North Devon Hospice North Devon Hospice TRUSTEES REPORT 2023 - 2024 Register¢d chorlty wmbeT 286$54 YOU HAVE MADE A VERY DIFFICULT TIME MORE BEARABLE FOR US. WE CANNOT TMAMK YOU ENOUGH FOR YOUR KINDNESS. 99 OUR APPRECIATION We believe your life's o story. The endlng m(rtters. North Devon Hosplce's mission Is to Provide outstondin9 care and support to the community of North Devon who ore impocted by o life-limiting illness. We can only ochieve this together with you. It is your individual donations, business support. fundroising events. lottery memberships. gifts in wills ond trustgronts thot enoble us to be there for oll the family. In choosing to support us you ore in fact maklng sure thot deathls 05 dignified and poin-free as possible for thousonds of people on their behalf, thonk you. CONTENTS I . TRUSTEES REPORT Our Appreciation Our Mission and Strategic Objectives Your Impact 12 What We Want To Achieve 19 Our Governance 20 Annual Financial Report 26 Disclosure of Information to Auditor 32 Statement of Trustee Responsibilities 32 2. NORTH DEVON HOSPICE INFORMATION 3. AUDITORS REPORTTO THE TrUSTEES 36 4. FINANCIAL STATEMENTS 41 Consolidated Statement of Financial Activities Consolidated and Company Balance Sheets Consolidated Cash Flow Statement Notes to Financial Statements CHIEF EXECLrrivE'S REVIEW The last 12 months has lelt a positive one in so much as I feel the organisation has successfully moved from opernting on the backfoo¢ last year to the Iront foot this year. This is evidenced by how much has been achieved with our staff, our care. our partners and behind the scenes. Of courte ¢)ne ol the key pieces of evidence of our achievements thks year came in the outcome of our Care Qualtty Commission (CQC) inspection. We were delighted that the inspec¢ors xknowledged how we have gone the exrra mlle for our patienu and the culture that we have crea*d around the orpnisation. A£•inst the more robust inspection framework we received Outs(￿ding for our Care and Good across all other criterra. This is a huge credit to the hardwork. passion and dedication ol all the stafl here In alvrdys wtting the patienc firsL Thls year has ieen further eyidence of pu¢tin8 'the patient first" wlth some innovatrie enhancements in our care. From a patient nutrition pernpecttve we have Introduced the International t)yspha8ia Diet Standardisation Ini(u¢ive (IDDSI) framework which enables us to ensure that patients can continue to enjoy food through texture modified food5 and thickened liquids. Thedore any of our patients wlth eating* drinking and svrtllowing problems (dyspha8ia) can still eryoy f¢)od. We also saw innoyation with our bespoke designed Safecare model whTrch we have rolled out across all teams. This tool ensured that our staffing levels for a particular shift were alvAys apprcpriatr for the level of patient clinical need. This has all been achieved in a year which saw us care for more people than ever before. All of ovr services have seen a high and susralned case load. More than thi5 the needs of our patients conttnue to be rnore complex than ever before. Frorn the bedded unit's perspeaive this resulted In us investing in an additional 3 staff members whKh we have done by introduclnt the Nurse Associate role allowing for more staff to ver nI￿t shift All of this of course would not be posslble without the charitable support of the communlty that we are wivileged to serve. A5 with most in the tharity Sector we haye siru88led in the lace of ever increasing costs to the point v*here this year saw us budget for a loss of £ I mlllion. Through effective cost control. focus on wicome and prudent long tenn utilisation of our reser¥es. we are managing thi5. That said. it vras pleasing this year to see such a Strong financol perf¢>m)ance. Even more pkasing 15 that this perfomiance was achieved acros5 mukiple income streams and not down to a fortunate ￿le off ￿rge legacy or donation. As we look to mark our 40th anniversary next year. several thngs have never thanged and nor will they. Our dedic3tion to providing outstanding care. Our gratitude ¢0 the dedication of our TIo￿n[eers. Our reliance on the generosity of the communlty. The passion of our suff. h Is with these in mind that I look to the firture optimism that we will continue to be there for all the knily, when and wherever we are needed. Mr. Stephen Robtrts Chief Executlve Officer CHAIR'S REVIEW l am pleased to be ab￿ to rdect on how wdl the Hosps¢e has man4ed over the last 12 months to thrlve and develop. We c¢)ntlnue to a see a rise in need for our serlices and of course financial pressures continue however we have ended the year in a good position. This is thanks to the ￿z01n8 support of the local ct)mmuniry who conunue to raise much needed funds for us and the careful management of that money. We do our best to mike every pound we receive zo as l*r as it can to hdp everyone need5 the support of the Hospice. We were delighted this year to IAve the stsndard and quality of our care recognised by the Care Quality CommissK>n foblowing their visic and assessment ol our seNce5. They appreciated. as do l. the dedication and skilh of all of our staff who make the Hospice what It Is and our eth05 of putting the patlen¢ and their farnllles first in all we do. Whilst recognisint our wonderful stth we also apprttpte the amazlng work and hspice can only pro￿de the care it doe5 with the suppory donations and fundraising that we continue to receNe from the local community year after year and we are very grnteful. Thank you. ck Mrs. Sharon Bats* Chair ol the Board of TruKees OUR MISSION AND STRATEGIC OBJECTIVES CHARITABLE MISSION To provide outstanding ¢are and support to the commwity of North Devon who are impxted by a lrfe limiting illness. The Trvstees have referred to the guidance F￿Vided by the Charity Commission on public benefi¢. They are satiSf￿d that the aims, objectives and activives of the Ch¥ity meec with the temis of this guidanc& STRATEGY 2023 saw the c peopl• a¢roM North Devon Our Communlty Cllnlcal Nurn Speclallits made 3.123 vlslts acros• the wthole of North D•von (2022123 2,663) Jupportln8 1,136 people (2022r13 1.132) Our Hosplce to Home team wpport•d 676 patl¢nts In thelr own home (2022123 491) Our Bedded Unlt cared for l O I complex patlents (2021123 92) Our Supportlve Care team cared for 1,143 people (2022123 .026) We underwollt a Care Quallty Commlsslon Inspertlon wh our car• was awarded the top ratlng of Outstandinz 2. Walk ann In ann wlth every healthcare partner who. in working with them, will enhance our patlent care Key Impacl In 2023/24: In support of community nurslng In North Devo￿ we have worked wlth dlstrlrt nurses to Ilnallse the governance arrangements for our own RN nursts to now be able to renew syrfnge drlvern Th1¥ l¥ a zreat outcome for our patients well as the Northern Devon Healthcare system. To iupport more effectlve admls51ons Into our bedded unlt from the North D￿0￿ Dlstrlrt Hospltal. we h•ve developed a referral pathway wlth supportlng Infornlation dlrectly to each ward's dlscharye C￿ordInatOr. In ￿ dolng th1¥ wlll mlnlmlse the volume ol Informatlon •xchangt¥ and tlme needed to get approprlate referral Into our bedded unlL We fomiallwd a patlent pathway wlth our colleagues at South West Ambulance Trust (SWAST) whereby they have an opportunlty In response to a call out to an end of IHe patlent to call North Devon Hosplce flrst as an altornatlv• to havlng to take them to the North Devon Dlstrlct Hospltal Emergency Rf*om. In w dolnz and wheré approprlat•, we may b¢ abl¢ to admlt them stral8ht Into the bedded unlt or deploy our HoWc• To Home team. 3. Enhance End of Life Care Across North Devon Through Educatlon Key Impoct In 202312024: We have partnered wlth P•troq the local adult •ducatlon college. where our Cllnlcal Prartlc¢ Educator wlll provldt cllnlcal sklll# and educatlon to T level Health & Soclal care Itudwrt& 414 p¢opl• attend•d ow educatlon throughout th• Wlth support from the ICB w• r•CruIt￿ an addltlon•l part tlme educator to ¥peclllcalty focus on prlmary car• and ¢ollaborat• vAth carn hom•* around thelr learnlng. 