Company numb•r. 2184005 Charlty number. 298164 •• of Kent Hospice THE HEART OF KENT HOSPICE (A COMPANY LIMrrED BY GUARAKfEE) TRUSTEES. REPORT AND CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024
THE HEART OF KENT HOSPICE (A Company Ilmltod by guarnnto81 CONTENTS FOR THE YEAR ENDEO 3t AIARCH 2024 Reference and administratlve dotsils Truste8s' reFK)rt Ind#lent audltors. rgPQrt 18 Con801hJated ststernent of finanL?al activitie$ ConsolwJ8tsd and charlty balanc8 Sheets 23 Consol*J8ted statsment of ¢ash 24 es lo the financlal ststements
THE HEART OF KEMT HOSPICE (A Company Ilmltod by guarnnt••l REFERENCE AND ADMINISTRATIVE INFORMATK)N FOR THE YEAR EIIDED 31 MARCH 2024 Patron Geraldine Allinson OBE Trust•es Ms A MllThngton (Chalr) Mrs S G St C Cooper Mrs S J Hay85 {appoint8d 13 November 2023) Mrs E M Howe OBE {reslgned 13 November 2023) Mr G Hunter (Deputy Ch8ir} {rgsigned 13 November 2023) Dr N Jegard Mrs D J Jones lappolntsd 13 November 2023) Mr K A Kassam-Touflc Mr M J Kirby (appointed 13 Novnbor 20231 M1s5 S Pa Ms R Panls Ms E Prlce MrHT8Smith Mr S Thompson MsLVui MsEJBWhite Company r•glst•r•d numbor 2184005 Ch•rlty r•g18t•r•d numb•r 298164 R•gl8t•r•d offlc• The Heart of Kent Hospice Preston Hall Aylesford Kent ME20 7PU Chl•f Ex•cut5v• Offlc•r Ms R Streèt S•Dlor manarnant T••m Mrs K Harrison, Patient Sorvlces Director Dr G Parker MBBS (Land) FRCP, Lead MedScal Consultant MS A Kelly, Incom8 G8n•ralion Dlrector Mrs K Dackomb8. Flnance Dlrector Ind•pond•nt Audltorn Undeyer Franus Forguson LThit8d North House, 198 High Street Tonbridge Kent TN918E PrfnclpAI Bankèrs Barclays Bank p Fremlln Walk Maidstone ME14 1QG Inv••tm•nt Advl$•r• Newton Investment Management BNY Mellon Centre 160 Queen Vlthrla Streat London EC4V 4LA
THE HEART OF KENT Hospice (A comp•ny Ilmlted by gu•rnntet) REFERENCE AND ADMINISTRATIVE INFORMATION FOR ThIE YEAR ENDED 31 MARCH 2024 Soll¢ltors Cripps LLP Numb8r22 Mount Ephralm Tunbridge Wolls Kent TN4 8AS
THE HEART OF KENT HOSPICE (A company limitad by guarnnt••) TRUSTEES, REPORT FOR THE YEAR ENDED 31 AIARCH 2024 The Trust998 pr08ent their annual report togatherwrlh th8 audited finan¢ial statements of the group and the company for tr.e year to 31 March 2024. The Trustees confirm that thè annual r•port and financial statements of the MpanY comply with thg current statutory requirements. th8 r8quirements of the mpanY$ govgming doujmenl arbd the provlslons of the Statement of Recc¥nmend8d Practice (SORP), applicable to chadlles prgparing their 8c¢xunts in accordance with the Flnancial Reporting Stsndard appllc•ble in the UK and Republic of Ireland (FRS 102) {effeclNe 1 January 2019). STrUCTURE, GOVERNANCE AND IAANAGeMENT Heart of Kent Hospke is a charity. number 298164 and a company Ilmltod by gu8fdnteo. number 2184005,. its Memorandum and Articles ofAssoL¥ation constttute th6 goveming documonts. prlnclpal areas of tharftable activlty are the wovlsk)n of sp8ciallst palliative care $8rvicos in the heart of Kent area. including the boroughs of Maldstone and Tonbridge and Malling. These semces include an Inpatient Unlt, Outpatient Se[C9s. support thorapies. a Hospice Hub programme. communlty Services. demantia sèrvices, counselling, education and tralnlng, and Stual care. Th• gov•mlng docum•nt Tho Hosplce is a ¢ompany Ilmrted by guarantee and does not have share caprtal. The con8tilution of the Hospice Is set out Sn the Articles of Assoaalion which were18St reviewed and r8vl8ed In May 2021. Th• gOV•man strucr0 Ourlng thls flnandal year the Board of Tnjstees had four maln sub commths which met quartgrfy.. Clini1 Govemanca Commtttea. Financa and Income Generallon Commlttee, Govemancè, Risk and Remunwalion Commrltse and a Nomlnatlons and Trustoe D8velopmgnt Commltt88. Meetlrys are held both in person and el8ctronically as required. The Board of Trustaes is responsible and accountable for the govemance of the Hospice" it tnet six tlmes In the year. The Chief ExecutN8 18 responsible forthe day-tdaY management of Hospice. Charlty gov•rn• ¢od• The Board has full and carefijl regard to the Charity Govemanc8 C¢>de and u88S th8 ccth as its prfndpal benchmark. The Board is ¢ommitted to continuous improvement and development. Ro¢rulknant and appolntment of now Two1000 One of the roth of the Govemanco, Rlsk and Renumoralbn C¢)Mmtea 13 lo r8cnJtt, Induct and traln Trusta6s and thls 18 del8gat8d to th8 Nominatrons and Trustse Developmgnt Commltt68. Tha Board actwgty promotes diversty and seeks Trustees from a range of backgrounds. Adv9rtisoments for new Tnjstees ar8 publishod on rel8vant websites. on the Hospice's website. through Pxal neorkS and in the Hospice newsletter Sf appropdate. Only Members of the Hosp1 who are 818ded by the Board of Trustees c8n be nominated as Trustees by th¢ Gov6man¢e. Rlsk and RernUneratiQ Committee. The Trustees are elacted for a term of three yaars, r8nowable for a further three years. The Chair 18 appok)ted for a fNe-year tem). Pollchs and pro¢•durn8 for the Indu¢llon and tralnlng ol Truste8• Tho Hosplca UK d)uJment entiued 'lnduction of Naw Tru$ltss' as well as the Charlty Trustee welo?me pack publlshed by the Charity Commission are used as models for Trustee induction and tr8SnSng. All Trustses recelve a thorough induction and seek to ensu through tho govgrTrance slruclure that Ihe Board compliès wlth b•8t praclc• rèquiramarrts.
THE HEART OF KENT HOSPICE (A wmpany Ilmlt•d by guarant•e) TRUSTEES. REPORT FOR THE YEAR ENDED 31 MARCH 2024 Twsts• ¢od• of conduct Tho Board adharas to the Hosplce's Code of Conduct for colgueS and volunteers. The Board tak Its leadershlp role in upholdlng the values of the Hosplc8 very serfousty. The Board has adopted the Hospice's cultsjrg framework and conducts itseff In Ilne th the Hosplcg'5 behavioural 8tand8nls. The wld•r n•tworf( Tho FJsplc& Is a membgr of Hosplcg UK. Tha Chair ctrf ExgcA5tÈve attend Hospk8 UK meetings wlth other Chalrs and Chief Exècutlves in thg South-East Reglon and the Chlef Ex8(yJtfve nets¥ork8 tjoth looally and naonalty. The management toam ha5 well developed nthork Ilnks with a wlde rdngo of 8xt8mal Organisations localty and nationalty- Rlsk m•n•gemont A risk management framework is agr8•d annually by the Board. Thls Include8 8 RL8k Register wh has developad to id#ntlfy rfsks, mitl9ations, and conllngency actlons. Thls Rlsk Reglstor is review8d and updated monthty by the EXeve Team. Risks are re9wed quarterly by tho r818vant Tnjstee Sub Commfft88 and key straleglc rfsks are revlewed quarterly by the Board ofTru$te8s. On an annual basls. the Board rgviews tha enllre risk register. agrees a rssk threshohj and prepar88 a risk appotite stat6m8nt. It Is r8cogni$èd that this syst8m can onty provlde reas(Thble (not ab801ute) reassurance that major IL8ks are Ing ad8quat8iy managed. This year, th8 maln potentlal rlsks have InlhJ8nced by w¥ga IncTea8e pres¥uros and the cogt4)f- vlng crfsls in th8 UK. The main rlsks mOn[t0d are those that co leJ to: Financial sustainabllty being compromlsed. Pallent exp9ri8nce dimlnlshlng; and Strateglc goals not being achieved Colleague8 and Trustees have worked dosely togethw In the year to mitigat& these risks. FinarKial risks are mibgated by regularty revi¢wlng our financlal position thmugh management ac£ounts. Cash fkn¥ rlIe11.g. rgforecasting, and setting bng term financial plans. Mairttalnlng levels of pat1 8xp8rf8nce is a prlorfty and the feedback we rec8lvo demonstrat68 thal we are able to achigve high lev818 of pallent Balisfactlon. Tho Hospl¢e uses the Outwme Assessmgnt and Complexlty Co118boratfv8 IOACCI tools to a$$88s patient Outm9. 8trdteglc goals are set annualty. and progres8 18 monitored at &xecthve aTrJ Board meetings. OBJecTNES AND AcnvmES The Hospice's Oblts. a8 set in the Articth of Association. aro the relief oflhe needs ofthosa who aro suff8ng from a chronic or teTmlnal Illness, d15abthty. or dlsease ané in particular, but Th)t so as to Ilmit the generallty of the foregolng, by.. al the provlsion of an Inpatient Unlt. Oulpati¢nt centre, communty servlce and bereavement servi¢e In the Kerrt and Medway arga for such persons and their relatives and carers; b} to conduc& promot8 or enwurage research Into the we and Ireaknent of paugnts with progr&s8ive lif&thr8atenlng diseases and to putll8h the b8noficial rosults of any rese?h undertakan by tha Charty,
THE HEART OF KENT HOSPICE (A company limit•d by gu•ronts•) TrUSTEES' REPORT FOR THE YEAR ENDED 31 AIARCH 2024 c) to promote the pdrKaples and practice of palliative caro throughout the WKlgr MMUnty by a8slsting In MU profasslonal trolnlng and education; d}to provido and facilttat8 the provision of physlcal. sodal. and psychological care and spiritual help for patients, relatives orcareryJ under the car8 of the Charlty and for the colla898$ and volunteer3 working with them. Our vlslon Our wsron i¥ that everyon8 Ilving th a 1grmln81 Illness in our communty wlll achlevo the best quality of lff•. We seek to achieve this by enabllng peoplo wllh a termlnal illn8ss In our communty to live In comfort, wlth Independence and dlgnity to thg end of their lives. and to support those ¢h)sest to them. Our value8 and cultur• framev Our culture, values and behavlours guida our declsion rnang and how wè conduct oursefves in our work. They ensure all pati8nls. arKI Ihelr famillos rooeive tha very best care dsy in and day (Art. Our values ar8 Comp8ssion. Integrity, Respact and Teamwork. The H08plce has a culture framowork véhl¢h celebrates ourvalues and help8 coifèagu8s and volunteers putthesa valu8$ Into action. The culture framgwor1( Includes four core haVioUrs., I care. l own, I leam. and l improve. with ass(Klated behavlour81 standard8 whlth Nn through how we recru( d8velop, and retsin Qui tsam. Dlvernty and Incluslon Th8 Hosplce Is commtited to belng an equal opportunities empkny8r. This moans that d8clslons concemlng all aspects of employment will be based on the needs of the organisation and not any assumptions based on sex, race, age, disablléty. 9ender reasslgnment, sexual orientation, marri8d or civil partnership status. pregnan¢y or matemity. rel10n. or belief. All lleagUeS are required to abide by equality, dlversty, and inclusion rKinciple$ as set out In our polkies and cDde of condud. Th8 Hosplce 18 commltted to prowding skilled and compassionate cara in a supporUve environment bawj on mutual respgrt and trust. whkh recognises and values th8 difference of every indlvldual. be they patient cargr. colleagu8 volunteer or vlsilor. The Chlef Executivg is th8 oxecutN8 Sponsor of th work and 1$ supported by wlleagues in thg Belonging Wcyklng Group. trIng the year, lh& Hospice has been accrgdttod as wcrfking towards belng a Dementia Friendly Empbyer. a Disabilty Confident Committed Employ8r and has Signgd up to th& Charter for EM0Yers Commltted to Mental Heafth. Two colleagues are tralned and appolnted as the Hosplce'8 Freedom to Speak up Guardlans and they support colleagues to speak up rfthey fe81 that th6y are unable to do so through other routes. Our 8trat•glc prloriti•s In the finandal year, we were conduding our work against th8 Charity's fvo strategic priorities for the P8ri0d from 1 AprTI 2021 10 31 March 2024.. 1. Local re. We wlll establSsh a model of local Hosplc8 supwt twgholrt our communmes. 2. Fl8xlbl•¥ p0rsonnIr•d carn: We will develop our seNces so that they can mget a wde range of patient and farn1 needs.
