St Michael's Hospice
(incorporating the Freda Pearce Foundation)
Annual Report and Consolidated Financial Statements
For the year ended 31st March 2022
Company Registration Number.. 01634942 (England and Wale51
Charity Registration Number.. 511179
st-michaels-hospice.org.uk
twitter.comlstmichaelsh05P
lacebook.com/5tmichaelshospicehereford
## St Michael’s Hospice
**Now and always: Caring to make a difference**
## **Our service is completely free of charge**
St Michael’s Hospice provides its care, free of charge, to patients, their families, and carers. This care is made possible by supporters taking part in fundraising events, playing our lottery, shopping at our retail outlets, making charitable donations, leaving gifts in their wills, or giving freely of their time to volunteer.
If you would like to support St Michael’s, you can find out more about what we do and ways you can help by visiting our website.
**To share your comments or suggestions with us, please contact:**
**Quality and Compliance Team St Michael’s Hospice Bartestree Hereford HR1 4HA**
**quality@smhospicehereford.org**
2
## **St Michael’s Hospice (incorporating the Freda Pearce Foundation)**
## **For the year ended 31 March 2022 CONTENTS**
Page **Reference and Administrative Information ................................................................................... 4 Report of the Trustees ..................................................................................................................... 5** Related Parties and Relationships with other Organisations............................................................................... 5 Operating Structure and Charity Governance Code ............................................................................................ 5 **Objectives and Activities ............................................................................................................. 6** Objectives......................................................................................................................................................................... 6 Mission .............................................................................................................................................................................. 6 Vision ................................................................................................................................................................................. 6 Principal Activities .......................................................................................................................................................... 6 Support for Principal Activities ................................................................................................................................... 7 Public Benefit ................................................................................................................................................................... 7 **Strategic Report ............................................................................................................................... 7** Strategy ............................................................................................................................................................................. 7 Achievements and Performance 2021/22 ................................................................................................................. 8 Financial Review ............................................................................................................................................................ 14 Investment Policy and Returns .................................................................................................................................. 14 Reserves Policy ............................................................................................................................................................. 14 Principal Risks and Uncertainties .............................................................................................................................. 15 Going Concern ............................................................................................................................................................. 15 Future Plans ................................................................................................................................................................... 15 **Structure, Governance and Management .................................................................................... 15** Trustees .......................................................................................................................................................................... 15 Remuneration Policy for Key Management Personnel ........................................................................................ 16 Policy for Employment of Disabled Persons .......................................................................................................... 16 Employee Information ................................................................................................................................................. 16 Funds Held as Custodian Trustees on Behalf of Others .................................................................................... 16 Statement of Trustees Responsibilities ................................................................................................................... 17 **Independent Auditor’s Report ...................................................................................................... 18 Consolidated Statement of Financial Activities .......................................................................... 22 Consolidated and Charity Balance Sheets ................................................................................... 23 Consolidated Statement of Cash Flows ....................................................................................... 24 Notes to the Financial Statements ............................................................................................... 25**
3
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) For the year ended 31 March 2022 Reference and Administrative Information**
|Charity Name|St Michael’s Hospice (incorporating The Freda Pearce Foundation)|
|---|---|
|Charity Number|511179|
|Company Number|01634942|
|Address of Registered Office|St Michael’s Hospice|
||Bartestree|
||Hereford, HR1 4HA|
|Country of Registration|England and Wales|
|Country of Incorporation|United Kingdom|
|Trustees|Trustees, who are also directors under company law, who served during|
||the year and up to the date of this report were as follows:|
||Mr D R Teague, Chair|
||Revd Preb K B Garlick|
||Ms P A Greenwood|
||Mr D T Hammond|
||Mrs C J Winney|
||Mr E D Drummond|
||Mr J M Martin (resigned 16thNovember 2021)|
||Mr D J Campion (resigned 10thJanuary 2022)|
||Mr M D Thomas (resigned 16thFebruary 2022)|
||Mr I D A Entwisle (appointed 15thJune 2022)|
||Mr C A Akle (appointed 15thJune 2022)|
|Life Patrons|Dr R G Miller|
||Dr J J Kramer|
||Mr A J Walshe|
|Chief Executive Officer|Mr M L Keel|
|Strategic Management Team|Mrs E J Cotton, Finance Director|
||Mrs L A Carter, Income Generation and Marketing Director (resigned|
||31st March 2022)|
||Dr ACBlower (retired31stDecember 2021)|
|Company Secretary|Mr M L Keel|
|Bankers|The Royal Bank of Scotland PLC|
||Drummond House|
||1 Redheughs Avenue|
||Edinburgh|
||EH12 9JN|
|Independent Auditor|Crowe U.K. LLP|
||Statutory Auditor|
||Fourth Floor|
||St James House|
||St James Square|
||Cheltenham, GL50 3PR|
4
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Report of the Trustees For the year ended 31 March 2022**
The Trustees of St Michael’s Hospice (‘St Michael’s’) present their report and the audited financial statements for the year ended 31 March 2022. Reference and administrative information set out on page 4 forms part of this report.
The financial statements comply with current statutory requirements, the Memorandum and Articles of Association and the Statement of Recommended Practice - Accounting and Reporting by Charities: SORP applicable to charities preparing their financial statements in accordance with FRS 102.
The Trustees of St Michael’s are charity Trustees for the purpose of the Charities Act and are Directors of St Michael’s and Directors for the purposes of the Companies Act. The Trustees form the Trustee Board of St Michael’s. Although the Strategic Management Team’s (SMT) job titles include the word ‘Director’, these people are not Directors within the meaning of the Companies Act.
The Trustee Board is responsible under St Michael’s governing document for controlling the management and administration of St Michael’s within the law. It is ultimately responsible for everything St Michael’s does and how it does it. The overriding duty is to act in good faith within charity law and to make sure St Michael’s pursues its aims (as set out in the governing document); uses its assets only to pursue those aims; and acts for its community.
It does this by:
- Safeguarding and promoting the values and mission of St Michael’s;
- Determining the strategy and structure of St Michael’s;
- Ensuring St Michael’s operates in an effective, responsible, and accountable manner, securing future sustainability;
Related Parties and Relationships with other
## Organisations
St Michael’s is the parent undertaking of a group consisting of:
- SMH Trading Limited - St Michael’s uses this subsidiary for non-primary purpose trading activities.
- St Michael’s Hospice Development Company Limited - St Michael’s uses this subsidiary for redeveloping the hospice buildings and surroundings. This company is dormant.
Both subsidiaries are English registered companies and Gift Aid all available profits to St Michael’s where applicable.
Operating Structure and Charity Governance Code The Board retains ultimate operational responsibility and sets the aims, policies, and objectives of St Michael’s together with performance monitoring.
It has however devolved authority for its strategic implementation, attainment, performance and day-to-day running to the Chief Executive Officer and his senior management team who are also responsible for St Michael’s meeting all its statutory and contractual obligations.
St Michael’s Governance Manual describes these arrangements. The Governance Manual is kept under review by the Trustees with reference to the Charity Governance Code.
St Michael’s has a comprehensive range of operational policies and procedures that it maintains in line with the requirements of the Care Quality Commission, which regulates the clinical activity of St Michael’s, the Gambling Commission that regulates the Lottery and the Fundraising Regulator.
- Ensuring the effective functioning of the Board of Trustees;
- Ensuring the organisation meets all statutory requirements.
During the year, the Board of Trustees met five times as a complete Board with subcommittee meetings in between. Board members are unremunerated volunteers.
The Board is made up of members according to an analysis that identifies skills, experience and qualities needed for the good governance of St Michael’s.
5
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Report of the Trustees For the year ended 31 March 2022**
## **Objectives and Activities**
## Objectives
The Founders set up St Michael’s on 12 May 1982 as the Freda Pearce Foundation. St Michael’s is governed by its original Memorandum and Articles of Association, which St Michael’s has subsequently amended by special resolutions on 02 November 1998, 02 October 2002, 15 April 2009, 07 November 2012, 28 September 2017 and 25 March 2020. St Michael’s changed its name to St Michael’s Hospice (incorporating the Freda Pearce Foundation) on 02 November 1998.
The Articles, as amended, state the objects of St Michael’s are to promote the relief of sickness in people over the age of 18 years who are Herefordshire residents or living in the immediate surrounding counties.
- _Our_ _**mission** is to make sure palliative and end of life care is available to all who can benefit from it, regardless of gender, diagnosis, social group or setting. This includes supporting those people close to the dying person_
- _throughout the pre- and post-bereavement stages too_ .
St Michael’s knows it cannot do all of this on its own and so works with communities, groups and organisations to help them understand the importance of good palliative care and how they can play their part to ensure there is a spectrum of services to meet patient and family needs.
St Michael’s recognises it must help change people’s perception and understanding of end-of-life care as well as their readiness to talk about it – not only their own plans but their families and friends too. St Michael’s encourages patients (with their families where appropriate) to produce a plan that describes their needs and preferences. This helps ensure they receive the right care, in the right place, delivered by the right people.
St Michael’s provides its services free to patients, carers, and families to ensure accessibility.
_Our_ _**vision** is that everyone in Herefordshire and the surrounding areas who needs and wants palliative care has timely access to it, delivered in a way that suits them._
## Principal Activities
St Michael’s fulfils its purpose through its principal activity of providing adult hospice care to the people of Herefordshire and immediate surrounding areas as follows:
1. Adult inpatient palliative medical and nursing care in a twenty-bed purpose-built unit (16 beds in use during this reporting period with negotiations ongoing with the NHS to open the remaining 4).
2. Adult outpatient palliative medical and nursing care in Day Services and appropriate therapy (physiotherapy, occupational, music, art and complementary).
3. Hospice at Home Service, which includes 24-hour telephone advice, care co-ordination service, urgent care team and planned home care packages. St Michael’s provides this care in people’s homes or places they regard as home (e.g. nursing, and residential homes). Some aspects of this service are delivered in collaboration with Marie Curie.
4. Education and Training. St Michael’s seeks to influence and guide the quality of palliative care in other settings and given by other providers through its education and training programmes thereby sharing the experience, expertise and knowledge St Michael’s has built up from nearly 40 years of working in palliative care. St Michael’s also ensures its staff and volunteers have opportunities to develop their skills, knowledge, and competence as these have a direct bearing on the quality of support St Michael’s can provide.
5. Underpinning the main services is the Supportive and Rehabilitative Care service, which social workers, bereavement care workers, spiritual workers and counsellors deliver. They offer this to patients and families in the Inpatient and Day services and Hospice at Home service. These services provide the vital social and psychological elements of support that characterises holistic care and to which St Michael’s aspires. The holistic approach not only considers the patient’s condition, life, and circumstances, but also supports and cares for the patient’s family and friends. The Rehabilitative and Supportive Care service also collaborates with another charity called Hope Support, to provide care and support to children who are close to our patients.
6
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Report of the Trustees For the year ended 31 March 2022**
## Support for Principal Activities
The facilities teams (catering, housekeeping and maintenance) provide essential support for the principal activities. The management and administration team provide the necessary governance, oversight and operational management plus finance, human resources (HR), information technology (IT) and administrative support. The fundraising and retail teams maintain the necessary income needed by St Michael’s to deliver its services, as recurrent statutory funding (from NHS, local authorities, and the Department of Health) remains inadequate.
St Michael’s has over 800 volunteers who provide regular support to all areas of St Michael’s. Many more provide ad hoc support at events etc. or volunteer via their workplaces, communities, and other organisations for the benefit of St Michael’s. The contribution these people make is vital to St Michael’s success and survival. These volunteers support 241 employed staff (including bank staff) to provide the quality care service and the required support services for patients and their families to meet and go beyond regulatory requirements.
## Public Benefit
The Trustees have referred to the guidance contained in the Charity Commission's general guidance on public benefit when reviewing St Michael’s objectives and in planning its future activities.
The Trustees consider how planned activities will contribute to the objectives that have been set, reporting the success of each key activity and the benefits St Michael’s has brought to those groups of people that it is set up to help, and the wider public benefit. The Trustees regularly review the objectives and activities of St Michael’s ensuring they remain focused on its stated purposes.
The Trustees continue to recognise three strategic intentions underpinned by four key areas in which St Michael’s must continue to develop and excel to successfully deliver the objectives and activities.
The Strategic Report that follows sets out our ongoing strategy and looks at what St Michael’s has achieved, and the outcomes of its work, in the reporting period.
## **Strategic Report**
_Our ongoing_ _**strategy** is to have a multi-faceted approach that focuses on ensuring its long-term sustainability and ability to operate in the new health economy; as well as initiatives to do more, in partnership with other organisations, to give patients greater choice; ensure they receive the best support available free of charge; and to significantly enhance our engagement in our communities._
**----- Start of picture text -----**
Strategic Intentions
and excel
Areas to develop
**----- End of picture text -----**
**Influence, educate and work with others to improve care.**
**Communicate with and support more people.** Working with others, we will increase accessibility, availability and quality of palliative care for more people.
We will work with key decision makers, other providers and the community to heighten awareness of death and dying issues and improve care wherever it is provided through education and research.
**Income People Generation and Communication Management Marketing**
**Be a sustainable and well-led organisation.**
We will ensure we generate enough income to deliver our vision and innovate as an organisation to make us more effective and efficient.
