Registered Company Number: 1141676 (England & Wales)
REPORT OF THE TRUSTEES AND
AUDITED FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 DECEMBER 2023
FOR
FAIRFIELD INDEPENDENT HOSPITAL
(A COMPANY LIMITED BY GUARANTEE)

IRFIELD INDEPENDENT HOSPITAL
OMPANY LIMITED BY GUARANTEE)
NTS OF THE FINANCIAL STATEMENTS
HE YEAR ENDED 31 DECEMBER 2023
(A
CONT
FOR
Page
Report of t
e Trustees and Strategic Report
Repo
of the Independent Auditors
12-15
Stat
ment of Financial Activities
16
Balance Sheel
17-18
Cash Flow Statement
19
Note
to the Cash Flow Statement
20
Note
to the Financial Statements
21-30

FAIRFIELD INDEPENDENT HOSPITAL
(A COMPANY LIMITED BY GUARANTEE)
REPORT OF THE TRUSTEES AND STRATEGIC REPORT
FOR THE YEAR ENDED 31 DECEMBER 2023
The Trustees, who are also directors of the Company for the purposes of the Companies Act 2006, present
their Annual Report together with the Financial Statements for the year ended 31 st December 2023. Fairfield
Independent Hospital (the Company} is a charitable Company limited by guarantee eslablished under a
Memorandum of Association and governed by its Articles of Association. The Company operates Fairfield
Independent Hospital in order to meet its objectives. The Trustees confirm that the Annual Report and
Financial Statements of the Company comply with the current statutory requirements, the requirements of the
Company's governing document and the provisions of the Charities SORP (FRS102).
REFERENCE AND ADMINISTRATIVE DETAILS
Registered Company number
1141676 (England and Wales)
Reglstered Charity number
502791
Registered and principal offlce
Fairfield Independent Hospital
Crank
St Helens
Merseyside
WA117RS
Trustees
Mr C Barratt
Ms C Dodwell
Mr C Bridge
Mr RG Hammond
Drcslnce
Mr L Marlow
Ms S Watson
Mr A Appleton
Mr MRPA Manning
Chair of Trustees & Chair of Finance and Audit Committee
Deputy Chair and Chair of the Capital Developments Committee
Chair of the Integrated Governance Committee
Chair of the Workforce and Remuneration Committee
Chair of the Finance and Audit Committee
Key Management Personnol:
Ms C Nolan
Chief Executive Officer
Ms J Taylor until October 2023
Ms J Gallagher
Director of Clinical Services and Quality
Mr S Smith
Director of Hospital Services
Mr I Campbell
Director of Finance, IT and Performance
Medlcal Advi80ry
Chairman Mr R Gudena
Page 1

RFIELD INDEPENDENT HOSPITAL
OMPANY LIMITED BY GUARANTEEI
THE TRUSTEES AND STRATEGIC REPORT
HE YEAR ENDED 31 DECEMBER 2023
(A
REPORT O
FOR
REFERENCE AND ADMINISTRATI
E DETAILS continued
Company Secretary Ms C Nolan
Ms Nolan is also the Hospital's Regi
the Care Quality Commission.
tered Manager which is one element of the Hospital's Registration with
Bankers
National Westminster Bank plc
5 Ormskirk Street
St Helens
Merseyside
WA10 1DR
Auditors
Cfowe U.K. LLP
3rd Floor
St George's House
56 Peter Street
Manchester
M2 3NQ
Solicitors
Tickle Hall Cross
Carlton Chambers
25 Hardshaw Street
st Helens
WA10 1RP
Page 2

FAIRFIELD INDEPENDENT HOSPITAL
IA COMPANY LIMITED BY GUARANTEE
REPORT OF THE TRUSTEES AND STRATEGIC REPORT
FOR THE YEAR ENDED 31 DECEMBER 2023
Objectlves and Aims
The charitable company's objectives are to promote, manage and maintain a hospital to relieve sickness.
injury, poor health and old age amongst the sick, convalescent, disabled, and infirm and to promote and
preserve good physical and mental health.
Our principle activities are to provide a broad range of clinical and health services to the public. We provide
consulting rooms, imaging and scanning funclions, treatment rooms, operating facilities and the ancillary
facilities necessary to fulfil this role.
Our Framework for the Future is made up of..
Our Mission: To improve the health and quality of life through the provision of a high quality and affordable
service lo the people of Merseyside and the North West of Englard.
Our Vision: To offer a workforce committed to providing a service of excellent patient care within a safe and
appropriate environment.
Our Values underpin everything we do and describe the way we expect our staff to behave towards our
patients, their families and carers, colleagues and staff. Our Hospital has identified five core values. These
are..
Working togeth8r for patients - Patients come first in everything we do at Fairfield. Everyone at
Fairfield should act and collaborate in the interests of patients, putting patient interest before
organisational interest and uniting in the patients, best interests. Working with each other, patients
and carers and involving local communities, we can ensure we are providing services that meet local
needs.
Respect and dignity- Every individual who comes into contact with Fairfield will be treated with respect
and dignity We will value and respect different needs. cultures, aspirations and priorities. We will
foster a spirit of candour
admitting our mistakes when they happen and work within a culture of
humility, openness and honesty where staff communicate clearly and openly with patients, relatives
and carers.
Commitment to quality care - We will aspire to the highest possible standards of excellence and
professionalism in the provision of high quality, safe care. Quality will not be compromised in the
pursuit of safe and compassionate care. It will be a collective endeavour at every level of the system.
We will continue to actively pursue and welcome feedback from patienls and staff to identify and drive
forward areas of improvemenl, showing patients that we care about them as individuals.
Compassion
Patients, their carers and relatives will be Irealed at all times with sensitivity and
kindness. Our services extend beyond providing clinical care and include alleviating pain and distress
and making people feel valued and recognising that their concerns are important. We will also show
compassion and care to each other.
Improving lives - This is our core function. We will continue to seek to help improve the health and
wellbeing of our patients, our staff and our local communities, ensuring that we help people and their
communities take responsibility for living healthier lives
Governing Document
Fairfield Independent Hospital (the Company) is a charitable company limited by guarantee established under
a Memorandum of Association and governed by its Articles of Association, The charitable company has no
share capital being a company limited by guarantee. The guarantee of each member is limited to £1.
Page 3