THE HEART OF KENT HOSPICE (A mpany Ilmltod by guarnnt••l TRUSTEES, REPORT R)R THE E14DED 3f MARCH 2024 3. S¢1•119t car•: We wll wovlde speclolissd caro to every patient and maintain our iepulation as a centre of excell8nce. 4. Sklll•d, Gompasslonatg ¢ar•: W8 11 be the organ18atlon of tholce lor coll8agu88 and voJnteers. 5. Caro f¢r our ¢au¥e: We enable our local MMunity to rtyard the Hosplce as the hxal ¢aus& to support. During the ygar colléagues from 0$$ the Hospice collaboratsd to develop our next threevy8ar strotsgy whlch was approved by the Board of Trustees and officlally lached kn )rll 2024. Our 2024-2027 strategy will focus on four priority areas.. 1. Socurfng In¢om• and futyr• SUC$$ Heart of Kgnt Hosplc8 can only conttnu8 to provlde outstandlng palllativg and end-of4ife care and help n mor8 people 11 we have the fvnds to do 11. We nggd tg grow our Incomo and $eeure plans to relocate to a newty buitt Hospice. l Ext•nding tho rM¢h of our sp•¢ialist palllatlvo and ond4rf-IK• caro Agalnst a backdrop of Increaslng dgmand for our servlces. we need to Id8nlify h¢)w we can reach moro people. We wll revlew our m¢yJ8ls of care and seek to flnd way$ to ensure we are th8re for everyone who ngeds our support. 3. Supportlng our colhaguo• and vonte•r8 lo a¢hhvo and thr Our Hospice makes a real difference to local peopk because w8 have finedIble teams of coleague8 and voluntegrs. Ensuring that our Golleagues and volunte6rs can thrive at WOTk is a crlbcal priorty for ow fvturp success. Ewndlng our r•putatlon and rKognltlon a• an outstandlng organlsatl¢)n Qualty and excellence are at the he8rt of everything we do. and ow tstandIng raputallon lies at I oore of achi8Mng our strategic plan. More Informallon can b9 found aL' lour-vlsl
THE HEART OF KENT HOSPICE {A MP•nY Ilmlt•d by guarants8} TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2024 Pationt •orvlc•¥ providod Heart of Kant H05pl¢x Is a 8P8clallst palliativg car8 and 8nd of Iwe carg provlder, whlch offer8 8UPPQrt to patients vrilh lermlnal Iln8888s knL4uding those wth demerrtia. tt has b8ds for up to t6n inpatlents 8nd an outpatient Fl.ospice Hub for all patients and carers to access. The Hospice curranoy cares for over 1,Th)O patlents and thgir carers at any one timo In tha communlty. The knpke ha¥ embedded the usa of outcome measure5 throughoul all cllnlcal areas uslng lh8 Outcome Assessment Complety CollaboratN& (OACCI national toolknt. This enabl8sthe cllnical teams to undarstand batter the paljent and carar needs and measura indivtdual and sorytce ¢JJtcomes for patients. Thg tools used as part of the OACC sutte 8nables support and care lo te delfvorod "al the right time. in the right place by Ihe right P8r80n.' Tf* Plospice off8rs a range of senA¢es whlch include.. Inpathnt sorvk08 The Inpatlgnt Unit has ten single 8n8ulta bedrooms and provkles 24 hour. sèv6n day a week ¢aro. for patlents. al year round. Palents are boked after In th8 Inpatient UnSt for a vartety of reasons Including: Short temi assessment and management of patients wfth complax andlor UnStsb nèeds, be they physlcal. p$y¢hological, soclal or spiritual Rehabilitation a)d adaptation to changes In fijnction assodated wlth dlsease progrèsslon andlor treatsTrent ca wi last days of life Care after death Communlty Ba8od S•rvI8 The Hospico provldes speclali8t palllative carg advice and support for patients, carers. and healthcare profes81onals In tho communty. These t9ams have an in4apth speryalist knothlge of the asse8smenl and managgmantof physical, psycholcglcal, emotional. soclal, and 8plritLl n88ds lo reduce syynptoms, sufferfng and dl8tress. including wmplex symptom mana98menl. The teams are also able to support In analysing complex clinlcal deslon9 where medical and personal interests are finety balanced by apP.ng relovant ethi(zl 8nd legal roasoning alongside dinical a580ssmant. They also provide multldisciplinary speclallsl 8dvlce. support, 8ducatfon. and training to th& wid8r care t8am who is providing direct corejgvel pall11¥8 cara to the r$On. Th888 teams Include: Ho8plco Cofflmunlty Toam Th9 Hospicfy Ctjnmunity Team provid hlgh qualty. sevén day a week. Speclalist palliatlve Care a• for thosg palionts with a progresswe lrfe limibng illness who are belng car8d for at home and to offer support to their famity, carers, and fri•nd$. The team has a skill mix of Palliatlve Care Consumants. Doctors In trainlng placéments, Nurses, Paramedics and Hèaithcare Kssistants, all conlrlbute to paents and carers belrvJ seen al the rlght tlm8, In the rlght piaGe by Ihe right person. y prode.. Cllnlcal assessment and onwlng support to moxlml3e symptom wntrol Twlce weakty drop4n s&ssions via Ihe Hosplce Hub dropln servlces, oul)atient appolntrnents, home telephone, or vldeo a88e8sments Advance care pnnIng aThJ support for pallents th thelr preferences and wishes Ad¥Ace and supyortfor external healthcare prof8S8lonals
THE HEART OF KeNT HOSPICE (A compaDy Ilmltod by guarnnt••l TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2024 Hospke D¢m•ntl• T•am Tho Hospi¢9 D¢mentla Team takès referrals for dementta patlents earty on in th8lr Illness to enabla advance car8 planning and offerlng Support and education to patlents and carers. The Head of th8 Domenlia Team is sUPPOrtgd by an experi6nced Cllnlcal Nurse Speualls( Staff Nurse. and iwo Healthcare A8818tants. aThJ they all support palionts and carers In thoir ¢)wn homes or wi care homas. Thay provide: A morthly Dntia Café held in Magnolia Place Hospice Hub The Maklng Memori83@ programme, wlM¢h is a weekly, six-tak dementla w(varamme ft)r patients and their carers A carer sUPPOrt group providing rKeereav8ment #nd post-bereavement supportfc carers 24hour Dem8nlra Helpline Forynal and informal training for carers and hgdthcare professKJnal$ Th• Cwo Homo T•am Funding from th8 Kenl 8nd Madway Integralgd Car8 Board IICB) for the provlsk)n of a Proactivg palllalv8 and gnd of Irfa care t8am to support r8sldents in Care Homes, ceased abrupty In June 2023. The Communlty Teams conlinueto supwrt pati?nts in Care Hom•s and thelrfamllles, on a referral and a$ needed ba518. F•mlty Support T•am Th8 Famlty Supwrt Team provid88 counsalling, soc•al work for chiklren, young peopl8 and famil. welfare advic8 and spldtual support, léd by our Spiritual Lead. vlth volunt8er support. to palents and thgir loved on85 Wfthin th8 Hosplce Hub and Inpallent Unit. Thls support Is offered Pffjwbereavament to tho PaentS andlor their loved on88, at the tlmg of the death and Into bargavement. Wng in close liaison wlth the prfmary heath care team, thg Famity Suppcfft Team provides: Pre apd post bereavomént coUrlI5ng Family and chiklr8n support Welfare support Splrhual Care Compassiate N6lghbour8 The Plospice Hub programme is held in Magnolla Placo Mthln the HOSPI and as follows: Monday and Thursday: Ekcpwin sessions wlth no referral required for patlents. their loved ones aTrJ carer5. Thi5 hub model provides a OnlOPhoP to access support symptom and paln control. advanced care planning, social 8UPPOrt, spirttual. emotlonal. and w8ifafe 811PPOrt. Tuesday.. The Dementia team run the Making M8mories@ programme. Wednesday.. Bereavement dropin group, SUPPOTting famllies and loved on88 to process grf and bereavement in a social setting. Individual bereav6ment counselling is also available. Friday: Twlce a month. In partnership with the Motor Neurone Disease Associallon IMNDA). a drO]n group is njn for pattants with Molor Neurone Disease. Saturday: Once a month 8 Damentla Café Is run in Ihe Hospicè. for peoplg With Demgntia. arKI their car8rs and loved ones, to attand. Saturday.. Onc8 a month e Ylme for You. f8mlty sesslon Is Nn in the Hospice Hub", these are drop-in, no appointmont ne¢888ary sessions providing anCiPatOry grief support for children and famili#s.
THE HEART OF KENT HOSPICE (A company Ilmlt•d by guarant•o} TRUSTEES. REPORT FOR THE YEAR ENDED 31 MARCH 2024 Th•rapl•s O(%upalional th8rapy and physiotherapy can offared to Hosprce patlents on the Inpati6nt Un5t and through the Hospli% Hub as requlre(l. Educatlon and d•v8lopm•nl The Education T8am provlde internal and extemal clinical training Indudlng, clinilxl statutory aThJ mandatory training $88s)n¥ where the Educats'on Team supports coif8ague$ to achi8Vg the dlnlGal compet6nde8 as raquireil. The Edu¢ation Team also provtde trainlng on all aspects of palllatlve ané endf-lIfe care includlng provldlng multidisapllnary specialist advlce, support. educatlon. and Irainlng to the nuf8ing homes and other healthcare profes5ional8 who are providing dirèct core lev81 palliafve care lo Ihe petson. They are part of the Kent and Medway Collaboratwg for tralning and education and provlde Kent County Councal funded tralnir#J for care me8. Th8 Heart of Kent Hospice faclilales the Europ8an Cerbficats In Essenlial Palliatw8 Care IECEPCI whith Is a distance l•aming course almod al h8lplng profasslonals consdldate and devak)p thr palllalve care conlkjence and oxpgrtlse. Tho course L8 al80 dgslgned to me•t th8 needs ot heaithrxre professiona15 new to specjalist palllative care seprflce8 who ysh to 881ablbh a strong foundation of knowfed98 on whh to build specialist knowledge and skllL8. The Education Toam also support the Head of Inpatient Unitto ensu the Standards requlred lo delNer outstanding carg on the Inpatient Unlt arg met. The Practice Developmènt Nurse works wtth nurs88 on Iheir induction. precaptorship and rgtum to practice, as well as siud$nt nurnes arKI the inpatient unit team to complete their practical and tror&*'ral compelenci0$. Tha Hosplca worf(ed wlth the Integialed Care Board (ICB} and Acut8Trusts to support Winter Pressur95 in 2023124 by collaboratlng in a numbèr of projects: British Red Cross Paliative Care Ambulance transfers from horne 01 hospltal to the Hospice. Admitting A(xJte trust patlents to Iwo de51gnaled beds on IPU to faaltste hospital discharge. Jolnlng the Maidstone and Tunbrfdg8 Wells NHS Trust (MTVV) tel&tracking system for capadty and bed managemont. Earty Id8ntMcatiDn at th8 end of lffg wdect. Out of Hour5 crL8ls hub t81ophDn6 $UPPOrt scheme. Supportlng we8Y Lal Heatth Economy s000n response calls.
