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2022-03-31-accounts

Wirral Hospice St John’s Trust ee Annual Report & Accounts 2021/22

www.wirralhospice.org | Company Registration No: 1518364 | Registered Charity No. 510643

Annual Report 2021/22

Contents Page
Chair’s Preface 5
Report of the Trustees (Including the Statement of Trustees’ Responsibilities) 6-24
Independent Auditors’ Report 25-28
Principal Accounting Policies 29-31
Consolidated Statement of Financial Activities 32
Consolidated Balance Sheet 33
Company Balance Sheet 34
Consolidated Cash Flow Statement 35
Notes to the Accounts 36-49

The Trustees present their report together with the consolidated financial statements for the year ended 31 March 2022. The Trustees confirm that the financial statements comply with current statutory requirements, with those of the company’s Memorandum and Articles of Association and those of the Statement of Recommended Practice (FRS102).

Reference and Administrative Details:

Charity Number: 510643 Company Number: 1518364

Registered Office: Mount Road Higher Bebington Wirral, CH63 6JE Auditors: BWM Suite 5.1, 12 Tithebarn Street Liverpool, L2 2DT Bankers: HSBC Bank plc 31 The Pyramids, Grange Road Birkenhead, CH41 2ZL Solicitors: Brabners LLP Horton House, Exchange Flags Liverpool, L2 3YL Investment Manager: Investec Wealth & Investment Limited 100 Old Hall Street Liverpool L3 9AB

Directors and Trustees

President:

His Honour John Roberts

Trustees:

The Directors of the charitable company are its Trustees for the purpose of charity law and throughout this report are collectively referred to as the Trustees. The Trustees serving during the year, and since the year end, on Wirral Hospice St John’s Board were as follows: -

Mr. Steve Schroeder Chair Dr. Jean Quinn Deputy Chair Treasurer

Mrs. Julie Wynne

Mr. Graham M Ridgway

Mr. Stephen Burrows DL Resigned 14.11.2021 Dr. Hilary Leggat Mrs. Lyn N Meadows

Dr. Roger H Platt Appointed 17.05.21, Resigned 22.02.2022 Dr. Murray Freeman Mr. Tim McDonnell Appointed 29.11.2021

Company Secretary:

Mr. John R Pentland

Senior Leadership Team:

Mrs. Helen Brown Chief Executive Officer Mr. John R Pentland Director of Finance Mrs. Teresa Nightingale Director of Income Generation and Marketing Mrs. Christine Sutcliffe Director of Clinical Services Mrs Jane Bohan Director of Workforce Dr. Emma Longford Medical Director

Chair's Preface:

As you will see from the body of this report, and despite Covid-19 throughout a substantial part of the year resulting in abnormal levels of staff absence, we have maintained our high standard of care, resumed development activity and improved our financial position. In doing so we have continued to draw on the qualities of all our colleagues which were so evident in guiding us through the challenges of the pandemic and melded us into an even stronger team. As a result, we continue to have strong bonds with the community we seek to serve and other partners in the sector enabling us to continue playing an important and relevant part in meeting their needs.

During the year the trustees and senior leadership team jointly undertook, and completed, a development programme facilitated by external consultants which generated two work streams, namely; updating our 3 year strategy and reviewing the culture of our organisation, as well as strengthening the working relationships across the wider leadership group. Much progress has been made on both, taking us to the stage of rolling them out for discussion across the organisation with a view to ensuring common understanding and collective ownership.

It is against this positive background that we approach the significant changes in the sector arising out of the national initiative to introduce an Integrated Care System as well as the ongoing challenges of funding with pressures on both our statutory and voluntary income elements and the availability of suitably qualified and experienced human resource in the sector. We are confident that building on our preexisting core values of partnership working to deliver a service which is entirely user focussed, routine value-based monitoring of performance, developing our colleagues’ knowledge and skills, and exploring imaginative ways to recruit and retain key members of the team will enable us to meet those challenges.

Effectiveness is also a core value for us and this year we invested in the development of our technology platform to facilitate not only efficient and resilient data access and exchange, but also to progress the gathering and interpretation of data enabling the advancement of our service activity to be driven by user need. This includes identifying where there is a need we are not currently meeting as well as scrutiny of how well we are serving existing cohorts.

The year also saw discussions with Wirral University Hospital Trust who are planning the redevelopment of the site which we adjoin. Having considered a number of alternatives we concluded that remaining in our present location was the best option and we are working with architects on how we can develop and secure the viability of our site ensuring our accommodation remains fit for purpose, both operationally and environmentally, over an extended period.

Once again it is our pleasure to present this annual report and in reading on we trust you find it reflective of a charity that is well led, committed, progressive and pragmatic in delivering its objectives.

Steve Schroeder: Chair

Trustee Annual Report and Accounts

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Objectives and Performance Monitoring:

Aims and Objectives of the Charity:

As a provider of Specialist Palliative Care, our responsibility is to patients, families and carers, who are supported by our multi-professional team working in close liaison with all healthcare professionals including primary, secondary and community care. Care is personalised according to what is important to the patient and their family.

How Our Activities Deliver Public Benefit:

Our sole aim is the provision of Specialist Palliative Care, without charge, supporting patients and their families.

Our Key Strategic Aims for 2021/22:

Wirral Hospice St John’s Three Year Strategy 2020-23 sets out the hospice’s four key strategic aims to:

  1. Increase the reach of our services across the Wirral community providing care and support closer to home.

  2. Secure sustainable income reducing the risk on the funding of care activities and provide funding for service developments.

  3. Be the employer of choice with a highly motivated workforce inclusive of volunteers supported through learning & development opportunities and investment in their skills and personal development.

  4. Ensure that Wirral Hospice St John’s is recognised as an effective, efficient and thriving organisation worthy of future investment

Strategic Aim 1: To increase the reach of our services across the Wirral community providing care and support closer to home.

The foundation of the NHS future plan is based upon the integration of the care system through partnership, integration and collaboration across the health & social care sectors including third sector and voluntary organisations to provide care at a local district / town or “PLACE” based level. “ Wirral PLACE ” is the Cheshire & Merseyside Integrated Care Partnership’s response to delivering place based care to the Wirral community and Wirral Hospice St John’s will continue to work closely with other providers, adapting to the changing needs of service users influenced by population health data. The Covid-19 pandemic response has enhanced both integrated working and the increased utilisation of digital technology. We will continue to strengthen our digital approach and optimise the use of data to inform our approach to service delivery to ensure we continue to reach more patients and their families within our community, ensuring Wirral Hospice St John’s continues to be seen as a lead player in specialist palliative care.

We will achieve this by:

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Strategic Aim 2: To secure sustainable income reducing the risk on the funding of care activities and provide funding for service developments

The Covid-19 pandemic continued to challenge our ability to income generate especially with retail and events significantly impacted. As a charity, we are heavily reliant upon the relationships we have with and the donations we receive from our local community. It is important to us that we spend the money received wisely so wherever possible we will make best use of our resources, cutting costs as appropriate without impacting on the quality of the services we deliver. We will ensure that we optimise procurement and expenditure to achieve best value for money to maximise monies available for direct patient services. We aim to develop our income streams to reduce reliance upon those that are less predictable by expanding links with all areas of our Wirral community.

We will achieve this by:

Strategic Aim 3: We will be the employer of choice with a highly motivated workforce inclusive of volunteers supported through learning & development opportunities and investment in their skills and personal development

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The health & care sector is facing increasing challenges in recruiting & retaining the workforce. The present and future workforce is pivotal to our ability to continue to develop and deliver patient and family services to meet future demand. The external landscape continues to change, impacted by Covid, offering more choice and increased competition from which to recruit. We intend to recruit and retain high quality staff and volunteers investing in their knowledge and skills development. We will use a values based approach in all that we deliver.

We will achieve this by:

Strategic Aim 4: We will ensure that Wirral Hospice St John’s is recognised as an effective, efficient and thriving organisation worthy of future investment.

Wirral Hospice St John’s is a fundamental part of the local community, established and supported by them to provide care and support for them. We cannot act in isolation and therefore through collaboration with both statutory and third sector organisations, we will work together to explore and develop services to meet the future needs of our community. We will celebrate and publicise our success through the development of our marketing approach. Through development of our learning & development offer, we will enhance the quality of palliative care and support delivered across Wirral.

We will achieve this by:

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Monitoring Achievement of the Charity’s Objectives:

Key Performance Indicator (KPIs) reports are compiled on a monthly basis to cover:

The reports are reviewed by the Senior Leadership Team, the Board as a whole and Governance Committees of the Board.

In the period covered by this annual report, there continued to be an increased number of governance meetings held in response to the ongoing Covid-19 pandemic and ad-hoc meetings took place as required throughout 2021 between Trustees and Senior Leadership Team to provide further assurance.

The Board met 7 times including the annual Board Strategy Day and the following Governance Committees met as follows: -

For in-depth review and future planning purposes, Investment Committee meetings continued to take place bi-annually and the Income Generation & Marketing Committee held three meetings.

A strategic element is incorporated into most Board meetings to facilitate discussion and identify opportunities for future strategic planning & development.

The Board maintains an Organisational Risk Register to identify key high-level risks which arise out of the monitoring process and the actions being taken to mitigate them with regular review.

The Finance & Infrastructure and Clinical Governance Committees respectively review all organisational and clinical complaints and incidents each quarter to ensure the actions and learning identified results in continuous improvement to hospice services and patient care and, in turn, they report their findings to the Board for its assurance.

