House 2 West Paiade Road Scarborough North Yorkshi Y012 SED 'AbBYACJ5* 0610912022 COMPANIES HOUSE Saint Catherine's HospKe Trurt Contents of the financial Statements For The Year Ended 31 March 2022 Pa8e Report ol the Trustees 11012 Report of the Independent AudTrtors 13tolS Consolidated Statement of Financial ActNities 16 Balance Sheets 17 ConsolSdated Cash Flow Statemeni 18 Notes to the Flnancial Statements 19to32 Saint Catherine's Hospice Trnst Report of the Tfustees for the year ended 31 March 2022 The trustees who are also directors of the charity for the purp05e5 of the Companie5 Att 2006. present thelr report with the consolidaied financlal statements of the chartty and rts subsidiaries for the year ended 31 March 2022, which are also prepared to meet the requirements for a group direttorfs report and accounts for Companies Act purposes. The trustees have adopted the provi5ion5 of A¢couniin8 artd Reporting by Charities.. Statement of Recommended Practice applicable to charities preparing their accounts in accordan￿ with the Finanaal Reportin8 Standard applicable In the UK and Republic of Ireland IFRS 1021 leffertive l January 20191. oBJE￿IVEs AND AcfivmES Purpose and actI￿tIeS The primary object of the Trust is to promote the relief of slckness. particularly for patients in need of speciallst palliative and end of life care and those with a tefmin31 illness. and the 5UPPOrt of thetr families and ¢arers. The Trust meets this objective through its promotion and provision, where appropriate, of holistic care for patients with terminal illness who are in need of Specialist palliative and end of life care. The Hospice provides a consultant led specialist palliative and end of life care servlce to all those with a terminal illness re8ardle55 of diagn0515. The HOSPI￿ Serves a 1600 square mile area with both in-patient and day Hospi￿ facilities in ScarboroU8h and a ran8e of ¢omrnunity services. Scarborough bo5ed.. Purpose-built Hospice opened in 1985, moving to its current site in 2004 providlng specialist care beds in sln8le en- 5Ulte in-patient rooms. Our Wellbeing Centre allows patients to access the following Se￿￿.. Assessment. rehabilitation and enablement 8ym run by physiotherapists. Lymphoedema ¢lini¢ offering assessment. bandagin& teachirvd and ma55aBe three times a week. Specialist Palliative Care Consultant outpatient Clinics. Specialist Neurolo8y and Multi-OiKiplinary Team dinics. ComplÈmÈntary Therapy consultations and clinics. Specialist Palliative Care Social Work ser￿￿S. Occupational Therapy Service. Carers Support ind Education Courses. Breathless management education programme. Tal Chi for patients and carers. Bereavement Support Service for both children and adulis servin8 those wlth a connection to Saint Catherine's. Pastoral Care. Specialist Palliative Care Coun5elling. Out of hours Palcall telephone support Servi￿ for patients, carer5 and oiher healthcare professlonals. Education centre providing a range of specialist courses for healthcare professionals. Student placement and mentoring programme. Nurse led bed5 providin8 end of life care for patients in Scarborou8h hospital who had been identified as in the last seven days of life. Page I Saint Catherine's H05pice Trust Report of the Trustees for the year ended 31 Mar¢h 2022 OBJECTIVES AND ACTivmES Puwise and xtivities Community bosed.. We continued to prowde Wellbein8 Centre prowsion at our main site for patients across our whole &eographi¢al area. Domiciliary based Community Specialist Palliative Gire provided by our Clinical Nurse Specialists. Community consultant access through domiciliary ¥i5its or clinits. Consultant clinic to Bridlin8ton patients. Consultant clinics at Scarborough Hospital. Domiciliary Occupational Therapy. physÈotherapy and social work visits. Domiciliary eereavement Support Visits. Consultant support to other healthcare professionals. Hospice at Home Ser¥ice in partnership with Marie Curie for Scarborough and Filey as part of the Integrated Palliative Care Services. This service ceased at 1st April 2022 and is being replaced with the new Fast Track Home Care service which started 2nd Mav 2022. Fast Track Home Care Service providing packages of Care in a patients home. The main objectives for the year were to ensure our services continued to operate during the ongoing Covid-19 pandemic to support our patients, their families and carers. and to continue the development of our work with the clinical commissioning groups supportirvd the development of integrated healthcare and new ways of working, particularly in the community. The Integrated Palliative Care Seryices have been reviewed throughout 2021-22 and during this time the Care Homes Support Team has ceased operating. As mentioned the Hospice ai Home service continued through 2021-22 and ceased operatin8 on 31st March 2022. At ihis point our partnership with Marie Curie ended and we would express our gratitude to Marie Curie for theii partnership over the last 7 years. The North Yorkshire CommissTroning Group agreed to continue to fund these services until 315t March 2022. The services remained an important part of lo¢¥1 provi5i0n in 2021_2022. The Cornmi$5ioners reviewe(I their comrnunity service provision across North Yorkshire in 2021-22 and with the ¢essation of the Hospice at Home service. Saint Catherine's have been contrèrted to deliver a new Fast Track Home Care semee from 2nd May 2022. Publlc Benefit The Board of Trustees are satisfied that they have ¢omplied with the (luty in Section 17151 of the Charsties Act 2011 to have regard to the Charity Comrnis5ion guidance on public benefit in the provision of its activities. A review of the significant activities undertaken by the tharity during the year to further its chafltable purposes for the publi¢ benefit is detailed below. Volunteews The H05pice relies heavily on the support of volunteers and currently has