THE HEART OF KENT HOSPICE IA wnpany Ilmltod by guar•nt••) TRUSTEES, REPORT FOR THE YEAR ENDED 31 AVIRCH 2024 STrATEGIC REPORT ACHIEVEMENTS AND PERFORMANCE Quallty A•¥uranc• Following a in3pectlon by the Care Quallty Commission (CQCI in Fobru8ry 2017, the Hospice achièved an overall rating of OLrtstsnding. gaining Outstanding In Caring and Responswe domalns and Good in Safe, Eff9dive and Well-Led. Monthly CQC monitoring started during the pandemic and is o)ntinuing as their model of inspection on need and risks Identsfied. We parfjclpalgd in a Dirèct Monitodng Ass8ssment th th8 cac in January 2023 and tha IrwoGtor found no reason. atthat time. forfurthar regulated acttvtty or inspection. The new CQC New Slnglwssessm8nt Framework was introdLKed in late 2023. Palienucarer feedback is a vital part of leamSng and imwovoment for HospirA, this 18 gath8r811 vla: Website feedback form. Imiofve w815b8lng 8urv8ys. Palienl and Carer engagement group $urvay8 linked to coc"r 8tai8ments. Feedback from Medical &xamSner ref8rraLs. General Hosplce 8nqulrles email. DiroL pallent fegdback from patientslc8rers at Board. Pnt seThices report quÈrterly to the CNni¢o1 Governance Commlttee. clknlc41 manag8ment and medi¢lne8 manag8mgnt meetlngs takg Pla coverfng lopi(3 such as safeguarding, audlt. affimiatlons, adversa comments, complaints, and Incldents. An Audit and Research Group meots every eight week8 to rgview and monrtor the re clnical audits and to ènsure the knplemontation of any adions or leaming from audit findings. It abo encourages each dlniGal team to undertake ot least two sorvice specific aud118 per yoar. Monthly spot theGks ar¢ carried out across dinlcal area8 to ensure qu811ty and stsndards are malntained. The Fk)splcé Sutffitts quart8dy dats to Hospice UK'S patlènt safety benthm8rklng programme. The data submitted and bgn¢hmart(ed includos data. patient falls. pr888ure ukers and madldne errors and we arg behMarked as a small hospice (10 beds). HosrAce UK b8nthmarking outcom68 are shared at Clinical Govemance Commthe. The Hospice has e8tsbli8hed a developmont framewort to support colleagues, peT¥onal career development. Members of the senior nursing téam8 are supported lo untl8rtak8 Non-M8dical Prescdblng and Advanced Assassmènt Skllls training. W8 are also supporting two Healthcare AssIstts to complètè Nurse Associate Tralnlng, whlch Is a rouie Into becomlrvj a qualified Tegistered nurse. In the Monckton Educatlon Centrg. we delNer the Hospice's extem81 and internal pr0grarrfft of hpJ quality palli8lfve an(J endwof-life care training cours88. Bespoke tralning is carried out in nurslng and care homes bythe EducationTeam: thistraining ¢an b6 Sukwrted by'oxp8rience days" on the Inpationl Unit. Senlor Clinidans attend the Kent and maaY ICB End of Lrfg Group m&ètlngs monthty to work In Ilaboration w6th ¢)thgr ag8nctes to formulate and implement a Kent and Medway ICB End of Lrfe 8trategy. 10
THE HEART OF KEKf HOSPICE (A mpanY Ilmlt•d by gu•rantee) TRUSTEES. REPORT FOR THE YEAR ENDED 31 AIARCH 2024 The Patlent SeTvices Director and Head of Hospice Dgmentia Team attènd all ralovant 8a(knr groups Indudlng a Domenlta Straleglc Implem8ntallon Group, a Cancer Improvement Group, plus Frailty and Ageing Well Stratsgy meeUngs. Coll8aguos from Clnical sorvices presented postgrs at H05F4c8 UK Conference In November 2023 arKI delN8red a verbal pres8ntallon on improvements to our ¢omeal donauon process at the Palliatlve Care Congress in March 2024. K•y Porfornianco Indlcatorn (KPl*) The Hosp1 uses sevèral KPl$ and dashboards to monitor outputs achl8v&d by actMtle8. The Cllnical Dashboard is produced monthly and consists of nne key Metri induding. caseload, number of referraLs, bed octupancy and IPU knv. and complaints. Inpatlent Unlt During the year to 31 March 2024 a total number of 3,238 bed days (2023: 3,238) ware availablg. Wthln th• period of th• financial y•ar there were 237 inpatient slays {2023.' 2041. of which 232 {2023.. 1991 were first admissions and 5 (2023: 51 were repoat admisslons. The averag& length of an Inpatient stay was 8 day512023= 10}. Hosplce Communlty Servl Tha Mu$killed Hospice Communty Sgrvices t8am8 hav8 officientty mel the demand of a busy and growlng casoload. Th• averag• caseload durlng the ye8rwa5 999 patients {2023: 925). with the overall CaSek Increaslng by 6%12023.' 20% Incraase) y8ar on year. Durfng the year ended 31 March 2024. the total numbarofpatlents cared for bythe Hosplce Community Services teams was 2.089. (2023.. 1.973) of which the total referrals was 1,177 (2023: 1,034). The breakdown of the total number of rof8rrals is 75912023: 7771 for thg Hosptco Community Team,192 {2023.' 227) for the Hospico Demontia Team and 22612023: 301 for the Care Home team. Our Hosplce Communty Tgam conduded 1.458 {2023'. 1,213) hom8 SIts, oulpatient appointments, t818phone and VId ass0$5ments and made a lotsl of 18.938 (2023.. 18,9761 telephone calls. Our Hosplce Dementla Team conducted 295 {2023.. 338) h¢)mg vlslts, lelephone. and video assessments and made a It)tal of 3.401 (2023.. 4.3061 telephon& calls. The Care Home Team conductod 416 (2023.. 1721 homg visits, outpatient app0intrrnts, telephone and de0 asse8smgnts and mado a total of 1,952 (2023.. 595) telephone calLs. Ourlng the yeor 738 pallents dl9(1 (2023.. 709). Famlly Support Tmm During the y8ar, th8 number of ber8av8ment counselling referrals was 301 {2023: 2761 and weare referrals were 24712023: 222). The number of Hospice Hub attendanS in the yaar were 3.246 {2023.. 2,5111 and th6 number of patlent and famly outpatierrt contacts for counselling and sodal work was 81112023: 1,012). 11
THE HEART OF KENT HOSPICE IA company Ilmltvd by guarantsèl TRUSTEES, REPORT FOR THE YEAR ENDED 31 AIARCH 2024 Infonnatlon Tochnology The Head of Information arKI Quallty Assurancè Is resp¢)nslble lor thg management of the rango of Hosplce databases and works closety wlth Heads of Departments and th8 Hospbce's provider to fllltste best u88 and safe storage of avallable data. Thls year wg once again successfulty mot the Data Security and Protectitin toolklt requlr&ments and th8 annual ass8s5ment we submitted was approved. Thls enables us to u¥e NHS Connecting for Health systwns and samces suth ay N3. Thls wll enable the medical and dSnical tearr6 at the Hospicè to share and access relevgnt patient irrfomialon kn a $o¢uro mannerand Srp.prove th8 overall Gwrdinatb)n of care. Cllnical colleagues ar8 using Integrated Palliative Care Oulcome Scale IIPOSI to measure patient oUtMe$ whlch will onabl8 th8 Hospice to report into Public Health England's naw PalllatSve Care Infomiation Framework. Oulcome measures are u88d to triage patients 8co)rding to thelr needs. W8 report In19rnalty on kay perfomiance Indath monthly and share Infomiation wrth Kgnt and way ICB as requlred for the grant in ald agreemgnt. Wo aL80 submit data to Hospice UK lo enabl• us to ben¢hmark drug IncKl8nts, and $llps. trfps and falls agalnst local and n8lonal data. Inv•m• Generatlon Iorne Is genèrated through a rolllng programme of fundralslng activty, lottery and our neiwork of reta51 shops. Our ambrbon for 2023124 was to re-estsbli$h sUStsinab income streams whi¢h had been npacted by COVID-19 and activat8 plans whlch will ab us to r8lurn to pre•andemiG 18vel8 of cipation and Incomg. Throughout tre year. we cOnned to experienc8 a cautious response from the pubfic. especially reialing to fundraising events and challénga8, with slightty b)wer participation numbers tt)an planned in som8 areas. This was h¢)wever offset by higher than averag8 fundraising pèr person for some mass parbcipalion actiwties. We 8uccessfulty engaged a number of new corporate supporters through incrèased notsvorknng and selllng sponsorship for th8 Shaun the Sheep In the Hoart of Kent art tr811 {2024125). Thls activrty has also attracted almost doufAe th81gval of SLwl and communty support than our previous tr811 In 2021 (Elmerfs Blg Hèart of Kent Parad81. Wo are grateful lo a numbgrofhigh va9 supwrters {trusts and major dorm}fortheiron%oing support of the Hospicè. Cfverall, )lJndraising exceeded our target durfng 2023124 due to the gen8r08ty of son* key IndhAdual supporters who made un8ollclt8d don8tk)ns and the nouficatlon of $ov8ral partknLarty signlflcant gNts In Wllls. r retail shops significanlty over-achievod their sales target for the yaar. supported by a focus on prSong, reducing h)st trading days and incrèasing resourc8. Careful budget settlng and monltorlng of expenditur8 also onabled the tsam to exceed net profrt tsrgets. The Finance and Incom8 GeneratM)n Committee mgats quarterfy to oversee income generation actbvtty and mOnr progress. Expendtlure on raislng funds (not including non<haritabl8 trading 8XP8ny8s- note 71 Incr8as8d by 2% in the year endgd 31 March 2024 compar8d to the prior year. predominanty due to increased level of resource as vacancias held in the previous y88r were filled. Expenditur8 also Included investment In Profe88lonal Fundraisers who recnited playèrs to our weekly lottery. os nolod bolow. 12
THE HEART OF KENT HO8PICE (A ¢ompany1Smltod by guarants•) TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2024 Fundrahlng Rogulatlon and Compllanc• Heart of Kent HospK6 k8 registered with thg FurKlraising Rogulator and is an organlsational member of the Chartered Institute of Fundraising. Our lottery is registered with The GambliThJ Commisshin. Our supwrter promw is published on our website and outlinas our conwnitrnenl to our supporters. Exh year members of the fundraislng and finance team are invited lo attend regul8tb)n and compliance training {compulsory for new starters and 8very thrae years for th8 rest of the t&am). This tralning inciudes guKYance on how to bJgntrfy and supp)rt vulngrable people. All team mwnbers are encouraged and expected io keep abre8$1 of specific change8. risks and opportun(Éi85 in their speci8li8t arèa. The HospKe monitors and manages ils fundrai8ing regulation and compliance through a combination of trainin9 prraMMe8, inl8mal pro$S, internal audrt$ and quarterly management reporting. This tak6s into tsJn$ideration the colkction and use of p8rsonal data, frequency cl contscl. how to byentfy and support vulnerable people and complian¢• and rggulatory requiromenls. I colleryues a hekl &coUntab to our 8UPP)rter promise and oryanisnal behaviour framework. In adherence with the Fundraising Regulatorfs best practice Ilhe of Fundrai8ing Practice), and Genoral Data Protection Rogulations (GDPR). our fundraising communK8tion$ sGhedul8 is overseen by the Deputy Diredor of Fundraising and Communication5 and the Data Protection Officer (DPO). H08PiCO 18 regi8twedwlh the Fundraising Pr6forenc8Service and r•cwed no requests in the year ended 31 Mard) 2024. Olher regulatory bodies that the Hosp adheres to ate the Ccfflmthe of Atherti8ing PractKe {CAP), whh govems non broadcast •lvertis¢ments, $al6s prOmotnS and dIrt marketing communicalK•ns and th• Priva¢y and Etronic Communications Regulation$ (PECRI, which is law in the UK and has rUS on marketing calls. emaI8. texts and faxag, the use of cookie8. keeping Communrcation se¢ure and CLbStomer priva¢y. During 2023r24 all fundraising was conducted by the HospKe's team of employed fundraisers. No complaints were e1Ved with regards to fundrarsing throughout the [Se c>f the year. A professional fundrai$ing agency was commiSsed for a second campaign to recNit new players to Heart of Kent Hospice Promtion8 (Lottery) in order to address the dedine in players ¢xpenenced in rent years. All best pra¢ti¢e guidance provided by the Chartered In8titule of Fundraising were folkyed. Five complaints w8r8 received. These compLqints re related lo opproachiTrJ existing lottery players, repealed approaches to a propety. time of call bgtng too e, and concerns abouttha 169itima¢y of the campaign. However, we aLw received positive feeAlback from members of the eommunty. Thay commended u8 on our welF-infornied brand ambas$8dors for doing a gRal job. One gentk8man was so inspired by visrt from a canvasser that he mada a donation lo the Hospice, even though he did not agree wrth gambling prod(t$ and would not play the lottery. All commgnts w¢re inve6twJat&J to idenlfy learnings and responded to appropriately. No Commerc1 PartlcipatorAgreements wor6 In plaea during 2023r24. 13
