2021-12-31-accounts

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

2021 Annual Report

Making Every Moment Matter

St Luke’s Hospice (Harrow & Brent) Ltd. Charity No. 298555 Registered Company No: 02141770 1

Trustee’s Report

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Message from the Chairman, Gillian Schiller and Chief Executive, Annie Webber 4-6
The size of our care 7
Ethnicity monitoring 8
Our care in numbers 9
Our impact 10-11
Improving Advance Care Planning conversations 12
Wellbeing - Complementary therapy and physiotherapy services 13
Quality Improvements 14
The impact of our volunteers 15
Looking ahead - our plans in 2022 16
Our supporters 17-19
Operational Report 20
Strategic Report 21
Risk Management 22-23
Pension Liability 24
Reserves Policy 24
Investment Policy 25
Funding 25
Tangible Fixed Assets 26
Future Plans 26
Going Concern 26
Structure, Governance and Management 26
Senior Executive Remuneration 28
Reference and Administrative Information 30
Statement of Trustees’ Responsibilities 31
Independent Auditor’s Report 32-34
Consolidated Statement of Financial Activities 35-36
Charity and Group Balance Sheets 37
Cash Flow Statement 38
Notes To The Financial Statements 39-59
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More people
needed our
care than ever
Message from the Chairman, Gillian Schiller and
Chief Executive, Annie Webber
2021 was a very busy year for St Luke’s. The who are having care provided by the NHS, the
pandemic brought more people needing end Hospice and social services. This has eased
of life care and families needing bereavement the path for many families, who have told us
Handcrafted hearts of hope provided
support, and we were an important source what a difference this better organisation
comfort to patients and their families.
of help to the local NHS. We expanded our of care has meant for them. This has also
community services to people at home across enabled us to keep the bed spaces at Kenton
Harrow and Brent both with and after Covid Grange open for people with more complex
2021
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2021 was a very busy year for St Luke’s. The pandemic brought more people needing end of life care and families needing bereavement support, and we were an important source of help to the local NHS. We expanded our community services to people at home across Harrow and Brent both with and after Covid infection. The Hospice maintained a tight control over Covid infections with no closures of beds.

who are having care provided by the NHS, the Hospice and social services. This has eased the path for many families, who have told us what a difference this better organisation of care has meant for them. This has also enabled us to keep the bed spaces at Kenton Grange open for people with more complex needs.

One of the highlights of the year was the official opening of the Memory Garden in the first week of July 2021, where we had two engagement events for supporters, and a tour around the garden.

Our shops re-opened in spring 2021. Alone among local charity shops they all opened on the very first day they were allowed, and our takings have exceeded our hopes. This continued to be the case throughout 2021 and with Government support and other insurance claims made in respect of interruption to trade, they ended the year in a very healthy financial position. Sadly not all our volunteers returned though and in 2022 we need to invest time and energy into attracting new people to join us. Volunteering in shops is a satisfying means of helping St Luke’s and is an enjoyable way to become part of the St Luke’s family.

We were able to keep some reduced visiting open at Kenton Grange throughout the pandemic, to the benefit of the people we care for. Families have told us how much they valued not being parted from their loved one at this crucial time.

Staff were able to cover all the services that were needed. We had planned to grow our education services for healthcare staff in the community, in GP practices, and especially in care homes. We did provide education, and had particular success in care homes. In addition we made some online short videos for families and carers looking after their loved ones at home, enabling them to take on some tasks that our own nurses normally perform. People found them easy to follow and used them confidently. To date, the combined videos have had over 10,500 views.

St Luke’s was able to re-open some much loved and missed wellbeing services that had ceased for the pandemic. Complementary therapies restarted with better physiotherapy, welfare support and activities.

At the start of the year Covid restrictions were firmly in place and curtailed our ability to hold fundraising events. Despite this the fundraising team performed above and beyond expectations. Some events were held online, and the local community were generous in their donations. We were very successful in bidding for funds from grant awarding bodies and from Government Covid support schemes. Our financial position remained solid over the year and has allowed us to plan for further service improvements in 2022.

St Luke’s has always tried to learn what we could do better. We took the first steps towards understanding the data on the range of diverse communities we serve across Harrow and Brent to tailor what we do more closely to what and how they want services to be offered.

We launched the St Luke’s Harrow & Brent Business Network to thank local businesses who had supported us through the pandemic and to help stimulate the local economy under a common goal of supporting St Luke’s. We held two fantastic events at Kenton Grange and at Brent Civic Centre bringing together businesses from both boroughs and from a variety of sectors.

We continued to improve our systems both to help us keep more people at home and to enable people who had a hospital stay to have care and support in their home within only a few hours of hospital discharge. We took on the role of coordinating services for people

The size of our care

Gillian Schiller, Chairman

We continued to use an online service, Care Opinion, where people can leave messages telling us where we have helped them and where we could do things differently. To date almost all messages bring us words of gratitude and praise, which are very rewarding to our staff:

“St Luke’s came to the rescue when our dear mother’s health declined to the extent where we could not leave her overnight in her flat so brought her home to be with us. Within a few hours of telephoning, St Luke’s provided a hospital bed and daily carers who looked after mother with great compassion and excellence.”

Our 24 hour phone helpline, Pall24, grew and developed and was very well used. It too received high praise from local families:

“It left me feeling cushioned and safe in the knowledge that you are there to help with the care of my husband in the future when I need it.”

Annie Webber, Interim CEO

At an inspection by the Care Quality Commission (CQC) in October, St Luke’s was praised for many aspects of its provision, rating the two areas of ‘Caring’ and ‘Responsiveness to people’s needs’ as ‘Good’ and citing praise from the NHS, the London Ambulance Service, patients and their families. Some specific failings elsewhere meant a downgrading. Those areas were speedily remedied and the Hospice’s status was returned to ‘Good’ within months.

The numbers in this report attest to the passion that every member of staff at St Luke’s has for what they do. They make very positive reading, and the comments from individuals add the human, warm sense of the nurture and care that is our hallmark. We have had the strongest support from local people. Their generosity, love and support continues to humble us and we are truly grateful.

essential face to face visits, we learnt to work in different ways. Telephone assessments increased significantly across community, social work and bereavement services.

Overall we have increased the numbers of people we have supported in the last year. However, due to the pandemic it was necessary to find innovative ways of supporting people just as effectively, but using fewer face to face appointments and visits.

We invested time into educating our staff to conduct thorough telephone assessments and to prioritise caseloads accordingly which meant that every call was meaningful. Many patients informed us that they found a telephone approach very supportive.

Many patients told us that they did not want face to face visits due to the potential risk of developing Covid and whilst we still undertook

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2021 2020
Total patients supported 1,996 1,824
Days of Inpatient care 2,831 3,031
Individual people who attended day care 241 57
as outpatients
Complementary Therapy and 1,394 1,602
Physiotherapy sessions
Patients supported by Hospice at Home 576 508
Telephone calls, assessments and rapid 216 visits 299 visits
response visits made by our Pall 24 (seeing 140 patients - 6,585 telephone calls
teams 50% of whom required
two nurses)
6,928 telephone calls
Patients supported by Community 567 548
Specialist Palliative Care Team
Care provided by the Community 1,080 visits 777 visits
Specialist Palliative Care Team 10,037 telephone calls 10,383 telephone calls
Social Work sessions 2,852 1,766
Bereavement sessions 177 108
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Ethnicity monitoring

Embracing the diversity of the area we serve, we ensure promotion of equal access to hospice services to all ethnicities and continue to look at ways of making our service more representative of the local population.

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Ethnicity St Luke’s % Brent % Harrow %
White British 24% 18% 30.90%
Indian 16% 18.60% 26.40%
Asian other 5% 9.80% 11.90%
White other 5% 14.40% 8.20%
Black Caribbean 4% 7.60% 2.80%
White Irish 4% 4% 3.10%
Other 3% 5.70% 3%
Black African 1% 7.80% 3.60%
Mixed 1% 5.10% 3.90%
Pakistani 1% 4.60% 3.30%
Black Other 1% 3.40% 1.80%
Chinese 1% 1% 1.10%
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We have not included people who preferred not to provide ethnicity information. Notes: Comparative data from 2011 census

Our care in numbers

Cared for 1,996 people (1824 in 2020), an increase of 9.4%

19%

more patients were looked after in the Inpatient Unit than in 2019. It remained open 24/7 365 days in 2021

Brent Community Team cared for more people via the Hospice at Home service: 567

69% 360 of all patients patients and received carers received interventions support from our within 48 hours social work and of being referred, family support doubling the preteam, 26% more pandemic rate than prior to the (34% in 2019) pandemic

(548 in 2020), an increase of 19%

We increased the number of people able to access our Pall 24 telephone advice (available to callers 24/7) helping 546 people at home on 31st December

140 people received an emergency nursing visit from St Luke’s, 50% of whom required 2 nurses to provide the care

Our impact

In 2021 we significantly improved our responsiveness in the following ways:

We want people to receive a more

coordinated service so our Hospice at Home team now have monthly meetings with both GP’s and district nurses. These meetings and other networks have enabled improvements to happen in partner services by sharing examples of patient experience

A specialist nurse is first point of contact for all patients referred to community palliative care and professionals calls. This means that we can help most swiftly and as often as possible with just one phone call. We now respond to patients in crisis and sort out the referral paperwork subsequently
The Pall24 service made 6,928 telephone calls to patients, professionals or others to ensure a response – 7.5% more than pre-pandemic
By opening a 7 day initial community assessments service our patients received 64 first assessments, 38 visits, and 256 phone calls at weekends. This has enabled us to smooth out the workload for our staff by undertaking this work over 7 days rather than 5 and so responding in a more timely way
20 dying patients with complex requirements received faster individualised personal care because of funding made available as a result of our advocacy to NHS commissioners
59 Patients received assistance with benefits and financial concerns and 32 patients received housing advice and advocacy
We can now respond quicker and give better advice because we have purchased software licenses and set up the systems to view the GP electronic patient records

People given 24hr telephone advice each year

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750
500
250
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Patients and families in our Inpatient Unit can now see a social work assistant 6 days per week. With the introduction of weekend working, 70% of patients are now allocated to be seen within 1 day of referral. They receive a listening ear, advice and guidance. Additionally inpatients and their families receive assistance with planning for ongoing needs after discharge.

We had to rebuild our bereavement service through the pandemic. In 2021 we increased the number of bereavement volunteers from 8 to 14 (75%), and adapted to a phone and virtual service enabling 177 bereaved relatives to receive personal support (64% more than in 2020)
More than double the number of people received immediate and extensive personal care (from 50 in Q1 – 119 in Q4) enabling them to remain in their preferred place of care at the end of life

No of Patients & Carers supported by Patient & Family Support Team

Rebuilding the Patient & Family Support Team following the effects of furlough in 2020

We attended 45 weekly meetings with other healthcare professionals (district nursing and nurse specialists) to help coordinate people’s care

We took on board user feedback to make the following improvement:

Patients wanted to repeat information less often so we introduced a new joint assessment with the nurse and the social worker
Other suggestions will form part of our improvement plan for 2022

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0
2015 2016 2017 2018 2019 2020 2021
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Improving Advance Care Planning conversations

Wellbeing - Complementary therapy and physiotherapy services

End of Life Planning with Harrow Care Home residents and families

57 care home
Everyone who attended recommended the course and gave it a 5 star rating

6 Harrow Care Homes and the Care Home Support team

managers, nurses and care workers trained in compassionate and effective Advance Care Planning conversation skills

Potential impact on 437 residents

Each Home had 3 virtual sessions at no charge!