Similarly, all results from patient satisfaction surveys and compliments, comments and concerns received are captured, logged and responded to as required and this data is used to measure the quality and impact of our patient care and services and for appropriate promotional use, again to provide assurance to the Board as well as to our patients, families, carers and supporters.

In line with the quality schedule, quarterly reports are provided for commissioners.

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Monitoring by External Bodies:

The hospice operates a co-operative policy for visits and statutory inspections by external bodies including:

Care Quality Commission (CQC): The CQC is the independent regulator of health and social care in England and ensures health and social care services provide people with safe, effective, compassionate, high-quality care. CQC monitors, inspects and regulates services to make sure they meet fundamental standards of quality and safety and they publish their findings/performance ratings to ensure services meet the fundamental standards that people have a right to expect whenever they receive care from Wirral Hospice St John’s

Wirral Hospice St John’s is registered with the CQC to provide:

The Registered Manager, in conjunction with Organisational Quality members, reviews and oversees assurance processes across the hospice to demonstrate how ongoing compliance is maintained to meet the fundamental standards required by the CQC, providing assurance to the Board through the quarterly Governance Committees.

External regulators CQC last undertook a review of the data available to them about Wirral Hospice St John’s on the 07.07.2022. They did not find any evidence to indicate the need to carry out an inspection or reassess the rating at this stage and has remained registered with the CQC without conditions. They continue to review data about the service. The current rating continues as 'good overall'.

Their report published 13 May 2016 and note of July 2022 review can be found on the CQC and Wirral Hospice St John’s websites: https://www.cqc.org.uk/ http://www.wirralhospice.org/

Ongoing quality discussions are undertaken regularly with CQC Relationship Manager with no concerns raised.

Healthwatch Wirral: Healthwatch is the national consumer champion in health and care. They have significant statutory powers to ensure the voice of the consumer is strengthened and heard by those who commission, deliver and regulate health and care services. Healthwatch Wirral is the local team which works to support the voice of patients and public in this area.

Fundraising Regulator: The Fundraising Regulator regulates charity fundraising in England, Wales and Northern Ireland. They work to improve fundraising standards and build public trust. We are registered with the Fundraising Regulator and we confirm that we comply with the Fundraising Regulator’s voluntary registration scheme.

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Our Achievements in the Year:

Over the course of the year, the hospice has continued to cope with the ongoing global pandemic continuing to impact upon its ability to achieve all overarching objectives initially set.

The hospice remains fully compliant with all statutory requirements, adapting maintaining and developing the high quality of the services we deliver for patients and their families.

In previous years, this has been demonstrated through our participation in the annual national Patient Led Assessments of the Care Environment ( also known as the PLACE Assessment ). This was not undertaken due to the pandemic.

Aiming:

The Covid-19 pandemic continued to affect our ability to deliver as planned; however, progress was achieved through a flexible, blended approach with the increased use of technology.

Over the course of the year in keeping with our priorities, we have: -

In pursuit of increasing the reach of our services across the Wirral community providing care and support closer to home, we have:

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In pursuit of securing sustainable income reducing the risk on the funding of care activities and provide funding for service developments, we have:

In pursuit of being the employer of choice with a highly motivated workforce inclusive of volunteers, supported through learning & development opportunities and investment in their skills and personal development, we have:

In pursuit of ensuring that Wirral Hospice is an effective, efficient and thriving organisation worthy of future investment, we have:

Our People:

Our people are at the heart of the service we seek to provide, maintain and develop. We aspire to be a learning organisation together with a workforce having relevant palliative care knowledge, skills,

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experience and qualifications, continuously developing to ensure the delivery of excellent evidence based care. The professional development of our staff team working in partnership with our committed volunteers underpins all our healthcare activity.

This second year of the pandemic has continued to be challenging.. Our “Team approach” has strengthened as we developed our ‘living with Covid’ approach, heavily relying on one another as each new wave hit resulting in absences to be covered and services to be maintained. However, this could not have been achieved without the significant support we receive from both individuals and organisations from within our community who contribute to the promotion of the hospice and the raising of funds to sustain its services.

Our Palliative Medicine Consultants work as ‘one team’ closely aligned across the three areas of acute hospital, hospice and community. Linking closely with the Integrated Specialist Palliative Care Team within the community; ensuring best practice and continuity of care for patients and their families.

The Wirral community is pivotal to the hospice. Throughout the pandemic the volunteer role changed significantly with lock downs and limited visiting. Some volunteers continued to support patients remotely offering a much appreciated activity and friendship service. However, the pandemic had a significant impact on volunteer numbers dropping from 500 to below 450 as they assessed their personal situation and some chose not to return at the present time or retire entirely after many years’ service. Gradually during the year volunteers have been safely returning to their previous or new roles and recruitment is underway to increase numbers again to above pre pandemic levels. We have continued to engage with and recognise their ongoing and invaluable contribution through a variety of social media and our long service awards being able to go ahead provided a much needed opportunity to thank them in person for their invaluable support across the hospice.

Ensuring our Senior Leadership Team and Trustees remain up to date is important. Annual employment and charity law updates are provided by the hospice solicitors, auditors and Hospice UK, to inform of legislative and policy changes required; ensuring both knowledge and compliance. Regular updates have continued, providing valuable information and support.

Communication is key to ensuring that every member of our team feels informed, valued and part of the team as a whole, upholding our vision and values in all that they do. This is achieved through having a shared vision, co-delivery and valued recognition of their contribution. This has been pivotal to our ability to cope through the ongoing pandemic as a ‘team’. Long service award evenings were able to be held to thank staff for their valued support.

Our Annual Delivery Plan underpins our strategy developed with our teams with regular progress reviews, monthly ‘Team Brief’, quarterly employee forums and increased use of social media with regular get togethers, sharing information and news updates.

Despite the pandemic as an organisation we have learned much about ourselves as individuals, and as a team. We have developed new ways of working and enhanced our knowledge and skills which will inform our future approach. Our Trustees and Senior Leadership Team were able to take timeout for a day to learn and develop together, exploring the role of the Board and Senior Leadership Team and their ideas to inform our future vision and strategy. Governance Committee Leads kept in regular contact with Directors keeping up to date and supporting them. The Chair and CEO had weekly meetings throughout the pandemic.

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Our Charitable Activities:

Wirral Hospice St John’s submits annual returns on Patient Activity to Hospice UK: -

Inpatient Service: Wirral Hospice has 16 Inpatient beds, of which 7 are single rooms, with 3 three bedded bays. During 2021-22 due to the Covid-19 pandemic, the bays have been used as single bed spaces initially and latterly as 2 bedded spaces when safe to do so.

The unit has a large bright patient and visitor lounge with dining facilities, a relatives' room with en-suite facilities for overnight stays and easy access to patio areas and gardens. During 2021-22, the use of the facilities by visitors has been restricted as per public health guidance to support infection control measures. However, some visiting has been maintained throughout the pandemic with families being made as welcome and comfortable as possible.

Patients are admitted for short term interventions following assessment by the Multi-Professional Team whose needs cannot be met by Specialist Palliative Care providers elsewhere. Patients are admitted under the care of the Palliative Care Consultant. Multi-Professional Team Meetings are held once a week. All patients, including family issues/concerns when appropriate, are discussed and a management plan devised with patients to address their complex symptoms and needs. In addition, patients are reviewed daily by a doctor and twice weekly by a Consultant. Advance care planning including discharge planning commences at the point of (or even prior to) admission. Discharge from the unit occurs once the patient's identified needs of what is important to them and their specialist palliative care needs have been addressed. The average length of stay over 2021-22 has remained around the 3 week level with 60% of patients being discharged. The limitations on visiting resulted in some patients delaying their admissions and changes to the sourcing and provision of care resulted in discharges being achieved more quickly.

**Inpatients (16 beds) ** **2020/21 ** 2021/22
Total number of admissions 187 146
% Occupancy 74%* 82%*
Mean Length of stay (Days) 20 21.7
Total number of discharges 110 (59%) 88 (60%)
Total number of deaths 91 (49%) 49%

* Due to Covid-19 infection prevention and control measures, the available number of beds were reduced and the occupancy calculation was adjusted from October 2020 onwards.

Wellbeing Service: Usually, Wellbeing services are available four days per week in a purpose-built unit registered with CQC for 12 patients per day, provided by a Specialist Multi-Professional Team. Patients and their families engage in an 8 week program promoting wellbeing. The program aims to enable them to live well with their life-limiting illness by introducing them to a rehabilitative model of care encouraging them to maximise their potential within their health constraints. During the pandemic, this support has mainly been provided through telephone assessment support and advice and virtual education sessions that have been delivered live and in recorded formats, covering topics such as exercise classes, relaxation, breathlessness, anxiety and fatigue management.

Assessment and advice has been available from members of the Multi-Professional team; Occupational Therapy, Physiotherapy, Nursing, Counselling, and Social Work and has included support with advance care planning, benefits advice and family stress. Some of the changes in service delivery developed during Covid are likely to remain in the Wellbeing offer going forwards including the sessional model of

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delivery. The numbers of those accessing Wellbeing increased in 2021/22 as services gradually resumed in the hospice.

