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2022-12-31-accounts
|
Page |
| Report of the Trustees and Strategic Report |
1 - 12 |
| Report of the Independent Auditors |
13-16 |
| Statement of Financial Activities |
17 |
| Balance Sheet |
18 |
| Cash Flow Statement |
19 |
| Notes to the Cash Flow Statement |
20 |
| Notes to the Financial Statements |
21 - 28 |
|
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 |
| Dr C Since |
X |
x |
|
|
|
| Mr L Marlow |
|
|
Chair |
X |
x |
| Ms S Watson |
|
x |
|
|
|
| Mr N Smillie |
|
X (to May) |
|
|
|
| Mr A Appleton |
|
|
|
X |
|
| Mr M Manninq |
|
x |
|
|
|
|
|
2022 |
2021 |
|
|
Unrestricted |
Unrestricted |
|
|
funds |
funds |
|
|
£ |
£ |
|
Notes |
|
|
| INCOME |
|
|
|
| Donations and legacies |
3 |
0 |
3,483 |
| Investment income |
4 |
0 |
|
| Incoming resources from charitable activities |
|
|
|
Medical services provided
Other income |
5 |
14,272,560
115,076 |
13,448,758
117,955 |
| Total income |
|
14,387,636 |
13,570,196 |
| EXPENDITURE |
|
|
|
| Charitable activities |
|
|
|
| Medical services provided |
6 |
14,249,702 |
14,224,294 |
| Total expenditure |
|
14,249,702 |
14,224,294 |
| NET (EXPENDITURE)/INCOME |
|
137,934 |
(654,098) |
| Total funds brought forward |
|
6,380,810 |
12,090,140 |
| TOTAL FUNDS CARRIED FORWARD |
|
6,518,744 |
11,436,042 |
|
|
2022 |
2021 |
|
|
Unrestricted |
Unrestricted |
|
Notes |
funds
£ |
funds
£ |
| FIXED ASSETS |
|
|
|
| Intangible assets |
13 |
7,726 |
15,471 |
| Tangible assets |
14 |
6,513,544 |
11,911,086 |
| Total Fixed Assets |
|
6,521,270 |
11,926,557 |
| CURRENT ASSETS |
|
|
|
| Stocks |
15 |
313,565 |
280,419 |
| Debtors: amounts falling due within one year |
16 |
1,966,350 |
1,766,359 |
| Cash at bank |
|
767,843 |
459,820 |
|
|
3,047,758 |
2,506,598 |
| CREDITORS |
|
|
|
| Amounts falling due within one year |
17 |
(1,861,084) |
(1,657,912) |
| NET CURRENT ASSETS |
|
1,232,061 |
848,686 |
| TOTAL ASSETS LESS CURRENT LIABILITIES |
|
7,707,944 |
12,775,242 |
| CREDITORS |
|
|
|
| Amounts falling due after more than one year |
18 |
(1,189,200) |
(1,339,200) |
| NET ASSETS |
|
6,518,744 |
11,436,042 |
| FUNDS |
|
|
|
| Unrestricted funds |
20 |
6,518,744 |
11,436,042 |
| TOTAL FUNDS |
|
6,518,744 |
11,436,042 |
|
|
|
|
|
2022 |
2021 |
|
|
|
|
Notes |
£ |
£ |
| **Cash flow from operating ** |
activities |
|
|
|
|
|
| Net cash (used in)/provided |
by operating activities |
|
|
a |
308,022 |
(61,883) |
| **Cash flows from investing ** |
activities |
|
|
|
|
|
| Purchase of property, plant |
and equipment |
|
|
|
(80,360) |
(468) |
| **Net cash used in investing ** |
activities |
|
|
|
227,662 |
(468) |
| **Cash flows from financing ** |
activities |
|
|
|
|
|
| Loan drawn down |
|
|
|
|
|
|
| Net cash from investing activities |
|
|
|
|
|
|
| Change in cash and cash equivalents |
|
in the reporting period |
|
|
308,022 |
(62,352) |
| Cash and cash equivalents |
at the beginning |
|
of the reporting |
|
459,820 |
522,172 |
| period |
|
|
|
|
|
|
Cash and cash equivalents
**at the ** |
|
end of the reporting |
|
b |
767,842 |
459,820 |
| period |
|
|
|
|
|
|
|
|
|
|
