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2023-03-31-accounts

Page
Trustees'
Annual
Report
1-18
Auditor's
Report
19-21
Consolidated Statement of Financial Activities 22
Consolidated and Charity Balance Sheet 23
Consolidated Cash Flow Statement 24
Notes to the Accounts 25-43

Strategic Report Strategic Report Strategic Report Strategic Report Strategic Report Strategic Report
Achievements and Performance that How we performed
we committed to do in 2022-23
Progressed our Patient Experience Project A Housekeeping
Manager,
funded
which focuses on all elements ofthe patient through
efficiencies, was appointed
in
experience including hospitality, 22/23 to supervise the previously
environments and patient gt family feedback. appointed
ward-based
housekeepers.
This structure
has enabled great progress
in reviewing
and setting environmental
standards.
The role is now well
established
and has developed to be
patient focused and a point ofaccess for
families being cared for within our wards.
Within
this
the board of trustees approved The refurbishment
of Alexander
Ward
at
funding
for
the refurbishment of the two Apley
was progressed
and completed
on
inpatient
units.
19'"June 2023.
Determine the future inpatient service model, The development
of a strong community
specifically the number of beds required on model has influenced
activity within
our
each site to meet demand and support choice. wards.
Shropshire
specifically
has seen
a
downward
trend
in admissions
and an
upward
trend
in home care.
Having tested an equal split of beds
across the 2sites we can demonstrate
that patients are now cared for at the site
closest to their home.
To
improve
the monitoring of clinical A small team ofsenior nurses have been
standards and audit through the appointed
and hold ajoint role in
establishment of a dedicated clinical governance
and education.
During the
governance team. year we have improved
monitoring
and'
reporting
compliance
with mandatory
training,
have established
a program of
audits and improved
systems to evidence
performance
against
CQC standards.
To carefully monitor the impact of the There is no doubt that the pandemic
had
pandemic
on the
hospice finances for an a significant
negative
impact on our ability
extended
period
identifying actions to reduce to raise funds for a period of 2 years.
services and associated costs if remedial Despite the successful reopening
ofour
action were necessary. shops and a slower reinstatement
of
community
fundraising
activities our 3-
year financial
projections show significant
deficits.
However,
in 2021/22
unexpected
legacies mitigated
the
expected
in year deficit and in 2022/23
overperformance
against budget
in retail,
legacies and other fundraising
areas
resulted
in a small surplus before
investment
losses.
Secure the level of funding
required
to meet We saw a positive reinstatement
ofthe
our ambitions and strategic objectives. retail and events income streams
as
restrictions
eased. As well as working to
increase income from Trusts our Director
of Income Generation
is beginning to
explore potential
of new income streams.
Our primary
aim during the year was to
maximise
our income and maintain
healthy
reserves.
Whilst we undertake
the planning
of projects, progressing
these is dependent
on our financial
position
and board approval.
To increase charitable funding by maximising We appointed
a new Director of Income
existing and exploring new income streams. Generation
in 2022 who comes with fresh
ideas and energy.
With an investment
in
the Income Generation
Team, we are
optimistic of an increase
in charitable
fundraising
with greater focus on Trusts,
Corporates
and Major Donors.
Our challenge is to engagement our The transition
from CCG to ICBcompleted
commissioners as the local Clinical last year. We have since been able to
Commissioning Group (CCG) makes the establish
contacts within
commissioning
transition to Integrated Care System (ICS). To so that we can progress discussions
and
secure appropriate NHS funding and ensure the establishment
of an 'Agreement'
that
that our service strategy is aligned
with our
outlines services and joint funding.
partners we commit to establish engagement
and mechanisms that ensure that the We are an active member ofthe local End
contribution of the hospice is evident and of Life Strategy group for Shropshire
and
understood. are recognised
as specialist advisor.
We
have successfully
influenced
several
service and clinical initiatives that will
improve
patient care.
Quarterly
meetings
are undertaken
with
Powys Teaching Health
Board where
performance
against contract
is
discussed.
Again, we are recognised for
delivering
over and above the contract
and are working
with the Health
Board to
scope gaps in service.
To work with the ICBto improve access Although
a pathway
was agreed the ICB
advice through the development ofa single withdrew
funding
and switched
their
point ofaccess. focus tothe 'Virtual Ward' initiative.
The hospice therefore
launched
a model
ofVirtual Ward appropriate
to its patient
group which
has proved successful.
This
has been recognised
by the ICB and has
further strengthened
the already
established
hospice community
services
model.
To increase our community reach by securing Funding for a community
bus has now
a community bus as an approach to providing been approved
by the board oftrustees
information
advice and a route for referral
to and we are now looking at a provider
who
the range of hospice services. can design the bus specific to our needs.
To further
improve
community
engagement
and to better understand
the
diversity ofour communities
we have
appointed
a community
engagement
lead
nurse.
Working
further
to improve our systems of Progress
in this area now means that we
reporting
to
demonstrate activity,
quality,
can evidence
activity, quality
and
effectiveness and compliance. compliance
through
internal
and external
reporting.