**Wellbeing (48 places per week) ** **2020/21 ** 2021/22
Total number of patients 156 188
Total number of referrals 88 148
Total number of allocated Wellbeing attendances 1431 1093

Outpatient Service: Outpatient clinics are provided by a team of Consultants in Palliative Medicine, specialist Doctors, Bereavement Workers, Counsellors, and an Aromatherapy service. Clinics are provided for patients under the care of their General Practitioner and the Community Team who require access to the specialist services provided by the Hospice. The pandemic resulted in Aromatherapy support being suspended due to professional guidelines, Counselling and Bereavement support was delivered virtually, and medical appointments were delivered either face to face where required or through telephone consultations. Medical Consultations in patients own homes (Domiciliary Visits) were increased to meet need, whilst minimising infection risks.

There has been a focus on close working with the Community Specialist Palliative Care (CSPC) Team to ensure the most appropriate patients are referred in for Consultant Medical review, with the intention of supporting more patients in their own home. The CSPC Team have also commenced Specialist Nurse Led clinics in the hospice Outpatients Department.

**Outpatients ** 2020/21 2021/22
Total number of referrals 528 240
New Consultant appointments 297 186
Total number of Medical Domiciliary Visits 52 124 **

* _During Covid-19, the OPD services have been provided through both telephone and face to face assessments, with an increased number of medical domiciliary visits _

Hospice at Home Service:

The Hospice at Home (H@H) team provides quality end of life care to Wirral residents wishing to remain at home, providing practical and emotional support to patients, families and carers in a variety of ways. The H@H service coordinates the care, and all day sits are provided by the hospice; nights sits are delivered in partnership between the hospice and Marie Curie Care’s Nursing service. During the first two quarters of 2020-21, the pandemic resulted in reduced referrals to the H@H service and reduced capacity as hospice staff were focused on maintaining the staffing levels in the hospice Inpatient Unit. With Quarters 3 and 4 seeing a return to near pre-pandemic referrals. Throughout, the service has resulted in over 90% of patients dying in their own homes.

Hospice at Home sits 2020/21 2021/22
Total number of referrals 369 437

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Hospice at day 869 1818
Hospice at night 197 351
Total number of deaths 224 290
Total number of deaths at home 203 215

Hospice at Home Personal Care Service commenced 06.12.2021

The Hospice at Home Personal Care service was introduced alongside Hospice at Home sits provision as part of Wirral’s multi-agency response to winter bed pressures.

2020/21 2021/22
Personal Care
Total number of referrals N/A 58
Personal Care Visits N/A 508
Total number of deaths N/A 27
Total number of deaths at home N/A 25

Interventional Pain Service:

The Interventional Pain Service is an Outpatient Service for patients with any palliative diagnosis who are not responding to conventional pain treatment and are suffering from chronic pain. Patients are assessed by the Consultant either as an Outpatient or Inpatient at Wirral Hospice. A referral can be made by Consultants or General Practitioners.

**Interventional Pain Service ** 2020/21 2021/22
Total number of referrals 56 *** 84
New appointments 52 *** 55

* Covid-19 resulted in the Pain Clinic not being available in Q1 and reduced sessions at the start of Q2 as the Consultant Anaesthetist was supporting the Covid19 response.

Plans for Future Periods:

Our plans for future periods are aligned with our four strategic priorities and also set in the context of five overarching Care Quality Commission themes for the delivery of our activities under the headings of being:

In pursuing our strategic priorities, we will focus on the aims of:

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Principal Risks and Uncertainties:

The hospice operates a policy of pro-actively monitoring risk through a Board Risk Register, covering clinical, financial, workforce and other organisational risks; it is reviewed regularly by the Board, Senior Leadership Team and the Governance Committees. High-level risks to the organisation are reviewed jointly by the Board and Senior Leadership Team on a quarterly basis.

To a large extent, the principal risks and uncertainties are the on-going challenges of funding as well as recruiting and retaining colleagues with the required knowledge, skills and experience to ensure delivery of a safe service to an appropriate quality standard. Layered on top of these are the challenges brought about by the introduction of an Integrated Care System (ICS) in the sector, the anticipated increased post pandemic demand for the services we provide and the current economic environment which places pressure on both our statutory and voluntary sources of income.

The introduction of ICS brings about a new structure for the commissioning of services through statutory contractual income and has an emphasis on effective delivery through collective partnership working across a defined geographical area. This leads to increased scrutiny of purpose versus need, effectiveness of delivery, and the relevance of role within the sector. Consequently, we need to be clear that what we are doing is required, that we are providing services effectively with demonstrable impact, and that we are the organisation best suited to provide those services.

Whilst there is risk and uncertainty arising out of the introduction of ICS we also regard it as an opportunity to consolidate our position within the sector with the potential for development in meeting the increased demand for end of life palliative care as well as additional statutory funding underpinning our financial viability. In pursuing this we are pro-actively engaging with the changes, including representation on groups tasked with further design of the system and our already established practice of partnership working relations. We are also developing our performance monitoring systems with the aim of tangibly demonstrating our cost effectiveness and value-based service delivery.

In respect of our non-statutory income, we are placing an emphasis on developing existing successful streams. This includes further development of retail activity through our charity shop network both in pricing and stock management as well as expanding the number of shops noting that this sector is likely to strengthen in times of economic stress. Additionally, we are exploring ways of advancing legacy income and whilst we recognise our increasing dependency on this source represents higher risk due to its unpredictability, sector reports do not project any decline in the overall market value. To mitigate this unpredictability, we have established a designated fund in reserves to balance non-recurring budget deficits on a rolling 3-year basis with any structural deficits being addressed through appropriate remedial action.

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Maintaining access to suitably qualified and experienced colleagues remains a significant issue as more people leave the wider health care sector alongside the overall national picture of a reduced workforce resulting in recruitment and retention being more competitive. A principal element of our strategy is to remain competitive in remuneration against NHS equivalent positions, but this consequently places pressure on financial risk. However, we are also examining ways in which colleague relationships, working patterns and environment can make employment with our organisation more attractive than other areas of the sector rather than just remuneration. We have successfully established apprenticeships in the support sections of our organisation, and we are looking to develop initial level entry points to our clinical sections with a view to establishing a career structure in end of life and palliative care.

We continue to monitor and maintain mitigation measures against risks such as cyber security and supply chain issues arising out of post Brexit trading arrangements and the war in Ukraine but to date have not experienced any significant issues.

Structure, Governance and Management:

Governing Document:

Wirral Hospice St John’s is a company limited by guarantee governed by its Memorandum and Articles of Association. Originally dated 22 September 1980, this was amended via a Special Resolution passed at the Annual General Meeting on 24 November 2014.

Wirral Hospice St John’s is a registered charity and provides specialist palliative care and support for patients and families living and dying with a life limiting illness through its Inpatient, Outpatient, Hospice at Home and Wellbeing services.

Appointment of Trustees:

Trustees retire after a period of three years and can seek re-appointment each year. New Trustees are appointed by the Board when appropriate, ensuring a balance of skills is maintained.

Trustee Induction, Appraisal and Training:

The 'Trustee Recruitment and Selection Policy' and 'Ambassadors Recruitment and Selection Policy' were reviewed and updated in August 2022. The policies were updated to reflect the requirements and processes for identifying and recruiting suitably qualified candidates to join our Board and Ambassadors in line with current Charity Commission recommendations.

All new Trustees undertake a formal induction programme with the Chair, Chief Executive and the Senior Leadership Team, in addition to visiting each department, to gain an understanding of the hospice’s services. Their legal obligations under Charity and Company Law are highlighted to ensure their understanding of the content of the Memorandum and Articles of Association, decision-making and function of the Board, which supports its business plan, and ongoing financial performance. Resources are readily available on the hospice’s intranet to support Trustees during their induction and to enable them to carry out their roles effectively throughout their term.

Ambassadors also undergo an induction programme; meeting the Board, Senior Leadership Team and touring the hospice. Trustee and Ambassador Induction Packs are provided, with regular updates and training sessions as appropriate.

To ensure that the Board of Trustees continues to operate effectively, in the year each Trustee has had the opportunity to review the performance of the Board and undertake a personal appraisal conversation with

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the Chair of Trustees. Trustees and Senior Leadership have completed their Leadership Development programme further developing their knowledge, skills and relationship with the wider Leadership team.

E-Learning in Information Governance and Safeguarding is mandatory for all Trustees as follows: -

Trustees are also encouraged to undertake additional individual learning, training and development appropriate to their roles as charity trustees, for example: conference and seminars from Hospice UK, charity law and finance updates, and internal hospice training events.

Organisational Structure:

The Board has a maximum of ten Trustees who administer the Charity. The composition of the Board reflects the expertise necessary to oversee the range of activity undertaken by the hospice.

The Trustees refer to the Charity Commission’s general guidance on public benefit when reviewing the charity’s aims and objectives and in planning future developments. Trustees give their expertise and time on a voluntary basis and without reimbursement.

In addition to exercising governance through full Board meetings, the Governance Committees and Subcommittees of the Board monitor specific areas of activity. The terms of reference of these Governance Committees are reviewed on an annual basis.

The Chief Executive is appointed by the Chair and Board and is responsible for the day to day management of the charity with the support of the senior leaders.

To facilitate effective operations, the Chief Executive has delegated authority in accordance with the delegated powers documents.

Related Parties:

The company’s wholly-owned subsidiary, Wirral Hospice St John’s Enterprises Ltd., is engaged in the sale of goods for the benefit of the charity.

