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2024-03-31-accounts

Annual Report and Financial Statements for the year ending 31 March 2024

Katharine House Hospice Trust (Company limited by guarantee) Company No. 02133391 Registered Charity No. 297099

Contents

Reference and Administrative Details 1
Advisers 2
A word from our Chair 3
Report of the Board of Trustees 4
(incorporating the Strategic Report)
Independent Auditor’s Report 18
Statement of Financial Activities 22
Charity Balance Sheet 23
Statement of Cash Flows 24
Notes to the Financial Statements 25

You truly made an unbearable time bearable.

Reference and Administrative Details

Registered name: Katharine House Hospice Trust

Status: Katharine House Hospice Trust is a charitable company limited by guarantee, incorporated on 20 May 1987 and registered as a charity on 26 June 1987.

As Katharine House Hospice Trust is a company limited by guarantee it has no share capital, with all trustees being members of the company. The liability of the members is limited to £1 in the event of the winding up of the company.

Governing document:

The company was established under Memorandum and Articles of Association which established the objects and powers of the charitable company.

Company number:

02133391 (registered in England and Wales)

Charity number: 297099

Registered office: Aynho Road, Adderbury, Banbury OX17 3NL

Trustees:

Lindsey Bowser Geraldine Burke Sir Tim Jenner Richard Jones Dr Christina Lloyd Catherine Teideman Robbie Cooke Samuel Shadbolt Claire Louise Dobbs Benjamin Walmsley David Whittingham Anne Tutt

(Chair)

(resigned 14 March 2024) (resigned 28 March 2024) (resigned 14 March 2024*)

(appointed 8 December 2023) (appointed 8 December 2023) (appointed 14 March 2024)

*end of term

Senior Leadership Team: Emma Radley Stephanie Lawless Jeremy Childerstone Karen Welsh Scott Bloomfield

Chief Executive (appointed 9 May 2023) Head of Fundraising Head of Finance Head of Marketing and Communications Head of Retail

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Advisers

Principal bankers:

Virgin Money

7 Gold Street Northampton NN1 1EN

HSBC

17 Market Place Banbury OX16 5ED

NatWest

1 Town Hall Buildings Bridge Street Banbury OX16 5JS

Investment managers:

Rathbones incorporating Investec Wealth & Investment Ltd

30 Gresham Street London EC2V 7QN

CCLA Investment Management Ltd

1 Angel Lane London EC4R 3AB

Auditors:

Solicitors:

Critchleys Audit LLP Beaver House 23-38 Hythe Bridge Street Oxford OX1 2EP

Anthony Collins Solicitors 134 Edmund Street Birmingham B3 2ES

Gisby Harrison Solicitors

Goffs Oak House Goffs Oak Cheshunt EN7 5HG

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A word from our Chair It has been another challenging, but rewarding. year for our charity. Our beneficiaries have experienced a steady enhancement of services across the entire clinical spectrum a5 we con501idate our relationship with Oxford University Hospitals NHS Foundation Trust IOUHI but continuing economic pressures have once again prevented us making as much progress as we had forecast in our f undraising activities. With little indication of any improvement in the nation's finances, the way ahead remains opaque. But l arn pleased to report that both the charity's staff and those of OUH continue to work exceptionally well together to ensure that the community we serve receive the same outstanding service. The charity welcomed Emma Radley as our new CEO in May 2023 and she h35 quickly settled into the role, leading an unchanged Senior Leadership Team. It 15 a gratifying reflection on the coherence of purpose in our staff that within both the charity and the OUH clinical team there has been a remarkably low turnover of personnel. This in turn has reinforced the cooperation and understanding between the two parts of our operation. We continue to build the strategic level relationsh ip with OUH 3nd are negotiating a further three-year agreement between us which recognise5 the pressures on our fundraising activities. We try to ensure that trustees, terms of engagement adhere to our six-year policy and that, combined with changed personal circumstances. has seen a change to the board's composition. I have been pleased to welcome some highly qualified new members and very much look forward to their input. The biggest gap in our fundraising has been a Significant drop in legacy income. However, perhaps as an indication of the difficulty in forecasting this key element of our finances, the next 24 months look to be healthier than budgeted. With changed emph35e5 Wlthin the entire fundraising effort and continuing 501id returns from our retail operation. there is still a reasonable expectation of being able to eliminate our def icit. Perhaps the best indicator of our success in enhancing our beneficiaries, experience has been the refurbishment of the Inpatient Unit. Delivered on time and o n budget, the improvement to an already restful and peaceful environment has been significant. Our thanks to the OUH staff in particular who managed the disruption magnificently without any reduction in service. I look forward to the forthcoming year with confidence that we will conti nue to provide an outstanding Service to our beneficiaries. Once again. I thank everyone who has worked so hard to contribute to our success. Sir Tirn Jenner Chair of the Board of Trustee5, Katharine House Hospice Trust

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Report of the Board of Trustees (incorporating the Strategic Report)

Report of the Board of Trustees (incorporating the Strategic Report)

The trustees present their annual report together with the audited financial statements for the year ending 31 March 2024. The format and content of the report and the financial statements comply with current statutory requirements, the charity’s Memorandum and Articles of Association and the Charities Statement of Recommended Practice (FRS 102 second edition – October 2019) Accounting and Reporting by Charities .

1. Our partnership

Katharine House Hospice partners with Oxford University Hospitals NHS Foundation Trust (OUH) to provide specialist palliative care for adults with life-limiting conditions across north Oxfordshire, south Northamptonshire and south Warwickshire.

We fund care for people from diagnosis to end-of-life, including symptom management and pain relief throughout a person’s illness. Care is not just about managing the physical symptoms of disease; our teams also provide emotional and spiritual support, helping our patients and their loved ones to access the practical help they need.

While many patients come into the hospice to receive their care, support is also provided for many more in their own homes, care homes or in hospital.

Thanks to our partnership with OUH, our hospice building was refurbished at the beginning of 2024 to improve facilities for patients, visitors and staff.

2. Our care and services

Katharine House Hospice provides a wide range of services to support adults with a life-limiting illness, as well as their family and friends, from the point of diagnosis onwards.

Our holistic care, which is free of charge, considers the physical, emotional, social and spiritual needs of patients, either at the hospice, in their home or in hospital.

In 2023-24 we supported 1,069 people with services that include: inpatient care, bereavement support, community care, Living Well, social support, physiotherapy, spiritual care, occupational therapy, chaplaincy and lymphoedema support.

Other highlights for the hospice included the successful onboarding of new recruits in the social work, bereavement, chaplaincy, therapy and Lymphoedema teams.

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Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Report of the Board of Trustees (incorporating the Strategic Report)

Inpatient unit (IPU)

During 2023-24, our team of specialist nurses and doctors cared for 245 patients in a calm, homefrom-home environment. This personalised palliative care helped patients feel more like themselves again and enabled some patients to regain control of their symptoms and return home.

Despite the inevitable disruption caused by the refurbishment, the IPU staff ensured that patients and visitors could be cared for with the same exceptional standard that people have come to expect from Katharine House.

Our care team consider each of their patients individually, working hard to identify the specific actions that would help improve a person’s physical health and wellbeing. In 2023-24, this included accommodating a Spitfire flyover, hosting two weddings, reinstating the popular drinks trolley and organising a cuddle bed to allow patients to be close to their loved ones.

Community Palliative Care Team

In 2023-24 the nurses made 1,661 visits to people in their own homes, supporting 421 patients throughout the year.

Many people prefer to stay at home or in their usual place of residence during their illness and in their last few weeks of life, finding they are happier, calmer and more able to manage their symptoms in familiar surroundings. Our Community Palliative Care Team (CPCT) make this possible by giving care and advice centred on symptom management and meeting the patient’s emotional and practical needs, as well as offering support to the family and friends caring for them.

Therapy

For the past six months, Katharine House has been building a therapy dream team dedicated to improving the physical and mental wellbeing of its patients. The new team, consisting of an occupational therapist and two physiotherapists, has a host of different skills and experience which complement each other and enable them to provide a holistic approach for patients, both at the hospice and out in the community.

In 2023-24, the team supported 216 patients both on the ward and in their homes, helping them to achieve the goals important to them, such as providing a special wheelchair and hoist for a patient to enjoy a drink with his friends at his local pub; helping a woman dependent on an oxygen tank to retain her independence and go bra shopping when she lost weight because of her illness and even enabling another patient to have the luxury of a bath when it became impossible for her to do so alone.