Mrs J Beard (Vice-Chair) Mrs J Beard (Vice-Chair) (3,4,6)
Mr S Bleakley (1,8)
Mrs S Broomhead
(resigned
29.9.22) (5)
Mr A Clarkson (3,6)
Mr P Coackley (1,4,5)
Mr P Donohue (1,6)
Dr A Fraser (2,4,5)
Mr P Gold (1)
Mrs AJohnson (resigned 19.5.23) (5)
Dr 0 Northern (appointed
25.5.23)
Dr 0 Ryan (2,4)
Prof. D Towse (2,7)
Mrs B-ATweedie (resigned 29.9.22) (2,4)
Dr W-J Walton (resigned 29.9.22) (2,4)
Mr J Wardle (1,3)
Mrs J Whitford (Chair) (1,4,5)
Mr FYates (resigned 29.9.22) (3,5,8)
Xe
to Committee
Membershi:
(1) Finance; (2) Clinical
Governance; (3)
Retail;
(4) Nominations, Trustee
Development
& Remuneration;
(5) Corporate Governance
&Human
Resources; (6)Fundraising;
(7) Property &Estates
Strategy Group (Advisory); (8) Health &Safety Committee

Unrestricted Restricted Total Funds Total Funds
Funds Funds
2023 2023 2023 2022
EOOD EOOD EOOD EOOD
Income From: Note
oonations
and legacies:
Donations 1,366 128 1,494 1,361
Legacies 1,974 196 2,170 2,393
Grants from Charitable Trusts 33 91 124 324
3,373 415 3,789 4,078
Charitable
Activities
4a 3,460 425 3,885 3,895
Covid Related Grants 4b 101
Other trading activities:
Lottery Sa 1,190 1,190 1,176
projects Sb 420 420 370
Shops Sc 4,111 4,111 3,515
Fundraising
events
Sd 302 302 199
6,023 6,023 5,260
Investments 305 305 188
Other 89 6 95 87
Total Income 13,250 846 14,096 13,609
Expenditure
on:
Raising Donations, Legacies and Grants 812 812 705
Other trading activities:
Lunary 5a,9 464 464 428
projects SI3,9 340 340 3D4
Shops Sc,9 2,531 2,531 2,408
Fun draising
events
Sd,9 52 52 18
Investment
management
costs 47 47 50
Costs of raising funds 4,246 4,246 3,913
In patient care 4,382 481 4,863 4,600
Day care 1,359 62 1,421 1,189
Hospice Outreach 973 136 1,109 1,042
Hospice at home 1,227 90 1,317 1,285
Education and research 281 60 341 274
Hospital services 44 0 44 109
Lymphoedema 134 0 134 128
Social Work 8,Chaplaincy 339 0 339 311
Expenditure
on charitable
activities 8,739 829 9,568 8,938
Total expenditure 12,985 829 13,814 12,851
Net income forthe year and net movements in 265 17 282 758
funds before (losses)/ gains on investments
Net (losses)/ gains on investments (685) (685) 185
Net (deficit)/ surplus for the year (420) 17 (403) 943
Transfers between funds 15,
16
(135)
Net movement
in funds
(285) (118) (403) 943
Reconciliation offunds:
Total funds brought forward 27,304 261 27,585 26,642
Total funds carried forward 27,019 163 27,182 27,585