IRFIELD INDEPENDENT HOSPITAL
OMPANY LIMITED B Y GUARANTEE)
THE TRUSTEES AND STRATEGIC REPORT
HE YEAR ENDED 31 DECEMBER 2023
(A
REPORT O
FOR
Trustees
The Trustees may appoint replacem
Annual General Meeting must fom
set out on the Company Information
nt or additional directors at any time. However, the Members at the next
Ily elect these directors. The Trustees who served during the year are
page at the start of the Annual Report.
hs or more often in periods of challenge and change - during 2023 the
tor Appointments Committee assists the Board in assessing its skills and
stees spend time with the hospital management having the aims and
dures of the charitable company explained to them and are issued with
ory Committee (MACI and an Adverse Events Committee also form part
I there are five Board committees and these are the Directors who serve
The Trustees meet every three mo
Board met more regularly. The Dire
identifying new Trustees. New Tr
objectives and the policies and pro
an induction pack. A Medical Advi
of the governance framework. In to
on them.
Director
Appointments
tegrated
vernance
Finance
and Audit
Capital
Workforce
and
Remuneration
Medical
Advisory
Committees
Mr C Barratt
Mr C Bridg.e
MSC
Dodwell
MrRG
Hammond
Drcslnce
Mr L Marlow
MSS
Watson
Chair
Chair
Chair
Chair
Chair
A leton
Mrm
Mannin
Board members may also meet
interest or opportunity.
utside the formal meetings to review and advise on particular areas of
Organisational Structure
The Chief Executive has responsi
organisation. The Chief Executiv
and objectives. The Chief Execut
skills, expertise and competencie
ility for the leadership and implementing the Board's strategic plans for the
ensures that the organisat50n is financially stable and that it meets Its aims
ve will ensure that the staff team is recruited and supported to provide the
required in order to run and develop a successful organisation.
company is the responsibility of the Board with support from the Medical
utive. The Board provides independent oversight and stewardship for the
oard monitors the discharge of its responsibilities via its regular meetings
es that make up the framework for integrated governance. The framework
our services and means that we put our patients at the heart of everything
rs and have experience ol this or other hospitals as professionals or users
The governance of the charitable
Advisory Committee and the Exe
range of services delivered. The
and the other Board sub committ
of integrated governance spans a
we do. The Board are all volunte
of services.
Procedures for identifying and
assessment of these reviews ens
identifies where controls could be
ssessing risks are in place and are reviewed at Board Meetings. The
res that the charitable company has the ability to deliver its objectives and
strengthened.
optimising outcomes for patients and we have created an integrated
ng excellence and the best possible clinical results. We work in partnership
imum care for our patients.
Our core business is health a
governance framework for delive
with our consultanls to ensure op
Page 4

FAIRFIELD INDEPENDENT HOSPITAL
IA COMPANY LIMITED BY GUARANTEEI
REPORT OF THE TRUSTEES AND STRATEGIC REPORT
FOR THE YEAR ENDED 31 DECEMBER 2023
The Workforce and Remuneration Committee reviews the pay, reward and organisation structure for all the
Hospital staff The arrangements for setting pay and remuneration of key management personnel is similar to
that applied to the whole staff team and the Committee uses benchmarks provided by the salary levels set in
the National Heallh Service The Workforce and Remuneration Committee makes recommendations to the
Board on the setting of salaries for the whole staff team including the key management personnel.
The Trustees are responsible for preparing the annual report and financial statements. Company law requires
Trustees to prepare financial statements for each financial year which give a true and fair view of the charitable
company's affairs. Trustees, responsibilities extend to ensuring that the assets of the organisalion are
safeguarded and that all reasonable steps have been taken to protect the organisalion against fraud or other
irregularities.
Public Beneflt
The Trustees have considered the extent to which their activilies and plar)s meet the objectives (If the
charitable company, contribule lo the public benefit and the Charity Commission's published guidani:e on
public benefit. As part of the processes of review, the Trustees have considered in detail the services currently
provided and their accessibility and affordability to all members of the public. The Trustees are satisfied that
the activities of the charitable company are consistent with the public benefit criteria. As a result of their review
they identified the following as key areas by which the charitable company meets its objectives and serves the
public benefit.
Patients who are members of friendly societies and other mutual societies are able to access services at
Fairfield Independent Hospital by making modest weekly or monthly contributions, which are not relaled to
their medical needs or their financial means. Similarly patients funded by the NHS also benefit from the same
levels of care and treatment but do not pay directly for the treatment they receive. In addition, the Company
participates in local health Initiatives, the training of health workers and the planning of new health services.
During 2023 the Hospital continued to support the national effort to provide medical services to the Nalional
Health Service and provided a range of services including diagnostics and both inpatient and outpatient
services.
Rl8k Management
The Company has a strong culture of risk awareness. All activities, both new and continuing, are regularly
subjected to a risk assessment which includes issues of clinical matters, health and safety, financial impact,
operational effectiveness, continuity and reputation thfeats. There are clear policies and guidelines in place
as part of the Company's risk management framework. We participate in our own local clinical audits and also
participate in national reviews and there is a clear incident reporting mechanism and analysis of adverse
events. Risk management training has been rolled out lo all members of staff and forms part of the induction
process. The Trustees acknowledge that they have a duty to Identify and review the risks to which the
Company is exposed and to ensure appropriate controls are in place to provide reasonable assurance against
fraud and error.
IT risk managemenl is a key area for the organisation and in 2023 we continued lo improve our IT environment,
security Systems and quality systems. We retained our ISO 27001 standard and invested in new equipment
to ensure our systems are efficient, effective, secure and supported. We use a variety of consultants and
companies to ensure our systems are monitored, external back-ups are taken and risks are managed efficiently
and effectively
The Hospital has a pandemic flu policy that has been adapted for the Covid19 pandemic and beyond. It
provides guidance for the Hospital's staff to manage the organisalion during the challenging times it has faced
over 2023. The policy has been updated and improved as the Hospital has operated throughout the year.
Page 5

IRFIELD INDEPENDENT HOSPITAL
OMPANY LIMITED BY GUARANTEE)
THE TRUSTEES AND STRATEGIC REPORT
HE YEAR ENDED 31 DECEMBER 2023
IA
REPORT O
FOR
ACHIEVEMENTS AND PERFORM
NCE
Introduction
This report has been prepared as t
the biggest challenge to the Charity
Trustees have to recognise that th
performance of delivering the charit
Our financial situation continues t
requires investment in software tha
making opportunities. The Trustee
of the charity On completion of the
to be completed no later than the e
the going concern basis.
Many services have moved to an o
appropriate, are being held virtuall
In order to support the local NHS a
with NHS England to provide treat
treatment. The numbers of people
Our Trustees and Directors feel ve
we can.
organisation emerged from the Covid19 pandemic which has provided
in its history While it Is right to reflect on the achievements of 2023, the
reader of the report will be looking at those items that have affected the
ble services.
improve. Our longer-term operating model and financial performance
will help lower costs and provide improved planning, control and decision
have signed an asset purchase agreement to sell the trade and the assets
sale the charity will continue as a grant giving body The sale is expected
d of January 2025. Our tinancial statements for 2023 were prepared on
line delivery model and many of our patient consultstions, where clinically
d provide services for patients the Hospital is now an accredited provider
ent and care for patients who have been waiting for some time for their
aiting for treatment will be a key driver in the work-flow for the Hospital.
strongly that as a local charity it is our duty to support the NHS as best
The formal and informal links that
and importance. In addition, the i
within the NHS, will help deliver n
e Hospital has developed with the NHS Trust in 2023 will improve its role
ternal developments at the Hospital. in response to the long waiting lists
services for the NHS such as new specialty surgery in the years ahead.
Governance
Whilst the role of the Board encom
has a major role in ensuring effec
personal behaviour. It is important
competence and business acume
As a registered charity and a co
requirements of running a not-for-
to demonstrate public benefit., adh
all times.
asses overseeing the implementation of all the organisation's plans, it also
ve stewardship and ensuring high standards of corporate governance and
hat the Hospital has a highly effective and efficient Board that has the skills.
to drive the strategic agenda.
pany limited by guarantee without share capital we have to balance the
rofit business with the need to achieve our charitable aims and objectives
re to the values of our charity, adopt best practices and act with integrity at
Our governance provides a frame
our high standards of care. We d
environment and support our ISO
procedures have been re-written
different ways of working, protect
take account of Covid19 precauti
The risk register continues to be
the aclions that have been put i
structure around our risk manag
aspects of governance including
The Board has reviewed the Cha
The Board has put in place syste
corporate governance framewor
The Charity has also implement
persons regulations for directors
ork for continuously improving the quality of our services and safeguarding
velop and review our policies and procedures to enhance our governance
9001 accredited quality Systems. Following the pandemic many of our ISO
further enhance our infection control precautions to the pandemic and the
ng patients and staff, many of our ISO procedures have been re-written to
ns.
opulated and reported lo the Board, identifying the m05t pressing risks and
place to mitigate those risks. The hospital Board ensures there Is formal
ent framework, KPI reporting dashboard, providing sUPPOrt for staff on all
he CQC inspection regime and the improvement of clinical systems.
ity Governance Code and considered the Charity's compliance to the Code.
s and procedures to ensure it complies with the Care Quality Commission's
and that it is also meeting the seven principles which make up this Code.
procedures and policies which mean that it conforms to the fit and proper
r equivalents.
Page 6

