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2021-03-31-accounts

Charity Registration Number: 299679 Scottish Charity Number: SC042789 Company Registration Number: 2212082 (England & Wales)

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report & Financial statements Year Ending 31 March 2021

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Contents

Trustees Oliver Reichardt (Chair) Susanna Speirs (Vice Chair) Michael Smith (Treasurer; resigned 18 July 2020) Sangeeta Agnihotri (appointed 21 November 2020) Tom Burdett (Treasurer from 18 July 2020) Edward Ford (resigned 21 November 2020) Emma Gibbs Dr David Hall Shetal Joshi (appointed 21 November 2020) Joel Mitchell David Price Dr Sarah Stock Sarah Threadgould (appointed 21 November 2020) Kelly Williams (appointed 21 November 2020) Chief Executive Dr Clea Harmer Company Secretary Piers Vimpany FCA DChA Charity Number 299679 Scottish Charity Number SC042789 Company Number 2212082 Registered office CAN Mezzanine 49-51 East Road London, N1 6AH Statutory Auditor HW Fisher LLP Acre House 11-15 William Road London NW1 3ER Principal Bankers Lloyds Bank Plc 25 Gresham Street London EC2V 7HN Principal Solicitors Russell-Cooke 2 Putney Hill London | SW15 6AB

Content
Page
Legal and administrative information 1
Contents 2
Trustees’ Report 3-24
Statement of Trustees’ responsibilities 25
Independent Auditor’s Report 26-30
Statement of Financial Activities
Balance Sheet
Statement of Cash Flows
Notes to the Financial statements		 31-32
33
34
35-53

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

The Trustees, who are also Directors of the charity for the purposes of the Companies Act, submit the annual report and Financial statements of Sands (Stillbirth and Neonatal Death Society) for the year ended 31 March 2021.

The Trustees confirm that the annual report and Financial statements of the charity have been prepared in accordance with the accounting policies set out in Note 2 to the Financial statements and comply with the charity’s constitution, applicable law and the requirements of “ Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS102) (effective 1 January 2019)”.

1. Objects and values of the charity

The objects of Sands are: -

  1. to promote the emotional, psychological and physical well-being of parents, their families and friends, when a baby dies in utero, at birth or soon after birth, by:

  2. 1.1 the provision of support and information to those so bereaved and their carers; and

  3. 1.2 by working collaboratively with health and social care professionals to improve and enhance professional practice with bereaved parents; and

  4. to promote research and the implementation of best practice that will help identify the causes and reduce the incidence of the death of a baby in utero, at birth or soon after birth, and to publish the results of such research.

Sands’ vision is for a world where fewer babies die and where anyone who is affected by the death of a baby receives the best care and support for as long as they need.

To realise the charity’s vision Sands’ outlined four key objectives within its 2017-2020 Strategy, these are to:

Underpinning these objectives are Sands Values , whereby the charity commits to:

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

2. Public benefit

The Trustees confirm that they have complied with their duty under Section 4 of the Charities Act 2011 to have due regard to the Charity Commission’s general guidance on public benefit. Sands has continued to provide public benefit in line with the objects of the charity through the implementation of the 2017-2021 Sands Strategy. Total charitable expenditure at Sands was £3.56m in 2020/2021 (2020: £4.02m).

2.1 Main achievements in 2020/2021

The three-year 2017-2020 Sands Strategy was due to be reviewed and updated during the course of 2020. However, because of the Covid-19 Pandemic and the resulting changeable environment, it was decided to adopt an agile and responsive approach to strategic planning for the year and to carry out the strategy review and update in 2021. Within this report, the four objectives from 2017/2020 (outlined below) provide a basis to demonstrate our commitment to the core aims and how we delivered on these despite the challenging environment.

1. Reduce the number of babies dying before, during and shortly after birth;

2. Ensure the right care and support is available at the right time after the death of a baby;

3. Grow as one strong, sustainable and effective organisation;

4. Raise awareness of the issues relating to stillbirth and neonatal death.

Covid-19

2020/2021 was a uniquely different year for Sands, dominated by the impact of the Covid-19 pandemic which provided significant challenges as well as opportunities. There were three distinct phases:

Detailed scenario planning supported an approach to financial planning which included budgeting for reduced income alongside identifying ways to reduce expenditure. A total of 32 staff were placed on furlough leave from 1[st] April, with some staff returning on 1[st] September and others at different points up until 1[st] April 2021. Staff were consulted on a proposed restructure through July, August and September, with the aim of further reducing expenditure in a way that would best allow Sands to continue to deliver on all its core aims with an increased focus on digital and with a capacity to grow in the future. Following the consultation 15 roles were made redundant; we are very grateful for the service and commitment that these staff showed during their time at Sands and would like to acknowledge what a difficult time it was for everyone involved.

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

Although the first 6 months of the pandemic were very challenging in terms of demand on services, impact on beneficiaries, and a reduction in income, there were also much that was positive. The pandemic provided confirmation that the work of Sands is relevant and clearly demonstrated the unique way in which Sands’ core aims work together. It also provided opportunities to try new ways of working and to become a ‘digital-first’ organisation.

Strategic Objective 1

To reduce the number of babies dying before, during and shortly after birth

The perinatal mortality figures that were available in February 2021 relate to babies who died in 2019 and showed a total of 4,829 stillbirths and neonatal deaths across the UK. This equates to 14 babies dying every day in the UK.

During the pandemic there was a concern that Covid-19 might increase the perinatal mortality rate, and concerted efforts were made by ONS and MBRRACE to produce data in a timely manner to track these figures. There were also research studies which aimed to understand the impact of Covid-19 on pregnancy, labour and birth. Although more evidence is needed, overall the data seems to indicate that although the virus itself has not increased the risk of stillbirth or neonatal death, some of the steps taken in response to the virus may have done so.

The main activity/achievements relating to this objective were to increase understanding of why babies die through supporting and monitoring research, audit and review; to ensure pregnant women are aware of how to reduce the risk of stillbirth and neonatal death; and to identify and implement actions that are needed to reduce the number of babies dying. This was done by:

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

Strategic Objective 2:

To ensure the right care and support is available at the right time after the death of a baby. Bereavement support

Sands provides support to anyone affected by the death of a baby through our range of bereavement support services team. These services include the helpline which provides telephone, email and social media support; the online community and the Facebook support group which provide 24-hour forums for mutual and moderated support; the bereavement app which provides information and support in an easily accessible format; a range of information which is available in both print and electronic format; the Sands’ funded memory boxes; and the range of remembrance events that are held both nationally and locally. Support is also provided at a local level around the UK by volunteer befrienders providing group or individual support in different formats.

Covid had a significant impact on Sands’ bereavement support services – with volunteer

befrienders having to find alternative ways to provide support. Some groups managed to move their group support online and hosted Zoom support meetings, whilst others focused on individual support or on ‘walk and talk’ meetings outside when that was possible. Sadly, there was also a marked increase in demand for support, and at times during the pandemic there was a 30% month-on-month increase. The requests for support during the pandemic increased in complexity partly as a result of the circumstances in which baby death occurred, partly because of the increased isolation, and partly as a result of other organisations signposting complex cases to Sands.

However, the pandemic also provided opportunities to develop other channels of support including digital and social media, it also increased the reach of our support meetings enabling those who would find it difficult to travel to or join meetings to do so via Zoom.

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

Bereavement care

Sands works to ensure that excellent and equal bereavement care is offered to bereaved parents and families both by healthcare professionals and in the workplace. In hospitals and the community this is done by leading the implementation of the National Bereavement Care Pathway; by providing bereavement care training for healthcare professionals and all those in contact with bereaved parents; by providing resources and tools to help healthcare professionals to inform, monitor and improve their bereavement care; and by providing e-learning opportunities and updates. In the workplace this is done by providing training; by providing expert advice and guidance; and by providing relevant resources and tools.