**Information and Data Management**
7
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Report of the Trustees For the year ended 31 March 2022**
## **Achievements and Performance 2021/22**
The world-wide COVID-19 pandemic, which started at the beginning of 2020 and is still ongoing at the time of writing, has impacted St Michael’s operations, its supporters, volunteers, and staff. No one could have imagined the depth to which this event would penetrate all our lives. However, the Trustees are immensely proud to report that the volunteers and staff have continued to show immense fortitude, resourcefulness, and ingenuity to ensure St Michael’s continued to provide its vital care and support to those who needed it and contributed to the wider effort in Herefordshire and surrounding areas to combat the effects of the pandemic.
The pandemic brought out the very best in people and we saw new friendships and relationships forged as Herefordshire’s health and social care services came together to protect our residents and serve those most in need. The Income Generation team has worked tirelessly to restore our events and activities and re-open our shops. The Team has done immensely well during these turbulent times, and we hope to be fully recovered and back on track during 2022/23.
The government support, provided to hospices in recognition of the important part we played in dealing with the pandemic, ensured St Michael’s was not severely impacted by the loss of many of its income streams and could carry on with confidence.
_Strategic Intention One: Communicate with and support more people_
St Michael’s has supported and cared for 2,053 people in 2021/22 (2020/21: 2,052).
We know that people want to receive their care in many different places and settings and not always at or by St Michael’s. We want to ensure that people, wherever they are, receive high-quality palliative care.
For those who chose hospice services for their end of life and palliative care, St Michael’s saw increasing demand as the pandemic lessoned.
|**2021/22**
**2020/21**
**2019/20**
**2018/19**
**2017/18**
**Inpatient Unit Activity**
**No.**
**%**
**No.**
**%**
**No.**
**%**
**No.**
**%**
**No**
**%**
**Admissions**
**306**
**273**
**281**
**343**
**317**
**Admitted From:**
Home
**181**
59%
191
70%
201
72%
251
73%
232
73%
Hospital
**121**
40%
79
29%
67
24%
88
25%
83
26%
Other
**4**
1%
3
1%
13
4%
4
2%
2
1%
**Total**
**306**
**100%**
**273**
**100%**
**281**
**100%**
**343**
**100%**
**317**
**100%**
**Location at end of stay:**
Died
**214**
70%
171
65%
190
67%
197
57%
187
59%
Home
**79**
26%
89
30%
72
26%
146
43%
114
36%
Hospital
**0**
0%
1
0%
-
-
-
-
9
3%
Other
**13**
4%
12
5%
19
7%
-
-
7
2%
**Total**
**306**
**100%**
**273**
**100%**
**281**
**100%**
**343**
**100%**
**317**
**100%**
**Average Length of admission**
**16**
**19**
**19**
**17**
**18**
**Occupancy (target 85%)**
**82%**
**89%**
**91%**
**80%**
**78%**
**Hospice at Home Activity**
Number of People Supported
**604**
716
758
554
397
Number of Visits Made
**10,116**
10,198
10,520
9,609
9,930|**2021/22**
**2020/21**
**2019/20**
**2018/19**
**2017/18**
**Inpatient Unit Activity**
**No.**
**%**
**No.**
**%**
**No.**
**%**
**No.**
**%**
**No**
**%**
**Admissions**
**306**
**273**
**281**
**343**
**317**
**Admitted From:**
Home
**181**
59%
191
70%
201
72%
251
73%
232
73%
Hospital
**121**
40%
79
29%
67
24%
88
25%
83
26%
Other
**4**
1%
3
1%
13
4%
4
2%
2
1%
**Total**
**306**
**100%**
**273**
**100%**
**281**
**100%**
**343**
**100%**
**317**
**100%**
**Location at end of stay:**
Died
**214**
70%
171
65%
190
67%
197
57%
187
59%
Home
**79**
26%
89
30%
72
26%
146
43%
114
36%
Hospital
**0**
0%
1
0%
-
-
-
-
9
3%
Other
**13**
4%
12
5%
19
7%
-
-
7
2%
**Total**
**306**
**100%**
**273**
**100%**
**281**
**100%**
**343**
**100%**
**317**
**100%**
**Average Length of admission**
**16**
**19**
**19**
**17**
**18**
**Occupancy (target 85%)**
**82%**
**89%**
**91%**
**80%**
**78%**
**Hospice at Home Activity**
Number of People Supported
**604**
716
758
554
397
Number of Visits Made
**10,116**
10,198
10,520
9,609
9,930|**2021/22**
**2020/21**
**2019/20**
**2018/19**
**2017/18**
**Inpatient Unit Activity**
**No.**
**%**
**No.**
**%**
**No.**
**%**
**No.**
**%**
**No**
**%**
**Admissions**
**306**
**273**
**281**
**343**
**317**
**Admitted From:**
Home
**181**
59%
191
70%
201
72%
251
73%
232
73%
Hospital
**121**
40%
79
29%
67
24%
88
25%
83
26%
Other
**4**
1%
3
1%
13
4%
4
2%
2
1%
**Total**
**306**
**100%**
**273**
**100%**
**281**
**100%**
**343**
**100%**
**317**
**100%**
**Location at end of stay:**
Died
**214**
70%
171
65%
190
67%
197
57%
187
59%
Home
**79**
26%
89
30%
72
26%
146
43%
114
36%
Hospital
**0**
0%
1
0%
-
-
-
-
9
3%
Other
**13**
4%
12
5%
19
7%
-
-
7
2%
**Total**
**306**
**100%**
**273**
**100%**
**281**
**100%**
**343**
**100%**
**317**
**100%**
**Average Length of admission**
**16**
**19**
**19**
**17**
**18**
**Occupancy (target 85%)**
**82%**
**89%**
**91%**
**80%**
**78%**
**Hospice at Home Activity**
Number of People Supported
**604**
716
758
554
397
Number of Visits Made
**10,116**
10,198
10,520
9,609
9,930|**2021/22**
**2020/21**
**2019/20**
**2018/19**
**2017/18**
**Inpatient Unit Activity**
**No.**
**%**
**No.**
**%**
**No.**
**%**
**No.**
**%**
**No**
**%**
**Admissions**
**306**
**273**
**281**
**343**
**317**
**Admitted From:**
Home
**181**
59%
191
70%
201
72%
251
73%
232
73%
Hospital
**121**
40%
79
29%
67
24%
88
25%
83
26%
Other
**4**
1%
3
1%
13
4%
4
2%
2
1%
**Total**
**306**
**100%**
**273**
**100%**
**281**
**100%**
**343**
**100%**
**317**
**100%**
**Location at end of stay:**
Died
**214**
70%
171
65%
190
67%
197
57%
187
59%
Home
**79**
26%
89
30%
72
26%
146
43%
114
36%
Hospital
**0**
0%
1
0%
-
-
-
-
9
3%
Other
**13**
4%
12
5%
19
7%
-
-
7
2%
**Total**
**306**
**100%**
**273**
**100%**
**281**
**100%**
**343**
**100%**
**317**
**100%**
**Average Length of admission**
**16**
**19**
**19**
**17**
**18**
**Occupancy (target 85%)**
**82%**
**89%**
**91%**
**80%**
**78%**
**Hospice at Home Activity**
Number of People Supported
**604**
716
758
554
397
Number of Visits Made
**10,116**
10,198
10,520
9,609
9,930|**2021/22**
**2020/21**
**2019/20**
**2018/19**
**2017/18**
**Inpatient Unit Activity**
**No.**
**%**
**No.**
**%**
**No.**
**%**
**No.**
**%**
**No**
**%**
**Admissions**
**306**
**273**
**281**
**343**
**317**
**Admitted From:**
Home
**181**
59%
191
70%
201
72%
251
73%
232
73%
Hospital
**121**
40%
79
29%
67
24%
88
25%
83
26%
Other
**4**
1%
3
1%
13
4%
4
2%
2
1%
**Total**
**306**
**100%**
**273**
**100%**
**281**
**100%**
**343**
**100%**
**317**
**100%**
**Location at end of stay:**
Died
**214**
70%
171
65%
190
67%
197
57%
187
59%
Home
**79**
26%
89
30%
72
26%
146
43%
114
36%
Hospital
**0**
0%
1
0%
-
-
-
-
9
3%
Other
**13**
4%
12
5%
19
7%
-
-
7
2%
**Total**
**306**
**100%**
**273**
**100%**
**281**
**100%**
**343**
**100%**
**317**
**100%**
**Average Length of admission**
**16**
**19**
**19**
**17**
**18**
**Occupancy (target 85%)**
**82%**
**89%**
**91%**
**80%**
**78%**
**Hospice at Home Activity**
Number of People Supported
**604**
716
758
554
397
Number of Visits Made
**10,116**
10,198
10,520
9,609
9,930|**2021/22**
**2020/21**
**2019/20**
**2018/19**
**2017/18**
**Inpatient Unit Activity**
**No.**
**%**
**No.**
**%**
**No.**
**%**
**No.**
**%**
**No**
**%**
**Admissions**
**306**
**273**
**281**
**343**
**317**
**Admitted From:**
Home
**181**
59%
191
70%
201
72%
251
73%
232
73%
Hospital
**121**
40%
79
29%
67
24%
88
25%
83
26%
Other
**4**
1%
3
1%
13
4%
4
2%
2
1%
**Total**
**306**
**100%**
**273**
**100%**
**281**
**100%**
**343**
**100%**
**317**
**100%**
**Location at end of stay:**
Died
**214**
70%
171
65%
190
67%
197
57%
187
59%
Home
**79**
26%
89
30%
72
26%
146
43%
114
36%
Hospital
**0**
0%
1
0%
-
-
-
-
9
3%
Other
**13**
4%
12
5%
19
7%
-
-
7
2%
**Total**
**306**
**100%**
**273**
**100%**
**281**
**100%**
**343**
**100%**
**317**
**100%**
**Average Length of admission**
**16**
**19**
**19**
**17**
**18**
**Occupancy (target 85%)**
**82%**
**89%**
**91%**
**80%**
**78%**
**Hospice at Home Activity**
Number of People Supported
**604**
716
758
554
397
Number of Visits Made
**10,116**
10,198
10,520
9,609
9,930|
|---|---|---|---|---|---|
||**306**
**100%**|**273**
**100%**|**281**
**100%**|**343**
**100%**|**317**
**100%**|
||**214**
70%
**79**
26%
**0**
0%
**13**
4%|171
65%
89
30%
1
0%
12
5%|190
67%
72
26%
-
-
19
7%|197
57%
146
43%
-
-
-
-|187
59%
114
36%
9
3%
7
2%|
||**306**
**100%**|**273**
**100%**|**281**
**100%**|**343**
**100%**|**317**
**100%**|
||**16**
**82%**
**604**
**10,116**|**19**
**89%**
716
10,198|**19**
**91%**
758
10,520|**17**
**80%**
554
9,609|**18**
**78%**
397
9,930|
8
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Report of the Trustees For the year ended 31 March 2022**
The Inpatient Unit (IPU) continued throughout the pandemic and received 403 requests for admission, which resulted in 278 people having 306 admissions (some people were admitted more than once). This is an increase of 12% on 2020/21. We saw a huge increase in admissions during January, February, and March 2022 as we came out of the pandemic more. Not all referrals result in admission. There are various reasons why this might happen (the person’s condition changes; they decide to receive home care instead; or they deteriorate suddenly and die before the admission can be arranged), but in all cases St Michael’s supported the person with services suitable to their situation. The average length of each stay in the inpatient unit was 16 days (2020/21: 19 days), which is slightly lower than pre-pandemic levels and reflects the increased complexity and sickness of patients we are seeing now.
Overall occupancy of the inpatient unit was below our 85% target for the year because of the pandemic, but in the last three months exceeded target at over 90%.
Day Services continued to be hampered by the pandemic, but the volunteers and staff worked hard to restore some face-to-face and group activities where safe to do so. Telephone and video calls remained a feature of some of our support during the year.
The number of people supported face-to-face by Day Services during the reporting period was 126. This compares with 11 people in 2020/21 but is still well below pre-pandemic levels of over 300 people. Many people received support via telephone and video call instead of face-to-face. We expect this to recover quickly as restrictions lift and people restore confidence in coming out. The three core services being restored are Day Hospice (DH); Living Well (LW) Support; and Fatigue and Breathlessness Support (FAB).
We have grown our Supportive and Rehabilitative Care team this year and are now reaching more people in the community. We increased our Bereavement Support service using an NHS Grant in response to a growing need caused by the pandemic. We expect to continue this service into 2023.
We only carried out essential Outpatient Medical Clinics during the pandemic where telephone or video links were not possible or appropriate. The medical team did deliver some domiciliary visits, but again these were severely curtailed because of the pandemic. 92 patients had a medical outpatient appointment compared to 40 the previous year and 250 pre-pandemic.
The NHS commissioned Hospice at Home service continues to evolve and grow with 586 people referred for support and care. This is similar to previous years and is capped by the service’s capacity.
This is an important service for those people who would prefer to receive their care at home in familiar surroundings and close to their family. The Co-ordination Hub is the single-entry point for all St Michael’s services. It not only receives referrals but also provides advice, which gives patients, families, carers and professionals access to senior nurses and co-ordinators from 07.00hrs-22.00hrs every day. Outside of these hours, advice and support is delivered by the senior nurses on the Inpatient Unit with access to medical support as required.