THE HEAKf OF KENT HOSPICE IA company Ilmltod by guarnntso) TRUSTEES. REPORT FOR THE YEAR EIIDED 31 AIARCN 2024 FINANCIAL REVIEW As reported in the Consolidated Statement of Financial ActivitK% for the yeaT, th9 Hospi¢e's resufts for the year ended 31 March 2024 Show a surplus of £356k, which compared to a 8urplu¥ of £60k for the previous yo8r. Total Ino)me forthe yearwa8 £6.9m, compared to £6.1m In 2022123 whith is refigctsve of a rrd year for leu&w and gifts in wll, akngside s9 additional funding from th8 ICB of £186k and a strong perfomanca In cur charty shops. has meant the 2023r24 financial resuts hove been substsntially betterthan the £1.03m budgeted dgfi¢it. Tho grant received from Kent arKI Medway Irrtegrated Care Board {ICBI under a grant wjreement of £1.2P)9k12022.' £1,103k), amounted to 8pproximal8ly 19% of total expenditure 12023.. 18%). which means thgt the Hospice must obtsin at least 81% of its fvnding from other sour¢o5. Thè K8nt and Me08Y Hosp03 continue lo collaljorate together. meeting regularly with the Kent and Medway IC8 to demonstrate the na¢d for additional and appropriate levels of funding for the adum spgcialist and palliative end of lrfe carè sèNc88 that we provide. An anaWi¥ ofthe incLime for the year IB shown In ncrtes 4 to 6 ofthe acccunts. Th8 wourc88 exp8nded in dglNering our charitable a¢twIe$ and servw (notè 81 incm8ed by noa 8% year on ygar, refltIng the investments made in seMc8 develc¥menL th8 impaGt of wagè infflatK>n, and the incr•a$o in tre number of potiènt# and f¥nili88 we are rexhing. Of the fund8 raised, £2.4m {2023: £2.1ml was utilised in generating the funds themse Irv)la 71, the majority of whlch relates to the inGrea8ing OFerats'ng costs of the two trading subsidiaries. A deficrt budget of £0.78m has been set for 2024r25 and th8 challenge fxing the Hospice in thé 8hort temi is how, in a diffi¢ultfundraising environment coupled wf(h a ChaIAgIng aconomy, ¥ can be agile ènough to adapt ané tailor our $eNces to manage tho incraasing demands of our community as well as retum to an co?ratna1ty balanc•J finandal posiknon. Maintaining tho quality of our care and our person centr•g approach will remain paramount. Vthilst tho last knvo financkal y8ars have been 8ucc8ssful In tern of delN8rirYJ surplu888 and hence strengthening our reserve8 position, the H05pice has a detailed fvtryearforward4od(ing pL•n to delwer on. This embed8 a clear strategy that. by being proaclNe in managing our costs, maximising our profrtability in retail and growing our SUPF¥Jrter base. as well a5 exploring new Sour of in¢¢)n, V• can aim to brfrg fubjre years. budgets to a sustainabl8 pos*ion. Thi$ fivwear plan also incorporates an ambitious capital carrpaign. with the aim to bulld a dè8bnated resaNe, to achw8 our longer-lemi plan to rek¢ate to 8 new Hospice In Linton. RESERves POLICY The Truste8s have reviewed the resew pcdicy and they continue lo requir8 the H05pice to hold free r8S8W to ensure the financial Securty and the operational flexibilty of the Hospice. Th& target for th8 rèswves {a8 measur8d by the unre8tricted general fund, induding undesignated fLX8d 8ssets offset by long tem credttor81 was last revithved in 2022 ar was set to a tsrg8t of botsvoon £1.8m to £2.5m based on estimala costs of closur8 forthe Hospice and trading $ubsidiaries. On 31 Marth 2024. th8 Charity'$ free reserves amount to £3.91 m (2022r23: £3.63m) with con801idated designated fvnd$ of £2.91 m12022123'. £2.83ml. The consolidatpA restricted fvnds on 31 Morth 2024 were £0.02m12022123.. £0.03ml. Total conEdidaled fund8 on 31 March 2024 were £8.84m (21y22123.' £6.48ml. 14
THE HEAKf OF KENT HOSPICE IA cornp•ny Irnltod by guarnntO0) TRUSTEES, REPORT FOR THE YEAR EhlDED 31 AIARCH 2024 The budgeted deflcit for 2024125 of £0.78m woukl rasull in genoral reserves of £3.13m 88 of 31 Marc*b 2025. However. addItnal grant funding will be r8quiffjd from the Kent and M8dway ICB abThJslde our fijndralslng and retall Income. to be able to m8intain rgserv8s at thislgvel and provide a sustalnablg lovel of Income to 8UPPOrt our servlce8. The Trust885 wll ntinue to monitor tho approprfatanèss of the reserve8 policy to ensure Ihe Hosp holds ad9wate frge re8erves to 8nsure both the financlal securty and the operational Ilexiblllty of the H08plce. GOING CONCERN Accountlng stsndard$ require th8 Trustees to consider the appropriateness of the going concem basls whgn preparing thefinancial ststsrnents. The Trustees ccrfrm thatthey conslderthatthe going concem basis remains appropriat8. The Trustees regord the going concern basis as remaining vkqble as the Charity h88 aduate rèsour¢¢s to contl4u8 In 0rational exlstenc8 for the forasoeabl• fijtsjra on the basis that there aro adequate cash reserves within the CharKy. Flnanclal Instruments The group'8 financlal insInents Rt the balance shaot date comprised listed investsnents and c8sh and IiqLMd resourGes. The maln purpose of these financial Instrnents is lo manag¢ finance and maximlse retums for the group's oparations. The group has various other financlal instruments suth as trade doblors and trade creditcS. thal arfse dlreclly from tts operatton5. The main rfsk8 arising from tho group's financial instruments are Interest rate rlsk of whld) Is managed by revlewlng the exposur8 to interest rate flucthations. Investment Pollcy •nd Rotums Trustees pem)itt6d by the ChariV8 M8morarKlum and Articles of As50Gration to Invest the moni85 of the Trust not immedlatety required for its own purpo88 in su¢h inve8bnènts, sacurrti88 or property as may bg Ihought fft. Investment movemènts in thè year gnded 31 M8r¢h 2024 was a gain of£32.82912023: £7.521 loss). In the previous tsvo flnancSal years, with a drficuft financial cfimate and other inwacting gh)bal factors, the v8lu8 of our investment has fluctuated. Our expectatlon that it woukj, however. g8n8rale a posjlve retum overthe bnger tgrm, has stsrted to come lo fruition. The portfolk) valuatlon and perfom)ance are mnltored dosely. Tha Execuuvè wularly monitors the cashflow requirgments of the charity and report8 lo Trustees. striving to secure compelitfve Intsr6sl rates wh8re applicable by considering the m05t approprfale vehlcles for investing the funds. taking acrA)unl of inter88t rat85. credit and inte1 rale risk$ andtomis to maturlty. The Hospice has adopted an ethical inv8stmont approach to 8nsura that its investments do not confliGt wlth11galms and therefor6 pracludosdir8Ct or Indlrect investments in companle8 that generat8 rgvenues from tobaeco or arms and those companles who$8 principal activlty Is ether gambling or pcynography. As well as con81derlng athlcal investrnants the Hosp8 wlll aL80 conslderth8 Environmental. Social and Governance IESGI stewardship policies of investments to ensure that thes&f8clors as well a5 finanaal retum are used lo evaluate potenal stocks for a portfolio. 15
THE HEART OF KENT HOSPICE (A ¢ompny Ilmlted by guarnnt•el TRUSTEES, REPORT FOR THE YEAR ENDED 3f MARCH 2024 PubllG Bonst Tho Trustees confirm that they havo complled wtth the duty In Sectlon 4 of the Chadttes Act 2006 to have due regard to the Charity CommIssn.5 general guidance on publ1¢ baner The charltable purpose of Heart of Kent Hospice is slated In its'objectives and Activtties, and the Trustg8S gn$ure that this putpose Is co1ed out for the pubb'c benefft by workww to the$8 objectivgs. Sp•¢lal acknowlodg•mgntto coll•agu•8 and volunle•rs The Board of Trustees wishes to record tts appreGiation of tha Hospl¢e's hlghly commltted colleagues and volunteer5 who generously ond unstSnllngty glvg th61r tlme, skllLs, and expert18e. The continugd commibnent to make a drfferenco in suth ChaIn9n9 tim9$ 1$ insplring. The Hospl¢e Is fortunate to have in the region ofSS0 volunteers• make a o)ntslbulion to the Hospic8 which is worth over £1 m in timfy. The Hospice could not SU¥8 In its present form wllhout the 8UPPOrt of its generous volunteer8 who offer Ihelr contrlbutions in all aspects of Hosp activtty: Ihis includes clinical, admlnlslrativg and Income generadon rol68. The Board15 grateful kn tha vthabh help and asslstance re¢elved from its PTof•581onal adv18eYs. REMUNERATION POLICY The remun8ration of key management colleagues Is raviewed by a subcomrnittee of the Hospice's Board of Trustee5 to ensur8 it is compgtitive wtth the chority sector, proportion0 to the complexty of each role and In Ilne th our Charable objectwes and values. A revlew Is conduct8d at least 8very thr8e yeaTr of payi tamis and conditions of all coliaagues to ensure they are falr and competiuve. Future Plan• The Hospice laun¢h8d a new throe-yoar strategy in April 2024, a8 set out above, whlch has beth well recalved by supporters, patlents and familigs, coueagues and volunteer8. Following a feaslbilrty study in 2016 on the fvluro ¢apaclty and sultabllty of the exlsung Hosplc8 to meet thè growing need for palllative and end of lrfe carg, the Truste68 8nd Ex8cyJUve team havo been oxploring option8 for new sites to relocate Ihe Hosplce. Therefor8, th8 approval of outlirte pLgnning for lh8 buikjlng of a new Hospice In Linton, Maidslone in June 2024 was an important step foNard. Plans are now undorway for a signfflcant capttal campaign and fhe development of the tletsiled deskJns for a fijll piannlng applkation. Trust•es' r•pon•lbllltl•¥ stat•menl The Twstees (vtho are abo dIrec0 of Th• Heart of Kent Hospi¢e for purposgs of company law) are responsible for preparing the Trustees, report and the financial stataments in acoJrdanc8 wlth appllcabl8 Lqw and United Kingdom Accounting Standar¢ls (United Klngdom Generalty ALtepted Accounting PActifl. Company law requires the TNstae8 to prepare fnanckg18tatomgnts for each finanoal year. Under company law tha Trustses musl not approve the financial statsments Un98 they are satisfi8d that they gfvo a true and fairvlewof the slatg of affair5 ofth8 charitablo ¢ompany and th8 group and of the income resources an4 application of resources, Induding the income and expendrture, of the charltsble group for that period. In prgparirvj these financial statements, the Trustees are required lo: s8cl suitsbl• accounting poliry8s and then apply them ¢on81stenty', observe the methods and prin¢lples in the Charrtias SORP: make judgom8nts and accounting estlmales that ar8 raasonable arKI pruijent 16