Covid had a direct impact on healthcare professionals’ ability to offer bereavement care. At the most acute points of the pandemic some mothers were on their own as they were given the news that their baby had died and in a few cases also when they gave birth; some bereavement midwives were redeployed and some bereavement suites were repurposed; restrictions made it difficult for parents to spend time making memories with their babies; and PPE made it difficult for healthcare professionals to provide compassionate care. Sands focused on supporting the NHS to provide the best possible care in the circumstances, and on returning to pre-pandemic care as soon as possible.

During the pandemic we gathered feedback from pregnant women, bereaved parents and families and undertook regular surveys of bereavement care in NHS Trust and Boards. These were used to prioritise the creation of resources to support Trusts as well as to provide evidence to help us work with national policy makers to get recovery plans put in place.

The main activity/achievements relating to this objective were to provide support and information for bereaved parents, and for those pregnant after the death of a baby; and to ensure NHS staff are supported to deliver excellent bereavement care This was done by:

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

Strategic Objective 3

To grow as one strong, sustainable and effective organisation

For the first few months of the pandemic Sands, like many other charities, was focused on the steps needed to ensure that it would be able to continue its work despite a significant drop in income and an increase in demand. Careful scenario planning, along with taking steps to reduce expenditure and to seek additional funding, allowed Sands to navigate the first difficult months safely.

New and innovative digital funding streams were then identified, and their extraordinary success has since allowed Sands to return to plans for growth.

Covid also changed the way Sands worked, virtually bringing teams together in a way that hadn’t been possible before. In responding to the challenges of the pandemic, Sands worked in an agile way but also focused on continual improvement – allowing an immediate response to the need around us. So Covid provided opportunities to learn how to be more effective and how to truly work as one organisation, and this learning will be taken forward

The main activity/achievements relating to this objective were to ensure a sustainable financial base with diverse income streams; to structure Sands to enable effective and strategic working; to build trust and develop opportunities for collaboration; and to ensure good governance. This was done through:

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

generation, connecting bereaved families to support, enhancing public affairs to create change, and raising awareness.

Strategic Objective 4

To raise awareness of the issues relating to stillbirth and neonatal death

During 2020/2021 Sands created different opportunities to raise awareness of the issues relating to stillbirth and neonatal death including #FindingTheWords during Sands Awareness Month, and Baby Loss Awareness Week 2020.

The restrictions relating to Covid resulted in social media and digital channels being used far more to raise awareness, and one of the benefits of this was reaching audiences who might not have engaged previously.

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

The main activity/achievements relating to this objective were to campaign on issues relating to stillbirth and neonatal death, raising awareness and reducing stigma, and working with key influencers to drive change. This was done by:

.

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

3. Structure, governance and management

Sands was formally established in 1988, having been founded in 1978, and is constituted in England and Wales as a company limited by guarantee, Company Number 2212082. The company’s registered address is CAN Mezzanine, 49-51 East Road, London N1 6AH. Sands is also registered with the Charity Commission as a Charity in England and Wales (Charity Number 299679) and with the Office of the Scottish Charity Regulator (Charity Number SC042789). The charity provides additional meeting space to support its national remit and nationwide operations, including its network of over 100 Sands’ Groups – notably in N. Ireland (Portadown) and Scotland (Glasgow) and roughly 30 Sands United Teams.

3.1 Sands Board of Trustees

Sands is governed by a Board of Trustees who are elected by the members at AGM in accordance with the Articles of Association, which is the charity’s governing document.

The Articles of Association set out the process whereby the members elect a total of up to 12 Directors from within the membership of the charity, of which at least 50% must be personally bereaved. The Directors also act as Trustees to the charity. Each year, one-third of the Directors must retire and may be eligible for re-election.

All recruitment to the Board of Trustees is subject to the Trustee Recruitment, Selection and Induction policy and newly co-opted/elected Trustees are provided with an induction pack which includes the latest guidance,[1] as well as key information from the Charity Commission[2] .

The functions of the Board of are set out in Clause 22 of the Articles of Association and include setting the overall strategic development of the charity; reviewing and adopting the annual business plan and budget; monitoring the performance of the charity in relation to plans and budgets; ensuring that the charity’s affairs are conducted in accordance with generally accepted standards of performance and propriety; overseeing the performance and activities of local Sands Groups and ensuring that appropriate advice is taken, particularly with regard to matters of legal compliance and financial viability.

The Board of Trustees also delegates authority to standing sub committees and/or ‘task and finish’ working groups, as appropriate, who operate within the Reservation and Delegation of Board Powers and associated Framework of Authority.

1 The essential trustee: what you need to know, what you need to do (CC3, July 2015) at https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/509664/cc3_lowink.pdf

2 The Charity Governance Code (3rd Ed.) at https://www.charitygovernancecode.org/en/pdf

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

Trustees may serve no longer than seven years from the AGM at which they are first elected. None of the Trustees have any beneficial interest in the company. Short biographies of all Trustees are on the Sands website:

Trustees that served during the financial year under review and up to the date of approval of these financial statements:

Oliver Reichardt Elected 17 November 2018 (Chair from Nov 2018) Susanna Speirs (Co-opted 24 September 2016; Elected 29 October 2016; (Vice Chair from Dec 2018) Re-elected 4 November 2019). Michael Smith Elected 23 November 2013; Re-elected 3 October 2015; (Treasurer until July 2020) Re-elected 4 November 2019, Resigned 18 July 2020 Sangeeta Agnihotri Elected 21 November 2020 Tom Burdett Elected 17 November 2018; Re-elected 21 November 2020 (Treasurer from July 2020) Edward Ford Elected 23 November 2013; Re-elected 3 October 2015; Reelected 17 November 2018; Resigned 21 November 2020 Emma Gibbs Elected 17 November 2018; Re-elected 21 November 2020 David Hall Elected 17 November 2018 Shetal Joshi Elected 21 November 2020 Joel Mitchell Elected 23 November 2019 David Price Elected 17 November 2018 Dr Sarah Stock Elected 23 November 2019 Sarah Threadgould Elected 21 November 2020 Kelly Williams Elected 21 November 2020

Tom Burdett took over from Michael Smith taking the role of Treasurer and Chair of the Finance, Audit and Risk Sub Committee on 18 July 2020.

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

3.2 Board Sub-Committees

In 2020/2021, the following Sub Committees and Working Groups supported the work of the Board:

3.3 Day-to-day operations of the charity and key management personnel

The Chief Executive, Dr Clea Harmer, together with the senior leadership group, is responsible for, and provides oversight of, the delivery of Sands’ organisational strategy and the annual business plan for the organisation, ensuring compliance with statutory requirements and best practice approaches at national level. The key members of the team are:

Like all staff at Sands, the pay and remuneration of the charity’s key management personnel has been benchmarked and set in line with an independent market review of staff salaries that was completed in September 2019.

3.4 Staffing and staff profile

The charity employed an average of 62 staff during the period under review - equivalent to 42 FTE (full-time equivalent members of staff).

58% of staff worked directly with beneficiaries to achieve the objectives of the organisation and 23% worked to promote the charity’s aims through Fundraising and Communications activities. Support staff accounting for 19% of total staff.

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

3.5 Sands volunteers and groups

Sands has around 1,000 volunteers and 100 groups who provide national support for Sands’ vision, mission, and strategic objectives.

Sands’ volunteers deliver peer bereavement support through structured support meetings, informal activities, memorial and remembrance events. In so doing they build lasting bonds and enduring networks between bereaved families. Volunteers also create valuable links that facilitate a range of further support to health professionals looking to offer excellent bereavement care.

Sands’ volunteers help to prevent the loss of babies’ lives through raising awareness of the shocking number of babies dying each year on both a national and a local level. They are also vital to the fundraising efforts of the charity; ensuring that it can achieve its ambitious aims and continue to grow.

Sands is very grateful for the wonderful work of its amazing volunteers, without whom it would not be possible for Sands to achieve nearly as much.

