Registered number: 01525658 Charity number: 510824 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE (A company limited by guarantee) COUNCIL MEMBERS. REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) CONTENTS Page Reference and administrative details of the Charity, its Council Members and advisers Council Members. report Independent auditors, report on the financial statements Statement of financial activities 3-26 27-31 32 Balance sheet 33-34 Statement of cash flows 35 Notes to the financial statements 36-61 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) REFERENCE AND ADMINISTRATIVE DETAILS OF THE CHARITh. ITS COUNCIL MEMBERS AND ADVISERS FOR THE YEAR ENDED 31 MARCH 2024 Council Members Mr R Priestman, Chair Mrs L Jones, Wice chair Mr F M Gibbon Mrs J Regan, Treasurer Mr C Shotton Mr J F Ainslie Mrs A Barber (resigned 25 January 2024) Mr S T Chacko {resigned 10 April 2024) Mrs K Martin {resigned 31 July 2023) Dr J Druce Mr P L H Bowes {appointed 27 July 2023) Dr A L Brown Mrs C Dunkerley (appointed 26 March 2024) Mrs V J Smith (appointed 26 March 2024) Company Registered Number 01525658 Charity Registered Number 510824 Registered Office Alice House, Wells Avenue, Hartlepool, TS24 9DA Co£hief Executive Officers Sandra Britten Nicola Haggan Independent Auditors Waltons Business Advisers Limited, Maritime House, Harbour Walk, The Marina, Hartlepool, TS24 OUX Bankers Lloyds TSB, 132 York Road, Hartlepool. TS26 9DD Solicitors Tilly Bailey & INine LLP, York Chambers, Yorf( Road. Hartlepool. TS26 9DP Director of Information Govemance (Chief Executive Operational) Ms S Britten Page 1 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) REFERENCE AND ADMINISTRATIVE DETAILS OF THE CHARITh. ITS COUNCIL MEMBERS AND ADVISERS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Director of Finance Mrs K Burrell Senior Manager Clinical Services Ms K Gibson Senior Manager Corporate Services Ms N Haggan Senior Manager Fundraising Ms J Hildreth Senior Manager Retail Ms K Witherfey Senior Manager Therapeutic Support Services Ms J Grocott Senior Manager Business & Communications Mr G Hildreth Page 2 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS. REPORT FOR THE YEAR ENDED 31 MARCH 2024 The Council Members, who are also Non-Executive Directors of the Charity for the purposes of the Companies Act, submit their Annual Report together the audited Financial Statements of The Hartlepool Hospice Limited (the charity) for the year ended 31 March 2024. The Council Members confirm that the Annual Report and Financial Statements of the Charity comply vrith the current statutory requirements, the requirements of the Charity and the Charity's goveming document and the provisions of the Statement of Recommended Practice {SORP} applicable to charities preparing their accounts in accordance wth the Financial Reporting Standard applicable in the UK and Republic of Ireland {FRS102) (effective l January 2019). Since the Charity qualifies as small under section 382 of the Companies Act 2006, the Strategic report required of medium and large companies under the Companies Act 2006 (Strategic Report and Directors, Report) Regulations 2013 has been omitted. Structure, govemance and management Governing document The Charity is a company limited by guarantee and incorporated in England and Wales. It is governed by its Memorandum and Articles of Association adopted on 31 October 1980 and last amended on 26 September 2013. Governing body The Council is responsible for the overall governan￿ of the Charity- Council Members are either elected or co- opted and there must be a minimum of three Council Members, there is no maximum number of Council Members. The board will be made up of not less than 2 lay Council Members (meaning not appointed to act as a professional advisor) and such number of professional Council Members as the Council Members consider appropriate. Each Council Member shall retire from office at the fourth annual general meeting following the date of his appointment. Any professional director who so retire5 is eligible for re-election by the members or the directors as appropriate. The Hartlepool Hospice Limited is trading as House Hospice. The Council aim to maintain a balanced skills and experience base by identifying skills shortages when an opening exists for a new member. Effective partnership and clarity of differentiation belween govemance and management roles continues to contribute significantly to our Suc￿ss. Apart from the AGM, Council meetings were bi-monthly. At Council meetings the Council Members review perfomiance against agreed strategy and financial performance against agreed budgets. New Council Members re￿1ve an induction pack containing everyihing they need to know about the Charity and its work for effective and informed decision making. The Council Members take full ownership of the Charity's philosophy. five year rolling strategy and annual income and expenditure budgets. The Council delegates the exercise of ￿rtain powers in connection with the financial control of the Charity as set out below. This is controlled by requiring regular reporting back to the Council, so that all decisions made under delegated powers can be ratified by the full Council in due course. In setting the pay and remuneration of staff (including the Senior Management Team) the Council Members have regard to local pay conditions for similar roles in similar organisations in the North East region. Page 3 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Structure, governance and management (continued) Co-chief Executives The leadership roles of Co-chief Executives are responsible for the day to day management of the Charity's affairs and for implementing the strategy as agreed by the Council wthin the boundaries of the budget and various policies and procedures agreed by the Council. They are assisted by the Council Members. The C(FChief Executives have direct responsibility for the effective delivery of the following services and support services- Clinical servI￿s Finance FacilitieslHealth & Safety Information Govemance & Technology Administration Housekeeping Human Resources Therapeutic Support Services Fundraising, Trusts & Legacies Retail Lottery Communications & Corporate Business Partnerships Catering Corporate Governance Processes are in place to ensure that performance throughout the organisation is measured and monitored and all employees are subject to performance management and achievement of competencies. Where employees do not perform to expected standards support is provided through individual action plans. Corporate govemance is assured through a myriad of meetings and reporting mechanisms and evaluated against the Charity's strategy. Intemal audits are reported on a bi-monthly basis to Council Members through the Co Chief Executive and Senior Management Team reports. Finance & Risk Management Sub Committee The Finance & Risk Management Sub Committee comprises Council Members who are independent of the management and free of any relationship that in the opinion of the Council would interfere with the exercise of independent judgement as members of the Sub Committee. The Sub Committee has six bi-monthly meetings per year. It is responsible for the setting of annual income and expenditure budgets and the monitoring of such, including quarterly year-end forecasts. The Sub Committee ensures proper procedures are in place to manage ash resources prudently, and to maximise income from liquid resources whilst maintsining sufficient funds to meet daily cash requirements. The Sub Committee also advises the Council on the appropriate level of free reserves and of any significant change needed in investment strategy. Page 4 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Structure, governance and management (continued) Risk Management The Council have a formal risk management process to assess business risks and implement risk management strategies. This involves identifying the types of risks the Charity faces, prioritising them in terms of potential impact and likelihood of occurrence, and identifying means of mitigating the risks. The Charity maintains a Risk Register, which is regularly reviewed and updated to reflect identified risks. As part of this process the Council Members review the adequacy of the Charity's current intemal controls and the costs of operating particular controls relative to the benefits obtained. Procedures have been established for repo￿.ng failings immediately to appropriate levels of management. The significant risks to which the Charity is vulnerable. and methods in which they are controlled. are= Loss of income Disaster Regular monitoring of financial perfomiance and setting and reviewing budgets. Health, Safety & Environment Manager review" regular risk management meetings {firelloss of power etc). Use of bank staff - relocate patients to other providers. Staff crisis Objectives and activities Public benefit The Council consider that they have complied with their duty in Section 4 of the Charities Act 2006 to have due regard to public benefit guidance published by the Charity Commission vthen setting objects, strategy and objectives. Charity Objects In setting objectives and planning for activities, the Council Members have given due consideration to general guidance published by the Charity Commission relating to public benefit, including the guidance 'PubliG benefit.. running a charity {PB2)'. The Charity's Objects, as set out in the Articles of Association, are to promote the relief of sickness by such charitable means as the charity shall from time to time think fit. The Hospice was established in 1980 as a local charity {Hartlepool Hospice Ltd) delivering specialist palliative care to individuals affected by life limiting illnesses within the local communities of Ha[￿epo01. Stockton-on-Tees and East Durham. The Hospice ensures that people affected by a life limiting illness have the care, comfort and support they need and provides services that add value to life which make a difference to patients and theirfamilies. Page 5 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Objectives and activities (continued) In furtherance of these Objects= It is the Hospice's Vision to ensure that every person, to the last moment of their life has the right to dignity, respect, support and care. It is the Hospice's Mission to provide ServI￿S that add value to lrfe and make a difference to patients and their families. The Hospice upholds the following Values= We value each person as an individual. The patient is at the heart of all of our activities. We believe in the importance of celebrating life and relationships. We will demonstrate integrity and professionalism at all times. We will be modem and progressive and seek out new opportunities to develop our services. We will strive to be the best we can and encourage staff and volunteers to actively seek opportunities for personal growth and development. We will exercise responsible financial management to ensure long term sustainability. The Hospice subscribes to the following Patients. Charter and will.. Respect your dignity. privacy and freedom of choi￿. Involve you and your family when possible in the decision making of your care, adopting an open and honest approach. Supporting those decisions to fulfil your wishes wherever possible. Provide a Multi-Disciplinary Team wth the appropriate skills to meet your ongoing needs. Work collaboratively with other service providers and professionals involved in your care to ensure you receive the help you need when you need it. Support you to live as well as you can for as long as you can. Provide a holistic and individual approach when delivering care and support to you and your family. Provide support not only to you but to those that are important to you as you approach the end of life and during their bereavement. Encourage your involvement in service development by making suggestions as to how we can improve on the services we provide. Page 6 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Objectives and activities (continued) Strategic Objectives As the ￿tUre of Hospice care evolves in the constsntly changing health environment, we have developed positive and effective working relationships that ensure cross organisational integration and representation through different working groups, to identify pressures wthin the healthcare system and to generate innovative solutions to patient service problems. The Hospi￿ has therefore identified the followng strategic goals within the Five Year Strategy (2020-2025), which is refreshed annually.. We will ensure all of our services are of a