4. Nurture Conten¢ Engaged Sldlled & Fulfilled Staff Key Impocl In 202312024: We held a Menopaus• Workthop for itaff, vun by one of our local GPS We contlnue to dellver on our w¢llbeln8 plan to support the physlcal and mental health of aff of our staff We completed an all staff pulse survey that asked:. In th¢ cmtext of yow rol*- that 1$ on your worry listl o As a member of the Hospke team, w•￿t would you Ilke to know more about7 o As a member of the Hosplce tewn. what do you thlnk hold$ us backl Is there anythinz else you would Ilke sharel In •0 doln8 we could ensure that we Ilsten to our staff and create an artion plan to Increase thelr contentment at work We hve started explorfnz Value¥ Based Recrultment and alternatfves to lob Interyltw4 to assess IK•W we un further Improve our recrultment proce•se& 5. Embrnce Our Volunteerlng Communlty & Encournge You To Become Part Of It Key Impacl In 2023124: A new volunt¢er role wlthln the communlty palllatlve care team was recently Identlfied. Thh has developed Into whole team of Duty Support volunt•ers to iupport the Diity Cllnlal Nurje Speclallrt ¢v¢ry weekday. We have been worklng closely wlth Devon County Coundl (DCC) to wpport DCC rtaff who are supportlng North Devon resldents looklng to •lther r•turn to work. 8aln employment skllls or who are belng supported Into Independent Ilvlnl. Volunteerlng Is an excellent way for adulty or youn8 people, to galn ¢onfldence and the relevant Ills reqUIr￿ to move thelr Ilves forward. We have alw been workln8 closely wlth local charltl wpportln8 asylum ￿kerS and have am•nd•d our applkatlon process to enxur• w• are not dlgcrlmlnatlng •nd excludlng those wlshln8 to volwteer and 8lY• ba¢k to thelr local ￿MmUnItIe& 6. Embrnce Technology To Enhance Our Care Key Impact In 2023124: We have succesjfulty renewed Cyber Ementlals certlficatlon desplte an Increase In requlrements to obtaln thls. Teams Replaclng Ph¢me*. We rolled out Teams volce ts replace our ageinz phone Iyrtem. Thls not only ￿11 provlde cost savlngs but more Importandy make th• systsm more aglle. Other advantaz¢• indude there wlll be no requlrem•nt 10 for a physlcal phone for most people who have a hybrld worklng pattern, business contlnulty and dlsaster recovery optlons are greatly Improved and any changes can be made rapldty from anywhere wlth an Internet conn¢rtlon. 7. Be Finandally Stable To Continue To Be There For All The Famity Key Impact In 2023124: Our total Income th1• year £7.07 mllllon an Increase of 1.04m from the prevlous year (2022123 £6.02m) Our total op•rntlng defidt £109k (2022123 dthlt w £569k). We Increaged reserves by £327k durlnz the year. Comblned wlth our movement of funds makw our total re•••v• po¥ltlon £13.9 mllllon (2022123 £13.Sm) 8. Ensure That The Relatlonshlp We Have Wlth The Communlty We Serve Inspires And Moblli$es People To Support North Devon Hosplce's Mlsslon Key Impact In 2023124: Ovr successful Halloween themed chlldrnn's trall durlng haff terni over 81JO people Includlng 380 chlldren vlilt the hospke ground• and Café allowlnz ￿ to Introduce the hosplce to a compl¢t•ty n•w d•mozraphlc we may not normally rnath. Through padent •torytolllni we have been able to share many 4￿cIal moments and cve outcomes v4hlch showcam the Impact we have. Thls manlfested Itself In another record breaklng year fr*r our newsletter which brought In £15.5k and we now have over 32k of follow•r• acyw our •odal medla pl•dorni YOUR IMPAcr YOUR CUNICAL CARE Everything that North Devon Hospice does 8oe5 back to ofie thin& the patienL Wlth this in mind we welcomed our inspecuon this year from our regulator the Care Quality Commission. The assessmen4 under the new Siryle Assessment Framework. took place between December 2023 and Feiyuary 2024 including an 0Trsite visit on 14 December. It was fantastic to see our focus, passion and dedication to patients and their familpes recognised by the inspectors. Under a rw Inspecti￿ regime, which increased its robustness Sn rntlng& we secured 'Outstanding' for our Care and 'Good' overall. This Ss testament to all the staff and yo1￿¢ter5 who 80 the extrn mile for anyone we are privileged to care for. Vthilst we provide specialist palliative ￿re to our patients. as a heakhcare system and locallty, end of lrfe care is evwy¢)ne's L￿$•ne$s. A5 such 2023 saw us conunue ro seek ou¢ opwtunities to work with our healthcare coHeagues to ensure even better patient outcomes. As yt)u wi51 see in this secti￿. through enga8ing ¥vith our parnmedic, dis¢ric¢ nurses and hosPital collwues we have been able to increase the level of support that can be provided to patients vknen and where they need it. The figures support this as we saw a record year in iernis of new referrnls to our seryices. YOUR BEDDED UNIT 2023 saw 4 number of Initiatives tt￿t secured better ptlent outcomes. better care and even more person-cen¢ered care. To the latter we have greatty enhanced our nutritional support to patients ¢)n the bedded uniL Working together the tatering team and the bedded unit nurses have embedded the IDDSI frdmework which enables us to ensure that patients can continue to enjoy food through texture m¢>Jrfied foods and thickened liquids. Therefore any of our patients eating* drinkinz and swallowing problems (dysphagial can $till enioy food. Following on from an earlier initiative. we have now formalized a patient pathvny that all0v￿ ovr colleagues in the ambulance service to call us from a patient's home to ascertain whether they can tr4nsfer the pau￿( directly into our bedded unit or have us deploy our 12 hospice to home tearn to 5UPPOrt the patient to remain at home. In eath case avoiding the need for the wient ¢0 be atknltted Into h05Pital via the emtrzency deparnnenL For those patients do find themsel￿ wi h05pitsI we have worked with ward teams and the discharge coordinators to develop a transfer F4ck and inforrnation tool that supports safe and timety ts7nsfers by $treamlinin8 the prKess of making a referrdl to our bedded uniL Recognlsing the knportance of having YO￿ par¢ner next to you in bed we invested in a "cuddle bed" The bed is deS￿ned and compauble for two people to lie on. It can be extended to suit patient need and allows the patyent w have a cuddle wlth their loved one il$t still wwding all the requlred cllnld $upport to the patlent's needs. Thanks to your S￿￿t we have cared for 106 people (2022123: 92) th15 year on the bedded uniL ALL OF TMI STAFF Wqllt AM•JllMa •TIIIKII•fj UP A IAPPO*T WITH DAO ,JMMIDIATILY.TO PUT HIM AT IASE. HI LO¥tD TME PAMPEAIIIG, I¥IAYO¥I WAS SO MI#D AIIO af NTLE. YOUR COMMUNITY SPECIALIST PALLIATIVE CARE NURSING Our clinical nurse specialists {CNS) supported 1.136 (1,132 in 2022n3) people to die where they vrtnted, in their own home. Covering one dthe largest rural areas In England, geography was not and never is a factor to access our care with our nurses travelling over 23,IKKI mlles to make 3.123 (1663 in 2022n3) vislts to ptients. Worklng shoulder to shoulder with dlstrlrt nurses ￿ Saw an opportunlty to provide quicker pain relief to patienu in need where rf there vns a need k>r a syrtnge driver to be Set up. our nurses are now able to carry out this when in situ. rdther than having to wilt for our busy district nurse colleagues to make a separaty visi¢ to achieve this which could ke I￿urS. 13 1,136 NUMBER OF PATIENTS SUPPORTED BY OUR YOUR HOSPICE TO HOME ALL OF THE SYAFF WEIt KINO. CARIIIG, PATIEMT AND EMPATHETIC. WE FE¢L •AIVIIÉDGED TO HAVE MET EVERY SIIIGLE OME OF THEM. 99 As Hospke to Home continues to be heavily relied UFKbn by both cOm￿nIty nursing and the hospital disch¥ge teams. 2023 saw J l¥ze increase In the patient caseload looking ther provlded 676 people (2021122 419). Alon8slde partner5 such as SWAsf and the Rw'd Intervention Centre. Ho4xce to H¢)me plays a major role in avoidin8 unnecessary hospital admissions. Thi5 is crucial as the v￿r$t case Scenario we are all trying to avoid is that a &ying patient is 4VOOted from their home and loved ones and ends up dying in a busy emergency depirrmenc Hospice to Home ensures that this dou not happen. It Is with this impact that we Continue to work with Devon's Integrated Care Board to seek fundin8 for this viral service which at the moment is charitably funded. 14 NOTMIMG WA$ foo MUCH TIiOU8L£ FOR AMY OF THE STAIF. WtEALLY IMPRE SSEO IY THI CAAE GIVEII •V £VEAYOME. 