4. Review of Finances, Fundraising and Risk

4.1 Financial Review

o Income

Total income for the year to 31 March 2021 was £6,380,126 (2020: £3,713,207) which represents a 72% increase year on year.

The reason for the increase was a combination of factors in what was an exceptional year due to the Covid-19 crisis.

During the first five months of the year the charity saw a significant decrease in fundraising income. In August 2020 this was trending 31% lower than the previous year. In response to this reduction the charity applied and received time limited emergency Covid-19 funding from the UK Government, Scottish Government, National Lotteries Charities Board, and the Northern Ireland Executive of £511,666. In addition, a £300,000 COVID support loan was obtained through Lloyds Bank.

In addition, the charity furloughed roughly a third of its staff and received a total of £305,250 during the year from this Government Scheme. Overall, 96% of the emergency Covid and furlough grants the charity received were before the end of October 2020.

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

4.1 Financial Review (continued)

However, in mid-September 2020 the charity became aware of the tremendous and unexpected success of the newly launched 310,000 steps fundraising challenge. This was followed by another hugely successful Jog 50 challenge later in the year. Both of these challenges raised over £1.8m and represented new income for the charity plus a new and effective way of engaging supporters.

o Expenditure

Total Expenditure for the charity to 31 March 2021 was £3,558,146 (2021: £4,020,026) which represents a decrease of 11% year on year.

The principle reason for the reduction in expenditure was lower charity and groups’ expenditure due to face to face support meetings and training being suspended and replaced by on-line digital meetings and training which also proved very successful and at lower cost. In addition, other key face to face events including the Annual General Meeting were held on-line.

The charity decided in August that a staff restructuring was needed in response to the reduction in income seen at that time and the changes of ways of working, with all staff working at home and delivery of services moving increasingly on-line. Roughly a third of staff were made redundant at this time however there was no net saving to the charity in the year as cessation costs broadly matched the staff cost savings.

o Net Surplus

The net surplus amounted to £2,821,980 vs a prior year deficit of £306,819. The surplus on unrestricted funds amounted to £2,735,754.

o Reserves and Cash flow

Total Reserves held by the charity as at 31 March 2021 were £4,076,204 (2020: £1,254,224). An analysis of the movement of Restricted and Designated Funds is shown in Notes 20 and 21 respectively. The Statement of Cash Flows on page 29, shows net cash inflows from operating activities of £2,412,274 in year, compared to net cash outflows of £485,208 in 2020, which is further detailed in Note 23. The emergency Covid loan taken out in July 2020 was repaid in full in June 2021 without incurring any interest.

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

4.2 Reserves Policy

The policy for Reserves has been revised by the trustees taking account of the following long-term considerations:

The reserves of the charity are regarded as having three layers each set separately at four months of operating expenditure:

The first layer (top level) is intended to smooth out limited and temporary shortfalls in income to provide funds to protect services at current levels and/or to make further investment in fundraising. The funds for this layer are invested in readily available cash deposits or longer-term deposits.

The second layer (middle level) would allow the charity to consider a measured reduction in expenditure when a fall in income appears to be of a substantial or longer-term nature. Depending on the overall reserves levels Trustees will consider whether these amounts should be held in cash or invested in strategic income generating activities, longer-term deposits, gilts or equities, with a view to long-term growth.

The third layer (base level) is held as core reserves and provides a strategic minimum reserve fund. The funds for this layer are held as readily available cash deposits.

The charity is in the process of restructuring its funds to match the policy, at the year-end funds were largely held in bank deposits.

The target level of Sands’ reserves is thus set at between 8 and 12 months cash operating expenditure (excluding depreciation). Actual free (general fund on the balance sheet) reserves at the year-end stood at £3,560,313 (2020: £773,824). This represented 9.3 months (2020: 2.5 months) of projected expenditure for the next twelve months. The reason for the increase from last year was principally due to the success of two key fundraising initiatives in the year.

The budget for 2021/22 has been set to achieve a surplus which should see reserves be maintained with the 8-12 month target identified in the reserves policy.

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

4.3 Going concern

2021 has been a very successful year for Sands financially and operationally.

Having used the Government’s Coronavirus Job Retention Scheme and Covid-specific grants to navigate through the immediate impact of the pandemic we were able to bring staff either back to work or restructure roles in order to reduce reliance on Government support by the second half of the year.

The second half of the year recorded strong fundraising income from successful campaigns and corporate and Trust supporters which have continued into 2021/22.

Staff were successfully able to work at home and they responded magnificently to the many challenges of the last year and helped sustain and grow the charity.

Sands moved ending the lease on its office premises in March 2021 and now has a smaller shared office which will provide ongoing cost savings.

The Trustees are confident that the charity will remain a going concern for the foreseeable future.

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

4.4 Statement of Fundraising Practice

Sands is registered with the Fundraising Regulator and we use the logo to demonstrate the charity’s commitment to upholding the Fundraising Regulators’ Promise . In January 2021, Sands became an organisational member of the Institute of Fundraising (IoF), demonstrating an absolute commitment to fundraising best practice through support of the Code of Fundraising Practice . Sands also has relevant policies and procedures that underpin its Fundraising policy and activities.

Sands’ Fundraising Promise outlines how we are committed to treating donors and the public with respect, fairness, honesty, and clarity in our fundraising activities. Sands will ensure it keeps its fundraising practices under review and will work with others with the aim of improving practice across the charity sector.

Sands takes all reasonable steps to monitor fundraising carried out on behalf of the charity to ensure no harm comes to staff, volunteers and those that fundraise for the charity. Clear signposting to relevant fundraising guidance and forms is available on the Sands website. Adherence to all relevant policies and procedures to safeguard and protect are monitored by the designated fundraising staff lead for the event.

Sands recognises the need to respond swiftly and appropriately to complaints and has a clear complaints process. There have been no complaints about fundraising in 2020/2021.

Sands takes its responsibility to protect the public, and especially vulnerable people, very seriously. Sands reviews all existing and new fundraising activity and ensures full oversight through a rigorous development and sign-off process.

Sands acknowledges the unique connection between the bereavement and fundraising journey for individuals and families raising money for Sands. Sands has an ongoing commitment to upskilling staff across all teams to respond sensitively to fundraisers who may also be bereaved and in recognising and flagging safeguarding issues.

Sands has a Safeguarding Lead and safeguarding training for all staff. Whilst bereavement is not in itself a reason for classifying someone as a vulnerable adult, Sands recognises that it places significant pressure on individuals who may move in and out of vulnerability during their journey with Sands

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

4.5 Risk identification and management

The Trustees are committed to an effective programme of risk management to ensure the continuity and sustainability of the organisation and its ability to achieve its strategic objectives. The Finance, Audit & Risk Sub Committee of the Board of Trustees reviews the charity’s Risk Register on an annual basis and the key risks to the organisation are reviewed on a quarterly basis to ensure that appropriate measures are taken to mitigate and manage risk.

The Trustees have identified the principle risks as:

o Reduction in quality of bereavement care for those who have lost babies

During the Covid 19 crisis in some areas the quality of bereavement care for those who have lost babies has been affected.

In order to address this Sands has:

Sands provides high quality face-to-face bereavement support though its Groups and Sands United Teams. As a result of Covid-19, this face-to-face contact has not been possible.

Sands has sought to maintain engagement by:

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

o Lack of centralised information system

Sands has developed over the years using multiple sources of data and capturing these in different ways and using differing systems.