high quality and are delivered safely wth compassion and dignity. We will ensure our organisation is govemed and managed in accordance with best practice. We wll seek out opportunities to support our communities in all of their interactions with us. The strategy provides a Patients, Trustees and Staff Charter which confirms our intentions and provides a commitment to collective responsibilty and organisational cohesion. The followng departmental sub strategies have also been developed, with their objectives aligning to the strategic goals of the Hospice's Five Year Strategy 2020-2025.. Clinical Therapeutic Support Services Information Governance & Technology Human Resources Communications Fundraising Retail Finance Page 7 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Objectives and activities (continued) Activiti8S The Hospice is an independent charity that is committed to offering high quality. holistic, non-judgmental care which is free to all at the point of delivery regardless of race, religion or belief, sex, Sexual orientation, gender reassignment, disability, pregnancy and matemity. The Hospice currently offers a comprehensive range of services from our purpose-built Hospice in Wells Avenue, Hartlepool, which responds to local need. Day Hospice and Therapeutic Support Services are delivered from the Hospice's Holistic Wellbeing Centre which is set within the Hospice grounds. The Hospice's clinical services are Consultant led and supported by a Multi-Disciplinary Team of professionals who provide patients with individualised care. vthilst promoting and maintaining the best quality of life possible. Professionals within the Multi-Disciplinary Team include= Consultants in Palliative Medicine, Staff Grade Doctors. Foundation Year 2 Doctor, Specialist Registrar Trainee, GP Trainee, Clinical Lead, Charge Nurse, Practice Development Nurse, Nurse Practitioner. Registered Nurses. Senior Healthcare Assistants, Healthcare Assistants, Complementary Therapist5, Occupational Therapist, Physiotherapist, Bereavement Counsellors, Holistic Wellbeing Therapist and Volunteers. In order to protect the sustainability of the Hospice's core services on the Inpatient Unit, the difficult decision was tsken towards the end of 202212023 to close the Long Term Care Unit at the beginning of the 202312024 financial year. The Hospice was receiving approximately 50% of the operating costs for these beds from Continuing Healthcare {CHC) and the deficit could not continue to be sustained from Hospice funds. Closure of these beds has directly impacted GP, A&E and hospitsl admissions and placed fvrther strain and pressure on an already struggling system within the NHS as these patients spend a significant amount of time accessing NHS services due to complexity and high medical needs. The Long Term Care Unit also supported both community and hospital discharge and was part of the discharge pathway for other hospices in the Tees Valley patch. Since its closure, together with the shortage of nursing home places within the local area, the Hospi￿ has continued to see much longer bed occupancy rates wth 59% of admissions above nom)al occupancy (i.e. ranging from 15- 110 days) when measured by individual patients. as complexity levels make it difficult to find suitable nursing home placements for patients. The Hospice continues to seek viable funding opportunities for the beds on the former Long Temi Care Unit for which 6 beds remain registered wth the Care Quality Commission but are currently inactive. Since the closure of the Long Term Care Unit in May 2023, the following inpatient ServI￿S have been provided= Ten inpatient beds providing short-term specialist palliative care for symptom control and end of life care. Two inpatient beds providing emergency end of life care for pats'ents from North Tees & Hartlepool NHS Foundation Trust. Day Hospice. Holistic Wellbeing Services. Adult Bereavement Counselling Services Children's Bereavement Counselling Services 24 Hour Helpline Page 8 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Achievements and perfomiance Main achievements of the Charity After a troubled and un￿rtain stsrt to 202312024, V￿ navigated our way through what was arguably the most difficult period in the Hospice's history, arriving at a point of increased stability, calmer waters and more sustainable fundraising. Still impacted by Brexit, the Cost of Living Crisis and other social and economic factors. we began the year with ontingency meetings to identify ways of stsbilising a significant deficit budget and protecting core services. This led to the closure of our Long Term Care Unit. which v￿S a secondary non-core service. together with a number of efficiency savings and streamlined processes. Whilst the losses of certain services, people and resources caused some unease and unfortunately impacted on individuals, there is no doubt that these changes were vital in both securing the future of the Hospice and protecting core services. Throughout the year, proactive communication and relationship building helped ensure that stakeholders were kept updated and this led to spikes in support and for the first time since COVID, we saw our event attendances retum to healthy levels. With the right processes, partnerships and support in place, we held a number of sell- out events and noted an increased presence in the local business community. We have continued working in close collaboration with the Hospices North East & North Cumbria Collaborative (12 Hospices) and Hospice UK'S Innovation and Clinical ECHO Ne￿OrkS to ensure not only shared learning and best practice but a united voice to politicians and commissioners regarding the shortfall in hospice funding. Alice House has established itself as a leader in several areas with the chairing of a number of collaborative sul groups being held by members of the Hospice's Senior Management Team. The Hospice received a number of accolades throughout the year, finishing as finalists for Best Community Business in the Hartlepool Business Awards and also in this yearfs LGBT Alliance Awards, in the category of 'Creating LGBT Inclusion and Accessibility in the Workplace,. Our most notable achievement throughout the year. however. followed an unannounced inspection by the Care Quality Commission in October 2023 where the Hospice received an overall rating of Good, which could not have been achieved wthout the ongoing dedication. skills and hard work of all our staff and volunteers. Page 9 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Achievements and perfomiance {continued) strategic Goals We will ensure all of our setvices are of a hi and are delivered safel th com assion and di The Hospice is registered with the Care Quality Commission to carry out the followng regulated activities at Alice House, Wells Avenue. Hartlepool, TS24 gDA for adutts aged 18 years and over: Treatment of Disease. Disorder or Injury Alice House Hospice is registered with the following conditions.. To accommodate up to a maximum of 18 patients ovemight. To provide a service for people over the age of 18 years old. The registered providerfs regulated activity is managed by a Registered Manager. The provider location where regulated activity can be carried out is". Alice House, Wells Avenue, Hartlepool, TS24 9DA. We have held regular Provider Engagement meetings (quarterly) with our CQC Inspector through Microsoft Teams and have contacted them for advice when necessary. There has been no fO￿nal complaints made in the previous 12 months. The Care Quality Commission has not taken any enforcement actions against Alice House Hospice during 202312024. There have been no special reviews or investigations carried out by the Care Quality Commission during this reporting period. The Hospice's last inspection by the Care Quality Commission was unannounced and carried out on 03 & 04 October 2023. Prior to this the Hospice was last inspected on 23 March 2015. The formal report and rating from the inspection was received on 01 December 2023 where the Hospice received an overall rating of Good, with each of the 5 Key Lines of Enquiry (Safe, Effective. Caring, Responsive, Well-Led) scoring Good. The CQC report states 'Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understsnd their conditions. They provided emotional support to patients, families and carers., The full inspection report can be found by following the link below.. https:Ilww.cqc.org.uMocation11-114379452 A summary from the full inspection report is detailed below.. Page 10 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) Qomain Rati CQC Comments 15 the service Safe? GOOD The servi￿ had enough staff to care for patients and keep thern safe. Staff had training in key skills, understood how to protect patients from abuse. and managed safety well. The Service controlled infection risk well. Siaff a55e55ed risks to patients, acted on thetn and kept good care cords. They managed Medicines well. The service managed safety incidents well and learned lessons from them. Is the service effective? GOOD Staff provided good care and treatrnent. Eave patient5 enough to eat and drink. and gave them plin relief when they needed it. Mana£ers monitored the effertiveness of the serrice and made sure staff were Com￿tent. Staff worked welltogetherforthe benefit of patients, SUPPOrted them to make decisions aty)ut their ca￿, and had access to good information. Key services were available 7 day5 a week. Is the service caring? GOOD Staff treated patients with comp3ssion and kindness, respected their privacy and ijignity. took account oftheir individual needs, and helped thern understand their conditions. They provided emoiional support to patients. families and carers. 15 the service re5pon5ive? GOOD The service planned care lo tneet the need5 of local people, took account of patients. individual needs. and made it easy for people to ve feedback. People could access the serwce when they needed it. Is the service well-led? GOOD Leader5 ran services well using reliable infortnation sy5tern5 and 5UPPOrted staff to develop their 5kill5. Staff understood the service's vision and values. and how to apply them in their work. Slaff felt respected. supported and valued. They We￿ focused on the needs of patients receiwng care. Staff were clear about their roles and accountabilitie5. The service en8aged well with patients and the cornrnunity to plin and tnanage Servi￿5 and all staff were corntnitted to irnproving services ¢ontinvally. Page11 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Achievements and perfomiance {continued) We will ensure our or anisation is ovemed and mana ed in accordance wth best ractice. The Board receive updates from all members of the Senior Management Team for each meeting to ensure transparency and Servi￿ developments are a￿ayS approved by the Board. All of the Board have fulfilled their mandatory training requirements. During 202212023 the Board completed a full review of the Hospice's govemance processes to ensure that they remained 'fit for purpose, and were equipped to lead the Hospi￿ within a framework of prudent and effective controls, enabling risk to be assessed and managed. One of the outcomes from the review was for Trustees to each individually support a member of the Senior Management Team wth the review, management and perfomiance of their departmental sub strategies. At the beginning of 202312024 each member of the Senior Management Team was assigned a Trustee to support them with the effective monitoring of departsnental sub strategies, with periodic reporting bad( to the Board of Tnjstees on the following.. Progress Against Strategic Objectives Within Departmental Sub Strategy. Operational Plans. Identified Risks. Review of Recently Updated Policies & Procedures. Review of Adherence to Non-Binding Rules. Codes and Standards. Benchmarking of Departmentsl PerfoM1an￿. Review of Third Party SupplierslServiceslSLAs. Review of Departmental Sub Strategy Against Budget. Feedbacklcomplaints. We will seek out o ortunities to su ort our communities in all of their interactions wth us. Alice House Hospice is an integral partner in the Hospices North East & North Cumbria Collaborative, who take a partnership approach to addressing the ever increasing demands of service provision, education, training and workforce development. This collaboration demonstrates a region wide commitment to working in partnership to improve palliative and end of life care for all patients. The Hospice is a member of the following HNENC collaborative groups: Chief Executives Executive Clinical Leads in Hospice & Palliative Care (ECLIPH) Education Marketing & Communications Human