An additional function of the Co-ordination Hub is to support patients on the Inpatient Unit waiting list when a bed is not immediately available. This support ranges from home visiting to telephone advice.
During the pandemic, the Hospice at Home team were asked to take on the brokerage function for finding agency care packages for people who qualified for funded care. This created increased work for the team, but the benefits to patients and families was most evident with quicker discharge from hospital and more responsive care packages provided.
The Compassionate Communities development work is picking up again with more volunteers receiving training and more locations setting up their own groups.
9
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Report of the Trustees For the year ended 31 March 2022**
_Strategic Intention Two: Influence, educate and work with others to improve care_
Our Mobile Hospice Support Vehicle could not continue its work of building awareness of our services in the more rural and far-reaching parts of Herefordshire. However, St Michael’s loaned the vehicle to Herefordshire NHS to use as a COVID testing and vaccination station. This has been hugely successful, and has increased awareness of St Michael’s services all over the County. It will return from its pandemic duties in June 2022.
St Michael’s educational programmes ensure staff and volunteers both at St Michael’s and in other partner organisations are competent and confident in the delivery of high-quality palliative care. The programme also supports more wider organisational development with management training, customer service courses and leadership skills acquisition. We are restoring the onsite and face-to-face training in response to increasing demand as people come out of the pandemic.
This move to deliver education and support electronically during COVID has accelerated our implementation of Project Echo at St Michael’s. This is a world-wide initiative that aims to democratise care by making specialist expertise available closer to the patient. St Michael’s is using this project to engage more with care homes and GPs. An NHS Grant has funded the project and we are implementing it with our hospice colleagues in Worcestershire.
We continue to develop our e-learning platform, which enables staff and volunteers to receive most of their training more flexibly and electronically. This ensures we meet our regulatory requirements set by the Care Quality Commission and we can easily evidence this. This platform allowed us to keep up with important training and education during the pandemic.
_Strategic Intention Three: Be a sustainable and well-led organisation_
St Michael’s continually seeks ways to increase its efficiency and effectiveness through monitoring and benchmarking its suppliers and continuing to cut out waste. St Michael’s is an active member of the Hospice Quality Partnership (HQP) – an organisation set up by UK hospices to achieve best value through joint procurement and contracting.
St Michael’s has a diverse range of income streams, so it is not reliant on any one source of funds. These include many different types of fundraising (donations, legacies, events, community, trusts, lottery, corporate); retail income from our shop portfolio; investment income; property rental; and some NHS income.
We have developed our management and leadership structure to ensure decision-making and responsibility is as close to the point of delivery as possible. We support managers, supervisors, and leaders in all areas to seek ways to improve the things we do and ensure our supporters, staff and volunteers flourish in a positive and nurturing environment, which in turn delivers the best care to our patients and families.
St Michael’s finances continue to hold up despite a difficult economic environment. A continuation of the efforts made by staff, Trustees, and volunteers to maximise income, control costs, and secure efficiencies without compromising services will continue to support financial sustainability.
_Areas that underpin our three strategic intentions_
## _1. People Management_
St Michael’s is reliant on having enough of the right people (volunteers and paid staff) to deliver its objectives and activities; finding the best people is becoming harder as demographic changes occur and there is a smaller pool from which to recruit professional staff.
We have continued our focus on improving our Human Resource function to speed up systems and processes and automate as many as possible to free up staff and volunteers to concentrate on their core roles.
The Trustees are grateful to all volunteers and staff for their dedication and hard work to bring St Michael’s through the pandemic.
10
## **St Michael’s Hospice (incorporating the Freda Pearce Foundation) Report of the Trustees For the year ended 31 March 2022**
The annual organisation-wide staff survey operated by Best Companies gives us a confidential and impartial review of our staff engagement. In 2021/22 we achieved **‘One Star’** status and inclusion in the **Times Top Charities to Work For** list.
Achieving this improvement in staff engagement during a very difficult year is testament to the strong leadership and management of the organisation.
The Trustees wish to record their thanks to the many volunteers without whom St Michael’s would be unable to maintain the quality of service and deliver all the support at the low cost we achieve.
The estimated value of the volunteer contribution to St Michael’s is more than £2 million per annum.
During the year we had 241 (2020/21: 229) staff, equivalent to 161 (2020/21: 153) whole time equivalent posts. 146 (2020/21: 141) work directly in clinical and care areas and associated parts of the service.
Dr Tony Blower, Medical Consultant, retired in December 2021 after 21 years of dedicated service at St Michael’s.
2021/22 also saw the departure of Lynne Carter, Income Generation, Marketing and Communications Director and three Trustees, David Campion, James Martin and Mike Thomas.
The Trustees wish to record their thanks to all St Michael’s volunteers and staff, past and present, in all departments, who are essential to providing high-quality care for patients.
The staff and volunteers are the guardians of St Michael’s excellent reputation and good standing, attributes which are vital and must remain at the highest level.
## _2. Income Generation and Marketing_
Income Generation and Marketing plans were under continuous review to ensure every opportunity was taken to safeguard income, reduce costs and deliver excellent supporter and customer care as the new COVID-19 variants unfolded.
The gradual lifting of Government restrictions during the year enabled many of our much-loved Events and Community Fundraising activities to return. Some continued in the virtual or adapted form adopted in the height of the pandemic, and participation numbers for our flagship events remained lower than pe-pandemic levels by some 50%-60%. Despite this, Events and Community Fundraising achieved an amazing 70% increase on the previous year, with income of £632,140 (2020/21: £371,827), still, however, a shortfall against budget of £251,860.
June 2021 saw the welcome return of the Plant Fair. This was the first fully open event adapted under COVID-19 guidelines, and saw over 1,150 visitors attend, generating £12,345 net income, an increase of 23% against budget.
The Sue Parry Football Tournament returned, with 2,662 spectators, and 532 players participating, generating its highest ever net income of £8,286.
11
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Report of the Trustees For the year ended 31 March 2022**
Santa’s Grotto was the fastest-selling event of its kind and was over-subscribed within 48 hours, leading to 2 further dates being added, giving kudos to our target of being the best, and most sought after, experience in Herefordshire.
The Santa Run sold out, with 300 participants. The event was altered to accommodate COVID-19 safeguards which affected income slightly.
The most significant impact of COVID-19 was felt by retail. With plentiful stock secured from our donation stations, which were opened in 2020/21 across Hereford and Rosson-Wye in response to customer demand during lockdown shop closures, our retail function was able to bounce back as soon as restrictions lifted in April 2021. Most shops have now reverted to accepting donations direct from donors.
Retail income for the year was an exceptional £2,987,159 (2020/21: £774,543). St Michael’s continued to secure Government support through the Coronavirus Job Retention Scheme and Retail Support grants which amounted to £69,432 (2020/21: £822,305 retail only), tipping income to over £3 million for the first time ever.
The focus for retail going forward is on property and eBay expansion, and we continue to search for opportunities to invest in a further large retail outlet. While the pressures of an increasing number of discount retailers, less volunteers, and people more likely to sell their possessions online themselves impacts, we are still confident that St Michael’s retail operation will continue to evolve and grow to serve its customers and support the wider work of St Michael’s.
Our Hospice Lottery and Raffles contributed £387,855 net income (2020/21: £321,812), with activity largely unaffected by the pandemic. The Lottery’s 21[st] Birthday was a moment to recognise and to encourage new members to join, with a month-long campaign, and the re-introduction of face-to-face canvassing contributing to the sign-up of 509 new members and 630 new plays during the year.
We generated £6,870,979 (2020/21: £4,822,098) from voluntary and other income sources (excluding income directly related to our charitable activities). The cost of raising funds, including the reallocation of support cost, was £2,741,170 (2020/21: £2,168,750). Increased costs reflect a return to pre-pandemic levels and some investment to meet future challenges. For every £1 raised, 61p goes on delivering and improving our care and support for people living with life-limiting illness, and 39p goes on generating further income.
NHS England awarded £1,116,500 (2020/21: £2,246,143) to make available bed capacity and community support to provide support to people with complex needs in the context of the COVID-19 situation. This Government support meant care services could continue. Strong financial management to control costs, and legacy income, being unaffected by the pandemic, totalling £1,631,795 for the year, increased net income before net gains on investments to £1,382,374.
12
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Report of the Trustees For the year ended 31 March 2022**
We ask supporters their preferences as to how we communicate with them. We give them the option to let us know if they wish to change their preferences or no longer wish to hear from us, and always respect their wishes. We do not sell or exchange lists of data with any other charities or companies.
## 3. _Communication_
Our Communications Team keeps St Michael’s in the forefront of people’s minds, from the promotion of events to stories which highlight how people living with a lifelimiting illness have been supported by St Michael's.
Throughout the pandemic, marketing and communications continued for St Michael’s activities, including development of our website, patient information leaflets, newsletters and videos, and support for Income Generation plans.
We review compliance through non-financial audit, mystery shoppers, monitoring feedback and at our Income Generation & Marketing Committee and take corrective action when required to ensure that all St Michael’s fundraisers and those who work on our behalf are aware of and adhering to our high standards.
We have developed and defined our brand personality through the consistent and timely use of social media promotion which continues to gain momentum with increased engagement across all channels. Digital campaigns have furthered this, with a fresh, colourful, and upbeat approach to our graphics.
If we encounter someone showing signs of distress, confusion, or vulnerability our fundraisers will politely refuse any donation offered in such circumstances. In the unlikely event of a donation being received in such circumstances, we will refund the donation. The number of complaints received during the year regarding fundraising was nil (2020/21: nil).
Supporter communications followed a stewardship approach keeping supporters informed on how St Michael’s was adapting and continuing to deliver its services throughout the pandemic. Thanks to this work, the community is far more aware of the breadth of services St Michael’s provides; how we are funded; and how more people can benefit from our services, not just at the end of life.
## _5. Information and Data Management_
With the ability to collect vast amounts of data and information easily these days, St Michael’s needs to be able to analyse and use this data to increase its effectiveness and understanding of its work. Much of our work uses computers and so we have a strategy to develop and secure these systems appropriately and to best effect.
The quality and visibility of our branding, patient literature, St Michael's website, hospice services and external communication continues to ensure people remain inspired by the work carried out by St Michael’s.
The Charity has achieved Cyber Essential Plus accreditation (Certificate Number: IASME-CEP-008874).
## _4. Responsible Fundraising_
St Michael’s is registered with the Fundraising Regulator and is a member of the Institute of Fundraising, the National Association of Hospice Fundraisers, the Hospice Lotteries Association, and the Charity Retail Association, and is committed to adhering to the Code of Fundraising Practice. We have had no adjudications. We have continued to strengthen our Data Protection procedures and communication preferences to all our supporters and feel well placed going forward.
13
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Report of the Trustees For the year ended 31 March 2022**
## Financial Review
The consolidated financial statements that follow later in this report comprise the Consolidated Statement of Financial Activities, the Consolidated and Charity Balance Sheets, the Consolidated Statement of Cash Flows, and related notes, which include the results of the related companies. The result for the year was a surplus of £1,424,501 (2020/21: £2,195,546 surplus).
Total expenditure for the year increased by 10.16% to £8,744,676 (2020/21: £7,938,411); 62% of this relates to increased staffing costs, with a further 38% relating to increased fundraising and other trading activities. 69% was spent on charitable activities.
**----- Start of picture text -----**
£000's
5,769
Charitable Activities
6,004
2,169
Raising Funds
2,741
2021 2022
**----- End of picture text -----**
Total income for the year increased by 7.34% to £10,127,050 (2020/21: £9,434,696).
**----- Start of picture text -----**
£000's
Donations and 2,503
Legacies 2,989
4,613
Charitable Activities
3,256
Other Trading 1,284
Activities 3,628
Investments and 1,035
Other 254
2021 2022
**----- End of picture text -----**
There follows a brief overview of the financial management that has fed into these reports.
Investment Policy and Returns
Because of the uncertainty of fundraising income streams, it is necessary to ensure that funds are always readily available for use to ensure that levels of care are not adversely affected in the event of any short-term income reduction. The Trustees have decided to maintain a lowrisk investment strategy to protect reserves, and therefore services, rather than seeking higher return investments which increase the risk profile. Performance is measured against agreed inflation and market indices.
In the current economic crisis, maintaining pace with inflation remains exceptionally hard. With net gains of £7,127 (2020/21: £649,261), and total return of £147,443 (2020/21: £741,416) performance fell short of target.
## Reserves Policy
The Trustees have reviewed the reliability of future income streams, the commitment to future expenditure and risks faced as a Charity. St Michael’s has determined that it needs reserves for the following reasons:
- To fund shortfalls in income (whether statutory, retail, lottery, donations, legacies, or other fundraising activities) when it does not reach expected levels. St Michael’s is dependent on fundraised income as well as statutory funding. The fundraised income is subject to fluctuation as economic conditions change and statutory funding could be affected by government policy and the financial position of NHS and local authority commissioners;
- To fund unexpected expenditure, for example when legislation changes, or unplanned events occur. This could also be for unexpected building maintenance costs and to provide a degree of flexibility for innovation;
- To fund working capital. The greatest cost is salaries and therefore the timing of cash outflows is relatively fixed whereas both fundraised and statutory income fluctuate in terms of cash inflow over the year;
- To fund future developments to ensure we continue to meet the needs of our community.