FAIRFIELD iTrJDEPENDENT HOSPITAL
(A COMPANY LIMITED BY GUARANTEE)
REPORT OF THE TRUSTEES AND STRATEGIC REPORT
FOR THE YEAR ENDED 31 DECEMBER 2023
The Integrated Governance Committee meets quarterly. The Committee looks at all aspects of governance
across the organisation, promoting good risk management and ensuring effective governance, both clinical
and non-clinical, across all services. The Committee provides assurance to the Board and other stakeholders
that processes are in order and that the Hospital is compliant with ils statutory requirements and able to ensure
sound internal control arrangements.
Leadershi
and Trainin
The Executive Team, headed by the Chief Executive, Continue to access continuing professional development
and other opportunities relevant to their roles Including membership of other charitable boards. Wherever
possible. staff have been accessing on-line training and development lo ensure that their skills and
competencies have been kept up to date Investment in training will continue. Training forms part of the
individual departments. suite of key performance indicators and 15 monitored to ensure compliance. Wherever
possible we will utilise e-learning for staff and secure opportunities to visit otlier organisations and do some
internal programmes such as 'walk in my shoes,. Training and education continues 10 be actively monitored
to ensure that it is up to date, current and relevant.
ualit
and safet
In 2023 we maintained our externally validated quality assurance standards. We were re-accredited for
IS027001 and during 2023 we maintained our IS09001 standard. In common with many other UK
organisations and charities, the current regulatory and legislative landscape in which we operate continues to
be subject to increasing change. Failure lo recognise, adapt to and comply with the above may cause
additional costs, penalties or other sanctions and damage lo our Hospitals reputation.
Our Quality Assurance Framework supports the planning, delivery. monitoring and continuous Improvement
of all the care and support we provide. As a charity, we always put quality, safety and patient care above
financial performance and everything we do is evaluated against the following factors,
Safety - our aim is to meet Ihe highest possible standards and avoid harm. We expect all of staff to uphold
professional standards and act with care compassion and integrity at all times
Effectiveness- providing evidence based health and wellbeing expertise and services that lead to excellent
outcomes.
Experience- We want all of our patients lo have a positive experience and our aim is to make that care as
personalised as possible.
We continually audit and benchmark our services and we are continually reviewing how we provide our
services. We participate in the NHS Friends and Family Test and we also participate in the Private Health
Information Ne￿Ork Friends and Family Test. Our scores on all these tests are high but we know that we can
only maintain these scores by continual improvement, attention to detail and investment in staff development,
medical equipment, and the fabric of the Hospital.
All our internal patient questionnaire responses are reviewed by the Chief Executive on a daily basis which
means our results are assessed quickly and any actions that are needed can be taken promptly. We are
delighted that patients rate our services highly.
As well as our own internal questionnaire we do ad hoc audits where members of the team speak with patients,
ask questions about how their experience has been, if we are getting it right and if there could be any
improvements.
We obtain the views of our consultants and discuss areas of good praGtiGe and concerns via the Medical
Advisory Group {MAC}. The MAC has a direct line of accountability to the Board and the Chairman of the
Board of Directors meets regularly with the MAC Chair. The MAC Chair is also in attendance at the Board.
The MAC provides advice and guidance on how we take specific areas of the business forward and they also
advise on development opportunities for the Hospital and implementing new initiatives based on best practice.
Page 7

IRFIELD INDEPENDENT HOSPITAL
OMPANY LIMITED BY GUARANTEE)
THE TRUSTEES AND STRATEGIC REPORT
HE YEAR ENDED 31 DECEMBER 2023
(A
REPORT O
FOR
We are extremely proud of our low
testament to how seriously all our s
nfection rates. The fact that we are maintaining such good low rates is
ff take the issue of ensuring that our Hospital is free from infection_
Refurbishments and New E
me
tPro
ramme 2023
st in all areas of the Haspital. which includes medical and non-medical
rmation technology. Our capital programme has been reactive during
The Hospital has continued to inv
equipment, patient facilities and in
2023.
NHS Work
Fairfield have registered to provide
The hard working staff at Fairfield
acros5 all departments to provide s
class se￿ice to patients.
Fairfield has a contract with local I
xtra elective capacity in order to help reduce the NHS elective backlog.
aintained the infection rate below 1 % . Staff worked collaboratively
pport to colleagues in house to ensure we continued to provide a first
Bs for direct referrals from GPS for their patients, treatment
FINANCIAL REVIEW AND STRA
EGIC REPORT
e 2023 accounts adjustments came to light. One was for a pension
t up error on the payroll system in the year 2014. This error excluded the
t used for pension contribution calculations. The total value of this shortfall
other was for an erroneous double counting of x-ray sales in 2022 which
sales value adjustment is £145,726. These two adjustments have been
this set of accounts.
loss of £42,674 12022 a surplus of £137,934). The Hospital's income
4,387,636) and its costs increased to £15,800.370 {2022, £14,249,702)
e around the extent to which it could operate safely and usefully with a high
ystems requiring upgrade. During the year the Board repaid the balance
ness Support Loan issued in December 2020. The Hospital is continually
elivery to all its commissioners and to self-pay patients and while there are
s that can be treated. The general financial position for 2023 has been
2 once the adjustments described above are taken into account.
In 2024 during the audit work on t
contribution shortfall caused by a s
lower earnings limit from the amou
is £271,761 to the end of 2023. T
had been recognised in 2021. Th
accounted for in the 2023 figures i
The charilable company made a
increased to £15,757,696 {2022'.
The key issues for the Hospital we
administration cost and computer
on the £600,000 Coronavirus Bus
reviewing the services and cost of
still limits to the number of patie
maintained at a similar level to 20
Policies
Reserves policy
The movement in reserves in the
2023 were £6,476,070 {2022 £6,
to acquire and develop the Hospi
end of the year some £1,787,963
to 2.55 months12022 2.4 months)
to manage the risks involved in
activities. However, only £801.
requirements of the charitable co
The Trustees aim to maintain t
expenditure, meet liabilities whe
of an unforeseen emergency T
presented annually to the Boar
financial strength during the chall
and maintain its activities throug
ear is set oul in Note 20 to the accounts. Total reserves al 31 December
18,7441. Note 21 analyses how the Trustees have allocated past reserves
l. To the extent that past reserves have been used for this purpose, at the
2022 £1 .741.141) is held as unallocated or free reserves which is equivalent
of fixed costs. The charitable company's policy is to hold reserves suff icient
Providing Its medical services and to Provide resources to invest In new
91 {2022 £767,842) of that sum is held as cash to cover the short-term
pany.
e cash and free reserves at levels which enable them to fund capital
they fall due and provide an appropriate level of risk protection in the event
e charitable company reviews Ils reserves policy in the light of the budgets
and planned future activities. The Hospital has been able to rely on its
nges of 2023 and has made use of its cash reserves to manage its business
the year.
Page 8