99 YOUR SUPPORTIVE CARE When we talk about end Lrf life care #nd beinz there fw the famlty, thls extends p￿t just the specialist clinial support tha¢ we provkle. With terniinal illness and death comes huge emotional and mental health challenges. This is where North Devon Hospice's supportive care team have a ￿ impacL Probiding one to one as well as group support to both patient's and their families. we can hold and support people both pre and post bereavemenL We can do this both at Deer Park in Barns¢aple as wel as ac The Long House. our Outr￿ch centre in Holsworthy. Developments in the Supportive Care offering this year have included the further development of our wellbeing programme to include suth things as seated yoga and nutritional workshops. The Supporrive Care team have also crnaied some Y￿nderfUl moments for our patients induding deliyerfng a full restsurnnr experiwce. candle-1St dinner for two fi)r 14 touples currentty being supported by the Hospice. The l*st 12 months have seen an unprecedented volwne of support provided by the tfdm. In 2023r24 the tearn supported 1.143 peo* (1.026 kn 2022123). 15 WHAT YOU DO FOR US IS FANTASTIC. 99 YOUR CLINICAL EDUCATION With a Clinlcal Educator now in place we have been ible to develop and add momentum to our education programme this year. As specialists in end of lrfe care sharlng the different skill sets that are rewired to prov4le the be5¢ posstile our¢omes fjor end of Ilfe care patients is at the hearr of our mimion. From running a ftharn)acoloOuS symptom managemen¢ day for GPS and Nurses to developing a targeted education progrnmme for care htyres. 2023 has seen a marked increase in external ethjcation provision. This includes a great partnership with Petro the local adult ethcation cdlege. whtre our Clinlcal Prnctice Educator will provide clinical 5ki115 and educatlon to T level Health & Social care studeTrt& Thls year we have educathd 414 peopl YOUR FEEDBACK Your care needs thange aThl to ensure that we both wpt this and respond in an appropriate manner it is essentol that we opernte a culture of continuous impro¥emenL To achieve thi5, proactively See￿n8 feedback from our benefKiiries is crucial. Therefor we place significant emphasis on enwing with our beneficiaries to seek feedback. To ensure that this feedoack is independeni and confidential. ¥4e utilise a third party platform called hvantgreotcdre.ory. Through this we know that in 2023124 North tk¥on Hospice 16 received 84 review5 wh*ch is double from the previous y￿r and hve an overnll maximurn rating of S stars. Vlhat was particularty satisfying this year vns to be awarded a Certifica of Excellence by 1wontsreatcare.ory in recognirion ol our outstanding patient care. ertificate l of Excellence ***** 2023 W*4w.1￿tgWeo1<*C Certificate of Excellence Winner OUR VOLUNTEERS li I VOLUNTÉtIl AY THÉ HOSPICE SHOP ÉVÉRY FiiioAY. ÉvsfL¥OM¢ IS SO Wf (COMING AIID I FtIL AT ust tttitE UFILIXÉ ANY OTMII 14TAIL JO• I'¥t MAts. 99 There Is not * single facet of North Devon Hospice that does not opernte without the support of volunteer5. It is thanks to their generosity and passion that we can care for our patients and knilies. 2023 was a year of'recruitment" as we not ¢)nly boked to bolster our shop w0￿fOrCe buf also develop severnl are roles as well. It Yrts great 17 to see our volunteer numbers move past 4QO ag4ln whith ts the first time slnce COVID we have been back at that ￿1. S¢xne of the new developments include.. A new volunteer role within the cornmunity plliatiye care T*#hKh has developed inio a whole team of Duty Support voknnteers to $upport the Duty Clinical Nurse Specialist evwy weekday Our new Care Volunteer Programme. The Pro8rarnrne will offer students handS￿n care exp¢r*nte. over approL 12-week period. and they will be asked to complete i workbook fo accompany their volunteering experlence. ininz a certificare upon successful completion of the Pr￿raMMe. To ensure we honour and listen to our volunteers we carried out an Engagement Survey Y*hich had a fantastic cthiwetion rdte. Three represen¢ative5 from the Volunteer InclusSon and Engagement Woth'ry Group {VIPN) then Collaborat￿ with three members ol the Leadership Tewn. to take a deep dive into the 2023 Engagement Survey results. They have been wked with creating an *trM)n ￿lfi to address the reas identified as priorbtie5 for action in the survey. As ￿er we are vuerly indebted to the generoiity of the community we swie and volunteers ¥Tve one of the most precious grfts of ￿1. time. OUR STAFF 41 THIS IS THS iltsy PLACE I'VE EVEII WORKEO. The ensure local people recelye the best care at the right time. in the right place 3. Provide eoth budgets and reserves and conslder5 v*thether the hospice has the resources to achieve its aims and oth'ectives. The committee recer￿ the report from ¢)ur ststutory external audltors who attend the meeting annU￿1r Income GenerntSon & Innovatlon Commlttee: For North Devon Hosplce to remaln financially stable and best ￿Ced to 5UPPOrt our patients and families it is essent￿1 that we are sustainable financialty and as efficient and as effective as an organi5ation as posslble. To give this the approprry￿ level of focus this committee ensures that North Devon Hos&wce 15 maximiskn8 Its Income generation opportunltles al￿ remains as Innordtfve a5 possible. To further support these committees. working youps Ve in pkn to ensure a more detailed Scrutiny of key areas which include&. Carn QU￿lty Worklng Group: To enhance the akeady existing focus an patient care, the Care Wthing Group ensures effectwfj clknlcal governance and audrt Trustee Worklnz Group: This working grow) is attended by the 8oard of Trustee$ and the Senbar Management Team. This open forum is an opportunity to discuss and explore any particular topic in m¢ye detail. In thls year the group met to carry out a deep drle on the level of ovr Risk Reserves. revbewed our strategic Key Perforniance Indicators to see rf they were fit for purpose reviewed several c￿￿MerC[al ￿sInesS <¥>port￿l[leS r4ny.ng from the development of holiday lodges to the purchasing of a holiday cot¢age. Nomlnatlons Commlttee: to cover all recrultment resp¢)nsibilities relating to new Trustees and the Chief Executive on behalf of the 8oard 21 Trustees, Statement on Governance Review We are pleased to reFK>rt that our recent review of the chariws operntions aganst the governance code has alfirnied our commitment to excellence in governance. This comprehensive review was conducted with the objectNe of ensuring that our prdctices align with the highest standards ol accountability. transparency. and effectiveness. Key findiny from the re¥￿ includ¢ l. Strong Leadershlp and Strate8r. Our board of trnstees has demonstra¢ed robust leadership and strategic oYersighL ensuring that our missK*n and vision are consisTrntty pursued. The strategic plan is rewlady reviewed and updated ro reflect current need5 and opporninities. 2. Effectlve Declslon-maklnr. The w¢xesse5 Ind frameworks In pkdce facilirate effective and timely decision-makin& We have clear pollcies and proce(*Jres that guide our oper4rions. ensurlng decisions are made in the best interest of the Charity and its beneficiaries. 3. Transparency Jnd Accountablllty. C￿r commitrn￿r to transparency Is evtdent in our reporting and communication with srakelKAders. We maintain tomprehensive rttords and provide regular updates on our activitie5. outromes. and financial statu 4. Board Sklllg and Development: The l>oard is composed of individuals with dNerse skills and expertise. We prioritiie ongoing trainin8 and development to ensure trustees are well*quipped to fulfil their r¢Jles effectively. Regular performance evaluations Ind succession plannin8 are inte£ral p3rts ol our governance practice. S. Rlsk Manag¢meDt and ComplIa￿e. We have • rths¢ rlsk management Irdmework that identifies. ￿SeSses. and mitigates potential risks. Compliance with legal and regulatory requiremenrs is n￿￿ltored closety. ensuring we adh¢re to all releY4nt standards and 0blirdt￿$. 