around 400 volunteers acro55 all our services, in our shops. helping out with fundraising and in our busine55 5UPPOrt services. The 8oard are incredibfy grateful to all those who volunteer time for their commitment to the Hospice and would like to express their gratitude and tharsks to all our Volunteers. Volunteers remaln a vital resource for Saint Catherine'5 helping to support ¢)uf fundraising and shops throughout 2021-2022. Page 2 Salnt Catherlne's Ilospke Trust Report of the Truslee5 for the ￿31 ended 31 March 2022 STRATEGIC REPORT Achievements and performance Churltoble octivities The Hospice's Strategic Intent was updated in 2021 and the new Strategic Intent 2021-2024 provides a clear focus for the ongoing development of Saint Catherine's over the coming vears. The six intentions focus on.. Clinical Excellence, Empowered People. Innovation and Improvement. Systems and Processes. Finanual Sustainability and Reputation. The Hospice5' set of values and behaviours are how we will deliver our Strate8i£ Intent and these are based around.. People Cenired. Teamwork, Integrity and Quality & Excellen￿. Our Strategrc Intent supported and informed the Hospice's response to the co￿d-19 pandemi¢ adapting to the changing srtuation in an ogile and flexible way, and continues io support our ongoing response to Imng with CO￿￿-19. Technology continues to be. a slgnificant part of the thanges 10 services and sUPPOrt for our patients, families and carers. The Hospice continues to Tewew the delivery and development of all its servi￿5 in light of the changes in the local health antl social eeonomies, seeking to respond to local plans and objective5. During 2021-2022 our services tontinued to be affected by Covid-19. However, we have been able to Slowly develop new way5 of delivering Care and support through our Wellbeing Centre for our patients and families. Over all our service5 we received 2,413 referrals to provide care and support. We had 210 admissions to the In-Patient Unit with 24 being admissions from Scarboiough Hospital to a Nurse Led Bed. Our Palliative Care Counselling Team made 912 contacts to support clients, and the Hosplce at Home team made 5.964 visi15 to patients in their own homes and an addilional 1.638 ¢onta¢ts. Our Communlty Palliative Care Cllnical Nurse Specialists, including our neurolo￿ teom. received 805 r￿erra1$ which resultÈd in 6.863 contacts. Our Therapie5 Team in total had 2.261 contacts wilh patients. and our Social Work team support resulted in 1,375 contacts over the year. Additionally, we received 623 ca115 to our out of hours telephone support line in the year. We will continue to grow these offerings in 2022-23. We continued to work with our commissioners, North Yorkshire ainical Commissioning Group, io develop and continually improve our services during 2021-22. We agreed that the Care Homes Support service would stop during the year due to other local 5UPPOrt and provision for care homes. Additionally. commissioners are aimin8 for equity of serviees across North Yorkshire arKI so our H05pice at Home servicè ènded on 31st March 2022. In its placè the commissioners asked Saint Catherine's to deliver a Fast Track Home Care SeThI￿ deliverlng packages of care to patients cros5 our whole Scarborough. Ryedale, and Whitby area. This is being rolled out from 2nd May 2022. Feedbock on ourchorltoble octivities.. The Hospice was insperted by the Carè Quality Commission in September 2021, who are the body who regulate and inspect our services. The Hosplce was awarded an overall rating of 'GoDd'. The fine key Ilnes of enqulry the CQC inspection followed were-. Is thè Service safe?. we were rated a5'Good' Is the service ÈffectivÈ?_ we were rated a5'Good' Is the sery1￿ caring?_ we were rated as'Good' Is the Servi￿ responsNe?_ we were rated as'outstanding, Is the Service well-led?- we were rated as'Good' The Hospice continues to play a role in the widèr healthcare agenda engag￿n8 Wtth commi5sloners and ltscal healthcare forums in North Yorkshire and East Riding of Yorkshire. ainical Commi$5ioning Group areas. The Executlve Team Continues to en8aBe with all the l¢xal Commissioners and with the wider healthcare developments. We are working in collaboration with other hospices across Humber and North yorkshi￿ Health and Care Partnership. Members of the Executive Team also engage with other regional and national bodies. Page 3 Saint Catherine's Hospice Trust Report of the Trustees for the year ended 31 March 2022 STRATEGIC REPORT hievemenis and perf0m￿n¢t Feedbuck on ourchoritoble octivities- continued The Hospice has continued to deliver high quality Care and seN¢e to our patients, families and dients. The Hospice receives feedback from patients. carers and professiona15 and through 2021-22 we were told.. Patients and clients have said.. "l Cannot speak too highly of the care and help that I have receNed from Lindsey at the Lymphoederna Clinic at Saint Catherine's. She has taU8ht me how to manage my lymphoedema in the best way possible for me and l am so much improved since attendine the dinic. The other staff are all love￿ too and there is such a comforting atmosphere at Saint Catherine's. l am so grateful for the care that I have r￿e1Ved there.. -1 was rnade to feel really relaxed and welcomè. Advice and support all being available in one place is very helpful. I was part of a group with similar experiences.- -1 really don't know how you could improve the ure at Saint Catherine's. All staff are amazing and $0 compassionate.. "You did everything well. there wès nothing that could be better. It was nice to see you and be able to talk. Everyone is so nice." Carers have said= e just wanted to send our thanks for the wonderful care you gave our grandad. He was such a thatty and sociable person and it was lovely to see the kindness you showed towards him. We cannot thank you ènou8h for everything you did for hirn. in particular. allowing him to watch the sunrise. He realty loved thatl. e will never forget your thoughtfu1r￿ always. You were all and are like these beautiful little swifts, flying in and out so efficient and caring. A great big thank you with all our love." "Everyone treated my husband with di8nity and respect throughout 5UPPOrting and encouraging him as he needeiilwartted. You were there with sUPPOrt for his tsmily. You made the experience calrn. not sad. We truly couldn't have asked for anything more.