What we achieved! Feedback

4 ‘W’s + 1 (to start Advance Care Planning conversations)

I am much more confident using the 4W’s +1 guide to start a difficult conversation

The Shadow Tool really helps me to identify residents approaching end of life care

I WISH I didn’t have to...

I WORRY

I WONDER whether...?

I don’t approach residents I WONDER with a piece of paper any whether...? more, I wait for a good time to sit and just talk to WHAT would them, slowly we get there matter to you...? and their worries start to 1: positive actions come out, what they would (eg comfort) like, or not like, everyone is before omissions / an individual and they all have different needs withholding (eg CPR)...

Make the conversations easier for residents to talk about any issue they might have re end of life care

I felt more confident to have conversations with families

As lockdown restrictions eased we gradually increased the numbers of patients treated as outpatients

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Complementary therapy treatments delivered
(Quarterly)
250
200
150
100
50
0
Q1 Q2 Q3 Q4
IPU Wellbeing Service Home
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Physios treated 46 patients in the last 3 months of 2021, double the number seen during the previous quarter.

Other Therapies

Patients were able to continue to experience art therapy virtually, because staff and volunteers delivered art materials to their houses. One recipient told us:

“The online programmes really supported me. I attended Zoom meetings for art therapy. Although I miss the socialising and sharing experiences with people in a similar situation, the online sessions have taken the isolation aspect away, and it is a positive experience, improves the quality of my life, and I feel valued as a human being.”

Our first ever patient-led peer activity “Gardening for Hope” was delivered virtually.

Six patients were supported by a volunteer or staff member to capture their own “Moments in Life” - capturing their life story, letters to loved ones or to complete a memory box as a beautiful record of their life.

Social Prescribing Link Worker

Provided advice and support to 347 local people who reported dramatic improvements in feelings of satisfaction / happiness / worthwhile. 44% were assisted with their mental health or social isolation particularly prevalent during the pandemic.

Quality Improvements

Patients on the ward now receive pain relief 46% faster following the introduction of single nurse administration of controlled drugs. Patient safety has been assured with 25% fewer controlled drug administration incidents.

Established and held 7 case study forums to promote reflective practice within the Hospice. Feedback from the forums:

“Collaborative working has an effective beneficial outcome for patients and families to enable death at home”

Patients on the ward received better assessment, documentation and management of pain following the introduction of new tools.
We will better be able to improve our care and learn from when we don’t get it right, following a complete rewrite of the Patient Safety Incident Policy which simplifies incident reporting, and strengthens learning from incidents and reporting.
Patients at home received better pain control advice following targeted training to 6 palliative helpline nurses’ on drug dose calculation skills.
Every hospice service is now using patient and carer feedback to make suggestions for improvement.
The most common type of prescription incidents were reduced to zero within two months of presenting our data better and focusing our efforts on the right place.

The impact of our volunteers

Currently we have a total of 446 volunteers and their contribution is significant, creating time and cost savings across every department of the Hospice:

The shops volunteers along with the fundraising and stamps teams all help to raise vital funds for the hospice with the stamps team raising a total of £8344.98 for the hospice last year alone.

We have Complementary Therapists, Bereavement Support, IPU volunteers, Drivers and Moments in Life volunteers all helping to make the patients as comfortable as possible with the latter helping to record the life memories of patients to be passed onto their families and friends to be kept as a precious memento.

Last but not least our multiple award winning gardeners. Our gardens are stunning and that is down to the skill of our amazing the team, helping to make wonderful and lasting memories for the families and friends of those in the final stages of their lives.

Our wonderful reception volunteers, the first point of contact for patients and their families, offer a friendly smiling face helping to make a stressful and difficult time easier.

Our volunteers take on many different roles and without their hard work and dedication we would not be able to provide the care and support so vital to our patients and their families and friends.

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26
Complementary
Drivers:
Therapy: Moments
2
10 in Life: IPU:
Shops & 4 1
warehouse
Fundraising:
357
Bereavement 9 Stamps:
Support: 4
14 Finance: Gardeners:
2
17
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Looking ahead – our plans in 2022

We are working hard this year to:

Reach more people – we are improving our data capture systems to ensure that we have the services to meet the needs of our local community and to find out where there is unmet need
Encourage a culture that makes people joyful at work

Appoint an independent expert team to undertake a needs analysis for end of life care alongside offering recommendations on gaps where further work is needed and actions to ensure St Luke’s is doing all it can to provide appropriate care to all communities living in Harrow & Brent

Continuously improve quality. We are scrutinising every aspect of our provision to ensure not just compliance but excellence. Actively encouraging feedback from our staff, volunteers and service users, there is renewed focus on training and continuous improvement with change backed and driven by evidence
Launch our new innovative partnership with Compassion in Dying to provide a personalised care planning service for frail elderly patients in Harrow and Brent, provided by volunteers and supported by a small professional resource
Work more in collaboration with community partners where appropriate
Review and increase the number of referrals to and the breadth of services offered by our Wellbeing Service
Continue to increase our digital strategy to enable our staff to have more access to NHS IT systems
Expand and broaden our 7 day a week range of services
Attract and recruit more volunteers to revive the numbers to pre-pandemic levels

Our Supporters

Each and every one of our supporters is a vital part of the St Luke’s community and we simply would not be here without you. We truly appreciate and value every individual who gives us a donation, those who have left us a gift in their will, people who shop in and donate to the St Luke’s shops, individuals and groups who take part in our events, players of the St Luke’s lottery, fundraisers doing wonderful things for us, the many community groups, faith groups and schools who fundraise for us, our corporate supporters and funding partners.

and Devon on their multi-day walk and raising a truly remarkable amount. In July we were delighted to be able to welcome more than 700 people to our Midnight Walk. Some of our courageous supporters walked on hot coals at the Fire Walk in September, and December saw hundreds of people dressed as Santa dashing through the streets of Pinner and at local schools and colleges!

Many of our corporate supporters joined us for the St Luke’s Golf Day in September, which was generously headline sponsored by the Toureen Group and took place at Aldenham Golf & Country Club, and many more fantastic local companies supported us throughout the year.

The NHS funds 40% of the cost of St Luke’s services, which means the care of 6 out of 10 of our patients is funded by our community making donations, taking part in events, supporting our shops and making gifts in wills. Because of your continued support, we can make every moment matter for people as they approach the end of their life in Harrow and Brent.

During “Make a Will Month” in October, we worked with local solicitors and online will writers to offer our supporters the opportunity to write their will for free.

We received more than 1,500 Hearts of Hope offering beautiful messages for our patients from school children across the area. We launched our new look ‘We Care’ magazine to keep our supporters updated on St Luke’s Hospice news. We hope you love it as much as we do – please do let us know any feedback.

2021 was another bumpy year for our fundraising, with no events happening in the first five months of the year. The St Luke’s Annual Walk took place in June, with our intrepid hikers braving the wilds of Somerset

In addition to offering our thanks to those who prefer to remain anonymous, we are very grateful to the following charitable Trusts and Foundations, local companies, individuals, groups and associations who all supported our work during 2021:

Grand Lodge of Mark Master Masons of Middlesex Grant Harrod Lerman Davis LLP Harold Benjamin Harrow Giving ITS Group - UK Kerry Association London Maa Krupa Foundation Mark Phillips Mason Le Page Trust Masonic Charitable Foundation Middlesex Province Relief Fund Montway Pauline and Harold Berman Trust Sai Sruti Charitable Trust SKSST - Shree Kutch Satsang Swaminarayan Temple - Kenton The Sir Jules Thorn Charitable Trust Snap Fitness St Dominic’s Sixth Form College St George’s Shopping Centre The Kingsbury Charity The National Lottery Community Fund The Wolfson Foundation Toureen Group Woodgrange Estates

Albert Hunt Trust Aldenham Golf & Country Club Asian Foundation for Help Betty Messenger Foundation Brent Council Voluntary Sector Infrastructure Fund

City Bridge Trust CVC Capital Partners David and Ruth Lewis Charitable Trust The Dewan Foundation D’Oyly Carte Charitable Trust Ecclesiastical Insurance Everglade Windows February Foundation Freemasons’ Grand Charity Go Plant Fleet Services Grand Lodge of Mark Master Masons of London

Thank you to every person and organisation who supports St Luke’s brilliant team of staff and volunteers to give each patient the very best, compassionate care; making every moment matter. A special mention to those who give in memory of a loved one they have lost, we are so grateful to you. We are fortunate to have so many in our community standing with us to offer the people of Harrow and Brent the very best end of life care.

Complaints

Our fundraising team dealt with six complaints during the year. Two were related to a telephone campaign that was outsourced to an external agency, making requests for regular gifts and lottery plays.

This vital fundraising activity was largely received well, with one supporter seeking assurance that the activity was not fraudulent, and both complainants giving feedback about the telephone manner of the person who called them, which resulted in the campaign team being given additional coaching.

One donation was refunded as a result of the Hospice being unable to fulfil the wishes of the donor in regards to recognition for the gift.

A complaint was received regarding a delay in sending acknowledgement for funds raised at an event by one of our committed community groups and we have reviewed our thank you protocols following events as a result.

Following some feedback on the tone of correspondence related to processing a legacy donation, we contacted the executor of the will immediately to explain the reasons for the legal language used and reassure them of our gratitude for their support, and we reviewed our legacy correspondence templates.

The final complaint was from a supporter who was disappointed that they had not been informed about the new security measures in place which meant they could not easily access the Hospice grounds to remember their loved one in the St Luke’s Memory Garden. This led to a letter being sent to relevant supporters to ensure they were aware of how to access the grounds and that they were very welcome to visit the Memory Garden or Tree of Life at any time.

Shops

We received twenty-three complaints about our shops during 2021. The complaints were about customer service, pricing, fly tipping, refund policy, mask wearing and opening hours. There were fourteen complaints about customer service in the shops and these were addressed with further training. Three complaints regarding pricing being too high were addressed by explaining the pricing policy to customers. There were two complaints regarding fly tipping outside the shops and this was reported to the council and two complaints about refund policy in which the policy was explained and refunds given as a gesture of goodwill. All complaints were followed up quickly and efficiently.

Operational Report

All facilities are managed in line with Health and Safety Executive regulation and guidance. We invest in training and developing our staff, being recognised with the Investors in People Bronze Award, and operating within ACAS guidelines. We are registered with the Fundraising Regulator, follow the Code of Fundraising Practice and adhere to the Trading Standards and Gambling Commission regulations for our income generating activities.

The charity is run in accordance with Charity Commission regulations and makes every effort to follow guidelines on best practice – aiming for excellence in everything that we do.

The hospice strives to deliver high quality, evidence based care to service users following national standards of care e.g. National Institute for Health and Care Excellence guidance. We report evidence to demonstrate compliance with standards of care to clinical commissioners. We are regulated by the Care Quality Commission (CQC) and were inspected by them in October 2021. The inspection report recognised that hospice services are caring and responsive to people’s needs but found that we needed to improve safety, effectiveness, leadership and governance. We were very sorry and deeply disappointed to receive an overall rating of ‘Inadequate’. We have since put in place agreed action plans with CQC to address the issues identified and have developed and implemented a substantive turnaround plan to improve. We were re-inspected in the first quarter of 2022 enabling us to demonstrate our improvements and were pleased to subsequently be upgraded again to ‘Good’.