Resources Finance Income Generation Facilities Page 12 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Achievements and perfomiance {continued) The Hospice proactively engages wth our local community, businesses, schools, colleges and other charities and also key local figures including Members of Padiament and Council Leaders. Through this proactive approach we have further established ourselves as an organisation that is valued, trusted and supported. We have also noted a cultural shift in terms of our position within these ne￿orks., rather than having to ask if Hospice representatives can attend prominent local events. we are usually invited, having built positive relationships wth a number of partner organisations. The work of the Hospice was also recognised in the last year when we were listed as finalists in both Hartlepool Business Awards and Hart Gables LGBTQ Awards, respectively for Community Business of the Year and LGBTQ Inclusion in the workplace. Through all of this, we have continued to raise awareness of our work and reached people and groups who may not have otherwise known about, or how to access Hospice care,. this support is reciprocal as one of our key messages and aims is to promote the fact that we are here for those who need us and that our service users remain at the heart of all we do. Page 13 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Achievements and perfomiance {continued) Service Activities During 202312024, the Hospice prioritised the following three improvement domains of Patient Safety, Clinical Effectiveness and Patient Experience.. Falls Prevention (Patient Safety Alice House Hospice recognise that anyone can experience a fall and palliative patients are at greater risk of injury. The Hospice accepts that patients wsh to remain independent for as long as possible and are therefore unable to completely eradicate falls. However, the Hospice has worked towards reducing the incidents of falls as much as possible by educating patients, families and staff of the associated risks. The Hospice has achieved the following improvements during 202312024 wth Falls Prevention.. During 202212023 there were 31 falls by 19 patients wthin the Hospice. This reduced to 18 falls by 13 patients be￿een April 2023 and March 2024. which represents a 41.93 % decrease in falls in 202312024 compared to 202212023. Falls posters have been created to remind patients of the risk of falls and to call for assistance. An infomiation booklet regarding the risk and causes of falls has been produced for patients and their families. Patients wth walking aids were identified as at risk when using the en-suite bathrooms independently due to the location of the light swtch on the opposite side to the door opening. Automated lighting has been installed in 3 en-suite bathrooms a schedule ofwork for the remaining 7 to be completed in Quarter 1 of 202412025. This wll also complement the planned work of changing the direction of opening for bathroom doors to reduce distance and improve accessibility. A Physiotherapist and Occupational Therapist Service Level Agreement is in place with North Tees & Hartlepool NHS Foundation Trust to assist pats'ents with mobility. Implementation of the Patient Safety incident Response Framework (Clinical Effectiveness) The aim of the priority in 202312024 was to ensure that Alice House Hospice embedded the Patient Safety Incident Response Framework (PSIRFI, vthich sets out the NHS'S approach to developing and maintaining effective systems and processes for responding to patient safety incidents for the purpose of learning and improving patient safety- As Alice House Hospice are commissioned to provide services, PSIRF is a contractual requirement and is mandatory for providers of NHS ftjnded care. The following progress was achieved in 202312024.. There was initially a delay in the 12 hoSpi￿S who operate within the North East & North Cumbria ICB area adopting PSIRF, as it was unclearvthether hoSpi￿S had to fully implement PSIRF due to their low number of reportable incidents. During 202312024. all hospices within North East and North Cumbria ICB attended three workshops, facilitated by the ICB to support hospices wth the introduction of the Patient Safety Incident Response Framework (PSIRF). The workshops discussed patient safety incidents and found that all hoSpi￿S share similar themes, however, each operates as an independent hospice and individually do not have the manp0v￿r or resources required to fully implement PSIRF for the low number of reportable incidences- an example of this is the specialist training to conduct investigations. Following the workshops. a lighter approach has subsequently been agreed with the ICB where the collaborative of 12 hospices wll jointly implement a single PSIRF Plan in 202412025. Page 14 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Achievements and perfomiance {continued) Rapid Response Out-of-Hours Admission Service (Patient Experience North Tees & Hartlepool NHS Foundation Trust continued to provide funding in 202312024 (Year 2) for the provision of a Rapid Response Out-of-Hours Admission Service, with the Hospice moving towards 24 hour access and admission in order to reduce Accident & Emergency and Acute bed admissions. The Se￿iCe was initially directed at patients in the Accident and Emergency Department {A&EI or Emergency Assessment Unit (EAU) who are placed on the Care for the Dying Patient Document. The service enables patients to be rapidly transferred to the Hospice and cared for in an environment where patients and their families receive dignity and comfort at the end of their life. The service is regulady reviewed through multi- agency meetings, wth the followng actions implemented: After 3 months planning, the service started on 01 October 2022, admitting emergency end of life patients on the Care for the Dying Patient (CDP) Document from the Emergency Department of the University Hospital of North Tees. Monday to Friday, 9.00 a.m. to 5.00 p.m. From 04 February 2023 admissions were increased to indude weekends, i.e. 7 days per week from 9.00 a.m. to 5.00 p.m. From 07 March 2023 admissions were increased to include patients on the CDP Document (last 24-72 hours of life) from all wards within the University Hospital of North Tees. From December 2023 the Standard Operation Procedure was revised and circulated to stakeholders to extend the service to patients meeting the criteria within the community. In February 2024 an Annual Review and Audit Evaluation was completed, following which funding for the continuation of the service was confimied for a further 15 months commencing March 2024. The Hospice will be utilising this funding for the secondment of a Palliative Care Assessment Sister {In-Reachl to work with the Specialist Palliative Care Team within North Tees Hospital to support the identification, assessment and referral pathways for patients wth end of life care needs andlor specialist palliative care needs. There has been some excellent qualitative feedbad( from the project through the Friends & Family suNey results, including- "Oh god yes, second to none. Fantastic staff honest and open. Aftercare for wrfe and family was beautrful.. -Absolutely unbelievable. Put everyone at ease. Weight taken off. Cared for really well. Treat like part of the family. Catered for as fflUGh as loved one. So, unde￿landing I would give 2000/100. Unbelievable, loved one at peace." Page 15 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Achievements and perfomiance {continued) During 202312024. the Hospice delivered and achieved the following service outcomes.. Inpatient Unit -To all staff, we are extremely grateful that xxxx was able to be transfeffed to stay with you for his final days. Your kind and thoughfful care meant he could ￿laX and feel more settled and comfortable. It brought so much relief to know he was so well looked after. He also fett comforted by the kindness and support you showed to us every time we visited. We can't thank you enough for everything you have done for xxxx and for us as a family." The Hospice's Inpatient Unit comprises of.. 8 single en-suite bedrooms providing short-term specialist palliative care for symptom control, psychological and end of lrfe care. Funded by North East & North Cumbria Integrated Care Board (Tees Valley) for 6 beds and North East & North Cumbria Integrated Care Board (County Durham) for 2 beds. Buttetwick Hospice's adult inpatient unit remained closed until August 2023, when it opened 2 end of life care beds under Care Quality Commission restrictions. Alice House Hospice received funding during 202312024 from North East & North Cumbria Integrated Care Board ees Valley) for the provision of 2 additional beds for patients from the Stockton-on-Tees area for short-temi specialist palliative care for symptom control, psychological and end of life care. During 202312024. the Hospice's healthcare professionals provided the following telephone support for both Tees Valley and County Durham inpatients Telephone Support Advice to Patients, Carers & Famil Members Advice to Healthcare Professionals Multi-Disci lina Team atients discussed Total Qtr1 634 1.198 111 Qtr2 838 1,128 125 Qtr3 Qtr4 867 825 1,183 1,147 140 146 Total 522 Page 16 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Achievements and perfomiance {continued) Day Hospice "Day Hospice is the highlight ofmy week. When l am at home it keeps me going knowing that I will be attending again the next week." Day Hospice operates in the Holistic Wellbeing Centre each Thursday between 10.00 a.m. and 3.00 p.m. wth a light lunch and refreshments provided. Patients still have the opportunity to visit on an appointment basis but also benefit from the opportunity to stay for peer support. Patients report that the greatest benefit from attending Day Hospice is the relief from social isolation and spending time with other people who are going through a life limiting experience. The service is designed to provide support to patients who may have issues ￿￿th their health including.. Management of symptoms. Providing psychological and emotional support. Administration of treatments, such as blood transfusions and intravenous fluids. Providing an introduction to Hospice services. Signpostinglreferring to other healthcare professionals. Supporting individual and carers, wellbeing. Providing relaxation and complementary therapies. During 202312024, the Hospice's healthcare professionals provided the followng Day Hospice su ort to bolh Tees Valle and Coun Durham atients- Day Hospice Qtr1 Qtr2 Qtr3 Su ort to Patients. Carers & Famil 87 32 43 Qtr4 55 Total 177 Page 17 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Achievements and perfomiance {continued) Therapeutic Support SeThices - Counselling Support "Thank you for seeing me and helping me, I tnjly did not think I could move on, with xxxx help I have done just that and l am so grateful." -xxxx has really responded well to her time here and the aCtivit￿S that have helped her to work through her drfficult memories and emotions. I have notlGed her becoming more 'herseir and less melancholy. She is more lively and happy. Thank you for all you have done and continue to dol" The Hospice is commissioned to provide bereavement services to patients and their families accessing Hospice services. The Hospice also provides community bereavement support to bereaved adults who have been referred via external services from the local communities of Hartlepool, Stockton and East Durham. This is not a commissioned service and is vtholly reliant upon the ability to source exiernal funding. The service has been strongly established since 2007 and is constsntly in high demand, with the Hospice receiving on average over 60 referrals a month for this seNice. Fortunately, the Hospice received a grant from the Masonic Charitable Foundation to provide this service in 202312024 and has received confirmation of fvnding from another extemal source for 202412025. The Hospice also offers a specialist Children's Bereavement SeNice to support bereaved children form our local communities who are experiencing grief and loss. The Hospice received funding from a local corporate business partner to provide this service during 202312024. The Counselling Team provide emotional and psychological support to Hospi￿ staff members as part of the Staff Wellbeing Service, which is offered alongside holistic therapies. For the reporting period (April 2023 to March 2024) the Counselling Team provided the following face to face sessions for adults and children= Counselling Support Referrals Received Adult Referrals Received Children Adult