company Limited By uar Trusteè Annuai6ptrrf&. cc whw.wlrralho ice.0 Company Reglstratlon No: 15183641 Reglstsred Charity No. 510643 Annual Report 2022-23 Contents Page Chalrfs Preface Report of the Truste8s (Including the Statement of Trustees, Responsibilitles) 6-27 Financlal Review: Independent Auditors. Report 28-31 Consolidated Statement of Flnancial Activities 32 Consolidated Balance Sheet Balance Sheet Consolidated Statement of Cash Flows 35 Notes to the Accounts 36-52 The Trustees present their report together with the consolidated financial statements for the year ending 31 March 2023. 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 Audltors: BWM Suite 5.1 12 Tithebarn Street Liverpool L2 2DT Bankers: HSBC Bank plc 31 The Pyramids Grange Road Birkenhead CH412ZL Solicltors: Brabners LLP Horton House Exchange Flags Liverpool L2 3YL Investment Manager: Rathbones Incorporating Investec Wealth & Investmenl (UK) 100 Old Hall Street Liverpool L3 9AB Directors, Trustees and Senior Leadership Team 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 Dr Jean Quinn Mrs Julie Wynne Mr Graham M Ridgway Chair Deputy Chair Appointed Treasurer 28.11.2022 Resigned as Trustee & Treasurer. Appointed as Chair to Wirral Hospice St John's Enterprises Ltd. 28.11.2022. Appointed 28.11.2022 Mr Keith Bailey Dr Hilary Leggat Mrs Lyn N Meadows Mr Tim McDonnell Dr Roger H Platt Mrs Jenny Porter Mrs Nichola Sandman Dr Helen Smith Appointed 28.11.2022 Appointed 28.11.2022 Appointed 05.06.2023 Company Secretary: Mr John R Pentland Senior Leadership Team: Mrs Helen Brown Mr John R Pentland Mrs. Teresa Nightingale Mrs Christine Sutcliffe Mrs Jane Bohan Dr Emma Longford Chief Executive Officer Director of Finance and Support servI￿s Director of Income Generation and Marketing Director of Clinical Services Director of Workfor Medical Director I Consultant in Palliative Medicine Chair's Preface: It is my pleasure once again to present the Trustees Annual Report and Accounts for the 2022-23 year. Within the report we trust you will find many examples which illustrate that the hospice is a well-run organisation, continuing to live up to its reputation for delivering patient led high quality palliative and end of life care in a manner which is hugely valued by the community it seeks to serve. Above all, we are an organisation which continues to look fO￿ard and, whilst there are undoubted challenges ahead, we are confident of our ability to meet them. In particular the introduction of Integrated Care System takes us into a period of uncertainty when we need to be sure we understand the most appropriate place for us in the health care sector and how we best meet the health needs of Wirral. As well as risk, this also opens up the opportunity for us to use our skills and experience to even greater effect and so we embrace the initiative and the potenlial this brings. Partnership and team working is already at the heart ofwhat we do and how we behave, so this development is reflective of our existing culture. We have come through the pandemic period and are making the necessary adjustments to what it has left behind moving once again into a period of growth. In seNice terms, this is encapsulated in being awarded the contract for provision of Personal Care services, as well as the introduction of our Children and Young Persons service. We cannot disregard the current financial environment and the pressures it is placing not only on the cost of our service delivery, but also those who so generously fund us through our non-statutory income. As you will see from the accounts, we have a healthy level of reseNes, and this gives us the ability to smooth out short term and seasonal variances, as well as time to make adjustments to our operational activity should an underlying trend prejudice financial viability. Nevertheless, this strong position is the result of significant legacy income over recent years, so we are cautious about placing too much reliance on this source and are seeking to sustain and develop other income streams. We are now celebrating the 40th year of our existence and all that has gone before. We are proud of our history our present"Good° rating the CQC has given us against the criteria of Safe and Well Led. However, we equally recognise that sitting back on our laurels is not an option, that as the environment changes around us, so we must continue to change and develop not just to maintain position but become even better at what we do for the benefit of those we seNe. We trust that as you read on you will find that these are not empty words orjust boosterism but supported by clear evidence of achievement arising out of the hard work, commitment, skills and expertise which is prevalent throughout the hospice. steve Schroeder: Chair 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, supported by our multi-professional team working in collaboration and partnership with health and care professionals including primary, secondary, community care and the voluntary, community, faith and social enterprise sector (VCFSE). Patients and those close to them are ￿ntral to our services, and what matters most to them is the focus of our personalised care. How Our Activities Deliver Public Benefit: Our sole aim is the provision of Specialist Palliative Care & support, without charge, supporting patients and their families. Our Key Strategic Aims for 2022-23: At the start ofthe 2019 year, the hospice set out 4 Strategic Aims for pursuit over a 3 year period with the 2022-23 year being the final one in that period. Despite significant changes lo the environment in which we operate, namely the Covid pandemic and the introduction of the Integrated Care System initiative, they remained relevant to the 2022-23 year. strategic Alm 1: To Increase the reach of our services across the Wlrral communlty providing care and support where needed. The foundation of the NHS future plan is the integration of the care system through partnership, integration and collaboration across the health & social care sectors including third sector and voluntary organisations providing care at a local district I 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. In pursuing this aim we are supporting the Integrated Care System initiative through complementary working alongside other service providers with a view to °filling gaps. in palliative & end of life care services where they exist. In addition. we aim to ensure equitable access to all who would benefit from our specialist services across the local community we seNe. Through increased use of population and health needs data we aim to reach more patients and their families across our community, ensuring Wirral Hospi￿ St John's continues to be seen as a lead player in specialist palliative care, and an efficient and thriving organisation. strategic Aim 2: To secure sustainable income reducing the risk on the funding of care activities and provide funding for service developments As a charity, we are heavily reliant upon the income we receive from our local communily which amounts to 66.6 % of total income. Recovery from the decline ih fund-raising income during the pandemic is exacerbated by the current financial situation with its cost of living and inflation pressures, which not only impact upon our income, but also upon our expenditure. Additionally. as the NHS strategy for the delivery of Integrated Care System develops, there is potential for the value of our statutory funding to decline. strategic Alm 3: We will be the employer of cholce with a highly motivated workforce inclusive of volunteers supported through learnlng & development opportunities and investment in their skills and personal development The health & care sector is facing increasing challenges in recruiting & retaining the workforce. The NHS has launched their Workforce Plan with a 15-year approach to tackling current and future workforce requirements. Having the right workforce with ,the right skills 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. It is essential that we continue to recruit, develop and retain high quality staff and volunteers investing in their knowledge and skills development. Strateglc Aim 4: We wlll ensur8 that Wirral Hosp1¢8 St John's is recognlsed as an effective, efficient and thriving organisation worthy of future Investment. Wirral Hospice St John's has been a fundamental part of the local community for the past 40 years, established and supported by them to provide care and support for them. We have developed a reputation for specialist high quality care focussed on patient needs and maintaining that position is fundamental to securing our place in the provision of Integrated Care Services, as well as the funding we receive from both statutory and local community sources. Monitoring Achievement of the Charity's Objectives: Key Performance Indicator (KPIS) reports are compiled on a monthly basis to cover.. Quality I Safety I Patient Experien Performance (Clinical, Financial. Income Generation & Marketing, Organisational) Responsiveness and Activity levels 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, the Board met 7 times including the annual Board Strategy Day and the following Governance Committees met as follows.. - Clinical Governance Committee (4 times) Financial & Infrastructure Governance Committee (4 times) Workforce Governance Committee (4 times) 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 clinical focussed 'story' and a strategic element is incorporated into most Board meetings to focus discussion on patient and family need, whilst facilitating discussion and identifying opportunities for future slrategic 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 Governance Committee. Workforce Governan￿ Committee and Clinical Governance Committees respectively review all organisational and clinical complaints and incidents quarterly 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. This data is used to measure the quality and impact of our patient care and seNices 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. Monitoring by External Bodies: The hospi￿ operates a co-operative policy for visits and statutory inspections by external bodies including.. 