A decision was made by the Trustees in 2020 to upgrade the current ThankQ system to bring together data from these different sources and to help Sands be as efficient and supporter responsive as possible. This project is nearing completion and will be supported by a newly appointed Database Manager.

o Insufficient staff capacity to complete tasks

Due to the transition from the previous way of working to the new way of working in addition to a significant increase in activity across the different activity streams has led to huge pressure upon Sands staff. In order to address these issues Sands is currently in the process of recruiting to critical staff posts. Sands also regularly checks in with staff at weekly staff, managers and directors’ meetings to address key issues where these arise and how to address these including the use of temporary staff when necessary.

o Not supporting staff to work at their chosen place of work

Prior to the pandemic roughly half of Sands staff worked at home. Immediately following the pandemic all but two staff who were essential to managing incoming post and relocating the officer began working at home full time. Sands new offices are in a shared office space at CAN Mezzanine in Old Street. Staff have been and are regularly consulted on their views of working at home and we will adapt our working environment to be the most suitable for the charity and the staff who work for the charity in the future.

o Cyber security

As staff are now almost entirely working at home the charity is now reliant upon its key IT systems to manage its operations and service delivery.

Cyber security is key to keeping these systems safe and secure and the following steps have been taken:

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

5. Plans for the future

Sands is now in a far stronger position than was thought possible this time last year. The extraordinary success of the Fundraising Team in securing new income streams has combined with the learning and opportunities presented by the Covid pandemic to ensure that Sands can move forward confidently.

As we develop the new strategy, it is important to seize the unique opportunities that are possible with increased funds so that we can realise our ambitions to reach more people and to save more babies’ lives. We must make sure that the growth is not only sustainable, but also that we maintain our sense of purpose and direction and that our values are truly embedded in everything we do.

Saving babies’ lives

In order to save more babies’ lives Sands will need to focus on both the shorter-term aim of improving maternity safety to reduce avoidable deaths, and also on the longer-term aim of building a better understanding of why some babies die. To support all of this crucial work a Prevention Strategy is being developed which will sit alongside the Research Strategy and enable a holistic approach to be taken.

In addition, the new Sands and Tommy’s Joint Policy Unit will help us work together towards halving the number of UK baby deaths by:

In order to support the wider baby loss community in its aims to reduce babies dying and to improve bereavement care and support, Sands has taken over the Secretariat for the All-Party Parliamentary Group on Baby Loss; it has also helped establish a Baby Loss Awareness Prevention Group.

There must be a continued focus on the inequalities in perinatal mortality, and building a better understanding of how to address these inequalities is key. Sands has an important role to play in authentically listening to the voices of all bereaved parents and enabling this voice to be heard by decision makers and to be included in relevant research.

Excellent bereavement support and care for all those affected by the death of a baby

The increase in demand for bereavement support services that we have seen through the Covid pandemic has highlighted the need to provide support in different ways and through different channels. Projects to work directly with different communities such as the Black community and the South Asian community are underway, and it is crucial that we move forward listening

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Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

carefully to what all bereaved parents have to say if we want to develop services that meet their needs better.

Not only has demand increased, but the complexity of calls has increased along with the number of people seeking support through digital channels. It will be important to build bereavement support services that can meet this demand, and there are plans to introduce more counselling support along with more digital support.

A key part of our support services are our volunteer befrienders, and the new and updated befriender training will continue to be rolled out online with face-to-face elements being reintroduced as well.

Rollout of the National Bereavement Care Pathway has been extraordinarily successful in England, and plans are now being developed to embed this properly, as well as continuing with plans in Scotland, Northern Ireland and Wales. It is important that excellent care is no longer seen as a ‘nice to have’ but as something fundamental that all bereaved parents and families are entitled to.

The work that has been started in terms of ensuring excellent bereavement care is a feature of all workplaces will also continue, with training and resources being backed up with work to ensure that the statutory needs of bereaved parents are recognised.

Being the best we can be

It is important to keep building on the learning from the last year and on the opportunities that have emerged. Finding the right way to grow sustainably and to have real impact will be key, and to do this successfully we will need to ensure the infrastructure of Sands can support our ambitions.

One of the factors which makes Sands unique is its UK-wide coverage and its ability to connect to people locally and in context. Balancing a strong local presence with a strong national presence will be an important element of growing sustainably – and Sands will find the right way to build on both strengths of being local and connected and on the strengths of being national and holistic. Supporting this growth will be Sands’ wonderful volunteers and supporters, and at the 2021 Engagement Events there was real enthusiasm for the plans to introduce more volunteering opportunities which will allow more people to support Sands in different ways.

23

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Trustees’ Report for the Year Ending 31 March 2021

Disclosure of information to the auditor

Each Trustee has confirmed that there is no information of which they are aware which is relevant to the audit, but of which the auditor is unaware. They have further confirmed that they have taken appropriate steps to identify such relevant information and to establish that the auditor is aware of such information.

Auditor

In accordance with section 485 of the Companies Act 2006, HW Fisher LLP were re-appointed as Auditor to the company at the Annual General Meeting of the members held on 21 November 2020.

Oliver Reichardt Chair – Board of Trustees 25 September 2021

24

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Statement of Trustees’ Responsibilities for the Year Ending 31 March 2021

The Trustees, who are also directors of the Stillbirth & Neonatal Death Society for the purpose of company law, are responsible for preparing the Trustees’ Report and Financial statements in accordance with applicable laws and United Kingdom Accounting Standards (UK GAAP), including FRS102 “The Financial Reporting Standard applicable in the UK and Republic of Ireland”.

Company law requires the Trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charity and of the incoming resources and application of resources, including the income and expenditure, of the charitable company for that year.

In preparing these financial statements, the Trustees are required to:

The Trustees are responsible for keeping adequate and proper accounting records that disclose with reasonable accuracy at any time the financial position of the charity and to enable them to ensure that the Financial statements comply with the Companies Act 2006, the Charities and Trustee Investment (Scotland) Act 2005 and the Charities Accounts (Scotland) Regulations 2006 (as amended).

They are also responsible for safeguarding the assets of the charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

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

25

Independent Auditor’s Report To the Members of the Stillbirth and Neonatal Death Society

Opinion

We have audited the financial statements of Stillbirth and Neonatal Death Society (the ‘charity’) for the year ended 31 March 2021 which comprise the Statement of Financial Activities, the Balance Sheet, the Statement of Cash Flows and the notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In our opinion, the financial statements:

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor's responsibilities for the audit of the financial statements section of our report. We are independent of the Charity 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 charity’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.

26

Independent Auditor’s Report To the Members of the Stillbirth and Neonatal Death Society

Other information

The other information comprises the information included in the annual report, other than the financial statements and our auditor’s report thereon. The Trustees are responsible for the other information. Our opinion on the financial statements does not cover the other information contained within the annual report and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

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 our audit:

Matters on which we are required to report by exception

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

We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 and the Charities Accounts (Scotland) Regulations 2006 (as amended) require us to report to you if, in our opinion:

27

Independent Auditor’s Report To the Members of the Stillbirth and Neonatal Death Society

Responsibilities of Trustees

As explained more fully in the Statement of Trustees' Responsibilities, the Trustees, who are also the Directors of the Charity for the purpose 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 directors 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 Charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liquidate the company or to cease operations, or have no realistic alternative but to do so.

Auditor's responsibilities for the audit of the financial statements

We have been appointed as auditor under section 44(1)(c) of the Charities and Trustee Investment (Scotland) Act 2005 and under the Companies Act 2006 and report in accordance with the Acts and relevant regulations made or having effect thereunder.

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

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

28

Independent Auditor’s Report To the Members of the Stillbirth and Neonatal Death Society

Auditor's responsibilities for the audit of the financial statements (continued)

As part of our planning process:

The key procedures we undertook to detect irregularities including fraud during the course of the audit included:

Owing to the inherent limitations of an audit, there is an unavoidable risk that we may not have detected some material misstatements in the financial statements even though we have properly planned and performed our audit in accordance with auditing standards. The primary responsibility for the prevention and detection of irregularities and fraud rests with the trustees of the charity.

A further description of our responsibilities is available on the Financial Reporting Council’s website at: http://www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor's report.

29

Independent Auditor’s Report To the Members of the Stillbirth and Neonatal Death Society

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 and with regulation 10 of the Charities Accounts (Scotland) Regulations 2006. Our audit work has been undertaken so that we might state to the charitable company's members and trustees 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, the charitable company’s members as a body, and the charitable company’s trustees as a body, for our audit work, for this report, or for the opinions we have formed.