Risk Management:

The hospice has a Risk Management Policy which is endorsed by the Board and ensures that: -

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Serious incidents are considered at relevant Governance Committees and reported to the Clinical Commissioning Group, Charity Commission / CQC / Health & Safety Executive as appropriate.

There were 2 serious untoward incidents recorded during 2021/22.

These policies and procedures safeguard and ensure propriety. The Board has overall responsibility for risk management and receives quarterly reports, in addition to the Annual Delivery Plan & Key Performance Indicators quarterly progress report.

Income Generation Review:

Wirral Hospice St John’s has a broad income generation programme to raise funds for the charity.

The four main areas are: -

The hospice largely co-ordinates its income generation activities from within the Fundraising Department using paid fundraising staff.

The following activities are carried out through third parties: -

Wirral Hospice St John’s income generation activities are co-ordinated following legislation, guidance and advice set out by the following: -

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Wirral Hospice St John’s has complied with regulatory reporting to the Gambling Commission in relation to its lottery and fundraising activities and more generally to both the Charity Commission and the Care Quality Commission. No issues have been raised with these reports or audit visits.

All fundraising activities are monitored through monthly management reports. Performance and significant variances are discussed at board level using risk management reporting tools. Any activities carried out by third parties are also monitored closely to ensure that objectives are met and the hospice’s good reputation and values are upheld.

For the year 1 April 2021 up to and including 31 March 2022, 8 actual complaints were recorded about income generation activities:

These were reviewed and investigated following Wirral Hospice St John’s robust complaints policy.

Actions were taken to address the matters raised with relevant individuals and appropriate feedback was given to the complainant. None of the complaints were considered to be serious in nature and the complainant in each case appeared satisfied with our course of action. All complaints were fully resolved within timescales set and were fully compliant with the hospice’s policy.

Wirral Hospice St John’s takes its role in the community very seriously. On occasion, our charity comes into contact with potentially vulnerable members of public.

We train our staff and volunteers to be alert to vulnerable persons and to sensitively remove themselves from situations or commitments that could put themselves or the individuals at risk.

If a safeguarding matter is identified, staff are trained to follow the hospice’s Safeguarding policy and alert the most appropriate member of senior staff or the Safeguarding Team.

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Financial Review:

Income:

Total income has increased by approximately £178,000 this year, this reflected an increase in legacy income of £630,000, offset by a reduction in the receipt of pandemic related government grants. NHS Revenue grants covered 52% (2021: 53%) of our expenditure (excluding fundraising costs).

The turnover of the trading subsidiary was approximately £43,000. Details of the subsidiary's performance, which continued to be impacted by the pandemic, are set out in note 6 of the financial statements.

Expenditure:

69% (2021: 71%) of costs relate to salaries, the total salary bill for the year being approximately £3,900,000. Of these costs, approximately 69% relate to employees who are directly involved in clinical care.

Fundraising costs include the costs of running our lottery (£345,000) and the charity shops (£502,000), which generated income of £709,000 and £756,000 respectively.

Overall, this generated an operating surplus of just over £1,000,000, before gains on investments of £159,000. The Hospice's reliance on voluntary income, and particularly legacies, continues.

Balance Sheet:

Our principal assets are our tangible fixed assets, our investment portfolios of quoted investments and our bank balances. The bulk of our fixed assets consist of the Hospice premises.

Approximately £213,000 was spent on fixed assets in the year to upgrade our facilities and equipment.

Liquid reserves remained comparable to the prior year, despite the transfer of £500,000 to the investment portfolio.

The Trustees continue to monitor future activities and costs with caution and are actively considering a wide range of options, particularly in the light of the impact of the Covid-19 pandemic on our income and operations.

Reserves Policy:

Reserves are required because the on-going revenue expenditure of the Hospice exceeds the minimum guaranteed income on an annual basis.

Due to the fundamental uncertainties surrounding the Hospice's income and the ever-increasing cost of its service commitment, the Trustees believe that the reserves should be equivalent to between 6 and 24 months of anticipated net expenditure. Currently reserves amount to 12.5 (2021: 12.4) months of anticipated expenditure. Note that reserves held are primarily in the form of listed investments which provide a further source of income to the Hospice in the year. The Trustees annually monitor and review the Reserves Policy.

22

Trustee Annual Report and Accounts

Investment Policy:

The overall investment policy aims to achieve capital growth, with a medium level of risk, taking a long- term view.

Investments can be made across fixed interest investments, UK and overseas equities, property and alternative assets.

Fixed interest investments can be made in UK Government stocks (no restrictions), loan stocks of UK blue chip equities, and in UK unit trusts investing in gilts, corporate bond funds rated BBB or higher and cash. If the outlook for fixed interest investments at any time appears unfavorable, this allocation can be held in cash.

Individual equity purchases are restricted to shares that, at the time of purchase, are constituent elements of the FTSE 100 and FTSE 250 Indices. Shares held in a company that is subsequently relegated from these indices need not automatically result in a disposal of that holding.

Holdings of smaller company shares will be held through unit trusts and/or investment trusts.

No investment should exceed 5% of the total value of the funds under management.

Investments in tobacco stocks, hedge funds, derivatives and direct investments in commodities are not permitted.

The Board has given authority for the investments to be managed by the Investment Manager on a discretionary basis.

Investment Performance 2021/22:

During the year to 31 March 2022, the portfolio returned 4.56% compared to a return of 8.68% for the bespoke benchmark.

These are total return performance figures on a time weighted basis.

(Source: Investec Wealth & Investment)

Trustees' Responsibilities for the Financial Statements:

Company law requires the Trustees, who are also Directors of the company, to prepare financial statements for each financial period, which give a true and fair view of the group's financial activities during the period and of the financial position of the group and the charity at the end of the period. In preparing those financial statements, the Trustees should follow best practice and:

23

Trustee Annual Report and Accounts

In so far as the Trustees are aware:

The Trustees are responsible for keeping accounting records, which disclose with reasonable accuracy the financial position of the group and charitable company and which enable them to ascertain its financial position and to ensure that the financial statements comply with applicable law. They are also responsible for safeguarding the assets of the group and for taking reasonable steps for the prevention and detection of fraud and other irregularities.

The Trustees confirm that they have referred to the guidance contained in the Charity Commission's general guidance on public benefit when reviewing the charity's aims and objectives and in planning future activities. There are no private or incidental benefits to the Trustees.

Auditors:

BWM offer themselves for reappointment as auditors of the company in accordance with Section 485 of the Companies Act 2006.

BY ORDER OF THE TRUSTEES:

……………………………………………………………………………

John R Pentland Company Secretary 28[th] November 2022

24

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE INDEPENDENT AUDITORS REPORT

TO THE MEMBERS OF WIRRAL HOSPICE ST JOHN'S

Opinion

We have audited the accounts of Wirral Hospice St John's (the "Charity") and its subsidiary (the "Group") for the year ended 31 March 2022 which comprise the Consolidated Statement of Financial Activities, the Consolidated and parent charitable company Balance Sheets, the Consolidated Statement of Cash Flows and the notes to the accounts, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In our opinion, the financial statements:

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 accounts section of our report. We are independent of the Group and Charity in accordance with the ethical requirements that are relevant to our audit of the accounts 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 accounts, we have conculded that the trustees' use of the going concern basis of accounting in the preparation of the accounts 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 and the group's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

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

Other information

The 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 contained within the annual report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

In connection with our audit of the financial statements, Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the 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 or a material misstatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

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Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE INDEPENDENT AUDITORS REPORT

TO THE MEMBERS OF WIRRAL HOSPICE ST JOHN'S

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 Group and the Charity and their 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 requires us to report to you if, in our opinion:

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 accounts 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 accounts that are free from material misstatement, whether due to fraud or error.

In preparing the accounts, the trustees are responsible for assessing the Group's and 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 group or the charity or to cease operations, or have no realistic alternative but to do so.

26

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE INDEPENDENT AUDITORS REPORT

TO THE MEMBERS OF WIRRAL HOSPICE ST JOHN'S

Auditor's responsibilities for the audit of the financial statements

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

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

The extent to which the audit was considered capable of detecting irregularities, including fraud

Our approach to identifying and assessing the risks of material misstatement in respect of irregularities, including fraud and non-compliance with laws and regulations, was as follows:

· the engagement partner ensured that the engagement team collectively had the appropriate competence, capabilities and skills to identify or recognise non-compliance with applicable laws and regulations;

· we focused on specific laws and regulations which we considered may have a direct material effect on the financial statements or the operations of the company, including the Companies Act 2006, taxation legislation and data protection, antibribery, employment and health and safety legislation;

· identified laws and regulations were communicated within the audit team regularly and the team remained alert to instances of non-compliance throughout the audit.

We assessed the susceptibility of the company’s financial statements to material misstatement, including obtaining an understanding of how fraud might occur, by:

· making enquiries of management as to where they considered there was susceptibility to fraud, their knowledge of actual, suspected and alleged fraud; and

· considering the internal controls in place to mitigate risks of fraud and non-compliance with laws and regulations.

To address the risk of fraud through management bias and override of controls, we:

In response to the risk of irregularities and non-compliance with laws and regulations, we designed procedures which included, but were not limited to:

27

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE INDEPENDENT AUDITORS REPORT

TO THE MEMBERS OF WIRRAL HOSPICE ST JOHN'S

There are inherent limitations in our audit procedures described above. The more removed that laws and regulations are from financial transactions, the less likely it is that we would become aware of non-compliance. Auditing standards also limit the audit procedures required to identify non-compliance with laws and regulations to enquiry of the directors and other management and the inspection of regulatory and legal correspondence, if any.