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 wilh the Fundraising Regulator, and we confirm that we comply with the Fundraising Regulator's voluntary registration scheme. Care Quallty Commlssion ICQC): 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 the essential standards of quality and safety, and they publish their findlngs1performan￿ 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. htt s'.Ilwww.wirralhos ice.or labouVcare- uali -commission-c Wirral Hospice St John's is registered with the CQC to provide.. Diagnostic and Screening Procedures Treatment of Disease, Disorder or Injury The Registered Manager, in conjunction with Organisational Quality members, reviews and oversees assurance processes across the h05P1￿ to demonstrate how ongoing Compliance is maintained to meet the standards required by the CQC, providing assurance to the Board through the quarterly Governance Committees. Wirral Hospice StJohn's is subjectto periodic reviews bythe Care Quality Commission (CQC). In August 2022, the CQC carried out an announced inspection of the hospice inspecling the Key Lines of Enquiry ofwell Led and Safe - we were found to retain a good rating for both domains with only areas for improvement. From the report published on 26 October 2022, the CQC advised: _ Our rating of this seNice stayed the same. We rat8d it as good because." The service had enough staff fo care for patl8nts and keep them safe. Sfaff had training in key skills, understood how to protect patients from abuse, and managed safely well. The service- controlled infection risk well. Staff assessed risks to patients, acted on them and kept good care records. They managed medicines well. Th8 se￿iCe managed safety incidents well and learned lessons from them. Leaders ran se￿IceS well using reliable information systems and supported staff to develop their skills. Staff understood the seNioe's vision and values, and how to apply th&m in their work. Staff f@It respected, supported and valued. They were focused on the needs of patients receiving care. Staff were clear about their roles and accountability. The seNice engaged well with patients and the community to plan and manage seNices and all staff were committed to improving services continually. Full details ofthis inspection report can be viewed on the CQC'S website: c.or .ukllo¢ation11-1203709101ins ection-summa The domains of Effective, Carlng and Responsive were not inspected and retain their Good status from the previous CQC inspection in 2016. For previous Inspection Reports, see: htt s.'IIvNrn.c c.or .ukllocation11-12037091 Olre orts Healthwatch Wlrral: 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. Our Achievements in the Year: In pursuing Strategic Aim 1, we have: _ Continued to adjust and adapt to the changing environment both intemal and external, maintaining delivery of services, developing Hospice @ Home care as part of winter bed pressures response Continued to examine and further develop the range of our clinical setvices particularly focusing on care & support where needed with increased home visits, telephone support and Hospice @ Home personal care visits commenced In conjunction with Motor Neurone Disease Association, suc￿SsfUllY developed care pathway for those with motor neurone disease and their families suc￿$$fullY implemented children & young people's counselling and bereavement seNice on a trial basis Working alongside cardiac specialists, jointly developed supportive palliative pathway for patients with advanced heart failure Collaboratively delivered education and training to health & care professionals across Wirral via the Wirral Palliative Care Education hub In pursuing Strategic Aim 2, we have: Continued to monitor costs and improve efficiency across all areas of the hospice to maximise available monies for direct patient care seNices Worked together through a values-based approach underpinning all that we do Optimised the use of technology to maximise efficiency in service delivery Developed learning from pandemic to further develop our reach across Wirral Community and support patients, families, professionals and potential investors Refocussed our income generation strategy to reflect post pandemic conditions with increased emphasis on retail, legacy and donation income due to the long-lasting impact ofthe pandemic upon participation events. In pursuing Strategic Aim 3, we have: . Maintained a competitive remuneration policy. Implemented performance development framework across all departments. Extended our apprenticeship programme with 2 new appointees. Continued with professional placements to support nursing and medical students Extended online learning access Reviewed and developed communication framework across the whole workforce inclusive of volunteers Introduced a well-being strategy in conjunction with an external Occupational Health provider. Introduced flexible working in all administrative support areas. Recruited into trustee vacancies extending the Board's knowledge base in legal, education and local community relationships. 10 In pursuing Strategic Aim 4, we have: _ Remained fully compliant with all statutory requirements, adapting maintaining and developing the high quality of the services we deliver for patients and their families,. as demonstrated through our participation in the annual national Patient Led Assessments of the Care Environment (also known as the PLACE Ass&ssmenfj and the outcome of a CQC inspection. Strengthened collaborative working with specialist community palliative care selv1￿ embedding new model of working, ensuring effective triage, care and support for patients in the community Reviewed responsiveness to outpatient support, utilising a blended approach to outpatient access and review using digital technology where appropriate Reviewed and updated training for all staff for provision of enhanced advice and support for primary care professionals dealing with end-of-life issues through the Palliative Advice and Information Line (PAIL) Worked closely with the newly established NHS Cheshire & Merseyside Integrated Care Board (NHS C&M ICB), Wirral Place, Wirral Council and the wider health & care community to offer practical support and guidance for professionals, post pandemic in palliative and end of life care Actively engaged with and participated in joint work with our health & care colleagues, developing a shared, collective and integraled approach to specialist palliative and end of life services for the people of Wirral Increased our reach through enhanced communications & marketing and increased contact with the Wirral community Continued to develop Wirral Palliative & End of Life Care Education Hub offer, providing learning & development opportunities for health & care professionals across Wirral, enhancing the care and support for patients and families. Increased our research participation through two national trials. Graded°Good' through a CQC inspection under the Key Lines of Enquiry ofwell Led and Safe. 11 Our People: As a values-based organisation, our people are at the very heart of the seNice we seek lo provide, maintain and develop. We aspire to be a learning organisation, together with a workforce having relevant and up to date palliative care knowledge, skills, experience and qualificalions, conlinuously developing to ensure the delivery of excellent person-centred, evidence-based care. The personal and professional development of our workforce, working in partnership with our committed volunteers, underpins all our healthcare activity. 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 shared governance, best practice and continuity of care for patienls and their families. The Wirral community is pivotal to the hospice. This community founded the hospice 40 years ago and has continued to financially support ensuring that the community continues to benefil from the services we deliver. Our volunteer numbers have fallen post pandemic as people have reviewed their personal circumstances. We have updated our database to have an accurate figure of active volunteers with new volunteers recruited to both old and new roles. Figures are on the increase. We have continued to engage with and recognise their ongoing and invaluable contribution, listening to feedback from volunteers regarding what they want from the organisation in their role, introducing a new communication and Iraining framework. 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 our shared vision, co-delivery and valued recognition of everyone's contribution. Long service award evenings were able to be held this year providing the opportunity to thank staff and volunteers for their valued support. And we have had the opportunity to thank our staff and volunteers throughout the year with one-off gestures., such as birthday leave and Christmas thank you. Our Board of Trustees are also volunteers. As per our Articles of Association with limited terms of office, during the year, we have said goodbye to long seNing members and welcomed new trustees to the Board bringing valuable additional knowledge and skills from a variety of backgrounds. 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. Our Annual Delivery Plan underpins our strategy, co-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. We have continued with new ways of working and strengthened partnerships developed during the pandemic, enhancing our knowledge and skills to inform our future approach. The Senior Leadership Team and Board of Trustees took the opportunity of time out together to collectively to review progress against the 2020-23 strategy and develop the 2023-26 strategy to meet the changing needs of Wirral Place. 