FAIRFIELD INDEPENDENT HOSPITAL
IA COMPANY LIMITED BY GUARANTEE)
REPORT OF THE TRUSTEES AND STRATEGIC REPORT
FOR THE YEAR ENDED 31 DECEMBER 2023
Investment policy
The investment policy of the charitable company is not lo deposit reserves with recognised banking
organisations in an interest bearing account during this time of uncertainty.
Strategic Report
The charitable company continues to see more patient5 year on year. Fairfield engages with patients to
provide a re-assurance and a positive experience and oulcome. Engagement with Health Watch St Helens
provides feedback to Fairfield to improve service delivery wherever possible. Truslees continue to seek
higher rates of patient survey feedback in order to help the hospital charity improve processes around risk
management and incident reporting. In terms of our charity s approach to the Lise of the buildings and
energy supplies the Board continues to improve the i)rganisation's realistic Green Plan. The Trustees are
planning lo find a new investor.
The quality of its services are assessed and evaluated every day by the patients who are treated in the
Hospilal, by the professional, clinical and administrative staff who provide part or all of those services and by
the commissioners who order and pay for the services provided at the Hospital. In addition, it has corporate
and specific regulators who monitor and inspect the seNices throughout the year.
The charitable company's main strengths are its links to the local communities that it serves through its
connections with General Praclitioners, to the local health commissioners and its role with the major private
health Insurers as their local provider. The Hospital's ethos of continuous improvement ensures it can respond
to changes in clinical standards or clinical practice quickly and efftJctively.
The major risks the charitable company faces are.
growth in alternative providers
as an example, we have seen local clinics opening up to provide
limited services in specific areas while these will not individually threaten the charitable company's
existence, the cumulative effect of the services they offer may reduce the need for the Hospital's
services.,
increases in the cost of service provision and regulatory requirements - against a background of low
increase in Income the Company has to commit more of its incoming resources to meeting these
demands, The minimum wage cost increase has been felt in 2023. In other social and charitable
sectors, for example the care industry, the cost of higher standards can force a withdrawal of provision
by the high quality providers.,
retention and recruitment of high calibre staff and consullanls. The Hospital has had to rely on agency
staff in some of its clinical areas as the NHS offers higher consultant fees to meet their backlog of
treatments
Worry and uncertainty from patients regarding waiting times and treatment delays
Increases in energy costs and costs in general which all have to be funded
Lack of capital in order to fund investment
The Board considers the fulure of the charitable company is in need of investment as it continues la provide a
high quality, valued and popular service to people from the local area and across the North West. The Board's
strategic intention is that the charitable company should..
Seek support from a new investor
the Charity has exchanged contracts and signed an asset
purchase agreement with expected completion by the end of February 2025
invest in new techniques and treatments to provide the latest health treatments and support.,
extend our provision into early diagnosis and support for GP services-,
enhance our role in providing a complete package of health cafe for the people of the North West so
that we can meet most of their health needs at this location.
Page 9

FA
(A
RFIELD INDEPENDENT HOSPITAL
MPANY LIMITED BY GUARANTEE
THE TRUSTEES AND STRATEGIC REPORT
HE YEAR ENDED 31 DECEMBER 2023
REPORT O
FOR
Future Plans
Once the hospital sale is completed
operational activities of the charity i
for NHS and private patients for the
for the Charity. this will be drawn up
and care charities
he proceeds of the sale will be used for the formal winding down of the
terms of appropriate disbursements for such as run off insurance cover
levant time period of cover. Whilst there is currently no formal strategy
nd in the fullness of time, will include a mechanism to support local health
Fundraising
The charity had no fundraising activ
ies requiring disclosure under S162A of the Charities Act 2011.
Contingent Liabilities
The Hospital has been under inves
inquiry in July 2022. The initial inqu
19 pandemic via its contract with N
However, the initial inquiry has bro
igation from HMRC regarding its potential liability for VAT since an initial
ry was as a result of the hospitals inclusion in the response to the COVID
S England.
dened in its scope to include other aspects of the hospitals business.
internal analysis has been carried out and responses have been sent to
Solicitors have been engaged and
HMRC, this work is ongoing.
The investigation is multifacted an
liability and this will not be known
outcome could be in the region of
is dependent on emerging case law. Whilst the value of this potential
until further work and discussions have been completed the worst case
1.5M.
Events after the balance sheet d
te
Following on from the boards strat
contracts and signed an asset pur
The final value of the sale is still t
will allow the continued high level
gic intention to secure a new investor, the Charity has exchanged
hase agreement with expected completion by the end of February 2025.
be agreed The sale will secure the investment in hospital activities that
f care provided to patients.
st sale will be limited to supporting local health and care charities
The intended charitable activities
STATEMENT OF TRUSTEES, R
SPONSIBILITIES
tors of Fairfield Independent Hospital for the purposes of company law are
ncial statements in accordance with applicable law and United Kingdom
actice.
s to prepare financial statements for each financial year which give a true
of the charitable company and of the incoming resources and application of
d expenditure, of the charitable company for that period. In preparing those
re required to..
policies and then apply them consisteTrtly',
principles in the Charity Statement of Recommended Practice (SORP).,
imates that are feasonable and prudent.,
The trustees, who are also the dir
responsible for preparing the fin
Generally Accepted Accounting P
Company law requires the truste
and fair view of the state of affair
resources, including the income a
financial statements. the trustees
select suitable accountin
observe the methods an
make judgements and e
Page 10

FAIRFIELD INDEPENDENT HOSPITAL
IA COMPANY LIMITED BY GUARANTEE)
REPORT OF THE TRUSTEES AND STRATEGIC REPORT
FOR THE YEAR ENDED 31 DECEMBER 2023
prepare the financial statements on the going concern basis unless it is inappropriate to presume that
the charitable company will continue in business.
The trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy
at any lime the financial position of the charitable company and to enable them to ensure that the financial
statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of
the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and
other 1rregularities.
STATEMENT AS TO DISCLOSURE OF INFORMATION TO AUDITORS
So far as the trustees are aware, there is no relevant information (as defined by Section 418 of the Companies
Act 2006) of which the charitable company's auditors are unaware, and each trustee has taken all the steps
that they ought to have taken as a trustee in order to make them aware of any aL,dit Information and to establish
that the chafitable company's auditors are aware of that information.
AUDITORS
The auditors will be proposed for appointment at the forthcoming Annual General Meeting.
The Report of the Trustees and the Strategic Report were approved by the Board and signed on its behalf.
C Barratt
Trustee
Date. 301n December 2024
Page11