|
|
2022 |
2021 |
|
|
|
|
|
|
£ |
£ |
|
Net (expenditure)/income |
for reporting |
period |
(as per the |
|
137,934 |
(654,097) |
|
statement
of financial
activities) |
|
|
|
|
|
|
|
Amortisation
of intangible assets |
|
|
|
|
7,745 |
10,605 |
|
Depreciation
charges |
|
|
|
|
422,670 |
512,586 |
|
Interest received |
|
|
|
|
|
|
|
(Increase)/decrease
in stocks |
|
|
|
|
(33,147) |
72,770 |
|
Decrease/(increase)
in debtors |
|
|
|
|
(40,466) |
(526,100) |
|
(Increase)
in prepayments |
|
|
|
|
(159,525) |
(3,603) |
|
(Decrease)/increase
in creditors |
|
|
|
|
203,171 |
426,956 |
|
Sales of lease of Bungalow |
|
|
|
|
|
99,000 |
|
CBILS loan reduction over |
1 year |
|
|
|
(150,000) |
|
|
Purchase of Fixed assets |
|
|
|
|
(80,360) |
|
|
Net cash provided by operating activities |
|
|
|
|
308,022 |
(61,883) |
| b. |
ANALYSIS OF CASH AND |
CASH EQUIVALENTS |
|
|
|
|
|
|
|
|
|
|
2022 |
2021 |
|
|
|
|
|
|
£ |
£ |
|
|
Cash |
|
|
|
767,842 |
459,820 |
|
|
At |
|
At 31 |
|
1 January |
Cash flow |
December |
|
2022 |
|
2022 |
|
£ |
£ |
£ |
| Net cash: |
|
|
|
| Cash at bank |
459,820 |
308,022 |
767,842 |
| Bank Loan due in greater than one year |
|
|
|
|
459,820 |
308,022 |
767,842 |
3. |
DONATIONS AND LEGACIES |
|
|
|
|
2022 |
2021 |
|
|
£ |
£ |
|
Legacies and Donations |
|
3,483 |
4. |
INVESTMENT INCOME |
|
|
|
|
2022 |
2021 |
|
|
£ |
£ |
|
Bank interest |
|
|
|
|
2022 |
2021 |
|
|
£ |
£ |
| Medical services |
provided |
14,272,560 |
13,448,758 |
|
Direct Medical |
Direct Medical |
Support costs |
Support costs |
Governance |
Total |
Total |
|
|
costs |
**(see ** |
note 12) |
Costs (see |
2022 |
2021 |
|
(see note 7) |
|
|
|
note 8) |
|
|
|
|
£ |
|
£ |
£ |
£ |
£ |
| Medical services |
10,782,438 |
|
3,436,645 |
|
30,619 |
14,249,702 |
14,224,294 |
| Provided |
|
|
|
|
|
|
|
| DIRECT COSTS OF |
CHARITABLE ACTIVITIES |
|
|
|
|
|
|
|
|
|
|
|
2022 |
2021 |
|
|
|
|
|
|
£ |
£ |
|
| Staff costs |
|
|
|
|
3,025,257 |
3,225,011 |
|
| Direct medical costs |
|
|
|
|
7,128,055 |
6,974,699 |
|
| Insurance |
|
|
|
|
294,796 |
576,609 |
|
| Patient services |
|
|
|
|
140,020 |
119,098 |
|
| Medical Equipment Maintenance and Repair |
|
|
|
|
194,310 |
325,364 |
|
|
|
|
|
|
10,782,438 |
11,220,781 |
|
| GOVERNANCE COSTS |
|
|
|
|
|
|
|
|
|
|
|
|
2022 |
2021 |
|
|
|
|
|
|
£ |
£ |
|
| Auditors' remuneration |
|
|
|
|
30,619 |
27,122 |
|
| NET (EXPENDITURE)/INCOME |
|
|
|
|
|
|
|
| Net (expenditure)/income |
|
is stated after charging/(crediting): |
|
|
|
|
|
|
|
|
|
|
2022 |
2021 |
|
|
|
|
|
|
£ |
£ |
|
| Amortisation of intangible |
|
assets |
|
|
7,745 |
10,605 |
|
| Depreciation of owned assets |
|
|
|
|
422,670 |
512,586 |
|
|
|
2022 |
2021 |
|
|
£ |
£ |
Salaries and wages:
-
Nursing and other clinical staff |
|
2,707,680 |
2,564,163 |
| - |
Housekeeping, catering and maintenance |
511,061 |
496,264 |
| - |
Management and administration |
1,288,326 |
1,223,899 |
|
|
4,507,067 |
4,284,326 |
| Wage |
and salaries |
4,068,916 |
3,868,175 |
| Social |
security costs |
337,813 |
316,232 |
| Pension costs |
|
100,338 |
99,919 |
|
|
4,507,067 |
4,284,326 |
|
|
2022 |
2021 |
|
|
Number |