12 Our Charitable Activities: Wirral Hospice St John's submits annual returns on patient activity to Hospice UK and also produ￿$ an annual Quality Account for the Department of Health and Social Care, Wirral Place NHS Cheshire & Merseyside Integrated Care Board (NHS C&M ICB) and Healthwatch Wirral and which is published on our website. Inpatient Servlce: Wirral Hospice has 16 Inpatient beds, of which 7 are single rooms, with 3 three bedded bays. The ward has a large bright patient and visitor lounge with dining facilities, a relatives, room with ensuite facilities for overnight stays and easy access to patio areas and gardens. During 2022-23, a programme of phased improvements works for the Inpatients Ward was agreed commencing with the full refurbishment of one of the bathrooms, including a new Reval bath and hoist for assisted bathing in May 2023 and its commissioning in June 2023 and new office accommodation., works are undemay at the time of wriling to create 2 rooms for better storage of both domestic and medical equipment. a further phase of improvement works is planned to Create a new drugs room. Patients are admitted for short term interventions following assessment by the Multi-Disciplinary Team (MDT) whose needs cannot be met by specialist palliative care providers elsewhere. Patients are admitted under the care of the Specialist Palliative Care Consultant. MDT meetings are held once a week. All patients, including family issueslconcerns 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. Advan￿ care planning including discharge planning commences at the point of (or even prior to) admission. Discharge from the ward 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 2022-23 has remained around the 3-week level with 480/0 of patients being discharged. Inpatients (16 beds) Total number of admissions 2021-22 2022-23 146 165 0/0 Occupancy 82% 62.5/0 Mean Length of stay (Days) Total number of discharges 21.7 21.2 88 (60%} 71 77 {48'/0) Totsl number of deaths 83 . Due to Covid-19 infection prevention and control measures, the available number of beds were reduced, and the occupancy calculafyon was adjusted fmm October 2020 onwards. During 2022-23, the Unit has been measuring Occupancy against 13 beds. 13 The number of patients in year has increased from 2021-22 although occupancy levels have dropped for a variety of reasons. Occupancy leveSs are continuously monitored to promote optimal utilisation of available bed & staff resource. Increased awareness of hospice setvices is being promoted across the health & care sector to support increased referrals. Wellbeing Service: Provided by a specialist multi-professional team, the Wellbeing service works alongside patients and their families to enable them to live well with a life-limiting illness and introduces them to a rehabililative model of care, which encourages them to maximise their potential within the constraints of their illness. In 2022-23, the seNice has been redesigned to enable direct referrals from health care professionals (reducing the need for outpatient consultant medical review prior to attendance) and to offer an 8- week session program with further self-selected sessions at the end of this programme. Assessment and advice is 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. Since the resumption of services post Covid, combined with the new referral routes and the introduction on the sessional model of delivery, the numbers of attendan￿S at Wellbeing sessions nearly doubled in 2022-23. Wellbeing148 places per week) Total number of patients 2021-22. 2022-23 188 218 Total number of referrals 211 Total number of allocated Wellbeing attendan￿S 1,093 1.915 Until the outbreak of the Covid pandemic, patients attended the hospice for a maximum of 8 weekly sessions. With the need to provide altemative methods of service delivery and support, the measure of reporting of the allocated to available places became inapplicable and this was slopped partway in Quarter 3. We continued to record attendance for the full financial year. 14 Outpatient Servlce: Outpatient clinics are provided by a team of Consultants in Palliative Medicine, specialist Doctors, Bereavement Workers, Counsellors, and complementary therapy service. Clinics are provided for patients under the care of their General Practitioner and the Community Specialist Palliative Care Team who require access to the specialist SeNi￿S provided by the hospice. Close working with the Community Specialist Palliative Care (CSPC) Team continues 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 also commenced Specialist Nurse Led clinics in the hospice Outpatients Department in 2021-22. Outpatlents Total number of Medical Referrals 2021-22 2022-23 239 New Doctors Appointments Total number of Medical Domiciliary Visits 186 136 124. 115 During Covid-19, the OPD seNices were provided through both telephone and face to face assessments, with an increased numb8r of medical domiciliary visits Medical staffing has affected the number of medical appointments in year. All referrals are triaged, and patients supported in the most appropriate seNice. Hosplce at Home Sitting Service: The Hospice at Home {H@H) team continues to provide 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 ofways. The H@H seNice coordinates the care, daytime-sits are provided by the hospice. A partnership arrangement between the hospice and Marie Curie Nursing service provides coordinated night sitting service. Wirral Place NHS Cheshire & Merseyside Integrated Care Board (NHS C&M ICB) continued to support the hospice in the delivery of Hospice at Home ServI￿S for all Wirral residents. Hosplce at Home (Slts) 2021-22 2022-23 Total number of referrals 437 420 Hospice at day 1818 1,911 Hospice at night Total number of deaths 351 320 290 304 Total number of deaths at home 215174/0) 254 (83'fi) 15 Hospice at Home Personal Care Service: The Hospice at Home Personal Care service was introduced in December 2021, alongside Hospice at Home sits provision. as part of Wirral's multi-agency response to winter bed pressures. During 2022-23 this service was extended, and a contract was awarded in November 2022 by Wirral Place NHS Cheshire & Merseyside Integrated Care Board (NHS C&M ICB). This has allowed for recruitment of new staff to develop a multi visit senfice for those in the last 4 weeks of life and the service CoMmen￿d in mid-march 2023.This is reflected in in the increase of referrals by approx.430 % and personal care visits by approx. 3700/0. Hosplce at Home (Personal Caro Vlslts) 2021-22 ' 2022-23 Total number of referrals 58 250 Personal Care Visits 508 1868 Total number of deaths 27 149 Total number of deaths at home 25 (9211/0) 1381920fi) ' 2021-22 - 4 months of seryice. Interventlonal Pain Servlce: 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. Interventlonal Paln Service 2021-22° 2022-23 Total number of referrals 84 73 New appointments 55 68 Covid resulted in the Pain Clinic not being available in and reduced sessions at the start of Q2 as the Consultant Anaesthetist was supporting the Covid response. 18 Wirral Palliative Care Advice Line: During 2022-23, advice lines for patients. families and carers and for professionals were merged and expanded to create a single accessible advice line with a single telephone number. Professional'calls to the advice line are supported by the Community Specialist Palliative Care Team 9am-5pm. Calls have virtually doubled since the merger to both lines and to the hospi¢e. 2022-23 Advlce Line Calls (taken by tho Hospice) Calls to the Professional's Palliative Advice and Information Line (OOH) Calls to the Patient Carer and Family Advice and Information Line 2417 Total number of all calls taken by hospice 66 130 71 106 201 17 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 ofour activities underthe headings of being: Caring Responsive Effective Well- Led Safe We will pursue Strategic Aim 1 by: Optimising population health data to meet identified need to inform future seNices, particularly focusing on those underrepresented and the delivery of care where needed. Optimising the use of the supportive care registry to inform service need and enhance Continuity of care Strengthening partnerships with communities and the third sector to develop and deliver services to meet locality need Developing our children and young people's counselling and bereavement service Utilising patient outcome measures to enhance and expand our care provision 'Telling the story, Expanding our marketing approach to continue to raise awareness amongst the Wirral community, patients, carers, families and professionals of the care and support we provide Developing collaborative education provision with other palliative care providers through Wirral Palliative and End of Life Care Education Hub, sharing knowledge and skills with the wider health & care sector enhancing the quality of end-of-life care across the health & care sector. Adjusting and adapling to the potential opportunities and challenges at "Wirral PLACE. as part of Cheshire & Merseyside Integrated Care System development We will pursue Strategic Aim 2 by: Maintaining a market Competitive remuneration policy. Further developing existing strong income streams such as legacies and retail activity as well as exploring and testing reliable additions. Extending our marketing approach to significantly increase our reach to bolh patients, families, professionals, potential investors, and across the local community through 'Telling our story, Continuing to monitor costs and optimising procurement. Working together through a values-based approach underpinning all that we do, to optimise efficiency across all areas of the hospice maximising available monies for direct patient care services Optimising the use of technology to