- hank you all w much for your wonderful compassion and Ca￿ for my husband and me. It was a rough few month5 and it was great knowing you were there, day or night. Keep on being awesome.- Professionals have said.. 'My experience at Saint Catherine's Hospice has been incredible. I think comin8 in as a student was extremelv daunting. but both the social work team and wider tearn made me feel super comfortable. I have had both high and low points whit5t being heie, but both have hugely improved my confidence and practice. It has beèn such a pleasure to be a part of the social work team and seeing what we ¢an do for patients and family, but also what thev do for us. l am very sad to be leawng 5uth wonderful staff members and patients. but I know they're in very 8ood handsl Thank you Saint Catherine's for showing me how people Cart really pull together to make a difference." Social Work Student. 'Please could I pass on my thanks to You aftd your colleague this morning for excellent work supportin8 this lady and her family in the last moments of her life. They were very appreciative, a5 was I, to know you'd given such compassionate and considerate care.. Income gefteroiton The Trustees evaluate the effectlveness of all income 8eneration activities with reference to planned income and the overall Income Generation and Marketing strategy through both the Finance and Income Generation Committee and the Board meetings. The Fundraising and Marketing Director and Chief Executive provide reports to the respective Cornmittee and Board to report financial income. Monthly Management Accounts report actual results against budget an(J are provided to Trustee5 quafterty. Page 4 Saint Catherlne's Hospke Trnsl Report ol the Trustees for the year ended 31 Marth 2022 STRATEGIC REPORT Achievements and performan¢e Income generat￿n- contffnued The Hospice recognises the crucial importance of all its Income Generation a¢tivitÉes. With the challenges faced as result of the Covid-19 pandemic the Hospice has adapted its approach to income generation in a range of ways, making use of digital technology. The Hospice Continued to work with local ainKal Commissionlng Groups to gain contract and 8rant funding contribution5 towards the cost of all the clinical seNces. The H05pice corttinues to revlew the performance of all of its income generation activities and areas where effiuenoes can be made in delivering our care and support service5. The Hospice is alway5 incredibly 8rateful to all its SUPPOrters and donors and reco8ni5es the challenges faced by many charities in the corttinuing e¢onomi¢ climate. Impoct of Covid-19.' The TrusteÈs would like to express their Since￿ thanks and gratitude to all members of staff who have displayed incredible dedication to continue io provide care and support to our patients. carers and families throughout the past two years of the pandemic. Their continued dedication and hard work over the last year enabled the Hospice to care for and support people in the Hospice and the community. The H05pice has recovered and 51renwhened its financial position in 2021-22 due to the signifficant dedication and ¢omrnitment of our supporters and donors. and with additional sUPPOrt from Government. This is enablin8 Saint Catherine'5 to reinvest into services and rncornè Beneraiion in 2022-23 and to continue to grow sèrvices for all our paiients, thwr families, and carers. Durin8 2021-22 the H05pice continued to deliver rts Servi￿ and re-opened the Wellbeing Centre. The Hospice continue5 to react in a flexible and agile wav to living with Covid-19. The Hospi￿ continues to maintairt enough PPE to cope with the ongoing 'waves' of Cowd-19 infections. From January 2022 the Hospi￿ has seen an inuease in staff sicknes5 due to the relaxation of external re5trirtions and relaxation of guidan￿ but this has not impacted on patient care and support. Fundrorsing ondcomplffon¢e The Hospice is re815tered with the Fundraising Regulator and continues to review the legal requirements and best practice guidance for all income generation activitie5, to ensure all prartices and ethics meet the requifed standards and vulnerable persons and other members of the public are protected. The Trustees receive regular update5 on any matters of concern at the Income and Finance Committee. The Hospice delivers its own fvndraising actI￿tieS directly and also has volunteer5 and 5UPPOrters who fundraise on our behalf. Our fLtndraising team provide guidance and 5UPPOrt to assist staff. volunteers and supporters in thelr fundraising activities. The H05pice adhered to all Government 8uidance and regulations in relation to Cowd-19 and adapted fundraising initialive5 and activitie5 accordingly in 2021-22. There were 5 formal complaints receNed during the year in respect of our fvndraising artivities. These were all resolved and responses provided enabling all complaints to be closed. The H05pice does noi undertake any Cold￿11 canvassing for the Lottery and no other cold-call approach is undertaken in any income generation activTrty. The Hospice does not use any professional fund-raisers in respect of any income generation activity. Saint Catherine's Hospice Lottery Limited utilises the sem￿$ of an exlernal lottery manager to manage and promote our weekly lottery draw. The lottery manager, Sterling Lotteries. is licenced and regulated by the Gambling Commission as a