6. Stakeholder Enga8ement: Our englgernent with stskeholders Is strong and proactlve. We Ydlue the input and feedback from our beneficlaries. partners. donor& and the wider comftwnity. and use this infomwtion to continually Improve our serllces. The trustees are confident that our adherence to the governance code not only enhances our effectiveness but aLso reinforces the trust and confidence placed in u$ by our stakeh¢lders. We remain committed to contynuou$ iwovement and wlll regularly reviww our pvernance practices to ensure they remain frt for purpose and ali&med with best practicei. Fundralslng Practlces North Devon Hosplce is committed to its donors and supporten. Thi5 means treating all donors with the highest level of care. consideration and ￿sPecC The trustees take their responsibilities under the Charities (Protection and Social Investment) Act 2016 Seriously Ind ha￿ considered the implicavons on their fundTri5ing activities. North Devon Hospice has volunfarily subscribed to the Fundrdi5ing Regulator and is committed to the Fundrnising Promtse and adherwlce to the Code of FundrdÉsing Pract4ce set by the Fundraising Regulator. We have 4 fiJndraising team. all of are employees of North Dev¢n H¢$pice and wlM> organise our own in house events such as Nightwalk and Mission: Unbreakable. The team also support both external gn)ups and individvals with events and fundrnising iniriatives to r4ise money for charity. Thi5 also includes supporting individuals to participate in such events such as the London Marathon or to complete sky dives. In addition the team wths with individuals. companie5. community groups. and trust and grant orrdnisations to Tri5e income for North Devon Hospice. We use collection boxes In number d establishments to rnise funth. We run a weekly Lottery in our ¢r4ding subsidiary all profits are glfted w the charity. For the Lottery we use thlrd party c*nYasser& we ensure these canvassers observe the highesr standards in rerm5 of fundrdising prdctlce and monitor the•r perfornwice through the use of mystery shopping and random checks with donors. North Devon H05pice does not enNe kn d¢x•r to door. cold-calling or Well￿ScreenIng and does not buy or sell dat& An innual budget i% set for all Fundraising ac¢bVitie& ￿rfOrnllnCe ardlnst these targets Is monitored and f<)rnially presented not i)nty ro the Chief Executive and Director of Finance. but the Income Genernuon and Innordtion Committee which 15 a sub group ol the board. We have * compkints procedure to ensure that ary concerns reprdln% lundraiiin8 practices are.. listened to and investigated thoroughty and fairly to find out the lacts acknowledge within 2 wijrkiryd day4 unkn$ a repty in full can be sent WFthln 5 %¥orking days kept anonymous If requested learned from by the team We have received rwo verbal concern5 abovt our fimdrni5ing ac¢lvities durlig the year to 31 March 2024 both of whKh were low level risk and cont￿ded to a Jatisfactory outcome lor the complainants. We have policies and procedwes In place to safeguard the Nvlnerable and we ensure 4)ur fundrai5er5 adhere to these polKies, all staff across the h05pice are trained in Safeguarding. In addition, great care is taken to ensure that all donors are treated fairly and are enabled to make informed decisions about any potential donation. If required. the Fundrdising ¢eam drdws on the resources of healthcare professionals based In the hospice to support a judgement about a donor's po¢entlal vdr•erdbllity or lack capxity and always err ￿ the side of raution. RISK MANAGEMENT Effeaiye risk management ern￿er5 North Dev￿ Hospice to thrive and succeed as an orr4nisation. To #chieve this. Nonh Devon H03pice'3 risk management seeks to ensure that the entire rlsk profile of the organSsation (both strategic u well as operational) ￿ effectsvely identified and vknere possible managed. North Devon Hospice defines risk as: Tr threat thot on evert action or failure to Ixt ￿'fl adversely affect North Devon HospKe's to othteve its obFctNe. (Optu￿ opportuThties Lir to deliver rt5 Owns to the requ¥ed staTh*Tfds" North Devon Hosplee deffir￿s risk ff4nagement as: Tr ProdctTht Identif￿allon. evoluotion. t¢)ntrol orKI continued mwitwNiz of th95e nsks that threaten the I￿Sets. Peopk, POt*nts or veputotion of North Devon HospKe- North Devon HospKe has In place a Risk Committee. CkAired by the Chief Executive and includes the Dlrettor of Financ4 Head d Facilities as well as the Quality Lead. Thls committee meets throughout the year to review the departmental risk registers and the strategic risk register before then being able to creare the North Devon Hospice Top Risks Register. A taibred rvsk assessment triterii v•hich allows for risks to be scored across severnl crireria such as reputational IlnancHI ImFHCt and swvke In[er￿PU￿ is used to prioritise the risks Idenrf￿ 14 The Current Top Risks to the sutcess of North Devon Hospice's a Ir is against these top risks ttrAt the Board of Trnstees are able to establish a dear Ilne of sight on the levels the Ixganisation should hold ¥¥ithin it5 Risk Reserves. RISK: ACTION PLAN: INABILITY TO FUND PEOPLE RESOURCES 1. 1)e¥on ICB Commissionlng RevSew 2. H2H servlce review 3. ktively seeknng diver5ificatioD of in¢ome 4. FR a￿1 ￿¢011 Income streams Clo￿1¥ reYlew¢d MACIIO-ECOMOMIC CONDITIOMS l. Continue to promote the benefits ond volue thot the hospke provlde 2. F¥omote the need for contlwed finorKiol supwrt to locol charity J. AdditiorTrol Fundraising Events plonned 4. To increase reach. increase dlgitol pre$enc¢ INABILITY TO SECUIt£ EQUIREO FUMOllla I. EOL Funding revlew with C¢)mmlssioners 2. Con¢ffiued p￿sSUre on HUK to cover fu¢ure NHS pension costs. 3. Working with locality commissloners to refrome H2H in rTrwe of on odmissions obwidonce Impoct to better support potentiol furKIiffj. NO PALLIATIVE CAR CONSULTANT 1. Proortlve recwl¢mert campaign for Polliatiityi Core Consul¢ont without responsibility as Medical Director. SENIOR MANAGEMENTTEAM REMUNERATION The Board of Trustee5 are responsible for setting remuneration levels for the charity's senior staff. The key objective for North Devon Hospice is to ensure that our approach is to offer fair pay to attract and keep appropriately walrfied staff to lead. mana8e, support andlor deliver our ol'ectives. In deciding Senior Mawement team remunerati￿. Is a Board of T￿￿tee$ we have ccmsidered: . The purposes. aims and Y41ues d the charity and its beneficiary needs. • How thi5 remunet7tron impacts on the over￿1 pay polky for all employees for the Senior Manyment tearn in particular. . The types of skills. experiences and comperencies that North Devon Hospice needs from its Senior Management team. the specifK scope of these roles #nd the link to pay. The charity's Strdtegic plan and how the im￿eMen￿rIon of this plan may affect the number of senior staff the charlty needs to ernploy or recrui¢ and the nature ol these roles. • The charit￿$ ability to pay. Thls indudes the cost to the thariry of rnising pay. whether it is sustainable. how appropriate the levd of pay is. and any pay increase. is li the con¢ext of the charity. as measured against the needs of its charitable purposes and beneficlaries. . The bo¥d's assessment of the charity's perforniance and the Senior Management team's performance against expectation& in both shw¢ and long term. Appropriate available information on pay policies and prncuces n other orDnisations that inforni the decisiLW on whether a level ol pay is fair and reasonable. This has been achieved through using Assoc&ation of Chbef Executiv￿ of Voluntary OrDnisafions. as well as National Council for Voluntary Organisations as well as looking at other hospices, chari¢able orzanisations and the private Sector. In addition to the above and in accordance with the Sratement of Recommended Prnctke (SORP) North Devon Hospice. within our audited and published annual report and accounts, discloses the number of employees whose remunuacion exceed5 £60.000. Therefore with a Senior Management team pay scale established and wtth the performance d the Senior Management team fOrn￿ty reviewed on an annual basis apinst set objectives. the Trustees of North Devm Hospice are satisfied (hat there is Ipproprlate. robus¢ transparenc and fair remuneration in Pla￿ for its Senior Management team. This Li pirticularty true this year following the organisation wlde pay benchmarking exertise that was carried out in support of our own Pay FrameworK which led to the roll out a new spot salary fflodel. The St￿19r Man¥ewt team's pay fornied part of this review. ANNUAL FINANCIAL REPORT Each year we ff4na8e our f￿CeS to ensure th*t we are best pknced to deliv•r high quality servKes to our patients and their familles. both now and in the future. We measure ourseS¥es against an annual budget and forecast as well as continually looking forward over the next S years to ensure the decisions we make today are also rryht for the futyjre. The financial results are de¢ailed in the Consolidated Statement of Financial Actlvi¢ies on page 41 of the reporL This year restslted in an operating drf•cii of £109k P022Q3 deficit £569k}. added to this a positive reyaluation of inyestments of £437k (2022123 £221k nerdtive) which meant tk4t we increased reser¥es by £327k dwinz the year. brin8inK our reseries to £13.9 million (2022123 £13.Sm)- The year saw an increase in both income and expendiwre. we were fortunate to be well supported across all of income stream& vthich enabled us to manage an 8.9% increase