THE HEART OF KENT HOSPICE (A ¢ompany Ilmtt by guarantee) TRUSTEES, REPORT FOR THE YEAR ENDED 31 MARCH 2024 state whether applcabl$ a¢¢ounlng staThJard8 have been folknved. subject to any material departures dlsclosed and explained i) the flnanclal statèm8nts; and prepare the ffnancial statements on the going conc8m basts unless it is inapprowlate to prosume that the charttable group will rA)ntinu8 in operallon. Th9 Tnte89 arg r8spon8lbl8 for keaplng adequate accountlng records that are sufficienl to $h¢)w and explain the charitable company and the group's transaction5 and disck)se with re880nable accuracy al any time the ffinancial position of the charitable group and enable them to ensure that the financial $tstsments comptywlth the Companles Act 2006. Theyare aL80 responsible for safeguarding tha assats of the charitable company and the group arKI hence for takSng reasonable steps for the prevention and detsction of fraud and other Irr6gulariti66. Dlsclosuro of Inforniatlon to au¢llor Each of the per¥ons who are Trustees at Ihe tbne wh8n this Trusl8es' rek*J1 Is approved has o)nfimi thaL' so far as that Trustee ts awara. thore Is no relevant audit irrformetion of whlch the tharitable group's auditor Is un8war8. and that Trustee has takgn all the sleps that ought to have been taken as a Trustee In order to aware of any relevant audft infom)ation and to establish that the charilabla group's auditOT 18 aware of that irrformation. Approved by order of the members of the board of Tru8tee8 and slgne(l on th&ir behalf by: A 1,11,. Ann Allillngton Chair Dat8.. /.q Izo.Z4..... 17
THE HEART OF KENT HOSPICE IA company Ilmlt•d by guarantso) INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS FOR THE YEAR ENDED 31 AIARCH 2024 Oplnlon W• have aLKJited the group and parent company financial slaloments of The Heart of Kent Hospice llhg charltablo company.) for the year ended 31 March 2024, which comprL88 the Consolidated Slatemgnt of Financial Adivili8s. the BaLqnc8 Sh8els. the Consolidated Slatement of Cash Flows and th8 notes lo the ffinan¢ial stalem8nts. includlng a summary of signfflcant aCuntIng FlICleS. The financial reportlng fram8work that has been applled in their prepar8llon is applicable law and United Kingdom Awunting Standards, Induding Financlal Reporting Standard 102 Thg Financial Reporting Slandard applcable in the UK and Republic of Ireland {Unitgd Kingdom Generalty Acceptsd Aecountlng Pr8ctic8). In our oplnion, th• tlnandal ststements.. give a true and fair vi•w of the state of the group's and of the parent charitable rrny'S affalrs as at 31 Marth 2024 and of the group's Incomlng resourc%s arKI apF41calk*n of r880urc88, Indudlng its incom8 and expenditure. for the year then endad; havo been properfy pr8par8d In accordance wtth Untted Klng<hJm Ganwaty Accepted Accounting Practic&', and hève been pr8par8d In a¢¢ord8nc8 wrth the requlr8ments of the Compani05 Act 2006. Ba816 for oplnlon Wa coThYucted our audit in accordance with Inlemational Standards on Audlyng (UK) IISAS {UK)) and appIlble law. Our rosponslbilities under those stsndArds are lurther dascribèd in tha Audhorfs respon8ibllltles for the audlt of the flnandal slatemenls seGtlon of our ro[rl We are independent of th8 group and parent charltable company In accordance wth the ethical requirements that are relevant lo our audit of the financial stat8m8nts in the UK, Including the FRC'8 Elhical Standard. and we have lulfilled our other ethlcal re5ponslbi1Stles in accordanc8 with these requirements. We bel8 thatthe audit dence we have obtained is sufficient and appropriate to provide a basis for our opinion. Concluslon• relatlng to golng c¢M In audldng the finan¢ial statements, we hav8 ¢on¢luded that the trust88s' uso of the going concern bS of a¢counllng In the prepaTatign of the financial statom8nts Is appropriate. Based on the work we have perfrjmied, we have not Identified any material uncertalntles relating to events or condith)ns thoL individualty or colledvety. may Gast signtficant doubt on the chariws ability to (xjntlnuo as 8 going concem for a perlod ofat lea$ttw8lve monlhs from when the flnancial statsmgnts are authorised for Issuo. Our responslbllltles and tho r•$ponslbllMies of tho trustsés r88pect to goi)g aro descrlbod In the relevant soctions of thls report. Oth•r Infom)allon Th8 oihBr infomiation comprlses information includgd in thè annual rerA)rt, other than the finandal stataments and our audilor's roport theroon. The trusteès are responsib for the other infomwtion. Our cyinion on the finanaal stalgments does not coverth8 other Infom)ation and. exceptto the extent otheThvls8 8xplicitty staled In our report. wa do not 8xpr6ss any fonn ol assuranca conduslon thergon. In connedon wlth our audr( of thg financial statements, our responsibilty 15 to read the other Information and, In dolng so, nSIder whether the olhor information is materialty inconsi$tent with the ffinancial ststements, or our knowledgo obtsined in the audh or othenwise appears to be materi8lly misstated. If we identify such material inconsistenryes or apparent material mlsstatemgnts, we are required to determine wh8lher Ihere18 a material mlsstatement In the financial ststements or a m8terial m15Stat8m8nt of th8 Othèr Infomiotion. If. based on the work we have porfomi8d, we COnGd that ther8 Is a malerfal mlsstatemgnt of thls other Inlomiatlon. we are rgqulrod to report that fact. We have nothing lo report In th18 regard. 18
THE HEART OF KENT HOSPICE {A conyany Ilmltsd by gyar4nt••) INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS FOR THE YEAR ENDEO 3t MARCH 2024 Oplnlong on othor matter8 prn8crfb•d by th• Companios Act 2006 In our opinion, based on the work undertaken In the cours6 of thè audtt.. the Infomiallon gfven In the thjsteès. rgport, whth includes the dlrectors, rèport a1 strategic report for the purposes of company law, for th8 flnanclal y8ar ft)r which th8 flnanclal statements are prepared is consist&nt wfth the financial statements. and the dlrectors, report and the stratggic report induded wilhin thgtrustggs, report havo been prepared In accordance wkh applicable hgal requlrements. Mattors on whlch w• ar• roqulrod to r•port by •x¢•pdon In the IvJht of thg knovAedg8 and understandlng of thg group and the charltatk company and ils anrOnment obtalned In the coum ol tha audit, wo have rnt IdenlMl6¢J materlal mlsstatements In the dlrectors, relth or strateglc report induded wtthin the trust888' r8porL We have nothlng to report In respect ofthe folloY4ing matters In relan to whith the Comp8nles Act 2008 requre us to report to you rf, in our opinion.. the parent charttable company has not kopt adequate and proper accounting record8 or returns adequate for our audh have not been recgivgd from branches not visited by us., or the parent charitable company's fflnancial statements are not in agreement wtth the accounllThJ records and retums.. or certain disck)sures of trustees, remuneratth specffied by law are not made," or vrn have not recglved all the infomiation and eXplanaon8 wa quIre for our audlL Responslbllltles of tru81••8 As éxplalned mm fully In the tnJ8ta&8' r8sponslbllltses stat8msn( tha trustees (W are also the dlroCtCff8 of the charitsbtg company for thg purposes of company kw) are responsibla for the proparayon of the finandal statements and for being satisfied tr1 th8y gfve a true and fair view, and for such inlemal control as Ihe trustees detemilne Is nessary to enable the preparation of financial statements that are freè from material mi88tatement, whether due to fraud or eOr. In pr•parlng th6 finandal ststsments. the trusteès ar6 r•spon$iblo for ossesslng the charttable conN)anYs ablllty to contSnug as a going cyJnc•m. dlsdoslng. as appllcable, matters related to going concem and using th¢ golng concem basis of accounting unless the tswstees elther Intend to Ilquldate the charitable company ¢y to optrrations. or have no r8allstic altematNe but to do so. AudltoV• rn8pon¥lblllt1 for th• audlt of th• Ilnanclal 8lat•m•nts Our objectrves arg to obtain reasonablg assurance about whethgr the financial statements as a whole are freefrom materfal misstatoment, wh&ther due to fraud or frrrtx. and to Sssue an audltorfs reportthat w)clud8$ our ¢plnlon. Reasonable assuranco is a high level of assurance but Is not a guar•ntO• that an audit conducted In accordance wlth ISAS {UK) wlll always detect a malerlal mlsstat8mont wh8n it 8xists. Mlsstatements can arise from fraud or error and are considered malerial if, Indidalty or In the aggregate. they could raasonabty b8 exp6cled to influanc& the econ0n¢ decisions of usèrs taken on the basis ofthese finandal statements. Irrggulariknes. Incding fraud. are instances of nonvcompliance with laws and regUlaon9. We design pro¢•dures In lkne wlth our reSnsIbIl18s, ouulned above, to detect materfal misstatements In respect of Irrngularfues, Indudlng fraud. The extent to whlch our procedure8 are capable of det¢¢tlng Irr¢gul$rfUes, including fraud Ss detalled bebw. 19
THE HEART OF KENT HOSPICE (A Mmpany Ilmlt•d by guarantee) INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS FOR ThIE YEAR ENDED 31 MARCH 2024 We obtsined an understanding of the18gal and regulatory framowork 8ppllcable to the preparation of tho flnandal statem8nts of the group and th9 proc8dures that manag8m8llt adopt to en8ur8 complianc8. We have consldered thé extent to which nonThcompll8nce might have a rnalerial effect on thè flnandal statements, and In partkular wg identrfied the Cornpanl88 Act 2006. FRS102 and tho CharftSes SORP. We have also Identified other laws and r8gulatlons that do not have a direct effoct on the amounts or dlsdosures within the financial ststements, but for which mlanCe is fundamental to th8 charitys operallons and lo avoid materfal penalties. includlng GDPR, Car8 Qualty Commlsslon {CQC) ul8110n. Gambling Commission r¢gulaOn, health 8nd safety and employrnent law. Having r8vl8wed the laws and ragulatlons appllcabl8 to the gmup, we deslgned and porf0ed audit procedures to obtain sufficlent appropriate audrt ewdence. Specrfically. we: 8el8Gted a taam whh sector exp8ri6nca to perform tho audit., Obtaln8d an understandlng of Ihg tharity'8 pr(Kedure$ for ensuring La)mpllance wlth laws and regulatics.. Obtalnad and revi9wed intemal pollcy and procedurg documents. Mad8 •nqulkl8s of management and th8 trustees regarding whether they were aware of any actsl or 5uspeGted incid8nces of non-complian vAth laws and regulallons., Obtalnad and reeWed meeting minutos., Obtalned and reaW•d ¢orr8spondenc9 with, and r8ports from, Lhe key r8gulator5'. IntsNlewed key staff r8sponslble for compllancg with the CQC regulalons,. Reviewed legal expen8e8 accounts for indications of any possibl8 nonwcompllance; and