Group Charity
Note 2023 2022 2023 2022
EOOD EOOD FOOD EOOO
Fixed Assets
Tangible assets 10 12,199 12,151 12,199 12,151
Investments 7,976 8,495 8,026 8,545
20,175 20,646 20,226 20,696
Current Assets
Stock 12
Debtors 13 2,048 1,384 2,227 1,534
Cash at bank
lk
in hand 6,077 6,598 5,626 6,164
8,136 7,993 7,853 7,698
Creditors: amounts
within one year
falling due 14 (1,129) (1,054) (913) (826)
Net current assets 7,007 6,939 6,940 6,872
Total assets less current
liabilities/
Net assets
27,182 27,585 27,165 27,568
The funds ofthe charity:
Restricted funds 15 163 281 163 281
Unrestricted
funds:
Designated funds 16 15,042 15,213 15,042 15,213
General funds 17 11,977 12,091 11,960 12,074
Total funds 27,182 27,585 27,165 27,568

Note 2023 2022
EOOO EOOO
Cash flows from operating activities:
Net cash provided
by operating
activities
23 (39) 1,058
Cash flows from investing activities:
Dividends
and interest from
Investments 305 188
Purchase of property,
plant
and equipment (621) (320)
Proceeds from sale ofinvestments 1,122 1,504
Purchase of investments (1,434) (1,506)
Decrease/(increase)
in investment
cash 146
Net cash used in investing activities (482) (273)
Change
in cash and cash equivalents
in the
reporting
period
(521) 785
Cash and cash equivalents at the beginning
ofthe reporting
period
6,598 5,813
Cash and cash equivalents at the end ofthe
reporting
period
6,077 6,598

4a Charitable
Activities
Charitable
Activities
2023 2022
f000 f000
NHS income 3,826 3,712
Education
income
59 183
3,885 3,895
4b Covid Related Grants 2023 2022
f000 f000
HMRC Furlough grants 16
Council grants 85
101
provisional
trading
re sults
isgiven bel
ow and reflects its trading ac tivities forthe year ended 31M arch 2023.
2023 2022
f000 f000
Lottery income 1,190 1,176
Donations 35 37
Investment
income
5 1
Covid Related grants 1
Total income 1,230 1,215
Prizes awarded (149) (146)
Staff costs (105) (118)
Other costs (210) (164)
Total expenditure (464) (428)
Net lottery income 766 787
Gift Aid payments to Severn Hospice Limited (766) (787)
Retained
in subsidiary
Total assets 285 295
Total liabilities (279) (289)
Funds (representing share capitaland reserves)
reflects its trading a c tivi ties for the year ended 31Marc h 2023.
2023 2022
f000 f000
Projects income 420 370
Donations 2 1
Interest 2 1
Totalincome 424 372
Cost ofgoods sold (286) (253)
Operating
costs
(54) (51)
Total expenditure (340) (304)
Net trading
profit
84 68
Gift Aid payments to Severn Hospice Limited- provisional amount due for (84) (68)
year
Retained
in subsidiary
Total assets 187 159
Total liabilities (126) (98)
Funds (representing share capital and reserves) 61 61
Sc Hospice Shops 2023 2022
This is the trading arm ofSevern Hospice Limited —it is not a separate
trading
subsidiary
company.
f000 f000
Covid related grants 99
Kickstart grants 36
Non gift —aided donated goods income 2,126 2,011
Gift-aided
donated
goods income 1,442 1,052
Gift Aid on donated goods income 342 221
Rag income 122 132
Donations 36 38
Other income 43 25
Total income 4,111 3,614
Staff Costs (1,456) (1,381)
Premises maintenance and rent (509) (511)
Other costs (566) (516)
Totalexpenditure (2.531) (2,408)
Net shops income 1,580 1,206

Income Expenditure Net Income Income Expenditure Net Income
f000 f000 f f f f
Wrekin Rowers 61 61
Dragons 67 (26) 41
Lights of Love Annual 57 (10) 47 48 (7) 41
London Marathon 72 (4) 68 38 (1) 37
196 (40) 156 147 (8) 139
6 Investment
Income
Investment
Income
2023 2022
f000 f000
Dividends
receivable
on shares held 207 177
Interest receivable on cash balances 98 11
305 188
7 Other Income 2023 2022
f000 f000
Miscellaneous items of income received for catering, insurance receipts, 95 87
property
rental,
wayleaves etc.