in charitable expenditure due to increased employment and running costs as V￿ continue to react to the needs of our patients and their families. Our total expenditure for the year rose to £7.18rn P022123 £6.59m) whilst the number of patient referrals increased by 9.8%. We continue to look at our financial model11￿ over the next S years to ensure that we have suitable reserves to deliver l)oth our current services ind also extend these services as outlined in our strategy. Having reviewed this, Trustees are comfortable about our going concern position and that we have both a sufficient risk based reserve and desyated reser¥es to en￿re we achieve our strategk objectffts. All our servlces are suwAled free of tha￿e to those wlth a wogressive Ilfe lin￿tIng illnes3 as well as ro thelr familles and carers. ￿$t year we supported 1.971 (2022123 1,817) people across Nonh Devon. Nvhilrt we receive some fvnding from the NHS, we need to rnise mor¢ than £5.5 million each year from our supporters. Income Total income this ye*r was £7.07 million an increase of £1.04rn from the previou$ ye#r (2022123 £6.02m). We saw growth in all areas of income: In Memoriam donatiCA)s and legacies tOt￿led £1.7m (2022r23 Ll.4Sm): the Increase is malnly in relatK>n to In Memoriam donations where we have recelved a srynificant one off d￿lats.00 of £IOOk in the year from i beneficiary's family. Legacy income also increased by £8Sk from the previous year. We are alvrdys very conscious o( the fact that legacy income is unpredictable. and as such we always err on the side of caurion vthen planning for this type of income. Thi5 year ha5 seen further significant growth in our retail income of £1.67 million which is up 12.% on hst ye¥r. N#tionalty dRrity retail by 4.2% last year Iccordlng ¢0 the Ch¥tty retail as%xi8tion. our phns for retail 8rowth is worl¢lng Lottery Income rjnce again thallenging with atrtion r4tes Increaslng as people look ¢0 reduce their outgoin8& this led to 4n has increased as we have Increased our success in both fundrabsing and retail income. Cost Increases reflect stsffing c05t5 and costs to support specific fundrnising initiatives. In terrns of retail despite the increase in opernts'ng costs the ne¢ profit of our retail establishment has increased to £220k whith 1$ 202% better than the surplus of £73k in 2022n3. Fundraising income has also Increased significantly by £200k. Expendlture on charitable activities I￿reased thi5 year to £4.5 milllon {2022123 £4.16 million) we continue ￿ see the specialist needs of our patients becoming even more complex As our patient acuiry increases. we are having to Invest in more specialist nursin8 staff to support this grving an even higher staff to patient rntlo. Furthermore we have developed our catering offering to our more complex patients by follo*ing the International D>sphagia Diet Standardisation Initiative (IDDSI) hmework and offering a conwete menu that can range Irom puree to mince and moist al¢)ngside our existing menu5. This year aKain saw an increase in the number of beneficiaries we were able to SUPWL 1.971 (2012123 1.817) during the year. We continue to see cost irKreases in all area$ 3$ suppliers continue to put prices UP* alongside this we are be¥ing the pressure of Increased utility costs and sakary increases. Capital expenditure this financial year tornlled £59I a significant decrease from the previous year in twhich we refvrbished the bedded unit. Included in this yearfs pital expenditure was the purchase of a cuddle bed (£15kl whith we Yiere fortunate enough to receive grnnt fundingfor. this bed allows a lovell one to cuddle up our patient whilst they are in our bedded uniL all¢>win8 the patients clinical eed5 Still to be meeL With further fvnding we hope to buy more next financial 28 The charity has a wholty owned ¢rdding subsidiary called NDH Ventures Ltd. The trading activities of this company are the h05pice k)t￿ry and the sale of bought in goods through our shops. The profic for this c￿anY d £45Ok is gifted to the charity12022n3: £479k) EXPENDITURE Service delivery Clinical ond Supportlve co Cost of fai￿ng fu￿1$ • Éducotion 62% 37% T(*al Income: £7,18m Inv•thent• *nd Remrves Polky The hospice has a policy whith seeks to ensure tha( not onty are investments made ethic*lty. that the inves¢ment strateKY precludes lrnrtsting in any company whose principal xtiVi¢ies have an adverse impact on the underlyir¢ beneficiaries of the hosplce. The maln areas ol Investment excluslon are those companies who have involvement Fn the manufacture or sale of weapons specifically landmines. Cluster bombs. weapons of mass des¢ruction. and chemical weapons or similar. or derive more than l 0% ol their turnover from tobacco or akohol product5. or provide no eyrdence of reSpor￿e to allegations of severe damage to ecosystems. naturnl habitsts or populations of species i.e. biodiversity (for high and medium risk issues). or those who have breached * discharge consent for a Red list Substance in the last three years or provided no evidence of response to allegations of breaches of core International Labour Organisa¢ion stannsider the agreement in place for NHS funding and whether incorne is like￿ to be affected by the general economi situation, as well as the strenyh in ￿tatIonShiP between the hospite, iu donors and financi41 supporters. It then looks at its cosr base and consider5 what risks there are to increased costs in workins for example is there a skills shortage in a particular area or will changes in demogrdphic wr a greater burden on services. what are the changing needs of our beneficiarie& and are we meeting demand. 30 Having reviewed the risk based resw4e thring the yw the trustees fek it prudent to i￿reaSe the reserve this year by a fiwther £102k increasing it to £2.952 million (£2.85 million 2022ll3). Rertricted rnwv The total Ydlue of restricted reserv•5 is Uok as 013 1st March 2024 (2022n3: £37k) whith is identified as follov•s'. Patient ser4ices- £6k (2022ll3: £ Isk) of reseThfes are restritted for the further enhancement of senlices delivered to patienu and will be used in accordance th the donors. wtshes. Educats'on £19k (20221n3.' £12.5k) of weryes speciflcally for cllnical education purposes. Capital Projecrs - £4k12022n3.. L7k) has been restricted for capiral projerts relating to improvements predominantty to support patient areas In line with donor wishes. The Long House - £Ok (2022123: £2k) rekntes specificalty to the projects at The Long H<)use. our outreach cen¢re in Holsworthy. Desl8nated R•wv•* The trustees have idenpfied the need for the foll0v￿nI designated wer¥es: Building and knets - as previously stated the trustees consider fixed assets essendal to the delr¥ery of the charity's aims. as a fijnd equal to the net book value of hospice fixed assety wh￿h onnoc be used ¢0 fund expendlture thout being sold has been se¢ aside. This year saw a decrease in thls fund of £213k (202V23.. Increase Ll 55k) being the net ofadditions ID the year and the annual cost of deprecHtion. Investment Reserve - the charity holds £7.7million (2022n3 ll.3 milllon) in investmen¢s. a fund is hek4 equal to the reyaluation of inyesunents to market value at the balance sheet date which have not been realised. This year saw an increase in this fund of £437k P022n3): decrease £221 k). brinw'ng the reserve to £2.2 miMi¢)n12022123 £1.7m). Risk Based Reserve - as previously described the Trustees review a5 Part of the risk management and finantlal planning Proce￿ the level ol reserves to cover the financial impac¢ of the main risks co the chariry including exposure to changes in income or expenditure. This year the fund was ￿treaSed by 102k to £2.952 million (2022n3.. £185rn). Intom• Diversifica¢bon - the trust¢es have Id¢nciffftl the need to Incur expenditure in order to establish an alternative sustainable sowce irf income In addition to our current Income $trnms. Having revivwed the reser￿. It Is to remain at £600k Hospice to Home - recognising the huge imp￿tAnce of our H05pice to Home teaffl who provide han& on nursing in patients homes. the tru5tee5 have Set 31 aside fur#th equivalent to the cost of the servic< whlls¢ we cont¥iue to work with the Integrated Care Board (ICB) to find sustainable funding for this sernice. We have used £422k (2022ll3 £329k) of funds to support Hospice to Horne thi5 year. We have a fund of £9(KJk to provide this service, without any further growth in the team. over the next 2 years. Strydtery 2021-2026 - we launched the new