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Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Report of the Board of Trustees (incorporating the Strategic Report)

Living Well

Our Living Well service has taken giant steps over the past year, building up a steady flow of referrals from GP surgeries as well as self-referrals. The service is run by a specialist, multi- professional team that now includes a nurse, healthcare assistant, chaplain, two social workers and two lymphoedema specialist nurses.

Throughout the year, the team has provided holistic care to 100 patients, running wellbeing activities such as arts and crafts, tai chi, genealogy research, breathing workshops, a family and carer group and choir sessions, as well as facilitating events like Christmas bingo.

This year, the service welcomed two new social workers who offer a range of practical and financial advice and support, as well as a new chaplain who provides spiritual support to patients and families, as well as officiating at hospice weddings and celebrations.

During the refurbishment, the service operated offsite at two local care homes, ensuring patients were able to continue to benefit from the service, while their normal venue was unavailable.

Bereavement

Katharine House Hospice’s Bereavement Services has seen significant growth at the hospice during 2023-24. The team grew to include a new administrator, officer and manager and held two counselling training sessions, recruiting a further two counsellors.

We currently have 18 volunteer counsellors supporting people in the Katharine House catchment area, carrying out hundreds of sessions during the financial year.

Being able to have the visitors and a social life made such a difference to him in his final weeks and days.

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Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Report of the Board of Trustees (incorporating the Strategic Report)

3.Our objectives, mission, vision and values

Our objectives

Income generation

Extend reach

Lead and influence

Inspire hope and joy

Sustainability

Our mission

Our mission is to ensure that we maximise support for services that meet the complex medical and social needs of our community around the issues of death, dying and loss and play a leading role in developing them.

Our vision

Our vision is to ensure that every day is the best day possible for patients and families affected by life-limiting illnesses in our local community.

Our values

Trusted

To be trusted as a partner and as an advocate by those we work with, our community and supporters. Fundraising for the provision of advice and practical support on specialist palliative care across our catchment area.

Community

To be the key community representative in palliative care. To be the charity of choice for our community.

Dynamic

To utilise all resources, ensuring that we respond to fundraising opportunity and patient need.

Charity

To ensure that we communicate to our supporters the impact of their donations.

Making Every Moment Matter

To enable our patients and families to make the most of life, by funding services that support them. To communicate how to live with a palliative diagnosis and how we can support that.

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Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Report of the Board of Trustees (incorporating the Strategic Report)

4. Our impact

Although fundraising continues to be very challenging for so many charities, in 2023-24 Katharine House Hospice experienced year-on-year growth in nearly all fundraising lines, with two exceptions. Firstly, lottery income, which has been in slow decline for a few years but started responding to a new acquisition strategy during 2023-24, with significant further growth expected from 2024-25 onwards. The other exception was legacy giving which had a particularly poor year, reflecting the turbulent nature of gifts in wills and a national probate backlog. However, our legacy pipeline over the next two years looks more favourable, with notifications of some substantial gifts. Overall, Katharine House fell slightly short of its forecast income for 2023-24. Given the significant drop in legacy income against budget it is encouraging the shortfall wasn't greater. Unfortunately, it did mean that the year end result was a deficit.

The charity continued to offer a full fundraising portfolio to encourage support from a diverse donor pool. The charity attracted a healthy number of new donors, as well as receiving a retention rate higher than the national average, demonstrating the loyalty of support for the hospice from the local community.

Highlights from the charity this year included the unprecedented success of the Tractor Run which raised over £49,000 and achieved regional TV coverage; the opening of a new shop in Banbury; the recruitment of a new Volunteer Services Manager who is transforming the charity’s recruitment and retention processes for volunteers; the investment into the charity’s lottery scheme; a wellreceived major donor event and the launch of new fundraising products, including Rose to Remember and the relaunch of the Accumulator Challenge.

Patients

Katharine House saw 986 unique patients and supported 1,206 patients and family members in 2023-24, either at the hospice, in their homes or in the community. Many patients were supported across multiple care offerings.

Inpatient Unit Community nurses Therapy Living Well Bereavement 245 421 216 100 137

Your visit lifted Mum’s spirits and she had a sparkle in her eyes when you left.

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Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Report of the Board of Trustees (incorporating the Strategic Report)

Volunteers

Every year, our volunteers give up tens of thousands of hours to support the hospice in a range of clinical and charity roles.

Receptionists - 73 Gardeners - 20 Shop volunteers - 95 Bereavement counsellors - 18 Drivers - 10 Living Well volunteers - 16 Hospice companions - 6 Clinical Charity volunteers volunteers Other - 38 152 124

5. Public benefit statement

The trustees have referred to the Charities Act 2011 for guidance on public benefit when reviewing the aims and objectives of Katharine House Hospice and in planning its future activities and the OUH partnership. Consequently, the trustees are able to confirm their belief that the hospice’s activities are of public benefit and will continue to be in the future. Our activities and achievements in furtherance of the public benefit are set out above.

6. Structure, governance and maintenance

Governing document and structure

The company was registered in May 1987 (No. 02133391) with the governing instrument being its Memorandum and Articles of Association. The Articles state that the Board of Trustees shall have full discretion as to the admission of any person to membership of the association.

Katharine House Hospice Trust is a company limited by guarantee, having no share capital, with all trustees being members of the company. The liability of the members is limited to £1 in the event of the winding up of the company.

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Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Report of the Board of Trustees (incorporating the Strategic Report)

The Board of Trustees

The Board of Trustees meets quarterly to ensure effective governance of the charity. The Chief Executive is appointed by the board and has delegated responsibility for the day-to-day management of the charity with the support of the Senior Leadership Team (SLT).

The Board of Trustees is fully committed to the financial stewardship, quality and safety of the charity.

The trustees are guided by an agreed scheme of corporate governance which sets out their responsibilities and those of the SLT. Potential conflicts of interest are addressed in a Conflict of Interests Policy and a Register of Trustees’ Interests is maintained. Potential conflicts of interest are addressed at every meeting of the trustees.

A trustees’ skills matrix is used to determine the skills requirements when vacancies occur. A search is then undertaken, applicants are interviewed and a vote of members is taken to decide upon appointment.

New trustees undertake an induction programme designed to ensure their understanding of the trustee role and their knowledge of the hospice and wider hospice sector. As well as a review of core documents, the induction provides opportunities to meet with staff and volunteers across the hospice and to observe or shadow parts of our service delivery.

No trustee received any remuneration during the year (see note 9 to the financial statements on page 32). One trustee was reimbursed £156 of expenses for a trustee event during the year (2023: £nil).

Sub-committees

The board is advised by a range of sub-committees:

Organisation structure and key management personnel

Trustees are responsible for the strategic direction of the organisation. Day-to-day management is delegated to the Senior Leadership Team. The pay of the leadership team is set by trustees in line with the pay policy of the charity, which is in line with market rates for similar roles in the charity sector.

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Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Report of the Board of Trustees (incorporating the Strategic Report)

7. Strategic report

7.1 Fundraising activities, achievements and performance including fundraising disclosures under section 13 of the Charities Act 2016

Retail

Retail has performed strongly in line with the wider charity retail sector. We have also opened one small new shop in the year.

Fundraising

The charity’s fundraising team is stable and utilising the full income stream portfolio, whilst monitoring the changing sector trends in order to adjust and respond. The team continued to feel the impact of the cost-of-living crisis, which directly affected individual gifts, community fundraising, and event income. The latter issue forced an audit of challenge event activities which led to the postponement of the 2024 Moonlight Walk where average sponsorship halved from the year before. However, we have not experienced a downturn in public engagement or willingness to take part in fundraising events, which has been heartening.

There has also been significantly greater competition for trusts and grants, with further challenges posed by our partnership with the NHS resulting in ineligibility for funds received in the past.

To counteract a recognised drop in legacy income nationally, we have developed a long-term legacy strategy including collaborating with Hospice UK on a national legacy campaign.