Number |
| £100,001 |
- £110,000 |
|
1 |
| £110,001 |
- £120,000 |
|
|
|
2022 |
2021 |
| Nursing and other clinical |
94 |
102 |
| Management, clerical and domestic |
98 |
97 |
|
192 |
199 |
|
2022 |
2021 |
|
£ |
£ |
| Management |
2,118,681 |
1,590,405 |
| Finance |
238,135 |
103,307 |
| Information Technology |
289,815 |
363,688 |
| Property |
790,014 |
918,992 |
|
3,436,645 |
2,976,392 |
INTANGIBLE
FIXED ASSETS |
|
|
Total |
|
Software |
|
£ |
| COST |
|
| At 1 January 2022 |
118,503 |
| Additions |
|
| At 31 December 2022 |
118,503 |
| DEPRECIATION |
|
| At 1 January 2022 |
103,032 |
| Charge for year |
7,745 |
| At 31 December 2022 |
110,777 |
| NET BOOK VALUE |
|
| At 31 December 2022 |
7,726 |
| At 31 December 2021 |
15,471 |
|
|
|
Medical |
|
|
|
|
Equipment, |
|
|
Freehold
land |
Freehold
property |
Fixtures,
Fittings, |
Total |
|
|
|
Computer |
|
|
|
|
Equipment |
|
|
£ |
£ |
£ |
£ |
| COST |
|
|
|
|
| At 1 January 2022 |
3,366,366 |
8,806,318 |
3,298,254 |
15,470,938 |
| Additions |
|
|
80,360 |
80,360 |
| Impairment |
(1,776,199) |
(4,646,485) |
|
(6,422,684) |
| At 31 December 2022 |
1,590,167 |
4,159,833 |
3,378,614 |
9,128,614 |
| DEPRECIATION |
|
|
|
|
| At 1 January 2022 |
|
1,367,452 |
2,192,400 |
3,559,852 |
| Charge for year |
|
83,197 |
339,473 |
422,670 |
| Impairment |
|
(1,367,452) |
|
(1,367,452) |
| At 31 December 2022 |
|
83,197 |
2,531,873 |
2,615,070 |
| NET BOOK VALUE |
|
|
|
|
| At 31 December 2022 |
1 590167 |
4076,636 |
846741 |
6513544 |
| At 31 December 2021 |
3366,366 |
7,438,866 |
1 105854 |
11911086 |
|
|
2022 |
2021 |
|
|
£ |
£ |
| Consumable |
medical supplies |
289,864 |
254,543 |
| Pharmacy |
|
23,700 |
25,876 |
|
2022 |
2021 |
|
£ |
£ |
| Trade debtors |
1,654,203 |
1,419,625 |
| Prepayments and accrued income |
312,146 |
346,734 |
|
1,966,349 |
1,766,359 |
|
2022 |
2021 |
|
£ |
£ |
| Trade creditors |
984,145 |
803,841 |
| Social security and other taxes |
105,189 |
97,810 |
| Accruals and deferred income |
621,750 |
606,261 |
| CBILS Loan (Note 19) |
150,000 |
150,000 |
|
1,861,084 |
1,657,912 |
|
|
2022 |
2021 |
|
|
£ |
£ |
| CBILS |
Loan (Note 19) |
300,000 |
450,000 |
| Lease |
deposits |
889,200 |
889,200 |
|
|
1,189,200 |
1,339,200 |
|
At |
Incoming |
Resources |
Funds |
Gains |
At |
|
January |
Resources |
Expended |
transferred |
and |
December |
|
2022 |
|
|
|
Losses |
2022 |
|
£ |
£ |
£ |
£ |
£ |
£ |
| Unrestricted |
|
|
|
|
|
|
| funds |
|
|
|
|
|
|
| General fund |
11,436,042 |
14,387,636 |
14,249,703 |
|
-5,055,231 |
6,518,744 |
| Total Funds |
11,436,042 |
14,387,636 |
14,249,703 |
|
-5,055,231 |
6,518,744 |
| 21. |
ANALYSIS OF RESERVES |
|
|
|
|
2022 |
2021 |
|
|
£ |
£ |
|
Total reserves |
6,518,744 |
11,436,042 |
|
Less: Land and buildings |
(5,089,370) |
(10,228,158) |
|
Add: Lease deposits relating to land and buildings |
889,200 |
889,200 |
|
Freely available reserves |
2,318,214 |
2,097,084 |
| 22. |
FINANCIAL INSTRUMENTS |
|
|
|
|
2022 |
2021 |
|
|
£ |
£ |
|
Financial assets measured at amortised cost |
2,422,046 |
1,879,444 |
|
Financial liabilities measured at amortised cost |
2,323,344 |
2,293,041 |