2024-03-31-accounts

2023/24 Truslees Annual Reporl The Mary Stevens Hospice Trustees 8nd DirectorsAnnu81 Report. Including consolidatèd audit8d financial statementsfor the yearended 31 March 2024 fyospi&

rh8 Mary Stevens Hosprca. 2024.

Contents 03 Contérbts 41 Lott8ry 04 Foreword f rom the Chair of Tru61ee6 43 Tradirt9 05 Welcofflo from the Chief Executrv& Structure, and Off ic8r M8nagom8nt Meet thè Trustees 46 Rofèrencé and Ad mSnastratlvé Dot811s 08 Chatity Goyérn•n¢• 47 Re8erve$ Policy and Invèstmènts 11 Sv¢¢¢gse8 Ond Objpcrivo$ 48 Going Concern, frust&&s1 D Irectors 13 R•*loctions from & New Tru st Indemnity Policy and P8y and 14 In-patlént Unlt Romun•ratlon 17 Day S•rvrces Unit 49 Financial kèviow and Co$t$ 20 Medicines Mbnagement 50 St&t•mèTht of Trustèè R#$poh¥ibiliti¥s 21 No Barrlers H8r8: Rosoarch and 51-55 Audit Fl•port Education SS St&tèmèrbt ot FinAneial Aeilvltlès 24 Ber•av•mgnt S6-59 Balance Sheat 27 Volunt&&r Service O St8tement of C4sh Flow 29 Social C aro 61-86 Not88 to the Financial Stgtement8 31 SpirFI￿al Caro 33 Creative W£ Ilbeing JS TruSt$. Foundatlons erhd Legp¢ieg 56 Fundraising Evonts 39 Corpofaté Furbdralslng 40 Communlty and Thlrd Party Fundr#isi

Forem'ord froin tlie Chair of Triistees Hello and vi&ltsome. Oncé again it givès me greèt pleasure t¢ ifhvitè you to toad thè Trust¢eB Annual Rpport. Also. my thanks to those who hsve contributed to thtr r¢ port. Fir$cly. ¢n bèh8lf ¢f th? irv$t¢•$ I w¢uld liko to th•nk •ll th¢ Staff Ancl volunto¢r$ ¢f The Mary Stevens Hospico r)rganiEation for their gccom pli$hmerbt6 and endur Ing ¢OthMitMèfit ovèr the past 12 Mortths. Su¢CèÉS is not a taetl¢ or a sèThtrYh•ht. but a determined choice to Bucce•d. Well done &nd thank you. The s&rvFce to the com munity cont inu8 s f o grow bc)th In dlversity 8nd perf orm4nc• 4lb¢4t sub]•ct t¢ tFI• inflatlonary costs wè are all exp•ri•n¢ing. Navi+aating the ttost pressures and cost i ncreases with our supply Chain h88 given UG 9reater accur8Cy ond greater financ ial cortainty. We ore opor&tln9 in o health car? ecorbomy that has segn budgets out strip demand. However. Ihis year The Mary StevonG Hospiae. through good tisc•I manag•m•nt. is mDf& Stable. Thè Fundr8lsino tèam. Lott&ry tejam. Tradlrbg taam. the No Barrlér8 Herè programme and 18oac 18 s dél ivered substantlal reven ues which SUPF)ort th• continuance ol The Mary Stevons Hospice ￿1n0 arb exomplar ol providino palliatlv• Core, Hov4r do r•Éorbatè vlith OLJf SUPPtsrtèrs? 8y ttofitinUin9 t¢ b• ¢¢fiiplraNt. compassionaté arhd carino. That's what wo aro 14Thown for. but wo must Émbracè change. Not véishing to re3t on our laurels ihe Soniof Lèadership Team f ormed a Stratsole Davèlopmgnt T&am suboroup to rgvigw our sorvicg provision and thg built ÈnvirorhmoTht with thg aim to remov¢ $trat¢Qi¢ ambig Ulty. The outcomes of the subg roup are ￿￿ork ITh progre8£. and I must acknowlodge th• rleh vèin of inspiratlonal talént withln thé tèAm. Orbe• tho Board hag takèn th opportu nity tts exa,mrno the proposal$ and are fourFd to havo mgrit, è plan of act lorh should be f ormulated. We cannot afford to stand sllll. l also glvé my gSnc•rè thanks to all the tru8toéÈ f¢r Sup port and o Uidancè ovor th P•tor Mar$h ChaEr of TrLt2téè$