Under the provisions of Section 13 of the Charities (Protection and Social Investment) Act 2016, Katharine House Hospice works with one external fundraising agency, The Fundraising Partnership (TFP), who are registered with the Fundraising Regulator and the Gambling Commission. TFP has an extensive Code of Professional Conduct and a Sensitivity and Vulnerability Policy. Together these meet and exceed all compliance requirements for the Chartered Institute of Fundraising and the Fundraising Regulator. All TFP fundraisers are trained to exceed this level and have been issued with a copy of the code and are inspected against it regularly.

TFP recruit compassionate fundraisers who raise awareness of the hospice’s services as well as generating lottery income. The charity invested £41,165 in door-door canvassing to counteract our declining lottery income. The payback period on this investment is expected to be just over one year. The investment is expected to generate repeat lottery income for years to come, as well as result in longer term supporter journeys and associated income. The Katharine House Hospice Lottery Steering Committee monitors the performance of TFP along with all other aspects of the lottery, including compliance checks. The lottery is licenced by the Gambling Commission.

The charity is a member of the Fundraising Regulator, The Charity Retail Association and The Chartered Institute of Fundraising. During the year the charity upheld one complaint related to fundraising and one related to the lottery. Our complaints policy and procedures are robust and we take all supporter feedback seriously. We recognise the value of listening to all feedback and where a complaint indicates

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Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Report of the Board of Trustees (incorporating the Strategic Report)

a shortcoming, we take the appropriate measures, whether in changing our procedures or providing training for staff to prevent recurrence of issues and improve supporter care.

Katharine House Hospice works within the Fundraising Code to ensure that vulnerable people are protected within all fundraising activities.

7.2 Financial review and significant events

Before revaluation of investments, for the financial year ending 31 March 2024, the hospice recorded a deficit of £684k in unrestricted funds (2023, deficit £460k) and a deficit of £25k in restricted funds (2023, surplus £2k).

After revaluation of investments, the net deficit for the year is £443k (2023, deficit £651k).

Income

Total income received in the year decreased by 2.8% to £2,688k (2023: £2,765k) as shown below.

Note
Donations
2
Legacies
2
Charitable activities (including statutory
funding)
3
Retail income
4a
Other trading
4a
Investments
5
Other income
4b
2024
2023
+/-%
£
£
821,937
692,416
+18.7%
174,362
453,677
-61.6%
135,449
222,542
-39.1%
1,024,975
894,736
14.6%
400,339
366,875
9.1%
121,096
109,721
10.4%
9,867
24,564
n/a
2,688,025
2,764,531
-2.8%

Donations

Income from donations for the year was £822k (2023: £692k) which was much improved on the previous year due to fruition of longer-term plans and ongoing refinements of processes and innovations.

Legacies

Income from legacies for the year was £174k (2023: £454k). Legacy income is unpredictable and was very disappointing in the year. The legacy pipeline for the next two years is very strong.

Charitable activities (fees & grants)

Income from fees and grants for the year was £135k (2023: £223k). During the prior year Katharine House Hospice received £96k from Hospice UK, funded by NHS England, for our support to help manage the impact of the Omicron wave of Covid on NHS services.

Retail income (charity shops)

The hospice runs 7 shops and one online shop. Income from shops was £1,025k (2023: £895k) a significant increase on the prior year. Sales in the charity retail sector performed well in the challenging economic conditions, but our shops performed particularly strongly. In addition, we opened a second satellite shop in Banbury half-way through the year.

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Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Report of the Board of Trustees (incorporating the Strategic Report)

Investment income

Investment income was £121k (2023: £110k). The charity has continued to benefit from higher yields on money on deposit, whilst dividend income has performed solidly.

Expenditure and staff costs

The cost of retail operations has risen to £840k (2023: £772k), due to the increases in minimum wage and the knock-on impacts, high energy costs and the additional Banbury unit.

The cost of fundraising has risen to £1,013k (2023: £947k), caused by wage inflation to meet the cost-ofliving crisis and completion of the development of our fundraising team which began in 2022.

During the year, the total average full time equivalent (FTE) headcount increased to 34 (2023: 31). Staff costs remain our key expenditure and now represent 34.6% of our annual expenditure (2023: 32.7%).

Expenditure on charitable activities was £1,544k (2023: £1,504k), including grants to Oxford University Hospitals NHS Foundation Trust (OUH).

Grant making

Katharine House Hospice Trust (KHH) provides a £1.4m grant to OUH to provide palliative and end of life care services as defined in the Integrated Service Model for Palliative Care. The vision is to provide equitable high quality holistic palliative and end of life care for the people of north Oxfordshire, south Northamptonshire and south Warwickshire, and those close to them, with advice and support being available 24/7. The partnership is structured to enable the hospice to become more resilient and able to influence changes to improve palliative and end of life care provision, to respond to unmet need and to reach under-served communities.

In addition to the grant from KHH, the OUH receives commissioning grants from the Buckinghamshire, Oxfordshire and Berkshire West (BOB) Integrated Care Board (ICB); the Northamptonshire ICB and the Coventry and South Warwickshire ICB amounting to approximately £1.6m for the provision of services at the hospice.

Volunteers and social investments

Our staff and volunteers are our most important asset. Without their skills, expertise and dedication we would not be able to provide the care we do to patients and families throughout the year.

Our 276 regular volunteers make a huge contribution to our work. Working 25,316 hours in total, the work of our volunteers equates to approximately 13 full time staff. Were we to have to pay for the amazing work that they undertake then this would cost the charity approximately £474,508.

During the year we have continued to invest in skills training - for example supporting key staff members via the apprenticeship scheme.

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Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Report of the Board of Trustees (incorporating the Strategic Report)

7.3 Investment policy and performance

In accordance with the Memorandum and Articles of Association, the trustees have the authority to invest in such stocks, shares, investments and property as they see fit. An agreed Investment Policy describes the trustees’ investment aspirations which include:

The combined performance of our investment fund managers showed a net capital gain (realised and unrealised) of £267k for the year (2023: loss £192k).

Our investment portfolio increased in value to £3,536k (2023: £3,250k.) We have not drawn down on our investment portfolio in 2023-24. Cash held in investments has increased to £42k (2023: £27k).

Our bank deposits have decreased in value to £353k (2023: £918k). This is mainly due to drawing down cash to cover the shortfall in the contribution from the charity towards the cost of the OUH grant.

7.4 Key risks

The charity has a risk management system to identify key risks that could affect the achievement of our objectives. The process focuses on four potential areas of risks each falling under the auspices of one of the trustee committees and one of the members of the senior leadership team (SLT). They are retail, fundraising, finance and general management (including the hospice premises).

The full risk management process is conducted quarterly and comprises the following steps:

  1. Risks are identified and reviewed together with any mitigation measures by the SLT

  2. Risks are scored for impact and likelihood to give a risk score (before and after mitigation) by the SLT

  3. Scored risks with mitigations are reviewed by the appropriate sub-committee and the risk register updated as appropriate

  4. Scored risks with mitigations are reviewed by the finance, audit and risk committee, which has delegated responsibility for managing risk

  5. The final risk register is reviewed and approved by the Board of Trustees

2023-2024 was the second year of the charity’s investment into the fundraising team, in a bid to regularly reach a break-even position after several years of deficits which have eroded our reserves. Unfortunately, these actions have coincided with the cost-of-living crisis which has hit the UK, meaning that the fundraising landscape is ever changing. The team have adapted in response to this, but it is fair to say that the uplift in income has been less significant than planned for. This has been compounded in 2023-2024 by a significant drop in legacy income.

Given this scenario, the highest scoring and most strategic risk is that the fundraising environment will remain challenging or further deteriorate, and income will continue to lag behind expenditure. Work remains ongoing to improve this picture.

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Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Report of the Board of Trustees (incorporating the Strategic Report)

7.5 Future plans

The charity is an organisation that exists to fund and direct the provision of palliative care to the community within our region. Our future plans include to:

7.6 Reserves policy

A traditional reserves policy uses time as a proxy for risk however, there may be little or no understanding of the actual financial impact of the risks involved. Therefore, Katharine House Hospice has adopted a risk-based policy which allows us to be more precise about the reasons for needing reserves. Risks can also be managed in a dynamic way. In times of improved economic outlook, strong charity performance and low risk to income streams, much lower levels of reserves will be required. Conversely, in the current geopolitical environment with losses forecast and high uncertainty over some of our revenue projections, much higher reserves are required.