S year strnte8y in 2021. The stntegy vtss refined bn light of the COVID pandemk and reviewed taking Into account future needs. A number of key projects and milestones have been Identffied to achieve this strategy. as a resulr the trustw reviewed these designated fvnds to support the stnteT/ moving fonKard. Service Provlsi¢n and Organisational Developrnent- we used £644k of the funds this year to support both the cumulitNe effect ol our pay model to ensure that staff are paid no less than S% below the market median for their roles. thus ensuring that we are able to at¢rnct and retain the high￿ skllled staff we need to sustain and develop our services. Additi<)nal funds of £962k have been added to this reser4e to support the ongoin8 strategy. The toral fund at the end of the year to support our strdtey is £3 million (2022123 £2.7m). kn we look to further develop services to enhance the support to our paclents and their families and be more responsive to their changing needs. Digital Oeveloprnent and Innovations- during the year ending March 2024 we u¢ilised £14k of this fund (2022n3 £6k) The lunds of £342k 022r23.. £265k) will be used to supwt further digitsl deyelopmtnt and Inno￿tIOn to allow us to work quickty a8ilety in respondlng to everchaniin8 rA￿th¢ need. Gener*1 unrestrkted undesiznated funds amounted to £575k (2022: £671 k). Statement •* to dl•closure of Inforniatlon to audlton In so far as the Trustees Ire There Is no releY4nt ¥udlt Infornmtlon cf whlch the chari¢ls auditor5 are wavAre: an The Trustees hve takth all steps that they ought to have taken to make themselves avAre of any relefint audit infornMtion and to establish that the auditors are aware of that Infornia￿ Statsment of Trurtees R•sponslbilitle• The Trustees are responsible preparing the annual report and the fmanclal statements in accordance with applicable law and United Kingdom 'Generally Accepted ACC￿nting Practic&. Company law requires the Trustees to prepare financial statunents f¢x each financial year which give * true and falr vbew of the 32 state of affairs of the charity and of the surplu5 or deficit of the charity for that period. In preparing these fnancial statements. the Trusrees are required tr>.. Select suitable accounting policie5 and then appty them consistently Make judgments and estimates that are reasonable and prudenL and Prepare the finarKlal Ststern￿ts on the going concern basis unless it li inappropriate to presume that the charity will continue in operdtion. The Trustees are responsible for keeping proper accounting records. which diiclose with reasonable accurw at any (The. the ffinancial positlon of the tharity, and which enable them to ensure that the financial statements comply viith the Companies Act 2006. They are also responsible for safe8uarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irr¢gularitye& On behalf of the boar Mn. Sharon Bates Chalr ol Trustees 33 2. NORTH DEVON HOSPICE INFORMATION Status: The chai7￿$ governing document is its Articles of Assoclation Charity number 286554 Company re8iStratlon 1696150 number Rezlstered offlc• North Devon Hospice Deer Park Road 8arnstaple Devon EX32 OHU Sharon Bates. Chalr Mary 8rooks- resigned Decernber 2023 thve Cottingham - resigned July 2023 Kate Cox - resigned July 2023 Rathel Daff¢)rn. Treasurnr Glenys Grdy Helen Keddle Rathel Loosemore Lisa Mccormick Zara Svensson Kevin Underwood Jennrfer Wilmort Rob Withecombe - resigned March 2024 Andrw* Mackenzie-shapland - Aprfl 2024 Rob Barrow- April 2024 Rachel Withecombe - April 2024 Stephen Roberts The Board of Trust••s Chlef Executlve & Secretary Senlor Management Josephine Dedes. Director of Care Samantha Husband. Director of Finance Care Oliver. Director of Human Resources and Orpnisati¢nal DeveloFMrent Audltors PKF Francls Cla** Centenary House. peninsu￿ hrk Rydon Lane Exeter EX2 TAE National Westminxer Bank 41 H￿h Strett Barn5taple D￿on Banker¥ EX31 IDH Sollclto Tozers LLP Broadwalk House Southernhay West Exefer EXI IUA AFH Group AFH House Buntsford Drive Stoke Heath Brtynsgrove Worcestershlre Penslon advlsors B60 4JE Stockbrokers Newton Invesrrnent Management 160 Queen Victoria Street London EC4V 4LA Coun¢ess of Arran CVO MBE VLL Patron Vlc• Presldents John 8r¢nd Geoffrey Cox QC Gavyn Davie5 08E r Nick Harvry Fthilip Jewell Ron Ley MBE David Morgan Mark Parkhouse DL Jthn Riley The Hon. John R￿J$ DL Lady Stucley David Whitety 35 3. Independent Auditor's Report to the Members of North Devon Hospice {Company Umlted by Guarantee) Oplnlon We have audited the financial statements of North Devon Hospice (the Eharitablt Company.) for the year ended 31 March 2024. which comprlse the Consolldated Statement ol Financral Activities. the Group and Company Balance Sheets, the Consolldated Cash Flow StatemenL and Note5 to the Financlal Sratement& Including summary of significant accounting policies. The financial reportAng framework thar has been aP￿led in their prePara￿D is applicable law and United Kingdom Accountin8 Standard& including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Klngdom Genernlly Accewed Accountlng Practice). In our opinion the financi￿ iut¢m¢n zlve a true and fair view of the state of the Gr¢￿P and Charitable Company's affairs as at 31 March 2024 and ol the Group's incoming resources and application of resources. Including inct)me and expenditure. for the year then ended. have been properly prepared in accordance with United Kin8dom Generally Accepted Accounting Practre: and have been prepared In acconlwKe th¢ requlrements of the Companles Ac¢ Basls for oplnlon We conducted our audlt In accordance wlth In¢ernitional St#nd#rds on Audlting (UK (ISAS {UK}) and applicable law. Our responsibilities under those standards are further described in the Auditor's responsibilities for the audi¢ of the financial 5(ateMf￿ts sectlon of our reporL We are independent ol the Chariuble Company in accordance with the ethical requirements that are relevant to ￿Jr a4Nlit of the financial statemenu in the UK including the FRC'S Ethical Standard, and we have fulfilled our other ethical responsibiSities in accordance with these requirements. We believe that the audit evidence we have Obr￿Tred is suificient and appropriate to wovide a basis for our oixnion. Concluslom relatlng to zolnz concwn In auditing the financial statements. have concknded the trus¢ees' of the IDI concern basis of accounting in the prepar4tton of the financial statements is appropriate and that Che trustee5 have dlsclosed in the financial statements any Iden(rf￿ material uncertainties that may cast significant doLthr about the company's ability to continue to 36 3. Independent Auditorfs Report to the Members of North Devon Hospice (Company Llmlted by Guwantee) adopt the going concern basis of accoun￿1 for a period of at least twelve months frorn the thte when the finandal statements are authorned for knsue. Oth•r Inforniatlon The trustees are responsible for the other infonrAt1￿. The other ￿f0MlatIon comprises the information inC￿ded in the ann￿11 repor( other than the financlal statements and our audbtor's report thereon. Our opinion on the f￿anCIal statements does not cover the other infornia￿n except to the extent otherwise explicitly stated In our repor( we do not express any form of assurance conclusion thereon. In connection with our audi¢ of the financial s¢atements. our responsibility is to read the other information and in doing so. consider whether the other inforniauon is materially Inconsistent with the financial staternenu or our knowledge obtthed in the audit or otherwise appears to be materially rni5SUted. If we identrfy such material inc¢)nsistencles or Apparent mi¢erial mi5sratements. we are rewired to detemine whether there 15 4 materlal misstatement in the financial sracements or a material misstatement of the other information. If. based on the work we have perforn)￿, we conclude that there is a materlal misstaternent of this other infornution, we are required to report that facL W¢ have nothinz to report in this regard. Oplnlon on other matter prestrlbed by the Compan1•* Art 2006 In our opinion. based on the work undertaken In the course of the audlt the inforniation given in the Trustees. Report for the financial year lor which the financial statements are prepared is tonsi5tent with the financial statements; and the Trustees. Report has been prepared in accordance with applicable lerdl requirements. Matter¥ on whl¢h w• arn r•qulred to report by •xceptlon In the light of our