Assessments Adult Counsellin Child Assessments Child Counsellin Total 316 132 121 831 73 271 During 202312024 the Counselling Team also engaged in telephone support calls to and from bereaved adults as detailed below.. Counselling Telephone Support Telephone Conta¢tslSupport Calls Qtr1 1.005 Qtr2 858 Qtr3 769 Qtr4 889 Total 3,521 Page 18 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Achievements and perfomiance {continued) Therapeutic Support SeThices - Holistic Therapies "The abilrfy to release stress and stop anxiety building up since my sessions have taught me excellent coping mechanisms. Personalised and relaxing experience. Felt valued and listened to and gwen hope for the future.. As well as providing a wide range of holistic therapies and treatments for paying members of the public, the Hospice received funding to deliver the following therapies in 202312024= Funding from Cancer Project Services at North Tees & Hartlepool NHS Foundation Trust to enable ne￿Y diagnosed cancer patients to access a choice of holistic therapies. Funding from North Tees & Hartlepool NHS Foundation Trust to provide a Staff Wellbeing Service to NHS staff, to address the increasing mental health burden and associated sickness and absence levels following COVID-19 and the challenges regarding care delivery. consumer increase and manpower {recruitment and retention). During 202312024, therapeutic support activities to staff and the public have been delivered as detailed below.. Holistic Therapies Thera eutic Su ort ContactslActivities Qtr1 585 Qtr2 579 Qtr3 622 Qtr4 588 Total 2.374 24 Hour Helpline We recognise and understand the need for support when living at home wth a life-limiting illness and that this need can come at any time. Our 24 Hour Helpline is designed to provide help at the earliest opportunity or to put callers in contact with others that can help. The Helpline is staffed by specialist Nurses and Doctors, based at the Hospice, who are ready to offer support and advi￿ to individuals and their families. at any time during the day or night. This service is also available for Healthcare Professionals who can arxess this service during a 24 hour period where they will re￿1ve specialist support and advi￿ in the management of a patient's ongoing specialist palliative care needs. The patient can be at home, in hospital or another Hospice. The Helpline is not funded and during 202312024 the Hospice's healthcare professionals provided the following telephone support via the Hospice's 24 hour Helpline for both Tees Valley and County Durham patients and healthcare professionals: 24 Hour Helpline Helpline Calls Patients & Healthcare Professionals Qtr1 147 Qtr2 168 Qtr3 173 Qtr4 103 Total 591 Page 19 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Achievements and perfomiance {continued) Financial review We continue to run a highly professional organisation with a stable financial position which reflects ethical fundraising and cash holding policies decided by our Council Members. The credit rating during the reporting period has remained at level A. Reserves policy Free reserves available for use by the Charity are deemed to be those that are readily realisable, less funds whose uses are restricted or else designated for particular purposes. As a matter of policy, the Charity aims to build up and hold a maximum of kn months running costs as reserves. This objective is secondary to the achievement of the Charity's strategic objectives as ststed in the current strategy, so that reserves will not be built or maintained at the expense of planned or current patient care. Two months running costs would be approximately £663k. With free reserves (after removing long term liabilities) of £698k the Charity is meeting their target. The Charity expects to build the reserves over the next year to support the Charity as it recovers income streams post Covid. Aspirational objectives for reserves= The Charity aims to become financially independent of Clinical Commissioning Group contracts as a security measure against diminishing contract values and the uncertainty of the level of tariff funding arising from the End of Life & Palliative Care Review. Nevertheless, it will still seek appropriate contracts to advan￿ patient services. The achievement of this wll be through the continuation of regular monitoring of financial management. Page 20 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Financial review and results for the year The Charity has made a surplus before depreciation of £467.461 and after depreciation a surplus of £296.767 has been declared. The detailed results are as follows.. Gross income decreased by 0.70/0 to £3.8m, thile expenditure on charitable activities decreased by 14.4 % to £2.7m. After taking depreciation into account total resources expended of £3.5m (2023.. £4.Om} resulted in a net surplus for the year of £297k (2023: £221 k deficit). Income received in furtherance of charitable objects totalled £1.4m. Expenditure incurred on furthering charitable objects was £2.7m. The Charity supports its charitable activities wilh successful fundraising activities, including harity shops and a lottery. Fundraising activities, donations and legacies generated a surplus of unrestricted income of £1.047k to be used to pursue charitable activities. £226k of grants were received to support the work of the Hospice. The lottery generated a surplus of £92k (2023= £104k) and Trading Activities generated a surplus of £135k {2023.' £159k). £1 Ok of unrestricted income was spent on the g0veMan￿ costs of the organisation. Total reserves stand at £3.3m {2023.' £3m), including £421 k of restricted reserves. At 31 March 2024 there is a surplus on unrestricted free reserves of £325k. Excluding the long term bank loans, a loan which was used to purchase the freehold and develop the Wellbeing Centre and the Coronavirus Business Interruption Loan, and the pension deficit. there are free reserves of £698k. Investment policy and perforniance The Memorandum of Association authorises the Council Members to invest surplus funds as may be thought fit. The Council Members, policy is to hold any surplus cash on deposit to obtain the most attractive interest rate available. The Council Members, have directed that fvnds wll be used in the charitable activities of the company instead. Page 21 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Fundraising The Hospice's Fundraising Sub Strategy 2020-2025 has the following objectives.. Develop strong partnerships wth organisations and individuals. Be proactive, research and implement opportunities to embra￿ the current climate. Develop sustainable corporate relationships. Ensure our approach to fundraising is respectful and non-aggressive and compliant with the Fundraising Regulator. Promote the Hospice in a positive and professional manner. Following organisational changes and in these times of ongoing economic and political uncertainty, a less experimental and 'back to basics, approach to Fundraising has proven effective wth a consistent presence in our ommunity and traditional, Iow-COSt pro￿sseS such as bucket collections or tombolas in local shops, at public events etc. This engaging approach has enabled us to build relationships with stakeholders at all levels. Other innovative Fundraising processes include our 2p appeal. which has seen a positive response and is indusive, enabling most people to give. An organisation-wide focus on Fundraising a5 a priority has built stronger teams within the Hospice and brought staff and volunteers together from all departments. Most of our Fundraising staff and many of our volunteers are long-serving and able to maintain ongoing relationships with our community. Our fvndraising approaches are respectful, friendly and compliant with all regulations., we receive consistentiy positive feedback and engagement on our social media pages, especially around our larger scale events such as the Colour Run. which has grown into a prominent annual event for Hartlepool. Our shops continue to perform well and provide an essential community resource, whilst being a highly effective income generator for our services. Alice House Hospice is a subscribed member of the Fundraising Regulator and as such adheres to the Code of Fundraising Practice. We review each Code on a rolling programme to ensure that we are compliant in all areas. All Staff and Volunteers within Income Generation have access to the Code of Fundraising and the Institute of Fundraising 'Treating Donors Fairly policy. Page 22 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Staff The Hospice completed the annual Staff Satisfaction Survey in November 2023. which received a good response rate of 53.8%, with 50 surveys received out of a possible 93. Responses included= 100 % agreed that if a friend or relative needed treatment they would be happy with the standard of care provided by this organisation. 980A agree that their work is meaningful to the Hospice. .1 feel privileged to be part ofthe Hospice Team and am very proud of the work we do. I truly believe that our work really makes a difference.. 'Alice House Hospi￿ is an amazing place to work. it's like one big happy family.. .1 feel blessed to be part of an amazing team." The Hospi￿ completed its first Workforce Equality Survey in December 2023 with an excellent response rate of 64.50A (60 sutveys received out of a possible 93). Responses included= 970h of staff feel safe to speak up about harassment or discrimination at work. 93 % of staff agreed that the organisation respects individual differences, such as cultural backgrounds. 89 % of staff agreed that they are able to aC￿sS the right leaming and development opportunities when needed. 'The Freedom to Speak-up Guardian is always available and the Management Team are very approachable.. 'Alice House Hospi￿ is an amazing pla￿ to work, colleagues and management are always supportive." Alice House Hospi￿ offer all staff an option to join the Wesffield Health Plan, which supports staff with their health and wellbeing. All staff also have access to our Holistic Wellbeing SeNices which offer meditation, reflexology, acupuncture, Indian head massages, complementary therapies, etc. This is highly successful for preventing staff going on sick leave for stresslanxiety etc. and also successful for staff returning back to work earlier. Alice House Hospice is also part of the Better Health at Work Award Scheme, which helps to facilitate a healthy workplace and workforce. During 202312024 the Hospice has delivered different sessions for stsff to attend, for example.. Free mocktail tasting sessions (to help reduce alcohol intake). Lunchtime circuit training (to help wth weight control). Speed "get to know you. sessions behveen colleagues (to improve healthy working relationships). Page 23 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Plans for the Future The Hospice has prioritised the following three improvement domains of Patient Safety. Clinical Effectiveness and Patient Experience.. Electronic Patient Record Management System (Patient Safety) The Hospice currently registers patients and records all admissions on Systmone, wth members of the Medical and Nursing Team trained to view patient infomiation. The priority for 202412025 will be to complete the business mappinglchange process from paper based to electronic patient care records, which will move all of the Hospice's clinical records over to the Palliats've Care Module of Systmone. Progression of Implementation of the Patient Safety Incident Response Framework (PSIRF) in Collaboration with Hospices North East & North Cumbria {Clinical Effectiveness) Following the workshops in 202312024, where a lighter approach was agreed wth the ICB, the collaborative of 12 hospices wll meet in Quarter 1 in 202412024 to jointly implement a single PSIRF Plan. which will include the followng= Patient Safety Incident Investigation training for managers which gives PSIRF oversight, a system approach to investigating and leaming from patient safety incidents and involving patients and families affected by patient safety incidents. Examination of the differing systems to record incidences wthin the hospice ne￿Ork and identification of methods of collating comparable data. Pilot In-Reach Hospital Worker to Increase the Flow of Patients into Hospice Emergency End of Life Beds (Patient Experience) The Hospice has received continuation funding in 202412025 (Year 3) from North Tees & Hartlepool NHS Foundation Trust for the Rapid Response Out-of-Hours Admission. During 202412025, the Hospice will be seconding a Palliative Care Assessment Sister Iln-Reach) to work with the Specialist