WL.ILome from (lie C;Iiief Executive orricer In my 4th year 88 Chief Exec ut ive Off icer of The Mary Stevens Hospice it gI￿￿S rne rnmenso pl8asur& to prosent thi s r&port to you and sharè both the 5ucc•ss&s and Ghall&ngoS that the hosp ic• has faced during the past 12 months. The biggest chellenge faced corbtinLJ&S to be securing SLJStain8ble Trhcome to SUPPOTt s&r¢ice d8livfjry, Thore is uncertainty around hospic• lunding on both national fjnd local leve Is, Over the repDrting pe riod we have worked proactively to s•cura consistént r&venuÈ stfebms to prevent futura f Irbancial difficulti•s. CoBt of living increases continue to impact our irbcome and expenditure. How we work 4Vith commbssionors h88 und8rgoTh• not8bl& charbg•, but this has rbot improved the level of Statutory funding received. We are thankful to havpj eX￿rIenced c Dntinuod significa nt g rowth in leg acy income, whtrch i s forocast to carry on through the next budget year. As an indepgndftrbt hospice registered with both Com p8nies House 8nd the Ch8rity Commission, l am pleased to report that the hospice is now supported by 2 Palliative Meclicine Con£ult&nts. The 8dclitton of con8ult8nts to the team has onsured ih81 the hospice can provide speci8list p8lliativ6 carfr to peopa8 with compl FX c lirkical noe¢Js within tho loc85 hè8lthcgre system. Ovring the latter pert of th? reporting period, following a period of stoff ongagom?Dt. hospiGo trustfjO8 approve(S a new 3-y&8r 5tr£tegy which 30ts out cle8 r direction for our Se rvices. It is a privrlege to le8d the teams at Tho Mary Stevens Hospice and tts Bubsicliary comparhies. The WDrk ethics 8ncJ v8lups of care. comp8s8ion and kindrb@$S demon5treted by oLtr pmploy&e5 and volunteers are pxemplary. I thFn k everyorbP who corktributes to rTF£ king our work possible. Cl eire Towns Chief Executive Off icpr & M4tron

Meet tlie Trustees P•tor MarEh (Chairj Peter's Career hos Spanned Over 45 yeer8 workino In th& NHS marhaoino major apital d&v&ltspm&fit, whl¢h th• last 15 yèars was fè$poh&iblè for deliyorlng non-m¢di¢al facilltieg Ov¢f multipl¢ $yto6. Petèr was èPPOÈnt¢cl a magl$tratè In 197. now Chair of thè Trusteè Board and thg FuThdraiSing Gov$rnanc• Committ¢a. John Turn•r {Vle• Chalr) Orlginally f rom Hereford. Joh n obcainod a deg roa in thfrorètical phys lo8 bèfore qualifyino as a ehartared accountaTht. SP?¢iallsing Sn taxaiion. and subséquently bèeomlrho 8 partrhof in Dèloltté. John is the formèr trèasurér of Stourbfidgè Tènnls CILFb ¢Thd a West eromwitth Albi¢Th 8ea&¢Th ti¢k&t holder. Qurrently chalrs the Flnancè CommStt&e for Thè Mary Steven8 Hospicè. Arthur Bak•r (Chair of Lott•ry Bo8rd> Arthur was a senltsr finarbC• director for an int•rnatlDn•l ¢oftstru¢tion Company, followed by many yèars working for a l•adlng Lorbdon morchanr bank. In the 10 yaarts prlor to hie •tlrmènt. Arthur was thé Chlèf É%•cutiV• of a UK ¢4$ifbO company. Arthur Is a Dir•ctor of Lottéry and ehalrs ch• Lottèry Board. Brian Blak•mor• [Ch4ir of frading Board) Brian Fia8 ¢v•r 40 yèars, of •￿pt1•￿e• In financial s•rvie•S ¢ov•fiThg Corporatt banklng an(S prlvata aqulty. Pl• has a rangè of non-exécutlvo positlons aeross v£ntur& oapital. corporat• finance. privat& equity and online retall. In 2020 BrSan was appolntgd Chalr of Tradlng for Tho Mary StgV9ns Hospic•. Dr Jan• Flint Bridg•wat•r (Chair •f Clirbie&l standards) I Vlce Ghair 2010-20Y8. Chalr 2Q18-2020J Dr Flirht is a rotir4d Consultant Cardiologlst was th• flrgt Cllnle81 Dir8ctar of the Black Country Cardiov£scular Nétwork beiwaen 2003 and 2008. She Is s8nlor 18ctLJr8r arbd ad hoc advlsor to thÈ Care Qu81ity Commisslon. She was trustoÉ fo.r the Britlsh Hoart Foundation bÉtw8gn 2006-2014. MÈdical Dirgctor of Action Hèart Prèvér)tlorb and CR Proafammè 1988-2020 and PHSO Ljntll Narch 2020. Dr Flint has chalr&d thè Clinical St8fhd8rds Committoe at Tha Mary Stovèns Hosplc8 from 2016. 8p•ncer Hodgson (Chair of Rosourc•s) Bèforè rF)ti¢intr. Spettcèr had 30 yèars 8xparlencé as a sènlor managor, gainlng a mlx of commercial. op*&ratlonal and admlnlstratlve flThanclal &xpgrlence across both thé privatÉ and sÉmi-publle sèctor. SponcÉr has boèn a fuThdraiging volunt8&r for Th8 Mary 8tgv&ns Hospieo and Is 8 mombar of th& Financé and Fundraising Govprnsrhcè Cornml¢tÈ¢'$ and 1$ a Dir?¢tor of thè Lottery Board.