Sailesh Mehta (Senior Statutory Auditor) for and on behalf of HW Fisher LLP

Chartered Accountants Statutory Auditor Acre House 11-15 William Road London United Kingdom NW1 3ER

30

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Statement of Financial Activities Including Income & Expenditure Account For the year ended 31 March 2021

Notes Unrestricted Restricted Total Total
Funds Funds 2021 2020
£ £ £ £
Income from
Donations and legacies 3 2,558,662 254,948 2,813,610 2,012,795
Other trading activities 4 2,729,909 - 2,729,909 1,480,951
─────── ────── ─────── ───────
5,288,571 254,948 5,543,519 3,493,746
Income from charitable activities 5 12,354 516,671 529,025 219,461
Other income 6 307,582 - 307,582 -
Total income and endowments 5,608,507 771,619 6,380,126 3,713,207
─────── ─────── ─────── ───────
Expenditure on:
Raising funds		 983,936 - 983,936 886,904
─────── ────── ─────── ───────
Charitable activities
Research & prevention		 327,383 1,000 328,383 282,686
Training & education 203,487 316,779 520,266 702,086
Groups and volunteers 1,016,430 - 1,016,430 987,225
Bereavement support 195,482 367,614 563,096 1,028,178
Policy and campaigns 146,035 - 146,035 132,947
─────── ────── ─────── ───────
1,888,817 685,393 2,574,210 3,133,122
Total expenditure 7 2,872,753 685,393 3,558,146 4,020,026
─────── ─────── ─────── ───────
Net income/ expenditure 2,735,754 86,226 2,821,980 (306,819)
Fund balance at 1 April 2020 1,038,916 215,308 1,254,224 1,561,043
─────── ─────── ─────── ───────
Fund balance at 1 April 2021 3,774,670 301,534 4,076,204 1,254,224
══════ ═════ ══════ ══════

The Stillbirth and Neonatal Death Society is a company registered in England & Wales (registration number 2212082). The statement of financial activities also complies with the requirements for an income and expenditure account under the Companies Act 2006. All income and expenditure derives from continuing operations.

31

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Statement of Financial Activities Including Income & Expenditure Account For the year ended 31 March 2021

Prior year comparatives Notes Unrestricted Restricted Total
Funds Funds 2020
£ £ £
Income from
Donations and legacies 3 1,889,625 123,170 2,012,795
Other trading activities 4 1,480,951 - 1,480,951
─────── ────── ───────
3,370,576 123,170 3,493,746
Income from charitable activities 5 70,416 149,045 219,461
Total income and endowments 3,440,992 272,215 3,713,207
─────── ─────── ───────
Expenditure on:
Raising funds		 886,904 - 886,904
─────── ────── ───────
Charitable activities
Research & prevention		 264,250 18,436 282,686
Improving bereavement care 482,411 219,675 702,086
Groups and volunteers 987,225 - 987,225
Bereavement support 911,987 116,191 1,028,178
Policy and campaigns 100,947 32,000 132,947
─────── ────── ───────
2,746,820 386,302 3,133,122
Total expenditure 7 3,633,724 386,302 4,020,026
─────── ─────── ───────
Net income/ expenditure (192,732) (114,087) (306,819)
Transfers between funds 35,618 (35,618) -
─────── ─────── ───────
Net movement in funds (157,114) (149,705) (306,819)
Fund balance at 1 April 2019 1,196,030 365,013 1,561,043
─────── ─────── ───────
Fund balance at 1 April 2020 1,038,916 215,308 1,254,224
══════ ═════ ══════

32

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Balance sheet As at 31 March 2021

Notes 2021 2020
£ £
Fixed Assets
Intangible assets 14 - 22,617
Tangible assets 15 33,395 57,581
──────── ────────
33,395 80,198
Current Assets
Stock 16 24,873 35,964
Debtors 17 929,379 127,814
Cash at Bank and in Hand 3,731,678 1,320,128
──────── ────────
4,685,930 1,483,906
Creditors - Amounts Falling
Due Within One Year 18 (643,121) (309,880)
──────── ────────
Net Current Assets 4,042,809 1,174,026
──────── ────────
Net Assets £4,076,204 £1,254,224
═══════ ═══════
Funds of the Charity
Unrestricted general funds 22 3,560,313 773,824
Designated funds 21 214,357 265,092
──────── ────────
Total unrestricted funds 3,774,670 1,038,916
Restricted funds 20 301,534 215,308
──────── ────────
£4,076,204 £1,254,224
═══════ ═══════

The notes form part of these financial statements.

The financial statements were approved by the Board on 25 September 2021.

Oliver Reichardt Chair - Board of Trustees

33

Stillbirth and Neonatal Death Society
(A Company limited by Guarantee)
Statement of Cash Flows
For the year ending 31 March 2021
Notes 2021 2020
£ £
Cash flows from operating activities:
Net cash used in operating activities 23 2,412,274 (485,208)
──────── ────────
Cash flows from investing activities:
Purchase of fixed assets (724) (48,621)
──────── ────────
Net cash used in investing activities (724) (48,621)
Change in cash and cash equivalents in the reporting
period 2,411,550 (533,829)
──────── ────────
Cash and cash equivalents at the beginning of the
reporting period 1,320,128 1,853,957
Cash and cash equivalents at the end of the reporting
period 3,731,678 1,320,128
══════ ══════

34

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

1. Legal status of the Charity

The Stillbirth and Neonatal Death Society is a company limited by guarantee incorporated on 20 January 1988. Its registered offices are CAN Mezzanine, 49-51 East Road, London N1 6AH. The Charity is constituted as a company limited by guarantee and has no share capital and is registered in England & Wales. The liability of each member in the event of winding up is limited to £1.

2. Accounting Policies

2.1 Basis of Preparation

The financial statements have been prepared in accordance with the charity's Memorandum and Articles of Association, the Companies Act 2006, the Charities and Trustee Investment (Scotland) Act 2005, the Charities Accounts (Scotland) Regulations 2006 (as amended) and "Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019)". The charity is a Public Benefit Entity as defined by FRS 102.

The financial statements are prepared in sterling , which is the functional currency of the charity. Monetary amounts in these financial statements are rounded to the nearest £.

Assets and liabilities are initially recognised at historical cost unless otherwise stated in the relevant accounting policy.

2.2 Preparation of the Financial statements on a going concern basis

In response to the Covid-19 pandemic, changes were made to the fundraising approach. As a consequence of this in the second half of the year there was higher than expected income from successful campaigns, corporate and trust supporters. This success has continued into 2021/22. Sands has also moved into a smaller shared office which will provide ongoing cost savings.

As a consequence of this at the time of approving the Financial statements, the Board have a reasonable expectation that the Charity has adequate resources to continue in operational existence for the foreseeable future. Thus the trustees continue to adopt the going concern basis of accounting in preparing the Financial statements.

35

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

2.3 Incoming Resources

Income is recognised when the Charity has entitlement to the funds, any conditions attached to the income have been met, it is probable that the income will be received, and the amount can be measured reliably. Income received in advance of the provision of a specified service is deferred until the criteria for income recognition are met. Grants income is credited to incoming resources on the earlier date of when they are received or when they are receivable, unless they relate to a specified future period, in which case they are deferred.

Government grants, which include the amounts received from the Coronavirus Business Interruption Loan Scheme and the Coronavirus Job Retention Scheme that cover interest and fees payable to the lender, are recognised at the fair value of the grant received or receivable when there is reasonable assurance that the grant conditions will be met and the grants will be received. The income is recognised in other income on a systematic basis over the periods in which the associated costs are incurred, using the accrual model.

2.4 Fund accounting

Restricted funds arise from donations which the donor has specified are to be solely used for particular areas of the Charity’s work or for specific projects being undertaken by the Charity. Designated funds are funds which have been designated by Sands for a particular purpose and show the split of funds held centrally and by Groups, net of transfers. Unrestricted funds are available to spend on activities that further any of the purposes of the Charity.