2023 2022
Headcount FTE Headcount FTE
Admln 33 21 32 20
Income Generation 30 16 25 15
Care 299 168 301 173
Shops 94 56 84 52
456 261 442 260
The number ofemployees whose emoluments for the year were greater than E60,000were as follows:
2023 2022
f60,000to f70,000 2 1
f70,000to f80,000 3 3
f80,000to E90,000
f90,000to f100,000
Pension contributions relating to those staff earning over E60,000 E45,245 f42,417

Direct Direct Support Total Total
Costs Costs 2023 2022
f000 f000 f000 f000
Charitable
Activities:
In Patient Care 3,344 1,519 4,863 4,600
Day Care 810 611 1,421 1,189
Hospice Outreach 967 142 1,109 1,042
Hospice at Home 1,091 226 1,317 1,285
Education
& Research
164 177 341 274
Hospital Services 44 44 109
Lymphoedema 102 32 134 128
Social Work &Chaplaincy 283 56 339 311
Costs of Raising Funds:
Donations,
Legacies and Grants
401 411 812 705
Other trading activities
Hospice Shops 2,450 81 2,531 2,408
Lottery 439 25 464 428
Projects 328 12 340 304
Fundraising
Events
52 52 18
Investment
Management
47 47 50
Total Expenditure 10,522 3,292 13,814 12,851
Support costs include: Basis ofAllocation f000 f000
Premises & Catering Floor area, estimated time,
and cost 1,806 1,579
Central Services Estimated time 770 685
Finance Estimated time 255 240
ITSupport Workstations
time
and estimated 348 339
Vehicles Estimated
castings
time &specific 17
Governance Estimated time &costings 97 110
3,292 2,964
Included
within group
expenditure are:
Amounts
paid or payable to Auditors:
External
annual
audit ofaccounts 22 19
Other fees payable to the Auditors 1 6
Depreciation 573 572
Lease payments 424 427

Direct Direct Support Total Total
Costs Costs 2022 2021
f000 f000 f000 f000
Charitable
Activities:
In Patient Care 3,239 1,361 4,600 4,578
Day Care 640 549 1,189 1,154
Hospice Outreach 913 129 1,042 958
Hospice at Home 1,077 208 1,285 1,255
Education
& Research
120 154 274 124
Hospital Services 109 109 127
Lymphoedema 98 30 128 113
Social Work &Chaplaincy 260 51 311 298
Costs of Raising Funds:
Donations,
Legacies and Grants
340 365 705 687
Other trading activities
Hospice Shops 2,328 80 2,408 2,017
Lottery 403 25 428 351
Projects 292 12 304 104
Fundraising
Events
18 18 12
Investment
Management
50 50 43
Total Expenditure 9,887 2,964 12,851 11,821
Support costs include: Basis ofAllocation f000 EOOD
Premises
&Catering
Floor area, estimated time,
and cost 1,579 1,289
Central Services Estimated time 685 647
Finance Estimated time 240 231
ITSupport Workstations and estimated
time 339 270
Vehicles Estimated time &specific
castings 11 10
Governance Estimated time 110 108
2,964 2,555
Included
within group
expenditure are:
Amounts
paid or payable to Auditors:
External annual audit ofaccounts 19 18
Other fees payable to the Auditors 6 4
Depreciation 572 506
Lease payments 427 331
10 Fixed Assets
Freehold Furnishings
&
Vehicles Total
Charity Property Equipment
EOOD EOOD f000 EOOD
Cost
At 1April 2022 14,928 3,295 132 18,355
Additions 370 228 23 621
Disposals (14) (14)
At 31March 2023 15,298 3,523 141 18,962
Depreciation
At 1April 2022 3,435 2,655 114 6,204
Charge for year 296 268 9 573
Disposals (14) (14)
At 31March 2023 3,731 2,923 109 6,763
Net BookValue
At 1April 2022 11,493 640 18 12,151
At 31March 2023 11,567 600 32 12,199
Group
Cost
At 1April 2022 14,928 3,316 132 18,376
Additions 370 228 23 621
Disposals (14) (14)
At 31March 2023 15,298 3,544 141 18,983
Depreciation
At 1April 2022 3,435 2,676 114 6,225
Charge for year 296 268 9 573
Disposals (14) (14)
At 31March 2023 3,731 2,944 109 6,784
Net BookValue
At 1April 2022 11,493 640 18 12,151
At 31March 2023 11,567 600 32 12,199