both provide opportunities to save and maximise efficiency in service delivery We wlll pursue Strategic Aim 3 by: Mapping present and future requirements through workforce analysis and planning Exploring alternative approaches to recruitment where future challenges are identified Collaboratively working within the Health & Care sector to develop realistic solutions to skills shortages. Reviewing all roles within the organisation to identify career pathways and opportunities for progression 18 Enhancing learning & development programmes for staff including relevant professional placement opportunities. Continuing to develop our apprenticeship programme opportunities throughout the organisation Enhancing learning & developmentopportunities forvolunteers including greaterdeployment across departments Expanding marketing, increasing presence at local jobs and careers fairs Continuing to develop our schools work experience programme Further embedding the well-being programme for staff and volunteers Developing the offer for flexible working across the organisation including hybrid working We will pursue Strategic Aim 4 by: Continuously monitoring and evaluating the range of our clinical services to ensure fit for purpose, developing services to meet the identified need, informed by population health data. Reviewing progress and further developing our digital approach to care and support. through a blended approach using knowledge and skills of our hospi￿ staff, while embracing innovation and alternative technology Further development of integrated care pathways, providing continuity of care for patients and their families. Achieved through strengthened partnerships, collaboration and shared governance with other palliative care providers in Wirral Building on the knowledge and skills we have developed including more recent experience in meeting the challenges of the pandemic. Maximising the use of digital technology in data capture, analysis and communication to analyse effectiveness and impact of seNice delivery as well as strengthening knowledge of community need to inform future service development. Listening to, reviewing and learning through feedback from seNice users, professionals and the community to inform and develop our services to meet changing need Working closely with the Cheshire & Merseyside Integrated Care Partnership at the°Wirral PLACE" level and with Primary Care Ne￿orkS and communities to identify our optimum position in the sector to support development of a shared, collective and integrated approach to specialist palliative and end of life services for the people of Wirral Increasing the number of organisations actively engaged with, through meetings, projects and service developments Increasing the knowledge of our seNices through enhanced marketing and increased contact with the people and organisations across Wirral Providing an enhanced education provision for professionals and the public which will inform practice and increase the take up of services Engaging with and supporting our community colleagues to develop compassionate communities helping support one another Optimising user engagement in the planning & delivery of Wirral Hospice St John's SeNi￿S Improving the effecliveness & accessibility of Wirral Hospice St John's seNices through collaboration & partnership Improving accessibility to palliative and end of life care for those with conditions other than cancer Ensure that Wirral Hospice St John's is at the centre of palliative & end of life care in Wirral. Collaborating to enhance the effectiveness and accessibility of our services, developing integraled model Promoting a personalised approach to palliative care with patient reported outcome measures Increasing knowledge and skills in Palliative and End of Life Care across professional groups Maximise usage of our facilities providing services tailored to need incorporating plans for future accommodation refurbishmenvdevelopment. 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. The principal risks are associated with sustainability, both financial and access to a workforce with the necessary competencies to deliver our seNices. They are inter-related in that maintaining compelitive remuneration in support of recruitment and retention impacts on financial viability. In identifying our Strategic Aims and our Future Plans for their pursuit we have set out how we intend to mitigate those risks. We continueto monitor and maintain miligation measures against risks, such as cyber security, supply chain issues arising out of post Brexit trading arrangements and the war in Ukraine, but to date have not experienced any significant issues. The principal uncertainty arises out of the introduction of ICS, which 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 clearthat whatwe are doing is required, thatwe are providing se￿iceS effectively with demonstrable impact, and that we are Ihe organisation best suited to provide those services. Whilst there is 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 palliative & end of life 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. A further uncertainty is the development of our existing Clatterbridge site. Previous collaborative discussions with Wirral University Teaching Hospital Trust who occupy the neighbouring estate established that the only feasible proposition was for the hospice to remain at its present location. As a result, we have established a working group to review how we can best utilise our site and ensure its long term fit for purpose particularly taking account of an evolving seNice provision and the medium term need to remedy some accommodation inadequacies. Whilst there is some provision to draw down existing rese￿eS to fund any building work the exact nature of such works and how they are funded is yet to be defined. Structure, Governance and Management: Governing Document: Wirral Hospice St John's is a company limited by guarantee governed by ils 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 and a Special Resolution passed by the Trustees on 30 May 2023. 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 and Tenure of Trustees: New Trustees are appointed by the Board when appropriate, ensuring a balance of skills is maintained. Trustees normally serve in terms of 3 years with the maximum period of service for Trustees being 9 years in line with the Charity Commission's guidance. The Memorandum and Articles of Association which requires three Trustees to retire by rotation at each AGM. 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 visiling each department, to gain an understanding of the hospice's services. Their legal obligations under Charity and Company Law are highlighted lo 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 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 Governan￿ and Safeguarding is mandatory for all Trustees as follows: GDPR Awareness Infomiation Governance Safeguarding Adults (Level 1) Safeguardlng Chlldren (Level 1) Safeguardlng for Trustees 21 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. Following a successful recruitment campaign for new trustees during Aulumn 2022, the role and appointment of an Associate Trustee was introduced at the last AGM to enable prospective trustees having expertise and experience which was of benefit to the Board to join its membership in a non- executive role. 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 Sub-committees of the Board monitor specific areas of activity. The Terms of Reference for each 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. The company's Chair resigned from this position following appointment to the Wirral Hospice St John's Board, and a new Chair was appointed at the Wirral Hospice St John's Enterprises Ltd's AGM in November 2022. Risk Management: The hospice has a Risk Management Policy which is endorsed by the Board and ensures that.. - Risk management is integral to daily activity and in operation throughout the organisation Up to date Business Continuity Plan in operation with annual reviews All employees benefit from regular professional development, in addition to those recommended by their own professional body The Board Risk Register covering the organisation is updated monthly, stratifying risk according to impact and likelihood across all areas of the hospice The Serious Untoward Incident Policy is regularly updated and reviewed 3 yearly or when legislationlguidance changes. Staff awareness is maintained through regular in-house meetings and through the guidance of their own professional bodies Management Accounts are produced monthly, with all variances to budget investigated and appropriate corrective actions implemented Investment Policy a bi-annual review is undertaken by the Investment Committee and subsequently endorsed by the Finance and Infrastructure Governance Committee Reserves Policy- an annual review is undertaken by the Treasurer and Finance & Infrastructure Governance Committee members and subsequently endorsed by the Board. The Reserves Management policy was adopted by the Board in February 2022, which sets oul the hospice's approach to managing the use of its financial reserves in order to ensure financial sustainability. Serious incidents are considered at relevant Governan￿ Committees and reported to the Integrated Care System- Quality Lead, Charity Commission I CQC l Health & Safety Executive as appropriate. There was 1 serious untoward incident recorded during 2022-23. 