Revlewed the mpleten888 and aCracY of any di8d08ures made in the financial statements. We assess th6 su8ceptlbllity of the group's flnanclal stalgments to matsdal mlsslat8monl, indudlng consldering h(Mi fraud mlght (Kcur. This was perfomad by.. Maknng an assessmgnt of the group's control eronMent, systems and ¢ontrols IndudlThJ identifying any w8akne8ses and considering the Tisk of man8gement overfde of controls.. Assessing th& susceptlbllity of th8 group's financial 8tst8ments to rnaterlal ml88tatemanL Indudlng COll51dering how fraud could C¢LWr, Considering whether thw8 are any inrndves or opportunitles for management to manlpuk7t8 Ilnandal results. Obtaining and evaluatlng the trustees. asse88ment of the risk of ftaud, and enquldng as to whelhgr they are aware of any a¢Aual or suspected inrAdenc85 of fraud; Revlewkng Iho 8ccounting policies and accountlng estimates for signs of management bias.. and Ident.ng key risks ralalng to IrregulBrrb8s as relatlng to the completene55, Classlficatsn and cut- off of income. the accounting for legades r8c8lvable, th9 Ident<tIOn and appllcallon of reStried nds, and the rlsk of management override of control8. We then designed audlt procedurgs in response to the risks identified, induding perfoming substsntNe tsstlng on all material income streams. r¢vièwing the accounting pollcy for legacies and examining supporiing documentation $uch as Wills and 8xacutor correspondence, perfomilng substsntfve te8tlng restri¢ttyJ funds and reviewing journal entri68 and key accountlro 88tlmats8. The audbt has been planned and parfomed In In aGcordanc8 with audSting standards, hrmver. because of Inhbrent Ilmttallons of audit procedur88 there remains a risk that we wlll not d8t•¢t all Irregularttle8. Includlng those thal may lead lo matsrial mi5ststements In tho financl81 statements. Ther& ar8 inh8r8nt difficultles in delting irregularftles, and irregularitiès that result from fraud may be more dlfficum to delect Ihan irregularitses that result frcrfn error, for examp due to GoncealmenL override of ojntrols. collusion or srepr•s¢ntsllons. In addltion, the rther removed non-compllancè wtth laws and regulatsons is from the events and Iranwtlon$ rafiactad in the financial statam&nts, Ihe18ss audit procedures are able to identify 20
THE HEART OF KENT HOSPICE IA company limit8d by gu•iant••l INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS FOR THE YEAR ENDED 31 AIARCH 2024 Afurther description of Dur re8ponslbllltles forthe audlt of th8 financial statemènts is located on th8 FlnanGial Reporting Councrl's webstte at f or ilor5res on audltorfs reporL . This descripljon fomis part of our U80 of our r•port This report is mad8 solely to the charitable company'8 memb8rs, as a t¥xly. *) atXordce Chaptor 3 of part 16 of tha Companies Act 2008. Our audlt work has b8en urKlertaken so that we might state to th charltable companys memb8rs and trustees those matters wa are requlred to state to them in an audltorfs report and for no olher pUrke. To the fullest oxt8nl p8miitted by law. we do rw)t accopt or 88sumo rgsponslblllty to anyone other tran the charitable company, the charilable company's members as a body and the chantsblo company's tswstees as a body, for our audit wo, for this r8port, or for the ¢Jplnlons we have fornd. A S Healey FCA CTA DChA sgnlor Statutory Audttor For and on behalf ofr. Llndey•r Frnncls F•rgu$on Llmlt•d Date: 9 October 2024 North House 198 Hlgh Strè81 Tonbridge Kent TN9 1BE Stalulory ALT$ Chartered Accountant8 21
THE HEART OF KENT HOSPICE (Acampany Ilmltod by guarantoe) CONSOLIDATED STATEMENT OF FINANCIAL ACTMnES (INCLUDING INCOME AND EXpENDVRE ACCOUNT) FOR THE YEAR ENDED 31 WIRCH 2024 Unrnstrfclod Restrl¢ted lunds 2024 Totsl funds 2024 Total 2024 2023 In¢ome from: Donations 8nd legaci8S Charltable artNities Otrer trading acUMtigS Interest rgoeNable Othar 4.240,844 508.640 1.937,637 115,511 1,245 123.383 4.364.227 508.640 1.937.637 115,511 1,245 3.560.864 775.191 1,740.155 43.061 1,505 Total 6,803,877 123,383 6.927,260 6,120,776 Exyndllur• on: Ralslng fund8 charilab actNltle$ 2,365,043 4,131,350 2,365,043 4,239.116 2.142,311 3.915,304 107,768 Total 6,496,393 107,766 6,604.159 6.057,615 Nol Incomo bthr• n•t gains on Inve8tmonts 307.484 15.617 323,101 32,829 63,161 17,251) Nel galns l Oosses) Investsn8nts 32,829 N•1 Incomo b•for• taxatlon 340.313 15,617 355,930 55,910 4,187 Taxatlon Gradit Not InGom• 34Q.313 15.617 355.930 60.097 Tran8fers fvnd8 27,597 127,597) Not movomgllt In funds 367.910 111,9801 355,930 60.097 Re¢l¢111atI0n of fvnd$: Total fijnds brought fornvard.. As orlgin8lly staled Prior period reststement 6,457,600 27,133 8,484,733 6.379,857 44.779 As reslated 6,457,600 27,133 6,484,733 6,424.636 Totsl fiJnd8 earrfed fonvard 6.825,510 15,153 6,840,663 6,484,733 The D)nsolidaled ststement of ffinandal actM1188 includes all gains and losses rocognised In the year. 22
THE HEART OF KENT HOSPICE (A ¢ompany Ilmlt•d by guarnnle•) CONSOLIDATED AND CHARITY BALANCE SHEET8 AS A T 31 MARCH 2024 Group 2024 Group 2023 Charfty 2024 2023 Nots Flxod assets TarrfJlble ets Intangible assets Fd asset inv&strnents 12 13 14 2.831.693 18,390 333.275 2,761,404 9.730 300,448 2,747,770 18.390 333,278 2,706,490 9,730 300.449 3,183.358 3,071.580 3,099,438 3.016.669 Currnnt assets stcth.. fini8he¢l good8 for re8al8 Debto Cash on deposit Cash at bank and in hand 187.246 1.932,730 500,000 1,748.726 13,248 963,093 500.000 2,594,845 15 2.081,688 500,000 1,386,769 2,151,776 51JO,000 1,152,229 4,368,702 4.071.184 3.968,457 3.804.005 Cr•ditOrn: 8mounts falllng due vAthSn one year 16 { 711.3971 1658,0311 1372,8901 { 445,802} Net currnnt assets 3,657,305 3.413.153 3,595,567 3,358.203 Total n•t amots 6.840,663 6.484,733 8,695,005 6,374,872 Th• fund$ of th• charlty: Unrestrictod funds Restri¢ted funds 6,825.510 15,153 6.457.600 27.133 6.679.852 15,153 6.347,739 27.133 17 6.840,663 6.484,733 6,695.005 6.374.872 The financial stalernonts w•ro approved by tho Board of Trustees on 30 September 2024 and were slgned on its behaw by. Ann Millington Chalr Crynpany number. 2184005 23
THE HEART OF KENT HOSPKE IA company Ilmlt•d by guarant•o) CONSOLIDATED STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 AIARCH 2024 2024 2Q13 Cash flow• from operadng activiti. Net cash provJed by operating activit$ { 744,8631 50,967 Cash flows from Inv•stlng actlvltl•s: Purchase of tawlble flxed assgts Purchase of Inianglbl8 fix8d assets Proceed8 from sale of tsngible fLK8d 88sets Bank interest race Cash placed on deF { 212.6811 { 9.7301 9,603 115.511 1154,0401 { 9,7301 43,IX1 I500.() Net cash usod in investlng advltl88 197.2971 1620.7091 Change In ¢ash and ¢•8h •qulval•nts In tha y•r Cash and cash equNal8nts at the beginnlng of the year { 842.1601 2,584,665 1569.742} 3,154.407 Cash and Cash •quivahnts at th• •nd of tho yojr 1,742.505 2.584.665 RecoTrciliatlon of net InMm• to n•t cash flow from oporatlng actlvltles Nel Income Depreciation tharges and profft I b88 on dlsposal Gains I1ths88) on investments Bank intar8St received (Increase) I decreas8 in stocks (IncTgaso1 In debtors Increase I Idecreas•} kn cr¢dliors (De¢r8as9) in provislons 355,930 133.859 { 32,829} 1115.511) 1174,000) 1969.637) 57.325 60,097 138,321 7.251 (43,061) 11.512) (73,6811 { 32.261) 14,1871 Net cash wovided by 0parnn9 acUvitl8s 1744.8631 50,967 . Analys1¥ of ca8h and cagh oqulvalonts Cash at bank and in hand Overdraft faeilty r8payat48 on demand 1,748,726 (6,2211 2.594.845 (10,1801 1,742,505 2,584,665 C. Analysls of chang•s In not dfrbt Cash at Llquld bank O¥wdrnfts Inv•stments 2.594,845 { 10,1801 307,697 { 846,119) 3,959 At th• beglnnkng ofthe year Cash flows Gains I1105ses) 32.829 At the end of the year 1.748,726 (6.2211 340.526 24
ThE HEART OF KENT HOSPICE IA Gompany Ilmlted by guarantse} NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 AIARCH 2024 1 ACCOUNTING POUCIES &rni8 of prnparntlon of th• flnanclal statemonts The financial stat8mgnts have been prepared in aCrdanCe with 'Accounling arKI Reporting by Charftles: statement of RMManded Practic8 applicabb to charit prepariig their accounts in accordance wrth the Financk41 Reporting Standard applicabkg in the UK and Republic of Ireland IFRS 102)" (effective 1 January 2019) - {Charilies SORP IFRS 1021), the Financial Reporting Standard applKable in the UK and Republic of Ireknd IFRS 1021 and the Ccmpanies Act 20C6. The Heart of Kent Hospice meets the definition of a public tenefrt entY under FRS 102. Assets ar liabilities are initK?Ily re¢cgnised at historical cost or trans#ction value unb8ss c4herwise statod in the relevant a¢¢ounting policy notels). Th8 finan¢i81 stateMts are presented in pounds sterfing and rounded to the nearest pound. of Mnsolidatlon The con$oliéaled financial StatMents incorporate th08e of the tharity and its 5ubstdiary undert8klngs a line- by-linè ba81s. All inlraroup transactions 8nd baLance8 are eliminatsd on consolidatK)n. Golng concem The Trustees have 88S8ssed that there ar8 no 81gnifunt doubts over the chariV5 abilty to continuo a8 a wlng 1¢8m. As a result. the financial Statements have been prepared on a going concem basi8. Incomo Income from donation8 and grants 18 recognised when the charity is entitbd to th8 fund8, the r1p1 is probable and the am¢)unt can be measured reliably. For donationg. this 15 usualty on receipt. Donations under Retail Gfft Aid and the 88Slated 18x recoverable are xcounted for at the point of 8ale of the items thjnaled. For grants, this 18 usually when a fomal offer rnado in writing, unless the grant contains terns condthons outside of the ¢hartys control which must bo met b8for8 thé charity is 8rttrtd to thè fiJnd$. Whoro grants are received in reswnse to a proposal including a budgetsd timescale, 8u¢h Ihat the times¢alo fortho exporKliture is impliGrt in the gftnt agreement. the Income is recognised in accordance with that timesca. In(>Jme frum legacs 18 rev on 8 ca8erby-C888 ba8k8 and recognised when the charty L8 entitw lo the incnme. receipt 18 prcbable and the amount can be measured reliabty, It 15 norndty conshlered probab en there ha8 b88n 8 grant of probate, the executo have established that there are Sufflent asset8 in the estate to pay thg1•3acy. and any conditions attached are wf(hin the control of the charity or have already been met. Income from charitable artniities is recognised in the period in whtch tha relevant 6en*ices are delivered. Income fr(xn perfomanc&related grants in ¢Jinnection wilh the charitable activitwd 18 reccgnised to the exi8nt that tho perfomiancevrelated criteria have been meL Donated good8 a mea8ured at their e8timat8d fair value. and dOnatj fac11f(S Ser we measu on thè basis of the amount the chaiity would pay in the open market for the fa¢ilftie5 or 8ervice& The s8rvices of volunteers are not included in tha financial stat¢ments. Due to the ImpractIcale¥ Inhergnt in estimating tho fair valuè of a large volurne of I¢y•V-va5ue items. donated goods for resa through the charitable group's shops are not reccgniswj on reCpt, but the valu& generabj from thr salg is includod in incom8 when the rtems are