Data Protection and the care of vulnerable people is taken very seriously and we have an Information Governance Working Group which meets regularly and also invites expert advice to ensure we care for personal data in line with Data Protection regulations, establishing the highest standards of working practice amongst our staff. Staff receive mandatory training on data protection, safeguarding and a range of other important topics. St Luke’s has successfully completed the NHS Data Security and protection Toolkit which measures our performance against national data security standards.

Strategic Report

Overview

Fundraising, Shops & Lottery

The Hospice recorded a surplus of £1,999k (2020 – Surplus of £1,993k)

Despite disruptions during the first quarter of the year due to COVID social distancing rules, the income from fundraising during 2021 was higher than income recorded in 2020. Excluding legacies, the Income from Fundraising for 2021 was £1,762k (2020 - £1,648k). In particular, income from Trust funds and Fundraising events were higher, at £470k (2020 - £ 396K) and £228k (2020£102K) respectively. Income from legacies for 2021 was £1,197k, 28% higher year-on-year (2020: £937k).

During the year, the charity received the following grants and contributions which enabled the service to be sustained during lockdown periods and provide support to the NHS:

Covid Support from Hospice UK, on behalf of NHS England

£619k

Government CJRS grants £535k

Despite the lockdown during the first quarter of 2021 due to COVID, over-the-counter (OTC) sales at shops during 2021 was £1,863k, 54% higher than the previous year (2020- £1,210k). The settlement of the business interruption insurance claim of £639k also aided the shops company’s financial results for the year.

Net Profit from Shops (including Retail Grants) £935k (2020 - £384k)

Profits from Lottery Sales for the year were £202k (2020: £169k).There was a renewed growth in membership as a result of successful marketing and the lottery is now well established.

Risk Management

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Indicator Measure Tolerance Actions to mitigate
limits
Serious untoward clinical Number of Zero Comprehensive competency training
or other incident resulting incidents for staff. Detailed clinical policies and
in death or serious harm to procedures to support clinical practice.
patient, supporter, staff or Elaborate incident reporting and follow up
volunteer at “clinical quality matters” forum.
Patient/Family complaint Number of Zero Complaints policy and procedures in place.
implying serious failings in complaints Investigation and remedial action taken
quality of care where necessary. Learning from complaints
discussed at “clinical quality matters”
forum.
Accidents and near misses Number of 2 similar incidents All incidents investigated and remedial
i.e. incidents that have incidents per quarter action taken as required. Duty of candour
potential to cause serious implemented as per policy. Learning from
harm. complaints discussed at “clinical quality
matters” forum. Recurring themes considered
for quality improvement projects.
Serious data breach involving Number of Zero Information Governance policies,
personal data incidents procedures and monitoring.
Information Governance training and
investment in enabling technology.
Conflict of interest resulting Number of Zero Policies and Procedures. Disclosures and
in trustees, staff or volunteers incidents declarations.
or related parties benefiting
commercially due to their
relationship with the hospice.
Level of reserves Number of < 6 months of Robust Financial sustainability plan. Close
months of expenditure in free monitoring of financial performance.
expenditure reserves expected
to occur.
Significant drop in trading or Gross >5% budgeted Detailed budgeting and forecasting. Regular
fundraising income income income and prompt monitoring of performance
leading to remedial action.
Drop in statutory income Contract Zero Building partnership approach with Clinical
value Commissioning Group (CCG). Evidencing
outcome and impact of work. Offering new
services based on CCG’s priorities.
Financial fraud Amount Zero Robust Internal financial controls.
lost Compliance with financial policies and
procedures.
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As demonstrated within this table, the charity trustees have given consideration to the major risks to which the charity is exposed and satisfied themselves that systems and procedures are established in order to manage those risks.

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Indicator Measure Tolerance Actions to mitigate
limits
Lack of monitoring Lack of agreed Zero Regular meetings among Trustees and
by Board and SET KPIs against SET. Detailed discussions around KPIs
of progress against strategic aims with a view to taking corrective action
strategic plan if required.
Low staff morale Staff Survey, More than 30% of Issues of general concern discussed
complaints staff say they feel at Employee consultative forum and
from staff morale is low in a Volunteers Hub.
survey. More than Established annual individual
5 complaints/ development review (IDR) process
grievances in a aimed at addressing individual morale
quarter. issues among other matters.
Lack of robust policy Increase in >1 H&S incident Regular review of policies by
framework to review H&S Incidents where we have Governance Committees.
and implement policies. Policies not not complied
compliant with legal
requirements.
More than 20% of
our policies out of
date.
Lack of compliance with Complaint Zero Robust Internal controls. Compliance
regulatory bodies CQC, from member with policies and procedures. Training
Gambling Commission, of public or and mock inspections.
Charity Commission, whistleblowing
Fundraising regulator by staff
Loss of resources due Increased 10% of workforce Sickness figures monitored and
to staff sickness. workload on out of action. reported. Individuals required to have
staff having “return to work” interviews and asked
to cover to attend occupational health if needed.
other posts/ Cross training of team members to
complaints enable cover during staff sickness.
from staff.
Significant drop in trading Gross income >5% budgeted Detailed budgeting and forecasting.
or fundraising income income Regular and prompt monitoring of
performance leading to remedial action.
Drop in statutory income Contract value Zero Building partnership approach with
Clinical Commissioning Group (CCG).
Evidencing outcome and impact of work.
Offering new services based on CCG’s
priorities.
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Pension Liability

2019 resulted in the Hospice agreeing to pay approximately £68k each year in deficit contributions. This contribution will increase by 3% each year until 2027. The Scheme actuaries estimated in September 2019 that these deficit recovery payments from employers would be sufficient to return the scheme to a fully funded position. The Board recognises this as a key risk and is monitoring the risk along with the Senior Team. The Board regularly reviews the options available to manage the Risk including a potential buy-out. A Designated Reserve of £300k has been retained towards this potential future buy-out.

Before 1 May 2015, the Hospice offered a multi-employer pension scheme providing a defined benefit (career average) pension for members. This scheme was closed to further accrual in July 2016. The scheme was a “last man standing” arrangement which means that the company could be potentially liable for other participating employers’ obligations if those employers are unable to meet their share of the scheme deficit following withdrawal from the scheme.

The scheme is run by TPT and is in deficit. The last full scheme valuation in September

Reserves Policy

As at 31 December 2021 the company had the following Designated and General Reserves

Fund	£ 000s	Timeline for use
Designated Fixed Asset Fund	5,071	The designated fxed asset fund represents the net book value of the Hospice’s fxed assets. It has been set up to assist in identifyingfunds which are not free funds
Designated Shops Assets Fund	105	The designated shops asset fund has been set up to identify fxed assets of the shops company not covered bytheir workingcapital

Reserves excluding fixed asset funds

General Fund	5,086	Generalpurposes
Risk Management Reserve	1,641	General purposes – against perceived risks to income
Pension Defcit Reserve	300	Held towards a potential future buy-out of the Defned Beneft Pension scheme
Total	7,027

Fundraising accounts for 16% of the Hospice’s gross total income. Income from the Charity Shops Company accounts for 38% of the Hospice’s gross income and around 25% of the gross income is earned from contracts with Harrow & Brent Clinical Commissioning Groups. As a result, the Hospice needs to ensure that it has a sufficient reserve of funds available to meet unexpected shortfalls in its funding streams, or sudden increases in costs.

The Board aims to maintain six months of total expenditure as Reserves. That amounts to £4,015k (Total expenditure for 2021 was £8,029k). Reserves (excluding Fixed Asset funds) as at 31st December 2021 were £7,027k. This is approximately 10.5 months’ of total expenditure. Within the overall quantum of Reserves to be maintained, recognising the mix of income streams that the Hospice relies on to fund its work and the different risks associated with each income stream, the Board assessed each individual income stream and the potential risks associated with it. Each income stream was given a risk weighting and a potential reserve amount allocated. As a result, the Trustees agreed a target level of £1,650k of Designated Risk Management Reserves. This Risk Management Reserve was at £1,641k as at 31 December 2021. The Reserve was set up so that the Hospice is able to manage any unexpected shortfall in income to protect the needs of the patients served and also to give a reassurance of security for the staff. The surplus generated during the year was added to General Funds. The trustees have Designated Reserves equivalent to the fixed assets of the Hospice and also of the subsidiary Charity Shops Company, which are not covered by that company’s working capital. This is to better identify funds that are available to cover specific risks.

be necessary and reports its conclusions to the Board. In November 2021 a review of Reserves was carried out and the current policy was approved.

Investment policy

The Board, in 2016, appointed Rathbones PLC as investment managers to manage the investment portfolio. Approximately £1,600k was originally allocated to them to be held by them in underlying investments appropriate to the purpose and anticipated timescale of the designated reserve to which it relates. The value of those investments as at 31 December 2021 was £1,706k. An additional investment was made in December 2021 which increased the investment portfolio to £4,206k as at the end of the year.

Before placing investments on behalf of the charity, the Trustees have asked the fund managers to screen for tobacco and health care companies.

The Senior Executive Team monitors the performance of the investment funds and reports quarterly to the Finance & Performance Committee.

The Finance & Performance Committee reviews the level of Reserves and considers any amendments to the policy which may

Funding

The Hospice’s principal funding sources (as % of gross total income) during 2021 were:

38% Income from Trading Subsidiary (2020: 30%) including Gift Aided sales, Gift Aid recovered through charity and lottery including retail support from HMRC and councils

25% Harrow & Brent Clinical Commissioning Groups (NHS) (2020: 26%)

16% Fundraising through donations and fundraising events (2020: 15%) excluding gift aided sales, gift aid recovered through charity and lottery

12% Legacy Gifts (2020: 10%)

6% COVID Support from NHS England (2020: 14%)

3% Investment and other income (2020: 5%)

All of these funds are employed in providing the specialist palliative care which is the primary purpose of the hospice.

Tangible Fixed Assets

Movements in tangible Fixed Assets are shown in note 10 to the financial statements.

Future Plans

At the date of this report, 2022 is already proving financially challenging for many businesses and charities and especially individuals. The charity’s plans for Care are outlined on page 16, and the Trust’s Reserves as at 31.12.21 are considered adequate to support those plans. Increases in inflation will also affect costs during 2022, especially with regard to utilities charges. The charity is reviewing all costs and income streams on a regular basis to take into account these external factors.

Going Concern

The trustees have prepared the financial statements on a going concern basis and consider that no disclosures relating to the charity’s ability to continue as a going concern need to be made in the financial statements.

Structure, Governance and Management

The Hospice was incorporated as St Luke’s Hospice (Harrow & Wembley) Limited under the Memorandum & Articles of Association dated 22 June 1987 as amended on 8 January 1988, 11 November 1993, 15 August 2000, 26 June 2001 and 18 December 2008. In 1993, following local government reform, the Hospice changed its registered name to St Luke’s Hospice (Harrow & Brent) Limited to reflect the change of name of part of its catchment area from the London Borough of Wembley to the London Borough of Brent.

The Company has a wholly owned trading subsidiary, St Luke’s Hospice (Harrow & Brent) Charity Shops Ltd, through which it operates a network of charity shops and a lottery. The trading subsidiary exists to maximise income for the hospice and all profits are paid to the Hospice using Gift Aid.