Barbara Cole Bbrbara is 8 rotirèd toachor hsvlng workod for ovor 40 yoars in schools in 8Srmlngharn and Sandwèll. 8arb8r& h8s h&d Ilnks wlth S49varal hospiC8rS In psst yerars and s•8ln9 th8 wonderrf ul wo rk that thry do prompt8d h8 r to b49com8 trustèa. 8arbara Is 4 m8mb@r of tho Cllnlc81 Standèrds Committ@è. John Orafvam John is proud to be 8thnlcally Scots - both of hls parents are from FSfe and ht Is namèd aftèr hSs grandf8thgr, vdho was a coal minor In ScotlsThd. Howev•r, John wbs borTh and r81sad K•nt. Insplrod by hls pollco officèf fèth8r. h8 r8ad law at Blrmfngham UnSv•rslty and studled furth•r at the Co114998 of Law In Guildfor4. qualltyinc bs a solicitor in 1981. Aft8r Initi81 8mploym&nt in Wè81 8romwieh. he mov8d to T4rbfl8ld& In Dudloy. 8 flrm lator taloon OVV•r by Tèlbot Law whoro ho r8maln•d until r•tiremènt Irth 2020. During hls l•gal car8•r John practlsod in varlous typos of Illlgatlon aTh4J dlspulès. sppoaring regularly in local courts. John Ilv85 ln Wost Bromwlch whore h• Ss a past churchwardon, currént trè88urèr and mèmbèr of th• b811 ringing téam at All Sairbt8' Church. HIS Intorests includ8 p•rlorm in g arts. rnusic. th&8tr8, Dudlfry Rotary CILJb and food and drink. H• Is 8 r8asonab1• C¢>ok and a baroly compoi•nt gult8rlst. John is &180 8 car•r for hls partner Christln8. St•v• Waltho MBE Sieve Is a Dudley counclllcr and former Mayor of Oudley with 22 yèars of public servico for which. along with & lif•tim• of charity fundraislng. h• w8S awarded an MSE In 2018. Stav8 has sorved on ho8lth boards in various C8paciti8s an(J currenrly sarvos on both th8 Fundrfjisin9 and Tr4ding 808rd Commiltoes at Tho Mary St8Yèns Hosplc8. Angu8 Le•8 An9us has a strong comm8rcl81 b8ckground and qu&lifl&d to MBA 8t8nd8rd. H8 Is a cabingt momb8r at Dud18y M8tropolitan 8orough Councll holdlng Lh8 portfolio tor th& West Midland8 Cornbined Authority. In additlon AThgu% Is m8mbér of th8 WMCA Overvbew and Scrtjtirby Committ88, Housirbg and Land Board. Sirategic EGonomic Development Board and Transport Developmfini Committ80. H@ h85 pr8viously work8d vdithin 14rgo corporations 8nd ran his own company f or 11 y88fS. K4rn Shakv¥pg4r# Irfsignfd 20 Octobei 2023) 8ron h8s 25 y&8rs 8xp&rlonc8 8& 8 customor 88rvic8 mansgor in th marhufacturing. utllity and logistics industry. Sh8 has servod as a councillor for Dudl8y Council for th@ past 19 years, includln9 th? Cablnat Memb•r for Environtnent. David Martin Cllr Stevo Clorke