Palliative Care Team within the University Hospital of North Tees to support the identification, assessment and referral pathways for patients wth end of life care needs andlor specialist palliative care needs. The Hospice has also prioritised the following iwo strategic and operational priorities for 202412025.. Commissioning of Clinical Services It is acknowledged within the NHS Tees Valley Place Integrated Care Board's Adult Palliative and End of Life Care Strategy that there is historic disparity in the way that service providers are funded, which is reflective of the historic Clinical Commissioning Group footprints. During 202312024 meetings continued to take pla￿ both in Parliament and wth Tees Valley MPS, the Minister of state in the Department of Health & Social Care and the Chief Executive of the North East & North Cumbria ICB to discuss the commissioning challenges in the Tees Valley region and to challenge when equitable funding for palliative and end of life care will be implemented in accordance with the Statutory Guidan￿ for Integrated Care Boards on Palliative & End of Life Care (July 2022). The Hospice has been working in collaboration wth the Tees Valley Task & Finish Groups {including Contracting & Finance. se￿iCe Delivery and Education & Training) established by NHS Tees Valley Place Integrated Care Board (ICB) to make recommendations for the key themes highlighted in their Adult Palliative and End of Life Care Strategy. The aim of the strategy is to commission and deliver high quality. cost effective and resilient systems of care across Tees Valley so that patients approaching the end of life and their families have a positive, high quality and personalised experience wherever they wish to be cared for. The Hospice wll continue to petition regional and national MPS and to be represented on the relevant ICB groups and committees during 202412025, to ensure delivery of the ICB'S commitment towards an investment programme of levelling up Hospice funding to the NHS national average reference cost for a bed day rate (NHS England National Cost Collection Data Publication). Page 24 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Facilities During 202312024 a risk was identified the ageing hot water and central heating plant, which operate 24 hours a day and are in an advanced state of decline. The main risk to their functionality is the 0bso1es￿nCe of many intemal components, vthich may render them unrepairable in the event of a breakdown. Trustees have therefore approved capital spend in 202412025 to replace the hot water, heating and boiler management system wth more energy efficient plant. Going Goncern The financial position of the Charity is under constsnt review and closely monitored by Trustees, who wll take action as needed to preserve the financial stability of the Hospice. The Risk Register is regularly reviewed and updated to reflect the exposures faced by the Charity. After making appropriate enquiries, the Trustees have an expectation that the Charity has adequate resources to continue delivering services for the foreseeable future. For this reason they continue to adopt the going concern basis in preparing financial statements. Employees Employees are fully involved the development and delivery of the strategy and it is integral to all daily activities and used to support their appraisals. Regular staff updates and a summary of the key points from each Senior Management Team meeting are communicated to all employees to ensure that they are aware of the activities of the Charity. Volunteers The survival and growth of the Charity could not be achieved without the unstinting support of the volunteer workforce, who enable the fulfilment of the Hospice's Vision, Mission and Values by complimenting the work of the patient care staff, supporting fundraising efforts and serving as Council Members. The volunteers bring skill, knowledge and experience which greauy enhances the professional profile of the Charity. This in tum enables the Charity to reach further into the community, not only by caring for those with life limiting illnesses but by offering opportunities for the development of skills and expertise which individuals can take with them in their own personal development, back into the community. thus enhancing the profile of the Charity and encouraging more individuals to offer their service on a voluntary basis. The Hospice completed a Volunteer Satisfaction Survey in November 2023, where 35 surveys were received out of a possible 70. Responses included.. 100 % agree that if a friend or relative needed treatment they would be happy with the standard of care provided by this organisation. 850￿ said that supporting a local charity was one of the main reasons for volunteering. Examples of personal qualities which volunteers felt were essential for their roles included patience, empathy, good communication skills, hardworking. fn'endly, helpful. kind, a listening ear, smiley face. .1 feel very much part of a team and rny contribution is always acknowledged." .1 feel blessed to be part of an amazing team." Council Members. liability The Council Members guarantee to contribute an amount not exceeding £1 to the assets of the Charity in the event of winding up. Page 25 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) COUNCIL MEMBERS, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Statement of Council Members. responsibilities The Council Members (who are also the directors of the Charity for the purposes of company lawl are responsible for preparing the Council Members, report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally AC￿pted Accounting Practice). Company law requires the Council Members to prepare financial statements for each financial . Under company law, the Council Members must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affairs of the Charity and of its incoming resources and application of resources, including its income and expenditure. for that period. In prepanng these financial statements, the Council Members are required to.. select suitable accounting policies and then apply them consistently., observe the methods and principles of the Charities SORP (FRS 102).. make judgments and accounting estimates that are reasonable and prudent., state whether applicable UK Accounting Standards (FRS 102) have been followed, subject to any material departures disclosed and explained in the financial statements., prepare the financial statements on the going concem basis unless it is inappropriate to presume that the Charity will continue in business. The Council Members are responsible for keeping adequate accounting records that are sufficient to show and explain the Charity's transactions and disclose with reasonable accuracy at any time the financial position of the Charity and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the Charity and hen￿ for taking reasonable steps for the prevention and detection of fraud and other i￿egUlar1ties. Discl¢)sure of information to auditors Each of the persons who are Council Members at the time when this Council Members, report is approved has confirmed that.. so far as that Council Member is aware, there is no relevant audit infomation of which the charity's auditors are unaware. and that Council Member has tsken all the steps that ought to have been taken as a Council Member in order to be aware of any relevant audit infomiation and to establish that the charity's auditors are aware of that information. Auditors The auditors, Waltons Business Advisers Limited. have indicated their Y￿111ngnesS to continue in office. The designated Council Members V￿11 propose a motion reappointing the auditors at a meeting of the Council Members. Mr R Prieslman {Chair of Trustees) MrsJ su an Page 26 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) INDEPENDENT AUDITORS. REPORT TO THE MEMBERS OF THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE UNQUALIFIED OPINION We have audited the financial statements of The Hartlepool Hospice Limited TIA Alice House Hospice (the 'charity') for the year ended 31 March 2024 which comprise the Statement of financial activities, the Balance sheet, the Statement of cash flows and the related notes, 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= give a true and fair view of the state of the charitable company's affairs as at 31 March 2024 and of its incoming resources and applicab'on of resources. induding its income and expenditure for the year then ended; have been propedy prepared in accordance wth United Kingdom Generally Accepted Accounting Practice., and have been prepared in accordance with the requirements of the Companies Act 2006. BASIS FOR OPINION We conducted our audit in accordance Intemational Standards on Auditing (UK) {ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditors, responsibilities for the audit of the financial ststements section of our report. We are independent of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the United Kingdom, including the Financial Reporting Council's Ethical Standard, and we have fvlfilled our other ethical responsibilities in accordance wth 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 financial statements, we have concluded that the Council Member5, use of the going concern basis of accounting in the preparation of the financial statements 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 charitable company's ability to continue as a going concern for a period of at least ￿1ve months from when the financial statements are authorised for issue. Our responsibilities and the responsibilities of the Counal Members with respect to going concem are described in the relevant sections of this report. Page 27 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) INDEPENDENT AUDITORS. REPORT TO THE MEMBERS OF THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE (CONTINUED) OTHER INFORMATION The other information comprises the information included in the Annual report other than the financial statements and our Auditors, Report thereon. The Council Members 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 otherwse explicitly ststed in our report, we do not express any form of assurance conclusion thereon. Our responsibility is to read the other infomiation and, in doing so, consider whether the other infonnation is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit, or otherwse appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to detemiine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other infomiation. we are required to report that fact. We have nothing to report in this regard. OPINION ON OTHER MAThERS PRESCRIBED BY THE COMPANIES ACT 2006 In our opinion, based on the work undertaken in the course of the audit.. the information given in the Council Members. Report for the financial year for which the financial statements are prepared is consistent wth the financial statements. the Council Members, Report has been prepared in accordance wth applicable legal requirements. Page 28 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) INDEPENDENT AUDITORS. REPORT TO THE MEMBERS OF THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE (CONTINUED) MATTERS ON WHICH WE ARE REQUIRED TO REPORT BY EXCEPTION In the light of our kno￿edge and understanding of the charitable company and its environment obtsined in the course of the audit, we have not identified material misstatements in the Council Members, Report. We have nothing to report in respect of the foll0v￿ng matters in relation to which Companies Act 2006 requires us to report to you if. in our opinion- adequate accounting records have not been kept, or retums adequate for our audit have not been received from branches not visited by us,. or the financial statements are not in agreement with the accounting records and returns,. or certain disclosures of Council Members, remuneration specified by law are not made., or we have not received all the infomiation and explanations we require for our audit., or the Council Members were not entitled to prepare the financial statements in accordance wth the small companies regime and take advantage of the small companies, exemptions in preparing the Council Members, Report and from the requirement to prepare a Strategic Report. Page 29 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) INDEPENDENT AUDITORS. REPORT TO THE MEMBERS OF THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE (CONTINUED) RESPONSIBILITIES OF COUNCIL MEMBERS As explained more fully in the Council Members, responsibilities statement, the Council Members (who are also the directors of the charitable company for the purposes of