St Luke’s is governed by a Council of Management (Board of Trustees). Trustees are appointed for an initial 3-year period and are eligible for re-election for a further 3 years. Thereafter a year must elapse before they are eligible to stand again. Those holding the posts of Chairman, Vice Chairman serve for an initial period of 3 years and are eligible for re-election for a further 3 years – this may be in addition to a term(s) served as a trustee.

Trustees are appointed by the Board following open recruitment with internal and external press advertising. The Board reviews the skills it needs in deciding selection criteria to maintain breadth of skills. During the year 1 new trustee was recruited following an extensive process which included external advertising and open evenings for prospective candidates to find out more about the work of the hospice and the role of the Board.

All Trustees are required to complete a thorough induction programme during their first 6 months in post including spending time with different departments in the organisation. In addition they attend meetings of the subcommittees to which they are appointed. During their tenure as a Trustee they are also offered training courses relating to their specific interest group or specialism including updates on operational and administrative matters within the organisation. The induction process is supported and overseen by the Chair and the CEO.

The full Board usually meets quarterly. The Board held an annual strategy away day in September 2021 jointly with the Senior Executive Team as part of the process. The Board delegates consideration of key areas of its work to 2 standing committees: Finance & Performance and Clinical Governance. Each committee usually meets quarterly in advance of the Board meetings. The Board has delegated certain powers to the Chief Executive Officer (CEO) who acts as a conduit between the senior staff and Trustees.

The Board has adopted a governance calendar to ensure that it systematically reviews key management information and data and satisfies itself that the Hospice is properly and correctly run enabling the Board to discharge its governance responsibilities in full.

The Hospice is a member of Hospice UK and works with it and a number of neighbouring hospices where collaboration is the best approach. The Hospice also strives to build good working relationships with the Harrow & Brent Clinical Commissioning Groups, from which it receives part of its funding. St Luke’s also maintains links with a variety of professional associations which support the work of the staff.

St Luke’s Hospice (Harrow & Brent) Ltd.

Senior Executive Remuneration

The charity’s approach to pay policy is consistent for our staff and the Executive team. Our policy is designed to enable us to attract, retain and motivate high performing Executive team members.

It also aims to demonstrate to our stakeholders (particularly funders and service users) that our pay levels are set to support delivery of the charity’s aims and are an effective use of charitable funds.

The objectives of our pay policy are to:

reward senior staff appropriately and enable the recruitment of a high calibre Executive Team ensuring our leadership has the skills and experience required to run St Luke’s Hospice, an organisation which cared for 1,996 patients in 2021 with an annual turnover of over £9 million, 150 paid staff and 440+ volunteers
ensure the proper use of the charity’s resources in accordance with its aims and within affordable limits based on the financial circumstances of the charity

be non-discriminatory, just and equitable in the evaluation of jobs and their remuneration by providing a stable framework for the remuneration of the Executive team

operate within the law

pay at a competitive level taking account of external market rates, with the aim being to set pay at the median level or above for comparable posts in the voluntary sector subject to the charity’s financial position

The charity publishes the salary of its key management personnel (Senior Staff listed on page 2) within this report. The number of staff paid over £60k is also published in accordance with the charity accounting requirements.

Executive pay is reviewed on an annual basis by the Pay and Reward Committee and is subject to approval by the Board of Trustees, which is responsible for ensuring proper application of our pay policy.

St Luke’s Hospice (Harrow & Brent) Ltd. Report And Consolidated Financial Statements For The Year Ended 31 December 2021

Company Registration Number: 02141770 Charity Registration Number: 298555

St Luke’s Hospice (Harrow & Brent) Ltd. Reference and Administrative Information

St Luke’s Hospice (Harrow & Brent) Ltd. Report and Accounts for the year ended 31 December 2021

Registered Name

St Luke’s Hospice (Harrow & Brent) Limited Registered charity Number 298555

The list of Trustees:

C Amobi (Appointed 11 November 2021) C Bennett

L Bennister

N Brier

C Brodie (Resigned 16 August 2021) R Elkeles (Resigned 28 January 2021) C Glenn

P Hill

M Lewis (Resigned 22 January 2021)

S Livingston

R Majus

C Melia-Tompkins

N Radia

G Schiller

S Shah (Resigned 9 August 2022) R Thakrar

G Wynne (Resigned 12 August 2022)

Principal Bankers - Barclays Bank PLC, Leicester, LE87 2BB

Auditors -

Haysmacintyre LLP - 10 Queen Street Place, London EC4R 1AG

Registered Company Number 02141770

Registered office and principal address Kenton Grange, Kenton Road, Harrow, Middlesex, HA3 OYG

Senior Staff:

Chief Executive Officer A Malde (Resigned 30 April 2022)

Interim Chief Executive Officer A Webber (Appointed 28 February 2022)

Medical Director Dr C Daniels

Director of Patient Services & Registered Manager U Reeve

Director of Fundraising H Richardson (Resigned 28 February 2022)

Interim Director of Fundraising J Pearce (Appointed 1 February 2022)

Director of Finance and Facilities. Head of Retail P Sundaresan (Resigned 7 June 2022)

Interim Director of Finance & Facilities S Wilson (Appointed 1 August 2022)

Head of HR & Volunteering N Villazan (Resigned 30 April 2022)

Interim Head of HR & Volunteering A Frederick (Appointed 6 June 2022)

Executive Chair St Luke’s Hospice Shops Ltd P Brook (Appointed 20 April 2022)

Solicitors -

Curry Popeck - 380 Kenton Road, Harrow, Middlesex HA3 8OP

Investment Managers -

Rathbone Investment Management, 8 Finsbury Circus, London EC2M 7AZ

Statement of Trustees’ Responsibilities

The Trustees are responsible for preparing the Report of the Trustees and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

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 group and of the incoming resources and application of resources, including the income and expenditure, of the charity and group for that period. In preparing these financial statements, the trustees are required to:

select suitable accounting policies and apply them consistently observe the methods and principles in the Charities SORP

make judgements and estimates that are reasonable and prudent

state whether applicable UK Accounting Standards have been followed subject to any material departures disclosed and explained in the financial statements prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in business.

The Trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time of the financial position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and group and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. So far as each of the Trustees is aware at the time the report is approved:

there is no relevant audit information of which the charity and group’s auditors are unaware the Trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditors are aware of that information

The Trustees are responsible for maintenance and integrity of the charity and financial information included on the charity’s website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislations in their jurisdictions.

In approving this Trustees’ Report, the Board are also approving the Strategic Report included herein in their capacity as company directors.

By order of the Board

Dr Gillian Schiller, Chairman

signed on _____ 2022

St Luke’s Hospice (Harrow & Brent) Ltd. Independent Auditor’s Report For The Year Ended 2021

St Luke’s Hospice (Harrow & Brent) Ltd. Independent Auditor’s Report For The Year Ended 2021 (Continued)

Opinion

We have audited the financial statements of St Luke’s Hospice (Harrow & Brent) Limited for the year ended 31 December 2021 which comprise the Consolidated Statement of Financial Activities, the Charity and Group Balance Sheets, the Statement of Consolidated 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:

give a true and fair view of the state of the group’s and of the parent charitable company’s affairs as at 31 December 2021 and of the group’s and parent charitable company’s net movement in funds, including the income and expenditure, for the year then ended;
have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and
have been prepared in accordance with the requirements of the Companies Act 2006

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 charity/group in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

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

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

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

Other information

The trustees are responsible for the other information. The other information comprises the information included in the Trustees’ Annual Report and the Message from the Chairman and Chief Executive. 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.

In connection with our audit of the financial statements, our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether there is a material misstatement in the

financial statements or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard.

Opinions on other matters prescribed by the Companies Act 2006

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

the information given in the Trustees’ Annual Report (which includes the strategic report and the directors’ report prepared for the purposes of company law) for the financial year for which the financial statements are prepared is consistent with the financial statements; and
the strategic report and the directors’ report included within the Trustees’ Annual Report have been prepared in accordance with applicable legal requirements.

Matters on which we are required to report by exception

In the light of the knowledge and understanding of the group and the parent charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the Trustees’ Annual Report (which incorporates the strategic report and the directors’ report).

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 require us to report to you if, in our opinion:

adequate accounting records have not been kept by the parent charitable company, or returns adequate for our audit have not been received from branches not visited by us; or
• the parent charitable company financial statements are not in agreement with the accounting records and returns; or
certain disclosures of trustees’ remuneration specified by law are not made; or
we have not received all the information and explanations we require for our audit.

Responsibilities of trustees for the financial statements

As explained more fully in the trustees’ responsibilities statement set out on pages 31, 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 group’s and the parent charitable company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the group or the parent charitable company or to cease operations, or have no realistic alternative but to do so.

Auditor’s responsibilities for the audit of the financial statements

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.

Irregularities, including fraud, are instances of non-compliance with laws and regulations.

St Luke’s Hospice (Harrow & Brent) Ltd. Consolidated Statement Of Financial Activities For The Year Ended 31 December 2021

St Luke’s Hospice (Harrow & Brent) Ltd. Independent Auditor’s Report For The Year Ended 2021

We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:

Based on our understanding of the group and the environment in which it operates, we identified that the principal risks of non-compliance with laws and regulations related to compliance with regulatory requirements of the Care Quality Commission, Charity Commission, employment law and health and safety regulations, and we considered the extent to which non-compliance might have a material effect on the financial statements. We also considered those laws and regulations that have a direct impact on the preparation of the financial statements such the Companies Act 2006, the Charities Act 2011, payroll taxes and VAT.

We evaluated management’s incentives and opportunities for fraudulent manipulation of the financial statements (including the risk of override of controls), and determined that the principal risks were related to recognition of income and management bias in certain accounting estimates. Audit procedures performed by the engagement team included:

Inspecting trustees’ meeting minutes
Inspecting correspondence with regulators and tax authorities;
Discussions with management including consideration of known or suspected instances of non-compliance with laws and regulation and fraud;
Evaluating management’s controls designed to prevent and detect irregularities;
Identifying and testing journals, in particular journal entries posted with unusual account combinations, postings by unusual users or with unusual descriptions; and
Challenging assumptions and judgements made by management in their critical accounting estimates.

Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission or misrepresentation.

A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council’s website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.

Use of our report

This report is made solely to the charitable company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. 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.

Lee Stokes (Senior statutory auditor) 10 Queen Street Place, for and on behalf of Haysmacintyre London, LLP, Statutory Auditor EC4R 1AG.