Material misstatements that arise due to fraud can be harder to detect than those that arise from error as they may involve deliberate concealment or collusion.

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

Use of our report

This report is made solely to the charitable company's members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable company's members those matters we are required to state to them in an auditors' 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.

Louise Casey ACA (Senior Statutory Auditor)

for and on behalf of BWM ……………………………….

Chartered Accountants

Statutory Auditor Suite 5.1 12 Tithebarn Street Liverpool L2 2DT

28

Trustee Annual Report and Accounts

WIRRAL HOSPICE ST JOHN'S COMPANY LIMITED BY GUARANTEE PRINCIPAL ACCOUNTING POLICIES

For the year ended 31 March 2022

CHARITY INFORMATION

Wirral Hospice St John's is a private company limited by guarantee incorporated in England & Wales. The registered office is Mount Road, Higher Bebington, Wirral CH63 6JE

BASIS OF PREPARATION

The financial statements have been prepared in accordance with the charity's governing document, the Companies Act 2006, FRS102, "The Financial Reporting Standard applicable in the UK and Republic of Ireland" ("FRS 102") and the Charities SORP "Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard in the UK and Republic of Ireland (FRS 102)" (effective 1 January 2019)

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

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 £.

The principal accounting policies of the group are set out below.

BASIS OF CONSOLIDATION

The group financial statements consolidate those of the company and of its wholly owned subsidiary under-taking (see note 8), drawn up to 31 March 2022. Profits or losses on intra group transactions are eliminated in full. The results of the charity's subsidiary have been incorporated on a line by line basis.

No specific SOFA or Income & Expenditure account has been presented for the parent charity alone as permitted by Section 408 of the Companies Act 2006 and under the SORP.

GOING CONCERN

At the time of approving the accounts, the trustees 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 accounts.

FUND ACCOUNTING

Funds held by the charity are either:

Unrestricted general funds – these are funds which can be used in accordance with the charitable objects at the discretion of the trustees.

Designated funds – these are unrestricted funds set aside by the trustees out of unrestricted general funds and comprise of the following: Four Years of forecast Capital Expenditure £650,000 (2021: £574,000), Service Development fund for the next 4 years £200,000 (2021: £200,000), Forecast deficits fund for the next four years £1,673,000 (2021: £428,000) , a fund for the provision for closure costs of £1,000,000 (2021: £1,000,000) and a fund for the maintenance and upgrading of our facilities over the next ten years, as recommended by a 6-Facet survey, of £810,000 (2021: £810,000). Where the directors consider it appropriate, having regard to the intended use of the money, funds are transferred to the Designated fund from the General fund.

Restricted funds – these are funds which can only be used for particular restricted purposes within the objects of the charity. The balance in the Restricted fund includes donations received specifically to finance capital expenditure, less revenue costs and depreciation to date, and is represented on the balance sheet as a proportion of the net book amount of tangible fixed assets and bank balances.

INCOME

Income from donations and grants are accounted for in the accounting year in which they are receivable, except as follows: - When donors specify that donations and grants given must be used in future accounting periods, the income is deferred until those periods.

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Trustee Annual Report and Accounts

WIRRAL HOSPICE ST JOHN'S COMPANY LIMITED BY GUARANTEE PRINCIPAL ACCOUNTING POLICIES

For the year ended 31 March 2022

INCOME (Continued)

Where legacies have been notified to the charity, or the charity is aware of the granting of probate, and the criteria for income recognition have not been met, then the legacy is treated as a contingent asset and disclosed if material.

Income derived from trading activities is accounted for in the accounting year in which it is received. Lottery income is accounted for in respect of those weekly draws which have taken place during the year.

INVESTMENTS

Fixed Asset Investments

Investments are a form of basic financial instrument and are initially recognised at their transaction value and subsequently measured at their fair value as at the balance sheet date using the closing quoted market price. The statement of financial activities includes the net gains and losses arising on revaluation and disposals throughout the year.

A subsidiary is an entity controlled by the Charity. Control is the power to govern the finances and operating policies of the entity so as to obtain benefits from its activities.

Realised and Unrealised Gains and Losses

All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and losses on investments are calculated as the difference between sales proceeds and their purchase value. Unrealised gains and losses are calculated as the difference between the fair value at the year end and their carrying value. Realised and unrealised investment gains and losses are combined in the Statement of Financial Activities.

CASH AND CASH EQUIVALENTS

Cash and Cash equivalents include cash in hand, deposits held at call with banks, other short term liquid investments with original maturities of three months or less and bank overdrafts.

OPERATING LEASES

Rentals payable under operating leases are charged to the Statement of Financial Activities as incurred over the term of the lease.

TANGIBLE FIXED ASSETS AND DEPRECIATION

Individual fixed assets are capitalised at cost where they are identified as being for continuing use in the charity’s activities. Depreciation is calculated to write down the cost of all tangible fixed assets by equal annual instalments on a straight-line basis, as follows:

Hospice premises 50 years Charity shops 50 years Fund-raising office/education centre - Equipment, fixtures and fittings 7 years - Building 50 years Medical and office equipment 7 years Computer equipment 4 years Motor Vehicles 4 years

Impairment reviews are carried out on any assets where an indication is given that the recoverable amount is below the net book value. No assets have been subject to an impairment review.

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Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE PRINCIPAL ACCOUNTING POLICIES

For the year ended 31 March 2022

STOCK

Stock is stated at the lower of cost and net realisable value. Donated items of stock are not valued on receipt as this would be impractical.

CONTRIBUTIONS TO PENSION SCHEMES

Defined Contribution Schemes

The group contributes towards the NHS pension scheme and the Group Flexible Retirement Plan for employees who are members of either scheme. The NHS pension scheme is a defined benefit scheme but the group is unable to identify its share of the underlying assets and liabilities.

The pension costs charged against profits represent the amount of contributions payable to the schemes in respect of the accounting period.

RESOURCES EXPENDITURE

Expenditure, which is charged on an accruals basis, is allocated between:

Items of expenditure involving more than one cost category are apportioned on the basis of staff time incurred in respect of each category.

GOVERNANCE COSTS

Governance costs include expenditure on administration of the charity and compliance with constitutional and statutory requirements. Governance costs are included within support costs in Note 3 to the Accounts.

VAT

Hospice Income and Expenditure is recorded gross, with the net recoverable VAT element included within income. Enterprise Income and Expenditure is recorded net of VAT.

TAXATION

The charity is exempt from tax on income and gains falling within section 505 of the Taxes Act 1988 or section 252 of the Taxation of Chargeable Gains Act 1992 to the extent that these are applied to charitable objects.

The subsidiary gift aids its profits during the year and post year end to the parent charity. As such there is no tax charge to the subsidiary on these distributed profits.

EMPLOYEE BENEFITS

The cost of any unused holiday entitlement is recognised in the period in which the employee's services are received. Termination benefits are recognised immediately as an expense when the charity is demonstrably committed to terminate the employment of an employee or to provide termination benefits.

FINANCIAL INSTRUMENTS

The group 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.

CRITICAL ACCOUNTING ESTIMATES AND JUDGEMENTS

In the application of the Charity's accounting policies, the Trustees are required to make judgements, estimates and assumptions about the carrying amount of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experiences and other factors that are considered to be relevant. Actual results may differ from these estimates. The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised where the revision affects only that period, or in the period of the revision and future periods where the revision affects both current and future periods.

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Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE

CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES (INCLUDING INCOME AND EXPENDITURE ACCOUNT)

For the year ended 31 March 2022

Note
Income
Income from generated funds:
Donations and Legacies
6
Other Trading Activities
6
Investments
6
Income from charitable activities
6
Total Income
Expenditure
Costs of raising funds
2(a)
Fundraising costs
2(b)
Investment management costs
Charitable activities
1
Taxation
5
Total expenditure
Net Income
Gains / (Losses) on investments
8
Gain on Disposal of Fixed Assets
Net movement in funds
13
Reconciliation of Funds
Total funds brought forward
Total funds carried forward		 Year ended
31.03.2022
£
1,979,544
1,927,101
145,084
4,051,729
2,459,102
6,510,831
29,785
1,345,946
45,712
3,987,980
-
5,409,423
1,101,408
159,468
1,200
1,262,076
11,083,238
12,345,314
Unrestricted
Funds		 Year ended
31.03.2022
£
-
-
-
219,540
219,540
-
-
-
277,141
-
277,141
(57,601)
-
-
(57,601)
2,053,033
1,995,432
Restricted
Funds		 Year ended
31.03.2022
Total
Funds
£
1,979,544
1,927,101
145,084
4,051,729
2,678,642
6,730,371
29,785
1,345,946
45,712
4,265,121
-
5,686,564
1,043,807
159,468
1,200
1,204,475
13,136,271
14,340,746		 Year ended
31.03.2021
Total
Funds
£
1,430,419
1,664,554
127,079
3,222,052
3,330,072
6,552,124
27,780
1,082,199
26,946
3,948,035
-
5,084,960
1,467,164
909,819
8,000
2,384,983
10,751,288
13,136,271

The Statement of Financial Activities includes all gains and losses recognised in the year. All income and expenditure derive from continuing activities.

The notes at pages 36 to 49 form part of these accounts.