IRFIELD INDEPENDENT HOSPITAL
OMPANY LIMITED B Y GUARANTEE)
T AUDITOR'S REPORT TO THE MEMBERS OF
IRFIELD INDEPENDENT HOSPITAL
(A
INDEPENDE
Opinion
We have audited the financial state
2023 which comprise the Statemen
Notes to the Financial Statements,
reporting framework that has bee
Accounting Standards. including
applicable in the UK and Republic
In our opinion the financial stateme
give a true and fair view of
of its incoming resources a
have been properly prepa
Practice.. and
have been prepared in acc
ents of Fairfield Independent Hospital for the year ended 31 December
of Financial Activities, the Balance Sheet. the Cash Flow Statement and
including a summary of s5gnificant accounting policies. The financial
applied in their preparation is applicable law and United Kingdom
inancial Reporting Standard 102, The Financial Reporting Standard
Ireland (United Kingdom Generally Accepted Accounting Practice).
ts-.
e state of the charitable company s affairs as at 31 December 2023 and
d application of resources for the year then ended.,
d in accordance with United Kingdom Generally Accepted Accounting
rdance with the requirements of the Companies Act 2006.
Basis for opinion
We conducted ouraudit in accorda
law. Our responsib51ities under th
audit of the financial statements
accordance with the ethical requir
including the FRC'S Ethical Standa
these requirements. We believe
provide a basis for our opinion.
ce with International Standards on Auditing (UK) ISAS (UK}l and applicable
e standards are further described in the Auditor's responsibilities for the
ction of our report. We are independent of the charitable company in
ments that are relevant to our audit of the financial statements in the UK.
d, and we have fulfilled our other ethical responsibilities in accordance with
at the audit evidence we have obtained is sufficient and appropriate to
Conclusions relating to going c
ncern
In auditing the financial statemen
accounting in the preparation of th
Based on the work we have perfo
conditions that. individually or col
continue as a going concern for
authorised for issue.
we have concluded that the trustee's use of the going concern basis of
financial statements is appropriate.
ed, we have not identified any material uncertainties relating to events or
ctively. may cast significant doubt on the charitable company's ability to
period of at least twelve months from when the financial statements are
Our responsibilities and the resp
relevant sections of this report
sibilities of the trustees with respect to going concern are described in the
Other Information
The trustees are responsible for t
comprises the information includ
report thereon. Our opinion on th
extent otherwise explicitly stated
e other information contained within the annual report. The other information
in the annual report, other than the financial statements and our auditor's
financial statements does not cover the other information and, except to the
our report, we do not express any form of assurance conclusion thereon.
her infomiation and. in doing so. consider whether the other information is
nancial statements or our knowledge obtained in the audit or otherwise
ted. If we identify such material inconsistencies or apparent material
determine whether this give5 rise to a material misstatement in the financial
on the work we have performed. we conclude that there is a material
tion, we are required to report that fact.
Our responsibility is to read the
materially inconsistent with the
appears to be materially misst
misstatements, we are required t
statements themselves If. bas
misstatement of this other infom
Page 12

FAIRFIELD INDEPENDENT HOSPITAL
(A COMPANY LIMITED BY GUARANTEE>
INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF
FAIRFIELD INDEPENDENT HOSPITAL
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.
the information given in the trustees, report. which includes the directors, report and the strategic report
prepared for the purposes of company law, for the financial year for which the financial statements are
prepared is consistent with the financial statements., and
the strategic report and the directors, report included within the trustees, report have been prepared in
accordance with applicable legal requirements.
Matters on which we are required to report by exception
In light of the knowledge and understanding of the charitable company and its environment obtained in the
course of the audit, we have not identified material misstatements in the strategic report included within the
trustees, report.
We have nothing to report in respect of the following matters in relation to which the Companies Act 20C6
requires us to report to you if, in our opinion..
adequate accounting records have not been kept., or
the financial statements are not in agreement with the accounting records and returns., or
certain disclosures of trustees, remuneration specified by law are not made, or
we have not received all the information and explanations we require for our audit.
Responsibilities of trustees
As explained more fully in the trustees, responsibilities statement set out on page 10. the trustees (who are
also Ihe directors of the charitable company for the purposes of company law) are responsible for the
preparation of the financial ststements and for being satisfied that they give a true and fair view, and for such
internal control as the trustees determine is necessary to enable the preparation of financial statements that
are free from material misstatement, whether due to fraud or error.
In preparing the financial statements, the trustees are responsible for assessing the charitable company's
ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using
the going concern basis of accounting unless the trustees either intend to liquidate the charitable company or
to cease operations. or have no realistic alternative but to do so.
Page 13

RFIELD INDEPENDENT HOSPITAL
OMPANY LIMITED BY GUARANTEE)
AUDITOR'S REPORT TO THE MEMBERS OF
IRFIELD INDEPENDENT HOSPITAL
(A
INDEPENDE
Auditor's responsibilities for the
dit of the financial statements
le assurance about whether the financial statements as a whole are free
due to fraud or error, and lo issue an auditor's report that includes our
high level of assurance, bul is not a guarantee that an audit conducted
ays detect a material misstatement when it exists. Misstatements can
idefed material if, individually or in the aggregate. they could reasonably
Ic decisions of users taken on the basis of these financial statements.
it was considered capable of detecting irregularities, including fraud and
tions are set out below
ilities for the audit of the financial statemenls is located on the
e at. This description forms part of our auditor's report
sidered capable of detecting irregularities, including fraud
tances of non-compliance with laws and regulations. We identified and
tement of the financial statements from irregularities, whether due to
e￿leen our audit team members We then designed and perfomed
e risks, including obtaining audit evidence sufficient and appropriate to
Our objectives are to obtain reasona
from material misstatement. whethe
opinion. Reasonable assurance is
in accordance with ISAS (UK) will al
arise from fraud or error and are con
be expected to influence the econo
Details of the extent to which the au
non-compliance with laws and regul
A further description of our responsi
Financial Reporting Council's websi
Extent to which the audit was co
Irregularities, including fraud, are in
assessed the risks of material miss
fraud or error. and discussed these
audit procedures responsive to tho
provide a basis for our opinion.
We obtained an understanding of t
operates, focusing on those laws a
amounts and disclosures in the fin
were the Companies Act 2006, the
assessed the required compliance
related financial statement items
In addition, we considered provisio
rinancial statements but complianc
operate or to avoid a material pen
within the charitable company for f
operations were CQC Regulations
Auditing standards limit the requir
regulations to enquiry of the Trust
correspondence, if any.
We identified the greatest risk of
fraud, to be within the timing of re
the override of controls by manag
of management and the Audit Co
irregularities. sample testing on th
regulatory correspondence with t
with governance.
Owing to the inherent limitations
some material misstatements in t
performed our audit in accordanc
compliance with laws and regulat
financial statements, the less like
identify it. In addition, as with any
these may involve collusion, forg
controls. We are not responsible
compliance with all laws and reg
e legal and regulatory frameworks within which the charitable company
d regulations that have a direct effect on the determination of material
ncial statements. The laws and regulations we considered in this context
Charities Act 2011 together with the Charities SORP (FRS 102) We
ith these laws and regulations as part of our audit procedures on the
s of other laws and regulations that do not have a direct effect on the
with which might be fundamental to the charitable company's ability to
Ity We also considered the opportunities and incentives that may exist
aud The laws and regulations we considered in this context for the UK
audit procedures to identify non-compliance with these laws and
es and other management and inspection of regulatory and legal
aterial impact on the financial statements from irregularities, including
ognition of income, recording the impact of the CQC regulatory review and
ment. Our audit procedures to respond to these risks included enquiries
mittee about their own identification and assessment of the risks of
posting of journals, reviewing accounting estimates for biases, reviewing
Charity Commission and reading minutes of meetings of those charged
an audit, there is an unavoidable risk that we may not have detected
e financial statements, even though we have properly planned and
with auditing standards. For example. the further removed non-
ns (irregularities) Is from the events and transactions reflected in the
the inherently limited procedures required by auditing standards would
audit, there remained a higher risk of non-detection of irregularities. as
ry, intentional omissions, misrepresentalions, or the override of internal
r preventing non-compliance and cannot be expected to detect non-
lations.
Page 14