Free reserves policy

The charity defines free reserves as unrestricted reserves that are freely available to spend on any of the charity’s purposes. Free reserves therefore exclude tangible fixed assets used to carry out the charity’s activities, such as land and buildings.

Within unrestricted reserves, the charity’s policy is to maintain free reserves sufficient to cover:

The risk of further losses is the risk of a shortfall in income (assessed by scoring each category of income using a risk matrix) less the potential for cost savings if income falls (assessed by scoring each category of cost using a commitment matrix).

As at 31 March 2024 the level of free reserves held was £3.908m (2023: 3.453m), compared to a riskbased reserves requirement of £3.006m. The gap between free reserves and the risk-based reserves requirement is expected to narrow in the medium term.

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Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Report of the Board of Trustees (incorporating the Strategic Report)

Restricted reserves policy

The charity holds restricted income in a restricted reserve until fully spent on the restricted purpose. If it is not possible to spend the funds as the donor intended, the donor will be approached and agreement reached on either reallocation or return of the funds.

During the year the Buckinghamshire, Oxfordshire and Berkshire West Integrated Care Board (BOB ICB), as the organisation which evolved from the Oxfordshire Clinical Commissioning Group (CCG), released any restriction on grants awarded to Katharine House Hospice Trust by the Oxfordshire CCG in March 2021 and March 2022.

This included a £535k grant made on 31st March 2021 for capital work and transitional costs and a £250k grant made on 31st March 2022 specified for additional capital work.

A detailed breakdown of reserves by category is shown in notes 18 and 19.

8. Statement of accounting and reporting responsibilities

The trustees are responsible for preparing a Trustees’ Annual Report and financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practices).

Company and charity 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 charity and of the charity’s incoming resources and application of resources, including the charity’s income and expenditure for that year. In preparing those financial statements, the trustees are required to:

The trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the charity and to enable them to ensure that the financial statements comply with the requirements of the Companies Act 2006. They are also responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

The trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company’s website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

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Katharine House Hospice Tnjst Annual Report and Financial Statements for the year ending 31 March 2024 Report of the Board of Trustees (incorporating the Strategic Report) 9. Statement of disclosure of information to auditors We confirm that, in so far as the trustees are aware: there is no relevant audit information of which the chariws auditor is unaware,. and the trustees have taken all steps that they ought to have taken to make them5elve5 aware of any relevant audit information and to establish that the auditor is aware of that information. The Dirertors & Trustees report {including Strategic Report) is approved on behalf of the trustee5 by: SirTimJenner Chair of Trustees 5 September 2024 17

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Independent Auditor’s Report

Independent Auditor’s report to the members of Katharine House Hospice Trust for the year ended 31 March 2024

Opinion

We have audited the financial statements of Katharine House Hospice Trust for the year ended 31 March 2024 which comprise the Statement of Financial Activities, the Charity Balance Sheet, the Statement of Cash Flows and notes to the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102: The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In our opinion, the financial statements:

Basis for opinion

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

Conclusions relating to going concern

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

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on Katharine House Hospice Trust’s ability to continue as a going concern for a period of at least 12 months from when the financial statements are authorised for issue.

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

Other information

The other information comprises the information included in the annual report, including the Trustees’ report, other than the financial statements and our auditor’s report thereon. The Trustees are responsible for the other information contained within the annual report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If we identify such material this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

18

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Independent Auditor’s Report

We have nothing to report in this regard.

Opinions on other matters prescribed by the Companies Act 2006

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

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the company and its environment obtained in the course of the audit, we have not identified material misstatements in the Directors’ report included within the Trustees’ report.

We have nothing to report in respect of the following matters in relation to which the Charities (Accounts and Reports) Regulations 2008 require us to report to you if, in our opinion:

Responsibilities of the Trustees

As explained more fully in the Trustees’ responsibilities statement [set out on page 16], the Trustees (who are also the Directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the Trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

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

Auditor’s responsibilities for the audit of the financial statements

We have been appointed as auditor under Section 144 of the Charities Act 2011 and report in accordance with the Act and relevant regulations made or having effect thereunder.

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists.

Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

19

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Independent Auditor’s Report

The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:

We assessed the susceptibility of the charitable company’s financial statements to material misstatement, including obtaining an understanding of how fraud might occur, by:

To address the risk of fraud through management bias and override of controls, we:

In response to the risk of irregularities and non-compliance with laws and regulations, we designed procedures which included, but were not limited to:

There are inherent limitations in our audit procedures described above. The more removed that laws and regulations are from financial transactions, the less likely it is that we would become aware of noncompliance. Auditing standards also limit the audit procedures required to identify non-compliance with laws and regulations to enquiry of the Trustees and other management and the inspection of regulatory and legal correspondence, if any.

Material misstatements that arise due to fraud can be harder to detect than those that arise from error as they may involve deliberate concealment or collusion.

20

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Independent Auditor’s Report

Use of our report

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

Robert Kirtland, Senior Statutory Auditor for and on behalf of Critchleys Audit LLP Statutory Auditors Beaver House 23 – 38 Hythe Bridge Street Oxford OX1 2EP. 1/10/2024

21

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Statement of Financial Activities (Including Income and Expenditure account)

Note
Income from:
Donations and legacies
2
Charitable activities
3
Retail activities
4a
Other trading activities
4a
Investments
5
Other Income
4b
Total income
Expenditure on:
Raising funds
6
Retail activities
6
Charitable activities
6&7
Total expenditure
6
Net (expenditure)/ income
before revaluation
Net gain/(loss) on investments
Net (expenditure)/ income
for the year
Transfers between funds
Net movement of funds for
the year
Reconciliation of funds:
Balances brought
forward 31 March
18
Balances carried
forward 31 March
18
2024
2023
Unrestricted
Restricted
Total
Unrestricted
Restricted
Total
£
£
£
£
£
£
964,560
31,739
996,299
1,133,093
13,000
1,146,093
84,276
51,173
135,449
169,267
53,275
222,542
1,024,975
-
1,024,975
894,736
-
894,736
400,339
-
400,339
366,875
-
366,875
121,096
-
121,096
109,721
-
109,721
9,867
-
9,867
24,564
-
24,564
2,605,113
82,912
2,688,025
2,698,256
66,275
2,764,531
(966,730)
(46,766)
(1,013,496)
(921,946)
(24,629)
(946,575)
(840,219)
-
(840,219)
(772,497)
-
(772,497)
(1,482,532)
(61,331)
(1,543,863)
(1,463,779)
(40,090)
(1,503,869)
(3,289,481)
(108,097)
(3,397,578)
(3,158,222)
(64,719)
(3,222,941)
(684,368)
(25,185)
(709,553)
(459,966)
1,556
(458,410)
266,590
-
266,590
(192,447)
-
(192,447)
(417,778)
(25,185)
(442,963)
(652,413)
1,556
(650,857)
814,221
(814,221)
-
-
-
-
396,443
(839,406)
(442,963)
(652,413)
1,556
(650,857)
5,102,011
854,624
5,956,635
5,754,424
853,068
6,607,492
5,498,454
15,218
5,513,672
5,102,011
854,624
5,956,635

The notes on pages 25 to 39 form part of these financial statements.