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.. Retail & enterpri88 Lottery Donations, charitable grants & legacles Community, Corporates, challenges & other events The hospice largely co-ordinates its income generation adivities from within the Fundraising Department using paid fundraising staff. The following activities are carried out through third parties: Lottery canvassing - the use of a door-to-door agency to recruit lottery members (contracts are put in place to formalise the relationship and expectations of both parties). Printing leaflets and mailing packs- the use of printers I mailing houses to produce cost-effective fundraising materials Community fundraising - schools, community groups, local businesses and families raise funds in aid of our hospice (email trails are in place and database records kept up-to-date with activities and funds raised) Wirral Hospi￿ St John's income generation activities are co-ordinated following legislation, guidance and advice set out by the following.. Gambling Commission Fundraising Regulator- Code of Fundraising Practice and the Fundraising Promise Wirral Hospice is also an organisational member of the Charity Retail Association Wirral Hospice is also an organisational member of Hospice UK- which provides some support for fundraising activities Some staff are individual members ofthe Hospice Income Generation Network. which is a charity providing training forfundraisers and marketers working in UK hospices. Wirral HospI￿'S Income Generation & Marketing Director is a trustee and Vice Chair of the charity. 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 activilies 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 2022 up to and including 31 March 2023, 5 actual complaints were recorded about income generation activities: 3 relating to retail 1 relating to lottery 1 relating to donations, charitable trusts and legacies 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 al risk. If a safeguarding matter is idenlified, staff are trained to follow the hospice's Safeguarding policy and alert the most appropriate member of senior staff or the Safeguarding Team. Retail: Lone working is strongly advised against for staff or volunteers in our charity shops. If it is suspected that someone is vulnerable, staff will try their best to avoid selling items to the individuals and forewarn other staff I volunteers in a sensilive way Lottery: If a telephone call or door-to-door visit highlights a vulnerability, we would look to cancel the financial commitment to us or not proceed with setting one up. We can sensitively mark donor records so that this information Can be seen by appropriate users of a particular database Donations: If a vulnerable supporter is identified or suspected. we look to not process a donation or cancel any regular commitments Community-related activities: Staff are trained to follow the hospice's Safeguarding policy if required, and to also follow Lone Working policy so the risk of being out in the community reduces any vulnerability to which they might be exposing themselves 24 Financial Review: Income: Total income increased by approximately £1.2m this year, principally due to an increase in legacy income of almost £900k. NHS Revenue grants covered 43Yo (2022.. 520/0) of our exp8nditure (excluding fundraising costs). As a direct consequence of high inflation, expenditure has risen faster than NHS income. The turnover of the trading subsidiary was approximately £49k. Details of the subsidiary's p8rfomiance are set out in note 7b of the financial statements. Expenditure: 690/0 (2022.. 690/0> of costs relate to salaries, the total salary bill for the year being approximately £4.65m. Of these costs, approximately 710/0 relat8 to employeeswho are directly involved in clinical care. Fundralsing costs include the costs of running our lottery (£364kl and the charily shops (£671 k), which generated income of £752k and £1m respectively. Overall, this generated an operating surplus of £1.2m, before losses on Investments of £367k. The Hospice's rellance on voluntary income, and particularly legacies, continu&s. Balance Sheet: Our principal assets are our tangible fixed assets, our investment portfolios of quoled investments and our bank balances. The bulk of our fixed assets consist of the Hospice premises. Approximately £362k was spent on fixed assets in the year to upgrade our facilities and equipment. Liquid reseNes remainéd comparable to the prior year. The Trustees continue to closely monitor future aclivities and costs, particularly in light of thé current economic climate and the impact on our income and operations. Reserves Policy: Reserves are required because theon-going revenueexpenditureofthe Hospiceexce8dsthe minimum guaranteed income on an annual basis. Due to the fundamenlal uncèrtainties surrounding thé 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 13.0 {2022= 12.5) months of anticipated expendilure. 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 Trusteés annually monitor and review the Reserves Policy. Investment Policy: The overall investmenl policy aims to achieve capital growth, with a medium level of risk, taking a long- term view. Investmenls can be made across fixed interest investments, UK and overseas equities, property and alternative asséts. Fixed interest inveslments can be made in UK Government stocks (no restrictions), loan sto¢ks of UK blue 25 chip equilies, 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 Ihe 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 andlor investmenl twsts. No more than 250/0 of the tolal equity allocation is to be invested in non-UK stocks and only through unit trusts and investment trusts. A maximum of 10 % of the value of the portfolio may be invested in emerging markets through unit trusts and investment trusts. No investment should exceed 50/0 of the total value of the funds under management. Investments in tobacco stocks, hedge funds, derivalives and direct investments in commodities are nol permltted. The Board has given authority for the investments to be managed by the Investment Manager on a discretionary basis. Investment Performance 2022-23: During the year to 31 March 2023, the portfollo returned -3.2% compared to a retum of +2.92Yo for the FTSE All Share index. These are total relum performance figures on a tlme weighted basls. (Source.. Inv8stec We811h & 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: Select suitable accounting policies and then apply them consistently Make judgements and estimates that are reasonable and prudent State whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the financial statements Prepare the financial statements on a going concern basis unless it is appropriate to presume that the charity will not continue in business In 80 far as the Trustees are aware.. There is no relevant audit information of which the company's auditors are unaware., and The Trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditors are aware of that information The Trustees are responsible for keeping accounting records, whif h 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 thatthey have referred to the guidance contained in the Charity Commission's general guidance on public benefitwhen 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 27th November 2023 27 WIRRAL HOSPICE, STJOHN'S COMPANY LIMITED BY GUARANTEE INDEPENDENT AUDITORS REPORT TOTHE MEMBERS OF WIRRAL HOSPICE STJOHN'S OplThlon We have audlted the accounts of Wlrral Hosplce St John'5 Ithe"Charlty"l and Its subsld1ary Ithe"Group I for the year ended 31 March 2023 whlch comprlse the Con501idated Ststement ol Flnanclal A¢Uvltles. the Consolldated and parenttharltable company Balance Sheets. the Consolldated Statement of Cash Flow5 and the notesio the accounts,1ncluding a summaryof sI8nlflcant accountlng polltles. The flnancial reportln8 framework that ha5 been applled In thelr preparatlon Is applicable law and Unlted Kln8dom Accountlng Stsndards. In¢ludlng Flnanclal Reportlng Standard 102 The Flnanclal Reporting Standard appllcable In the UKand RepLsbllr of Ireland Iunlted Kln8dorn Generally Accepted Accountlng Practlcèl. In ouroplnlon. the flnanclal 5tatements'. -glve 8 true and falrvlew of the state of the Group's and Charlty's affalrs as at 31 March 2023 and olthe group's Incorning resources and appllcatlon of resources. Includln8 its Income and expendlture. for the year then ended.. - have been properly prepared In accordance wilh Unlted Kln8dom Generally A¢¢epted Accountln8 Practice., and - have been prepared In accordance ￿th the requ1￿ments of the Companles Att 2006. Basls foroplnlon We conducted ouraudlt In accordance wlth Internatlonal Standards on Audltlng IUKI11SAs IUKII and appll¢able law. Our responslbllltles underthose standards are further descrlbed In the Auditor'5 responslbllltles for the audlt of the accounts sectlon of our report. We are Independent of the Group and Charlty in accordance wlth the ethlcal requirements that are relevant to our audht of the accounts in the UK, Intludlng the FRC'S Ethl¢al Standard. and we have fu￿￿11ed our other ethlc81 responslbllltie5 In èC¢Drdance wlth these reoulrements. We belleve thatthe audlt evldence we have obtsined Is sufflclent and approprlateto pro￿de a basls for our oplnion. Cmcluslons relatlngto 8olng concern In ¥udifin8 the financial statements. we have concluded that theTr preparation of flnanclal staternents Is appropriate. Stee5, 115e of the 8oln8 concern ba51s of a£¢ountln8 In the Based on the work we have performed, we have not Identified anymaterlal uncertalntie5 relatlngto events or condltions that. indlvldually orcollectlvelyi may cast sl6nlficant doubt on the group's or that charlty's ablllty to continue as a goln8 concern for a perlod of at least twelve months from when the flnanclal statements are authorlsed for155ue. Our responslbllltles and the responsibllltle5 of the Trustees wlth respectlo 8olng concern are described In the relevant 5ectlons of thls report. Otherlnformatlon The trustees are responslble tor the other Informatton. The other Informatlon comprises the Inlormatlon included In the annual report. other than the financial statements and our èudltor's report thereon. aur opinlon on the Inanclal statements does not cover the other Informatlon 3nd, exceptto the extentotherwlse expll¢ltlystated In our report. we do not express anyform of a55uran¢e Concluslon thereon. In connectlon wlth our audlt of thethnanclal statements. our responsiblllty Isto read the other Informatlon and. Sn dolng SO. conslder whetherthe other informatlon Is materlally Inconslstent wlth the financlal staternents or our knowledge obtsined In the audit or othetwlse appears to be materlally mlsstated. Il we Identlfy such material in¢onslstencles or apparent materlal m155tatements. we are Te4ulred to determlne whether there15 a m8terlal mlsstatement In the flnanclal statements or a material mlsstatement of the other Informatlon. If. based on the work we have performed. we condude thil there Is materlal mlsstatement of thls other Informatlon, we are requlred to rep)rt that fact. We hove nothlng to report In thls regard. 