FAIRFIELD INDEPENDENT HOSPITAL
IA COMPANY LIMITED BY GUARANTEE)
INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF
FAIRFIELD INDEPENDENT HOSPITAL
Use of our report
This report Is made solely to the charitable company's members, as a body, in accordance with Chapter 3 of
Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the
charitable company's members those matters we are required to state to them in an auditor's report and for
no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone
other than the charitable company and the charitable company s members as a body, for our audit work, for
this report, or for the opinions we have formed.
Vicky Szulist
Senior Statutory Auditor
For and on behalf of
Crowe U.K. LLP
Statutory Auditor
3rd Floor
St George's House
56 Peter Street
Manchester
M2 3NQ
Date 30 December 2024
Page 15

IRFIELD INDEPENDENT HOSPITAL
OMPANY LIMITED BY GUARANTEE)
MENT OF FINANCIAL AcfiviTIES
NG AN INCOME AND EXPENDITURE ACCOUNT)
HE YEAR ENDED 31 DECEMBER 2023
(A
STAT
IINCORPORAT
FOR
2023
Unrestricted
funds
2022
Unrestricted
funds
Notes
INCOME
Donations and legacies
Investment income
496
Incoming resources from chari
ble activities
14,272,560
115,076
Medical services provided
Other income
15,669.012
88,684
Totsl income
15,757,696
14,387,636
EXPENDITURE
Charitable activities
14,249,702
Medical services provided
15,800,370
14,249,702
Total expenditure
15.800,370
NET {EXPENDITURE)IINCOME
142,674)
137,934
Total funds brought forward
6,518,744
6,380,810
TOTAL FUNDS CARRIED FO
WARD
6,476,070
6,518,744
CONTINUING OPERATIONS
All incoming resources and resou
es expended arise from continuing activities.
The notes o
pages 21 to 30 form part of these financial statements
Page 16

FAIRFIELD INDEPENDENT HOSPITAL
(A COMPANY LIMITED BY GUARANTEE)
Registered Number: 1141676
BALANCE SHEET
AT 31 DECEMBER 2023
2023
2022
Unrestricted
funds
Unrestricted
funds
Notes
FIXED ASSETS
Intangible assets
Tangible assets
13
1.234
6,177,077
7,726
6,513,544
14
Total Fixed Assets
6,178,311
6,521.270
CURRENT ASSETS
Stocks
15
435,301
313,565
Debtors.. amounts falling due within one year
16
2,034,243
1,966,350
Cash at bank
801,192
767,843
3,270,736
3,047,758
CREDITORS
Amounts falling due within one year
17
(2,077,477>
(1,861,084)
NET CURRENT ASSETS
1.193,259
1,186.674
TOTAL ASSETS LESS CURRENT LIABILITIES
7,371,570
7,707,944
CREDITORS
Amounts falling due after more than one year
18
(895,5001
(1,189,200)
NET ASSETS
6,476.070
6,518,744
FUNDS
Unrestricted funds
20
6,476,070
6.518,744
The financial stalements were approved and authorised for issue by the Board of Trustees and were
The notes on pages 21 to 30 fomi part of these financial statements
Page 17

IRFIELD INDEPENDENT HOSPITAL
OMPANY LIMITED BY GUARANTEE)
egistered Number: 1141676
BALANCE SHEET
AT 31 DECEMBER 2023
{A
signed on its behalf by..
C Barratt
Trustee
Date.. 30tb December 2024
The notes o
pages 21 to 30 form part of these financial statements
Page 18

FAIRFIELD INDEPENDENT HOSPITAL
IA COMPANY LIMITED BY GUARANTEE)
CASH FLOW STATEMENT
FOR THE YEAR ENDED 31 DECEMBER 2023
CASH FLOW STATEMENT
FOR THE YEAR ENDED 31 DECEMBER Z023
2023
2022
Net cash (used in} / Provided by operating activities
416,772
538,383
Cash flow from investing activities
Purchase of fixed assets
189,723) 180,360)
Net cash used in investing activities
(89,7231 180,360)
Cash flow from financing activities
Repayment of CBIL5 loan
Sales of bungalow leases
1300,0001
6,300 1150,CKiOI
Net f rom financin8 activities
1293,700) I150,¢￿)
Chan8e in cash and cash equivalents in the reporting period
33.349
308.023
Cash and cash equivalents at the beginning of the reporting period
767.843
459.820
Cash and cash equivalents at the end of the reporting period
801.192
767.843
Page19

IRFIELD INDEPENDENT HOSPITAL
OMPANY LIMITED BY GUARANTEE
ES TO THE CASH FLOW STATEMENT
HE YEAR ENDED 31 DECEMBER 2023
IA
NO
FOR
RECONCILIATION OF NET I
COME TO NET CASH INFLOW FROM OPERATING ACTIVITIES
2023
2022
Net lexpenditure)lincome f
ststement of financial acti
Amortisation of intangible as
Depreciation charges
Interest received
(Increase)Idecrease in stoc
Decreasel(increase) in debt
{Increasel in prepayments
(Decrease)lincrease in cred.
r reporting period (as per the
ities)
ets
(42,674)
137,934
7,745
422.670
6,492
426,190
(121,736)
362.443
{430.3351
216.393
(33,146)
(40.466)
{159,5251
203,171
rs
ors
Net cash provided by ope
ting activities
416,772
538,383
ANALYSIS OF CASH AND
ASH EQUIVALENTS
2023
2022
801,192
767.843
Cash
ANALYSIS OF CHANGES
NET DEBT
At
1 January
2023
At31
December
2023
Cash flow
Net cash:
Cash at bank
Bank Loan due ID greater t
767,843
33,349
801,192
an one year
767,843
33,349
801,192
Page 20

FAIRFIELD INDEPENDENT HOSPITAL
(A COMPANY LIMITED BY GUARANTEE
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 DECEMBER 2023
ACCOUNTING POLICIES
The principal accounting policies adopted, judgments and key sources of estimation uncertainty in the
preparation of the financial statements are as follows.
Company infomiation
The Charity is a company limited by guarantee (registered number 11416761 which is incorporated and
domiciled in the UK. The address of the registered office is Crank, St. Helens, Merseyside, WA117RS.
Basis of preparation
The financial statements have been prepared in accordance with 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 20191 (Charities SORP IFRS 10211, The Financial Reporting Standard
applicable in the UK and Republic of Ireland IFRS 102) and the Companies Act 2006.
Fairfield Independent Hospital meets the definition of a public benefit entity under FRS 102. Assets and
liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the
relevant accounting policy note.
Going concern
On 51h June 2024. the Charity entered into an agreement in principle with a third paty for the sale of the
trade and assets of the hospital. The agreement is subject to conditions precedent, being the
approval from the Home Office on the transfer of the medical dispensation licence and the arrangement
of an insurance policy to cover operations performed by the Charity prior to the date of the change in
ownership, before the change agreement becomes legally binding. The Trustees are confident that
these conditions will be completed at the start of 2025 and expect the transfer of the assets and trade
to occur by the end of Febnjary 2025. The Charity is currently working with the potential owner of the
hospital in respect of the change in the IT systems and the change in the slaff employment contracts
and therefore this reflects the level of confidence that the Charity and the potential new owners have on
the completion of the agreement.
In forming their assessment of the Charities ability to continue as a going concern for a period of at least
12 months from the date of signing the financial statements l-the going concern period"), the Trustees
have considered the following scenarios..
That the sale of the hospital trade and assets is completed in early 2025 and the charity will have
sufficient cash to fulfil its objects by supporting local health and care charities. The Trustees
consider Ihat this is the most likely and plausible scenario given the status of conditions precedent
and the actions taken to date.
2. That, in the unlikely scenario, that the sale of the hospital trade does not occur in early 2025, that
the activities of the hospital are able to continue and sufficient cash is available throughout the going
concern period to fund these activities The Charity maintains its position as an approved provider
with all the private and mutual health insurers and with the NHS. The Charity has a waiting lisl of
consultants who are seeking practicing privileges.
The trustees are satisfied that under both scenarios that the Charity has sufficient cash to continue to
meet its liabilities as they fall due throughout the going concern and as a result that it is appropriate to
continue to prepare the financial ststements on a going concern basis.
Incoming resources
Voluntary income
including donations, gifts, legacies and grants
provide core funding or are of
general nature are recognised where there is entitlement, probability of receipt and the amount can be
measured with sufficient reliability. Such income is only deferred when.
The donor specifies that the grant or donation must only be used in future accounting periods., or
The donor has imposed conditions which must be met before the Company has unconditional
21
b)