Non-Remote and Remote External Lotterv Provider. The Hospice continuously improved its information governance and security and contrnued to athieve the required siandards for the Data Security and Protettion toolkit I"DSP"l in 2021-22, as required by the NHS and the CQC. The Hospice mainiains an attitude of conttnuous improvement in regard to it5 inforrnation governance and security and to ensure it maintains the required level of the OSP. Pa8e 5 Salnt Catherine's Hospice Trusl Report of the Trustees fN the year ènded 31 Marth 2022 STRATEGIC REPORT Achlevements and performance Investmentperformonce The Charity has an agreed investment pdicy with its investment rnanagers based on the requirements from the portfolio,. to prowde a high level of income and a capital buffer in case of a shortfall in funding-intome. to accommodate the level of risk the Trustees a￿ prepared io accept- to take account of the timescale over which the investments are expected to be held. Based on the consideration of these fadors the investment benchmark agreed for the portfolio with the investment managers is: 36% FTSE All Share.. 36% FTSE World Excl. UK. 13% FTA British Government Fixed All Stocks,. 9% 8ank of England Base Rate 1+2%): 5% IPD Monthly- and 1% Bank of England Base Rate 1-0.5%>. This represents a straie8lC 35set allo¢ation of.. a target of 72% Irange 45-75%) in Equities with a S0150 split between UK and Overseas , target of 13% Irange 10-35%) in Fixed Interest,. target of 9%12.5-20%1 in Infrastructure: target of 5%1 12.SY.l in Property. and a target 1% 10-20%) in Cash. This allocatbon maintains the Hospice's S-10 year horiion of medium to long-term investment with a Medium risk profrle and Balanced investment objective. The Trustees understand that over the long term this agreed forrnat will allow the capital value of the portfolio to be at least retained in real terms and will generate a good level of income to support the hospice. The Trustees also understand ihai investments do not rnove in a linear fashion and there will be individual years, and periods perhaps in excess of a year. when the portfolio value rnay fall. However they a150 understand that. based on historical returns, equity investment is ne¢essary if the value of both the capitsl value of the fund and income is to maintain its purchasing power when compared with inflation. Saint Catherine's year to 31st March 2022 saw the Hospicds portfolio flurtuated due to the unprecedented events in Ukraine. At 1st April 2021 the year the portfolio was valued at £2.409m, increasing to £3.806m at 315t December 2021 reflertlng further transfer of funds into our investments and market gains. However, due to the war in Ukraine the portfolio was valued at £3.557m at 31st March 2022. The portfolio continues to be managed for long term growth in both its capital value and the level of income it can 8enerate. For 2022 the portfolio's lolal return was +5.67% compared to the benchmark's +9.87%. the three year cumulative reiurn show5 +18.5% wnpared io the ben¢hmarVs +16.2%. In 2021-22 the Hospice received £99.405 Income from its investment portfolio. The outlook in 2022-23 is cautious In the short-term with headline consumer price inflation expetted to move even higher with further Bank of England increases in base rates. The markets will have to Contend with the end of quantitative easing and, potentially, the be8innin8 of quantitative rightening. The risk of weaker economic actlvity. lower corporate earnlngs growih and more restricttve monetary policy is an unhealthy combination, hen￿ the shori- term caution. However, despite the increased volatility. equities remain the most attractive asset class for generatinB long-term returns. Appreciotion The Board again expresses it5 appreciation of all who work so generously for Saint Catherine's, senior manaEement. professional staff and volunteer5. Their united efforts make possible the delivery of care to our patients at ihe hi2hest level of quality and the continuing outreach of knowledge and expertlse in palliative care to the wider constituency. Finoncialposition The overall operating surplus for the restricted and unrestriaed fund, as detailed in the financial Statements described as"Net income" was £1.244,02012021. £1,843,980). A breakdown of the income and expenditure ol the Charity and its sub5idi3ries is given in the Consolidated Statement of Financial ACti￿t￿5 and associated notes. At 31 March 2022 the Group had Net Current Assets of E3.049.677 12021 - £2.803,3921 and overall Net Assets of £11.408,27912021- £10.164,2591. The Group's unrestricted funds totalled £11,263,02812021- £10.049.8561 and were represented by tangible fixed assets of £4.721,40212021- £4,871,624). investments of £3.637.20012021- £2.489.2431 and unrestricted net current ossets of £2.904.42612021- £2.688.9891. The Gioup's restricted funds totalled £145,25112021- £114.4031 and were represented by net current assets. Page 6 Salnt Catherlne's Hosplce Trust Report of the Trustees lorthe year ended 31 Marth 2022 STRATEGIC REPORT Achievement5 and perf0m￿fice Flnanclal wiew PrincipolFunding Sources The Charity's principal funding sources are shown in the Consolidated Statement of Financial Activities on page 16 of the finan¢tal statements. The main funding sources for the Hospice in 2021-22 continue to be legacies. voluntary donations, lottery and contract income from Clinical Commissioning Groups. Despite the ongoing Covid pandemic in 2021-22 the retail shops 518fbificanily recovered, almost reaching pre-pandemic levels. With a creative approach to fundralsing activities during 2021-22 the Hospice also saw the income from fundraising actmties and sponsorship recover well. There was some èdditional Government funding through grants at the end of 2021 and the earsy part of 2022, which has also formed a large part of the Hospice intorne for the year. The Trusteès antieipate