22

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Charity Balance Sheet 2024 2023 Note Fixed assets- Intangiblè assèts Tangible assets Investments 12 13 1,590.870 3.577.212 1.648.538 3.276.659 5,168.082 4,925.197 Currènt assets: Sto¢k - goods fof resale Debtors Cash at bank and in hand 15 282,085 621.263 297,773 1.316.383 903.348 1.614.156 Liabilitiés: Creditors- amounts falling due within one year 16 557.758 582.718 Nèt currènt assets 345.590 1.031.438 Total net a5setS 18 5.513.672 5,956,635 Funds: Reslricled inGome funds 19 15,218 854.624 Unrestr￿ted & designated funds 19 5,498.4S4 5,102,011 Total funds 18 5.513.672 5.956.635 The notes on pages 25 to 39 form part of these financial slalements. These finanGial statements were approve(l and authorised for issue by the Board of Trustees on 5 September 2024 and were signed on its behalf by= ILLQ Sir Tim Jenner Chair of Trustees Company Registration Number: 02133391 23

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Statement of Cash Flows

Note
Cash flows from operating activities
Net (expenditure) for the reporting
period (as per the Statement of
Financial Activities)
Amortisation of intangible assets
8
Depreciation of fixed assets
8
Dividends, interest, and rent from
investments
5
(Profit) on the disposal of fixed assets
8
Decrease in stock
Decrease in debtors
(Decrease)/increase in creditors
Net cash from operating activities
Cash flows from investing activities:
Interest received
5
Dividends received
5
Proceeds from sale of tangible fixed
assets
Purchase of tangible fixed assets
Proceeds from sale of investments
Purchase of investments
Net cash (used in) investing activities
Change in cash and cash
equivalents in the year
Cash and cash equivalents at the
beginning of the year
Cash and cash equivalents at the
end of the year
Cash and cash equivalents are held
as follows:
Cash held in operations
Cash held on deposit
Total cash at bank and in hand
Cash held in investments
13
Cash and cash equivalents at the
end of the year
2024
£
(709,553)
-
76,337
(121,096)
-
-
15,688
(24,960)
£
(763,584)
83,065
2023
£
(458,410)
13)
75,670)
(109,721)
(14,123)
1,704)
610,401)
331,198)
£
436,732
(17,418)
29,297
91,799
-
(18,669)
373,815
(393,177)
21,197)
88,524)
14,123)
(49,095)
831,843)
(924,010)
(680,519)
1,343,431
419,314
924,117
662,912 1,343,431
267,792
353,471
398,335
918,048
621,263
41,649
1,316,383
27,048
662,912 1,343,431

24

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Notes to the Financial Statements

Notes to the financial statements for the year ending 31 March 2024

Statutory information

Katharine House Hospice Trust Ltd is a private company limited by guarantee, registered in England and Wales, registration no 2133391. The registered office is Aynho Road, Adderbury, Banbury OX17 3NL.

Compliance with accounting standards

The format and content of the financial statements have been prepared in accordance with the Charities SORP (FRS 102), the Charities Act 2011, the Companies Act 2006 and FRS 102.

Public Benefit Entity

The charity is a public benefit entity.

1. Summary of significant accounting policies

The principal accounting policies adopted in the preparation of these financial statements are set out below and have remained unchanged from the previous period.

(a) Going concern and presentation currency

The financial statements have been prepared on a going concern basis under the historical cost convention, modified by the inclusion of fixed asset investments at their market value.

At the time of approving the accounts, the trustees have a reasonable expectation that Katharine House Hospice has adequate resources to continue in operational existence for the foreseeable future. The trustees consider there are no material uncertainties about the charity’s ability to continue and adopt the going concern basis of accounting in preparing the accounts.

The financial statements are prepared in £ sterling, rounded to the nearest £, which is the functional currency of the company.

(b) Basis of preparation of charity financial statements

The charity had one dormant subsidiary undertaking, Katharine’s Cupboard Limited, which was dissolved in the previous year and was clearly immaterial in considering the financial position of the charity (see Note 14). Therefore, the charity has decided not to prepare consolidated accounts.

The charity has adapted the Companies Act format of the financial statements to reflect the special nature of the charity’s activities.

(c) Income recognition

All incoming resources are included in the Statement of Financial Activities when the charity is legally entitled to the income, the amount can be quantified with reasonable accuracy, and it is probable that the income will be received. The following specific policies are applied to categories of income:

Donations are accounted for as received by the charity.

Gifts in kind : Estimating the fair value of donated goods for resale is impractical because of the volume of low-value items received. Therefore, donated goods for resale are not recognised on receipt. Instead, the value to the charity of the donated goods sold is recognised as income when sold. Other gifts in kind, including donated facilities and services, are recognised in income at their fair value.

Legacy income is recognised at the earlier of receipt or when all the following conditions have been met:

o Probate has been granted.

25

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Notes to the Financial Statements

Shop income is recognised on a cash receipt basis.

Lottery income is recognised when allocated to the current week’s draw. Lottery funds received and not drawn before the balance sheet date are recorded as deferred income and included within creditors in the balance sheet. Raffle income is also recognised when the raffle is drawn.

Income from fund raising ventures is shown gross, with the associated costs included within fund raising costs.

Investment income is included when receivable. Realised and unrealised gains and losses are dealt with in the Statement of Financial Activities.

Grant income , including government grants, is recognised when receivable and conditions for receipt have been complied with. The charity considers that where a term or condition simply restricts the use of a grant, this does not affect a charity’s entitlement to the gift and recognition of income.

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

(d) Expenditure recognition

All expenditure is accounted for on an accruals basis as a liability is incurred. Expenditure includes any VAT which cannot be fully recovered and is reported as irrecoverable VAT in the appropriate expense category. Expenditure is categorised under the following headings:

Raising Funds: Costs of raising funds comprise costs incurred in encouraging people and organisations to contribute financially to the charity’s work. This includes the cost of advertising for donations, the running of the lottery including prize money, costs associated with the staging of special fundraising events, and investment managers’ costs.

Retail Activities: Costs of retail activities comprise costs associated with the running of the shops.

Charitable Activities: Costs of charitable activities comprise those costs incurred by the charity in grant funding and supporting the delivery of specialist palliative care and associated services for patients with a terminal illness.

All costs are allocated between the expenditure categories of the Statement of Financial Activities on a basis designed to reflect the use of the resource. Costs relating to a particular activity are allocated directly to that activity, with remaining support costs (which include office costs, governance costs and administrative payroll costs) being allocated to a particular activity on an appropriate basis as set out in notes 6 and 7.

(e) Fixed asset investments

Fixed interest investments are held to maturity for the purposes of income generation and capital appreciation; the trustees consider it appropriate to show these at cost less amortisation of premium paid.

Listed Equities are stated at market value as at the balance sheet date. Realised and unrealised gains and losses on investments during the year are dealt with in the Statement of Financial Activities. Cash held in investments is included in investments rather than cash at bank and in hand.

Net gain/ loss on investments includes both realised and unrealised gains/ losses on the revaluation/ sale of investments.

26

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Notes to the Financial Statements

(f) Current asset investments

Investments held for resale are included in current assets.

(g) Intangible assets

Intangible assets are amortised on a straight-line basis over their useful lives as follows:

Computer software 20%

In the Statement of Financial Activities the amortisation charge is allocated between expenditure on raising funds and charitable activities.

(h) Tangible fixed assets

Tangible fixed assets are included in the financial statements at historical cost, less accumulated depreciation. Depreciation of tangible fixed assets is provided on a straight-line basis, calculated at annual rates estimated to write off each asset over the term of its useful life. The depreciation rates applicable are:

Freehold land nil Freehold buildings 2% Leasehold property period of the lease Motor vehicles, office & computer equipment 10%, 20% and 33 1/3% Assets under construction nil

(i) Stock

Any stocks of goods for resale are felt by the trustees to be insignificant and are only carried at cost if purchased at the year end.

(j) Taxation

The company is registered as a charity and is not liable to corporation tax on its charitable activities.

(k) Value Added Tax

The company is partially exempt for the purposes of VAT.

(l) Pension costs

Retirement benefits are provided to employees by way of various pension schemes as set out in note 10 to the financial statements. Contributions payable to these pension schemes are charged in the Statement of Financial Activities in the period to which they relate. Any differences between the contributions payable in the year and those actually paid are included within creditors in the balance sheet. FRS 102 requires fixed payments amounts to be included on the balance sheet.

(m) Operating leases

Rentals payable under operating leases are charged in the Statement of Financial Activities on a straight-line basis over the term of the lease.

(n) Fund accounting

General funds are unrestricted funds which are available for use at the discretion of the trustees in furtherance of the general objectives of the company and which have not been designated for other purposes.

Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors, funding providers or which have been raised by the company for a particular purpose. The costs of raising and administering such funds are charged against the specific fund.

(o) Debtors

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

27

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Notes to the Financial Statements

(p) Cash at bank and in hand

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

(q) Creditors and provisions

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

(r) Financial instruments

The company only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value except for bank loans which are subsequently measured at amortised cost using the effective interest method.