THE HEART OF KENT HOSPICE IA Gompany lknltod by guarantsel NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 1 ACCOUNTING POUCIES ryjntlnued Expgndituro Exponditure Is racogn18ed on the accnlS basis when a pr8sent bgal or ¢oftslrudN8 obligation exists at the balance sheet dat8 a8 a r•suM of a past event. it Is probabke that a transfer of economic benefft8 will be required to s&de the oblbjation. and the amount can b8 estimated reliabty, and Includ88 Irrecovwd)lo VAT. Exp8fKliture on charllable actNitK8S indudes the cost of 8ervice5 and SUFWI costs. Expenditure on raising fund$ in¢lude$ fundraising and publKity costs as well as the costs inrr by the no charitab18 SUbsne& in pursuit of Iheir trading actNitie5, Staff costs are allccated on the basis of tnne spent. Support costs are those fijnctions that assist the work of the charty but do not diredy reiate to th& ¢harilabl• actiVTtses. and include govemance costs. They are alkjcated across the actfrvities on a pro-rala basis with reference to the attribulabk direct and staff co818, being a measurement con¥ider&J to be representative of tho usage of the costs. Fund accountlng GeneTal fvnds are unrestricted fund5 can be used in a¢cordan¢e with the charitable objectives al the dis¢ret*Jn of tha TnJ8tees. DesbJnated hJnd$ ar8 a subset of unre3trthd funds and represent fund8 set aside by the Trustw ts speufic future purposes or projxts. Reslrtcted funds can onty be used for p8rticular r881ricted purpo¥es within th8 cbject8 of the charty. Re$trttion$ arise when Spef by the donor or vthgn fvnds are rai8ed for partuL9r re8tricteA purpC8. Tanglble fixad assets and deprnclatlon Tangible fixed assets are stated at 5t 1858 dépr8datlon. Depreciation is prod at raes ¢alGulated to write off the cost less estimated raalisabb valu? ¢)f ea¢h asset over its expected u$èfiJl ifife, as foll¢)ws: Fr88hold land Freehold buldings Motor vehKI88 Fixtures aTrJ fittings Computer UIpMent Not deprecAted 2% on the straight line basis 25% on the straKJht line basis 21MO% on the stra3ht line basls 33% on the str8tqht line basis Assets costing less than £1,ODJ are not C8pitalised but are recognised a$ oxpeThlitur8 in the Statement FiMnckg1 ActMtie8 in the y83r incurred. 26
THE HEART OF KENT HOSPICE IA company limlt•d by guarnntso) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 1 ACCOUNTING POLICIES continued Inv•8tments Investments In sub$idiarig¥ are stated at cost1g$s provIsn for impoimienL Llstsd Invo8lm8nts ar6 Inttlalty r8(J)gni58d at tslr Iransactbn cost and ar8 subsequenty m8asur8d at falr value at each rerng dat8. vAth chang6s In faSr value recoynlsod in the ststem9rrt of flnancial actl¥Atle8. Stoc*s are valued at th8 low6r of cost and net reallsabb value after making due alknwance f ob6clete and 8b)w-movlng 6lock8. Flnan¢lal In¥trum•nts The group onty has flnanclal instruments of a klnd that qualfy as basic instruments. Short term basie financial instruments such as trade d&btors and trade crdltors ara initialty recognised at transact valua and subsequenlly measured at their sett(ement value. Long term basic financial instruments such as bank loar initsalty reccKJnised al transactfon value and Subsu8nllY measured at amortlsed cost uslng the efféctlve interest method. C•sh and cash •quivalonts Cash hekl on deposit yth an inltlal maturity of more than thr99 months is Show on tho Con501kloted and Charty Balanc8 S•ts as Cash on deposlt and •xcfuded from Cash and cash equlvalents In the Consolidaled Statement of Cash Flows. L•aso5 Rentals p8id under oporatingloases are charged to the Statement of Financial Pdlv5tre8 on a straight line bas18 over the lease term. Employ•0 n¥11th The costs of short-term employee baneflts ar8 rgnised as a Ilabllity and an expense. Payments lo defined contribuuon penslon schemes are charged as an •xp8n88 as theyfall th&. The group also cOntruteS to the National Health Servic8 Schome for some of its gmFloyees. However, the scheme is a multi employer defingd bgngfil $thgme and th8 group 1$ thereft)re unable to klentify its share of the und8rfyng assets and Ilablllues. Crltl¢•l aeeountlng o$tlmates and ar8 olludg•m•nt The main area of esllm8tlon unGgrtainty 15 In r818tion lo th? mgasurem8rrt oflggacles recdYab (Noie 15) ere the legacy represents a sh8re of th8 resldue of the estste. The estlmate Is made based on th& p8rcontsga sharo given by th8 Will. Infomiation obtained from as to the likdy net value of tho eststs, and makirYJ allowan for expected tsxes and fees. 27
THE HEART OF KENT HOSPICE (A e<)mpany Ilmlted by guarnntse) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 PJARCH 2024 2 STATUS The Heart of Kent Hospice Is a charttab18 company limitsd by guarantee incorporated in England and Wales. In the event of the company balng wound up. the Ilability Sn resp8Gt of the gu8r8ntee is limited to £1 POT rnamb8r of charlty. Th8 ad(tress of the regk8ter6d oflke18 Preston Hall, Ayl8sford, Kent ME20 7PU. 3 PRIOR PERIOD RECLASSIFICATION The pdor per Statement of Cash FfvJws has been r98tated to ox¢lude cash held on deposlt th an initial maturity of more than three months from the d8finbUon of cash and ca8h oqulvalents. 4 INCOME FROM DONATIONS AND LEGACIES 2024 2023 Donatlons Legaci8s Grants Tru8ts and foundatlons COVID-19 fundlng Glfts Sn klnd 1.320,044 1.555,249 1,272,617 187,834 1,198,759 763,039 1,131.137 3Ks,741 33,682 43,506 28.483 4.364.227 3.560,864 In th8 precedng periDJ, income of £151,613 wa$ restrlcted. 5 INCOME FROM CHARITABLE ACTivrriES 2024 2023 Perfomiancfrrelatod grants and contractual inGomo Inpatlent services Famlly support Services Communlty $8Nlca8 Education 274.012 12.350 179.336 42,942 297,779 7,050 422,348 48.014 508.640 775,191 In the precedir#J perlod, income of £Nil was restcled.
THE HEART OF KENT lOSPIcE (A company Ilmlt•d by guarantso} NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 AIARCH 2024 6 INCOME FROM OTHER TRADING ACTMTIES 2024 2023 Income from fundraising events and $ponsorship Rent Income from nonwcharllable tradlng actmtios." Lottery Income Tradlng shops and ebay Sal88 129,293 1.200 118,144 1,200 339,570 1.467,574 312.254 1,310.557 1,937,637 1,740.155 7 EXPENDITURE ON RSING FUNDS 2024 2023 Fundraising slaff costs Direct C15 of funéraising SupkKJrt costs alk?tIOn Exp8Thditure on noTrtharilablg Irading aGbyitigs: Lottery expendre Trnding shops and eb8y 0xpondjr9 Shops staff (x)sts Shops depreciatic and disp)sal8 440.891 153.073 249.174 405,021 185,405 235,160 152.884 685,468 672.396 11,177 138,040 609,732 550,894 18.059 2,365,043 2.142.311 29
THE HEAirf OF KENT HOSPICE (A company limlt•d by gu4rant•0) NOTES TO THE FINANCIAL STATEMEwrs FOR THE YEAR ENDED 31 MARCH 2024 EXPENDITURE ON CHARITABLE ACTMTIES Dlrrtt Dlrnct staff Support Total 2024 2024 2024 2024 Inpatient seryices Famlly support semces Community Se¢8$ Educatlon 177.234 11.489 16.410 672 1,656.026 234,$85 769,856 120,053 769,070 103.230 329,846 50.645 2,602,330 349.304 1,116,112 171.370 205.805 2,780,520 1,252.791 4.239,116 Dlrect costs 2023 Dlro¢t staff costs 2023 Siwort Tolal 2023 2023 Inp8tlgnt services Family support seThl¢ Community semces Education 169,230 10.941 8,992 369 1.570.858 218,869 745,700 75.112 693,056 91.530 300,584 30.063 2,3,144 321.340 1,055,276 105,544 189.532 2,610,539 1.115.233 3,915,304 In th• precedlng per, 8xpendltur8 of £135.310 was applled to r8strthd funds. 9 SUPPORT COSTS 2024 2023 Support c*)sts comprrse: Support staff costs PR and wmmunlcatknis Premls88 costs Insuranc Repalrs and malntenance IT $ts D8prgCiOtion and disposa18 Other overheads Gov8rnanc8 costs: Legal and professional fees Audlt and accountancy 721,749 75,695 127,928 22.830 76.397 124,797 122,682 66.134 660.495 69.232 88,375 19,071 89,687 126,533 120,262 74.048 148,893 14,860 85,222 17,468 1.501.965 1.350.393
THE HEART OF KENT HOSPICE (A company Ilmlt•d by guaraTrto•) MOTES TO THE FINANCIAL STATEMEKrs FOR THE YEAR ENDED 31 MARCH 2024 10 NEf INCOME 2024 2023 Nat income 15 Stated after chargingl{Grediti'ngl.' Govemment grants Operating 18ase rentals Auditors, remuneration for audli seNces Audltors, remuneralon for non4udit serwlces 11.268.767) 11,131.137) 251,129 282.893 18,350 13,500 2.870 2.350 As pemiitted by $408 CLKnpanies Act 2006, the par8nt Charity h88 not pr8s8nted its own Statement of Financial ACtItieS and relatad notes. The parent chartty'$ net movement In funds for the ypar was £320,133 (2023.. £26.4491. 11 sTF COSTS 2024 2023 Gross salaries EmphJy8es National Insurance conldtsjbons Empk)yels penslon trJntitJutions 4,020,898 355,819 238,839 3.671,145 332.596 223,208 4,615.556 4.226,949 Tha averagg number of persons gmpk)yed by th6 group during the year wats: 2024 No. 2023 No. Fundralslng Iwtienl seTrlces Famity supp)rt seMce8 Communtty sem Eda*b)n Management Finan¢9 Cat6rlng Trading subsSdLqrles Dfrvn8nli8 Cara homes 12 12 42 15 14 25 162 151 31
THE HEART OF KENT HOSPICE (A company lknlled by guaranto01 NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 IAARCH 2024 11 STAFF COSTS n11ThU•d The number of employe88 vthose empbyment beneffts {excludlng gmploygr pension contrlbutlonsl exceeded £60,0 wa8.. 2024 2023 In the band £60.001- £70.000 In tt)e band £70.001- £BO,000 In the band £80,001- £90.000 In Iho bank £90,001- £1CQ,000 Pensk conlthution8 in rnspect of highgr paid staff totalled £18,36412023.' £16.146). During Ihe >ear. 14 12023: 15} employges wer6 accruing pensions under tho ¢Jeffined contrlbLrtlon pension stheme. 92 {2023: 76} under the NEST scheme, 31 (2023.. 341 und8r the NHS multi-employer defined bonefil Pgn5ion scheme, and 112023-. 1) under a clerical mgdieal scheme. 12 TANGIBLE FIXED A8SErs Group Hosp1¢• bulldlng. ftoehold Flxtum. ffttings & •quipm•nt Fr••hold proporty Motor v•hl¢l•s Total Ai 1 April 2023 Addrbons Disposals 3,848.040 140,419 12,0161 532.469 69,874 40.442 136.298) 848,166 31,820 {111,4391 5,298,549 212,681 1149,7531 At 31 Marth 2024 3.986.443 532,469 74.018 768,547 5,381,477 Doprnclalion At 1 April 2023 Charge for the year Ellmlnated dlsposal 1.744.487 76.500 (5991 74,546 10.650 69.874 1.755 { 36,2981 648.238 48,760 1108.1291 2.537,145 137.665 1145,026) At 31 March 2024 1,820.388 85.196 35,331 588,869 2.529,784 Not book valu• At 31 March 2024 2,166.055 447,273 38,687 179,678 2.831,693 At 31 March 2023 2,103,553 457,923 199,928 2,761,404 32
THE HEART OF KENT HOSPICE IA company Ilmlt•d by guarJnts•) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 AIARCH 2024 12 TANGIBLE FIXED A8SEfs ¢ontlnu•d Thè nal book value of assets held for l)JndTalslng In the tradlThJ subsidiarfes as opposwj to dtrect Gharitabl& activ8$ was £83.92312023'. £54,914}. Charfty Hosple• bullding- Flxturns. Iyttlngs & rrnhklos •qulpm•nt Fre•hold Tot•1 Cost At 1 Aprll 2023 AddOn8 Dbposals 3,848.040 140,419 12.016) 532.469 9,500 528, 22,474 192,5171 4.918.964 162,893 194.5331 Al 31 March 2024 3,986.443 532,469 456.912 4,985,324 Deprnclatlon At 1 April 2023 Charge for the •r Eiiminated on disposol 1.744,487 76.500 { 599) 74,546 10.850 9,500 381.941 29,736 (89.20n 2,210.474 116.886 189,8061 At 31 M8rch 2024 1.820,388 85,196 9.500 322,470 2.237,554 l)ook value At 31 March 2024 2,166.055 447.273 134.442 2,747,770 At 31 March 2023 2,103,553 457.923 145.014 2.706,490 The value IIKILed In freehold w(yerty for land that is not depreciated is £226,300 {2023.' £226,300). Included in Ho¥pw buikling are assots in the course of con8trJcllon amounting lo £21,000 {2023: £Nil). d8preclatk)n 11 be charged on these assats until they aro compl8te and brought into Use. Barclrys Bank plc have a charge over th8 propoty known as Old Transwt Buikling Royal Brthh Loglon. Ae$for, K8nt ME20 7NL. 33