At the end of March 2022, the free cash reserves within general funds increased to £11,619,056 (2020/21: £9,794,401), an amount which equates to 14.5 months of budgeted 2022/23 operating costs, exceeding our reserve policy of 9 months. This level of reserves helps St Michael’s to continue to provide all of its services in difficult times such as we are experiencing during the COVID-19 crisis, and the uncertain economic times ahead with rising cost inflation.
The net book values of freehold land and buildings are held in a designated reserve called the Property Fund, totalling £9,894,495 at 31 March 2022 (2020/21: £9,932,715). By designating these funds, the Trustees aim to give a clear presentation of the free reserves available to St Michael’s to meet its continuing operational commitments. At the year-end, restricted reserves totalled £137,430 (2020/21: £104,487). At the year-end, the designated capital investment fund totalled £180,770 (2020/21: £361,191) and the designated development fund totalled £1,118,898 (2020/21: £1,170,000).
The level of reserves is monitored regularly by the Finance & Investments Committee and this policy is reviewed annually by the Trustees when the budgets are approved. This will ensure that appropriate steps are in place to maintain reserves at the required levels.
14
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Report of the Trustees For the year ended 31 March 2022**
## Principal Risks and Uncertainties
The Pandemic is ongoing at the time of this report and remains under continuous review by the Trustees with regular actions taken to comply with government guidance, laws, and regulations. They continue to consider the following material risks:
- Unpredictability of the legacy income stream, which currently represents 16.1% (2020/21: 14.5%) of all income.
- A risk to donations because of the economic and political climate and competition for funds.
- Uncertainty over the NHS contribution due to austerity measures and current economic climate.
- Demand for hospice services outstripping capacity both in terms of volume and skill.
- An ageing workforce and volunteer cohort.
- Challenges in recruitment, particularly in nursing nationally and locally.
- Failure in the provision of the service.
## Going Concern
The Trustees have reviewed financial forecasts into 2026 and have paid special consideration to reviewing the risks to the charity’s services and finances as a result of COVID19. Through careful management of expenditure and stewardship of income, the Trustees are confident that St Michael’s will continue as a going concern for the foreseeable future.
## Future Plans
St Michael’s will continue its current strategy while monitoring the risks to its implementation. The needs of our patients continue to change and evolve, more so because of COVID-19. We will continue to maximise the use of our facilities for the benefit of our patients and families. We will continue to keep all our services under review as each develops and impacts the others so that patients and families receive the high-quality care they need – in the way they want it and at the place of their choosing. With the introduction of the Integrated Care Boards (ICB) for Herefordshire and Worcestershire, St Michael’s continues to ensure its interests and operations in Herefordshire are heard at the ICB level, including continuing to work closely with our colleagues in the other hospices.
An outcome of the pandemic is that Central Government recognises the vital contribution of hospices and will be working to achieve a fair payment scheme to guide local commissioners in their negotiations with their hospices to ensure a better deal. During 2022/23 we will continue to focus on enhancing and growing our volunteer teams, which will be more challenging than ever before, but who remain vital to our survival and sustainability. We will continue to move closer to our communities.
The Mobile Hospice Support Vehicle will contribute to this enormously by travelling round the villages and far reaches telling people about St Michael’s services and offering support locally. Combined with the Compassionate Communities work we have started this will give more support to more people too. By developing our education programmes and embracing new technologies, we will offer more opportunities and ways for people to engage with St Michael’s for their personal and professional development, especially in care and residential homes where most palliative and end of life care will be delivered in the future.
As the organisation grows and becomes more spread (through more fundraising, retail outlets and services delivered in homes) we need to ensure we keep people in touch with St Michael’s and fully informed and briefed so they can not only work effectively but also act as expert ambassadors for St Michael’s. We will develop our communication channels more, so we ensure each donor and supporter understands the important contribution they make to people’s lives in Herefordshire and the surrounding areas.
Finally, St Michael’s (along with many others) is experiencing a great deal of learning and accelerated development through the pandemic delivering services in new ways which take advantage of technologies that have become commonplace. We are committed to retaining as much of this as possible and developing the new links and collaborations that have been forged where this supports our strategic aims.
Thanks to the generosity of our community, St Michael's continues to provide the best possible palliative care and support for local people and their families. The Board of Trustees would like to extend a heartfelt thank you to all the supporters who make this possible.
## **Structure, Governance and Management**
## Trustees
Trustees are unremunerated volunteers. All Trustees give their time voluntarily and receive no benefits from St Michael’s. Any expenses reclaimed from St Michael’s are set out in note 10 to the financial statements. of which there were none. When there are Trustee vacancies, the Board consider the skills mix and diversity of the continuing Trustees to determine the person specifications needed in new Trustees. Recruitment is an open competitive process involving public advertising, networking, and head-hunting as appropriate. St Michael’s provides potential Trustee candidates with information about the organisation and about the role of Trustee, including the role description and expectation of Trustees and the length of tenure of appointment. The full Board of Trustees make appointments.
15
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Report of the Trustees For the year ended 31 March 2022**
Every Trustee must sign a Trustee Commitment and Disclosure Form to act as a Trustee of St Michael’s before he or she is eligible to become a Trustee, including a declaration of interest form, which is renewed each year. On appointment or election as a Trustee, a Trustee becomes a member of St Michael’s. Trustees hold membership of St Michael’s only during their Trusteeship and retirement, resignation or removal as a Trustee ends their membership of St Michael’s.
It is St Michael’s policy and practice to provide Trustees with appropriate training to undertake their role and to ensure that new Trustees receive an induction to St Michael’s and to the role of a Charity Trustee and Company Director. New Trustees attend a corporate induction day, and we are looking at a potential scheme to provide them with a mentor Trustee who would give them specific support over the first 12 months of their Trusteeship. Trustees are elected initially for a three-year term and are appraised annually.
The Trustees delegate day-to-day responsibility to the Chief Executive, who in turn delegates some management functions to the Strategic Management Team (SMT). The Schedule of Delegation is set out in the Governance Manual. The Trustees have four sub-committees that meet quarterly and are responsible for reviewing St Michael’s activities in their respective areas of expertise in more detail than full Board meetings can achieve. These are:
- Clinical Governance & Care Committee;
- People & Facilities Committee;
- Finance & Investment Committee;
- Income Generation & Marketing Committee.
Each committee / group has at least two Trustees and a member of SMT as its members. A Trustee chairs the meetings and presents a report at the Board of Trustees, which meets every six to eight weeks.
Remuneration Policy for Key Management Personnel
The aim of St Michael’s pay policy is to offer fair pay to attract and keep appropriately qualified staff to lead, manage, support, and deliver St Michael’s aims. Trustees are ultimately responsible for setting the Chief Executive’s remuneration level and agreeing the annual cost of living award.
The Chief Executive sets grading levels for the Strategic Management Team with Trustee oversight (except medical staff who are on the NHS scheme). The Strategic Management Team sets grading levels for all other staff.
When deciding the Chief Executive and Senior Staff salary levels, consideration is given to:
- the purpose, aims and values of St Michael’s, and its beneficiaries’ needs;
- how pay is linked to the skills, experiences and competencies St Michael’s needs from its senior staff and the scope of their roles and how St Michael’s can maintain the ability to recruit and retain suitably qualified and experienced management;
- St Michael’s current business plan and how implementing it may affect the number of senior staff St Michael’s needs to employ or recruit, and the nature of these roles;
- St Michael’s ability to pay, including:
- the benefit to St Michael’s that such positions will bring;
- the cost to St Michael’s of increasing remuneration levels.
St Michael’s regularly benchmarks its salary against other similar organisations and, in the case of clinical staff, with the NHS and local authority in Herefordshire.
## Policy for Employment of Disabled Persons
St Michael’s fully and fairly considers all applications for recruitment to contracted or volunteer roles made by disabled persons and gives regard to their aptitude and abilities. Opportunities for training, career development and promotion are considered in the same way for those employed or volunteering. Should an employee or volunteer become disabled, St Michael’s arranges appropriate training and support to enable continued employment at St Michael’s where possible.
## Employee Information
St Michael’s is committed to providing staff and volunteers with information on matters of concern to them. We have introduced a Staff and Volunteer Forum; an Operational Management Team that brings decision-making and information closer to employees and volunteers; and started the process to improve our People Systems and Processes. This will include more opportunities and methods for management to consult with staff and volunteers and provide feedback. This is as well as the current systems of noticeboards; staff emails; newsletters; staff meetings, digital communications, and volunteer events.
Funds Held as Custodian Trustees on Behalf of Others
Within deferred income is £128,500 held as a cash investment which provides a lifelong annuity to an individual. St Michael’s and a GP surgery are joint beneficiaries of the residual capital.
16
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Report of the Trustees For the year ended 31 March 2022**
Statement of Trustees Responsibilities
The Trustees (who are also directors of the company for the purposes of company law) are responsible for preparing the Trustees annual report including the strategic report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).
Company law requires the Trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the charitable company and group and of the incoming resources and application of resources, including the income and expenditure, of the charitable company or group for that period. In preparing these financial statements, the Trustees are required to:
- Select suitable accounting policies and then apply them consistently
- Observe the methods and principles in the Charities SORP
- Make judgements and estimates that are reasonable and prudent
- State whether applicable UK Accounting Standards and statements of recommended practice have been followed, subject to any material departures disclosed and explained in the financial statements
- Prepare the financial statements on the going concern basis unless it is inappropriate to presume St Michael’s will continue in operation
The Trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial position of the charitable company and enable them to ensure the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and group and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.
In so far as the Trustees are aware:
- There is no relevant audit information of which the charitable company’s auditor is unaware
- The Trustees have taken all steps that they ought to have taken to make themselves aware of any relevant audit information and to establish the auditor is aware of that information
The Trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company's website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.
Members of St Michael’s guarantee to contribute an amount not exceeding £2 to the assets of St Michael’s in the event of winding up.
The Trustees are members of St Michael’s, but this only entitles them to voting rights. The Trustees have no beneficial interest in St Michael’s.
The Trustees annual report, which includes the strategic report, has been approved by the Trustees on 27 July 2022 and signed on their behalf by:
**Mr D Teague – Chair**
17
**Independent Auditor’s Report To the Members of St Michael’s Hospice (incorporating the Freda Pearce Foundation) For the year ended 31 March 2022**
## **Opinion**
We have audited the financial statements of St Michael’s Hospice (Incorporating the Freda Pearce Foundation) (‘the charitable company’) and its subsidiaries (‘the group’) for the year ended 31 March 2022 which comprise the Consolidated Statement of Financial Activities, Group Balance Sheet, Charity Balance Sheet, Consolidated Statement of Cash Flows, and notes to the financial statements, including 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 group’s and the charitable company’s affairs as at 31 March 2022 and of the group’s income and expenditure, for the year then ended;
- have been properly prepared in accordance with 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 with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the group in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.
## **Conclusions relating to going concern**
In auditing the financial statements, we have concluded that the Trustees’ 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 or the group’s ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.
Our responsibilities and the responsibilities of the Trustees with respect to going concern are described in the relevant sections of this report.
## **Other information**
The Trustees are responsible for the other information contained within the annual report. The other information comprises the information included in the annual report, other than the financial statements and our auditor’s report thereon. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.
18
**Independent Auditor’s Report To the Members of St Michael’s Hospice (incorporating the Freda Pearce Foundation) For the year ended 31 March 2022**
Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements, or our knowledge obtained in the audit or otherwise appears to be materially misstated.
If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.
We have nothing to report in this regard.
## **Opinions on other matters prescribed by the Companies Act 2006**
In our opinion based on the work undertaken in the course of our audit:
- the information given in the Trustees’ report, which includes the Directors’ report and the Strategic report prepared for the purposes of company law, for the financial year for which the financial statements are prepared is consistent with the financial statements; and
- the Strategic report and the Directors’ report included within the Trustees’ report have been prepared in accordance with applicable legal requirements.
## **Matters on which we are required to report by exception**
In light of the knowledge and understanding of the group and charitable company and their environment obtained in the course of the audit, we have not identified material misstatements in the Strategic report or the Directors’ report included within the Trustees’ report.
We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if, in our opinion:
- adequate and proper accounting records have not been kept; or
- the financial statements are not in agreement with the accounting records and returns; or
- certain disclosures of Trustees' remuneration specified by law are not made; or
- we have not received all the information and explanations we require for our audit.
## **Responsibilities of Trustees**
As explained more fully in the Trustees’ responsibilities statement set out on page 16, the Trustees (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 Trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.
In preparing the financial statements, the Trustees are responsible for assessing the charitable company’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the Trustees either intend to liquidate the charitable company or to cease operations, or have no realistic alternative but to do so.
19
**Independent Auditor’s Report To the Members of St Michael’s Hospice (incorporating the Freda Pearce Foundation) For the year ended 31 March 2022**
## **Auditor’s responsibilities for the audit of the financial statements**
Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an auditor’s report that includes our opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.
Details of the extent to which the audit was considered capable of detecting irregularities, including fraud and non-compliance with laws and regulations are set out below.
A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council’s website at: www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor’s report.
## **Extent to which the audit was considered capable of detecting irregularities, including fraud**
Irregularities, including fraud, are instances of non-compliance with laws and regulations. We identified and assessed the risks of material misstatement of the financial statements from irregularities, whether due to fraud or error, and discussed these between our audit team members. We then designed and performed audit procedures responsive to those risks, including obtaining audit evidence sufficient and appropriate to provide a basis for our opinion.