28 WIRRAL HOSPICE, STJOHN'S COMPANY IIMITED BY GUARANTEE INDEPENDENT AUDITORS REPORT TOTHE MEMBERS OF WIRRAL HOSPICE STJOHN'S opin1￿$ on othei matters presulbed byth* Comp•nlesAct 21￿6 In ouroplnlon, based on the work undertaken Thi the £our5e of our aydlt.. - the informatlon gl¥en In the Tru5tees' ReporL whlch Incltjdesthe n1￿clOr9. Report prepared forthe purposes of tompanylaw. for the financial yearforwhkch the flnanclal stètements are prepared 15 conslstent wlth the financlal ststernents- and - the Directors, Report included wlthln theTru5tees' Report has been prÈp8red in accordancewiih 8ppll£able IEgal rÈqulrements. m￿ter$ on whlch we ale ieq¥lred to f470rt by*x¢eptlon In the lightof the knowledge and understandin8 olthE Sroup ènd the CharityaAd ihelr envlronmentobtalned Sn the course of the audlt, we have r￿t Identilled materlal mlsstatemeTrt5 In the Dlrectors, Report included vjlthln theTrustees' Report. We have noth*ng to report In re5pett of thÈ followlr58 matters In relatlon to which the Comp8nles Act 2006 requlles us to reportto you If, In our oplnion.. . adequate accountlng recoTds have not been kept bythe charlty, or returns adequate forour iudlt have nol been re¢eEved from branches not vIsi￿d by us. or - the Charityaccounts are not In agreement wlth the accountlng records and returns,. or certain dlsclosures ol trustees, remunerotion 5pecWied by law are made,. or we have not retelved all the inlormatlon ind explanatlons we requlre for our audlt. o¥ - the trustees were not entltled to preparethe linanclBI 5tatement5 in a¢¢ordance with the 5m411 ¢ompanles reglme and take advantage of the small companies, eKemptlDns In prep•rlng the Trustees, RepDrt and from the requlrementto prepare a Strategic Report. Respan$lbllltles ol trusiees As explalned morelully in the Statement ofTru$tees' Respon5ibilitles. the trustees, who are also the dlreckns of the Charlly for the purpose of companylaw, responslbke forihe preparation of the accounts and for beln85atisfied that they Elve a true and fair wew, and forsuch intern&1 control as the Trustee5 determlne Is ￿￿esSaryt0 enablethe preparitlon of Jrcounts that arefree frotn matsrlal m155tatemenL whether due io fraud orerror. In preparit)gthe accounts. the trustees are respon51blelor a5se5sln8 the fjroup's and the Charlt*s ability to contlnve 45 4 golng concem. dlsc105ing, as appllcable, matters relatedto 8olng concern and using the gDlng concern basls of accountin unle55 the trustee5elther Intend to liquidate the Kroup orthe charltyor to cease operatiDns. or have no re81lstlc alterDatlve butto do $0. 29 WIRRAL HOSPICE, STJOHN'S COMPANY LIMITED BY GUARANTEE INDEPENDENT AUDITOR5 REPORT TOTHE MEMBERS OF WIRRALHOSPICE sfJoHN'S Audltor's responslbiiiile$for the audltof Ihe finan¢lol st¥tements Our objectives 8rÈte obtsln rea50th4ble assurance aboutwhether the finan¢i¥l srdtements as a whole are free frotn materlal mlsstatemenL whether due to fraud or error, and to issue an 3udltor'5 report that includesour oplnlon. Reasonable assurance Is a hlgh ￿Ve1 of ossurèn¢e. but15 not a Kuaranteethat an audlt conducted accordèn¢e with ISAS IUKI wlll a1way5 detect ter4al mi55tatementwhen It ex15ts. M15Statements can arlsefrom fraud or error and areconsldered materih1 if, indivldu&llv or In the a8gre8ate. they could reasorkably be expected to influence the economk dectslons of users taken on the ba515 of thesefinanci41 ststements. Irregularltles, Includlng fraud, are instances of non-Corn￿1anCe ￿th laws aNJ re8ulatlon& We deslgn procedures In Ilne wth our responsibillties. outllned above, to detert materSal mlsstatemellts in rpspect of Irreeul£rltles, Indudingfraud. The extent to whlch our procedures are capable of dete¢tSng Irregularltles, IncSudlngfraud.15 detzlled be50w. The exlent towhlth the 8udltwas ronsldered capable ol detet¢lnKlrre8ularliles, Includlnzfi•ud. Chjr approa¢h to ideniifylng and assessing the rfsks of materlal misstatement In respectof IrreEularitle5, In¢ludingf¥aud and non-compliante with laws and regulatknns, was asfollows.. the en84gement partner ensured that the engagementteam collectlvdy had the approprfgte¢ompetenc4 capabllitles and skills to Identlfy or Tecogn15e non-compllancewlth appli¢able laws Ind regulatlons,. we identiled the laws and re8ul3tlons applKable to ihe companythrough dSscussionswlth dlrettors and other management we focused on speclfic laws and Te8ulations whlch we con51dered may have a dI￿tt materlal effert on the financlal ststements or the operation5 of the companyj Indudlngthe Companles Act 2006, taxaiion leglslatlon and data protectign. antl- briberyi employment and health and safety leglslation,. we assessed the extent of compllance wlth the laws and resulat1ons Identlfled abovethrou8h maklng enqulrles of management and Inspectln8 legal correspondence identified laws and regulation5 were communlcated wlthln the audltteam regulaAy and the team remalned alert to Instsnce5 of noTrcampllance throuRhoutthe audlt. We assessed the susieptibi11ty of the companW$fl*81)clal stètementsto material mlsstatsmen¢ Incl￿1￿£ obtalfilng an ndersr3ndln8 of howfiaud rnight occur, by.. maklng enqLtlrfes ol managprnent as to where they ¢onsldered there was susceptibilltyto fraud. thelr thtrwiedge of actual, 5uspe¢ted and alle8ed fraud,. 4nd ctsnslderfng the Internal controls In place to mWgate risks of fraud and non.compll4nce wlth laws and regulatlons. To address the rlsk of Iraud through management blis and overrlde of controls, we- performed analytlcal procedures tt) Identlfy any unusu21 or uneK4)ected relationshlps.. tested journal entriesto Identify unusual transactions; and asse55ed whetherludgements and assumptlons made In determlnlng the accountlnB e511mates were Inthcatfve of potent131 blas,. and ve5tlEated the ratlonale behlnd 51gnlfic8nt or Unu￿￿1 transa¢tlons. In response tothe ri$k of irregularltles and non-compllance wlth laws and regulatlons. we de%Bned yocedures which includèd. but were not limited to.. agreeingtlnancial statementdlscltssuresto underlyln8 5UPPDrllng dotumentatloTh,' readinÈ the minutes of meetlngs of those charged wlth governante., and enqulrlng of management as toactual and potentkl IltlgatloD and c14ims. WIRRAI HOSPICE, STJOHN'S COMPANY LIMITED BY GUARANTEE INDEPENDENT AUDITORS REPORT TOYHE MEMBERS OF WIRRAL HOSPICE STJOHN'S There are inherent limltètlons In our audit procedures descTlbed above. The rnore removed that laws and rÈ¥ulatlon5 are from flnancièl transattions, Ihe less Ilkely It15that we would become awar2 of non-compliance. Audltln6 5tsnd&rds also Ilmlt the audlt procedures requlred to identify non.compllance wlth laws and rÈ8ulat10Th5to enqulryof the directors ènd other manigement and the Inspectlon of re8ulatoryand legal correspondence, If anv. Material mlsstatementsih& arise due tofraud can be harder io detectthan thosethatarlse from eNor as they may involve dellberate concealment ortolluslon. Afunher de5crlption of our re5wbnslbllklesfor the audlt of the fln3nclal statements Is lotated on the Flnanclal Reportln8 Council's webslte at.. http.'l/www.trc.org.uVaudltorsrespothslbllltle5. Thls dexrlptlon fom15 Partof our audlto¢5 report. useof report This report Is made soletyto the ¢ha¥iiable company's members, as ) body. In accoidan¢e wlth thapter 3 of parE 16 of the Companles Act 2006. Our auditwork has been undertaken so thatwe mlghtstate to the ¢harltable cornpany'5 membersthose rnatters we are required to Stateto them Sn an audltors, report and for no other purpose.To the fullest extent permltted by law. we dts not acceptar assume respon51blllty to anyone other than the chgritable company and the charitsble £ompany's members as a bodyt for oijr audStwork, for thls rewrt, orforthe opinlons we have formed. ÉLLLQ4 Lotslse Ca54yACA (Senlor StatuioryAudltorl lor and on bqh•lf of BWM 2811212023 Chartered Account)nl$ Stalutory Auditor Tempest Suite 5.1 12 Tithebarn Street Liverpool L2 2DT 31 WIRRAL HOSPICE, STJOHN'S COMPANY LIMITED BY GUARANTEE CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES (INCLUDING INCOME AND EXPENDITURE ACCOUNTI For the year ended 31 March 2023 Y8ar 8ndèd 31.03.2023 Unrostrlctsd Funds Y•ar ended 31.03.2023 Re5tr5cied Fund8 Yearènd J1.03.2023 Total Ygar •nd8d 31.03.2022 Total FurEd5 Note Fund8 Income Incom? from generated funds.. Donations a￿1 Legacies oth&r Trading Aeuvities Inv45trnents 3,024,433 2,248.$31 185,111 5,458,075 3,024,433 2.248.531 185,111 5.458,07S 1,979.544 1.927,101 145.084 4,051,729 Income from chaiitabl• activitie$ 2,4e3,816 47,238 2,511,052 2,678.642 Total Income 7,921,891 47,236 7.989,127 6,730,371 Exp•ndlture Co$1$ ol raL8ing funds Fundraising ¢osts Invèstment man8gemenl Costs Charitablg activities 31al 31bl 31,334 1,564.012 22,163 5,032,810 31,334 1.564,012 22,163 5,129,973 29,785 1,345,tr46 45.712 4.265,121 97,163 Total expendlture 6.650.319 97,163 6,747.482 5,686,564 Net In¢omo1oxpendlturg 1,271,S72 149,9271 1.221,645 1.043,807 Nèt GainsllLo$s851 on InvestmgDts Gain on Disposal of FiKad AsBets 13e6,9611 1368,9611 159,468 1,200 N8t rnovémont In fund8 14 904,611 {49,92n 854,684 1,204,475 R9conclllatlon of Funds Total funds broL¢uht fmvawd at l April 2022 12,345,314 1,995,432 14,340,746 13,136,271 Total fund8 carrlgd forwaid at31 March 2023 13,249.925 1.945,505 15,195,430 14,340,746 The Statement of Flnanclal Activities Includes all g4lns and10sse5 recogni5ed In the year. All Sncome and expendlture derlve from contlnuin8 actlvlties. The notes at pages 36 to 52 form part of these a¢counts. 