THE HEART OF KENT HOSPICE (A company Ilmltsd by guarant•g} NOTES TO THE FINANCIAL STATEMEKf8 FOR T•IE YEAR ENDED 31 MARCH 2024 13 INTANGIBLE ASSETS Group •nd Charfty Wob811• At 1 April 2023 Addilicffis 9,730 9,730 At 31 March 2024 19,460 AmortlsJll¢ At 1 Aprll 2023 Chargo for tho r 1,070 At 31 Mard12024 1.070 Not book value At 31 March 2024 18,390 At 31 Marth 2023 9,730 14 INVESTMEp¥rs Group 2024 Gmup 2023 Chartty 2024 Charlty 2023 Llsted Investments 333,275 300,446 333,275 31)),446 The Charlty aL80 h88 IDve¥trnents CA £3 (2023: £3), representiry hobJlng$ of 100% of the or(Inary shaTr cak*l in Heart of Kent Hospice Promotions Limited and Heart of Kent Hospice Tradlng Llmited. Both subsidiaries are companies limitg¢J by share capital registered In England and Wales wilh number 3233475 and 2547686 respective. The reglstered offi¢9 of each subsidiary is the 8am8 as the parant 8nW. Thdr prlndpal activitiès arg the runnlng of a lottery 8nd the op8ratlon of trading shorA rospectfvety. Both ar8 Included li the ¢on801idaled finanGRi statoments. The flnancl81 results of the $ubsidlath for thg ywr were: Expendltur• and tax Incom• (loss) N•t assets Haart of Kent Hospice Promotlons Llmlted Heart of Kant HOSP Tradlng Limiled 339,569 1,477,945 1339,5691 11,442.1481 3.1( 142.555 35,797
THE HEART OF KENT HOSPICE IA company limitgd by guarants•) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 IAARCH 2024 15 DEBTOR8 ¢3mup 2024 Grnup 2023 Charlty 2024 2023 Trade debtors Amounts owed by group undertakings Other dgblors Prepaym8nt8 and accruad Incom8 65.648 93.310 40,714 262.983 53.192 1,724.799 90,910 1.265.594 132.084 663,188 73.926 1.793.1 146.717 723.066 1,932,730 963,093 2.081.688 2.151,776 Prepaynents and 8ccrued Income includ08 Wcies receivabl8 amounting lo £1,610.80712023'. £554.742}. Conting•nt As at tha prior balanca shaet dats, thg group and charlty had b8en notrfled of a legacy which has not been recjnIsd ag11 doas not meet the Griteria for recognitk)n given in the accountlng policy noted. Th•1ogacy was re8lduary and tho 6slmated amount receivgtle was £86.500. 16 CREDrroRS: AMOUNTS FALUNG DUE WIThIN ONE YEAR Group 2024 Gmup 2023 Charfty 2024 Charfty 2023 Bank overdrafts Trade creditors Olher credltors Accruals and deferreil income 6.221 192.502 93.335 419.339 10.180 187.208 88,575 372.068 107,140 88.442 1TI,308 117.795 87,049 240,958 711,397 658.031 372,890 445.802 The movement on dafarred income 1$ 8$ f01b). 2024 2023 Group Balance at 1 April 2023 Releas&S to Iorne Received In the year arKI deferred 182,186 { 182.1861 268,540 160.228 1160,228} 182.186 Balance at 31 MarGh 2024 268.540 182,186 Def6Trad Inme relates to muttyear grant Incom• whlch ha8 been recognised in a(wrdanc8 wlth tha accInI[[j pow aV8. contraclual Incoma in advance loltery 8ubscrIpons pald In advance. 35
THE HEART OF KENT HOSPICE (A ¢ompany Ilmltod by guarantse) NOTES TO THE FINANCIAL STATEMENTS FOR TIIE YEAR ENDED 31 AIARCH 2024 17 MOVEMENT ON FUNDS 8rought lonvard Expendlture Transffjrn. CURRENT YEAR Income Rgstrlctsd fund Capital projects Inpatknnt unit 1,676 500 18,573 2.920 { 945) { 3,420) { 16,347} 2.957 Oementra and Communlty Toam Famity Support T6am & Liwng wdi MND support group Other 3,452 13.058) 10,375 85,754 10.200 2,484 { 85,8851 { 10,2001 14.4581 10,444 14,582 { 11.250) 1,358 27,133 123.383 { 107.7661 127.597) 15,153 Unre¥trf¢tad funds General fund Deslgnated funds". Fixed asset fund Tradkng subsidiary fund 3,631.519 4,988.363 14,591,994) 1112,196) 3,913,692 2,716.220 109,861 { 122.6821 11,781,717) 172,622 2,766,160 145.658 1,817,514 6,457.600 6.803,87T 16.496.393) 60,426 6.825,510 Total funds 6.484.733 6.927.260 { 6,604,159) 32.829 6.840,663 36
THE HEART OF KENT HOSPICE (A company Ilmltod by guaranto0) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 17 MOVEMENT ON FUNDS contlnued Brnught fonv•rd Expgndlturn Transfe and tax galnslloss Carrt8d fonvard PRIOR YEAR InMm• R•strfctsd funths Capital projects Inpatlent unlt 28.224 soo 6.943 4,693 12,105) { 4,693) { 31.386) 1.676 Damentla and Communlty Team Compassionate N8ighb(xJrs Famity Support T8am & LlvirKJ Well Hospice UK ND 8UPPOrt group Other 6,093 1,535 19.694 5.000 (25.787} { 6,535} 5.647 24,264 45.791 10,200 35,028 { 19,5361 { 42.8591 (10,2001 (23.5951 10,375 (2,932) 9,592 16.4431 14,582 51.591 151,613 1135,310) 140.7611 27.133 Unrnstrlcted fun G8noral fund Deslgnal&J funds.. Fixed asset fund Tradlng $ub$idi8ryfund 3.590,726 4.346,352 { 4,213.311) 192,248) 3,631,519 2,706,109 76,210 (115.6471 (1.589,1601 125.758 2,716,220 109,861 1.622,811 6.373.045 5.969.163 (5.918,118) 33,510 6.457.600 Total fund8 6.424.636 6.120,776 16.053,4281 17,2511 6.484.733 Flx•d as#•t fvnd Designated funds - The FSxed Asset fvnd has b8en set up to ldenfy th086 funds that are not free funds and il r8pres6nts the net book value of the parent charftys Intar¢glble and tanglble fixed assets. The tran8f8rs been the unrestrlcted general fund, restrlcted funds and th& flxed asset fund represents the addrfions in thg ygar. Othèr movements are for depreci8lk)n and profft or loss on disposal. 37
THE HEART OF KENT HOSPICE (A company Ilmttgd by guarants•) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 18 ANALYSIS OF NEf A8SEfs BEfwEEN FUND3 nd$ funds Total funds CURREiif YEAR Fixed assets Ngt curront assets 3.183.358 3,642,152 3.183,358 3.657.305 15.153 6,825,510 15.153 6.840.663 PRIOR YEAR Tangibl8 fixed assets Net rrent ass8ts 3,071.580 3,386,020 3.071.580 3,413,153 27.133 6,457.600 27,133 6.484,733 19 PENSION COMMrrMENTS The charity operates three12023: three) d8fin8d contrlblrtlon pension schèmès avallabl8 to tha Ma5Y of ts pemanent empk)yees. The Schemg funds are adminlslered by Tru$taeg of the pgnsion scheme and arè indgp8ndent of the charivs finances. During the year, £92,715 {2023.. £82,914) employers, contrlbulions were made. Contrfbutions lotalling £Nil (2023: £Nil) V4Yre payable to the funds at the balance sheet date and are Incknded In other creditors. The tharity also makes contdbutlons to the Natlonal Heath SeMco Schemes for cortan employe95. D8talls of the ben8flts payable and Nles of the Sch6me8 can be found on tho NHS Pon$i¢)ns webslte at nhsbsa.nhs. unfu rrrt sch NH employers, GP practices and other bodies. alkjwed under the direGlion of the Secretary of State for Health and Soaal Carg in England and wa$. They are not ejesigned to be run in a way that would enable NHS bodies to identify their share of the Undering $¢heme assets and liabilties. Therefore. each scheme is accounted for as rf il were a defined contribution heme.. the cost to the body of participating in èach schem818 taken as equal to th8 cothbutlons pay4b18 to that sch8mo for the accounting perfod. In or(ler that thg dgfined benefit oblatn$ recognlsed In the financial ststsm6nts do not drffer matgrlally from those Ihal woukl be delemilned at the reFQrting date by a fomial actua81 v8luatlon, th& FReM requir8s Ih•l period bets¥e8n fomial valuations shall be four rs, wth approximate assessments in intwvening year8.. An tne of these fc4k)ws: 38
THE HEART OF KENT HOSPICE (Aeonyany Ilmlted by guarant•e) NOTES TO ThE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 AIARCH 2024 19 PENSION COMMITMENTS conllnu•d a) Accounting valuatlon A vahjation of scheme Ilablllty Is carrfed out annuaNy by the 8cheme actuy (currenty the Govgrnment Actua$ fwartsngnll as at the 9nd of the reporting period. Thls utlli8as an actuarial assessment for the previous accounting pemd in conjunction bmth updated membership and financial data for the current reporting period, and Is acceptsd as protldlng sultabty robust figures for financlal rowjrting purposes. The valuation of ths $cheme Ilabilty as at 31 March 2024, Is based on Vall11Th dats as 31 March 2023, uwlatsd to 31 March 2024 wlth summary gk)bg1 m8mber #rKI accounting tjata. In undertaklng thi5 8Ctuarial assessmenL the methodology prescribed in IAS 19. rekvant FReM 1ntsrprgtans. and the dlscount rate prgsGribed by HM Treasury have a130 b•on used. The Lqlest assessment of the liabilit$ of the scheme Is rxsntalngd In th8 report of the scheme actuary. whlch forms part of the annual NHS Pension Scem6 Accounts. Th6$0 ¥cnts can b8 vl8w8d on Ihe NHS Perffjlons w8bslt8 and ara pubmshgd annually. Coples can also bo obtained from The Stsdonery Office. b) Full a¢tu•rlal (fundlng) valuatlon The purpose of this valuation Is to assess the level of Ilabl1 In respect of tho bengfits due under the 8ch8me8 (taking into account recent dgmographic expgrlencel, and to recommend conlribuuon rates payable by employws employor5. The latest acbjarfal valuatron undertaken for th• NHS P•n$h)n S¢hwno wa$ ¢cwnpletfAJ as at 31 March 2020. The results of this valLWtion set the empk)yer contrlbutlon rate Pble from 4x11 2024 to 23.7% of pensionable The Hosplce's contribubons to the Nallon81 Health S8ThtC8 Stheme represent a mlnor proporlion of the payments into the stheme. Th8 tharge induded within th8 Con801idaled Ststement of Financial Acliwties Inchjdes oJntribution$ payabl? to this scheme of £146,72912023: £132,699). The Hospice is not responsible for the liabl10$ of other entitles In the Scheme. 39
THE HEART OF KÉNT HOSPICE IA company Ilmlt•d by guarnnt••) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 20 HNAN¢IAL COPAMrrMENTS At 31 Mart 2024 thg group and parnnt charity were comrniited to future minimum lease payments under non- cancellabl¢ op8ratlng leases as foll¢)ws: 2024 2023 Parnnt charlty." Due vthhin on8 yoar Due In Iwo to fve years thje in more than flve ar8 4,704 Gmup." Due wthin ono year Duo in to fwe years Du8 in more than five year5 183,106 157.229 175.533 211,625 21 CAPITAL COMMrrMENTS 2024 2023 Group and Charlty Contracted lyjt not pwded frjr at the balance sheet date 19.020 91.478 22 RELATED PARTY TRANSACTIONS The key management personnel are conspjered to b& the trustees and th8 8x8cutNe team. There were no trustee8' remuneratlon nor other banefits durfng the Gurrent or peadIng perM)d. Expens8$ totalling £17512023: £20) were r8Smbursed to 212023: 1) trustee{s) in rglalw)n to membershlp subsciiptions and ts)nferenc8 attendance. Trustee iknations £4,214 (2023: £NII} In aggrogate. Th8 total amount of 8mpk)y8e tnefts lincbJdlr¥J emplo>p¢s pertslon contributiLwI racefved by key man8gém8nt personnel during Ihe yoar was £545,25312023: £499,805). 23 POST BALANCE SHEET Evep On 20 ne 2024, oudl planning was received for the buikling of a new Fbspti in Llnton. Maklstone. Plans are underway for a slgnlficant capital campaign and th8 dfrvelopment of the detalled de&gn8 for a full plannlng apicatIOn. The flnandal offo¢t of thasg events cannot ygt bg r8liably 8stlmated. 40