the impact of the pandemic will continue to affect income generation in the coming year. along with the current economic crisis, the war In Ukraine and the UK political 51tuation, and will continually monitor the situation throu8h re8u13r financial reportin8 and re￿ew. The Tfustees undertake financial modellin8 to continve to review actions required. The delivery of the Board's 5trateglc Intent continues to include the focus on continuous improvement io ensure the efficient and effective use of all our resources for the benefit of our patients, familie5 and carers. Investment policy und objectives The articles of assoaation authorise the Trustees to make and hold investments using the general funds of the charity. The 8oard engages appropriate professional adwce in the choice and movement of investments. With the approval of the Charity Cornmi55ion, the Board continue5 to dele8ate responsibility for the investment portfolio management to Investe¢. The Board reviewed the "Statemènt of Investment Principles. produced in accordance wlth the Trustee Art 2000, and a8reed to rnaintain this as the Organisation's 5t•terneni. The maift investment policy objective5 were armed at maintainin8 Capital value whilst meeting a target Income figure as a minimum but also aim to build reseTres if posstrble. The Hospice £ontinues with its ethical policy of not investin8 in any tobacco related equitie5. Reserves pol The reserves policy is moniiored and reviewed annually by the Finance and Income Committee and the Board of Trustees. The policy on reserves was reviewed arml the Trustees agreed to stsy with the formula of trying to build free reserve levels back to one year's runnin8 Costs after takin8 into accouni guaranteed income. whils1 at the same time lookin8 to fund organisational development. The Tfustees recognise the Importan￿ of using free reserves to help ensure continuity in the event of any large vartation In income, any ernergency financial demands, bridge any cash flow problems. pay for any future projects and to help generate income. The cvrrent level of free reserves allows the Trustees to cover these potential demands. The Hospi￿ arrrently has free reserves 01 £6,541,626, which equates to 13 months running costs for 2022-23. Going concern The charitable cornpany relies upon funding from voluntary donaiions. legacies and funding from clinical commissioning groups. which all contairt a degree of uncertainty. Reco8nisin8 the on8oing impact of the pandemic. the current economic crisis, the war in Ukraine and the UK political srtuation. as well as the recovery of income from Shops and fundraising activities, along with the continued Commissioner and community 5UPPOrt. and the current le￿1 of free reserves at the year end of 2021-22, the Trustees consider that the charitable company has sufficient resources to contlnue in existence for the foreseeable fvture. Page 7 Saint Catherine's Hospio frn Report ol the Trustees for the yeaf ended 31 Marth 2022 STRATEGIC REPORT Prfndpal rlsks and uncertalnti*s The Trustees consider that the principal risks and uncertaintie5 faced by the charitable company and 115 sub5idiaiies are as follows.. the Hospice's reliance on the Benerosity of the local commurttty in provKlin8 donations. fundrai5in8 support and income and legacies. the pandemic. current economic crisis. war in Ukraine at)d the UK politiol situation. the recruitment and retention of nursing staff and medical professionals in the current healthcare environment. the maintenance of Government funding for hospices for the lon8-ierffl and the change to Integrated Cafe Boards from 1st July 2022. the ongoinB recovery for our shop5 income in 2022-23. the recruitment and retention of support Staff in the current economic dimate. the ongoin8 impact of the PPE requirements and the financial costs. Plans for future periods The Board Strategic Intent for 2021-2024 w35 3gree(l in November 2021, and our main objectives will remain as.. l. Maintain Saint Catherine's Care Quality Commission rating as 'Good' or 'Outstanding' by safely dèlivering to patients, carers. and families an appropriate range and quality of integrated core services. which are structured to provide easily accessible, responsive, and %al3ble holistic per50ne or8anisational structure Df the Trust is made up of an Executive Committee. known as the Board of Trustee5, of up io fifteen Yrustees who are recruiied from the wider body of members of the Trust which currently number 32. Board Mernber5 are nominated by at least two other mernbers of the Board and will be invited to Slt on one or more of the Hospice's Board Committees. All Board members are dected for a period of three years after which time they can put their name forward for re-election at the AGM rf they 50 wish. The total number of years that a Trustee can normally serve is nine years. Saint Catherine's H05pice Trust has two wholly owned trading subsidiarie5. Scarborough H05pice Sales Limited and Saint Catherine's Hospice Lottery kn'mited, both incorporated In England and Wales. The directors of the sub5idiarie5 are also Trustees of the charity. De¢lslon mJkln8 The Board of Trustees, which is attended by the Board members and the Chief Executive, ainical Services D1￿ctOr, Medi¢al Dire¢tor and Fundrai5in8 and Marketln8 Director. meets four times a year and receives reports from the three Committees. The Board governance stnJcture maintains three Committees bein8 the Finance and Incorne Generation Committee, Governan¢e and Compliance Committee and the People and Resources Cornmitteè. Eath Committee meets four times a year and are attended by at least two Board members. co-opted members and relevant senior rnanagement. The Governance and Compliance Committee is responsible for all Hospice governance and audit matters including clinical governance. information governance. and health & safety governance. which they report