		Unrestricted	Restricted	Endowment	Total	Total
		funds	Funds	Funds	2021	2020
	Notes	£’000	£’000	£’000	£’000	£’000
Income from:
*Donations and legacies*
• Donations	2	1,377	385	-	1,762	1,648
• Covid grants	2	36	619	-	655	1,492
• Legacies	3	1,197	-	-	1,197	937
		---------------	----------------	----------------	------------------	------------------
		2,610	1,004	-	3,614	4,077
*Charitable Activities*		---------------	---------------	---------------	---------------	---------------
• NHS commissioning		2,485	-	-	2,485	2,533
• Other income		193	-	-	193	163
		----------------	---------------	-----------------	-----------------	-----------------
	5	2,678	-	-	2,678	2,696
		------------------	---------------	---------------	------------------	------------------
*Other trading activities*
• Fundraising events	2	228	-	-	228	100
• Gross income from	4	3,321	-	-	3,321	2,631
shops and lottery
		-----------------	------------------	-----------------	-----------------	-----------------
		3,549	-	-	3,549	2,731
		------------------	------------------	-------------------	-----------------	-----------------
*Investments*		30	-	-	30	86
		------------------	------------------	-----------------	------------------	------------------
Total income		8,867	1,004	-	9,871	9,590
		-----------------	----------------	---------------	-----------------	-----------------
Expenditure on:
*Raising funds*
• Fundraising costs		552	-	-	552	529
• Fundraising events		239	-	-	239	214
costs
• Shops and lottery		2,493	-	-	2,493	2,363
expenditure
• Investment		12	-	-	12	13
management costs
		------------------	-----------------	---------------	------------------	------------------
		3,296	-	-	3,296	3,119
		------------------	-----------------	--------------	------------------	------------------

signed on _____ 2022

St Luke’s Hospice (Harrow & Brent) Ltd. Consolidated Statement Of Financial Activities (Continued) For The Year Ended 31 December 2021

St Luke’s Hospice (Harrow & Brent) Ltd. Charity and Group Balance Sheets At 31 December 2021

		Unrestricted	Restricted	Endowment	Total	Total
		funds	Funds	Funds	2021	2020
	Notes	£’000	£’000	£’000	£’000	£’000
*Charitable activities*
• In patient services		915	664	-	1,579	1,707
• Outpatient services		318	139	-	457	493
• Community services		1,459	70	-	1,529	824
• General clinical		1,108	60	-	1,168	1,538
support
		--------------------	------------------	----------------	---------------------	---------------------
		3,800	933	-	4,733	4,562
		--------------------	------------------	----------------	---------------------	---------------------
Total expenditure	7	7,096	933	-	8,029	7,681
		--------------------	------------------	----------------	---------------------	---------------------
Net income before
gains on		1771	71	-	1,842	1,909
investments
Net gains /(losses) on	11	121	-	26	147	(69)
investments
Pension revaluation		10	-	-	10	153
gain
		--------------------	------------------	----------------	---------------------	---------------------
Net income	6	1,902	71	26	1,999	1,993
		=========	=========	=========	=========	=========
Net income	6	1,902	71	26	1,999	1,993
Transfer between funds		-	-	-	-	-
		-----------------	------------------	----------------	-----------------	-----------------
Net movement in funds		1,902	71	26	1,999	1,993
Reconciliation of funds
Total funds brought		10,301	5	219	10,525	8,534
forward
		------------------	------------------	----------------	-----------------	-----------------
Total funds carried		12,203	76	245	12,524	10,527
forward
		========	=========	========	========	========

All amounts relate to continuing activities. There are no recognised gains or losses for the current or preceding financial year other than as shown above, therefore no Statement of Total Recognised Gains & Losses has been presented. Income and expenditure by fund for the year ended 31 December 2020 is given in note 19 to the accounts.

The notes on pages 39 - 59 form part of these accounts.

		Group		Charity
		2021	2020	2021	2020
	Notes	£’000	£’000	£’000	£’000
FIXED ASSETS
Tangible assets	10	5,176	5,155	5,081	4,977
Investments	11	4,206	1,571	4,206	1,571
		-----------------	-----------------	------------------	------------------
		9,382	6,726	9,287	6,548
		-----------------	-----------------	------------------	------------------
CURRENT ASSETS
Debtors	12	1,737	1,921	1,261	3,233
Cash at bank and in hand		2,274	3,023	1,599	1,674
		-----------------	-----------------	---------------	---------------
		4,011	4,944	2,860	4,907
CURRENT LIABILITIES
Creditors: amounts falling due
within one year	13	(537)	(734)	(410)	(521)
		-----------------	-----------------	------------------	------------------
NET CURRENT ASSETS		3,474	4,210	2,450	4,386
		-----------------	-----------------	------------------	------------------
Long term liabilities
(Pension defcit)	20	(332)	(409)	(332)	(409)
		-----------------	-----------------	-----------------	-----------------
NET ASSETS	14	12,524	10,527	11,405	10,525
		-----------------	-----------------	------------------	------------------
Represented by
Unrestricted funds
Designated funds		7,117	6,996	7,117	6,996
General fund		5,086	3,307	3,967	3,305
		-----------------	-----------------	------------------	------------------
		12,203	10,303	11,084	10,301
Endowment funds		245	219	245	219
Restricted funds		76	5	76	5
		-----------------	-----------------	------------------	------------------
	15	12,524	10,527	11,405	10,525
		========	========	========	========

The net result of the charity’s own activities for 2021 was a surplus of £879,137 (2020: surplus £1,440,147).

The financial statements were approved and authorised for issue by the Board of Trustees on and signed on their behalf by:

G Schiller Chair of Trustees

signed on _____ 2022

The notes on pages 39 - 59 form part of these accounts

St Luke’s Hospice (Harrow & Brent) Ltd. Statement of Consolidated Cash Flows For The Year Ended 31 December 2021

St Luke’s Hospice (Harrow & Brent) Ltd. Notes To The Financial Statements For The Year Ended 31 December 2021

	2021	2021	2020	2020	2020
	£’000	£’000	£’000		£’000
Cash fows from operating activities: Net cash fow provided by/(used in) operating activities (note A)		1,912			1,093
Cash fows from investing activities:
Dividends, interest and rents from investments	30		86
Purchase of property, plant and equipment	(134)			-
Disposal of investments	119		585
Acquisition of investments	(140)		(556)
Change in investment cash	(2,467)		(17)
Pension creditor revaluation	(69)		(68)
	-----------------		-----------------
Net cash used in investing activities		(2,661)			30
		------------------			------------------
Change in cash and cash equivalents in the reporting period		(749)			1,123
Cash and cash equivalents at the beginning of the reporting period		3,023			1,900
		----------------			----------------
Cash and cash equivalents at the end of the reporting period		2,274			3,023
		----------------			----------------
A ) Reconciliation of net (expenditure)/income to net		2021			2020
cash fow from operating activities
		£’000			£’000
Net expenditure for the reporting period (as per the statement of
fnancial activities)		1,999			1,993
Adjustments for:
Depreciation charges		113			119
Losses/(gains) on investments		(147)			69
Gain on pension revaluation		(10)			(153)
Dividends, interest and rents from investments		(30)			(86)
Decrease/(increase in debtors		184			(1,071)
Increase/(decrease) in creditors Loss on disposal of fxed assets		(197) -			222 -
		-------------			-------------
Net cash fow provided in/(used in) operating activities		1,912			1,093
		======			======
Analysis of cash and cash equivalents
Cash at bank and in hand		2,274			3,023
		-------------			-------------
Total cash and cash equivalents		2,274			3,023
		======			======
ANALYSIS OF NET DEBT
	Balance at	Cash	Other	Balance at
	1.1.21	fows non-cash			31.12.21
		changes
	£’000	£’000	£’000		£’000
Cash and bank	3,023	(749)	-		2,274
	======	======	======		======

1. ACCOUNTING POLICIES

The principal accounting policies adopted, judgements and key sources of estimation uncertainty in the preparation of the financial statements are as follows:
(i) Basis of preparation
The financial statements have been prepared in accordance with the Statement of Recommended Practice for Charities (SORP 2015) (Second Edition, effective 1 January 2019), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006.

The charity meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy note(s).

( ii) Critical accounting judgements and key sources of estimation uncertainty

In the application of the accounting policies, trustees are required to make judgement, estimates, and assumptions about the carrying value of assets and liabilities that are not readily apparent from other sources. The estimates and underlying assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates.

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

Judgements made by the trustees, in the application of these accounting policies that have significant effect on the financial statements and estimates with a significant risk of material adjustment in the next year are deemed to be in relation to the depreciation rates of tangible fixed assets and accruing for legacies which have not yet been received.

In the view of the trustees, no assumptions concerning the future or estimation uncertainty affecting assets or liabilities at the balance sheet date are likely to result in a material adjustment to their carrying amounts in the next financial year.

(iii) Financial instruments

Basic financial instruments are initially recognised at transaction value and subsequently measured at amortised with the exception of investments which are held at fair value. Financial assets held at amortised cost comprise cash at bank and in hand, together with trade and other debtors. A specific provision is made for debts for which recoverability is in doubt. Cash at bank and in hand is defined as all cash held in instant access bank accounts and used as working capital. Financial liabilities held at amortised cost comprise all creditors except social security and other taxes and provisions.

(iv) Preparation of accounts on a going concern basis

The trustees consider there are no material uncertainties about the charity’s ability to continue as a going concern. The review of our financial position, reserves levels and future plans gives trustees confidence the charity remains a going concern for the foreseeable future.

St Luke’s Hospice (Harrow & Brent) Ltd. Notes To The Financial Statements (Continued) For The Year Ended 31 December 2021

(v) Consolidation

These accounts consolidate the results of the charity and its wholly owned subsidiary, St Luke’s Hospice (Harrow & Brent) Charity Shops Limited, on a line-by-line basis. separate Income and Expenditure Account and Statement of Financial Activities is not presented for the charity alone as permitted by the Companies Act 2006 and Charities SORP.

Governance costs include those incurred in the governance of the charity and its assets and are primarily associated with compliance with constitutional and statutory requirements. These have been allocated to activity costs on the same basis as support costs.

(viii) Tangible fixed assets

All assets acquired costing more than £2,500 are capitalised.

(vi) Income

Income from donations, legacies and grants are recognised where there is entitlement, probability of receipt and the amount can be measured with sufficient reliability. Donations include related gift aid income.

The Shops Company acts as agent to sell items donated with a gift aid declaration and to pass the resulting cash donations to the Hospice rather than record them as turnover within the Shops Company. The Hospice also receives the gift aid claimed on these donations.

Legacies are included when the Hospice becomes entitled to the funds and the sum receivable can be reliably quantified. Where they rely on the sale of property or investments, and thus do not have a certain valuation, an estimate of their value is disclosed in the notes to the financial statements.

Leasehold properties	assets acquired prior to 2016 - over the term of the lease
	assets acquired after 2016 – shorter of 5 years or the
	remaining term of the lease
Fixtures and equipment	20%
Motor vehicles	20%
IT equipment and systems	20%

The freehold property is not depreciated as the amount of depreciation is considered to be immaterial.

Tangible fixed assets are held at cost and (except for the freehold property) depreciated on a straight line basis over their estimated useful lives as follows.

(ix) Investments

Investment income is recognised on a receivable basis.

Income from charitable activities includes income from NHS contracts from the Harrow & Brent Clinical Commissioning Groups. They have been dealt with on a receivable basis as a contribution to running costs.

There have been no significant gifts in kind or donated goods and services during the year.

The value of services provided by volunteers is not incorporated in these financial statements. Further detail of the substantial contribution by volunteers can be found in the Report of the Trustees.

(vii) Expenditure

Expenditure is recognised when a liability is incurred. It includes VAT where this is not recoverable.

Expenditure on raising funds is the costs incurred in attracting donation income, organising and managing fundraising events, and the costs incurred in trading activities which raise funds.

Charitable activities include the hospice care services offered to inpatients, day care patients, those receiving hospice services in their own homes, and their carers and families. There are also a range of clinical and other services which apply to all these forms of hospice care. These costs include both the direct costs and support costs relating to these activities.