knowledge and undersranthng of the company and Its envlronment obtained in the course of the •udiL have •dentrf•ed material Missra￿mentS in the Trustees. Report. We have nothwig to report in respect of the folk*vrn8 matters where the Corrpanies Act 2c￿6 require5 US to report to you rf. in ¢)ur opir¥¢)n: adequate aceouTrtinz records h￿e not been kepl or rewrns adewate for audit have not been receiyed from branches not Visited by us: or the financial statements are not ith agreement with the accounting records and returns,. or 37 3. Independent Auditor's Report to the Members of North Devon Hospice (Company Umbted by Guaranto•) certain disck>sures of trustees. remuneratiofi Specif￿ ty law are not made: or we have not received all the infomation and explanations we require for our audlt: or the trustees were not enri¢led to prepare the financial 5tacemenu in accordance th the Sm￿1 companies re8irne and take advantage of the small companies exemptlon in prepring the stf4tezic reporL RespOnslbllltl￿ of Tnryt¢•i As explained more fvNy in the Statem¢n¢ of Trustees. Re¥jons￿lI1￿tIes set out on page 32. the trustees are responslble for the prepardtion ol the financial statements and for bein8 satisfied that they p've a true and lair view. and for such internal control as the trustees detemiine is necessary to enable the preparntion of financial stat•ments that are Iree from material missLltemen( whether due to fraud or error. In preparing the financlal 5tstem¢nts. the tntstees are respofislble lor assessinz the companls ability to continue as a going concern, di5closin& as applkabl< matters related to going concern and using the loin8 concern basis of accountlng unless the directors either intend to liquidate the company or to cease opera¢ions. or have no realistSc alternative but to do $0. Audltorfs responslbllltl￿ for th• audlt of the flnandal rt•tsments Our objectp￿S are to obtain reasonable assurance abou¢ whether the finantial statements as a whole are free from material misstatemen( Ylhether due to fraud or error. and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance. but 15 not ¥ guarnntee that an audit conducted ¥) accordance with ISAS 's GDPR policy Ind enquiries to the Data Protertlon OffKer as to the ¢xcurrnnce and outcome of any reprtable breathe& confirrned through re¥lew the ICO wthit Revlwwed leg41 and pro(essional costs w idendfy any posslble non4ompllance or le8al cosrs in rwpea d non<￿1P111nCe. We assessed the susceptibility of the financial ststements to material misstatement through management override or frdud. including in relatlon to cash income and expendlture. and obtained an understanding of the controls in place to mitygate the rlsk of fraud. We alx> discussed with manwment whether there had been any instances of known or alleged frdud ol wthich there were none. 8ased our understanding we designed and conducted audit Pr(￿ed￿re$ including: Audlted the risk ol ¢)verride of contro& including through tes￿nI lournal entrles other adpistments for appr(yiatMesk and ev￿￿ating the sintts rati¢)nale of slgnificant tran￿ctIOnS outside the normal course ol business. Reviewed estwnates and ludgements made In the accounts for any Indution of bias and challenged amumptbons ￿ed by management in making the esrWna￿. Because of the inherent limitations ol an audiL there is a risk that V￿ will not detect all Irregularlties. Including those leading to a material rnisstaternenr in the fina￿131 statements. This risk increases the fvrther removed non 12J7.27J) {U931 {￿1•$> WO￿￿8 ¢*pttsl •dJurtm*ts IlTrcrea￿￿deS(s incurred by the charitable company in induckng third parties to make voluntary contrilxKions to IL as well as the cost of ac¢O¥lt*s with a ￿ndraising purpose. Expenditure on tharifatde acdvttiu Indudes the c05rJ of dellvering seThices to our patients and their families as well as eduotiMal actr¥itses undertaken to further the purpose5 of th* charity ￿￿j their associated 5UPPOrt Costs. Other eXPe￿Il(￿re represents those Items not failkng any other headl Irrecover4ble VAT is chrged as a cost ardinst the acti¥ity for Ythich the expenthture was Incurred. 45 4. Financial Statements North Devon Hosplce (Company Umlttd by Gu*rant¢e) Notes to the Accounts For the Y¢•r Ended 31 March 2024 Accounth8 polides (C4Tthkn¥•é) Allocatlon of wpport costs ResoLtrces expended are allocated to the partKular charifable activity where the cost relates dlre¢tty to that activity. However. other suppor[ costs not directty related are ITh)% all¢ca¢¢d to charltable actJ*ities based on a combinatk)n of head¢OU￿ space and (&s¢rete ver the t•mi of the hase. Intan8lbl• fixed aM•ts and amothtion Inrang4bl¢ fixed assets, conslstini of scltware, are capiralis¢d at purchase cost arbd amsYtis¢d over their uselul Konomk li¥es. Amorrisation costs are alkKared co acriwiies on Ithich the IM$15 of the use of the related as￿3 in those actiYir•es. Assets are reviewed lor impairmen¢ If Circumstan￿$ indlcate that th•tr orryinl ¥ak* may •xceed th•ir r¢alisable value fdlue in Amortlsation is provided at rates cakulated to wrbte down the cost of each assrt to Its ruid dlw owr its *xp¢¢t¢d u$4lul Th• ammiyli￿ rat•s in •rn •$ f¢lb*>.' SY￿rn Tan8lble flx•d asmts and d•pr•datlon Individual items purchased bek>w £5(￿ ire nt)muIty considered as Witral expense unless Its useful lrfe is greater than 4 y￿rS. Depreciation costs are ￿loCated to activltie5 on the basls ol the use of the re￿ted ￿le¢S In those activiw. Assets are revIev￿1 for Impaimient ff drcumst4n¢es Wlate thelr cvrylng nlue nw exceed thelr rt4Usth and In use. Dyttiath>n is provKled x Trtes calcula[￿ to Wri￿ th• cortof•xh a55et to Its estlmat•d resIdU￿ w￿￿e ¢>w lu •xpQrt￿ usdul The dyethtlon r•tes ln •r• as followj.. Freehold l￿d Freehold building Ltasehold proptrty Axtures and fittings Computer equipm•m Motor ¥ehl¢l•s Not d•preciat•d 50 years itraight IlrFe 5-20 years STrnlght Ilne 5 year$ Straight Ilne 5 year5 straight line 5 years straitht 46 4. Financial Statements North Devon Hospke (Company Umited by Guvantee) Notss to the Ac<(wnts For the Year Ended 31 March 2024 A¢¢ounthiz poucles Usted investments Investments are a forni of basic financiaf instrUm￿t and ¥È Initially rtcognised at their transaction Yalue and sthewently measured ac their falr value as at the balance sheet date vslng the closinz quoted market prxe. Any change in fair VI￿ Wbm be recognised in the statement of the financial activities and any excess of fair Ydlue o¥er the historic cost of the investments will be shown as a fair Yalue reser4e in thè balance ShL￿ l+westmènf gains and low& whether real&sed or unreallsed. are combined and 5h¢Jwn In tht heading "Net gainO005ses) on Investments" in the 51aiement of fThncial aCtI￿lIeS. The clwity does not icqjire put options, deriydtives or other complex financial instruments. Th• hlstork cost ol Is cakuL4ted on 4 FIFO b•sls. InYe%tments In subsldiarles Inrntm¢nts in sublidiarns ar• inStldly r•cwd¢d x cos¢ Stock Stock is stated at the lower of cort and net reafisable ￿lUe. In general, cost 15 determlned on a Yirst Sn, first out, ￿$•S and includes transport and haThdlin8 cosrs. Net r¢allsable Y4lue is the pdce at whSi'ry assets or &abiliues of thu• funth. 47 4. Financial Statements North De¥oft Hosplce (Company Umlted by Guarantee) Notes to the A¢¢otsnts For the Year Ended 31 March 2024 Accountinz polidol (￿rta￿dI Flnanchl Instruments The youp onty ha5 fin￿(￿1 assers and financlal lithliries that qualrfy 4$ b￿C financial Instrumen￿ being investment& trade debtors and trade creditor5. Basic financial In$truments ¥e Inltlally recognised at tranwtion rdlue and are subsequentty measured at thelr settlement lu& Any l<)sses arlslng frorn bmpSrnifrt Cd¢ithl delxs? are recoznlsed kn the sratement of f￿Ancial activities. CYltl¢al aCco￿tIng ludz•ments and key sourte5 of ertlmatlon unttrtalnty In the application of the group's Kcouniing poli¢ie& which are deKribed •bove, the Trus*es are required to make judgements. estimates and a55urnption5 about carrying amounts of assets and liabilitses that are not readily apparent from ¢)ther 50ur¢es. The esrfimates and asso¢iat¢d assumptlons are based on historical expe*ience and other fattors that are considered to be relevanc ArtU￿ resulrs miy dlffer from these ¢S￿mIt¢s. The estimates and underfying assumptions are reviewed on an ongowy b4ys. Revisi￿$ ro x¢ountln8 estknates •re recO￿lIed In the period in *thich the estimate is revised rf the revision affetts onty tha¢ perfod or In the period of th¢ reyislon and