company law) are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the Council Members detemiine is necessary to enable the preparation of financial statements that are free from material misstatement. whether due to fraud or error. In preparing the financial ststements, the Council Members are responsible for assessing the charitable ompany's ability to continue as a going concem, disclosing, as applicable, matters related to going concem and using the going concem basis of accounting unless the Council Members either intend to liquidate the charitable company or to cease operations, or have no realistic altemative but to do so. AUDITORS. RESPONSIBILITIES FOR THE AUDIT OF THE FINANCIAL STATEMENTS Our objectives are to obtain reasonable assurance about vthether the financial statements as a whole are free from material misstatement, whether due to fraud or error. and to issue an Auditors, Report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance wth ISAS (UK) will always detect a material misstatement vthen 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 ￿th our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our prO￿dureS are capable of detecting irregularities, including fraud is detailed below.. In identifying and assessing risks of material misstatement in respect of irregularities. including fraud, the audit engagement team.. Obtained an understanding of the nature of the sector. including the legal and regularity framework that the charitable company operates in and how they are complying the legal and regularity framework Inquired of management and those charged wth govemance about their own identification and assessment of the risks of irregularities including any known. actual. suspected or alleged instances of fraud, Discussed matters about non-compliance with laws and regulations and how fraud might occur including assessment of how and vthere the financial statements might be susceptible to fraud. As a result of these procedures we considered the most significant laws and regulations which have a direct impact on the financial statements are FRS 102, Charities SORP {FRS 102), Companies Act 2006 and the charitable company's goveming document. We performed audit procedures to detect non-compliance which may have a material impact on the financial statements which included reviewing the financial statements including the council members report and remaining alert to new or unusual transactions which may not be in accordance with the goveming documents. The audit engagement team identified the risk of management override of controls and income recognition as the areas where the financial statements were most susceptible to material misstatement due to fraud. We designed audit procedures to respond to the risk. recognising that the risk of not detecting a material misstatement due to fraud is higher than the risk of not detecting one resulting from error, as fraud may involve deliberate concealment by, for example. forgery or intentional misrepresentations, or through collusion. Audit procedures perfomed included, but V￿re not limited to.. testing manual joumal entries and other adjustments Page 30 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) INDEPENDENT AUDITORS. REPORT TO THE MEMBERS OF THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE (CONTINUED) evaluating the business rationale in relab'on to significant or unusual transactions and transactions entered into outside the nomal course of business challenging judgments and estimates reviewing income transactions around the year end to look for potential °y￿ndOW dressing" A fvrther description of our responsibilities for the audit of the financial ststements is located on the Financial Reporting Council's website at.. wM.frc.or -uklauditorsres onsibilities. This description forms part of our Auditors, Report. USE OF OUR REPORT This report is made solely to the charitable company's members, as a body, in accordan￿ wth Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable ompany's members those matters we are required to stste to them in an Auditors, Report and for no other purpose. To the fullest extent pemiitted by law, we do not accept or assume responsibility to anyone other than the charitable company and its members, as a body, for our audit work, for this report, or for the opinions we have formed. Heather O'Driscoll FCA (Senior statutory auditor) for and on behalf of Waltons Business Advisers Limited Chartered Accountants ststutory Auditors Maritime House Harbour Walk The Marina Hartlepool TS24 OUX 10 December 2024 Page 31 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) STATEMENT OF FINANCIAL ACTIVITIES (INCORPORATING INCOME AND EXPENDITURE ACCOUNT) FOR THE YEAR ENDED 31 MARCH 2024 Restricted Unrestricted funds funds 2024 2024 Total funds 2024 Total funds 2023 Note INCOME FROM: Donations and legacies Charitable activities Other trading activities 212,882 1.272.934 1,075,207 167,346 1,091,016 1,288,089 1,440,280 1,091,016 1.034,317 1,707, 112 1,104,804 TOTAL INCOME 1.485.816 2,333.569 3,819,385 3, 846, 233 EXPENDITURE ON: Raising funds Charitable activities 872,110 1,189,546 872,110 2,651,131 972, 190 3,095, 324 1.461,585 TOTAL EXPENDITURE 1,461,585 2,061,656 3,523,241 4,067,514 NET INCOMEI{EXPENDITURE) Transfers be￿een funds NET MOVEMENT IN FUNDS BEFORE OTHER RECOGNISED GAINSIILOSSES) 24,231 (10.809) 271,913 10,809 296,144 (221,281) 18 13,422 282,722 296,144 {221,281) OTHER RECOGNISED GAINSI(LOSSES): Other gains 24 623 623 664 NET MOVEMENT IN FUNDS 13,422 283,345 296,767 (220, 617) RECONCILIATION OF FUNDS: Total funds brought fO￿ard Net movement in funds 425,850 13.422 2,578,880 283,345 3,004,730 296,767 3.225, 347 (220, 617) TOTAL FUNDS CARRIED FORWARD 439,272 2,862.225 3,301,497 3,004, 730 The Statement of Financial Activities includes all gains and losses recognised in the year. The notes on pages 36 to 61 form part of these financial statements. Page 32 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE (A company limited by guarantee) REGISTERED NUMBER: 01525658 BALANCE SHEET AS AT 31 MARCH 2024 2024 2023 Note FIXED ASSETS Tangible assets Investments 13 2,971,542 100 3,128,077 100 14 2,971,642 3,128,177 CURRENT ASSETS Debtors Cash at bank and in hand 15 21 262.880 720.308 198,470 522, 648 983.188 721, 118 Creditors.. amounts falling due wthin one year 16 1279,560) (345, 096) NET CURRENT ASSETS TOTAL ASSETS LESS CURRENT LIABILITIES 703,628 376, 022 3,675,270 3,504, 199 Creditors.. amounts falling due after more than one year NET ASSETS EXCLUDING PENSION LIABILITY 17 {373,227} (498, 300) 3,302,043 3, 005, 899 Defined benefit pension scheme liability 24 {5461 (1, 169) TOTAL NET ASSETS 3,301,497 3, 004, 730 CHARITY FUNDS Restricted funds 18 420,924 2,880,573 425, 850 2,578, 880 Unrestricted funds 18 TOTAL FUNDS 3,301,497 3.004, 730 Page 33 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE (A company limited by guarantee) REGISTERED NUMBER: 01525658 BALANCE SHEET ICONTINUED) AS AT 31 MARCH 2024 The Council Members acknowledge their responsibilities for complying wth the requirements of the Act with respect to accounting records and preparation of financial statements. The financial statements have been prepared in accordance viith the provisions applicable to entities subject to the small companies regime. The financial statements were approved and authorised for issue by the Council Members on 03 December 2024 and signed on their behalf by= Mr R Prieslman {Chair of Trustees) Mrs J Regan (rreasurer) The notes on pages 36 to 61 fomi part of these financial statements. Page 34 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 MARCH 2024 2024 2023 Note CASH FLOWS FROM OPERATING ACTIVITIES Net cash used in operating activities 20 342,672 176, 350 CASH FLOWS FROM INVESTING ACTIVITIES Proceeds from the sale oftangible fixed assets Purchase of tangible fixed assets 700 25, 353 (48, 679) 13 124,150 NET CASH USED IN INVESTING ACTIVITIES 123,450 (23, 326) CASH FLOWS FROM FINANCING ACTIVITIES Repayments of borrowing Repayments of finance leases Gain on pension deficit (111,135 {9,8041 16231 (113,287) (9, 804) (664) NET CASH USED IN FINANCING ACTIVITIES 1121,562 {123, 755) CHANGE IN CASH AND CASH EQUIVALENTS IN THE YEAR 197,660 29, 269 Cash and cash equivalents at the beginning ofthe year 522,648 493,379 CASH AND CASH EQUIVALENTS AT THE END OF THE YEAR 21 720,308 522, 648 The notes on pages 36 to 61 form part of these financial statements Page 35 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 GENERAL INFORMATION The Charity is a private company incorporated in England and Wales and limited by guarantee. The members of the company are the Council Members named on page 2. In the event of the Charity being wound up, the liability in respect of the guarantee is limited to £1 per member of the Charity. The registered address is.. Alice House Wells Avenue Hartlepool TS24 9DA ACCOUNTING POLICIES 2.1 Basis of preparation of financial statements The financial statements have been prepared in accordance wth the Charities SORP (FRS 1021 Accounting and Reporting by Charities= Statement of Recommended Practice applicable to charities preparing their accounts in accordance the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 20191. the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Companies Act 2006. The Hartlepool Hospice Limited TIA Alice House Hospice 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 accounts'ng policy. 2.2 Fund accounting General funds are unrestricted funds which are available for use at the discretion of the Council Members in fvrtherance of the general objectives of the Charity and whith have not been designated for other purposes. Restricted funds are funds which are to be used in accordance specific restrictions imposed by donors or which have been raised by the Charity for particular purposes. The costs of raising and administering such funds are charged against the specific fvnd. The aim and use of each restricted fund is set out in the notes to the financial statements. Page 36 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 ACCOUNTING POLICIES (CONTINUED) 2.3 Going concem With the continuing impact of Brexit, the Cost of Living Crisis and other social and economic factors, the Charity started the year with a signfficant deficit budget vthich required some difficult decisions in order to stsbilise the financial position and protect core services, including the closure of the Long Term Care Unit which was a secondary non-core funded Se￿ICe. This, together with efficiency savings, streamlined processes and a retum to pre-COVID support and fvndraising levels, has resulted in tuming a deficit budget into a surplus budget for the year. At all times, the financial position of the Charity is under constant review and closely monitored by the Senior Management Team and Council Members, who take immediate action as required to preserve the financial stability of the Charity. The Risk Register is regularly reviewed and updated to reflect the exposures faced by the Chanty. After making appropriate enquiries, the Council Members have an expectation that the Charity has adequate resources to continue delivering services for the foreseeable future. For this reason they continue to adopt the going concem basis in preparing financial ststements 2.4 Income All income is recognised once the Charity has entitlement to the income, it is probable that the income will be received and the amount of income receivable can be measured reliably. For legacies, entitlement is taken as the earlier of the date on which either= the Charity is aware that probate has been granted, the estate has been finalised and notification has been made by the executor{s) to the Trust that a distribution will be made, or when a distribution is re￿iVed from the estate. Receipt of a legacy, in whole or in part, is only considered probable when the amount can be measured reliably and the Charity has been notified of the executor's intention to make a distribution. Where legacies have been notified to the Charity, or the Charity is aware of the granting of probate, and the criteria for income recognib'on have not been met. then the legacy is treated as a contingent asset and disclosed rf material. Gifts donated for resale are included as income when they are sold. The Council Members acknoyledge that they are assets of the Charity as soon as received but due to the fact that a very large number of small value items are received the time and cost of valuing donated goods at receipt would outweigh any benefit to the users of the financial statements of having them so valued. Where goods are donated under the Gift Aid scheme the Charity is not entitled to the income until the goods are sold and the donor has confimied that they are gifting the proceeds. In this case the income is induded as a donation rather than as a sale. Income tax recoverable in relation to donations re￿iVed under Gift Aid or deeds of covenant is recognised at the time of the donation. Page 37 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 ACCOUNTING POLICIES (CONTINUED) 2.5 Expenditure Expenditure is recognised once there is a legal or constructive obligation to transfer economic benefit to a third paty. it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is classified by activity. The costs of each activity are made up of the total of direct costs and shared costs, including support costs involved in undertaking each activity. Direct costs attributable to a single activity are allocated directly to that activity. Shared costs which contribute to more than one activity and support costs which are not attributable to a single activity are apportioned between those activities on a basis consistent with the use of resources. Central staff costs are allocated on the basis of time spent, and depreciation charges allocated on the portion of the asset's use. Costs of generating voluntary income are those incurred in seeking voluntary contributions and do not include the costs of disseminating information in support of the charitable activities. Fundraising costs are the direct costs of operating the charity shops and other trading activities. Support costs are those costs incurred directly in support of expenditure on the objects of the charity and include central costs. G0Veman￿ costs are those incurred in connection with administration of the Charity and compliance with constitutional and ststutory requirements. 