Investments are initially recognised at their transaction cost and subsequently valued at fair value at the Balance Sheet date, unless fair value cannot be measured reliably in which case it is measured at cost less impairment. Investment gains and losses, whether realised or unrealised, are combined and shown in the heading ‘Net gains/(losses) on investments’ in the Statement of Financial Activities.

(x) Funds

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

Designated funds comprise unrestricted funds that have been set aside by the Trustees for particular purposes.

Restricted funds are funds which are to be used in accordance with specific restrictions imposed by the donors or which have been raised by the charity for specific purposes.

Endowment funds are restricted funds which are to be retained for the benefit of the charity as a capital fund.

The Hospice has a number of restricted income and capital funds. Details of the funds are given in the notes to the financial statements.

(xi) Pensions

The Group currently offers a qualifying defined contribution pension scheme to all staff. In addition the Group is a Direction Employer under the NHS Scheme.

Support costs include central functions and have been allocated to activity cost categories on a basis consistent with the use of resources, e.g., property costs by floor areas and other costs on the bases shown in Note 7.

St Luke’s Hospice (Harrow & Brent) Ltd. Notes To The Financial Statements (Continued) For The Year Ended 31 December 2021

National Health Service Superannuation scheme

This is a statutory superannuation scheme as defined in Section 6.12 (1) Income and Corporation taxes Act 1988, which has no invested funds. Contribution by employers (currently 14.3%) and members are accounted for to the Treasury and benefits are paid from the consolidated fund. This scheme is only open to staff who have been members of the NHS scheme in previous employment under the dispensation rules. The accounting charge represents the employer’s contributions for the period.

Defined Contribution Scheme (Pensions Trust)

With effect from 1 May 2015 the group also operates a defined contribution pension scheme. The assets of the scheme are held separately from those of the group in an independently administered fund. The pension cost charge represents contributions payable under the scheme by the group. There is no liability under the scheme other than the payment of those contributions.

(xii) Taxation

No tax is payable due to the charitable status of the parent company. Taxable profits generated by the trading subsidiary are transferred to the parent company under gift aid.

(xiii) Leases

Operating lease rentals are charged to the Statement of Financial Activities over the period of the lease.

(xiv) Legal status

The charitable company is limited by Guarantee and does not have any share capital.

(xv) Employee benefits

Short term benefits including holiday pay are recognised as an expense in the period in which the service is received. Termination benefits are accounted for on an accrual basis and in line with FRS 102.

(xvi) Debtors

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

(xvii) Cash at bank and in hand

Cash at bank and cash in hand includes cash and short term highly liquid investments.

(xiii) Creditors and provisions

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

DONATIONS – 2021	Unrestricted	Restricted	Total	Total
	funds	funds	2021	2020
	£’000	£’000	£’000	£’000
Individual donations	267	-	284	323
In memoriam donations	242	-	241	202
Community groups	118	-	118	147
Trust fund donations	85	385	470	396
Corporate donations	75	-	75	125
Major Donors	116	-	116	105
Gift aid	86	-	81	65
Donations & gift aid from sale of goods	375	-	375	285
in our shops
	--------------	-------------	---------------	---------------
	1,364	385	1,762	1,648
	=======	======	=======	=======

Fundraising events in 2021 were adversely impacted by Covid-19 but despite that, they were successful in raising £228,448(2020: £99,783).

DONATIONS -2020	Unrestricted	Restricted	Total
	funds	funds	2020
	£’000	£’000	£’000
Individual donations	323	-	323
In memoriam donations	202	-	202
Community groups	147	-	147
Trust fund donations	182	214	396
Corporate donations	125	-	125
Major Donors	105	-	105
Gift aid	65	-	65
Donations & gift aid from sale of goods
in our shops	285	-	285
	--------------	-------------	---------------
	1,434	214	1648
	=======	======	=======
COVID GRANTS	Unrestricted	Restricted	Total
	funds	funds	2021
	£’000	£’000	£’000
Hospice UK grants		619	619
HMRC Job Retention Scheme	36	-	36
	--------------	-------------	---------------
	36	619	655
	=======	======	=======

St Luke’s Hospice (Harrow & Brent) Ltd. Notes To The Financial Statements (Continued) For The Year Ended 31 December 2021

3. LEGACIES

In addition to the sum of £1,197,000 from legacies within income (2020: £937,000), the Hospice has also received notifications for legacies where the value is currently uncertain until property or equity sales are completed, or probate granted.

Due to the difficulty with the valuation in light of the uncertainties no estimation has been made for these legacies. In accordance with the Hospice’s accounting policy for legacies, these are not included in these accounts on the grounds of uncertainty of measurement.

4. INCOME AND EXPENDITURE FROM SHOPS AND LOTTERY

The charity owns the entire share capital of St Luke’s Hospice (Harrow & Brent) Charity Shops Limited, a company registered in England and Wales, which operates charity shops in support of the hospice funding. The subsidiary transfers to the Hospice under gift aid an amount not less than its taxable profits.

A summary of the trading results of the subsidiary is shown below. Audited accounts have been prepared in respect of the trading period for the year ended 31 December 2021.

	Total	Total
	2021	2020
	£’000	£’000
Turnover	2,498	1,650
Income from lottery	288	319
Government grants	535	662
	---------------	---------------
	3,321	2,631
	---------------	---------------
Cost of sale of purchased goods	3	3
Administration expenses	2,095	1,924
Lottery expenditure and prizes	104	151
	---------------	---------------
Gross direct expenditure of shops and lottery	2,202	2,078
	---------------	---------------
Net direct income from shops and lottery	1,119	553
Lease costs relating to shops recorded in Charity	(69)	(55)
Donations of goods under gift aid	300	227
Gift aid reclaimed	75	56
	18
Lottery Prizes donated by Players	---------------	---------------
Contribution generated by Charity Shops Ltd	1,443	781
	=======	=======

In addition to the gross direct expenditure shown above, additional indirect support costs of £222k (2020: £229k) relating to Hospice support services, are allocated to shops and lottery (see note 7).

5.	CHARITABLE ACTIVITIES -2021	Unrestricted	Restricted	Total	Total
		funds	funds	2021	2020
		£’000	£’000	£’000	£’000
	NHS commissioning income
	Service level agreement	2,485	-	2,485	2,533
		--------------	-----------------	---------------	---------------
		2,485	-	2,485	2,533
	Other funding	192	-	192	163
		--------------	-----------------	---------------	---------------
		2,678	-	2,678	2,696
		=======	========	=======	=======
NHS	commissioning income in 2021 includes funding for		the Fast Track	Brokerage	project.
The	project has been extended until March 2022.
	CHARITABLE ACTIVITIES -2020	Unrestricted	Restricted	Total
		funds	funds	2020
		£’000	£’000	£’000
	NHS commissioning income
	Service level agreement	2,287	246	2,533
		--------------	-----------------	---------------
	Other funding	163	-	163
		--------------	-----------------	---------------
		2,450	246	2,696
		=======	========	=======
6.	NET INCOME/(EXPENDITURE)			Total	Total
				2021	2020
				£’000	£’000
	Net income is stated after charging:
	Depreciation			112	119
	Auditor’s remuneration			13	13
	Other fees payable to auditors			3	3
	Operating lease rental			517	489
				=======	======

NHS commissioning income in 2021 includes funding for the Fast Track Brokerage project. The project has been extended until March 2022.

	2021	Total	£’000	4,357	48	97	169	2,081	------------	6,752	------------		151	243	224	177	413	69	------------	1,277	------------	8,029	======	7,681	======							2020	Total	£’000	4,124	55	138	147	2,028	------------	6,492	------------		161	199	274	218	337	------------	1,189	------------	7,681	======	8,164	======
Shops & Investment General	Basis of Fundraising Fundraising Lottery Management Inpatient Out Patient Community clinical	Allocation costs event costs expenses costs services services services support	£’000 £’000 £’000 £’000 £’000 £’000 £’000 £’000	Staff costs Direct 334 97 1,248 - 1,046 303 945 384	Drugs and medical Direct - - - - 48 - - -	Catering and housekeeping Direct - - - - - - - 97	Fundraising and community Direct 106 63 - - - - - -	Other direct costs Direct - - 954 12 150 49 463 453	------------- ----------------- ------------- -------------- ------------- ------------- ------------- --------------	440 160 2,202 12 1,244 352 1,408 934	------------- ----------------- ------------- -------------- ------------- ------------- ------------- --------------	Support costs	Management Staff time 23 23 61 - 11 11 11 11	Finance Staff time 24 24 80 - 30 16 26 43	HR Headcount 14 7 81 - 56 8 19 39	Premises Floor area 12 6 - - 74 46 11 28	Gen overheads Headcount 39 19 - 164 24 54 113	69	Shops Lease Rentals* ------------- ----------------- ------------- -------------- ------------- ------------- ------------- --------------	112 79 291 - 335 105 121 234	------------- ----------------- ------------- -------------- ------------- ------------- ------------- --------------	Total expenditure 2021 552 239 2,493 12 1,579 457 1,529 1,168	====== ======= ====== ====== ====== ====== ====== ======	Total expenditure 2020 529 214 2,363 13 1,707 493 824 1,538	====== ======= ====== ====== ====== ====== ====== ======	The lease rentals borne by the hospice relating to two shops are allocated wholly to Shops and Lottery Expenses.	St Luke’s Hospice (Harrow & Brent) Ltd.	Notes To The Financial Statements (Continued)	For The Year Ended 31 December 2021	7. EXPENDITURE – 2020	Shops & Investment General	Basis of Fundraising Fundraising Lottery Management Inpatient Outpatient Community clinical	Allocation costs event costs expenses costs services services services support	£’000 £’000 £’000 £’000 £’000 £’000 £’000 £’000	Staff costs Direct 313 105 1,020 - 1,022 376 514 774	Drugs and medical Direct - - - - 55 - - -	Catering and housekeeping Direct - - - - - - - 138	Fundraising and community Direct 111 36 - - - - - -	Other direct costs Direct - - 1,058 13 324 21 199 413	------------- ----------------- ------------- -------------- ------------- ------------- ------------- --------------	424 141 2,078 13 1,401 397 713 1,325	------------- ----------------- ------------- -------------- ------------- ------------- ------------- --------------	Support costs	Management Staff time 24 24 65 - 12 12 12 12	Finance Staff time 20 20 65 - 25 13 21 35	HR Headcount 17 8 99 - 69 10 23 48	Premises Floor area 12 5 56 - 67 42 11 25	Gen overheads Headcount 32 16 - - 133 19 44 93	------------- ----------------- ------------- -------------- ------------- ------------- ------------- --------------	105 73 285 - 306 96 111 213	------------- ----------------- ------------- -------------- ------------- ------------- ------------- --------------	Total expenditure 2020 529 214 2,363 13 1,707 493 824 1,538	====== ======= ====== ====== ====== ====== ====== ======	Total expenditure 2019 673 267 2,736 12 1,620 295 919 1,642	====== ======= ====== ====== ====== ====== ====== ======

St Luke’s Hospice (Harrow & Brent) Ltd. Notes To The Financial Statements (Continued) For The Year Ended 31 December 2021

STAFF COSTS AND NUMBERS	Total	Total
	2021	2020
	£’000	£’000
Salaries and wages	4,481	4,316
Social security costs	389	372
Pension costs	351	275
	------------	------------
Total	5,221	4,963
	=======	=======
Average number of employees (full time equivalents)
Hospice	84	83
Shops	47	43
	---------------	---------------
	131	126
	=======	=======

8. STAFF COSTS AND NUMBERS

Pension costs include an amount of £19,700 (2020 – £18,737) paid in respect of death in service cover for employees of the company.