32

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE CONSOLIDATED BALANCE SHEET

As at 31 March 2022

Note
Fixed assets
Tangible assets
7
Investments
8
Current assets
Stocks
9
Debtors
10
Cash at bank and in hand
11
Liabilities
Creditors: amounts falling due within one year
12
Net current assets
Net assets
The funds of the charity
Restricted income funds
14
Unrestricted income funds
13
General
Fixed Assets
Designated
Total unrestricted funds
Total charity funds		 2022
£
1,557
1,058,805
1,952,684
3,013,046
(541,532)
4,956,039
3,056,275
4,333,000		 2022
£
4,970,210
6,899,022
11,869,232
2,471,514
14,340,746
1,995,432
12,345,314
14,340,746		 2021
£
5,177
1,454,505
1,816,922
3,276,604
(1,418,903)
4,943,055
3,038,183
3,102,000		 2021
£
5,007,238
6,271,332
11,278,570
1,857,701
13,136,271
2,053,033
11,083,238
13,136,271

The notes at pages 36 to 49 form part of these accounts.

The directors approved the financial statements on 28th November 2022

S Schroeder Director J Wynne Director Company Registration Number: 1518364

33

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE CHARITY BALANCE SHEET

As at 31 March 2022

Note
Fixed assets
Tangible assets
7
Investments
8
Current assets
Debtors
10
Cash at bank and in hand
11
Liabilities
Creditors: amounts falling due within one year
12
Net current assets
Net assets
The funds of the charity
Restricted income funds
14
Unrestricted income funds
13
General
Fixed Assets
Designated
Total unrestricted funds
Total charity funds		 2022
£
1,143,349
1,865,652
3,009,001
(537,489)
4,956,039
3,056,275
4,333,000		 2022
£
4,970,210
6,899,024
11,869,234
2,471,512
14,340,746
1,995,432
12,345,314
14,340,746		 2021
£
1,554,790
1,721,793
3,276,583
(1,418,884)
4,943,055
3,038,183
3,102,000		 2021
£
5,007,238
6,271,334
11,278,572
1,857,699
13,136,271
2,053,033
11,083,238
13,136,271

The notes at pages 36 to 49 form part of these accounts.

The directors approved the financial statements on 28th November 2022

S Schroeder Director J Wynne Director Company Registration Number: 1518364

34

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE CONSOLIDATED STATEMENT OF CASH FLOWS

As at 31 March 2022

Cash flows from operating activities
Net Income for the financial year (before investment revaluations)
Adjustments for:
Depreciation of tangible assets
Profit on disposal of investments
Profit on disposal of tangible fixed assets
Decrease/(Increase) in trade and other debtors
Decrease in stocks
Decrease in creditors
Net cash provided by operating activities
Cash flows from investing activities
Proceeds from sale of investments
Purchases of tangible assets
Purchases of investments
(Increase)/Decrease in cash held by stockbrokers
Net cash (used in) / provided by investing activities
Net increase in cash and cash equivalents
Cash and cash equivalents at the beginning of year
Cash and cash equivalents at the end of the year		 2022
2021
£
£
1,280,957
1,418,233
250,009
218,576
(237,150)
48,931
1,200
8,000
395,700
(105,132)
3,620
215
(877,371)
(159,373)
816,965
1,429,450
705,394
1,312,568
(212,981)
(94,047)
(1,000,821)
(2,412,901)
(172,795)
132,890
(681,203)
(1,061,490)
135,762
367,960
1,816,922
1,448,962
1,952,684
1,816,922

35

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS

As at 31 March 2022

1. CHARITABLE ACTIVITIES

Salaries
Depreciation
Medical supplies
Food
Heat and lighting
Repairs and renewals
Cleaning
Other
Support costs (note 3)		 2022
£
2,716,962
229,295
230,517
28,028
84,235
161,797
27,793
100,205
686,289
4,265,121		 2021
£
2,538,436
193,852
229,784
28,108
80,581
149,277
34,079
69,276
624,642
3,948,035

2. COST OF RAISING FUNDS

(a) Costs of generating voluntary income – salaries
(b) Fundraising costs :
Salaries
Depreciation
Charity shop costs (including salaries £287,706)
Purchase of goods for resale
Lottery costs (including salaries £88,926)
Printing, stationery and advertising
Postage and telephone
Fundraising expenditure
Other		 2022
£
29,785
218,258
20,714
501,927
15,640
345,468
22,028
1,764
90,152
129,995
1,345,946		 2021
£
27,780
190,284
24,724
431,826
17,153
288,450
16,292
633
55,465
57,372
1,082,199

3. SUPPORT COSTS

Salaries
Printing, stationery and advertising
Postage and telephone
Accountancy and payroll charges
Insurance
Governance Costs (Including salaries £15,773)		 2022
£
558,246
16,392
20,885
7,845
42,571
40,350
686,289		 2021
£
517,030
15,938
16,920
11,753
38,104
24,897
624,642

Included in Governance Costs is an amount of £10,010 (2021: £9,250) payable to the company's auditor for the audit of its financial statements.

36

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS

As at 31 March 2022

4. DIRECTORS AND EMPLOYEES

Staff costs during the year were as follows
Wages and salaries
Social security costs
Other pension costs
Average number of employees
The analysis of employees by category is as follows:
Direct charitable
Fund-raising and publicity
Management and administration
Directors		 2022
£
3,403,749
262,127
249,780
3,915,656
159
2022
Number
101
30
19
9		 2021
£
3,166,632
232,949
208,450
3,608,031
160
2021
Number
102
29
20
9

The number of employees whose emoluments as defined for taxation purposes amounted to over £60,000 in the year was as follows:

2022 2021
Number Number
£60,000 - £70,000 2 2
£80,000 - £90,000 0 1
£90,000 - £100,000 1 0

The employees earning £60,000 to £70,000 participated in a defined contribution pension scheme. The employee earning £90,000 to £100,000 participated in the NHS defined benefit pension scheme.

The charity trustees were not paid or received any other benefits from employment with the charity or its subsidiary in the year (2021: £nil) neither were they reimbursed expenses during the year (2021: £nil). No charity trustee received payment for professional or other services supplied to the charity (2021: £nil).

The key management personnel of the parent charity, Wirral Hospice St John’s, comprise the Trustees, the Chief Executive Officer, Medical Director, Director of Finance, Director of Clinical Services, Director of Income Generation and Director of Workforce. The total employee benefits of the key management personnel employed by the Charity were £369,110 (2021: £298,530).

The Medical Director is an employee of Wirral University Teaching Hospital NHS Foundation Trust.

37

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS

As at 31 March 2022

The Charity has arrangements with a number of staff who are not paid through the company payroll, but through a recharging agreement with third parties. The arrangements are in place to ensure continuity of service and protection of benefits for those staff whose careers are within the Health Service. The total amount paid under such agreements in 2022 was £198,865 (2021: £209,840). The posts and third parties involved are as follows:

Consultants and Doctors - Wirral University Teaching Hospital NHS Foundation Trust

The Charity benefits greatly from the involvement and enthusiastic support of its many volunteers, details of which are given in our annual report. In accordance with FRS 102 and the Charities SORP (FRS 102), the economic contribution of general volunteers is not recognised in the accounts.

5. TAXATION

The company has been granted charitable status and is thus generally exempt from Corporation Tax. All taxable trading income is received by the company’s subsidiary undertaking, which has provided for Corporation Tax as follows:

UK Corporation Tax at 19% £nil (2021: £nil)

38

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS

As at 31 March 2022

6. NET INCOME FOR THE YEAR

The net income for the year is stated after charging:

Depreciation
Auditors remuneration
and after crediting:
Donations and Legacies:
Legacies
In memoriam
General donations
Gift Aid
Investments:
Listed investments
Bank deposits
Income from charitable activities:
Income from NHS Clinical Commissioning Groups
Hospice at Home Income
Covid-19 funding
Sundry Income
Other trading activities:
Fund-raising events
Charity shop sales
Subsidiary’s turnover
Lottery income		 2022
£
250,009
10,010
1,663,738
127,237
116,848
71,721
1,979,544
145,006
78
145,084
1,788,770
447,573
277,074
165,225
2,678,642
418,723
755,986
42,920
709,472
1,927,101		 2021
£
218,576
9,250
1,034,112
158,653
158,933
78,721
1,430,419
126,701
378
127,079
1,765,474
347,563
1,080,175
136,860
3,330,072
719,721
219,001
37,890
687,942
1,664,554

The Charity has one wholly owned trading subsidiary, which is incorporated in England and Wales.

Wirral Hospice St John’s Enterprises Limited is engaged in the sale of goods for the benefit of Wirral Hospice, St John’s.

Wirral Hospice St John’s Enterprises Limited has transferred its profits to the Charity.