3Z WIRRAL HOSPICE, STJOHN'S COMPANY LIMITED BY GUARANTEE CONSOLIDATÉD BALANCE SHEET As at 31 March 2023 Note 1023 2023 2022 2022 Fbxed assets Tanglble assets Investments S.047,318 6,517,S56 4,970,210 6,899,022 11,564.874 11,869.232 CurrentassetS Stocks Debtors Cash at bank and In hand io li 12 3,831 5,745,911 1,916,579 1,557 1,058,805 1,952,684 S.666,321 3,013,046 Creditor5'. amounts fallingdue wlthln one year 13 12,03S,7651 1541,5321 Net turrent assets 3.630,556 2,471,514 Net asset5 15.195,430 14.340,746 The funds of the charity Restrlcted Incotnefunds Unrestricted Income funds General Flxed Assets Oeslgnated Totsl unrestrlcted funds 14 14 1,945,505 1.995,432 6,116,421 3.188,503 3,945,000 4,956.039 3,056,275 4,333,000 13,249,925 12,345,314 T￿81 charltyfunds 15,195,430 14.340,746 The notes at page$ 36to 52 lorm partof these accounts. The dirertors approved thelinanclal ststements on 27th November 2023 5 Schroeder Dlre¢¢or J Wynne Dlrecior Company Re8lStratlon Number: 1518364 33 WIRRAL HOSPICE, STJOHN'S COMPANY LIMITED BY GUARANTEE CHARITY BALANCE SHEET As at 31 March 2023 Note 2023 2023 2022 2022 Ftxed asset5 Tanglble asset5 Investments 5,047,318 6,517,558 4.970,210 6.899,024 11,564.876 11,869.234 Current assets Debtors Cash at bankand In hand li 12 3,795,990 1.867,691 1,143,349 1,865.652 5.663,681 3,IX)9.001 Credltors.. amounts falllng due wlthln one year 13 12,033,127) 1537.4891 Net current assets 3,630,554 2,471.512 Net assets 15,195A30 14,340,746 The lund$ of the charlty Re5trlcted Incorne funds un￿strICted income funds General Fixed Assets Deslgnated Total unrestrlctsd funds 14 14 1,945,505 1.995,432 6,116,422 3,188,503 3.945,000 4,956,039 3.056,275 4,333.000 13,249,925 12,345,314 Total charity funds 15.195N30 14.340,746 The notes at Pages 36 to 52 form part of these accounts. The dlrectors approved the flnanclal statements on 27th November 2023 S Schroeder DITO¢tor J Wynne D5rertor Company Reglstratlon Number.. J518364 34 WIRRAL HOSPICE, STJOHN'S COMPANY LIMITED BY GUARANTEE CONSOLIDATED STATEMENT OF CASH FLOWS As at 31 March 2023 2023 2022 Cash flows from operatlng a¢tlvltles Net Income for the financlal year Ibefore investment revaluations) Adjustments for: Depreclation of tanglble assets Profit on disposal of investments Profit on disposal of tangible fixed assets Ilncreasel l Decrease in trade and other debtors Ilncreasel l Decrease in stocks (Decreasell Increase In creditors Net Cash provided by operatlng actlvities 1,197,043 1,280,957 284,505 24,602 250,009 1237,1501 1,200 395,700 3,620 1877,3711 816,965 12,687,1061 12,2741 1,494,233 311,003 Cash flows t¥om Investlng attivitles Proceeds from sale of investments Purchases of tangible assets Purchases of investments {IncreasellDecfease In cash held by stockbrokers Net cash lused Inl I provlded by Investing actlvltles 943,173 1361,6131 1989,4841 60,816 1347,1081 705,394 1212.9811 11,000,821) 1172,7951 1681,2031 Net (Decrease) I Increase In cash and cash equlvalents 136.1051 135,762 Cash and cash equlvalents at the beglnning of year 1,952,684 1,816,922 Cash and cash equlvalents at the end ol the year 1,916,579 1,952,684 35 WIRBAI HOSPICE STJOHN'S COMPANY LIMtrED BY GUARANTEE NOTE5 TO THE ACCOUNTS FrN theyearended 31 Marth 2023 I. ACCOUNTING POLICIES CHARITY INFORMATION Wlrral H05pl¢eStJohn's Is a re￿Stere11(harityaThd a pr￿ate companyllmhed by8uaTanteelncorporatedkn £n￿8Th￿ &Wale5. The ieglstered office Is Mount Road, Hlgher Beblwton, Wlrral CH63 6JE BASIS OF PREPARATION The flnanclal statement5 havebeen wepared Inaccordan¢ewhh thetharftY'5 memorandum and aYtl¢lesof a5sockllon, thÈCompanlesAct 2006, FRS102 'The Financlal Reportln8Standard applltable In Ihe UK and RepublI¢of1￿Iand. I'FRS 102.1 and theCharltlesSORP 'Accountlngand Reporiingby Charllle5.' Statement of Recomrnended Pracllce applIcab￿ lo charltle5 wÈpailnethelraccount5 In accordance wllh the Flnanclal RÈPOrtlngSt3nd3rd 3pplICab￿ Inthe UK and Aepubllcof Irehnd IFRS 1021 leffectlve I january 20191. Wlrral H05plce Stjohn's meets tle def4nltlvn of a publlc benefitenllty under FRS 102.A55et5 and Ilabililles are Inltlally reco8nlsed at hlstorkal r05t¢rtransaciionvalue un￿$S01he￿$e slated Inthe re￿Vant acwuntlng polliynotelsl. Thefin3nclal statetnentsare prepared In 5terllll8, whlch lsthe functlonal Currencyofthechar￿. Monetaryamounisln these flnandal siatementsare roundedtothe neare51 £. prlnclpal accountln8pollclesof the groupare setout bdow. BASIS OF COIISOIIDATION Thegroup financia15tatement5consdld3tethoseof the company and ofhs subsldlary under-taklnÈlseenore 81, drawn upto31 March 2023. Proflt5 or bsseson Inrra 8roup Iransè¢tloDs areellmlnatedlnfull.Tre result5of the¢hailVssubsld13ry have been In¢orporated on NO speclficSOFAorlncome & Expendhture acwunt has been presentedfortheparent charltyalonebecau5e the charlty hastaken èd¥anta8eof the exempiion afforded by5e¢tlon408 of the com￿nIeS￿¢t 2006and undertheSORP. GOING CONCERN At thetlme of approvlngtheaccounts, thetrustees havea reasonable expectallM that rhe Ch3rltyha53dequate iesourcestoconiinue In operatlonal exlstentr forthe foreseeab￿ furuTe.Thu5theTrusteescontlnueto adoptthe8olng concern baslsof accountlng In p￿parIng theaccounts. FLINDACCOifyNTING Funds he￿ bythecharllyareelther.. Unre51rlcted general fund5-thÈse arÈfundswhlch can be used In aecordantr W￿hthe(hlr￿able obleclsat the dlscretlon of thetru#ees. Designated fund5-1he5ed￿ unrestrlcted fundsset aslde bythe trustees outof unrestr1cted8eneral fundsand cornprlseof the follo￿￿8.. Fouryears of forecastCaplt31 ExpendilureÉ952,orM). ser￿¢t Development fundforrhe next4 years E2cK),￿o, Forecastdeflcltsfundforihe nexrfouryears£883,000 afundforthe prov1sl0nforclosu￿ costs of £I,100,(M￿ and 3 fund forthe malntenante and upgradlng Of our faclllllesover Ihe next tenyÈars, asrecornrnended by a 6-Facetsoivey. of £810,￿0. Wherethedlie¢iors wnslder ht approprlate, having regèrdtoihe Intended use of ihe moneyi fundsare tran5feriedtothe DeslEnèted fund from the Genwal fund. Resirlcted lunds-these are fundswhlch can only be used for partlcul¥rrestrlcted purpDses wlthln the<*lectsolthe charfty. The bala￿e Inthe Restrlcted fund Includesdonaiions recelved Spec￿callY loflnince capltal expendilJ<È, le55 revenuÈcosts and deprectsfion to date, and Is represented on the balancesheet asa prwrtkjnof the book amDuntof tanglblef4xedassets and bank balances. INCOME Income from donatk)nsand8rantsare attounted for Intheaccountlngyearln whlchthey are recelvaNe. except asfoilows.. - When dofior5 5peclfythat donatk)nsand 8rants8l¥en must be used Infulureaccountlns perfod¥ the Inwme -when donors Imp05et¢ndltlon4véhl¢h haveto befuW111ed before the charltybecomeseniitled touse such Income, the Income Isdeferred and notlncluded In Incotnln8 iesource5 untll the pre-condltlons havebeell met. WIARAL HOSPICE5TJOHN'S WIRRAL HOSPICE, STJOHNS COMPANY LIMITED BY GUARANTEE NOTESTO THE ACCOUNTS Forlheyeare￿ded 31 March 2023 INCOM£IContlnuedl WtrerElega¢les haveb2en notffied tothecharlly, Wthe th3¥itylswareof the 8rantlngof prDbate. t￿Cr￿trI￿f0r Income rK08Th￿I0n hawe not been rneLthenthe ￿8*￿￿$1reltedas a tontlnEent )sset and dlscb5edif rnat¢i¢al. Income dthved fromtr3dlngacklvitle515 ar¢w￿ted for lrnthe ¥c¢ountln8ye¥i Inwhlch It ￿ receweth LoitetylncoMe15 actounted for In rryect of those weektydraw5whkh ha¥etsken p13cedwii8theyear. INVESTMENTS Flxed AysEt ithvo$tmB Thts Investments areaforin of ba4¢nnancKIl InstNmentand are In￿￿311¥ recoBnised atlhelrtran5actlonvalueandsubsequentlymea5ur£d thelrfalrvalue as atthe &&kn￿ 5heÈtdate usIn8t￿ closln8qUQted Mark￿ prltt. The 5tatementoffin8ncial da￿￿lEs￿Cludestht net 8Jln5 and losses èylslngon revaluatlornand dIspos￿st￿r0ughoUItheVeèr, Thethatitydoes nottakeouf Drputaptlon5. derfyathves0roth2rcom￿tXfinand￿ Ir￿r￿MEnts. Ihe mBlnform of I[r￿n£la1 riskfac£d bythech3rlty15thai ofvolitiiiryln eqvltymarketsand InVeS￿ent markeis clue rowlde( economicwnditlon& the attitL￿£ of invesrtssto InveslmentiisK andthaftges ln5entimentconcernln8equille5and wlthln p3rtkulai sectors orS￿h seciors. A 5ubsldiary is ar}en￿lY contiolleLI bytheCharlty.Conlrol15the powerto govern theflnancesand operatlngpdlciesof the t￿tity$0 asto oL*aln benents (rom It$ 8tt1%7tles. Reallsed $ain$ and Losse5 All 8ainsandlosse5are takentotheslatementtsf FInanc￿lAC￿￿11e5￿5 thryarlse. Re3nsed8alnsand1055es9rnlnvesimentS3ret*ul3ted &5thedlfFeren¢e between sales pr￿eeds&￿￿ thelr purchase value. unrÈ8iised ealns and k>sse53re calcvloted asthe dffference bEtwe thtrfalrvalue atthe yeai endèTrdthelf carry1neval￿e. Rea11sed and unieallsed Investment ylnsand losse5 are cOmb￿ed inthesiatement of FknatKl3lAcliwtitrs. CASH AND C4SH EqVIVALENTS cash andcashequlvalentsliclude cash Ill hand. dEposlts held atcall wllh b￿*5, Othershortterm Ilquld Iwestmtntswilh orwnal matuiitlesof three monthsor less ènd baL*overdrafts. OPERATING IWES Rentak5 pdyable ￿￿rOper3t4¥ leasÈsarechar8ed tothestsiementof FlrEandal Artlvltlesaslncurred owertheterrn of the lease. TANGIBIE FIXEDASSETSAND DEPRECIATION Indlvldual flxed asseis are capltsllsed at ccslwhtrethey are Identlfled asbelngtor continulDBuse lThthechariys aCllvStles. Wreaation CalcU￿ted to wriredowfi the costof alltaffl8lblefjAed assets byeoual annu41 lThsta1mentsona str318*t-Iine basl%asfollows'. HDspke piemb£s Chartty shops Fund-r3lslng offlcelÉducatlon cfrntie -£oulpment,ftKture5 and flltln85 50year$ So￿al$ 7yÈars 50years 7 years 4 years 4year5 Medlcal and offlceequlpment compther equipment Motorvehlcles Itnpalrment reviewsare caTrkd OLrtonanyassÈts ¥Yhere an Indkatk)n thatthe recovErable8mou*t