2. Income from donations & legacies

2024
Unrestricted
Restricted
Total
£
£
£
Donations
790,198
31,739
821,937
Legacies
174,362
-
174,362
964,560
31,739
996,299
. Income from charitable activities
2024
Unrestricted
Restricted
Total
£
£
£
Fees & Grants
84,276
51,173
135,449
84,276
51,173
135,449
2023
Unrestricted
Restricted
Total
£
£
£
679,416
13,000
692,416
453,677
-
453,677
1,133,093
13,000
1,146,093
2023
Unrestricted
Restricted
Total
£
£
£
169,267
53,275
222,542
169,267
53,275
222,542

3. Income from charitable activities

During the prior year Katharine House Hospice received £96,443 from Hospice UK, funded by NHS England, for our support to help manage the impact of the Omicron wave of Covid on NHS services.

4a. Income from retail and other trading activities

Charity shop
income
Total Retail
Lottery
Other fundraising
income
Total other trading
activities
Unrestricted
Restricted
2024 Total
£
£
£
1,024,975
-
1,024,975
1,024,975
-
1,024,975
162,080
-
162,080
238,259
-
238,259

400,339
-
400,339
Unrestricted
Restricted
2023 Total
£
£
£
894,736
-
894,736
894,736
-
894,736
165,038
-
165,038
201,837
-
201,837
366,875
-
366,875

28

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Notes to the Financial Statements

4b. Other income

b. Other income
Insurance Claims
Finance services
Profit on disposal of
fixed assets
2024
Unrestricted
Restricted
Total
£
£
£
700
-
700
9,167
-
9,167
-
-
-
9,867
-
9,867
2023
Unrestricted
Restricted
Total
£
£
£
10,441
-
10,441
-
-
-
14,123
-
14,123
24,564
-
24,564

5. Income from investments

Dividends – Equities
Interest - Fixed
Interest Securities
Interest – Deposits
2024
Unrestricted
Restricted
Total
£
£
£
91,799
-
91,799
-
-
-
29,297
-
29,297
121,096
-
121,096
2023
Unrestricted
Restricted
Total
£
£
£
88,524
-
88,524
759
-
759
20,438
-
20,438
109,721
-
109,721

29

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Notes to the Financial Statements

Represented by:
Unrestricted
Restricted
2024 Total
Unrestricted
Restricted
2023 Total
£
£
£
£
£
£
Raising funds
966,730
46,766
1,013,496
921,946
24,629
946,575
Retail activities
840,219
-
840,219
772,497
-
772,497
Charitable activities
1,482,532
61,331
1,543,863
1,463,779
40,090
1,503,869
3,289,481
108,097
3,397,578
3,158,222
64,719
3,222,941
6. Total expenditure
Retail
----------Raising Funds---------- Charitable
Basis of
Allocation
Charity
shops
Charity
lottery
Fund
Raising
Investment
income
Charitable
activities
2024 Total
2023
Costs directly allocated to
Charitable activities
£
£
£
£
£
£
£
OUH Grant payments
Direct
-
-
-
-
1,400,000
1,400,000
1,400,000
OUH EDI officer

Direct
-
-
-
-
28,016
28,016
17,661
Hospice support costs
Direct
-
-
-
-
22,172
22,172
-
Staff costs
Direct
357,905
-
464,042
-
-
821,947
714,523
Rent & other shop costs
Direct
239,382
-
-
-
-
239,382
220,341
Merchandise costs
Direct
33,752
-
-
-
-
33,752
33,341
Staff training, recruitment &
welfare
Direct
1,079
-
3,251
-
-
4,330
31,079
Staff and patient travel
Direct
4,897
-
132
-
-
5,029
3,154
Waste removal
Direct
21,658
-
-
-
-
21,658
17,366
Lottery prizes & costs
Direct
- 102,321
-
-
-
102,321
89,179
Other fundraising costs
Direct
-
-
119,620
-
-
119,620
135,503
Irrecoverable VAT
Direct
-
-
13,395
-
-
13,395
20,845
Investment manager costs
Direct
-
-
-
15,511
-
15,511
14,002
Depreciation
Direct
8,958
4,451
-
23,879
37,288
35,696
667,631 102,321
604,891
15,511
1,474,0672,864,421
2,732,690
Support costs allocated
to other activities
Hospice communications
Hours
3,898
3,898
70,166
-
38,981
116,943
94,545
Administration staff costs
Income
125,238
19,804
129,637
-
-
274,679
264,703
Admin & office expenses
Income
20,138
3,184
20,846
-
-
44,168
49,536
Utilities, services &
insurance
Income
9,572
1,514
9,908
-
-
20,994
14,202
Repairs and maintenance
Income
5,383
851
5,572
-
-
11,806
1,894
Governance
Income
7,402
1,171
7,662
-
-
16,235
14,458
Irrecoverable VAT
Income
-
-
9,283
-
-
9,283
10,926
Depreciation
Floor
957
721
6,556
-
30,815
39,049
39,987
172,588
31,143
259,630
-
69,796
533,157
490,251
Total expenditure 2024
840,219 133,464
864,521
15,511
1,543,863 3,397,578
3,222,941
Total expenditure 2023
772,497 122,358
810,215
14,002
1,503,869 3,222,941
3,222,941
Retail
----------Raising Funds---------- Charitable
Charity
shops
Charity
lottery
Fund
Raising
Investment
income
Charitable
activities
2024 Total
2023
£
£
£
£
£
£
£
-
-
-
-
1,400,000
1,400,000
1,400,000
-
-
-
-
28,016
28,016
17,661
-
-
-
-
22,172
22,172
-
357,905
-
464,042
-
-
821,947
714,523
239,382
-
-
-
-
239,382
220,341
33,752
-
-
-
-
33,752
33,341
1,079
-
3,251
-
-
4,330
31,079
4,897
-
132
-
-
5,029
3,154
21,658
-
-
-
-
21,658
17,366
- 102,321
-
-
-
102,321
89,179
-
-
119,620
-
-
119,620
135,503
-
-
13,395
-
-
13,395
20,845
-
-
-
15,511
-
15,511
14,002
8,958
4,451
-
23,879
37,288
35,696
Retail
----------Raising Funds---------- Charitable
Charity
shops
Charity
lottery
Fund
Raising
Investment
income
Charitable
activities
2024 Total
2023
£
£
£
£
£
£
£
-
-
-
-
1,400,000
1,400,000
1,400,000
-
-
-
-
28,016
28,016
17,661
-
-
-
-
22,172
22,172
-
357,905
-
464,042
-
-
821,947
714,523
239,382
-
-
-
-
239,382
220,341
33,752
-
-
-
-
33,752
33,341
1,079
-
3,251
-
-
4,330
31,079
4,897
-
132
-
-
5,029
3,154
21,658
-
-
-
-
21,658
17,366
- 102,321
-
-
-
102,321
89,179
-
-
119,620
-
-
119,620
135,503
-
-
13,395
-
-
13,395
20,845
-
-
-
15,511
-
15,511
14,002
8,958
4,451
-
23,879
37,288
35,696
-
-
-
-
-
-
-
-
-
357,905
-
464,042
239,382
-
-
33,752
-
-
1,079
-
3,251
4,897
-
132
21,658
-
-
- 102,321
-
-
-
119,620
-
-
13,395
-
-
-
8,958
4,451
667,631 102,321
604,891
3,898
3,898
70,166
125,238
19,804
129,637
20,138
3,184
20,846
9,572
1,514
9,908
5,383
851
5,572
7,402
1,171
7,662
-
-
9,283
957
721
6,556
15,511
1,474,0672,864,421
2,732,690
-
38,981
116,943
94,545
-
-
274,679
264,703
-
-
44,168
49,536
-
-
20,994
14,202
-
-
11,806
1,894
-
-
16,235
14,458
-
-
9,283
10,926
-
30,815
39,049
39,987
172,588
31,143
259,630
-
69,796
533,157
490,251
840,219 133,464
864,521
15,511
1,543,863 3,397,578
3,222,941
772,497 122,358
810,215
14,002
1,503,869 3,222,941
3,222,941
Unrestricted
Restricted
2023 Total
£
£
£
921,946
24,629
946,575
772,497
-
772,497
1,463,779
40,090
1,503,869
3,158,222
64,719
3,222,941

*Oxford University Hospitals NHS Foundation Trust

30

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Notes to the Financial Statements

7. Expenditure on Charitable activities

. Expenditure on Charitable activities
Basis of
Allocation
Costs directly allocated to
Charitable activities:
OUH Grant payments
Direct
OUH EDI officer
Direct
Hospice support costs
Direct
Depreciation
Direct
Support costs allocated:
Hospice communications
Hours
Depreciation
Floor
Total expenditure
Charitable expenditure by service
OUH Grant payments (all services)
OUH EDI officer (all services)
Hospice support costs (all services)
Hospice communications (all services)
In Patient Unit
Living Well
Community Nurses (CPCT)
Lymphoedema
Bereavement service
Welfare & education
Total expenditure (all Services)
2024
2023
(restated)
£
£
1,400,000
1,400,000
28,016
17,661
22,172
-
23,879
23,878
1,474,067
1,441,539
38,981
31,515
30,815
30,815
1,543,863
1,503,869
2024
2023
£
£
1,400,000
1,400,000
28,016
17,661
22,172
-
38,981
31,515
27,607
27,606
19,383
19,383
3,082
3,082
616
616
616
616
3,390
3,390
1,543,863
1,503,869

With effect from 1 April 2021, all the clinical services previously provided by Katharine House have been carried out by Oxford University Hospitals NHS Foundation Trust to the same high standards of care that were previously provided by Katharine House. Grants have been made to OUH totalling £1,400,000 (2023: £1,400,000) for the purpose of providing funding to facilitate the Trust in carrying out the services.