We obtained an understanding of the legal and regulatory frameworks within which the charitable company and group operates, focusing on those laws and regulations that have a direct effect on the determination of material amounts and disclosures in the financial statements. The laws and regulations we considered in this context were the Companies Act 2006, the Charities Act 2011 together with the Charities SORP (FRS 102). We assessed the required compliance with these laws and regulations as part of our audit procedures on the related financial statement items.
In addition, we considered provisions of other laws and regulations that do not have a direct effect on the financial statements but compliance with which might be fundamental to the charitable company’s and the group’s ability to operate or to avoid a material penalty. We also considered the opportunities and incentives that may exist within the charitable company and the group for fraud. The laws and regulations we considered in this context were the Gambling Commission, CQC Regulations and General Data Protection Regulations.
Auditing standards limit the required audit procedures to identify non-compliance with these laws and regulations to enquiry of the Trustees and other management and inspection of regulatory and legal correspondence, if any.
We identified the greatest risk of material impact on the financial statements from irregularities, including fraud, to be with the completeness and accuracy of grant income and the override of controls by management. Our audit procedures to respond to these risks included enquiries of management, and the Finance and Income Generation Committee about their own identification and assessment of the risks of irregularities, designing audit procedures over income, sample testing on the posting of journals, reviewing accounting estimates for biases, reviewing regulatory correspondence with the Charity Commission, and reading minutes of meetings of those charged with governance.
Owing to the inherent limitations of an audit, there is an unavoidable risk that we may not have detected some material misstatements in the financial statements, even though we have properly planned and performed our audit in accordance with auditing standards.
20
**Independent Auditor’s Report To the Members of St Michael’s Hospice (incorporating the Freda Pearce Foundation) For the year ended 31 March 2022**
For example, the further removed non-compliance with laws and regulations (irregularities) is from the events and transactions reflected in the financial statements, the less likely the inherently limited procedures required by auditing standards would identify it. In addition, as with any audit, there remained a higher risk of non-detection of irregularities, as these may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal controls. We are not responsible for preventing noncompliance and cannot be expected to detect non-compliance with all laws and regulations.
## **Use of our report**
This report is made solely to the charitable company’s members, as a body, in accordance with Chapter 3 of Part 16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable company’s members those matters we are required to state to them in an auditor’s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company’s members as a body for our audit work, for this report, or for the opinions we have formed.
Guy Biggin Senior Statutory Auditor For and on behalf of
## **Crowe U.K. LLP**
Statutory Auditor Fourth Floor St James House St James Square Cheltenham GL50 3PR
Date: 14 September 2022
21
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Consolidated Statement of Financial Activities (incorporating an income and expenditure account) For the year ended 31 March 2022**
|Note
**Income from:**
Donations and legacies
3
Charitable activities
4
Other trading activities
5
Investments
6
Other
7
**Total income**
**Expenditure on:**
Raising funds
9
Charitable activities
9
**Total expenditure**
9
**Net income before net gains**
**on investments**
Net gains on property
investments
15
Net gains on listed investments
16
**Net income for the year**
Transfers between funds
25
**Net movement in funds**
**Reconciliation of funds:**
Total funds brought forward
25
**Total funds carried forward**
25|**Unrestricted**
**£**
2,944,113
2,103,571
3,628,186
169,366
84,596
8,929,832
2,739,827
4,870,130
7,609,957
1,319,875
35,000
7,127
1,362,002
29,556
1,391,558
22,704,900
24,096,458|**Restricted**
**£**
44,448
1,152,500
270
-
-
1,197,218
1,343
1,133,376
1,134,719
62,499
-
-
62,499
(29,556)
32,943
104,487
137,430|**2022**
**Total**
**£**
**2,988,561**
**3,256,071**
**3,628,456**
**169,366**
**84,596**
**10,127,050**
**2,741,170**
**6,003,506**
**8,744,676**
**1,382,374**
**35,000**
**7,127**
**1,424,501**
**-**
**1,424,501**
**22,809,387**
**24,233,888**|2021
Total
£
2,502,729
4,612,598
1,284,302
120,647
914,420|
|---|---|---|---|---|
|||||9,434,696|
|||||2,168,750
5,769,661|
|||||7,938,411|
|||||1,496,285
50,000
649,261|
|||||2,195,546
-|
|||||2,195,546
20,613,841|
|||||22,809,387|
The notes on pages 25 to 46 form part of these financial statements.
22
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Consolidated and Charity Balance Sheets As at 31 March 2022**
|**Note**
**Fixed assets**
Tangible fixed assets
14
Investment properties
15
Investments
16
**Current assets**
Stock
19
Debtors
20
Cash at bank and in hand
**Liabilities**
Creditors: amounts due within one
year
21
**Net current assets**
**Total net assets**
**Funds of the Group and**
**Charity:**
25
Restricted income funds
Unrestricted funds
Designated funds
General funds
Total unrestricted funds
**Total Group and Charity funds**|**Group**
**2022**
2021
**£**
£
**11,177,733**
11,379,308
**700,000**
665,000
**8,914,515**
8,767,822
**20,792,248**
20,812,130
**16,801**
20,404
**2,035,124**
1,267,595
**2,370,110**
1,372,901
**4,422,035**
2,660,900
**(980,395)**
(663,643)
**3,441,640**
1,997,257
**24,233,888**
22,809,387
**137,430**
104,487
**11,194,163**
11,577,598
**12,902,295**
11,127,302
**24,096,458**
22,704,900
**24,233,888**
22,809,387|**Charity**
**2022**
2021
**£**
£
**11,177,733**
11,379,308
**700,000**
665,000
**8,914,515**
8,767,822
**20,792,248**
20,812,130
**2,178**
4,076
**2,147,150**
1,296,136
**2,255,981 **
1,357,021
**4,405,309**
2,657,233
**(964,233)**
(660,395)
**3,441,076**
1,996,838
**24,233,324**
22,808,968
**137,430**
104,487
**11,194,163**
11,577,598
**12,901,731**
11,126,883
**24,095,894**
22,704,481
**24,233,324**
22,808,968|**Charity**
**2022**
2021
**£**
£
**11,177,733**
11,379,308
**700,000**
665,000
**8,914,515**
8,767,822
**20,792,248**
20,812,130
**2,178**
4,076
**2,147,150**
1,296,136
**2,255,981 **
1,357,021
**4,405,309**
2,657,233
**(964,233)**
(660,395)
**3,441,076**
1,996,838
**24,233,324**
22,808,968
**137,430**
104,487
**11,194,163**
11,577,598
**12,901,731**
11,126,883
**24,095,894**
22,704,481
**24,233,324**
22,808,968|
|---|---|---|---|
||||20,812,130|
||||4,076
1,296,136
1,357,021|
||||2,657,233
(660,395)|
||||1,996,838|
||||22,808,968|
||||104,487
11,577,598
11,126,883|
||||22,704,481|
||||22,808,968|
The Charity’s net income for the year was £1,424,356 (2020/21: £2,195,581).
The notes on pages 25 to 46 form part of these financial statements.
Approved and authorised for issue by the Board of Trustees on 27 July 2022 and signed on their behalf by:
Company Registration Number: 01634942 (England and Wales)
23
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Consolidated Statement of Cash Flows For the year ended 31 March 2022**
|Note
**Cash flows from operating activities**
**Net cash used in operating activities**
26
**Cash flows from investing activities:**
Dividends, interest, and rents from investments
Proceeds from the sale of fixed assets
Purchase of fixed assets
Proceeds from the sale of investments
Purchase of investments
Movement in investments – cash holdings
Net cash used in investing activities
**Change in cash and cash equivalents in the year**
Cash and cash equivalents at the beginning of the year
**Cash and cash equivalents at the end of the year**
**27**|**2022**
**£**
**1,170,205**
**169,366**
**300**
**(201,101)**
**1,368,020**
**(1,515,654)**
**8,068**
**(171,001)**
**999,204**
**1,365,181**
**2,364,385**|2021
£
2,368,591
120,647
-
(191,174)
1,830,366
(4,412,956)
490,914|
|---|---|---|
|||(2,162,203)
206,388
1,158,793|
|||1,365,181|
The notes on pages 25 to 46 form part of these financial statements.
24
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **1. Accounting policies**
## **a) Statutory information**
St Michael’s Hospice (incorporating the Freda Pearce Foundation) is a charitable company limited by guarantee (Company number 01634942 and Charity number 511179) and is incorporated in the United Kingdom. The registered office address and principal place of business is St Michael’s Hospice, Bartestree, Hereford, HR1 4HA. This is also the address of its 100% wholly owned subsidiaries.
The principal accounting policies adopted, judgements and key sources of estimation uncertainty in the preparation of the financial statements are as follows:
## **b) Basis of preparation**
The financial statements have been prepared in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their financial statements in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019) - (Charities SORP FRS 102), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102), the Companies Act 2006 and the Charities Act 2011.
Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy or note.
These financial statements consolidate the results of the charitable company and its wholly owned subsidiaries - SMH Trading Limited and St Michael's Hospice Development Company Limited - on a line-byline basis. Transactions and balances between the charitable company and its subsidiaries have been eliminated from the consolidated financial statements. Balances between the companies are disclosed in the notes of the charitable company's Balance Sheet. A separate Statement of Financial Activities, or income and expenditure account, for the charitable company itself is not presented as permitted by the exemptions afforded by section 408 of the Companies Act 2006 not to include it. The charitable company has also taken advantage of the exemption available to a qualifying entity in FRS 102 from the requirement to present a charity only cashflow and certain financial instrument disclosures.
## **c) Public benefit entity**
The charitable company meets the definition of a public benefit entity under FRS 102.
## **d) Going concern**
The Trustees consider that there are no material uncertainties about the group's ability to continue as a going concern following their review of the financial position, reserves levels and future plans. In arriving at their decision, the Trustees have thoroughly reviewed the impact of COVID-19 on service demand and delivery and income levels and have taken appropriate mitigating action to minimise risk.
The Trustees do not consider that there are any sources of estimation uncertainty at the reporting date that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next reporting period.
## **e) Income**
Income is recognised when the charitable company has entitlement to the funds, any performance conditions attached to the income have been met, it is probable that the income will be received and that the amount can be measured reliably.
Income from government and other grants, whether ‘capital’ grants or ‘revenue’ grants, is recognised when the charitable company has entitlement to the funds, any performance conditions attached to the grants have been met, it is probable that the income will be received, and the amount can be measured reliably. Income from voluntary sources is received by way of donations, gifts, and fundraising events, and is included in full in the Statement of Financial Activities when receivable. Income from gift aid tax reclaims is recognised for all donations made prior to the year-end where valid gift aid declarations are held.
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **1. Accounting policies (continued)**
For legacies, entitlement is taken as the earlier of the date on which either: the charitable company is aware that probate has been granted, the estate has been finalised and the executor has made notification to the charitable company that a distribution will be made, or when a distribution is received 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 charitable company has been notified of the executor’s intention to make a distribution. Where legacies have been notified to the charitable company, or the charitable company is aware of the granting of probate, and the criteria for income recognition have not been met, then the legacy is treated as a contingent asset and disclosed if material in note 3.
Income from charitable activities is recognised as services are performed. Income received in advance of the provision of a specified service is deferred until the criteria for income recognition are met.
## **f) Donations of gifts, services, and facilities**
In accordance with the Charities SORP (FRS 102), the value of services provided by volunteers is not recognised. The Trustees’ annual report contains further information about the invaluable contribution provided by volunteers. On receipt, donated gifts, professional services, and donated facilities are recognised based on the value of the gift to the charitable company which is the amount the charitable company would have been willing to pay to obtain services or facilities of equivalent economic benefit on the open market; a corresponding amount is then recognised in expenditure in the period of receipt. Clothing and other goods donated for resale are included in income when they are sold. If an item is significant in value, it would be measured and valued at the year-end.
## **g) Interest receivable and dividends**
Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the charitable company; this is normally upon notification of the interest paid or payable by the bank. Dividends are included when received or declared and receivable.
## **h) Fund accounting**
Restricted funds are those which are to be used in accordance with specific restrictions imposed by donors or which have been raised by the charitable company for a specific purpose. The notes to the financial statements provide further details. Once the terms and conditions of the restrictions have been met, tangible fixed assets purchased with restricted monies, are transferred to unrestricted funds.
Unrestricted funds are those available for use at the discretion of the Trustees in furtherance of the general objectives of the charitable company and which have not been designated for any other purpose.
Designated amounts within the unrestricted funds represent the total Net Book Value of the freehold land and buildings and assets in the course of construction held at the balance sheet date and funds designated for the development projects and capital investment. Designated funds may also comprise amounts that have been set aside by the Trustees for particular purposes, notably for the purchase of other assets used within the business.
## **i) Expenditure and irrecoverable VAT**
Expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party, it is probable that settlement will be required, and the amount of the obligation can be measured reliably. Expenditure is classified under the following activity headings:
Raising funds - this relates to the costs incurred by the charitable company in procuring voluntary contributions to it, as well as the costs of any activities with a fundraising purpose, including charity shop running costs and investment manager fees. This includes salaries of staff engaged in fundraising activities, direct expenditure, and support costs. The cost of fundraising activities is recognised in the year in which it is incurred although the income derived from the activities may arise in future years.