Investments
The Group The Charity
2023 2022 2023 2022
f000 f000 f000 f000
Listed UK Stock Exchange Investments 7,736 8,310 7,736 8,310
Shares in subsidiary
companies
50 50
Investment Properties 240 185 240 185
7,976 8,495 8,026 8,545
The investment property was revalued on 31"March 2023 at open market value by Zaza Johnson and Bath
Estate Agents.
Group and
Charity
(a) Listed UK Stock Exchange Investments 2023 2022
f000 f000
Market Value 1April 2022 7,959 7,772
Disposals (1,122) (1,504)
Acquisitions 1,434 1,506
Realised gains 78 432
Unrealised
(losses)
(818) (247)
Market value at 31March 2023 7,531 7,959
Cash held for investment 205 351
7,736 8,310
(b) Analysis of Listed/Discretionary Fund Investments
2023 2022
f000 f000
Discretionary Fund managed by Evelyn Partners 3,852 4,079
Discretionary Fund managed by Brewin Dolphin 3,884 4,231
7,736 8,310
Charity
(c) Shares in subsidiary companies at cost 2023 2022
EOOO f000
Hospice Projects Limited 50 50
Severn Promotions
Company
Limited
50 50
Group Charity
2023 2022 2023 2022
f000 f000 f000 f000
f000 f000 f000 f000
Goods purchased for resale through
Hospice Projects Limited
13 Debtors
Group Charity
2023 2022 2023 2022
f000 f000 f000 EOOO
Trade debtors 51 49 51 49
Sundry debtors 12 20 12 20
Amounts due from subsidiary undertakings 179 151
Legacies 1,466 964 1,466 964
Prepayments 302 181 302 180
Gift aid recoverable 19 54 19 54
VAT recoverable 198 116 198 116
2,048 1,384 2,227 1,534
Group Charity
2023 2022 2023 2022
f000 f000 f000 f000
Trade creditors 339 228 317 220
Taxation gt socialsecurity costs 150 145 150 145
Accruals 317 355 309 337
Amounts due to subsidiary undertakings 9 9
Deferred income 14 13 14 13
Other creditors 309 313 114 102
1,129 1,054 913 826

Amounts Falling Due
Within One
Year
Balance Balance Greater Than
b/fwd New c/fwd One Year Balance
1.4.22 Released Deferred 31.3.23 c/fwd 31.3.23
f000 EOOO f000 f000 f000
Amounts Falling Due Within One Year
Events income
Men's Health project
Compassionate Communities fund
Hospital Development Fund
13 14

donations
and grants given for s
pecific purposes.
Transfer
to Balance
Balance General at
at1.4.22 Income Expenditure Funds 31.3.23
f000 EOOD f000 f000 f000
Donations
received for In
Patient Care and
Bereavement
119 226 (203) (135)
Donations
received for the
Day Units
50 (50)
Donations
received for Care
at Home Services
137 (137)
CCG funding for specifically
negotiated
services
162 425 (431) 156
Hospice Garden 8 (8)
281 846 (829) (135) 163
donations
and grants given for s
pecific purposes.
Transfer
to Balance
Balance General at
at 1.4.21 Income Expenditure Funds 31.3.22
f000 EOOD f000 f000 f000
Donations
received for In
Patient Care and
Bereavement 219 (95) (12) 119
Donations
received for the
Day Units 44 (44)
Donations
received for Care
at Home Services
CCG funding for specifically
negotiated
services
Hospice Garden
218 56
1,231
1
(61)
(1,287)
~1
162
230 1,551 (1,488) (12) 281