2.6 Tangible fixed assets and depreciation Tangible fixed assets costing £1.500 or more are capitalised and recognised when future economic benefits are probable and the cost or value of the asset can be measured reliably. Tangible fixed assets are inttially recognised at cost. After recognition, under the cost model, tangible fixed assets are measured at cost less accumulated depreciation and any accumulated impairment losses. All costs incurred to bring a tangible fixed asset into its intended working condition should be included in the measurement of cost. Depreciation is charged so as to allocate the cost of tsngible fixed assets less their residual value over their estimated useful lives. using the straight-line method. Depreciation is provided on the followng bases.. Freehold propety Plant and machinery Motor vehicles Fixtures and fittings Computer equipment Other fixed assets 20150 years straight line 7 years straight line 7 years straight line 7 years straight line 315 years straight line 3 years straight line 2.7 Redundancyltermination payments Redundancy and termination payments are recognised when an approved formal plan is in place and the employees which it affects have been made aware of the situation. 2.8 Investments Investments represent the shares held in a subsidiary company which are stated at cost. Page 38 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 ACCOUNTING POLICIES (CONTINUED) 2.9 Debtors Trade and other debtors are recognised at the settlement amount after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due. 2.10 Cash at bank and in hand Cash at bank and in hand includes cash and short-term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account. 2.11 Liabilities Liabilities and provisions are recognised vthen there is an obligation at the Balance sheet date as a result of a past event. it is probable that a transfer of economic benefit wll be required in settlement, and the amount of the settlement can be estimated reliably. Liabilities are recognised at the amount that the Charity anticipates it will pay to settle the debt or the amount it has received as advanced payments for the goods or setvices it must provide. Provisions are measured at the best estimate of the amounts required to settle the obligation. Where the effect of the time value of money is material, the provision is based on the present value of those amounts, discounted at the pre-tax discount rate that reflects the risks specific to the liability. The unwinding of the discount is recognised v￿thin interest payable and similar charges. 2.12 Finance leases and hire purchase Assets obtained under hire purchase contracts and finance leases are capitalised as tangible fixed assets. Assets acquired by finance lease are depreciated over the shorter of the lease term and their useful lives. Assets acquired by hire purchase are depreciated over their useful lives. Finance leases are those where substantially all of the beneffts and risks of ownership are assumed by the Charity. Obligations under such agreements are included in creditors, net of the finan￿ charge allocated to future periods. The finance element of the rental payment is charged to the Statement of Financial Activities so as to produce a constant periodic rate of charge on the net obligation outstanding in each period. Page 39 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 ACCOUNTING POLICIES (CONTINUED) 2.13 Pensions The Charity contributes to a defined contribution pension scheme and the pension charge represents the amounts payable by the Charity to the fund in respect ofthe year. Defined benefit schemes The Charity makes contributions to the National Health Service Pension Scheme and The Pension Scheme Trust. The Charity is however unable to identify its share of the underfying assets and liabilities in the schemes and has accounted for contributions as if they were defined contributions schemes as follows.. The amount charged to the statement of financial acts'vities in respect of pension costs is the contributions payable in the year. Differences be￿een contributions payable in the year and contributions actually paid are shown as either accruals or prepayments in the balance sheet. Amounts included in expenses are allocated between activities on the basis of staff time in line with other support costs. The Charity has agreed to a deficit funding arrangement and recognises a liability for this obligation. The amount recognised is the net present value of the deficit reduction contributions payable under the agreement that relates to the deficit. The present value is calculated using the discount rate detailed in these disclosures. The unwnding of the discount rate is recognised as a finance cost. Page 40 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 DONATIONS, LEGACIES AND SIMILAR INCOMING RESOURCES Restricted Unrestricted funds funds 2024 2024 Total funds 2024 Total funds 2023 Donations Legacies Grants Similar incoming resources 776,314 267,206 12,976 18,711 776,314 267,206 225,858 18,711 643, 082 62,396 322, 451 6, 388 212.882 Total 2024 212,882 1,075,207 1,288,089 1,034,317 Total 2023 297,394 736,923 1,034,317 In 2024 there is £Nil (2023.. £157,944) included in grant income which was received from the Kickstart scheme. INCOME FROM CHARITABLE ACTIVITIES Restricted Unrestricted funds funds 2024 2024 Total funds 2024 Total runds 2023 In Patient Unit 1,189,790 53,745 29,399 4,734 1,194,524 53,745 192,011 1,433,038 52,947 40,153 180,974 Medical Bereavement & Therapeutic Services Insurance income 162,612 Total 2024 1,272,934 167,346 1.440,280 1,707, 112 Total 2023 977,489 729, 623 1, 707, 112 Page 41 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 FUNDRAISING INCOME Unrestricted funds 2024 Total funds 2024 Total funds 2023 Lottery Fundraising events Kitchen income Shop income Catering and merchandising income VR centre 219,700 208,046 27.047 624,373 11.850 219,700 208,046 27.047 624,373 11,850 226, 847 147,527 22,8T9 672, 654 13,471 21,426 Total 2024 1.091,016 1,091,016 1,104,804 Total 2023 1. 104,804 1. 104,804 Page 42 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 TRADING ACTIVITIES Unrestricted funds Totsl funds 2024 2024 Total funds 2023 Charity trading income Charity shop takings Catering and merchandising income VR centre 624,373 11,850 624,373 11,850 672, 654 13,4TI Sub total trading income Grant income (incuded in note 3) Total income 636,223 636,223 707,551 100 999 636,223 636,223 808, 550 Fundraising tradina expenses Charity shop costs VR centre costs 168,003 41,780 3,163 287,899 500,845 135 378 168,003 41,780 3,163 287,899 500,845 135 378 138,6T5 57,619 3,166 449, 805 649, 265 159 285 Catering and merchandising costs Salaries Total expenditure Net income from trading activities Total 2023 159.285 159 285 Page 43 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 COST OF RAISING FUNDS Unrestricted Restricted funds funds 2024 2024 Total funds 2024 Total funds 2023 Fundraising expenditure Lottery costs Support costs allocated Wages and salaries Depreciation Fundraising trading expenses (note 6) 62,947 94,676 5.952 167,582 40,108 500.845 62,947 94,676 5.952 167,582 40,108 500,845 48, 486 91,835 5,9T4 136, 522 40, 108 649, 265 Total 2024 872,110 872,110 972,190 Total 2023 871. 191 700.999 9T2. 190 ANALYSIS OF EXPENDITURE ON CHARITABLE ACTIVITIES Summary by fund type Restricted Unrestricted funds funds 2024 2024 Total 2024 Total 2023 In Patient Unit 1,402,840 53.745 495,697 213,045 257,076 223,728 1,898,537 266,790 257,076 228,728 2, 342, 890 281,623 237,381 233, 430 Medical Multi Disciplinary Team Bereavement & Therapeutic se￿ICes 5.000 Total 2024 1.461,585 1.189,546 2.651,131 3,095, 324 Total 2023 1, 187,468 1, 907, 856 3, 095, 324 Page 44 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 ANALYSIS OF EXPENDITURE BY ACTIVITIES Activities undertaken directly 2024 Support costs 2024 Total funds 2024 Total funds 2023 In Patient Unit Medical Multi Disciplinary Team Bereavement & Therapeutic Seriices 797,483 245,145 238,687 211,441 1,101,054 21,645 18,389 17,287 1,898,537 266,790 257,076 228,728 2,342, 890 281,623 237,381 233, 430 Totsl 2024 1,492,756 1,158,375 2,651,131 3, 095, 324 Total 2023 1,875.631 1,219,693 3, 095,324 Page 45 o) o (D ¢r) fo O O (N *w r f£1 In r ￿ Irj ¢y 01 fo O) r£+ fo Qs O) tyb J tr) (N CN o o? CN o ) v *w In m Irj * ¢0 o r4 r4 In c• r <4 r O) O THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 10. AUDITORS, REMUNERATION 2024 2023 Fees payable to the Charity's auditor for the audit of the Charity's annual accounts 10,400 9, 900 Fees payable to the Charity's auditor in respect of: All non-audit seNices not included above 90 90 11. STAFF COSTS 2024 2023 Wages and salaries Social security costs Contribution to defined contribution pension schemes 2,115,460 171,196 81,064 2,691,913 214,275 93, 298 2,367,720 2,999,486 Included in wages and salaries above is £10,172 (2023." £32, 713) in respect of termination payments. The average number of persons employed by the Charity during the year was as follows.. 2024 No. 2023 No. Communications Fundraising Management & administration In Patient Unrt 22 15 13 10 54 61 Medical Multi Disciplinary Team Support staff Bereavement 11 16 13 10 Kickstart 24 120 150 Page 48 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 11. STAFF COSTS {CONTINUED The number of employees whose employee benefits (excluding employer pension costs) exceeded £60,000 was.. 2024 No. 2023 No. In the band £60,001- £70.000 In the band £90,001- £100,000 The total remuneration paid to key management personnel (including national insurance and pension contributions) was £419,784 (2023.. £505,380). Contributions were made to defined benefit pension schemes on behalf of higher paid employees. The Charity also uses the services of volunteers who assist in the charity shops. 12. COUNCIL MEMBERS. REMUNERATION AND EXPENSES During the year, no Council Members received any remuneration or other benefits (2023 - £NIL). During the year ended 31 March 2024. no Council Member expenses have been inCu￿ed (2023- £NIL). Page 49 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 13. TANGIBLE FIXED ASSETS Freehold land & property Motor Fixtures and vehicles fittings Computer equipment Total Cost At 1 April 2023 Additions Disposals 3.731,290 49,020 474,149 16.710 233,300 7,440 187,844) 4,487,759 24,150 187,844} At 31 March 2024 3.731,290 49,020 490.859 152,896 4,424,065 Depreciation At 1 April 2023 Charge for the year On disposals 854,159 75,707 20,425 7,003 313.344 45,265 171,754 42,719 177,8531 1,359,682 170,694 177,853 At 31 March 2024 929,866 27,428 358,609 136,620 1,452,523 Net book value At 31 March 2024 2.801,424 21,592 132,250 16,276 2,971,542 At 31 March 2023 2,877, 131 28,595 160,805 61,546 3,128,077 Included in freehold land & property 15 freehold land of £375,000 (2023." £375,000) which is not depreciated. Included wthin the net book value of assets is £21,592 (2023.. £28,595) relating to assets held under hire purchase agreements. Page 50 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 14. FIXED ASSET INVESTMENTS Investments in subsidiary companies Cost At 1 April 2023 100 At 31 March 2024 100 PRINCIPAL SUBSIDIARIES The followng was a subsidiary undertaking of the Charity: Name Registered office or principal Class of place of business shares Holding Alice House Trading Limited (domiant) company number 07170334 Alice House, Wells Avenue, Hartlepool, Cleveland. TS24 9DA Ordinary 1000/. The financial results of the subsidiary for the year were.. Name Net assets Alice House Trading Limited (dO￿nant) company number 07170334 3,998 15. DEBTORS 2024 2023 Trade debtors Other debtors 59,562 18,475 35,118 149,725 46, 749 16,047 52, 982 82, 692 Prepayments Accrued income 262,880 198,470 Page 51 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 16. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR 2024 2023 Bank loans 114,922 14,167 51,472 3,998 39,594 9,804 2,218 43,385 110, 787 15,412 79,918 3,998 39, 645 9, 805 10, 182 75,349 Pension creditor Trade creditors Amounts owed to group undertakings Other taxation and social security Obligations under finance lease and hire purchase contracts Other creditors Accruals and deferred income 279,560 345, 096 2024 2023 Deferred income at 1 April 2023 Resources deferred during the year Amounts released from previous periods 27,909 29,282 127,909 24,716 27,909 (24, 716) 29,282 2T,909 Deferred income relates to Lottery money paid in advance. Page 52 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 17. CREDITORS: AMOUNTS FALLING DUE AFTER MORE THAN ONE YEAR 2024 2023 Bank loans 372,410 817 487,680 10,620 Net obligations under finance lease and hire purchase contracts 373,227 498,300 The bank loans are repayable in monthly instalments ending March 2028 and June 2029 respectively. Interest is charged at the Bank of England base rate plus 20h per annum. The Coronavirus Business Interuption Loan is repayable in monthly instalments ending November 2026. Interest is charged at 6.360/0 per annum. The bank loans are secured by a fixed and floating unlimited debenture and a charge over the land and buildings owned at The University Hospital of Hartlepool. The hire purchase agreement is secured over the assets to which the agreement relates. Page 53 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 18. STATEMENT OF FUNDS STATEMENT OF FUNDS - CURRENT YEAR Balance at 31 March 2024 Balance at 1 April 2023 Transfers inlout Gainsl (Losses} Income Expenditure General funds 2.578.880 2,351.917 12,061.656) 10,809 623 2,880,573 Restricted funds Restricted appeal funds Integrated Care Board Pharmacy income NHS End of Life Beds 212.882 (196.799) 110,809) 5,274 945.442 1945.442) 53.745 153.745) 226,000 1226,000) Help the Hospices- fixed asset fund 425.850 110.200) 415,650 Bereavement counselling 29,399 129,399) 425.850 1,467.468 (1,461.585) 110,809) 420,924 Total of funds 3.004.730 3,819.385 13,523,241) 623 3,301,497 Page 54 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 18. STATEMENT OF FUNDS (CONTINUED) STATEMENT OF FUNDS - PRIOR YEAR Balance at 3t March 2023 Balance at 1 Apnl 2022 Gains/ (Losses) Income Expenditu Unrestricted funds General funds 2,785,913 2,571,350 (2, 779,047) 664 2, 578, 880 Restricted funds Restricted appeal funds Integrated Care Board Pharmacy income Help the Hospices- fixed asset fund Kickstart funding 3,384 139,450 924.542 52,947 (142, 834) (924, 542) (52,947) 436.050 (10,200) (157,944) 425, 850 157,944 439,434 1,274,883 (1,288,467) 425, 850 Total of funds 3,225.347 3,846,233 (4,067,514) 664 3.004, 730 Restricted funds Funding received and attributed directly to charitable activities has been shown as restricted. This includes monies from Durham Dales, Easington and Sedgefield Integrated Care Boards and the Hartlepool & stockton Integrated Care Board which totalled £1,171,442. Pharmacy income represents income from drugs purchased and recharged of £53,745. The fixed asset fund represents a grant of £510,000 received from the Help the Hospices Fund (NHS England) towards the capital costs of the new Wellbeing Centre. This fund is depreciated in line with the asset. Page 55 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 19. ANALYSIS OF NET ASSETS BETWEEN FUNDS ANALYSIS OF NET ASSETS BETWEEN FUNDS - CURRENT PERIOD Restricted Unrestricted funds funds 2024 2024 Total funds 2024 Tangible fixed assets Fixed asset investments Current assets 415,650 2,555,892 2,971,542 100 100 977,914 983,188 1279,5601 1279,560 (373,227 (373,227 (546 (546 5,274 Creditors due within one year Creditors due in more than one year Provisions for liabilities and charges Total 420,924 2,880,573 3,301,497 ANALYSIS OF NET ASSETS BETWEEN FUNDS- PRIOR PERIOD Restricted Unrestricted funds funds 2023 2023 Total funds 2023 Tangible fixed assets Fixed asset investments Current assets 425,850 2, 702, 227 100 721, 118 (345, 096) (498, 300) (1, 169) 3,128,077 100 721, 118 (345, 096) (498, 300) (1, 169) Creditors due within one year Creditors due in more than one year Provisions for liabilities and charges Total 425, 850 2, 578, 880 3, 004, 730 Page 56 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 RECONCILIATION OF NET MOVEMENT IN FUNDS TO NET CASH FLOW FROM OPERATING 20. ACTIVITIES 2024 2023 Net incomelexpenditure for the period (as per Statement of Financial Activities) 296,144 {221,281) Adjustments for: Depreciation charges Loss on the sale of fixed assets 170,694 9,291 164,410 169,670 623 197,701 6,641 302, 067 (109, 442) 664 Decreasel(increase) in debtors Decrease in creditors Gain on pension deficit Net cash provided by operating activities 342,672 176, 350 21. ANALYSIS OF CASH AND CASH EQUIVALENTS 2024 2023 Cash in hand 720,308 522, 648 Total cash and cash equivalents 720,308 522, 648 22. ANALYSIS OF CHANGES IN NET DEBT Other non- cash At 31 March changes 2024 At 1 April 2023 Cash flows Cash at bank and in hand Debt due within 1 year Debt due after 1 year Finance leases 522.648 1110,787) 1487.680) 120,425) 197,660 111,135 720,308 1115,2701 (114,922 115,270 (372,410 110,621 9,804 (96,244) 318,599 222,355 Page 57 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 23. CONTINGENT LIABILITIES Included in the 2005 financial statements was a grant of £500,000 from the Big Lottery Fund towards the capital costs of the new hospice. This grant agreement remains in force for a period of 80 years and the grant may become repayable if there is a breach ofthe temis and conditions in this period. During the financial year 2013114 and 2014115 the Hospice received a grant totalling £510,000 from the Help the Hospices Fund INHS England) towards the capital costs of the new Wellbeing Centre. In the event that the Hospice closes down or the building ceases to be used for the purpose of palliative care of patients, NHS England shall have the right to repayment of all monies advanced under this grant, subject to a reduction reflecting benefits from serVI￿S already delivered. 24. PENSION COMMITMENTS The pension cost charge represents contributions payable by the Charity and amounted to £81,064 (2023.- £93,298). Contributions totslling £14.167 (2023.- £15,412) were payable at the balance sheet date and are included in creditors. The Charity is also making deficit payments and has included the net present value of these payments, £546 (2023.. £1, 169) in provisions. The Pensions Trust The company participates in the scheme, a multi*mployer scheme ￿lch provides benefits to some 638 non-associated participating employers. The scheme is a defined benefit scheme in the UK. It is not possible for the company to obtain sufficient infomiation to enable it to account for the scheme as a defined benefit scheme. Therefore it accounts for the scheme as a defined contribution scheme. The scheme is subject to the funding legislation outlined in the Pensions Act 2004 which came into force on 30 December 2005. This, together with documents issued by the Pensions Regulator and Technical Actuarial Stsndards issued by the Financial Reporting Council, set out the framework for funding defined benefit occupational pension schemes in the UK. The scheme is classified as a 'last-man standing arrangement.. Therefore the company is potentially liable for other participating employers, obligations if those employers are unable to meet their share of the scheme deficit following withdrawal from the scheme. Participating employers are legally required to meet their share of the scheme deficit on an annuity purchase basis on withdrawal from the scheme. A full actuarial valuation for the scheme was carried out at 30 September 2020. This valuation showed assets of £800.3m, liabilities of £831.9m and a deficit of £31.6m. To eliminate this funding shortfall, the Trustee has asked the participating employers to pay additional contributions to the scheme as follows.. Deficit contributions From 1 April 2022 to 31 January 2025: £3.312.000 per annum (payable monthly) Unless a concession has been agreed with the Trustee the tenn to 31 January 2025 applies. Note that the scheme's previous valuation was carried out wth an effective date of 30 September 2017. This valuation showed assets of £794.9m, liabilities of £926.4m and a deficit of £131.5m. To eliminate this funding shortfall, the Trustee asked the participating employers to pay additional contributions to the scheme as follows= Deficit contributions From 1 April 2019 to 30 September 2025= increasing by 30/0 each on 1st April) £11.243,000 per annum (payable monthly and The recovery plan contributions are allocated to each participating employer in line wth their estimated share of the Series 1 and Series 2 scheme liabilities. Page 58 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 24. PENSION COMMITMENTS (CONTINUED Where the scheme is in deficit and ￿ere the company has agreed to a deficit funding arrangement the company recognises a liability for this obligation. The amount recognised is the net present value of the deficit reduction contributions payable under the agreement that relates to the deficit. The present value is calculated using the discount rate detailed in these disclosures. The unwinding of the discount rate is recognised as a finance cost PRESENT VALUES OF PROVISION 31 March 2024 31 March 2023 546 1,169 31 March 2022 1,833 RECONCILIATION OF OPENING AND CLOSING PROVISIONS Period Ending Period Ending 31 March 2024 31 March 2023 Provision at start of period Unwinding of the discount factor (interest expense) Deficit contribution paid Remeasurements- impact of any change in assumptions Remeasurements- amendments to the contribution schedule Provision at end of period 1,169 45 {668) 1,833 35 (668) (31) 1,169 Page 59 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 24. PENSION COMMITMENTS (CONTINUED INCOME AND EXPENDITURE IMPACT Period Ending Period Ending 31 March 2024 31 March 2023 Interest expense Remeasurements- impact of any change in assumptions Remeasurements- amendments to the contribution schedule Contributions paid in respect of future service" Costs recognised in income and expenditure account 45 35 (31) "includes defined contribution schemes and fvture service contributions (i.e. excluding any deficit reduction payments) to defined benefit schemes which are treated as defined contribution schemes. To be completed by the company. ASSUMPTIONS 31 March 2024 31 March 2023 °A per annum /0 per annum 5.31 5.52 31 March 2022 /0 per annum 2.35 Rate of discount The discount rates shown above are the equivalent single discount rates which, when used to discount the future recovery plan contributions due, would give the same results as using a full AA corporate bond yield curve to discount the same recovery plan contributions. 25. OPERATING LEASE COMMITMENTS At 31 March 2024 the Charity had commitments to make future minimum lease payments under non- Can￿lIable operating leases as follows= 2024 2023 Not later than 1 year Later than 1 year and not later than 5 years 60,540 35,898 85,192 49,292 96,438 134,484 26. RELATED PARTY TRANSACTIONS During the year the charity paid £14,167 (2023.- £13,543) for rent and insurance to a Council Member. During the year the charity received income of £nil {2023." £16n from a company in which a Council Member is also a director. Page 60 THE HARTLEPOOL HOSPICE LIMITED TIA ALICE HOUSE HOSPICE {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 27. GENERAL RESERVES At 31 March 2024 there is a surplus on unrestricted free reserves of £324,581. Excluding the long term bank loans and the pension deficit, there is a surplus of £698,354. Page 61