26
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
**1. Accounting policies (continued)**
Charitable activities - this includes the costs of delivering services, and other educational activities undertaken to further the purposes of the charitable company and their associated support costs.
Irrecoverable VAT is charged against activities on the same basis as the allocation of support costs. Governance costs are included within support costs and relate only to external audit fees.
## **j) Allocation of support costs**
Expenditure is allocated to the activity where the cost relates directly to that activity. However, the cost of overall direction and administration of each activity, comprising the salary and overhead costs of the central function, is apportioned on the following basis which are an estimate, based on staff time, of the amount attributable to each activity.
|ach activity.||
|---|---|
|Inpatient Care|50.0%|
|Raising Funds|20.5%|
|In reach (Day Care Services)|2.5%|
|Supportive & Rehabilitative Care|1.0%|
|Education & Training|1.0%|
|Hospice at Home|25.0%|
## **k) Operating leases**
Rentals applicable to operating leases are charged to the Statement of Financial Activities on a straight-line basis over the period of the lease.
## **l) Tangible fixed assets**
Items are capitalised where the purchase price exceeds £1,000. Depreciation costs are allocated to activities based on the use of the related assets in those activities. Assets are reviewed for impairment annually to consider if their carrying value may exceed their net realisable value and value in use.
Depreciation is provided at rates calculated to write down the cost of each asset to its estimated residual value over its expected useful life.
The depreciation rates in use are as follows:
|preciation rates in use are as follows:||
|---|---|
|Freehold buildings||
|-
Main Structure|50 years|
|-
Roof|10 - 40 years|
|-
Windows and doors|25 years|
|Leasehold property|Over the period of the lease|
|Medical and nursing equipment and beds|5 – 10 years|
|Motor vehicles|3 – 7 years|
|IT Equipment and development|3 – 5 years|
|Plant and machinery|15 - 25 years|
|Fixture, fittings, and equipment|3 – 5 years|
Land and buildings are included at cost. Land and assets in the course of construction are not depreciated. In accordance with the Statement of Recommended Practice, freehold buildings have been categorised into those components which have substantially different useful economic lives.
27
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **1. Accounting policies (continued)**
## **m) Investment properties**
Investment properties are measured initially at cost and subsequently included in the balance sheet at fair value. Investment properties are not depreciated. Any change in fair value is recognised in the Statement of Financial Activities. The valuation method used to determine fair value is stated in the notes to the financial statements.
## **n) Listed investments**
Investments are a form of basic financial instrument and are initially recognised at their transaction value and subsequently measured at their fair value as at the Balance Sheet date using the closing quoted middle market price.
Any change in fair value will be recognised in the Statement of Financial Activities. Investment gains and losses are combined and shown in the heading “Net gains / (losses) on investments” in the Statement of Financial Activities. The charitable company does not directly acquire put options, derivatives, or other complex financial instruments.
## **o) Investments in subsidiaries**
Investments in subsidiaries are at cost.
## **p) Stocks**
Stocks are stated at the lower of cost and net realisable value. In general, cost is determined on a first in first out basis and includes transport and handling costs. Net realisable value is the price at which stocks can be sold in the normal course of business after allowing for the costs of realisation. Provision is made where necessary for obsolete, slow moving and defective stocks.
## **q) Debtors**
Trade debtors, other debtors, accrued income and amounts owed by group entities are recognised at the settlement amount. Prepayments are valued at the amount prepaid net of any trade discounts due.
## **r) Cash at bank and in hand**
Cash at bank and cash 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.
## **s) Creditors**
Creditors are recognised where the group has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors are normally recognised at their settlement amount after allowing for any trade discounts due.
## **t) Financial instruments**
The group only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value. Listed investments are shown at market value.
28
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **1. Accounting policies (continued)**
## **u) Judgements in applying accounting policies and key sources of estimation uncertainty**
Estimates and judgements are continually evaluated and are based on historical experience and other factors, including expectations of future events that are believed to be reasonable under the circumstances. The items in the financial statements where these estimates and judgements have been made include the following:
## i) Useful economic lives of tangible assets
The annual depreciation charges for the tangible assets are sensitive to changes in the estimated useful economic lives and residual values of the assets. The useful economic lives and residual values are reassessed annually. They are amended when necessary to reflect current estimates, based on economic utilisation and the physical condition of the assets. See note 14 for the carrying amount of the tangible assets and note l) for the useful lives of each class of asset.
## ii) Impairment of debtors
The group makes an estimate of the recoverable value of trade and other debtors. When assessing impairment of trade and other debtors, the Trustees consider factors including the current credit rating of the debtor, the ageing profile of debtors and historical experience. See note 20 for the net carrying amount of the debtors and associated impairment provision.
## iii) Accrued legacy income
Legacy income is accrued if probate has been granted prior to the year-end, and the estate has been finalised, or the executor has made notification to the charitable company that a distribution will be made, or when a distribution is actually received, mitigating estimation uncertainty as income can be measured reliably.
## **v) Pensions**
## **Defined benefit scheme**
The charitable company contributes to the NHS pension scheme for eligible staff. Such contributions are a fixed percentage of salary. Contributions are charged to the Statement of Financial Activities in accordance with the rules of the scheme. The scheme is not designed to be run in a way that would enable NHS bodies to identify their share of the underlying scheme assets and liabilities. Therefore, it is accounted for as if it were a defined contribution scheme: the cost to the NHS Body of participating in the scheme is taken as equal to the contributions payable to that scheme for the accounting period. The charitable company has no ongoing liability once the standard contributions to the scheme are made.
## **Defined contribution schemes**
Where staff are not eligible to join the NHS pension scheme, they can opt to join a group personal pension plan scheme. St Michael’s also contributes to the personal schemes of individual employees. Such contributions are a fixed percentage of salary. In accordance with workplace pension legislation, eligible employees who are not already in a compliant pension scheme are automatically enrolled into a workplace pension scheme. Contributions are charged to the Statement of Financial Activities in accordance with the rules of the schemes.
29
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **2. Detailed comparatives for the Statement of Financial Activities**
|Note
**Income from:**
Donations and legacies
3
Charitable activities
4
Other trading activities
5
Investments
6
Other
7
**Total income**
**Expenditure on:**
Raising funds
9
Charitable activities
9
**Total expenditure**
9
**Net income before net gains**
**on investments**
Net gains on property investments
15
Net gains on listed investments
16
**Net income for the year**
Transfers between funds
25
**Net movement in funds**
**Reconciliation of funds:**
Total funds brought forward
25
**Total funds carried forward**
25|**Unrestricted**
**£**
2,448,446
2,362,075
1,284,302
120,647
914,420
7,129,890
2,168,587
3,498,247
5,666,834
1,463,056
50,000
649,261
2,162,317
50,000
2,212,317
20,492,583
22,704,900|**Restricted**
**£**
54,283
2,250,523
-
-
-
2,304,806
163
2,271,414
2,271,577
33,229
-
-
33,229
(50,000)
(16,771)
121,258
104,487|**2021**
**Total**
**£**
**2,502,729**
**4,612,598**
**1,284,302**
**120,647**
**914,420**|
|---|---|---|---|
||||**9,434,696**|
||||**2,168,750**
**5,769,661**|
||||**7,938,411**|
||||**1,496,285**
**50,000**
**649,261**|
||||**2,195,546**
**-**|
||||**2,195,546**
**20,613,841**|
||||**22,809,387**|
30
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
**3. Income from donations and legacies**
|Unrestricted
£
Donations
714,620
Grants & Trusts
194,922
Community fundraising activities
402,776
Legacies
1,631,795
Total
2,944,113|Restricted
£
448
44,000
-
-
44,448|**2022**
**Total**
**£**
**715,068**
**238,922**
**402,776**
**1,631,795**
**2,988,561**|2021
Total
£
652,655
288,532
194,051
1,367,491|
|---|---|---|---|
||||2,502,729|
As at 31 March 2022 the charity had been notified of several legacies, the values of which were uncertain as the executors were awaiting confirmation of other claims on the estate and may also be in the process of realising assets such as residential property. The estimated total of these legacies could be up to £1,126,000. None of these legacies have been accrued in the financial statements.
St Michael’s received personal protective equipment from the NHS. It has not been possible to reliably estimate the value of these items and they are therefore not included in donations above.
## **4. Income from charitable activities**
|Unrestricted
£
Nursing & medical care
774,770
Grants from grant making trusts
-
Hospice at Home
1,118,781
NHS England
-
Other care services
3,964
Pharmacy supplies
144,665
Education and training
61,391
Total
2,103,571|Restricted
£
-
36,000
-
1,116,500
-
-
-
1,152,500|**2022**
**Total**
**£**
**774,770**
**36,000**
**1,118,781**
**1,116,500**
**3,964**
**144,665**
**61,391**
**3,256,071**|2021
Total
913,033
4,380
1,228,203
2,246,143
46,000
158,814
16,025|
|---|---|---|---|
||||4,612,598|
£2,012,383 (2020/21: £2,316,254) was received from the Herefordshire Clinical Commissioning Group. £29,796 (2020/21: £29,796) was received from Powys Local Health Board. £1,116,500 was received from NHS England (2020/21: £2,246,143). The NHS England awarded funding to allow St Michael’s to make available bed capacity and community support from December 2021 to March 2022 to provide support to people with complex needs in the context of the COVID-19 situation. £4,400 was received from the Worcestershire Clinical Commissioning Group (2020/21: £nil) for the provision of Advanced Communication Skills training. £24,900 (2020/21: £ nil) was received from Health Education England towards Registered Nurse Degree Apprenticeships.
There were no unfulfilled conditions or other contingencies attached to these income receipts.
## **5. Income from other trading activities**
|Unrestricted
£
Fundraising events
229,094
Lottery
387,855
Retail shops
2,987,159
Other
24,078
Total
3,628,186|Restricted
£
270
-
-
-
270|**2022**
**Total**
**£**
**229,364**
**387,855**
**2,987,159**
**24,078**
**3,628,456**|2021
Total
£
177,776
321,812
774,543
10,171|
|---|---|---|---|
||||1,284,302|
31
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **6. Income from investments**
|**Income from investments**|||||
|---|---|---|---|---|
|Bank interest received
Investment interest & dividends
Rental income
Total|Unrestricted
£
200
140,316
28,850
169,366|Restricted
£
-
-
-
-|**2022**
**Total**
**£**
**200**
**140,316**
**28,850**
**169,366**|2021
Total
£
1,059
92,155
27,433|
|||||120,647|
## **7. Other Income**
|Unrestricted
£
Government Grants – Coronavirus Job
Retention Scheme
6,095
Government Grants – Retail Support
63,337
Crematorium Fees
8,364
Disposal of fixed assets
300
Other
6,500
Total
84,596
**Net income for the year**
This is stated after charging:
Depreciation
Net profit on disposal of fixed asset
Operating lease rentals:
-
property
-
other
Auditor’s remuneration:
-
audit
-
other services
Interest receivable|**2022**
Restricted
**Total**
£
**£**
-
**6,095**
-
**63,337**
-
**8,364**
-
**300**
-
**6,500**
-
**84,596**
**2022**
**£**
**469,397**
**300**
**274,147**
**18,628**
**14,050**
**1,960**
**200**|2021
Total
£
424,292
481,657
6,888
-
1,583|
|---|---|---|
|||914,420|
|||2021
£
486,002
-
271,972
18,922
13,420
1,925
1,059|
## **8. Net income for the year**
32
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
|**9. Analysis of expenditure**
Cost of
raising funds
£
Staff costs (Note 10)
1,382,876
Medical Consultants
-
Other Staff Costs
8,941
Retail Purchases
74,586
Lottery Prizes
82,871
Events
48,370
Community
22,178
Investment Management Fees
11,337
Education
486
Communications
5,152
Premises & Equipment
398,213
Transport & Travel
39,189
Telephones & Computers
59,639
Catering & Cleaning
75,585
Professional Fees
38,819
Depreciation
73,896
Medical & Nursing Supplies
-
Other Supplies & Services
94,660
2,416,798
Support costs
321,492
Governance costs
2,880
**Total expenditure 2022**
**2,741,170**
2,168,750|**9. Analysis of expenditure**
Cost of
raising funds
£
Staff costs (Note 10)
1,382,876
Medical Consultants
-
Other Staff Costs
8,941
Retail Purchases
74,586
Lottery Prizes
82,871
Events
48,370
Community
22,178
Investment Management Fees
11,337
Education
486
Communications
5,152
Premises & Equipment
398,213
Transport & Travel
39,189
Telephones & Computers
59,639
Catering & Cleaning
75,585
Professional Fees
38,819
Depreciation
73,896
Medical & Nursing Supplies
-
Other Supplies & Services
94,660
2,416,798
Support costs
321,492
Governance costs
2,880
**Total expenditure 2022**
**2,741,170**
2,168,750|Charitable Activities
Inpatient
Care
In reach /
Day Care
Supportive &
Rehab Care
Hospice at
Home &
Community
Education
& Training
Governance
costs
Support
costs
**2022**
**Total**
2021 Total
£
£
£
£
£
£
£
**£**
£
2,139,282
229,815
390,154
1,040,344
24,180
-
701,672**5,908,323**
5,409,473
164,547
34,227
-
-
-
-
-
**198,774**
239,407
68,004
439
119,402
10,944
421
-
23,745
**231,896**
190,930
-
-
-
-
-
-
-
**74,586**
22,074
-
-
-
-
-
-
-
**82,871**
78,000
-
-
-
-
-
-
-
**48,370**
25,588
-
-
-
-
-
-
-
**22,178**
5,611
-
-
-
-
-
-
-
**11,337**
12,246
11,352
81
81
4,054
162
-
-
**16,216**
7,253
3,864
322
322
2,576
644
-
-
**12,880**
9,745
24,094
61
61
127
951
-
149,613
**573,120**
546,601
440
194
827
40,525
-
-
5,459
**86,634**
70,719
27,537
5,957
6,632
34,671
1,713
-
177,713
**313,862**
283,277
84,759
537
537
537
-
-
32,176
**194,131**
133,385
123
-
5,063
-
-
14,050
14,163
**72,218**
32,249
26,843
429
1,797
17,042
155
-
349,235
**469,397**
486,002
193,666
-
144
4,137
-
-
-
**197,947**
222,648
14,108
1,121
3,324
2,241
6
-
114,476
**229,936**
163,203|
|---|---|---|
||2,416,798
321,492
2,880|2,758,619
273,183
528,344
1,157,198
28,232
14,050
1,568,252**8,744,676**
7,938,411
784,126
39,206
15,682
392,063
15,683
-
(1,568,252)
**-**
-
7,025
351
141
3,512
141
(14,050)
-
**-**
-|
||**2,741,170**|**3,549,770**
**312,740**
**544,167**
**1,552,773**
**44,056**
**-**
**- 8,744,676**
-|
||2,168,750|3,364,413
309,664
516,489
1,541,571
37,524
-
-
-
7,938,411|
Total expenditure 2021
33
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **10. Staff costs and numbers**
Staff costs were as follows:
|Salaries and wages
Redundancy and termination costs
Social security costs
Pension contributions – defined benefit scheme
Pension contributions – defined contribution schemes|**2022**
**£**
**5,088,605**
**-**
**391,494**
**182,919**
**245,305**
**5,908,323**|2021
£
4,632,353
557
370,625
184,038
221,900|
|---|---|---|
|||5,409,473|
The following number of employees received employee benefits (excluding employer national insurance and pension costs) during the year between:
|||**2022**|2021|
|---|---|---|---|
|||**No.**|No.|
|£60,000|- £69,999|**3**|1|
|£80,000|- £89,999|**1**|1|
The charitable company considers its key management personnel during the year to comprise the Trustees and the Strategic Management Team - who are the Chief Executive and three other key directors, one of which is contracted with the local NHS Trust and included in Medical Consultants costs and not staff costs above. The total cost (including employer national insurance costs and pension contributions) of the key management personnel was £397,481 (2020/21: £423,949). The Trustees were not paid nor received any other benefits from employment with St Michael’s in the year (2020/21: £nil).