IRFIELD INDEPENDENT HOSPITAL
OMPANY LIMITED BY GUARANTEE
S TO THE FINANCIAL STATEMENTS
HE YEAR ENDED 31 DECEMBER 2023
IA
NOT
FOR
entitlement.
Donations received are acco
entitlement is legally enforcea
Income from medical servic
provided. Income from ch
entitlement to grant funding i
the related goods or services
Investmerst income is recogni
nted for when the resources are receivable or when the Company s
le. No gifts in kind are feceived.
s is recognised as earned when the related goods and services are
ritable activities includes income received under contract or where
subject to specific performance conditions is recognised as earned (as
re provided).
ed on a receivable basis.
Resources expended
Expenditure is accounted for
grants are recognised as go
incurred in attracting volunta
n an accruals basis Contractual arrangements and performance related
ds or Services as supplied. Costs of generating funds afe those costs
income, and those incurred in charitable activities.
Chantable activities include
penditure with the operation of the Charity.
ose incurred in the governance of the Charily and its assets and are
titutional and statutory arrangements.
Governance costs include t
primarily associated with con
Intangible Assets
Intangible fixed assets are
identifiable and are controlle
the Charity comprise acqui
enhancing patienl services.
economic benefit to the Ch
category and does not inclu
systems may be significant.
Depreciation is provided at t
useful life.
on-financial fixed assets that do not have physical subslance but are
by the charity through custody or legal rights. Intangible fixed assets for
Ition of software licenses and external sofvare development time in
Although such assets lack physical substance, they provide a continuing
rity. The Charity only includes payments to third parties in this asset
e staff costs even though their contribution to the implementation of these
e following annual rates in order to write off each asset over its estimated
Software
25 % straight line
Tangible fixed assets
Tangible assets are stated
of transition to FRS 1021 le
t cost lor deemed cost for land and buildings held at valuation al the date
accumulated depreciation.
he following annual rates in order to write off each asset over its estimated
Depreciation is provided at
useful life.
Freehold property
Fixtures, fittings & equipm
Individual assets costing £1,000 or more are capitalised at Gost
2°/D on cosuvaluation
100/0 to 250/0 Straight line
Stocks
stocks are valued al the lo
and slow moving items.
er of cost and net realisable value, after making due allowance for obsolete
Taxation
As a registered Charity the
Company is not liable to corporation tax on its income.
22

FAIRFIELD INDEPENDENT HOSPITAL
IA COMPANY LIMITED BY GUARANTEE)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 DECEMBER 2023
Fund accounting
Unrestricted funds can be used in accordance with the charitable objectives at the discretion of the
trustees. All the Charity's funds are unrestricted income funds.
No separate stalement of changes in reserves has been included in these financial statements as there
is no movement on reserves except for the surplus for the year.
Pension costs and other post-retirement benefits
The Charity operates a defined contribution scheme approved by the Pension Schemes Office of the
Inland Revenue. The Charity also runs a stakeholder pension scheme for the benefit of the employees.
Conlributions are charged to salaries and wages in the Statement of Financial Activities as they become
payable. The assets of the tsvo schemes are held separately from the assets of the company.
Irrecoverable VAT
All resources expended are classified under activity headings that aggregate all costs related to the
category. Irrecoverable VAT is charged against the category of resources for which it was incurred.
Financial Instruments
Fairfield Hospital 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 ai amortised cost.
JUDGEMENTS IN APPLYING ACCOUNTING POLICIES AND KEY SOURCES OF ESTIMATION
UNCERTAINTY
In the application of the Charity's accounting policies, which are described in note 1, Trustees are
required to make judgements, estimates, assumptions about the carrying values of assets and liabilities
that are not readily apparent from other sources. The estimates and underlying assumptions are based
on historical experience and other factors that are considered to be relevant. Actual results may differ
from these estimates.
The estimates and underlying assumptions are reviewed on an on-going basis. Revisions to accounting
estimates are recognised in the period in which the estimate is revised if the revision affecls only that
period, or in the period of the revision and future periods if the revision affects the current and future
periods.
The key sources of estimation uncertainty that have a significant effect on the amounts recognised in
the financial statements are described in the accounting policies and are summarised below.
The Charity holds provisions for bad debt. out of date stock and pension contribution shortfall. The
provisions have been created by making Charges against income.
The likelihood and quantum of any potential liability aring from the VAT inspection.
DONATIONS AND LEGACIES
2023
2022
Legacies and Donations
496
23

IRFIELD INDEPENDENT HOSPITAL
OMPANY LIMITED BY GUARANTEE
S TO THE FINANCIAL STATEMENTS
HE YEAR ENDED 31 DECEMBER 2023
(A
NO
FOR
INVESTMENT INCOME
2023
2022
None
INCOMING RESOURCES F
OM CHARITABLE ACTIVITIES
2023
2022
Medical services provided
15,669,012
14,272,560
CHARITABLE ACTIVITIES
OSTS
Support
costs
(see note
12)
Governance
Costs (see
note 8)
Total
Total
Direct Medical costs
(see note 7)
2023
2022
Medical
services
11,286,34
4,469.428
44,597
15,800,370
14,249.702
Provided
DIRECT COSTS OF CHA
TABLE ACTIVITIES
2023
2022
Staff costs
Direct medical costs
Insurance
Patient services
3,205,391
7.387,600
233.313
163.468
3,025,257
7,128,055
294.796
140,020
Medical Equipment Maint
nance and Repair
296,573
194.310
11.286,345
10,782,438
GOVERNANCE COSTS
2023
2022
Auditors, remuneration
44,597
30,619
24

FAIRFIELD INDEPENDENT HOSPITAL
(A COMPANY LIMITED BY GUARANTEE)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 DECEMBER 2023
NET IEXPENDITURE)IINCOME
Net (expenditure>lincome is stated after chargingllcrediting)..
2023
2022
Amortisation of intangible assets
Depreciation of owned assets
6,492
426,190
7,745
422,670
10. TRUSTEES, REMUNERATION AND BENEFITS
There were no trustees, remuneration or other benefits for the year ended 31 December 2023 nor for
the year ended 31 December 2022.
Payments of £0 (2022.. £0) were made in the year ended 31 December 2023 for trustee travel expenses.
11. STAFF COSTS AND THE COST OF KEY MANAGEMENT PERSONNEL
2023
2022
Salaries and wages..
Nursing and other clinical staff
Housekeeping, catering and maintenance
Management and administration
3,205,390
621,350
1,539,861
5,366,601
2,707,680
511,061
1,288,326
4.507,067
Wage and salaries
Social security costs
Pension costs
4,626,084
360,581
379,936
5,366,601
4,068,916
337,813
100,338
4,507,067
The following number of employees received remuneration falling within the following ranges..
Bands
2023
2022
Number Number
£60,CQl to £70.000
£70,001 to £80,000
£80,001 to £90,000
£90,001 to £lOO,000
£IOO,001 to £llO,000
£IIO,001 to £120,¢JJO
£120,001 to £130,000
£130,001 to £140.000
25