2.5 Critical accounting estimates

Estimates and judgements are continually evaluated and are based on historical experience and other factors, including expectations of future events that are believed to be reasonable under the circumstances. There are no critical accounting estimates for the period under review.

2.6 Gifts in Kind

Goods and services donated to the charity with an estimated value of at least £5,000 are recognised as Other Income and as expenditure in the Statement of Financial Activities under the most appropriate heading for the expense.

36

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

2.7 Resources expended

Fundraising and publicity costs comprise the costs incurred in producing materials for promotional purposes and in raising funds. Governance costs are those which do not directly relate to charitable activities and include the costs of audit and statutory compliance. Where costs cannot be directly attributed, they are reallocated amongst charitable activities on a utilisation basis, assessed by percentage of cost. Income and expenditure are stated net of VAT. The charity has a partial exemption for VAT and is not able to reclaim VAT on all its indirect charitable costs. Irrecoverable VAT is written off against charitable activities. Research Grants are recognised and recorded in the Financial statements at full cost, at the time the funds are committed by the Board of Trustees. In exceptional circumstances, where the grant funding schedule is contingent upon specific targets or deliverables being achieved, Sands may recognise only those commitments which are guaranteed at the year end under the terms of the grant agreement.

2.8 Intangible and tangible fixed assets and depreciation

Intangible and tangible fixed assets are stated at cost less depreciation. Depreciation is provided at rates calculated to write off the cost less estimated residual values of each asset over its expected useful life as follows;

lows;
Website (Intangible) 25% straight-line
Leasehold improvements (Tangible) 25% straight-line
All other assets (Tangible) 25% reducing balance

Assets purchased, individually, under £1,000 are not capitalised, but expensed in the year of purchase.

2.9 Stock

Stock is valued at the lower of cost and net realisable value.

2.10 Leasing & hire purchase

Rentals payable under operating leases are charged against income on a straight-line basis over the period of the lease.

2.11 Pensions

The charity makes payments on behalf of its employees to the Sands stakeholder pension scheme. The pension costs charged in the Financial statements represent the contributions payable by the charity during the year. Pension Auto Enrolment commenced on 1 January 2016.

37

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

2.12 Termination payments

Termination benefits, including redundancy costs, are recognised when the charity has an obligation to pay the benefits and they can be measured reliably.

2.13 Debtors

Debtors are recognised at the settlement amount due after any trade discount offered and provision for bad and doubtful debts.

2.14 Cash at bank and in hand

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

2.15 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.

2.16 Financial instruments

The charity has elected to apply the provisions of Section 11 ‘Basic Financial Instruments’ and Section 12 ‘Other Financial Instruments Issues’ of FRS 102 to all of its financial instruments.

The Charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value.

38

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

3. Donations and legacies

Unrestricted Restricted 2021 2020
Funds Funds Total Total
£ £ £ £
Donations and gifts 1,972,079 - 1,972,079 1,614,116
Legacies 17,350 - 17,350 12,000
Gift Aid 467,399 - 467,399 302,101
Grants received 90,589 254,948 345,537 63,961
Membership 11,245 - 11,245 20,617
──────── ──────── ──────── ────────
2,558,662 254,948 2,813,610 2,012,795
═══════ ═══════ ═══════ ═══════
Unrestricted Restricted 2020
Funds Funds Total
£ £ £
Donations and gifts 1,490,946 123,170 1,614,116
Legacies 12,000 - 12,000
Gift Aid 302,101 - 302,101
Grants received 63,961 - 63,961
Membership 20,617 - 20,617
──────── ──────── ────────
1,889,625 123,170 2,012,795
═══════ ═══════ ═══════

4. Other trading activities

Unrestricted funds

Unrestricted funds 2021 2020
Total Total
£ £
Running events 138,094 505,535
Challenge events 511,501 496,836
Other fundraising events 2,002,260 406,801
Merchandise sales 78,054 71,779
──────── ────────
2,729,909 1,480,951
════════ ══════

39

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

5. Income from Charitable Activities

Unrestricted Restricted 2021 2020
Funds Funds Total Total
£ £ £ £
Training and other
related services 12,354 - 12,354 18,354
Statutory funding - 516,671 516,671 201,107
──────── ──────── ──────── ────────
12,354 516,671 529,025 219,461
═══════ ══════ ═══════ ═══════
Unrestricted Restricted 2020
Funds Funds Total
£ £ £
Training and other
related services 18,354 - 18,354
Statutory funding 52,062 149,045 201,107
──────── ──────── ────────
70,416 149,045 219,461
═══════ ══════ ═══════

Income from Statutory funding totalling £516,671 (2020: £201,107) are considered to be government grants. There are no unfulfilled conditions or other contingencies attached to the government grants above.

6. Other income

Unrestricted Restricted 2021 2020
Funds Funds Total Total
£ £ £ £
CJRS government grant 305,250 - 305,250 -
Other 2,332 - 2,332 -
──────── ──────── ──────── ────────
307,582 - 307,582 -
═══════ ══════ ═══════ ═══════

40

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

7. Total resources expended

Cost of generating funds
Fundraising costs
Charitable activities
Research & prevention
Improving bereavement care
Groups and volunteers
Bereavement support
Policy & campaigns
Total charitable expenditure
Cost of generating funds
Fundraising costs
Charitable activities
Research & prevention
Improving bereavement care
Groups and volunteers
Bereavement support
Policy & campaigns
Total charitable expenditure		 Staff costs
Depreciation
Other costs
2021
Total
2020
Total
£
£
£
£
£
551,113
-
432,823
983,936
886,904
236,556
14,960
76,867
328,383
282,686
384,670
4,178
131,418
520,266
702,086
652,842
16,246
347,342
1,016,430
987,225
304,984
4,521
253,591
563,096
1,028,178
82,754
2,423
60,858
146,035
132,947
1,661,806
42,328
870,076
2,574,210
3,133,122
2,212,919
42,328
1,302,899
3,558,146
4,020,026
Staff costs
Depreciation
Other costs
2020
Total
£
£
£
£
475,342
-
411,562
886,904
211,572
6,645
64,469
282,686
405,771
7,967
288,348
702,086
622,563
16,752
347,910
987,225
401,236
12,655
614,287
1,028,178
64,104
2,759
66,084
132,947
1,705,246
46,778
1,381,098
3,133,122
2,180,588
46,778
1,792,660
4,020,026

41

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

8. Reallocation of Support Costs

Charitable activities
Staff costs
Depreciation
Other costs
Allocation of support
costs
Staff costs
Depreciation
Other costs
Charitable activities
Staff costs
Depreciation
Other costs
Allocation of support
costs
Staff costs
Depreciation
Other costs		 Research &
prevention
Improving
Bereavement
care
Groups &
volunteers
Bereavement
support
Policy &
campaigns
2021
Total
2020
Total
£
£
£
£
£
£
£
158,178
260,494
410,242
170,585
47,898
1,047,3971,113,955
12,323
-
8,084
-
1,250
21,657
10,361
2,796
14,065
118,072
126,576
27,919
289,428
550,806
173,297
274,559
536,398
297,161
77,067
1,358,4821,675,122
78,378
124,176
242,600
134,399
34,856
614,409
591,291
2,637
4,178
8,162
4,521
1,173
20,671
35,429
74,071
117,353
229,270
127,015
32,939
580,648
831,280
155,086
245,707
480,032
265,935
68,968
1,215,7281,458,000
£328,383
£520,266 £1,016,430
£563,096
£146,035£2,574,210£3,133,122
Research &
prevention
Improving
Bereavement
care
Groups &
volunteers
Bereavement
support
Policy &
campaigns
2020
Total
£
£
£
£
£
£
158,036
272,804
437,676
206,513
38,926
1,113,955
3,437
-
5,674
-
1,250
10,361
(10,798)
101,416
87,982
341,519
30,687
550,806
150,675
374,220
531,332
548,032
70,863
1,675,122
53,536
132,967
184,887
194,723
25,178
591,291
3,208
7,967
11,078
11,667
1,509
35,429
75,267
186,932
259,928
273,756
35,397
831,280
132,011
327,866
455,893
480,146
62,084
1,458,000
£282,686
£702,086
£987,225
£1,028,178
£132,947£3,133,122

42

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

9. Governance Costs

2021 2020
£ £
Legal & professional 5,338 19,598
Auditor’s remuneration 12,604 11,400
Expenses reimbursed to or on behalf of Trustees - 1,732
AGM - 8,519
Other - 1,543
──────── ────────
£17,942 £42,792
══════ ══════

Payments to the auditor in respect of non-audit fees was nil (2020: nil).