There were on average 153 people employed (2020 – 148) full and part time.

During the year, 1 employee was paid gross salary between £60,000 and £70,000 (2020:2), 1 employee was paid gross salary between £70,000 and £80,000 (2020: 1) and one employee was paid gross salary between £80,000 and £90,000 (2020: nil).

During 2021 the key management personnel was made up of the CEO, Director of Finance and Facilities & Head of Retail, Director of Patient Services & Registered Manager and Head of HR & Volunteering. The total remuneration for them was £389,329.

The employees were supported by 484 unpaid volunteers during the year (2020: 531).

9. TRUSTEES

None of the trustees received any remuneration or benefits in kind from the charitable company (2020: Nil). Expenses on behalf of one of the trustees or reimbursed during the year amounted to £1,468 (2020: £765).

	Total	Total
The following direct reimbursements were made to Trustees:	2020	2021
Subsistence – 0 Trustee_(2021 – 9 Trustees)_	£0	£90
	======	======

TANGIBLE FIXED ASSETS	Freehold	Leasehold	Fixtures &	Motor
	properties	properties	equipment	vehicles	Total
Group	£’000	£’000	£’000	£’000	£’000
Cost
Opening balance	4,932	599	131	11	5,673
Additions	-	-	134	-	134
Disposals	-	-	(8)	-	(8)
	-------------	-------------	-----------	-----------	------------
Closing balance	4,932	599	257	11	5,799
	-------------	-------------	-----------	-----------	------------
Depreciation
Opening balance	-	413	101	4	518
Charge for the year	-	86	25	2	113
Disposals	-	-	(8)	-	(8)
	-------------	-------------	-----------	-----------	------------
Closing balance -	-	499	118	6	623
	-------------	-------------	-----------	-----------	------------
Net Book Value
At 31 December 2021	4,932	100	139	5	5,176
	======	=======	=====	======	======
At 31 December 2020	4,932	186	30	7	5,155
	======	=======	=====	======	======
Charity
Opening balance	4,932	33	120	-	5,085
Additions	-	-	133	-	133
Disposals	-	-	(8)	-	(8)
	-------------	-------------	-----------	-----------	------------
Closing balance	4,932	33	246	-	5,210
	-------------	-------------	-----------	-----------	------------
Depreciation
Opening balance		16	92	-	108
Charge for the year	-	6	23	-	29
Disposals	-	-	(8)	-	(8)
	-------------	-------------	-----------	-----------	------------
Closing balance	-	22	107	-	130
	-------------	-------------	-----------	-----------	------------
Net Book Value
At 31 December 2021	4,932	10	138	-	5,081
	======	=======	=====	======	======
At 31 December 2020	4,932	17	28	-	4,977
	======	=======	=====	======	======

10. TANGIBLE FIXED ASSETS

Freehold properties otherwise represent the acquisition and conversion costs of Kenton Grange between 1992 and 2002 shown at historic cost and the costs of building the Woodgrange Centre completed in 2015.

St Luke’s Hospice (Harrow & Brent) Ltd. Notes To The Financial Statements (Continued) For The Year Ended 31 December 2021

11. INVESTMENTS

	2021	2020
	£’000	£’000
Market value at 1 January 2021	1,571	1,652
Additions	140	556
Disposals	(119)	(585)
Realised and unrealised gains/ (losses)	147	(69)
Movement in investment cash	2,467	17
	-----------------	-----------
Market value at 31 December 2021	4,206	1,571
	========	=====

The underlying investments of the portfolio are fixed income (£524k), equities (£863k), property (£65k), cash (£2,527k), and others (£227k).

DEBTORS: amounts falling due with one year		Group		Charity
	2021	2020	2021	2020
	£’000	£’000	£’000	£’000
Trade debtors	253	186	241	185
Other debtors	724	769	123	598
Prepayments and accrued income	760	966	539	830
Amounts owed by subsidiary undertaking	-	-	358	1,620
	-------------	-------------	-----------	-----------
	1,737	1,921	1,261	3,233
	======	======	======	======

12.

CREDITORS : amounts falling due with one year		Group		Charity
	2021	2020	2021	2020
	£’000	£’000	£’000	£’000
Trade creditors	144	343	112	208
Other creditors	84	105	84	133
Taxation and social security	153	151	133	105
Accruals and deferred income	156	135	81	75
	-----------	-----------	-----------	-----------
	537	734	410	521
	=====	=====	======	======

13.

14. ANALYSIS OF NET ASSETS BETWEEN FUNDS - GROUP – 2021

ANALYSIS OF -	NET ASSETS BETWEEN GROUP – 2021	FUNDS	FUNDS
		Unrestricted funds		Endowment	Restricted	Total
		General	Designated	Funds	Funds	2021
		£’000	£’000	£’000	£’000	£’000
Tangible fxed	assets	-	5,176	-	-	5,176
Investments		2,650	1,311	245	-	4,206
Net current assets		2,768	630	-	76	3,474
Long term liabilities		(332)	-	-	-	(332)
		-------------	-----------	-----------	-----------	------------
Net assets		5,086	7,117	245	76	12,524
		======	=====	=====	======	======
ANALYSIS OF	NET ASSETS BETWEEN	FUNDS
-	GROUP – 2020
		Unrestricted funds		Endowment	Restricted	Total
		General	Designated	Funds	Funds	2020
		£’000	£’000	£’000	£’000	£’000
Tangible fxed	assets	-	5,155	-	-	5,155
Investments		141	1,211	219	-	1,571
Net current assets		3,575	630	-	5	4,210
Long term liabilities		(409)	-	-	-	(409)
		-------------	-----------	-----------	-----------	------------
Net assets		3,307	6,996	219	5	10,527
		======	=====	=====	======	======
ANALYSIS OF	NET ASSETS BETWEEN	FUNDS
-	CHARITY – 2021
		Unrestricted funds		Endowment	Restricted	Total
		General	Designated	Funds	Funds	2021
		£’000	£’000	£’000	£’000	£’000
Tangible fxed	assets	-	5,081	-	-	5,081
Investments		2,650	1,311	245	-	4,206
Net current assets/(liabilities)		1,649	725	-	76	2,450
Long term liabilities		(332)	-	-	-	(332)
		-------------	-----------	-----------	-----------	------------
Net assets		3,967	7,117	245	76	11,405
		======	=====	=====	======	======

ANALYSIS OF NET ASSETS BETWEEN FUNDS

CHARITY – 2020

- CHARITY – 2020
	Unrestricted funds		Endowment	Restricted	Total
	General	Designated	Funds	Funds	2020
	£’000	£’000	£’000	£’000	£’000
Tangible fxed assets	-	4,977	-	-	4,977
Investments	141	1211	219	-	1,571
Net current assets/(liabilities)	3,573	808	-	5	4,386
	(409)	-	-	-	(409)
Net assets	-------------	-----------	-----------	-----------	------------
	3,305	6,996	219	5	10,525
	======	=====	=====	======	======

St Luke’s Hospice (Harrow & Brent) Ltd. Notes To The Financial Statements (Continued) For The Year Ended 31 December 2021

FUNDS – 2021	Opening	Income	Expenditure	Investment	Transfer/	Closing	FUNDS – 2020	Opening	Income	Expenditure	Investment	Transfer/	Closing
	Balance			Gains/Losses	Pension	Balance		Balance			Gains/Losses	Pension	Balance
					Surplus							Surplus
	£’000	£’000	£’000	£’000	£’000	£’000		£’000	£’000	£’000	£’000	£’000	£’000
Restricted funds
Inpatient care funds Outpatient care funds Community care funds General Clinical funds	- - - 5	664 139 70 50	(664) (139) (70) (55)	- - - -	- - - -	- - - -	Restricted funds Inpatient funds Day care funds Homecare funds Clinical funds	6 - - -	1,606 30 129 28	(1,612) (30) (129) (23)	- - - -	- - - -	- - - 5
Capital funds	-	81	(5)	-	-	76	Capital funds	-	-	-	-	-	-
	------------	-----------	-----------	-----------	-----------	------------		------------	-----------	-----------	-----------	-----------	------------
Total restrictedfunds	5	1,004	(933)	-	-	76	Total restrictedfunds	6	1,793	(1,794)	-	-	5
								------------	-----------	-----------	-----------	-----------	------------
	------------	-----------	-----------	-----------	-----------	------------
Endowment funds Alice Wisbey Capital Fund D D McPhail	24 195	- -	- -	3 23	- -	27 218	Endowment funds Alice Wisbey Capital Fund D D McPhail	23 202	- -	- (2)	1 (5)	- -	24 195
								------------	-----------	-----------	-----------	-----------	------------
	------------	-----------	-----------	-----------	-----------	------------
Total endowment funds	219	-	-	26	-	245	Total endowment funds	225	-	(2)	(4)	-	219
								------------	-----------	-----------	-----------	-----------	------------
	------------	-----------	-----------	-----------	-----------	------------	Unrestrictedfunds
Unrestrictedfunds Designated fxed asset	4,983	-	-	-	88	5,071	Designated fxed asset fund	5,006	-	(23)	-	-	4,983
fund							Designated shops as-	267	-	(96)	-	-	171
Designated shops as-							sets fund
sets fund Designated risk management fund	171 1,542	- -	(66) (9)	- 108	- -	105 1,641	Designated risk management fund Pension liability reserve	1,615 300 ------------	- - -----------	(10) - -----------	(63) - -----------	- - -----------	1,542 300 ------------
Pension liability reserve	300	-	-	-	-	300	Total designatedfunds	7,188	-	(129)	(63)	-	6,996
	------------	-----------	-----------	-----------	-----------	------------		------------	-----------	-----------	-----------	-----------	------------
Total designatedfunds	6,996 ------------	- -----------	(75) -----------	108 -----------	88 -----------	7,117 ------------	Unrestricted funds General charitable	1,218	5,166	(3,678)	(2)	601	3,305
Unrestricted funds General charitable funds General non-charitable	3,305	5,546	(4,820)	13	1,042	5,086	funds General non- charitable trading funds	(103)	2,631	(2,078)	-	(448)-	2
trading funds	-	3,321	(2,201)	-	(1,120)	-		------------	-----------	-----------	-----------	-----------	-----------
Total generalfunds	------------ 3,305	----------- 8,867	----------- (7,021)	----------- 13	----------- (78)	------------ 5,086	Total generalfunds	1,115 ------------	7,797 -----------	(5,756) -----------	(2) -----------	153 -----------	3,307 ------------
	------------	-----------	-----------	-----------	-----------	------------
Total unrestricted funds	10,301 ------------	8,867 -----------	(7,096) -----------	147 -----------	10 -----------	12,203 ------------	Total unrestricted funds	8,303	7,797	(5,885)	(65)	153	10,303
								------------	-----------	-----------	-----------	-----------	------------
Total funds	10,525 =====	9,871 ====	(8,029) =====	147 =====	10 =====	12,524 ======	Total funds	8,534	9,590	(7,681)	(69)	153	10,527
								=====	====	=====	=====	=====	=====

St Luke’s Hospice (Harrow & Brent) Ltd. Notes To The Financial Statements (Continued) For The Year Ended 31 December 2021

15. FUNDS (continued)

A Pension Liability Reserve was set up in 2016 to reflect potential increases in the pension liability. When it was provided in full in 2017, the reserve was reduced. The balance in this fund will be used towards the cost of any future buy-out of the liability.