8. Net income / (expenditure) for the year

This is stated after charging / (crediting):

2024 2023
£ £
Depreciation of fixed assets 76,337 75.670
Amortisation of intangible assets - 13
(Profit) / loss on disposal of fixed assets - (14,123)
Operating lease rentals:
Property 136,729 130,740
Other 8,312 1,972
Auditor's remuneration (excluding VAT):
Audit 10,650 9,600
Other - -

31

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Notes to the Financial Statements

9. Staff costs and numbers

Staff costs were as follows:

2024 2024 2023
£ £
Salaries and wages
Redundancy and termination costs
Social security costs
Pension costs
1,034,693
-
83,136
57,776
919,410
8,000
75,623
50,704
1,175,605 1,053,737

Redundancy and termination payments are accounted for in the period in which the payments were made. During the current financial year such payments amounted to £zero (2023: £8,000 including a £6,834 ex gratia payment which was charged to unrestricted funds).

Staff numbers

The average number of employees, and full time equivalent (FTE) employees, employed by the charity during the year was:

2024 2024 2023 2024
2023
No.
No.
-
-
9
8
2024
2023
No.
No.
-
-
9
8
FTE FTE
Charitable activities - -
6
Support activities 6
Raising funds 28 25 35 32
34 31 44
40

The number of employees whose total employee benefits (excluding employer pension costs) exceeded £60,000, for the reporting period fell within each band of £10,000 as follows:

2024 2023
No. No.
£70,000 - £79,999 1 1

The key management personnel of the Trust comprise the trustees, the chief executive officer, and the senior leadership team. The total employee benefits (including pension contributions and employer's national insurance) of the key management personnel were £302,219 (2023: £292,144).

The charity trustees were neither paid or received any other benefits from employment with the Trust or its subsidiary in the year (2023: £nil). One trustee was reimbursed £156 of expenses for a trustee event during the year (2023: £nil). No charity trustee received payment for professional or other services supplied to the charity (2023: £nil).

The role played by volunteers is disclosed in the trustees’ report (pages 9 & 13)

32

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Notes to the Financial Statements

10. Pension costs

Aviva pension scheme – defined contribution scheme

The current scheme operated by the company is administered by Aviva and is a group personal pension scheme with defined contribution rules. The assets of the pension scheme are held separately from those of the charity in independently administered funds.

The scheme was set up in 2008 with both a flexible contribution rate from the employer and an opportunity for employees to contribute via a salary sacrifice arrangement which the trustees felt fairly reflected a modern pension scheme for its employees. Since May 2014, this scheme has been used as the company’s auto enrolment scheme.

The company’s contributions to the scheme in the current year are based on a contribution rate of up to 13% of pensionable pay (2023: up to 13% of pensionable pay). There is also an option to make contributions to the scheme through a salary sacrifice – the company contribution rate with salary sacrifice is up to 21%, based on a 7% salary sacrifice (2023: up to 21%, based on a 7% salary sacrifice).

The pension costs for the year ending 31 March 2024, as included in the Statement of Financial Activities, amounted to £57,776 (2023: £50,704). The balance owing to the scheme as at 31 March 2024 is £7,989 (2023: £13,961).

Pension costs are allocated to activities based on the job description of each employee. Where an employee is part funded from a restricted fund for a specific project, a proportion of their pension is allocated to that fund. All other pension costs are allocated to unrestricted funds.

11. Fixed assets – Intangible

1. Fixed assets – Intangible
Cost
At 1 April 2023
Additions in year
Disposals in year
At 31 March 2024
Amortisation
At 1 April 2023
Charge for the year
At 31 March 2024
Net book value
At 31 March 2024
At 1 April 2023
Computer
software
£
271
-
-
271
271
-
271
-
-
Total
£
271
-
-
271
271
-
271
-
-

All the above assets are used for charitable purposes.

33

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Notes to the Financial Statements

12. Fixed assets – Tangible

Cost
At 1 April 2023
Additions in year
Disposals in year
At 31 March 2024
Depreciation
At 1 April 2023
Charge for the year
Eliminated on disposal
At 31 March 2024
Net book value:
At 31 March 2024
At 1 April 2023
Freehold
land and
buildings
£
2,831,171
-
-
2,831,171
1,282,644
56,223
-
1,338,867
1,492,304
1,548,527
Leasehold
improvement
£
60,803
8,606
-
69,409
36,216
4,384
-
40,600
28,809
24,587
Fixtures and
fittings
£
144,209
10,063
(20,159)
134,113
71,371
14,580
(20,159)
65,792
68,321
72,838
Motor
vehicles
£
18,420
-
-
18,420
15,834
1,150
-
16,984
1,436
2,586
Total
£
3,054,603
18,669
(20,159)
3,053,113
1,406,065
76,337
(20,159)
1,462,243
1,590,870
1,648,538

Land with a value of £20,000 (2023: £20,000) is included in Freehold land and buildings and is not depreciated. All the above assets are used for charitable purposes.

13. Investments

Fair value at 1 April 2023
Additions
Disposals
Revaluation during the year
Fair value at 31 March 2024
Cash held in investments
Net book value at 31 March 2024
Fair value at 31 March 2023
Cash held in investments
Net book value at 31 March 2023
Fixed
Interest
£
15,000
-
(6,000)
-
9,000
15,000
Listed
equities at
market value
£
3,234,611
393,177
(344,827)
243,602
3,526,563
3,234,611
Charity
total
£
3,249,611
393,177
(350,827)
243,602
3,535,563
41,649
3,577,212
3,249,611
27,048
3,276,659

The historical cost of listed equity investments included above at market value is £3,154,120 (2023: £3,111,770).

34

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Notes to the Financial Statements

14. Subsidiary undertaking

The company owned the whole of the issued ordinary share capital of Katharine’s Cupboard Limited. The company was non trading and was struck off the register of companies on 28 March 2023 and dissolved on 4 April 2023.

Katharine’s Cupboard Limited was registered in England with company number 06297831. The registered office address was East End, Adderbury, Banbury, Oxford, OX17 3NL.

15. Debtors

Trade debtors
Other debtors
Prepayments & accrued income
Legacies receivable
VAT recoverable
Amount owed by group undertaking
2024
£
42,161
2,861
208,247
25,000
3,816
-
282,085
2023
£
91,144
2,840
176,604
20,000
7,185
-
297,773

16. Creditors: Amounts falling due within one year

Trade creditors
Taxation and social security
Other creditors
Accruals
Deferred income (note 17)
2024
£
427,983
20,495
7,989
45,425
55,866
557,758
2023
£
399,735
16,415
13,961
44,772
107,835
582,718

17. Deferred Income

Balance at the beginning of the year
Amount released to income in the year
Amount deferred in the year
Balance at the end of the year
2024
£
107,835
(69,676)
17,707
55,866
2023
£
101,950
(29,993)
35,878
107,835

Lottery and raffle income received in advance is deferred to the date of the prize draw.