39

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS

As at 31 March 2022

THE SUBSIDIARY’S PROFIT AND LOSS ACCOUNT CAN BE SUMMARISED AS FOLLOWS:

Turnover
Cost of sales
Gross profit
Administrative expenses
Taxation
Gift Aid Payment
Profit retained		 2022
2021
£
£
42,920
37,890
(15,641)
(17,153)
27,279
20,737
(10,133)
(8,278)
-
-
(17,146)
(12,459)
-
-

THE SUBSIDIARY’S BALANCE SHEET CAN BE SUMMARISED AS FOLLOWS:

Current assets
Current liabilities
Share capital
Profit and loss account		 2022
£
88,606
88,604
2
2
-
2		 2021
£
100,307
100,305
2
2
-
2

40

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS

As at 31 March 2022

7. TANGIBLE FIXED ASSETS

The Group and the Company

Cost
At 1 April 2021
Additions
Disposals
At 31 March 2022
Depreciation
At 1 April 2021
Charge for the year
Disposals
At 31 March 2022
Net book amount at 31 March 2022
Net book amount at 31 March 2021		 Hospice
Premises
£
6,618,461
3,600
-
6,622,061
2,002,047
132,441
-
2,134,488
4,487,573
4,616,414		 Computer,
medical &
office
equipment
£
2,179,470
183,097
-
2,362,567
1,842,367
98,910
-
1,941,277
421,290
337,105		 Charity shops
£
183,632
26,284
-
209,916
133,683
14,886
-
148,569
61,347
49,949		 Motor vehicles
£
56,983
0
(11,627)
45,356
53,211
3,772
(11,627)
45,356
0
3,770		 Total
£
9,038,546
212,981
(11,627)
9,239,900
4,031,308
250,009
(11,627)
4,269,690
4,970,210
5,007,238

The net book amount at 31 March 2022 in respect of land and buildings compromises freehold property of £4,487,573 (2021: £4,616,414)

The net book amount at 31 March 2022 represents fixed assets used for:

Charitable activities
Fund-raising
Charity shops		 Hospice
Premises
£
4,308,759
178,814
-
4,487,573		 Computer,
medical &
office
equipment
£
387,935
33,355
-
421,290		 Charity shops
£
-
-
61,347
61,347		 Motor vehicles
£
-
-
-
0		 Total
£
4,696,694
212,169
61,347
4,970,210

The net amount at 31 March 2022 in respect of Charity shops comprises property improvements £18,087 and fixtures and fittings £43,260

41

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS

As at 31 March 2022

8. INVESTMENTS

Quoted investments at market value
Cash held by stockbrokers
Investment in subsidiary undertaking at cost
Quoted investments
Market value
At 1 April 2021
Additions at cost
Disposal proceeds
Profit/(Loss) on disposals
Increase/(Decrease) in unrealised gain
At 31 March 2022
Cost		 2022
2021
£
£
6,715,016
6,260,121
184,006
11,211
-
-
6,899,022
6,271,332
The Group		 2022
2021
£
£
6,715,016
6,260,121
184,006
11,211
2
2
6,899,024
6,271,334
£
£
6,260,121
4,249,969
1,000,821
2,412,901
(705,394)
(1,312,568)
237,150
(48,931)
(77,682)
958,750
6,715,016
6,260,121
5,898,482
5,365,905
The Company		 2022
2021
£
£
6,715,016
6,260,121
184,006
11,211
2
2
6,899,024
6,271,334
£
£
6,260,121
4,249,969
1,000,821
2,412,901
(705,394)
(1,312,568)
237,150
(48,931)
(77,682)
958,750
6,715,016
6,260,121
5,898,482
5,365,905
The Company
6,271,334
£
4,249,969
2,412,901
(1,312,568)
(48,931)
958,750
6,260,121
5,365,905

All investments are carried at their fair value. Investment in equities and fixed interest securities are all traded in quoted public markets, primarily the London Stock Exchange. Holdings in common investment funds, unit trusts and open-ended investment companies are at the bid price. The basis of fair value for quoted investments is equivalent to the market value, using the bid price. Asset sales and purchases are recognised at the date of trade at cost (that is their transaction value).

The significance of financial instruments to the ongoing financial sustainability of the charity is considered in the financial review and investment policy and performance sections of the Trustees’ Annual Report.

Please see below for the market commentary from our Investment Manager.

The 12 months to the end of March 2022 have been as extraordinary as the preceding year. The majority of the year was focussed on the global economic consequences of Covid related lockdowns, the economic disruption that this created and in particular the impact this would have on corporate earnings, consumer behaviour and government finances.

The global economy evidenced a reassuring recovery as we headed towards the end of the calendar year as the impact of mass immunisations alleviated a significant amount of the economic strain experienced during the almost global lockdowns. Much of the economic dislocation experienced subsided though inflationary pressures grew as supply chain disruptions created significant shortages in many key areas of industrial commodities. The authorities have been mindful of the impact of these shortages and whilst many hope that the inflationary impacts of these disruptions may be transitory markets began to anticipate that the loose monetary policy and low interest rates that had sustained the global economy over much of the Covid period would be reversed. This led to increased investor nervousness as we turned into 2022.

42

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS

As at 31 March 2022

The world economy was preparing for increases in interest rates globally in early 2022 and as such investor sentiment was somewhat more fragile, with many of the “winners” in the global equity markets showing significant price weakness as investors began to factor in higher interest rates and the impact these would have on the valuation of these growth names.

Investors’ nerves were then tested markedly towards the end of the period under review as Russia invaded their neighbour Ukraine with the threat of a long and potentially devastating war presenting itself. The global economy, already facing inflationary problems, then was plunged into a period of considerable uncertainty and worry as prices of oil and gas were moved to precipitously high levels thus fuelling inflationary fears even further.

During the 12 months under review the Fund has shown a positive total return which given the levels of both economic and geo-political uncertainty we hope is reassuring. We will remain vigilant, disciplined and focused in the coming year making decisions within the fund with a clear mind and focus on the long term generation of returns.

Investment in subsidiary undertaking

The investment in subsidiary undertaking represents a 100% holding in the Ordinary share capital of Wirral Hospice St John's Enterprises Limited. The company holds 2 Ordinary shares, being 100% of the subsidiary's issued share capital. The purpose of the company, which is incorporated in England and Wales, Company Number : 3940685, is to undertake the trading activities of the Hospice (buying and selling Christmas cards and other goods).

9. STOCKS

Fund-raising goods 2022
2021
£
£
1,557
5,177
The Group		 2022
2021
£
£
-
-
The Company

43

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS

As at 31 March 2022

10. DEBTORS

Prepayments and accrued income
Due from subsidiary undertaking
Other debtors		 2022
2021
£
£
1,018,684
420,852
-
-
40,121
1,033,653
1,058,805
1,454,505
The Group		 2022
2021
£
£
1,018,684
420,852
84,561
100,285
40,104
1,033,653
1,143,349
1,554,790
The Company		 2022
2021
£
£
1,018,684
420,852
84,561
100,285
40,104
1,033,653
1,143,349
1,554,790
The Company
1,554,790

11. BANK BALANCES

11. BANK BALANCES
Bank balances
Petty cash		 2022
2021
£
£
1,951,511
1,815,887
1,173
1,035
1,952,684
1,816,922
The Group		 2022
2021
£
£
1,864,599
1,720,878
1,053
915
1,865,652
1,721,793
The Company
1,721,793

12. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR

Trade creditors
Social security and other taxes
Other creditors and accruals
Deferred income		 2022
2021
£
£
238,109
140,825
63,099
51,558
125,076
108,204
115,248
1,118,316
541,532
1,418,903
The Group		 2022
2021
£
£
236,201
140,825
63,099
51,558
122,941
108,185
115,248
1,118,316
537,489
1,418,884
The Company		 2022
2021
£
£
236,201
140,825
63,099
51,558
122,941
108,185
115,248
1,118,316
537,489
1,418,884
The Company
1,418,884

DEFERRED INCOME - THE GROUP AND THE COMPANY

As at 1 April 2021
Released to income in the year
Deferred in the year
As at 31 March 2022		 Total
£
1,118,316
(1,118,316)
115,248
115,248		 Activities in
furtherance of
the charity’s
objectives
£
1,015,805
(1,015,805)
4,790
4,790		 Lottery
income
£
102,511
(102,511)
110,458
110,458

Deferred income comprises lottery income received in advance and grants and donations which the donor has specified must be used in future accounting periods.

Trustee Annual Report and Accounts

44

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS

As at 31 March 2022

13. RESERVES

The Group

The Group
As at 1 April 2021
Surplus / (deficit) for the year
Transfers
As at 31 March 2022
Represented by:
Tangible fixed assets
Investments
Cash at bank and in hand
Other net current assets		 Unrestricted
General funds
£
4,943,055
1,262,076
(1,249,092)
4,956,039
Unrestricted
General funds
-
2,566,022
1,871,187
518,830
4,956,039		 Unrestricted
Fixed Assets
£
3,038,183
-
18,092
3,056,275
Unrestricted
Fixed Assets
3,056,275
-
-
-
3,056,275		 Unrestricted
Designated
Development
Funds
£
3,102,000
-
1,231,000
4,333,000
Unrestricted
Designated
Development
funds
-
4,333,000
-
-
4,333,000		 Restricted
Funds
£
2,053,033
(57,601)
-
1,995,432
Restricted
Funds
1,913,935
-
81,497
-
1,995,432		 2022 Total
£
13,136,271
1,204,475
-
14,340,746
2022 Total
4,970,210
6,899,022
1,952,684
518,830
14,340,746