10. Trustees

None of the Trustees received any remuneration for their services as Trustees of the charity during the year or were reimbursed for travel, subsistence and training expenses (2020: £1,732).

Trustees’ indemnity insurance is included in the overall insurance paid by the charity and cost the charity was £1,542 (2020: £1,542).

43

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

11. Employees

Sands is committed to providing equality of opportunity in employment and to developing working practices and policies that support work-life balance and encourage flexible working.

The average monthly number of total employees and full-time equivalent employees during the year was:

2021 2021 2020 2020
Headcount FTE Headcount FTE
Bereavement support services 9 6 10 7
Groups networks & volunteering 10 7 14 10
Improving bereavement care 14 3 15 4
Research & prevention 3 2 3 2
Fundraising 8 8 11 10
Media, Policy & Campaigns 6 5 7 7
Management & administration 12 11 12 10
─── ─── ─── ───
62 42 72 50
═══ ═══ ═══ ═══
Employment costs 2021 2020
£ £
Wages and salaries 1,893,384 1,912,823
Social security costs 180,360 174,378
Other pension costs 57,241 82,400
Cessation costs 81,934 10,987
──────── ────────
£2,212,919 £2,180,588
═══════ ═══════

The number of employees whose annual emoluments were £60,000 or more were:

2021 2020
Number Number
£60,001 - £70,000 3 4
£70,001 - £80,000 2 1

The aggregate pension contribution made by the charity on behalf of higher paid staff was £14,963 (2020: £9,202). Five (2020: Five) higher paid staff accrued benefits in defined contribution pension schemes.

Key management personnel are defined as the trustees and the six members of the Senior Leadership Group. The total employee benefits of the key management personnel of the charity were £403,023 (2020: £393,860).

During the year redundancy and termination payments made by the charity were £81,934 (2020: £10,987). There were no outstanding liabilities at the year-end.

44

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

12. Pension Scheme

2021 2020
£ £
Contributions paid to defined contribution scheme £57,241 £82,400
══════ ══════

13. Volunteers

Volunteers play a key role in the achievement of the aims of Sands. Further details on their role is further explained in note 3.5 of the Trustees’ report.

14. Fixed Assets (Intangible)

Sands Website
COST OR VALUATION
At 1 April 2020 85,162
Additions -
Disposals -
────────
At 31 March 2021 £85,162
══════
ACCUMULATED
DEPRECIATION
At 1 April 2020 62,545
Charge for year 22,617
Disposals -
────────
At 31 March 2021 £85,162
══════
NET BOOK VALUE
At 31 March 2021 £-
══════
At 31 March 2020 £22,617
══════

45

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

15. Fixed Assets (Tangible)

----- Start of picture text -----
||||||| |---|---|---|---|---|---| |Leasehold|Fixtures,|IT|Software|Total| |property &|Fittings &|equipment|& IP| |improvements|Equipment| |£|£|£|£|£| |COST OR VALUATION| |At 1 April 2020|60,911|18,601|114,211|15,050|208,773| |Additions|-|-|724|-|724| |Disposals|(60,911)|(18,601)|(45,079)|(15,050)|(139,641)| |────────|───────|───────|───────|────────| |At 31 March 2021|-|-|69,856|-|69,856| |═══════|═══════|═══════|═══════|════════| |ACCUMULATED| |DEPRECIATION| |At 1 April 2020|60,911|14,226|61,005|15,050|151,192| |Disposals|-|1,516|18,195|-|19,711| |Charge for the year|(60,911)|(15,742)|(42,739)|(15,050)|(134,442)| |────────|───────|───────|───────|────────| |At 31 March 2021|-|-|36,461|-|36,461| |═══════|═══════|═══════|═══════|════════| |NET BOOK VALUE| |At 31 March 2021|£-|£-|£33,395|£-|£33,395| |════════|═══════|═══════|═══════|════════| |At 31 March 2020|£-|£4,375|£53,206|£-|£57,581| |════════|═══════|═══════|═══════|════════|

----- End of picture text -----

16. Stock

----- Start of picture text -----
|||| |---|---|---| |2021|2020| |£|£| |Publications and leaflets|£24,873|£35,963| |═══════|════════|

----- End of picture text -----

46

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

17. Debtors

2021 2020
£ £
Trade debtors 15,360 7,045
Other debtors 33,177 26,535
Accrued income 831,902 32,973
Prepayments and Receivables 48,940 61,261
──────── ────────
Total £929,379 £127,814
═══════ ═══════

18. Creditors

2021 2020
£ £
Trade creditors 170,452 137,107
Other taxes and social security 45,117 43,341
Other creditors 18,139 11,989
Accruals 109,413 74,860
CBILS Bank Loan 300,000 -
Accruals (research commitments) - 23,428
Deferred income - 19,155
──────── ────────
Total 643,121 309,880
═══════ ═══════

Prior year deferred income of £19,155 relates to income received from the Scottish Government in late March 2018 relating to the extension of the National Bereavement Care Partnership (NBCP) in 2019/20 and further work carried out in 2020/21. Income of £19,155 was released in respect of expenditure incurred in 2020/21.

The CBILS Bank Loan was an unsecured loan repaid in June 2021 and incurred no interest.

47

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

19. Research Grant Commitments Analysed

Donor and Purpose of each fund 1 April 2020 Commitments
made in year		 Commitments
paid in year		 31 March
2021
£ £ £ £
University College London (Marlow) 23,428 - 23,428 -
──────── ──────── ──────── ────────
23,428 - 23,428 -
══════ ══════ ══════ ══════
Prior year 1 April 2019 Commitments
made in year		 Commitments
paid in year		 31 March
2020
£ £ £ £
University College London (Marlow) 46,857 - 23,429 23,428
St George’s University (Khalil) 64,012 - 64,012 -
Edinburgh Royal Infirmary (Sullivan/
Stenson)		 21,500 (21,500) - -
University of Leicester 20,946 - 20,946 -
──────── ──────── ──────── ────────
153,315 (21,500) 108,387 23,428
══════ ══════ ══════ ══════

University College London: Parents and Neonatal Decisions Study - Improving communication during conversations about limiting life-sustaining treatment in neonatal intensive care. Professor Neil Marlow, UCL Elizabeth Garret Anderson Institute for Women’s Health. This study is designed to improve the way doctors talk with parents about the decision whether or not to start palliative care for babies who have life-limiting conditions or a poor outlook.

St. George’s University, London: Prediction and prevention of perinatal death. (Dr Asma Khalil)

This study aims to find a way of identifying babies at high risk of perinatal death, so that they can be monitored more closely and delivered early if necessary.

University of Leicester: Red flags and symptom checkers for self-diagnosis in maternity (Dr Nicola Mackintosh) By exploring how pregnant women use digital resources like websites and apps, this research aims to identify pregnancies which are at risk of complications and what could be helpful in supporting them.

Edinburgh Royal Infirmary – funding was withdrawn for this project during the initial phases of the pandemic to allow Sands to conserve cash.