to BoaTd. The Finance and Income Committee is responsible for financial and investment aspects of governance. the annual financial audit, along Wlth Income generation performance, which they report to the Board. The People and Rewurce5 Committèe is responsiblè for all le8al and 8overnan¢e matter5 relatirbg to our people and the material resources of the Hospice. Indu¢iion and tralnlne of new trU￿te$ A Role Description and Person Specification for the role of Trustee has been drawn up and all Trustee5 are required to si@n up to a Trustee code of conduct. an eligibility statement declaring they are a fit and proper person to undertake the role of a trustee and a separate confidentiality statement. Additionally. Trustees are DBS checked and checks are made at Companies House to ensure Trustees are not di5qualrfied as being Directors. New Trustees will be invited to spend a day at the H05pice to see all the facilities and meet staff and will be prowded with guidance on the roles and responsibilities of H05pice TrLtstee5 using guidan￿ produced nationally by HospiceLIK and the Charity Commission. In addition to Commitiees and 8oard meeting5 the frustees lake part in an annual away day with senior staff and are invited to attend other information events such as the volunteers forurn. The Board also undertake regular Announced Visits and these will be restarted in 2022-23 foll¢)w4n8 a suspension of these durin8 the Covid-19 pandemic over the last 2 vear5. Page 9 Sainl Catherine's 110spi¢e Trust Report ofthe Trustees forlhe year ended 31 Marth 2022 STRUCWRE, GOVERNANCE AND MAPIAGEMENT Senlor management remuneratiom The remuneration of the senior management team is r￿eWed as required by the 8oard of Trustees in line with staff pay reviews. Relationships The Hospi￿ continues to encourage its senior personnel to participate in the a¢ti¥ities of the various professional organisations available to them. Each of the multi-dis¢iplinary functions meet5 Wlth it5 peers in other Hospices across Yorkshire and the Humber. which includes CEO Forums and the Executive C14niol Leads in Hospice and Palliative Care Forum. The woik of the Palliative and End of Lrfe Care Clinical Nets¥orK Hospi¢eUK and the Forum of Hosplce ch3irper50n5 at both regional and national level. is supported. As part of the engagement response io the im￿eMentatiOn of Integrated Care Boards from 1st July 2022, Saint Githerine's engaged with a new initiatNe for the 7 hospices acro￿ the Humber and North Yorkshire Health and Care Partnership. This collaboration has been esiablishe(I with 8 Memorandum of Understanding and we 8nticlpate this facilitating engaÉement with the new healihcare structures and comrni55ioning frameworks. Regular contact and liaison is rnaintained both with the purchasers and fellow Providers of health care in the region covered by the Hospice, and we rernain committed to a policy of collaboration. cooperation, and parinership. Related partles None of the Trustees re￿1Ve remuneration or any other benefit from the charity. The Trustees are required to submit annual related party forms to the charity detailing their family connections and external business interests. The Charity's wholly owned subsidiaries. Scarborough HospKe Sales Lirnited and Saint Catherine's Hospice Lottery Limlted trade on behalf of the charity. The results of the individual subsidiaries afe detailed in notè 13 to the financial Statements. The financial statements ¢onsolidate the results of the charitable company and both subsidiaries. Rlsk management The Trustees acknowledge their responsibility in idèntifying major risks to whi¢h the Hospice may be exposed and have a formal process of risk management. An updated Risk Management Policy has been approved and a mechanism for regular annual review detailed. The Board Risk Registei is reviewed quarterly at each Board meetin8. The major iisks to which the charity is exposed. a5 ideniified by the Trustees, have been reviewed through the day to day Executive Team activities. and systems have been established to mitigate those risks. The risk identification process for non financial risk is undertaken initially by the Chief Executive in conjunction with the professional managers of the Executive Team. As areas of risk are identtfied. they are rewewed initially by the Executive Tearn, and may then be referred to either a Trustee Committee for consideratron. or direct￿ to a Board Meètin8. A decision on appropriate action or implementation of a system will then be made by Trustees. In re5pert of financial risk. the trustees identify major risk through consideration at the Finance and Income Committee and this is then fed in to the 8oard which is attended by trustees who tnclude 59me who are either professionally qualified in finance or experienced in handling financial matters as part of their professions. Security of IT services has been confrrmed by the suc￿$Sful completion of NHS Data and Security Prevention Toolkit. The Board and senlor management regular￿ review the organisations safeguardin& health, safety and risk management policles. procedures. systems and PToce55es. In Novèmber 2021 the Board appointed Dougy Lumb as the Trustee Safeguarding Lead for Saint Catherine's. Page 10 Salnt Catherine'5 Hospke Twst Report of the Trustees for the yearended 31 March 2022 REFERENCE AND ADMINISTrATIVE DETAILS Reglstered Company number 1627610 (England and Wales) R•glstered Charlty number 284701 Reglstered office Throxenby Lane Scarborough North Yorkshire Y012 SRE Trustees M Middlebiook Ichairl J Steven50n (Depuly Chairl 5 8uTnett M Chell L Holbrook O Lumb Sjmudd S StaDdard-Sheader O Westmoreland - resigned 24 May 2022 - appointed 23 May 2022 Company Se¢retary M G Wilkerson Executlve Team M G Wilkerson Ichief Executive) T Calcraft M Muir S Callin Audltors Ingham & Co. Chartered Accountants Statutory Auditor George Stanley House 2 West Parade