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2020-12-31-accounts

	Page
Report ofthe Trustees and Strategic Report	1 — 11
Report ofthe Independent Auditors	12— 15
Statementof Financial Activities	16
Balance Sheet	17
Cash Flow Statement	18
Notes to the Cash Flow Statement	19
Notes to the Financial Statements	20—27

Trustees
Mr C Barratt	Chair ofTrustees & Chair of Finance and Audit Committee
Ms C Dodwell	Deputy Chair and Chair of the Capital Developments Committee
Mr C Bridge	Chair of the Integrated Governance Committee
Mr RG Hammond	Chair of the Workforce and Remuneration Committee
Dr C S Ince
Mr L Marlow	Chair of the Finance and Audit Committee
Ms S Watson
Mr N Smillie	Appointed August2019
Mr A Appleton	Appointed April 2020
Mr MRPA Manning	Appointed December2020
Mr Suriwala	Resigned December2020
Key Management Personnel:
Ms C Nolan
Chief Executive Officer

fthegovernancefr n them:	a	mework. In total t	here are five Boa	rd committees an	d these are the Di	rectorswho serv
	I	Director	Integrated	Finance and	Capital	Workforce
Committees		Appointments	Governance	Audit	Development	and Remuneration
Mr C Barratt		Chair	x	x		x
Mr C Bridge			Chair	X
Ms C Dodwell					Chair
Mr R G Hammond		X			X	Chair
DrCSlnce		X	x
Mr L Marlow				Chair	X	x
Ms S Watson			x
Mr N Smillie			x
MrA Appleton					X

23rd September 2021

		2020	2019
		Unrestricted	Unrestricted
		funds	funds
		£	£
	Notes
INCOME
Donations and legacies Investmentincome	3 4	- -	1,150 325
Incoming resources from charitable activities Medical services provided Other income	5	9826,734 64387	13,953,947 11,294
Total income		9,891,121	13,966,716
EXPENDITURE
Charitable activities
Medical services provided	6	10,797,843	13930,820
Total expenditure		10,797,843	13930,820
NET (EXPENDITURE)IINCOME		(906,722)	35,896
Total funds broughtforward		12,996,862	12,960,966
TOTAL FUNDS CARRIED FORWARD		12,090,140	12,996,862

			2020	2019
			Unrestricted	Unrestricted
			funds	funds
	Notes		£	£
FIXED ASSETS
Intangible assets Tangible assets Total Fixed Assets	13 14		26,076 12,423204 12,449,280	35568 12,808,865 12,844,433
CURRENTASSETS Stocks Debtors: amounts falling due within one year Cashatbank	15 16		353,188 1,236,656 522,172	324,108 1,264,410 748,041
			2,112,016	2,336,559
CREDITORS
Amounts falling due within one year	17		(1,080,956)	(1,393930)
NET CURRENT ASSETS			1,031,060	942,629
TOTAL ASSETS LESS CURRENT LIABILITIES			13,480,340	13,787,062
CREDITORS
Amounts falling due aftermore than one year	18		(1,390,200)	(790,200)
NET ASSETS		-	12,090,140	12,996,862
FUNOS Unrestricted funds	20		12,090,140	12,996,862
TOTAL FUNDS			12,090,140	12,996862

		2020	2019
	Notes	£	£
Cash flow from operating activities
Netcash (used in)/provided by operating activities	I	(597241)	699830
Cash flows from investing activities Purchaseofintangibleassets Purchase ofproperty, plant and equipment Interest received		(7936) (220,692) -	(23,082) (320,774) 325
Net cash used in investing activities		(228,628)	(343,531)
Cash flows from financing activities
Loan drawn down in year		600,000	-
Net cash from investing activities		600,000
Change in cash and cash equivalents in the reporting period		(225,869)	356,299
Cash and cash equivalents at the beginning of the reporting		748,041	391,742
period
Cash and cash equivalents at the end of the reporting	2	522,172	748,041
period

	RECONCILIATION OF NET INCOME TO NET CASH INFLOW	FROM OPERATI	NG ACTIVIT
		2020	2019
		£	£
	Net (expenditure)Iincomefor reporting period (as perthe	(906,722)	35896
	statement offinancial activities) Amortisation ofintangible assets Depreciation charges Interest received	17,428 530,537 -	21,929 491,682 (325)
	(Increase)/decrease in stocks Decrease/(increase) in debtors (Decrease)/increase in creditors	(29,080) 27,369 (236773)	11,845 (65817) 204,620
	Net cash provided by operating activities	(597,241)	699,830
2.	ANALYSIS OF CASH AND CASH EQUIVALENTS
		2020	2019
		£	£
	Cash	522,172	748,041

NALYSIS OF CHANGES IN NET DEBT
	At		At31
	1 January	Cash flow	December
	2020		2020
	£	£	£
Net cash:
Cash at bank	748,041	(225,869)	522,172
Bank Loan due in greater than one year		(600,000)	(600,000)
	748,041	(825,869)	(77,828)