The Company

The Company
As at 1 April 2021
Surplus / (deficit) for the year
Transfers
As at 31 March 2022
Represented by:
Tangible fixed assets
Investments
Cash at bank and in hand
Other net current assets		 Unrestricted
General funds
£
4,943,055
1,262,076
(1,249,092)
4,956,039
Unrestricted
General funds
-
2,566,024
1,784,155
605,860
4,956,039		 Unrestricted
Fixed Assets
£
3,038,183
-
18,092
3,056,275
Unrestricted
Fixed Assets
3,056,275
-
-
-
3,056,275		 Unrestricted
Degignated
Development
funds
£
3,102,000
-
1,231,000
4,333,000
Unrestricted
Degignated
Development
funds
-
4,333,000
-
-
4,333,000		 Restricted
Funds
£
2,053,033
(57,601)
-
1,995,432
Restricted
Funds
1,913,935
-
81,497
-
1,995,432		 2022 Total
£
13,136,271
1,204,475
-
14,340,746
2022 Total
4,970,210
6,899,024
1,865,652
605,860
14,340,746

Trustee Annual Report and Accounts

45

As at 31 March 2021

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS

13. RESERVES (cont.)

The Group Prior Year

As at 1 April 2020
Surplus / (Deficit) for the year
Transfers
As at 31 March 2021
Represented by:
Tangible fixed assets
Investments
Cash at bank and in hand
Other net current assets		 Unrestricted
General funds
£
5,385,093
2,440,553
(2,882,591)
4,943,055
Unrestricted
General funds
-
6,271,332
(1,369,056)
40,779
4,943,055		 Unrestricted
Fixed Assets
£
3,107,592
-
(69,409)
3,038,183
Unrestricted
Fixed Assets
3,038,183
-
-
-
3,038,183		 Unrestricted
Designated
Development
funds
£
150,000
-
2,952,000
3,102,000
Unrestricted
Designated
Development
funds
-
-
3,102,000
-
3,102,000		 Restricted Funds
£
2,108,603
(55,570)
-
2,053,033
Restricted Funds
1,969,055
-
83,978
-
2,053,033		 2021 Total
£
10,751,288
2,384,983
-
13,136,271
2021 Total
5,007,238
6,271,332
1,816,922
40,779
13,136,271

The Company Prior Year

As at 1 April 2020
Surplus / (Deficit) for the year
Transfers
As at 31 March 2021
Represented by:
Tangible fixed assets
Investments
Cash at bank and in hand
Other net current liabilities		 Unrestricted
General funds
£
5,385,093
2,440,553
(2,882,591)
4,943,055
Unrestricted
General funds
-
6,271,334
(1,464,185)
135,906
4,943,055		 Unrestricted
Fixed Assets
£
3,107,592
-
(69,409)
3,038,183
Unrestricted
Fixed Assets
3,038,183
-
-
-
3,038,183		 Unrestricted
Designated
Development
funds
£
150,000
-
2,952,000
3,102,000
Unrestricted
Designated
Development
funds
-
-
3,102,000
-
3,102,000		 Restricted Funds
£
2,108,603
(55,570)
-
2,053,033
Restricted Funds
1,969,055
-
83,978
-
2,053,033		 2021 Total
£
10,751,288
2,384,983
-
13,136,271
2021 Total
5,007,238
6,271,334
1,721,793
135,906
13,136,271

The parent undertaking has taken advantage of Section 408 of the Companies Act 2006 and has not included its own profit and loss account in these financial statements.

The group surplus for the year includes a surplus from the parent company of £1,204,475 (2021: surplus £2,384,983), which is dealt with in the financial statements of the company.

The unrestricted designated development funds are in place to cover anticipated expenditure on tangible fixed assets and operational developments in the next 4 years. A breakdown of this fund is included in the Fund accounting policy on page 29. A transfer from cash at bank and in hand to investments was made in respect of development funds in the current financial year in order to reflect the make up of the development funds.

46

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS

As at 31 March 2022

14. RESTRICTED FUNDS

The Group and the Company

Sunrise Appeal
Anniversary Appeal
Inpatient Refurbishment
Kitchen Appeal
Patient Information Centre
Apprentice Funding
Pallaborative Funds
NHSE Covid Funding		 At 1.4.21
£
430,789
628,851
400,000
33,596
475,819
77,877
6,101
-
2,053,033		 Income
£
-
-
-
-
-
-
167
219,373
219,540		 Expenditure
£
(17,617)
(15,618)
(10,000)
(820)
(11,065)
-
(2,648)
(219,373)
(277,141)		 At 31.03.22
£
413,172
613,233
390,000
32,776
464,754
77,877
3,620
-
1,995,432

The above funds represent amounts received mainly to finance capital expenditure.

The Sunrise Appeal raised over £1m to fund the construction of a new purpose built Inpatient hospice which opened in 1996.

The Anniversary Appeal raised funds to construct a new Outpatient Service building which was completed in 2008.

The Inpatients Refurbishment was a grant received from the Department of Health for the remodelling and improvement of the Inpatients Ward of the Hospice. This has been included within Hospice Premises in fixed assets.

The Kitchen Appeal raised funds to redevelop the Hospice Kitchen, which was completed in 2012

The Patient Information Centre is a grant received from the Department of Health for the redevelopment and extension of a building for use as patient information centre and office space for our integrated shared care team. This has been included within Hospice Premises in fixed assets.

Apprentice Funding is restricted income received from The Wirral Postgraduate Medical Centre, expressly for the funding of clinical apprentices.

Pallaborative funds is restricted income, expressly for the funding of clinical training.

NHSE Covid Funding is funding which the NHSE awarded to allow the hospice to make available bed capacity and community support and to provide support to people with complex needs in the context of the COVID-19 situation from April 2021 to March 2022 inclusive.

This is a comparative for the prior year

The Group and the Company

Sunrise Appeal
Anniversary Appeal
Inpatient Refurbishment
Kitchen Appeal
Patient Information Centre
Apprentice Funding
Pallaborative Funds
NHSE Covid Funding		 At 1.4.20
£
448,406
644,469
410,000
34,416
486,884
77,877
6,551
-
2,108,603		 Income
£
-
-
-
-
-
-
2,417
709,672
712,089		 Expenditure
£
(17,617)
(15,618)
(10,000)
(820)
(11,065)
-
(2,867)
(709,672)
(767,659)		 At 31.03.21
£
430,789
628,851
400,000
33,596
475,819
77,877
6,101
-
2,053,033

Trustee Annual Report and Accounts

47

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS

As at 31 March 2022

15. CONTINGENT LIABILITIES

Neither the group nor the company had any contingent liabilities at 31 March 2022 or 31 March 2021.

16. CAPITAL COMMITMENTS

The group and the company had no capital commitment liabilities as at 31 March 2022. (2021: nil)

17. OPERATING LEASE COMMITMENTS

The total amounts payable in respect of operating leases for land and buildings are shown below, analysed according to the expiry date of the leases.

Within one year
Between one and five years
More than five years		 2022
2021
£
£
98,500
5,700
278,109
217,084
15,367
164,079
391,976
386,863
The Group		 2022
2021
£
£
98,500
5,700
278,109
217,084
15,367
164,079
391,976
386,863
The Company		 2022
2021
£
£
98,500
5,700
278,109
217,084
15,367
164,079
391,976
386,863
The Company
386,863

18. RELATED PARTY TRANSACTIONS

During the year, the company paid £3,300 (31st March 2021: £3,300) including VAT for accountancy advice to Grant Thornton UK LLP. G M Ridgway, a Trustee, is an employee of Grant Thornton UK LLP.

During the year, the company paid £3,600 (31st March 2021: £2,628) including VAT for legal advice to Brabners LLP. S Burrows, who served as a Trustee during the financial year, acts as a consultant for Brabners LLP.

19. STATUTORY INFORMATION

Wirral Hospice St John's is a private company, limited by guarantee, registered in England and Wales and has no share capital. Approval has been obtained to dispense with "Limited" in the name of the company, being a charitable organisation. The company's registered number and registered office address can be found on the Reference and Administrative Details page within the Trustees' Report.

The presentation currency of the financial statements is the Pound Sterling (£).

48

Trustee Annual Report and Accounts

WIRRAL HOSPICE, ST JOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS

As at 31 March 2022

20. ANALYSIS OF PRIOR YEAR STATEMENT OF FINANCIAL ACTIVITIES

Income
Donations and Legacies
Other Trading Activities
Investments
Income from charitable activities
Total Income
Expenditure
Costs of raising funds
Fundraising costs
Investment management costs
Charitable activities
Support costs
Total Expenditure
Net expenditure / income
Gains / (Losses) on investments
Gain on Disposal of Fixed Assets
Net movement in funds
Reconciliation of Funds
Total funds brought forward
Total funds carried forward		 Year ended
31.03.2021
£
1,430,419
1,664,554
127,079
3,222,052
2,617,983
5,840,035
27,780
1,082,199
26,946
3,180,376
-
4,317,301
1,522,734
909,819
8,000
2,440,553
8,642,685
11,083,238
Unrestricted
Funds		 Year ended
31.03.2021
£
-
-
-
-
712,089
712,089
-
-
-
767,659
-
767,659
(55,570)
-
-
(55,570)
2,108,603
2,053,033
Restricted
Funds		 Year ended
31.03.2021
Total
Funds
£
1,430,419
1,664,554
127,079
3,222,052
3,330,072
6,552,124
27,780
1,082,199
26,946
3,948,035
0
5,084,960
1,467,164
909,819
8,000
2,384,983
10,751,288
13,136,271

49

Trustee Annual Report and Accounts

For more information, please contact us:

Mount Road, Higher Bebington, Wirral CH63 6JE 0151 334 2778 | info@wirralhospice.org www.wirralhospice.org | Registered Charity No. 510643

Thank you for whatever support you are able to give us!