Road Scarborough North Yorkshire Y012 SED Bankers HSBC Bank PLC 33 St Nicholas Street Scarborough YOII 2HN Sollcltors Thorpe & Co. 3 BaBdale Whiiby Y021 IQL Page 11 Salnt Catherlne's Trwilce Trust Report ol the Trustees for the year endèd ai Marth 2022 REFERENCE AND AOMINisfRATIVE DEfAILS Investment advi5er5 Investec 2 Gresham Street London EC2V 7QN STATEMENT OF TRUSTEES, RESPONSIBILITIES The trustees (who are also the directors of Saint Catherine's H05pice frust for the purposes of tornpany lawl are responsible for preparin8 the Report of the Trustees and the financial Statements in accordance with applicable law and United Kingdom Accounting Standard5 (United Kingdom GeneralW Accepted Actt+untin8 Practi¢el. Cornpany law requires the trustees to prepare financial statements for each financial year which give a true and fair view of the State of affairs of the charitable company and of the incorning resources and application of resour¢es, including the income and expenditure. of the charilable company for that period. In preparin8 those financial statements, the tru5tee5 are required to select suitable accounting policies and then apply them Consistentty: observe the method5 and prinaples in the Charity SORP- make judgemènts and estimates ihat are ￿8$Ortable and prudent- State whether applicable accounting standards have been followed. subject to any material departures disd05ed and explained in the financial Statements,. prepare the finan¢ial statements on the 8oin8 concem basis unless it is inappropriate to presume that the charitable company will coniinue in business. The trustees are responsible for keeping proper accountin8 records which dixlose with reasonable accuracy at any time the financial position of the charitable company and to enable them to ensure that the financial statements comply with the Companies Act 2th)6. They are also responsible for safeguaiding the assets of the tharitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. In so far as the trustees are aware: there is no relevant audit infomlation of which the tharitable ¢ompany'5 auditors are unaware- and the tTustee5 have taken all 5tep5 that they ought to have taken to make themselves aware of any relevant audlt infomation and to establish thai the audrtors are aware of that infomiation. AVDtroRS The auditors, In8hJm & Co., will be proposed for re-app(Hntment at the forthcoming Annual General Meeting. The Report of the trustee5, which irKorporates a strategic report. was approved by order of the board of trustees, as the company directors, on 22 August 2022 and signed on the board's behalf bv: M Middlebrook Chairman of Trustees Page 12 Report ol the Independent AudStoYs io the Members of Saint Catherlne's Hosplce Trn5t Oplnlon We have audited the financial statements of Saint Catherine's Hospice Trust Ithe 'charitable parent companVI and its subsidiarle5 {the 'group'l for the year ended 31 March 2022 which comprise the consolidated Statement ol Financial Activitie5, the con501idated and th3ritable parent Company Balance Sheets. the consolidated Cash Flow Statement and notes to the financial statements. including a surnmary of significant accounting policies. The finandal reportine framework that has been applied in thwr preparaiion is applicable law and United Kingdom Accounting Standard5, including FRS 102 "The Financial Reporting Standard applicable in the UK and Republic of Ireland" (United Kin8dom Generally Accepted Accounting Practice). In our opinlon the flnandal ststements". give a true and fair wew of the state of the group and charitable parent company's affairs as at 31 March 2022 and of its incomirvd resources and application of resour￿$. includlng its income and expenditure, for the year then ended.. have been properly prepared in accordance with United Kingdom Generalfy A¢¢epted Accountin8 Practice. and have been prepared in accordance with the requirements of the Companies Act 2(￿. Bas15 for oplnlon We conducted our audit in accordance with Intemational Standards on Auditing IUKI IISAS IUKII and applicable law. Our responsibil￿tIeS under those standards are further de%ribe(I kn the Auditors rèsponsibilities fof the audit of the financial staiements section of our report. We are independent of the charitable group and charitable parent company in ccordance with thè ethital requirements that are rèlevant to our audtt of the financial statements In the UK, induding the FAC'S Ethical Standard. and we have fulfilled our other ￿hical Te5ponsibilitie5 in accordance with these requirements. We believe that the audit evidence we have obtained ts sufficient and appropriate to provide a basis for our opinion. Conduslons relatSng to go5ng concern We have nothing to report in respect of the following matters in relation to which the ISAS IUKI require us to report to vou where.. the trustees. use of the going concem basis of accountiryd in the preparation of the financial 5tatemeAts is not appropriate; or the trustees have noi disclosed in the fin8n¢ial statements any identbfied material uncertainties that may cast significant doubt about the ¢haritable 8roup's ability to continue to adopt the going concem basis of accountin8 for a period of at least twelve months from the date when the financial statements are authorised for Issue. Other Informaiion The trustees are responsible for the other information. The other infomiation comprises the informatron irtduded in the annual report, other than the financial statements and our Report of the Independent Auditor5 thereon. Our opinion on the finanti315taternent5 does not cover the other information and. except to the extent otherwise explicitly stated in our report, we do Aot express any form of assurance tonclusion thereon. In connectitsn with our audit of the financtal ststements, our responsibility 15 to read the other information and, in doing $0, consider whether the other information is