IRFIELD INDEPENDENT HOSPITAL
OMPANY LIMITED BY GUARANTEE)
S TO THE FINANCIAL STATEMENTS
HE YEAR ENDED 31 DECEMBER 2023
(A
NOT
FOR
11. STAFF COSTS AND THE C
One of the higher paid employees
amounts paid to defined contributio
ST OF KEY MANAGEMENT PERSONNEL- continued
2023.. 1) accrued benefits under a defined contribution scheme. The
schemes on behalf of this employee were £5,905 {2022.' £5,537).
The key management personnel of
Report of the Trustees and Strate
personnel of the Company were £4
Average number employed li
the charity comprise the Hospital Executive and are listed in the
c Report. The total employee benefits of the key management
3,447 {2022. £400.0111
cluding temporary staffj.
2023
98
92
190
2022
94
98
192
Nursing and other clinical
Management, clerical and do
estic
12. SUPPORT COSTS
Support costs incurred in the
year in relation to charitable activities were as follows..
2023
2022
Management
Finance
3,009,832
257,532
2,118,681
238.135
Infomation Technology
331,897
289,815
790,014
3,436,645
Property
870,167
4.469,428
13. INTANGIBLE FIXED ASSE
Total
Software
COST
At 1 January 2023
Additions
At 31 December 2023
118,503
118,503
DEPRECIATION
At 1 January 2023
Charge for year
At 31 December 2023
110,777
-6.492
117,269
NET BOOK VALUE
At 31 December 2023
At 31 December 2022
1,234
26

FAIRFIELD INDEPENDENT HOSPITAL
IA COMPANY LIMITED BY GUARANTEE
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 DECEMBER 2023
14. TANGIBLE FIXED ASSETS
Medical
Equipment,
Flxtures,
Fittings,
Computer
Equipment
Freehold
land
Freehold
property
Total
COST
At 1 January 2023
Additions
Impairment
1,590,167
4,159,833
3.378,614
89,723
9,128.614
89,723
At 31 December 2023
1,590,167
4,159,833
3,468,337
9,218,337
DEPRECIATION
At 1 January 2023
Charge for year
Impairment
83,197
83,196
2,531,873
342,994
2,615,070
426,190
At 31 December 2023
166,393
2,874,867
3,041,260
NET BOOK VALUE
At 31 December 2023
At 31 December 2022
L&90,167
On adoption of FRS102 we have elected to apply the fair value of land and buildings at March
2023 as the deemed cost.
6.513 544
15. STOCKS
2023
2022
Consumable medical supplies
Pharmacy
411,413
23,888
435,301
289,865
23.700
313,565
16. DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
2023
2022
Trade debtors
1.291,762
742,481
2.034,243
1,654,204
312.146
Prepayments and accrued income
1,966,350
27

IRFIELD INDEPENDENT HOSPITAL
OMPANY LIMITED BY GUARANTEE)
S TO THE FINANCIAL STATEMENTS
HE YEAR ENDED 31 DECEMBER 2023
(A
NOT
FOR
17.
CREDITORS: AMOUNTS F
LLING DUE WITHIN ONE YEAR
2023
2022
Trade creditors
1,011,463
984,145
Social security and other ta
105.189
es
388,085
Accruals and deferred inco
677,929
621,750
CBILS Loan (Note 19)
150,000
2,077,477
1,861,084
18. CREDITORS: AMOUNTS F
LLING DUE AFTER MORE THAN ONE YEAR
2023
2022
C81LS Loan (Note 19)
Lease deposits
300.000
889,200
1.189.200
895.500
895.500
Lease deposits are amount
security for their leases.
property
advanced by tenants of the bungalows at Fairfield Gardens as
ey are repayable on termination of the leases or sale of the
19. LOANS
The Charity took out one lo
provided under the Govern
on the loan is 2.34°1D above
rate applicable during that
life is paid by the Governm
loan. Security for the loan
July 2023 the loan was re
assets was relinquished.
n on 24 December 2020. The loan was for £600,000 and was
ent's Coronavirus Business Support scheme. The interest rate
base rate. In relation to the first 12 months the annual interest
riod is, in effect 00/0
I nterest on the loan in the first year of its
nt and no repayments are due until the first anniversary of the
s a first legal charge over the hospital's property and assets. In
id in full and the legal charge over the hospital's property and
As recorded in Note 18, th
interest is due on Ihese de
Charity does have £8g5.500 in repayable lease deposits No
sits.
28

FAIRFIELD INDEPENDENT HOSPITAL
(A COMPANY LIMITED BY GUARANTEE)
NOTES TO THE FINANCIAL STATEMENTS
FOR THE YEAR ENDED 31 DECEMBER 2023
20. MOVEMENT IN FUNDS
At
January
2023
Galns
and
Losses
Incoming Resources
Resources Expended
Funds transferred
At December
2023
Unrestricted
funds
General fund 6,518,744 15,757,696 15.800,370
Total Funds 6,518,744 15.757,696 15,800,370
6,476,070
6.476,070
No separate statement of changes in reserves has been included in these financial statements as there is no
movement on reserves except for the surplus for the year.
All funds of the Charity are unrestricted,. therefore, all assets and liabilities relate to unrestricted funds.
21. ANALYSIS OF RESERVES
2023
2022
Total reserves
Less.. Land and buildings
Adcl.. Lease deposits relating to land and buildings
Freely available reserves
6,476,070
-5,583,607
895,500
1,787,963
6,518,744
-5,666,803
889,200
1,741,141
22. FINANCIAL INSTRUMENTS
2023
2022
Financial assets measured at amortised cost
2,092,953
2,422,046
Financial liabilities measured at amortised cost
2,972,977
3,050.284
Financial assets consist of cash and trade debtors.
Financial liabilities consist of loans, trade creditors and other creditors.
23. RELATED PARTY TRANSACTIONS
During the year, some trustees of the Company were patients at the Hospital. The trustees were
treated on the same terms as all other patients
There are no other related party transactions that need to be disclosed in the financial statements.
29

IRFIELD INDEPENDENT HOSPITAL
OMPANY LIMITED BY GUARANTEE)
S TO THE FINANCIAL STATEMENTS
HE YEAR ENDED 31 DECEMBER 2023
(A
NOT
FOR
24. OPERATING LEASES
Amounts committed
2023
2022
Within one year
276,797
335,041
Within two to five years
1,709
278,506
25. CONTINGENT LIABILITIES
The Hospital has been unde
initial inquiry in July 2022. Th
the COVID 19 pandemic via
investigation from HMRC regarding its potential liability for VAT since an
initial inquiry was as a result of the hospitals inclusion in the response to
s contract with NHS England.
broadened in its scope to include other aspects of the hospitals business.
However, the initial inquiry h
Solicitors have been engage
to HMRC, this work is ongoi
and internal analysis has been carried out and responses have been sent
The investigation is multifa
potential liability and this will
worst case outcome could b
ed and is dependent on emerging case law. Whilst the value of this
not be known until further work and discussions have been completed the
in the region of £1.5M.
26. EVENTS AFTER BALANC
SHEET DATE
Following on from the board
contracts and signed an as
2025 at the latest. The final
strategic intention to secure a new investor, the Charity has exchanged
t purchase agreement with expected completion by the end of January
alue of the sale Is still to be agreed.
The intended charitable acti
ities post sale will be limited to supporting local health and care charities.
30