lsbek)wthe rlet boDkwdluÈ. NO assets have been wbleu rganlrnpèlymerntre￿ew. EMPLOYEE MENEFrrs Thecost of anyunused hOl￿aYenti1leMenI Is recosnlseé IntheperlL￿ Irswhl¢htheemployee's$ervlce53re recelved. TemilDallon beneflts are reco8nlsed Immedktelyas an em￿se whenthecharttyis ￿￿o￿lIrabty¢¢MMlttedtotérmInateIhe Employmentol￿eMpIOy￿e orto pYovldetermlnaiionbenefti> 37 WIRRALHOSPICE, 5TJOHN'S COMPANY lIm￿ED YY GUARANTEE NOTES TO THE ACCOUNT5 Fortheyearended 31 Marth 2023 ¥rixK StOLkhstatedaithel(rtMof costa￿n￿trell1s4￿eValwp. DOn￿￿$teM50f $lo¢kaienotv4lued onrttelpta5 thIS￿￿ksbeh￿ractk￿l. CONYRIAUTIONSTOPENSION SCHEMES (Joflnod tontrlbuuon SchemE* ThÈyoJpcoDITthuteStowaYdsthe NTrI5 penskn5themeandthelknupFlevible Rel￿en￿ntI￿a￿fNe￿lovee5YAwarenlem￿er5Q1 Wthttschame.The HSpenSiMsthernÈ L% adeWTred bpnefit5themebulthgs(￿pl5￿￿abIetoldÈntlfyIl5$h￿reQftheU￿ded¥￿QjSsttyIndIl8bl1llleS. Thepewlgn(05tschoiged hs4insipr¢fiisiepre5entthe amouniolcontrlbutknn5 pav3tlÈtot￿s¢hempsIThr&ptCt0lthea¢toUm￿rÉ￿rfQd. EXPENDITURE EyendlturiwhlchlsthaF8Ed ttnanaccrualstsiiS,Is alloc￿ed￿etr￿en'. exppndbtuie I￿rA￿redd1reCuy1othe1U1fi4Mento11hc(ha￿t1SthjectIVes IcharttsL4eactfvWI,. expendtt￿￿ In¢LwreddiiectlylnthÈeffortt¢ r4lsevolvTrtsry Flnanda1 insiiumEnt5arereco8Thl¥tdintheth¥lV3 b&Ian￿5￿ee1Whenthetha[1tybECQMes pmtothE(on¢racw4 prNlskn)softhekn5trument. Fln4nclal a55eiS and Illbi￿￿e$ are off￿(w7ththe rrtt JrntyJThts presenthdlnthe fina￿415￿te￿ÈnlS wheThtheiels a l28altyenfoiceable rl8hl itss* ofr therewlsed ￿dthe¥*1s1D1nt¢￿￿L*)fO3ellle0Tr anet ¥toreal15tthE￿5et ￿dIe￿]ethe1IètsIitylIMv1t)rw￿s1Y. ba*lcllnaftclal•$$ots eas￿ fminclal assets. dEbtors and cash afid b￿k b￿anCeS, ale1￿￿ally meèsured èttlartsa￿￿n ￿¢￿Ind￿dINg1ra￿￿C￿tsft cosis and are 5ubse4uÈntty tNtEd asnotrwrientNobllltle5.Tiadeuth4 e Tecwlsed InttI¥l￿ Rtgiawaw￿p￿ke￿J5ubSt￿Wltyrnt1sureOaI 8rnC¢t1sedc95tu￿n¥the eff¢¢tivÈlnteTe5tmethod. flThanrialliabllltie5 a[¢ derecogn15ed whentheihaiiws coDti8ctu*owJw1oNsey￿reN4redSthjlI2d orcancdled. CRITICALACCOUNTING E5TIMATESAND JVDGEMENTS lnthe4p￿Ita￿onoftht cbaTIV5Accoun¥￿POIl(les,lheT1￿st¢es￿rEr￿UIrett10rnakejUdgcrnvftts, e5tlm)iesandaswmptlcth aboutthe cèrryl amouniof assetslndliabllllle51hatartnot￿1dltyapP￿entr￿(￿￿ othersouice5. rhe esumales w&assoc1*2d assumptlon59febased onF*St￿¢1I e¥wlonctsèndoiherfa¢torsth&tare33 15?,60tI 13.136,271 1.204A75 18,092 3.056,275 1231,0 4,333 1,995A31 14.340,746 Unresirk-ted D951￿¥ted OeyelDpm*mt Iwd$ vnrèstrl¢Èed ￿e￿er￿lI¥￿4S Unre5tdcted l*edAsset5 Resirkted ZIJZZTOtAI Repretsent￿ by.. Tanglblefixed assets IDvesÈments Cash at bink and hand (Mherhet curreni a55et5 3,056,275 1.911935 4.970,21 609Y,022 1,9S2,684 51#,830 14.340.746 2.566P12 1,871,187 518 830 ,333,CM)O 81.497 3.056.27S 4.333,QQD 1,995A32 Th•COM￿nY PrltsrY¢ar Unresttlrted DeslEngtfd Dv4elopmfTrt fundi Unrestrlrted G&Theial lund$ vr1￿¥fICle Flxed A￿1$ R•rtrktedFuThds 2022Totsl ai iAprll 2021 4,943M55 1,262m6 1.249 ￿ 2 4,956￿39 3,038,IB3 S,1￿2,￿0 ￿￿53,￿33 157,6011 13.136,271 1,204.475 Transfers Asat JI March 2022 18.092 Y.056,27S 1,23 4,383,000 L99S,431 14,340.716 u*rEStrkteO D¢siÉnoted Development funds Restri¢tod UnMltwl¢t•d $4neialfund¥ Unresukied d Assets Z022Totsl Repre5ffrted br. TangIb1ef￿d as5e15 Investrner*t5 Cash atbankand ih hand Other nei curient a55ets aJ>56,275 1,913,935 4,970.2JD 5,899,024 1.865,652 605￿60 14,340.746 2586,024 1,7B4,155 605,860 4,956 039 4,3330 81,497 05¢27S 4,333.40 1,995 432 The parent u￿dEr￿￿kIng ha5t*ken adWdnio￿Ot Section 408of theComp3n*5Att2fpJ6and has notlnduded Itsown pro(iiand knss •ccoun¢kn thesefln*dal siatemtnts. The£roup surplu5fortheyÈ9rlDdudesJ5urplus ffQrn th¥pafent¢ompanyof É854.68I12D2Z'. $urpbJ5 É1.204,4751, wh1th1sdealtwlth In the flnanÈlal SVdtemeDts olthecompany. The ￿NeSt[Ic¢*d developmelltfund5 In place to¢over?ntltlpated expEndiiure D￿￿￿S￿le￿ed aSSetsa￿ ope¢atknal dÈ¥elopments In the nexr4yÈar$. A breakdown of %hi$lund Is Included Inthe FundAccountkn8 p￿1(Yo￿p3￿36. 49 WIRRAL FIOSPICE. STJOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS As at 31 March 2023 IS. RESTRICTED FUNDS The Group and the Company At 1.4.22 IncorT Expendlture At31.03.23 Sunrlse AppÈal Aftniversary Appeal Inpatlent Refurblshment KltchÈn Appoal Patknt Information Centre App¥entlc8 Fundin8 Pallabow4tiv¢ Fund5 Blthroom Refurb15hment 413,172 613,233 390,OOD 32,776 464.754 77,877 3,620 117,6171 115.6181 iio,0001 18201 111,0651 395,55S 597,615 380,000 31,9S6 453,689 77,877 5,813 1,000 1,945.505 5,018 42,218 47,236 12,8251 139,2181 197,1631 1,995,432 The above fund5 represent amounts Ye￿1Ve￿ mainly to flnance capltal ewendlture. The Sunrlse Appeal raised over £lm tolund the con$tructk>n of a new purpose ljullt Inpatlent hospi¢e whlch opened In 1996. The Annlversary Appeal ra15ed fundsto Construct a new Outpaiient ser￿Ce bulldlngwhl¢h wa$C￿￿pIeted In 2008. The Inpatlent5 Refurblshment was a grant received from the Departrnentof Health forth¢ remodelllng and Improvement of the Inpatlent5 Ward of thÈ H05pke.Thi5 has been Included within Hosplce Preml$es in fixÈd asset5. The Kltchen Appeal raked fund5to red¢velop the Hosp1￿ Kitchen, whlch wa5 rompleted In 2012 The Patient Informatlon Centre is a grant re￿Ived fvom the Department of HÈalth for the redevelopment and exten5i0n of a bulldlngfor use as patlent Informatlon ¢entre and of11￿ spacÈ for ovr Inte8rat¢d shared care team. Thls has been ¢n¢luded wlthln H05pi¢e Prtmlses In flxed a55ets. Apprentlce Fundin8ls restrlcted In¢omÈ recelved from The Wlrral Postgraduate Medlcal Centre, expressly for the funding of cllnlcal apprentlces. Pallaboratlve funds Is restrltted income. expressly for the fundln8of cllni¢al traInIr￿. NHSE Covld Funding is fundlngwhich the Th* NH5E awarded trj allow the hospi￿ to make available bed capatlty and communltySUPPOrt anij to pr¢vlde support to people wlth ¢omplex needs in the tontextof the COVIO-19 sltijation from Aprll 2021to March 2022 inclusfve. Bathroom Refvrbishment relers to Trust income whlth was recelved 501ely forthe purpose of refurblshln8 bèthroorns in the Inpatlents un Th1515 3 cornparatlveforthe prloryear The Group and the Companv At 1.4.21 In¢ome ExpeDdltiJre Al 31.03.22 Sunr15eAppeal AnnlveisaryAppeal Inpatient Refurblshment Kitchen Appeal Patient Information Centre Apprentice Fundlng P8113boratlve Funds NHSE Covld Fu*din8 430,789 628,851 400,(KIO 33,596 475119 77￿7/ 6.101 117,6171 115.6181 iio.0001 18201 111,0651 413,172 613,233 390,OOD 3Z.776 464,754 77,877 3.620 167 219,373 219,540 12.6481 1219,3731 1277.1411 2,053,033 1,995,432 50 WIRRAL HOSPICE, STJOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS As at 31 March 2023 16. CONTINGENT UABILITIES Neltherthe 8roup nor the company had any contln8ent liabllitles at 31 March 2023 or 31 Marth 2022. 17. CAPITAL COMMITMENTS The group and the compatty had no cap5ts1 comrnitment Ilabllltles as at 31 March 2023. 12022.. nlll 18. OPERATING LEASE COMMITMENTS The total amounts payable respect of operatlng leases for land and bulldings are shown below, analysed accordlng to the expify date of the leases. The Group Z023 The Company 2023 2022 2022 Wlthln one year Between one and flve years More than five years 114,749 324,727 98,500 278,ID9 15,367 391,976 114,749 324,727 98,500 278,109 15,367 391,976 439N76 439A76 19. RELATED PARTY TRANSACTIONS The remuneratlon of the key management personnel is Included in note 6. During the year, the company pald £Nil131st March 2022.. £3,300) Includlng VAT for accountancy advice to Grant Thornton UK LLP. G M Rld8way, who served a5 a Trustee duTing the flnancial year, 15 an employEe of Grant Thornton UK LLP. Durln8 the ytar, the company pald £5,400131$t March 2022.. £3,6001 including VAT for legal advice to Brabners LLP. S Burrows, who served a5 3 Trustee durin8 the prevlous flnancial year, acis as a consultant for Brabners LLP. The group has taken advantage of the disclosure exempti0t15 to which it Is entitled re8ardlng transactlons between parent and 100% owned subsidiary companies and there are no other dlsclDsable related party transattlons. 20. STATUTORY INFORMATION Wirral Hospice Stjohn's is a prlvate company, Ilmited by 8ua¥antee, reg19tered in Engla¢)d and Wales and has no Share capital. Approval has been obtaSned to dlspense wlth 'Llmited° In the name of the companyi being charltable organlsation. The company's registered number and reglstered offlce address can be found on the Reference and Adminlstrative DetaS1s page wlthln the Trustees, Report. The liabillty of the Members Is £NII 51 WIRRAL HOSPICE, STIOHN'S COMPANY LIMITED BY GUARANTEE NOTES TO THE ACCOUNTS As at 31 Mar¢h 2023 21. ANALYSIS OF PRIOR YEIR CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES Yearond•d 31.03.2022 Unfestrictèd Fund& Y8arendÈd 31.03.2022 R¢$tiictèd Funds Yoar•nded 31.03.2022 Total Funds Income DDnallons and L8g8cles Olher Tradlng Actlvltles lThveslthNS 1,979.544 1,927.101 145,084 4.051,729 1,979,544 1,927,101 145,084 4.051,729 In¢ome from ehagitabb activili6S 2,459,102 219,54D 2,678,642 Total Incomo 6,510,831 219,540 6,730,371 Expondltu Co$1$ of raisln9 frtnds FLndral$lng costs Inveslmenl man&gement costs aritable actIvI￿&S Support Costs 29,785 1,348.946 45,712 3.987,960 29,785 1,345,946 45,712 4.265,121 277,141 Total Expondltura 5.409,423 277.141 5.686,564 Wet expondlturo I Incomo 1,101,408 157,6011 1,043,8D7 Galns I (Losses) on In¥estmenl8 Gain on Disposl of Flxed A55ets 159,488 1,200 159,168 1,200 Not mwment fvnds 1.262,076 157,6011 1,204,475 Rectsn¢lllatlon of Fund8 Totgl fund$ brought folv￿d 11.083,238 2.053.033 13,136,271 Totsl fund5 carrS•d fon¥ard 12,345,314 1,995.432 14.340,746 ## **Document Activity Report** ## **Document Sent** Mon, 29 Jan 2024 15:44:08 GMT ## **Document Activity History** Document history shows most recent activity first ## **Date** ## **Activity** You can verify that this is a genuine Portal document by uploading it to the following secure web page: **http://bwm.accountantspace.co.uk/messages/VerifyDocument**