## **11. Staff numbers**
The average number of employees (head count based on number of staff employed) and whole-time equivalents (WTE) during the year were as follows:
|Inpatient Care
In reach / Day Care Services
Supportive & Rehabilitative Care
Hospice at Home
Externally provided education and training
Support
Raising funds|**2022**
**Head**
**Count**
**84**
**14**
**14**
**33**
**1**
**25**
**70**
**241**|**2022**
**WTE**
**53**
**8**
**10**
**24**
**1**
**19**
**46**
**161**|2021
Head
Count
78
15
13
34
1
23
65
229|2021
WTE
52
9
9
25
1
16
41|
|---|---|---|---|---|
|||||153|
34
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **12. Related party transactions**
During the year, the charitable company entered into transactions for the purchase of services as described below:
Humfrys & Symonds (Trustee Mr D Campion who served during the year is a director) for the purchase of professional services totalling £408 (2020/21: £nil). £nil was outstanding at 31st March 2022 (2020/21: £nil).
One family member of a Trustee who served during the year (Mrs J Winney) was employed by St Michael’s on standard employment terms and conditions – their total remuneration (including employer national insurance costs and pension contributions) was £6,334 (2020/21: £15,789)
During the year, a management charge was made by the charitable company to SMH Trading Limited of £135,950 excluding VAT (2020/21: £28,073). At the end of the year gift aid of £8,083 (2020/21: £23) was payable by SMH Trading Limited to the charitable company. The total year-end balance owed to the charitable company was £112,026 (2020/21: £28,553).
## **13. Taxation**
The charitable company is exempt from corporation tax as all its income is charitable and is applied for charitable purposes.
35
## **St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **14. Tangible fixed assets – Group and Charity**
## **Medical &**
||||**Medical &**||||||
|---|---|---|---|---|---|---|---|---|
|**Cost**
At the start of the year
Additions in year
Transfers in year
Disposals in year
At the end of the year
**Depreciation**
At the start of the year
Charge for the year
Disposals in year
At the end of the year
**Net book value**
**At the end of the year**
At the start of the year|**Freehold**
**land &**
**buildings**
**Assets in the**
**course of**
**construction**
£
£
11,126,076
113,692
40,880
163,182
175,047
(175,047)
-
-
11,342,003
101,827
1,193,361
-
254,147
-
-
-
1,447,508
-
**9,894,495**
**101,827**
9,932,715
113,692|**Leasehold**
**property**
£
290,139
1,680
-
(18,661)
273,158
212,185
28,489
(6,733)
233,941
**39,217**
77,954|**nursing**
**equipment**
**& beds**
£
223,142
11,062
-
-
234,204
139,973
12,756
-
152,729
**81,475**
83,169|**Fixtures,**
**fittings &**
**equipment**
£
646,300
13,943
-
-
660,243
516,271
64,748
-
581,019
**79,224**
130,029|**Information**
**technology**
£
133,975
37,959
-
-
171,934
98,043
23,639
-
121,682
**50,252 **
35,932|**Plant &**
**machinery**
£
1,183,996
11,044
-
-
1,195,040
261,625
62,658
-
324,283
**870,757**
922,371|**Motor**
**vehicles**
£
259,460
-
-
(28,159)
231,301
176,014
22,960
(28,159)
170,815
**60,486**
83,446|**Total**
**£**
**13,976,780**
**279,750**
**-**
**(46,820)**|
|||||||||**14,209,710**|
|||||||||**2,597,472**
**469,397**
**(34,892)**|
|||||||||**3,031,977**|
|||||||||**11,177,733**|
|||||||||11,379,308|
Land with a value of £499,789 (2020/21: £499,789) is included within Freehold Land and Buildings and is not depreciated. All the above assets are used for charitable purposes.
36
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **15. Investments Properties – Group and Charity**
|Fair value at the start of the year
Revaluation during the year
Fair Value at the end of the year|**2022**
**£**
**665,000**
**35,000**
**700,000**|2021
£
615,000
50,000
665,000|
|---|---|---|
The properties were last valued on an open market valuation basis on 9[th] May 2022 by Alister Walshe FNAEA FNAVA of Stooke, Hill & Walshe. Being a previous related party, and now Life Patron, the Board of Trustees have approved the valuation.
## **16. Investments – Group and Charity**
|Fair value at the start of the year
Transfers
Additions at cost
Disposal proceeds
Net gain on change in fair value
Investments - cash holdings
Fair value at the end of the year
Investments comprise:
UK Fixed Interest
International Fixed Income
Equities
Alternative Investments
Cash Funds
Investment in subsidiary undertakings incorporated in the UK
Investment in Hospice Quality Partnership|**2022**
**£**
**8,743,630**
**-**
**1,515,654**
**(1,368,020)**
**7,127**
**8,898,391**
**16,124**
**8,914,515**
**2022**
**£**
**3,959,952**
**405,068**
**2,107,884**
**1,454,772**
**986,828**
**8,914,504**
**1**
**10**
**8,914,515**|2021
£
5,511,779
-
4,412,956
(1,830,366)
649,261|
|---|---|---|
|||8,743,630
24,192|
|||8,767,822|
|||2021
£
3,796,540
493,618
1,508,513
1,332,949
1,636,192|
|||8,767,811
1
10|
|||8,767,822|
37
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **17. Subsidiary undertakings**
The charitable company owns the whole of the issued ordinary share capital of SMH Trading Limited, a company registered in England, company number 06545386. St Michael’s uses the subsidiary for non-primary purpose trading activities.
All activities are consolidated on a line-by-line basis in the Statement of Financial Activities. The Trustee Ms P A Greenwood who served during the year is also a director of the subsidiary. Available profits are gift aided to the charitable company within 9 months of the year-end.
The table below shows a summary of the subsidiary’s results.
|Turnover
Cost of sales
Gross profit
Distribution costs
Administrative expenses
Other operating expenditure
Operating profit
Taxation
Profit after taxation
Retained earnings at the start of the year
Profit for the year
Gift aid donation
Retained earnings at the end of the year
The aggregate of the assets, liabilities and funds was:
Assets
Liabilities
Funds:
Share capital
Retained profits|**2022**
**£**
**235,086**
**(88,903) **
**146,183**
**(54,088)**
**(81,862)**
**(2,150) **
**8,083**
**-**
**8,083**
**563**
**8,083**
**(8,083)**
**563**
**128,752**
**(128,188)**
**564**
**1**
**563**
**564**|2021
£
55,866
(25,680)|
|---|---|---|
|||30,186
(11,169)
(16,904)
(2,090)|
|||23
-|
|||23
563
23
(23)|
|||563|
|||32,365
(31,801)|
|||564|
|||1
563|
|||564|
Distribution costs and administrative expenses totalling £135,950 (2020/21: £28,073) represent a management charge from the parent entity. Amounts owed to the parent undertaking are shown in note 20.
38
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **17. Subsidiary undertakings (continued)**
The charitable company also owns the whole of the issued ordinary share capital of St Michael's Hospice Development Company Limited, a company registered in England, company number 07039211. St Michael’s used the subsidiary for the redevelopment of the hospice buildings and surroundings.
All activities are consolidated on a line-by-line basis in the Statement of Financial Activities. The Trustee Mr D Teague who served during the year is also a director of the subsidiary. Available profits are covenanted to the charitable company as appropriate within 9 months of the year-end. The company is to become dormant.
A summary of the results of the subsidiary is shown below:
|Turnover
Cost of sales
Gross profit
Other operating expenditure
Operating profit / (loss)
Taxation
Profit / (Loss) after taxation
Retained (losses) / earnings at the start of the year
Profit / (Loss) for the year
Gift aid donation
Retained profit / (losses) at the end of the year
The aggregate of the assets, liabilities and funds was:
Assets
Liabilities
Funds:
Share capital
Retained losses|**2022**
**£**
**-**
**-**
**-**
**145**
**145**
**-**
**145**
**(145)**
**145**
**-**
**-**
**1**
**-**
**1**
**1**
**-**
**1**|2021
£
-
-|
|---|---|---|
|||-
(35)|
|||(35)
-|
|||(35)
(110)
(35)
-|
|||(145)|
|||856
(1,000)|
|||(144)|
|||1
(145)|
|||(144)|
St Michael’s Hospice Development Company Limited is exempt from the requirements of the Companies Act 2006 relating to the audit of individual accounts by virtue of s479A.
39
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **18. Parent charity**
The parent charity’s gross income and results for the year are disclosed as follows:
|Gross income and gains on investments
Gross expenditure
**Net income**|**2022**
**£**
**10,078,125**
**8,653,769**
**1,424,356**|2021
£
10,106,187
7,910,606|
|---|---|---|
|||2,195,581|
## **19. Stock**
|Goods for resale|**Group**
**2022**
2021
**£**
£
**16,801**
20,404
**16,801**
20,404|**Charity**
**2022**
2021
**£**
£
**2,178**
**4,076**
**2,178**
**4,076**|**Charity**
**2022**
2021
**£**
£
**2,178**
**4,076**
**2,178**
**4,076**|
|---|---|---|---|
||||**4,076**|
## **20. Debtors**
|**Debtors**||||
|---|---|---|---|
|Trade debtors
Amounts owed by group undertaking
Other debtors
Prepayments
Accrued income|**Group**
**2022**
2021
**£**
£
**46,176**
23,075
**-**
-
**102,551**
90,958
**96,206**
103,303
**1,790,191**
1,050,259
**2,035,124**
1,267,595|**Charity**
**2022**
2021
**£**
£
**46,176**
22,063
**112,026**
29,553
**102,551**
90,958
**96,206**
103,303
**1,790,191**
1,050,259
**2,147,150**
1,296,136||
||||1,296,136|
Trade debtors are stated after impairment provision totalling £nil (2020/21: £nil). Except for listed investments, all the group’s financial instruments, both assets and liabilities, are measured at settlement value. The carrying values of these are shown above and in note 21 below.