18 (a) Analysis of net assets between funds – current year

Intangible assets
Tangible assets
Investments
Net current assets
Net assets at 31 March 2024
*Free reserves
General
unrestricted
£
-
1,590,870
3,577,212

321,537

5,489,619
3,898,749
Designated
lottery fund
-
-
-
8,835

8,835
8,835*
Restricted
funds
£
-
-
-
15,218
15,218
-
Total funds
£
-
1,590,870
3,577,212
345,590
5,513,672
3,907,584

35

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Notes to the Financial Statements

18 (b) Analysis of net assets between funds - prior year

Intangible assets
Tangible assets
Investments
Net current assets
Net assets at 31 March 2023
*Free reserves
General
unrestricted
£
-
1,648,538
3,276,659

176,814

5,102,011
3,453,473
Restricted
funds
£
-
-
-
854,624
854,624
-
Total funds
£
-
1,648,538
3,276,659
1,031,438
5,956,635
3,453,473

19 (a) Movement on funds – current year

As at 1
April 2023
£
Restricted funds:
Hospice staffing
-
Hospice Companion
14,011
Patient Welfare
3,375
Chapel
4,180
Equipment
4,635
Projects
46,497
Grounds and Gardens
1,091
Fundraising
-
EDI
2,339
Sustainability
-
OUH Capital
778,496
Total restricted funds
854,624
Designated & general funds:
Designated lottery fund
-
General funds
5,102,011
Total unrestricted funds
5,102,011
Total funds
5,956,635
Income
£
4,240
-
-
1,000
19,114
-
1,575
16,000
31,000
9,983
-
82,912
50,000
2,555,113
2,605,113
2,688,025
Expenditure
& Losses
£
(2,980)
(14,011)
(657)
(5,095)
(23,249)
(10,772)
(2,011)
(16,000)
(27,816)
(5,506)
-
(108,097)
(41,165)
(3,248,316)
(3,289,481)
(3,397,578)
Transfers
and Gains
£
-
-
-
-
-
(35,725)

-
-
-
-
(778,496)*
(814,221)
-
1,080,811
1,080,811
266,590
As at 31
March 2024
£
1,260
-
2,718
85
500

-
655
-
5,523
4,477

-
15,218
8,835
5,489,619
5,498,454
5,513,672

*A fund held for the Oxford Palliative Care Network was transferred to Helen and Douglas House Children’s Hospice under a TUPE agreement.

** During the year The Buckinghamshire, Oxfordshire and Berkshire West Integrated Care Board (BOB ICB), as the organisation which evolved from the Oxfordshire Clinical Commissioning Group (CCG), released any restriction on grants awarded to Katharine House Hospice Trust by the Oxfordshire CCG in March 2021 and March 2022.

36

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Notes to the Financial Statements

19 (b) Movement on funds – prior year

Restricted funds:
Hospice Staffing
Hospice Companion
Patient Welfare
Chapel
Equipment
Projects
Grounds and Gardens
Fundraising
EPiC Information Hub
EDI
Sustainability
OUH Capital
Total restricted funds
Unrestricted funds:
General funds
Total funds
As at 1
April 2022
£
-
14,011
-
622
11,714
45,984
2,241
-
-
-
-
778,496
853,068
5,754,424
6,607,492
Income
£
5,100
-
3,375
4,000
500
14,000
-
15,900
3,400
20,000
-
-
66,275
2,698,256
2,764,531
Expenditure
& Losses
£
(5,100)
-
-
(442)
(7,579)
(13,487)
(1,150)
(15,900)
(3,400)
(17,661)
-
-
(64,719)
(3,158,222)
(3,222,941)
Transfers
and Gains
£
-
-
-
-
-
-
-
-
-
-
-
-
-
(192,447)
(192,447)
As at 31
March 2023
£
-
14,011
3,375
4,180
4,635
46,497
1,091
-
-
2,339
-
778,496
854,624
5,102,011
5,956,635

Fund descriptions and policy

A summary of the risk-based reserves policy is provided in the Trustees’ report. Overall, the charity needs to retain £3.0m (2023: £3.4m) of free reserves to satisfy the full on-going reserves requirement. This will enable Katharine House Hospice Trust to manage short term losses of statutory or fundraising income and provide sufficient time to plan any changes required to future service delivery.

Restricted Funds:

Hospice Staffing Fund – This fund represents donations received with the specific request that they be used to defray the cost of hospice staffing.

Hospice Companion Fund – This fund represents donations received with the specific request that they be used to defray the cost of the hospice companion service.

Patient Welfare Fund – This fund represents donations received with the specific request that they be used to defray the cost of projects that enhance patient wellbeing and welfare. This includes Art Room supplies, massage and therapy supplies, musical instruments, games, and stories for life.

Chapel Fund – This fund represents donations received with the specific request that they be used to defray the cost of running of our chapel.

Equipment Fund – This fund represents donations received with the specific request that they be used to purchase new equipment.

Projects – This fund represents donations received with the specific request that they be used for projects.

Grounds & Gardens Fund - This fund represents donations received with the specific request that they be used to defray the cost of the upkeep of our grounds and gardens, which help create an atmosphere of peace and tranquillity at the hospice for all those who come to us.

37

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Notes to the Financial Statements

Fundraising Fund - This fund represents donations received with the specific request that they be used to defray the cost of running fundraising events.

EPiC Information Hub Fund - This fund represents donations received with the specific request that they be used to defray the cost of creating the End-of-life and Palliative Care (EPiC) Resource Centre online.

EDI Fund - This fund represents donations received with the specific request that they be used to defray the cost of managing the project “Inclusion Matters”: Creating a culture of equality, diversity, and inclusion at Katharine House Hospice and Sobell House.

Oxford University Hospital Fund – This fund represents income received from Oxford University Hospitals NHS Foundation Trust to cover future capital works and transition expenses.

Designated and Unrestricted Funds:

Designated lottery development fund – In order to safeguard stakes, The Gambling Commission stipulates that all lottery development is funded from reserves. Therefore, the trustees have designated a fund for us to partner with a face-to-face charity fundraising company to canvass for new lottery players. In addition, the lottery is operated from separate bank accounts, and enough money is retained in the lottery bank to cover 110% of any advanced stakes and all outstanding prizes (subject to the terms of the lottery).

General Fund - This fund recognises the need to protect hospice services in the light of the challenges faced by all within the hospice sector of maintaining and building both statutory and fundraising income, and the high level of costs incurred. This fund will continue to be treated as unrestricted funding, in line with the wider charity sector.

20. Operating lease commitments payable as a lessee

The charity’s total future minimum lease payments under non-cancellable operating leases was as follows:

Less than one year
One to five years
Over five years
2024
£
143,959
236,783
-
380,742
2023
£
116,620
316,467
-
433,087

21. Commitments including grant commitments

As at 31 March 2024, the charity had no capital commitments (2023: £nil).

On 31 March 2021 Katharine House Hospice Trust (KHH) entered into an agreement with Oxford University Hospitals NHS Trust (OUH) to transfer the provision of hospice and palliative care services to OUH. KHH agreed to provide a grant to OUH of £1.4m each year until 31 March 2024, funded from ongoing fundraising activities and reserves. A memorandum of understanding is in place for a new agreement with OUH for a further 3-years on terms more beneficial to the hospice.

22. Contingent liabilities

Contingent liabilities

As at 31 March 2024 the charity had £50k of estimated contingent liabilities (2023: £nil).

38

Katharine House Hospice Trust Annual Report and Financial Statements for the year ending 31 March 2024 Notes to the Financial Statements

There has been some movement in the structure of the hospice building that we have worked to stabilise. While structural engineers' opinions advise it is not a serious problem it is difficult to plan for any remedial work, or to estimate the financial effect of any work that may be required. Any expense will be met from reserves.

The charity also has 8 tenant repairing leases within our retail operations. There are only minimal current dilapidations, but there is a contingent liability for future dilapidations. Considering the expected condition of each property at return, (and using rent as a proxy for the size and initial condition) the contingent dilapidations liability is estimated to be in the region of £50k.

23. Related party transactions

One trustee was reimbursed £156 of expenses for a trustee event during the year (2023: £nil). There were no other related party transaction.

24. Taxation

The charity is exempt from corporation tax as all its income is charitable and applied for charitable purposes.

39

01295 811866

Katharine House Hospice, Aynho Road, Adderbury, OX17 3NL

www.khh.org.uk