future periods if the affetts both current and future periods. The followlng are the criilal iLbdzemerts #nd estknates that the trustees ha¥e made in the process of aPp￿nI the gTrJup's accounting poli¢ies Ind that have the mosc SI￿￿£ effect ¢>n the amounts recognlsed in the firwKial Sfatemen¢s. Provision is made aplnst speufi¢ trade debwrs *there recovernbillty Is ¢¢)nsld¢red doubtfiA. Lerd¢y Sn¢ome whl¢h Is recognlsable under the hicome r¢cwitbon pollcy. but has not yet been r*ceNed. is pwd¢d for as a¢¢n*d income until paid. The accrued income is Prov￿ed at the Iv•el utimated Probate documentatlon. less low level ￿lIOnS fix solidtor costs etc Key M*￿Mert personnel for the purposes d ¢*sdosure are ConS￿er￿d to be the trustvs The Trustees ire satlsll¢d havln8 consldernd th• curwt finandal positlon and perfornunc• ol the charity. that the goini concern issessment (whlth Is i ¢rltlal a¢c¢unring judgement) remaln$ appropriate. In making this assessmen¢ the T￿￿tee$ have sen3iti5ed their financial forecas¢s and cash flow pr¢iectlons for the next 12 month (from the date of approval of these financial statement5) ro rthe account of rwonably ptsssible thanges in fundi￿ and Incon￿ lev•ls, infiationary pressures ind tiKreases irt vtilitse& IN order to detern￿ne when, and to wha¢ extent any cos¢ mab)agement measures may need to be impkn￿￿ted. 4. Financial Statements North Devon Ho¥¥ice any Limited by Guarants•) Notes to the Accounts For the Year Ended 31 March 2024 Income from donations zifts and lezac•es UnreS￿rted Restrlrted 2024 2023 J.478 M193 I,n￿89 1,022.786 175.710 1.449,16d 810.440 47,045 981593 175.710 Glts In Kknd 2J09.214 J7A71 1916 1306,653 IKom¢ from and a.916A85 (1023.. a30&65J) ol*t4th ÉUO92141)nJ.. £iiio0761 IJ unr•¥tykn•d and U7h71 QQ23.. £94Jm ts r•Mrltt￿. Unr•rtrICt￿ Rertrfrted 1024 2023 ICO Gr¥t CHC IJ60,327 98.224 4165• 1.)60,327 224 42hSO 1.157,204 128,269 40,$ IJOl,201 1.501.201 1.325,973 4179 13A63 27.942 1S,184 2) 1329,143 1.351.157 Iprffi ¢h¥irabl• K¢M¢* kn £1S29.143 r6J23.. 4i¢vak* al £453,749, w*h th• bthrK• b•kntlrtthol Land wlth a Carry*￿ vahx dl 117&n91202J.. £175.n9) fr••l¥Jia thd dep￿￿1•& ￿1 ol 54 4. Financial Statements North Devon Hospk¢ (Company Umlt•d by Guarante•) Notes to the Accounts For the Year Ended 31 March 2024 16. Tan8lbh Ilxed *sgets {Mnthiu•dl Charfty Land & Flxtures And Computer Motor Bulldln Iltdnp ewlpff*rt Vehlcles TotAI Cost A$ at l ItyIJ 4.45lm9 JM16.J83 33509 11SM461 110 25265 p4.410) S.909,ns S&7T4 5.4701 {5￿14) A%¥31 thrth1024 4.451mg I￿)1￿46 318.965 Si119 5.873,029 Depreclatlon As at I 2023 ChAry• lor th• Y•w l J39.2X 304 $40,467 131746 242.670 35.18) 04.4101 2.433.569 163,232 (94,8471 {K0141 As M 31 I•Arth 2ffI4 IAJIM2 I￿780 2S3.443 Si120 2AII,954 Net book value at31 M￿2024 2J19.497 37&056 7&522 3.271,075 4¢ 31 Mvth 2ff13 I911￿1 47&914 •&440 3.47&156 lud•d ITh Lwxl WMI Wknp ts l••sthold * urryhy v*kn d <4SJ,749. th• bthg fr••hold. L4thd wlth Gl L175.n912023.. £17&ng) ts thxhwjwj in fv••lwJld not dv•t*￿. ￿ ol 55 4. Financial Statements North Devon Hosplc• (Company Umlt•d by Guarantw) Notes to the A¢¢ounts For the Year Ended J l M*rth 2024 17. Tradlng wbthll NDH Venturns Ltd. ryliE•r•d IN Ereknd. The uwj for wrp)se Ir** X¢P•itXs hwe be ¢or￿dId11¢d on • lin¢ by lyle baw in the s¢atpn¢rt olfinancml aaivitse& Ayaiknith profv¥ are ￿ athd to th* 2024 2023 664,928 687.438 Cwt ofsd IIM93W 1134.540) 515,989 551090 (7x992) 173.4191 17*,471 449.9 4751,471 479.471 151846 (69,lJ71 154J76 (71.167) 83.709 •3,709 18. Parent charbty 1024 2023 Gross R•sdt f¢* th• y &848288 5,81&979 32&752 1789.959) 56 4. Financial Statements North Devon Hospice (Covryany Limited by Guaranttt) Notes to the Acc Ch•rlty ChArlty 2024 2023 2024 2023 9.152 20 21. Debtors Group Grnup Clwlty Chvlty 2024 2023 2024 2023 111293 39.745 198248 17.474 54.187 11&012 .133.739 111293 39.745 27.474 54,187 173.179 1.133,n9 1,543,649 Im934 l.*1 J12 IMJ.547 1.381.679 57 4. Financial Statements North Devon Hospke (Company Un4ted by Guarwth) Notes to the Accounts For the Year Ended 31 Marrh 2024 11. Anatysis of and ca#h equivalents Group Group Charlty Charlty 2024 2023 2024 2023 Cuh irth sh It 1&827 1.460.933 1,gJW9 11713 .451.393 15.817 lJ96.222 1.473 I,rL4n6 1.464.106 1.911fft19 An&ty￿$ of nrt funds Openlns Ca•h fiow clo￿nI i.￿￿n6 {451.10 1.473. 23. Crndltor&. Amounts l•Nln8 du• wlthln on¢ ye•r Group Group Charlty Clwlty 2024 2023 2024 2023 Trdd• Cr•d&)rA 121*20 1155•4 111,620 124,767 .735 IXXS 61215 185.584 120A47 84.611 145.590 74.360 Orher ttx•s Ind 10t￿1 ruth Drfvr•d tsKi•n• IN0¢• 24) 19.735 t￿96$ IX9fy) 14611 145.590 145.L>)6 557.jn 611992 24. O•f•rr•d Inco Lo¢wry thaw¥ wil tak• Flac• fvw• yw. Group Grnup Charlty Charlty 2024 2023 2024 2023 145.1 {14&(*J6) IM9 I IIXO93 11 iocfjJi 7&360 &3601 61205 21.203 128.2031 76.360 61￿$ 76.360 4. Financial Statements North Devon Hospice (Company Limlted by Gu•rwbts•) Notes to the Accounts For the Year Ended 31 March 2024 25. Provhloni- d•ferred tax Group 2024 Group Charlty Charlty 2023 2024 2023 Bro￿1 Fonv4rd INcruse ￿ pr+ykn kn the >w 21 2321 U21 26. Penth>n Khemol Th• t¢YnF4ny ¢￿trIk￿l￿ ¢)n b•hM01￿ ¢0 th¢ Heafrh Thq NHS SchErn• * •Tr d¢th%d scherm co¥ors NHS emp4)yvs. G•n•r*l Pracdcls othw bodhs, alow•d wdlr lh• &r•cthn ol th• S•ry•w ol Sw a c(Ywi•K• It kn not possbkn for ihq d￿rIty io Its Sh￿ olthi xhTh. aiiwAtr¢ w £21J69 P023: I19A61) wv• py4bkn ¢0 Fwyl tt 31 Mwth 2024 v• kK&Jd•d IEGON p•n¥lon •d4•m• contr*•udtyw ￿y￿bIl ty thi to th• £131.gOS P02J.. I124.9141. ContNtr*Abofii *mrAmthy to ￿117 f1023.. LIg.IW ww• wibl• to JI Mvth 2014 v• Irdid•d 59 4. Financial Statements North Devon Hosplte (Company Llmlted by Guarantee) Notss to the Accounts For the Year Ended 3114arch 2024 27. Statement of fund$ Group A*atl GaIn￿ AS •t 31 April (Losses) March 202J Income Expendlture Tramfe 2024 Unrertri¢ted Fund* D•SIgnat￿ Fund and assets b*s?d r•s*ry• 3,485.3 1212.311} 3.273th7 IOItyXI 2.952.OOJ HIH S•ryk• Prohts S•Thk* Pro¥* Orpnlsatknal 21-24 2AII.411 SirydE¢y Th•ul Dev¢kprA￿e 1.193.313 142W41 131201 1444.221) 3MKI.024 {14149) HiOJ8 Totsl d•4rAt•d knm (l.M4241 1.074.612 I INg.609 1.7411•1 43&518 1184.699 G•n•￿ 671.406 7.445m7 (&OSI.7031 (1.490.98 574.693 7.445A97 IY.I31127) 2th143 I3￿29.1X)I Rertrktsd Fund P*tbon¢ s•Trk Educaiityi Loni Ho￿1 14.649 iisoo 24.640 19J49 (32NTJ 111797) 6.422 19.052 7M54 14745 (2Q1431 4.456 37.091 6Q734 147.752} 1431 29.9)0 Totsl lundj 133311n 7J(4631 17.179.879) 13.85&?JI 4. Financial Statements North Devon Hospice (Compwy Llnthd by Guarantee) Notes to the Accounts For the Year Ended 31 March 2024 27. Statement of fund$ (• Comparatlv¢ Group Asatl GaIn￿ As at JI Aprll (L055es) March 2022 Income Ex￿dI￿re Transfers 2023 Unrestrlcted Fund Dèsignated Fund%: Bulld￿￿ and asx Ai5k based re5qTh 3J29.86* 50.0 155529 3.48S,398 2050,{￿) IS30.￿1 1328J321 $361 Straieu Sernce Prov¥bn (knnlxatkJn•l DI¥*W￿ 11.16 1944.41J (711.96TJ 955 2MI.41 & 21-26 271m6 (&797) 265,299 (IW5941 5•S.948 1.075,421 1.969m7 IXOm6) 1.74&181 744405 &6K•52 1&463.70JI (X￿,0681 671,416 14.241.Ml IUIO,2991 7S.054 13.49&008 R•strkt•d Fund&. S40 3.7rn 14.649 115Th) Eduts Lohz H othr &054) 7,8Y T•tsl r••trl¢¢•d fund¥ 80.657 115.167 IU779) IY5.054) 37,091 Total fwi 5m4.119 1&594.078) 13.53Z179 Purposei of r•strlct•d fund• Purp¢>Ms of desIgnat￿ fund* 61 4. Financial Statements North Devon Ho4)1¢¢ (Company Umlted by Guarantee) Notes to the Accounts For the Year Ended 31 March 2024 27. Statemeiit ol funds (r••th￿ b• th• S yeart 01 th¢ 5.yt¥ ptsTh ¢0 ryr¢yrt thai enknce th• JLWOrt w our athd th•tr I4￿1￿%. W• wlEh 4kMIs to support th 2021.1026.. OW D*¥*r￿ Ind ofo lurthqr ditsl •tth4¥ Chvlty svrF4u5 01 £326.75? (2023.. £789,959). TfA41 knds W kn¥¥d ww• £13J32,1791102J.. <14J22.1381. TfA lorward w•re £13.8S8.931 QOI).. L13.5n.1791. 28. Anatysh of group net *Mets betwèèn filnds At 31 Marth 2024 G•neral Dul8nated R•strlct Fund• Funds Fundi Total T￿1￿1* & Fb¢•d Au 3273.Q07 7.711MSJ 2269.J68 J,273.087 7.711.853 1873.991 Othtr A•s•ts 574A93 29.930 574Ag3 13254.JQg 29.93 l)M5&931 At 31 Mar¢h 2023 Funds Funds Total 3.45.398 7275,335 671.406 I￿1169 3.485.398 7.27S.335 2.771.446 37.091 671.406 IW1602 37,091 13.5Jll 79 62 4. Financial Statements North Devon Ho4>ire (Company Umlted by Guar￿> Notes to the Accounts For th• Year Ended 31 Pl*rth 2024 29. Op•rntln8 I¢￿* ¢ommitment Group arKI Clbarity 2024 2023 109m9 IX.$92 313.750 9126> 224.971 J20.7SS (h)¢ Eo fv• y• 421.441 637.991 P023.. a38.1491 63 YOUR LIFE'S A STORY. THE ENDING MArrERS. North Devon q•9iit•rwJ ¢htrrtty 21￿554 Hospice