## **21. Creditors: amounts due within one year**
|Bank overdraft
Trade creditors
Taxation and social security
Other creditors
Accruals
Deferred income|**Group**
**2022**
2021
**£**
£
**5,725**
7,720
**234,357**
88,947
**99,099**
89,365
**93,790**
80,529
**335,678**
181,569
**211,746**
215,513
**980,395**
663,643|**Charity**
**2022**
2021
**£**
£
**5,725**
7,720
**227,953**
88,017
**99,099**
89,365
**86,859**
80,062
**332,851**
179,718
**211,746**
215,513
**964,233**
660,395|**Charity**
**2022**
2021
**£**
£
**5,725**
7,720
**227,953**
88,017
**99,099**
89,365
**86,859**
80,062
**332,851**
179,718
**211,746**
215,513
**964,233**
660,395|
|---|---|---|---|
||||660,395|
40
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **22. Deferred income**
Deferred income comprises advance ticket sales for the lottery, fundraising income for events that did not occur until after the balance sheet date and a legacy deferred for legal reasons. Except for the legacy of £128,500 (2020/21: £128,500), all the deferred income of the previous year was released in the current year.
|current year.||||
|---|---|---|---|
|Balance at the beginning of the year
Amount released to income in the year
Amount deferred in the year
Balance at the end of the year|**Group**
**2022**
2021
**£**
£
**215,513**
211,376
**(87,013)**
(82,876)
**83,246**
87,013
**211,746**
215,513|**Charity**
**2022**
2021
**£**
£
**215,513**
211,376
**(87,013)**
(82,876)
**83,246**
87,013
**211,746**
215,513||
||||215,513|
## **23. NHS pension scheme**
The NHS Pension Scheme is an unfunded occupational scheme backed by the Exchequer, which is open to all NHS employees and certain employees of other approved organisations allowed under the direction of the Secretary of State in England and Wales. St Michael's is an approved organisation.
Past and present employees are covered by the provisions of the two NHS Pension Schemes. Details of the benefits payable and rules of the Schemes can be found on the NHS Pensions website at www.nhsbsa.nhs.uk/pensions. Both are unfunded defined benefit schemes that cover NHS employers, GP practices and other bodies, allowed under the direction of the Secretary of State for Health and Social Care in England and Wales. They are not designed to be run in a way that would enable NHS bodies to identify their share of the underlying scheme assets and liabilities. Therefore, each scheme is accounted for as if it were a defined contribution scheme: the cost to the NHS body of participating in each scheme is taken as equal to the contributions payable to that scheme for the accounting period.
In order that the defined benefit obligations recognised in the financial statements do not differ materially from those that would be determined at the reporting date by a formal actuarial valuation, the FReM requires that “the period between formal valuations shall be four years, with approximate assessments in intervening years.” An outline of these follows:
## **a) Accounting valuation**
A valuation of scheme liability is carried out annually by the scheme actuary (currently the Government Actuary’s Department) as at the end of the reporting period. This utilises an actuarial assessment for the previous accounting period in conjunction with updated membership and financial data for the current reporting period and is accepted as providing suitably robust figures for financial reporting purposes. The valuation of the scheme liability as at 31 March 2022, is based on valuation data as 31 March 2021, updated to 31 March 2022 with summary global member and accounting data. In undertaking this actuarial assessment, the methodology prescribed in IAS 19, relevant FReM interpretations, and the discount rate prescribed by HM Treasury have also been used.
The latest assessment of the liabilities of the scheme is contained in the report of the scheme actuary, which forms part of the annual NHS Pension Scheme Accounts. These accounts can be viewed on the NHS Pensions website and are published annually. Copies can also be obtained from The Stationery Office.
## **b) Full actuarial (funding) valuation**
The purpose of this valuation is to assess the level of liability in respect of the benefits due under the schemes (taking into account recent demographic experience), and to recommend contribution rates payable by employees and employers.
41
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **23. NHS pension scheme (continued)**
The latest actuarial valuation undertaken for the NHS Pension Scheme was completed as at 31 March 2016. The results of this valuation set the employer contribution rate payable from April 2019 to 20.68% (including a 0.08% scheme administration levy) of pensionable pay and employees contribute on a tiered scale from 5% - 14.5% of their pensionable pay depending on total earnings. Prior to this the employer contribution rate payable was 14.38%. The government has committed to cover this cost increase for a certain category of employer’s, including St Michael’s, recurring annually until 31 March 2023.
The 2016 funding valuation also tested the cost of the Scheme relative to the employer cost cap that was set following the 2012 valuation. There was initially a pause to the cost control element of the 2016 valuations, due to the uncertainty around member benefits caused by the discrimination ruling relating to the McCloud case.
HMT published valuation directions dated 7 October 2021 (see Amending Directions 2021) that set out the technical detail of how the costs of remedy are included in the 2016 valuation process. Following these directions, the scheme actuary has completed the cost control element of the 2016 valuation for the NHS Pension Scheme, which concludes no changes to benefits or member contributions are required. - The 2016 valuation reports can be found on the NHS Pensions website at https://www.nhsbsa.nhs.uk/nhs pension-scheme-accounts-and-valuation-reports.
All pension charges are charged to unrestricted funds in line with the fund out of which the wages and salaries are paid. The amount charged to the Statement of Financial Activities in the year was £182,919 (2020/21: £184,038). Employee and employer contributions outstanding as at 31 March 2022 was £29,744 (2020/21: £26,044).
42
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **24. Analysis of group net assets between funds (current year)**
||||||General||||**Total**||
|---|---|---|---|---|---|---|---|---|---|---|
||||||unrestricted|
Designated|Restricted||**funds**||
||||||£|£|£||**£**||
||Tangible fixed|assets|||1,283,238|9,894,495|-|
**11,177,733**|||
||Investments||||9,614,515|-|-|
**9,614,515**|||
||Net current assets||||2,004,542|1,299,668|137,430|
**3,441,640**|||
||**Net assets at the end of the**||||||||||
||**year**||||**12,902,295**|**11,194,163**|**137,430**|
**24,233,888**|||
|**24a**|**Analysis of group**||**net assets between funds (prior year 2021)**||||||||
||||||General||||**Total**||
||||||unrestricted|
Designated|Restricted||**funds**||
||||||£|£|£||**£**||
||Tangible fixed|assets|||1,332,901|10,046,407|-|
**11,379,308**|||
||Investments||||9,432,822|-|-|
**9,432,822**|||
||Net current assets||||361,579|1,531,191|104,487|
**1,997,257**|||
||**Net assets at the end of the**||||||||||
||**year**||||**11,127,302**|**11,577,598**|**104,487**|
**22,809,387**|||
|**25.**|**Movements in group funds (current year)**||||||||||
|||At||1 April|Income|Expenditure|Transfers|Gains /||**At 31**|
|||||2021||||(Losses)|**March 2022**||
|||||£|£|£|£|||**£**|
|**Restricted**|**funds:**||||||||||
|Patient care||||82,363|1,152,947|(1,128,165)|(4,556)|-||**102,589**|
|Funds for other specific||||22,124|44,271|(6,554)|(25,000)|-||**34,841**|
|items|||||||||||
|**Total restricted funds**|||104,487||1,197,218|(1,134,719)|(29,556)|-||**137,430**|
|**Unrestricted funds:**|||||||||||
|**Designated funds**|||||||||||
|Property fund||10,046,407|||-|(254,147)|102,235|-|**9,894,495**||
|Capital investment fund|||361,191||-|(3,444)|(176,977)|-||**180,770**|
|Development fund||1,170,000|||-|(28,349)|(22,753)|-|**1,118,898**||
|**Total designated**|||||||||||
|**funds**||11,577,598|||-|(285,940)|(97,495)|-|**11,194,163**||
|**General funds**||11,127,302|||8,929,832
|(7,324,017)|127,051|42,127|**12,902,295**||
|**Total unrestricted**
**funds**||22,704,900|||8,929,832
|(7,609,957)|29,556|42,127|**24,096,458**||
|**Total funds at 31**
**March 2021**||22,809,387|||10,127,050
|(8,744,676)|-|42,127|**24,233,888**||
Transfers represent the release of restricted and designated funds as they are expended on capital items.
43
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **25. Movements in group funds (current year) (continued)**
**Purpose of restricted funds -** Restricted funds totalling £137,430 (2020/21: £104,487) comprise:
- **i Patient Care** - In addition to £82,363 (2020/21: £99,426) at the start of the year restricted for care purposes an additional £1,152,947 (2020/21: £2,246,346) was received during the year from individual donations and NHS England via Hospice U.K. £1,128,165 (2020/21: £2,263,409) was expended for these purposes during the year. A further £4,556 was expended on capital items and released to general funds.
- **ii Funds for other specific items** - In addition to £22,124 (2020/21: £21,832) at the start of the year, a further £44,271 (2020/21: £58,460) was received from grant-making trusts and individual donations. £6,554 (2010/20: £8,168) was expended on these purposes during the year. A further £25,000 was expended on capital items and released to the property fund.
**Purpose of designated funds** - Designated funds totalling £11,194,163 (2020/21: £11,577,598) comprise:
- **i The property fund** This equates to the net book value of the freehold land and buildings. The transfer of £102,235 represents capital expenditure of £61,355 on the car park project utilised and released from the capital investment fund, £26,002 on garden pathway widening utilised and released from restricted fund and capital investment funds, and £14,878 expended on other capital items.
**ii The capital investment fund** – In addition to £361,191 (2020/21: £216,289) at the start of the year £3,444 was expended during the year. Capital expenditure of £61,355 was utilised and released to the property fund re the car park project, £101,828 was utilised and released to general funds relating air-conditioning installation, and £13,795 was expended on other capital items.
**iii The development fund** - £1,170,000 was designated in the 2020/21 financial year to support workforce and care service development initiatives. £28,349 was expended for these purposes during the year with a further £22,753 expended on capital items and released to general funds.
## **25a. Movements in group funds (prior year 2021)**
|**Restricted funds:**
Patient care
Funds for other specific
items
**Total restricted funds**
**Unrestricted funds:**
**Designated funds**
Property fund
Capital investment fund
Development fund
**Total designated**
**funds**
**General funds**
**Total unrestricted**
**funds**
**Total funds at 31**
**March 2020**|At 1 April
2020
£
99,426
21,832
121,258
10,180,614
216,289
-
10,396,903
10,095,680
20,492,583
20,613,841|Income
£
2,246,346
58,460
2,304,806
-
-
-
-
7,129,890
7,129,890
9,434,696
|Expenditure
£
(2,263,409)
(8,168)
(2,271,577)
(247,899)
(2,238)
-
(250,137)
(5,416,697)
(5,666,834)
(7,938,411)|Transfers
£
-
(50,000)
(50,000)
113,692
147,140
1,170,000
1,430,832
(1,380,832)
50,000
-
|Gains /
(Losses)
-
-
-
-
-
-
-
699,261
699,261
699,261|**At 31**
**March 2021**
**£**
**82,363**
**22,124**|
|---|---|---|---|---|---|---|
|||||||**104,487**|
|||||||**10,046,407**
**361,191**
**1,170,000**|
|||||||**11,577,598**
**11,127,302**|
|||||||**22,704,900**|
|||||||**22,809,387**|
44
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **26. Reconciliation of net income to net cash flow from operating activities**
|Net income for the reporting period (as per Consolidated Statement of
Financial Activities)
Depreciation
Gains on investments
Legacy asset transferred to fixed assets
Dividends, interest and rent from investments
Profit on disposal of fixed assets
Loss on disposal of fixed assets
Decrease / (Increase) in stocks
(Increase) / decrease in debtors
Increase in creditors
**Net cash provided by operating activities**|**2022**
**£**
**1,424,501**
**469,397**
**(42,127)**
**-**
**(169,366)**
**(300)**
**11,928**
**3,603**
**(767,529)**
**240,098**
**1,170,205**|**2021**
**£**
2,195,546
486,002
(699,261)
(2,200)
(120,647)
-
-
(2,258)
502,785
8,624|
|---|---|---|
|||2,368,591|
## **27. Analysis of cash and cash equivalents**
|Cash at bank and in hand
Bank overdrafts
Increase in the year|**At 1 April**
**2021**
**£**
1,372,901
(7,720)
1,365,181|**Cash flows**
**£**
997,209
1,995
999,204|**At 31 March**
**2022**
**£**
2,370,110
(5,725)|
|---|---|---|---|
||||2,364,385|
## **28. Operating lease commitments**
The group's and charity's total future minimum lease payments under non-cancellable operating leases is as follows for each of the following periods:
|Less than one year
Later than one to five years
Over five years|**Property**
**2022**
**2021**
**£**
£
**196,874**
234,732
**332,612**
515,286
**71,625**
132,625
**601,111**
882,643|**Equipment**
**2022**
**2021**
**£**
**£**
**18,778**
18,640
**22,625**
41,169
**-**
-
**41,403**
59,809|**Equipment**
**2022**
**2021**
**£**
**£**
**18,778**
18,640
**22,625**
41,169
**-**
-
**41,403**
59,809|
|---|---|---|---|
||||59,809|
45
**St Michael’s Hospice (incorporating the Freda Pearce Foundation) Notes to the financial statements For the year ended 31 March 2022**
## **29. Capital commitments**
At the balance sheet date, the group and charity had committed to £nil (2020/21: £33,468) in respect of the expansion of St Michael’s car park facilities.
## **30. Financial Instruments**
Except for listed investments, all the group’s financial instruments, both assets and liabilities, are measured at settlement value. Listed investments are shown at market value. Financial assets include cash at bank and in hand, trade and other debtors and accrued income. Financial liabilities include bank overdrafts, trade and other creditors and accruals. The carrying values of these are shown in notes 16, 20, 21 and 27.
## **31. Legal status of charity**
St Michael’s is a company limited by guarantee and has no share capital. The liability of each member in the event of winding up is limited to £2.
46
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