The late Mrs Alice Wisbey made a bequest to the Hospice with the instruction that the income therefrom should be applied for the comfort of the nursing staff. This is split between Income and Capital funds.

The restricted funds represent grants and donations received, from trusts and individuals, where the use of the funds was restricted to a specific purpose by the donor. These funds have included contributions towards the cost of our Inpatient unit, Day care services, Community and Homecare services, to the provision of complementary therapies and a number of other items.

The D D McPhail Charitable Settlement originally gave £150,000 as an endowment fund. No instructions were given about income so this is applied for the general purposes of the charity. The difference between the original fund value and the current fund value arises through revaluation of the underlying investment.

The designated fixed asset fund represents the net book value of the Hospice’s fixed assets. It has been set up to assist in identifying funds which are not free funds. Similarly the designated shops asset fund has been set up to identify fixed assets of the shops company not covered by their working capital.

The designated risk management fund represents funds to provide a cushion against unexpected costs or shortfalls of income and thus to support the long-term future of the hospice. The balance in this fund as at 31 December 2021 was £1,641k most of which is managed by Rathbones, our investment manager.

16. OPERATING LEASE COMMITMENTS

The group has the following total commitments under non-cancellable operating leases:

		Group		Charity
	2021	2020	2021	2020
	£’000	£’000	£’000	£’000
Amounts due:
Within 1 year	482	489	63	63
Within one to two years	394	466	63	63
Within two to fve years	770	911	188	188
After fve years	304	417	102	165
	-----------	-----------	-----------	-----------
	1,950	2,283	416	479
	=====	=====	======	======

17. CAPITAL COMMITMENTS

The group has no capital commitments at the year-end (2020: none).

18. RELATED PARTY TRANSACTIONS

During the year, Trustees, Senior Executive Team members and their close family members donated £2,680 to the Hospice (2020: £8,958). There were no other transactions with related parties during the year (2020: none).

The surplus arising out of the activities during the year resulted in the increase in unrestricted general charitable funds of £1,781k. The surplus for the year was generated mainly on account of COVID support from NHS England, Support from Harrow and Brent Councils, HM Treasury through the Job Retention scheme and Increased NHS Commissioning Income.

The general funds represent the unrestricted funds of the group and are therefore “free reserves”.

St Luke’s Hospice (Harrow & Brent) Ltd. Notes To The Financial Statements (Continued) For The Year Ended 31 December 2021

19. STATEMENT OF FINANCIAL ACTIVITIES IN THE PREVIOUS YEAR (2020)

	Unrestricted	Restricted	Endowment	Total
	funds	Funds	Funds	2020
	£’000	£’000	£’000	£’000
Income from:
*Donations and legacies*
. Donations	1,434	214	-	1,648
. Covid grants	159	1,333	-	1,492
. Legacies	937	-	-	937
	---------------	----------------	----------------	------------------
	2,530	1,547	-	4,077
*Charitable Activities*	---------------	---------------	---------------	---------------
. NHS commissioning	2,287	246	-	2,533
. Other income	163	-	-	163
	----------------	---------------	----------------	-----------------
	2,450	246	-	2,696
	------------------	---------------	---------------	------------------
*Other trading activities*
. Fundraising events	100	-	-	100
. Gross income from shops and lottery	2,631	-	-	2,631
	-----------------	------------------	-----------------	-----------------
	2,731	-	-	2,731
	------------------	------------------	-------------------	-----------------
*Investments*	86	-	-	86
	------------------	------------------	-----------------	------------------
Total income	7,797	1,793	-	9,590
	-----------------	----------------	---------------	-----------------

19. STATEMENT OF FINANCIAL ACTIVITIES IN THE PREVIOUS YEAR (continued)

	Unrestricted	Restricted	Endowment	Total
	funds	Funds	Funds	2020
	£’000	£’000	£’000	£’000
Expenditure on:
*Raising funds*
- Fundraising costs	529	-	-	529
. Fundraising events costs	214	-	-	214
. Shops and lottery expenditure	2,363	-	-	2,363
. Investment management costs	11	-	2	13
	------------------	-----------------	---------------	------------------
	3,117	-	2	3,119
	------------------	-----------------	--------------	------------------
*Charitable activities*
. In patient services	95	1,612	-	1,707
. Day care services	463	30	-	493
. Homecare services	695	129	-	824
. Overall clinical support	1,515	23	-	1,538
	--------------------	------------------	----------------	---------------------
	2,768	1,794	-	4,562
	--------------------	------------------	----------------	---------------------
Total expenditure	5,885	1,794	2	7,681
	--------------------	------------------	----------------	---------------------
Net expenditure before
gains on investments	1,912	(1)	(2)	1,909
Net (losses)/gains on investments	(65)	-	(4)	(69)
Pension revaluation gain	153	-	-	153
	--------------------	------------------	----------------	---------------------
Net expenditure	2,000	(1)	(6)	1,993
	=========	=========	=========	=========

St Luke’s Hospice (Harrow & Brent) Ltd. Notes To The Financial Statements (Continued) For The Year Ended 31 December 2021

20. THE CAREER AVERAGE REVALUED EARNING SCHEME (PENSIONS TRUST)

Before 1 May 2015, the group offered a multi-employer pension scheme providing a defined benefit (career average) pension for members.

St Luke’s Hospice (Harrow and Brent) participated in the multi-employer scheme which provides benefits to some 36 non-associated employers. The scheme is a defined benefit scheme in the UK.

It is not possible for the charity to obtain sufficient information to enable it to account for the scheme as a defined benefit scheme. Therefore it accounts for the scheme as a defined contribution scheme.

The scheme is subject to the funding legislation outlined in the Pensions Act 2004 which came into force on 30 December 2005. This, together with documents issued by the Pensions Regulator and Technical Actuarial Standards issued by the Financial Reporting Council, set out the framework for funding defined benefit occupational pension schemes in the UK.

The scheme is classified as a ‘last-man standing arrangement’. Therefore the charity is potentially liable for other participating employers’ obligations if those employers are unable to meet their share of the scheme deficit following their withdrawal from the scheme. Participating employers are legally required to meet their share of the scheme deficit on an annuity purchase basis upon withdrawal from the scheme.

A full actuarial valuation for the scheme was carried out at 30 September 2019. This valuation showed assets of £79m, (2016 valuation £60.45m) and liabilities of £93.9m (2016 valuation £85.3m) creating a deficit of £14.9m (2016 – Deficit £24.85m). To eliminate this funding shortfall, the Pension Scheme Trustee asked the participating employers to pay additional contributions to the scheme as follows:

RECONCILIATION OF OPENING AND CLOSING PROVISIONS		Year ended
		31 December 2021
		(£000s)
Provision at start of period		477
Unwinding of the discount factor (interest expense)		2
Defcit contribution paid		(68)
Re measurements - impact of any change in assumptions		(12)
Re measurements - amendments to the contribution schedule
		--------------
Provision at end of period		399
		======
	2021	2020
	£’000	£’000
Amounts due within one year	67	68
Amounts due after one year	332	409
	-----------------	-----------------
	399	477
	========	========

The above reconciliations includes defined contribution schemes and future service contributions (i.e. excluding any deficit reduction payments) to defined benefit schemes which are treated as defined contribution schemes.

DEFICIT CONTRIBUTIONS FROM ALL PARTICIPATING EMPLOYER

From 1 April 2021 to 30 September 2027	£1,530,000 per annum (payable monthlyand increasingby3.0% eachyear on 1st April)

The recovery plan contributions are allocated to each participating employer in line with their estimated share of the scheme liabilities.

During 2021 St Luke’s Hospice (Harrow and Brent) contributed £68k as their deemed share. Where the scheme is in deficit and where the participating employer has agreed to a deficit funding arrangement, the employer recognises a liability for this obligation. The amount recognised is the net present value of the deficit reduction contributions payable under the agreement that relates to the deficit. The present value is calculated using the discount rate detailed in these disclosures. The unwinding of the discount rate is recognised as a finance cost.

ASSUMPTIONS	31 December 2021	31 December 2020
	% per annum	% per annum
Rate of discount	1.42	0.42
	=====	======

The discount rates shown above are the equivalent single discount rates which, when used to discount the future recovery plan contributions due, would give the same results as using a full AA corporate bond yield curve to discount the same recovery plan contributions.

PRESENT VALUES OF PROVISION	31 December 2021	31 December 2020
	(£000s)	(£000s)
Present value of provision	399	477
	=====	======

St Luke’s Hospice, Kenton Grange, Kenton Road, Harrow, HA3 0YG 020 8382 8000 info@stlukes-hospice.org @stlukesharrow stlukeshospice stlukeshospice Registered Charity Number: 298555

www.stlukes-hospice.org

2021 Annual Report

~~Making~~ ~~Every Moment Matter~~

Contents

Trustee’s Report

The size of our care

Ethnicity monitoring

Our care in numbers

Our impact

People given 24hr telephone advice each year

No of Patients & Carers supported by Patient & Family Support Team

Improving Advance Care Planning conversations

Wellbeing - Complementary therapy and physiotherapy services

What we achieved! Feedback

Other Therapies

Social Prescribing Link Worker

Quality Improvements

The impact of our volunteers

Looking ahead – our plans in 2022

We are working hard this year to:

Our Supporters

Complaints

Shops

Operational Report

Strategic Report

Overview

Risk Management

Pension Liability

Reserves Policy

Reserves excluding fixed asset funds

Investment policy

Funding

Tangible Fixed Assets

Future Plans

Going Concern

Structure, Governance and Management

Senior Executive Remuneration

The list of Trustees:

Senior Staff:

Statement of Trustees’ Responsibilities

Opinion

Basis for opinion

Conclusions relating to going concern

Other information

Opinions on other matters prescribed by the Companies Act 2006

Matters on which we are required to report by exception

Responsibilities of trustees for the financial statements

Auditor’s responsibilities for the audit of the financial statements

Use of our report

( ii) Critical accounting judgements and key sources of estimation uncertainty

(iii) Financial instruments

(iv) Preparation of accounts on a going concern basis

(v) Consolidation

(viii) Tangible fixed assets

(vi) Income

(ix) Investments

(vii) Expenditure

(x) Funds

(xi) Pensions

National Health Service Superannuation scheme

Defined Contribution Scheme (Pensions Trust)

(xii) Taxation

(xiii) Leases

(xiv) Legal status

(xv) Employee benefits

(xvi) Debtors

(xvii) Cash at bank and in hand

(xiii) Creditors and provisions

3. LEGACIES

4. INCOME AND EXPENDITURE FROM SHOPS AND LOTTERY

8. STAFF COSTS AND NUMBERS

9. TRUSTEES

10. TANGIBLE FIXED ASSETS

11. INVESTMENTS

12.

13.

ANALYSIS OF NET ASSETS BETWEEN FUNDS

15. FUNDS (continued)

16. OPERATING LEASE COMMITMENTS

17. CAPITAL COMMITMENTS

Making Every Moment Matter