Resources
To/From
Balance New Utilised/ Other Balance
at 1.4.22 Designations Released Funds at31.3.23
f f f f E
Group:
Designated
Funds:
Capital Projects Fund 2,500 (186) 529 2,843
Fixed Asset Fund 12,151 621 (573) 12,199
Energy Sustainability Fund 145 (145)
Service Development
Fund 417 (384)
Total Designated
Funds
15,213 621 (792) 15,042
Group General
Funds
12,091 11,943 (12,193) 135 11,977
Total Group Unrestricted 27,304 12,565 (12,985) 135 27,019
Charity:
Total Designated
Funds
15,213 621 (792) 15,042
Charity GeneralFunds 12,074 11,139 (11,388) 135 11,960
Total Charity Unrestricted 27,287 11,760 (12,180) 135 27,002
Resources
To/From
Balance New Utilised/ Other Balance
at 1.4.21 Designations Released Funds at 31.3.22
E f E E E
Group:
Designated Funds:
Capital
Fund
2,500 2,500
Fixed Asset Fund 12,403 320 (572) 12,151
Energy Sustainability Fund 145 145
Service Development
Fund 451 (34) 417
Total Designated Funds 12,999 2,820 (606) 15,213
Group General Funds 13,413 9,423 (10,757) 12 12,091
Total Group Unrestricted 26,412 12,243 (11,363) 12 27,304
Charity:
Total Designated Funds 12,999 2,820 (606) 15,213
Charity General Funds 13,396 8,692 (10,026) 12 12,074
Total Charity Unrestricted 26,395 11,512 (10,632) 12 27,287

2023 2022
Restricted Total Unrestricted Restricted Total
Funds Funds Funds
f000 f000 f000 EOOD f000
Fund balances at 31March
are represented by:
Tangible fixed assets 12,199 12,199 12,151 12,151
Investments 7,976 7,976 8,495 8,495
Current assets 7,973 163 8,136 7,712 281 7,993
Creditors due within one
year (1,129) (1,129) (1,054) (1,054)
Creditors due greater
than one year
Tota I Net Assets 27,019 163 27,182 27,304 281 27,585

2023 2022
f000 f000
Within 1year 161 215
Between 2 and 5years 168 319
Over 5years to end of lease term
329 534

Group Group
2023 2022
f000 f000
Net (Deficit)/ Income for the reporting period (as per the statement of (403) 943
financial activities)
Adjustments
for:
Depreciation
charges
573 572
Dividends,
interest,
and rents from investments (305) (188)
Losses/(Gains)
on investments
685 (185)
(Increase)/decrease in stocks 6
(Increase)/Decrease in debtors (664) 154
Increase/(decrease) in creditors 75 (244)
Net cash provided by operating activities (39) 1,058

Other
Balance at non-cash Balance
1.4.22 Cash flows changes at 31.3.23
f000 f000 f000 f000
Cash and bank 6,598 (521) 6,077

Unrestricted Restricted Total Funds Total Funds
Funds Funds
2022 2022 2022 2021
EOOD EOOD EOOD EOOD
Income From:
Donations
and legacies:
Donations 1,183 178 1,361 1,474
Legacies 2,371 22 2,393 1,036
Grants from Charitable Trusts 204 120 324 246
3,758 320 4,078 2,766
Charitable
Activities
2,664 1,231 3,895 3,951
Covid Related Grants 101 101 3,884
Other trading activities:
Lottery 1,176 1,176 1,240
Projects 370 370 t45
Shops 3,515 3,515 904
Fundraising
events
199 199 129
5,260 5,260 2,418
Investments 188 188 166
Other 87 87 45
Total Income 12,058 1,551 13,609 13,220
Expenditure
on:
Raising Donations, Legacies and Grants 705 705 687
Other trading activities:
Lottery 428 428 351
Projects 304 304 104
Shops 2,408 2,408 2,017
Fundraising
events
18 18 12
Investment
management
costs 50 50 43
Costs of raising funds 3,913 3,913 3,214
In patient care 4,427 173 4,600 4,578
Day care 1,041 148 1,169 1,154
Hospice Outreach 837 205 1,042 958
Hospice at home 600 685 1,285 I,255
Education
and research
88 186 274 124
Hospital services 53 56 109 127
Lymphoedema 93 35 128 113
Social Work gr Chaplaincy 311 311 296
Expenditure
on charitable
activities 7,450 1,488 8,938 8,607
Total expenditure 11,363 1,488 12,851 11,821
Net income for the
funds before gains
year and net movements
on investments
in 695 63 758 1,399
Net gains on investments 185 185 2,025
Net income for the year 880 63 943 3,424
Transfers between funds 12 -12
Net movement
in funds
892 51 943 3,424
Reconciliation offunds:
Total funds brought forward 26,412 230 26,642 23,218
Total funds carried forward 27,304 281 27,585 26,642