48

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

20. Analysis of movements of Restricted Funds

Current year Balance at Incoming Outgoing Balance at
1 April resources resources 31 March
2020 2021
£ £ £ £
UK Government_COVID response grant_ - 352,435 (352,435) -
Scottish Govt_- National Bereavement Care Pathway_ - 104,816 (39,003) 65,813
The National Lottery Community Fund_- Digitisation England_ - 99,700 (89,700) 10,000
COVID Funding Stream
Scottish Government_COVID response grant_ - 39,869 (39,869) -
Berkshire Community Foundation -Work in Berkshire - 35,625 (32,968) 2,657
London Community Response Fund -Translation - 30,400 (30,400) -
Garfield Weston Charitable Trust -HCP & Volunteer training - 20,000 (20,000) -
The National Lottery Community Fund -Northern Ireland - 19,662 (19,662) -
COVID-19 response
Scottish Government -Domestic Abuse support project - 19,551 - 19,551
The Childwick Trust -SUFC wellbeing officer - 10,000 (10,000) -
The National Lottery Community Fund -Welsh language - 5,718 - 5,718
translation of bereavement support materials and App
Sandra Charitable Trust_- HCP training_ - 4,000 (4,000) -
Suffolk Community Foundation_- support in Suffolk_ - 3,839 (3,839) -
The D'Oyly Carte Charitable Trust_- HCP webinars_ - 3,500 (3,500) -
Souter Charitable Trust_- Memory box appeal_ - 2,796 (2,796) -
Eveson Charitable Trust_- HCP training_ - 2,722 (2,722) -
Cambridgeshire Community Foundation_- Covid-19 funding_ - 2,173 (2,173) -
The Pilkington Charities Fund_- Memory box appeal_ - 2,000 (2,000) -
The TBF And KL Thompson Trust_– work in Northern Ireland_ - 2,000 (2,000) -
The Basil Death Trust -Memory Box appeal - 1,864 (1,864) -
Fort Vale Foundation -Memory Box appeal - 1,864 (1,864) -
The Lennox Hannay Charitable Trust_– Memory box appeal_ - 1,500 (1,500) -
Sir Jules Thorn Charitable Trust_- HCP training_ - 1,250 (1,250) -
The Felicity Wilde Charitable Trust_- Saving Babies Lives_ - 1,000 (1,000) -
The Shanly Foundation -Memory boxes in Oxfordshire - 1,000 (1,000) -
The Wixamtree Trust_- Memory boxes_ - 1,000 (1,000) -
Sands Groups Projects * 111,308 - (12,513) 98,795
Scottish Government_– various projects_ 50,000 - - 50,000
Scottish Govt -Joint Project Lothian Sands 30,000 - - 30,000
Juditeras 10,000 - - 10,000
NHS England: Review of impact BSS 5,000 - (5,000) -
Tozers North Devon Sands 4,000 - - 4,000
Sundry less than £1,000 5,000 1,335 (1,335) 5,000
─────── ──────── ─────── ───────
Total funds 215,308 771,619 (685,393) 301,534
═══════ ═══════ ═══════ ═══════

49

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

Prior year Balance at Transfers Incoming Outgoing Balance at
1 April 2019 resources resources 31 March
2020
£ £ £ £ £
Sands Groups 123,947 (35,618) 101,170 (86,191) 103,308
Sands Research Fund 18,435 - - (18,435) -
Sands: Safer Pregnancy website 2,602 - - (2,602) -
NBCP England - - 99,045 (99,045) -
Bereavement room refurbishment 5,000 - - - 5,000
NHS England: IBC RCGP 2,599 - - (2,599) -
NHS England: Review of Impact BSS 5,000 - - - 5,000
Tozers North Devon Sands - - 4,000 - 4,000
Scottish Govt various projects - - 50,000 - 50,000
NHS England: MBEM/ CYP BEM 14,000 - - (14,000) -
Scottish Govt: Care Awards 15,000 - - (15,000) -
Scottish Govt: Joint Lothian Project 60,000 - - (30,000) 30,000
Scottish Govt: Being Open 23,964 - - (23,964) -
Scottish Govt: Parent Toolkit 12,000 - - (12,000) -
Scottish Govt: Sands Glasgow Office 21,850 - - (21,850) -
Solihull MBC - - 8,000 - 8,000
Stillbirth awareness focus group 5,818 - - (5,818) -
Taunton Soroptimist 2,802 - - (2,802) -
Marks and Spencer – BLAW 32,000 - - (32,000) -
HEE: NBCP e-learning project 19,996 - - (19,996) -
Juditeras - - 10,000 - 10,000
─────── ──────── ──────── ─────── ───────
Total funds 365,013 (35,618) 272,215 (386,302) 215,308
════════ ════════ ════════ ═══════ ═══════

50

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

21. Analysis of movements of Designated Funds

Balance at Transfers Incoming Outgoing Balance at
1 April 2020 resources resources 31 March
2021
£ £ £ £ £
Fixed asset fund 80,198 (46,803) - - 33,395
Group project commitments 184,894 (3,932) - - 180,962
─────── ──────── ──────── ─────── ───────
Total funds 265,092 (50,735) - - 214,357
════════ ════════ ════════ ═══════ ═══════
Prior year Balance at Transfers Incoming Outgoing Balance at
1 April 2019 resources resources 31 March
2020
£ £ £ £ £
Fixed asset fund 78,571 1,627 - - 80,198
Group project commitments 353,259 (23,267) 33,883 (178,981) 184,894
─────── ──────── ──────── ─────── ───────
Total funds 431,830 (21,640) 33,883 (178,981) 265,092
════════ ════════ ════════ ═══════ ═══════

The purpose of the designation of the funds were as follows:

Fixed asset fund – to provide a reserve of monies to match the fixed assets held in order to make clear the free funds held by the charity.

Groups project commitments – to provide a reserve of monies to cover local Groups Projects.

51

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

22. Analysis of net assets between Funds

Unrestricted Designated Restricted Total
funds funds funds funds
Income funds of the charity: £ £ £ £
Tangible Assets - 33,395 - 33,395
Current Assets 4,203,434 180,962 301,534 4,685,930
Creditors falling due within 1 year (643,121) - - (643,121)
──────── ──────── ──────── ────────
£3,560,313 £214,357 £301,534 £4,076,204
═══════ ═══════ ═══════ ═══════
Unrestricted Designated Restricted Total
Prior year funds funds funds funds
Income funds of the charity: £ £ £ £
Intangible Assets - 22,617 - 22,617
Tangible Assets - 57,581 - 57,581
Current Assets 1,087,704 184,894 215,308 1,483,906
Creditors falling due within 1 year (309,880) - - (309,880)
──────── ──────── ──────── ────────
£773,824 £265,092 £215,308 £1,254,224
═══════ ═══════ ═══════ ═══════

23. Reconciliation of net movement in funds to net cash flow from operating activities

2021 2020
£ £
Net movement in funds 2,821,980 (306,819)
Add back intangible asset depreciation charge 22,617 12,095
Add back tangible asset depreciation charge 19,711 34,683
Decrease in stock 11,091 16,409
Loss on disposals 5,199 216
(Increase)/ decrease in debtors (801,565) 53,625
Increase/ (decrease) in creditors 333,241 (295,417)
──────── ────────
£2,412,274 £(485,208)
═══════ ═══════

24. Analysis of changes in net funds

The charity had no debt during the year.

52

Stillbirth and Neonatal Death Society (A Company limited by Guarantee) Notes to the Financial statements For the year ending 31 March 2021

25. Operating Leases

Land and Buildings Land and Buildings Other
2021 2020 2021 2020
£ £ £ £
Expiry date:
Within 1 year		 - 89,775 - 10,987
Between 2 & 5 years - - - 16,480
──────── ──────── ──────── ────────
£- £89,775 £- £27,467
════════ ════════ ════════ ════════

The charity moved out of leased offices in March 2021 and now occupies a shared service office at CAN Mezzanine.

26. Related Party Transactions

Other than the transactions described in note 10 there were no related party transactions in the year.

53