materialty inconsistent with the financial staternents or our knowledge obtained in the audii or otherwise appears to be materially rn￿tated. If we identify Such material inconsistencies or apparent material rni55tatements. we are required to determine whether there is a material mi5Statement in the financial statements or a mateiial misstatement of the other information. If. based on the work we have perfomiÈd, WÈ conclude that there 15 a material misstatement of this other information. we are required to report that fact. We have nothing to report in this regard. Opinion5 on other matters preKribed by the Companies Art 2006 In our opinion. based on the work undertaken in the course of the audit: the information given in the Report of the Trustee5 lincorporatin8 the strategK report and ihe report of the directors) for ihe financial year for which the financial statements are prepared is consistent with the financial statement5.' and the Report of the Trustees has been prepared in accordan￿ with applicable legal requirements. Page 13 Report ofthe Indephdent Auditors to the Membets of Saint Catherine's Hosplce Trust Matters on whlth we are requlred to report by exception In the light of the knowledge and under5tandin8 of the charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the Report of the Trustees. We have nothing to report in respert of the followin8 matters where the Q*mpanie5 Art 2006 requires us to report to you if. in our opinion.. adequate a¢¢ounting re¢ords have not been kept or returns adequate for our audit have not been received from branches not visited by us,. or the finanual statements are not in agreement with ihe accounting records and returns.. or certain disclosures of trustees. remuneration specified by law are not made.. Of we have not received all thè infofmaiion and explanations we require for our audit. Respon$lbllltles of trustees As explained more fully in the Statement of Trustees Responsibilities, the trustees Iwho are also the directors of the charitable parent company for the purp05e5 of company lawl 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 deterrnine is necessary to enable the preparation of financial statements that are free from material mi5Statement. whether due to fraud or error. In preparing the financial ststements, thÈ trustees are responsible for assessing the group's and charitable parent company's ability to continue as a going concern, di5dosing, as applicable. matters related to going concern and using the going concern ba515 of accountin8 unle55 the trustees either intend to liquidate the charitable company or to ￿ase operations, oi have no realistic alternative but to do so. Auditor's responsibilities for thè audit of the finantial statements Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement. whether due to fraud or error. and to issue a Rèport of the lrtdependent Auditors that includes our opinion. Reasonable assurance is a high level ol assurance. but is not a guarantee thai an audit conducted in accordance with ISAS IUKI will alway5 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 influÈn¢e the economic de¢isiofis of users taken on the basis of these financial staternents. Irregularities, indudin8 fraud, are instances of non-compliante with laws and regulations. We design procedures in line with our re5pon5ibilities. outlined above, to detert material mistatements in re5pert of irreBularities, includin8 fraud. The extent to which our procedures are capable of detecting irregularities. including fraud is detailed below. Our approach to identifyin8 and assessrng the risks of material misstatement in respert of irregularitie5. including fraud and non-compliance with laws and regulaiions. was as follows-. the engagement partner ensured that the engagement team collectively had the appropriate wmpetence, capabilitie5 and ski115 to identify or recognise non-¢ompliance with applicable laws and regulations- we identified the laws and regulations applicable to the ¢haritable parent cornpany and its subsldiarles through discussions with trustees and other management, and from our commercial knowledge and experience of the chaTltable sector: we focused on specific laws and re8ulations which we considered may have a direct material effect on the financial statements or the operations of the charitable parent company and its subsidiaries. including the Companies Act 2006, the Charities Act 2011. taxation legislation. data protertion. anti-bribery. employment. environmental and health and safety legSslation and Care Quality Commission regulations. we assessed the extent of Complian￿ with the laws and r￿UlationS identified above through making enquSrSes of man38ement. Inspectin8 le8al ¢orresponden¢e and tnspecting Minutes of"Trusiee meetrngs and Leadership Group meetings: and Identified laws and regulation5 were cornmunicated within the audit team regularty and the team remained alert to instance5 of non-eomplian¢e throughout the audit. Pa8e 14 fle￿￿ of the Independent Audltors to the Members of Saini Catherine's HospF¢e Tlusi We asse95ed the sus¢eptibility of the charitable parent ¢omparfs ffinancial statements to material misstatement, including obtaining an understanding of how fraud might occur. bv: making enquiries of management a5 to where they consi¢Jered there was susceptibility to fraud. their knowledge of actual, suspected and alleged fraud.. and on5iderinB the internal controls in pla￿ to mitigate risks of fraud and non-compliance with laws and regulatlons. ro addre55 the risk of fraud through management bias and override of controls, we.. tested journal entries to identify unusual transaction5: assessed whether judgements and assumptions made in determining the accounting estimates were Indicative of potential bias,. and investigaied the rationale behind 98nificant or unusual transaaions. In response to the risk of irregularities and non