3.	DONATIONS AND LEGACIES
		2020	2019
		£	£
	Legacies and Donations	-	1,150
4.	INVESTMENT INCOME
		2020	2019
		£	£
	Bank interest	-	325

			2020	2019
			£	£
Medical	services	provided	9,826,734	13,953,947

	Direct Medical	Supportcosts	Governance	Total	Total
	costs	(see note 12)	Costs (see	2020	2019
	(see note 7) £	£	£ note 8)	£	£
Medical services	7,645,390	3,131,573	20,880	10,797,843	13,930,820
Provided

DIRECT COSTS OF CHARITABLE ACTIVITIES
	2020	2019
	£	£
Staffcosts	2,871,466	2,613,604
Direct medical costs	4,051,503	7,163,392
Insurance	333,167	267,707
Patient services	111,108	139,113
Medical Equipment Maintenance and Repair	278,146 7,645,390	308,280 10,492,096

8.	GOVERNANCE COSTS
		2020	2019
		£	£
	Auditors’ remuneration	20,880	16,680
9.	NET (EXPENOITLJRE)IINCOME
	Net (experiditure)/iricome is stated afterchargirtg/(crediting):
		2020	2019
		£	£
	Auditor’s remuneration	20,880	16,680
	Amortisation of intangibleassets Depreciation of owned assets	17,428 530,537	21929 491,682

STAFF COSTS AND THE COST OF KEY MANAGEME	NT PERSONNEL
	2020	2019
	£	£
Salaries and wages: - Nursing and otherclinical staff - Housekeeping, catering and maintenance • Management and administration	2,509,237 509,638 1,163,997 4,182,872	2,553798 515923 1,154994 4,224,715
Wage and salaries Social security costs Pension costs	3,781420 305739 95,713	3839,485 297,153 88,077
	4,182,872	4,224,715

ithin the foll	owing range
2020	2019
Number	Number
1	1

Average number employed (including temporary staf	f):
	2020	2019
Nursing and other clinical Management, clerical and domestic	112 95 207	110 95 205

Support costs incurred in the year in relation t	o charitable activities were as follo	ws:
	2020	2019
	£	£
Management Finance	1,813,105 70,490	2,156,060 53,935
Information Technology Property	305,652 942,327 3,131,573	278,499 933,550 3,422,044

INTANGIBLE FIXED ASSETS
	Total
	Software
	£
COST
Ati January2020	110,567
Additions	7936
At31 December2020	118503
DEPRECIATION
At 1 January 2020 Charge for year	74999 17,428
At 31 December2020	92,427
NET BOOK VALUE
At 31 December2020	26076
At31 December2019	35568

TANGIBLE FIXED ASSETS
			Medical
			Equipment,
	Freehold land	Freehold property	Fixtures, Fittings,	T I o a
			Computer
			Equipment
	£	£	£	£
COST
At 1 January 2020 Additions	3,366,366 -	8,796202 10116	3,163,026 134,760	15,325594 144876
At 31 December 2020	3366366	8806,318	3,297,786	15470,470
DEPRECIATION
At 1 January 2020 Chargeforyear	- -	1,010,572 178,440	1,506,157 352,097	2516729 530,537
At 31 December 2020	-	1189,012	1,858,254	3047266
NET BOOK VALUE
At 31 December 2020 At 31 December 2019	3.366.366 3.366366	Z&3L LZ	J22	J2Q 12.808.865

STOCKS
			2020	2019
			£	£
Consumable Pharmacy	medical	supplies	326,910 26278 353,188	304,059 20,049 324,108

16.	DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
		2020	2019
		£	£
	Trade debtors	872562	1012375
	Prepayments and accrued income	364094 1236656	252035 1264410
17.	CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
		2020	2019
		£	£
	Trade creditors	498,915	846,280
	Social security and othertaxes Accruals and deferred income	95,807 486,234	94,844 452,806
		1080,956	1.393930

		2020	2019
		£	£
CBILS Lease	Loan (Note 19) deposits	600,000 790,200 1,390,200	- 790,200 790200

OVEMENT IN	FUNDS
	At January 2020	Incoming Resources	Resources Expended	Funds transferred	Gains and Losses		At December 2020
	£	£	£	£	£		£
Unrestricted
funds Generalfund Total Funds	12,996,862 12,996862	9,891,121 9,891121	(10,797843) (10.797,843)	-		- -	12,090,140 12,090,140

ANALYSIS OF RESERVES
	2020	2019
	£	£
Total reserves	12,090,140	12,996,862
Less: Land and buildings	(10,406,598)	(11,151,996)
Add: Lease deposits relating to land and buildings Freely available reserves	790200 2,473742	790200 2,635,066
FINANCIAL INSTRUMENTS
	2020	2019
	£	£
Financial assets measured atamortised cost	1,428476	1,760,416
Financial liabilities measured at amortised cost	1,889,115	1,636,480