Charitv Governance Con$titution Tho charity WÉ3 formed as 8 company Ikmited by guarant86 on 22 NDv&mber 198S End is gDverned by its Memorandum Bnd Articles Df A56Dclation. The charity IA85 incorpor8t&(t in England and W8505. As a company lirnrted by guar8ritee it ha5 no allotted sttbre G8PItBI. Membors of the compar7y hévo a contingent liabillty af15ing frorn the guarantee gpven by e8ch member to contribute. if requlred or on winding up. en amount not &XGee¢Jirig É1. Tru8to•s Trustees are appointed by the Board of Tru3tee8 at a 808rd meeting. with ppointrnent taking effect once ratified by the majorbty Of Compgny Mernbers voting at a Goneral Meeting Dr by wriiterb resolution. Under tho Articles, trustges are 8ppointed for an init181 4 year term. and msy serv& up to m8ximurn of 2 terms of 4 years. After completion of their second 4 year term. triJst&e rn8y only be 8PPOlnted for Subsequent l ye£r terms where the Board of Trustees decide it is in the best interest5 of the company to do so. rhe chair is elected by thfrir fellow trustees following a recruitment 8nd 5eEectlDn process, Peter MarBh {Chair) was gppointgd with effect frc>rn 20th November 2020. Potential new trustees arg Identified f rom external recruitment and personel recom mend4BtioTh often will h4ve previously bg*rb gSSQGi4t?d vlith the wor of The M8ry StevenE Hospice. as e voluntefrr. professiorb81 c8peciiy or in tF78 ctivitles of a Bubsidiary ¢omp&ny. The ch4qrity trvsteei are dir?¢tvrB of the ¢ompeny for the purp04ei of compgny k8w. Tiustee indemnity insurance 18 provided for the bBnFfit of the trL>Stee$. Subg5d5ary ¢ompanle6 The charity h38 two wholly owned subsidigry compgnieg which Dperbte for tha purposp of rei£ing funds and promoting public awgrene55 Of the charity. Thè Mgry Stpverbs Hospice Tr$ding Co. Limited (registered company Dumber 02648133) which oper&tps 13 trFdifjg outlpts. Th¥ Mary Stèvèn$ H05PiC¢ Lott#ry Limited {reg Isterecl ¢¢mp8ny nurnbèr 03S858151 wihiGh operat95 rogular Igtt¢rie5. Each subsidiary compgny has its own separate Board of Trustees that meet 4Vgrt¢rly gnd 1$ focused ¢rt thè ¢omp•ny $ctiviti?¥. corrhpli8n¢e perforrnaThGe. E•Gh Gornpgny GIE1rn5 gift with any prDfits tni¢e Éo the trharity.

Corporate Oovern&noe and Inter nal Control Th8 charity is govorrkod by thè 808rd of Trugtéèg whlch is résponsiblo tor s8ttlno th8 strat89lc dlr@ctlon ot thè organls8tlon. ostablishlng pollcy. and agr8lng th8 annual IlnancS81 budg8t. businrSS plan and moThltorSng progr8ss agalnst thé biJdg&t. Th8 Board of Trust&8s moét r•oLJlarly thrauohout thè y8ar. Ov8rall r49sponsibllity for thg day-to-dèy m8n898m49nt o th8 or?8rblsatlon Is d81ègatad by the 808rd of Truste&s to tho ehl&f É4xecutlva off le49r. Tho chl•f executlve offic&r r•ports to the chalr of thg Board of Trusie8s and togethef with the dlroctor of flrh8nc• ènd head of fuThdraSslng and lott@ry. bttènds all board m&ot5rhgs. Ch arity 0ov•r nanG• R&8ponslbility for thè gow8rTh8nc• str4JCtur8 of th8 oro8nis&tlcJrk is spIIt betweors sèvorat comrnitt•os and tho S49nlor L•ad8rship Toarn and overso•n by tho Govfrrnanco Commltt80 who moat quart8rly. Thè m8k8-up and r8sponsibilit￿8s of thes• committ885 ar• d8scrib8d b•low. Trust8•s ar8 &ncourog6d to 8tt6nd mè•ilngs of any of thésé coMmittO8S 8nd worklng groups whero 8ppropriate to tholr rolos arbd intarosts. Tho charity follows tho Ch arlty Govofn8nc• Codo. S•nior L•ad•rship T•arn Th• Hosplc• Senior L8&d8rship Toam compris•s thè chiel executlV8. dir•ctor of flnanco, the dlrector ot iradlno, head of ostatfrs and faclllt4&8 and the head of fundra￿sing. Th8 S•nior L@sd8Tshlp T•&m m•ot twlc8 monthly 8nd ar r•sponsible f or straieglc 18adorship and organlsaiFona I d8v81o pm•ni. Clinical Standard8 Committe• Tho Clinic8P Standards Commilteg. ch8ir&d by Dr J Fllnt 8r4dg8wat8r Is r8sponskbl8 for monitoring arhd assuring the cllnlc41 quality of s&rvices and that standards dèfined by oxterrh81 regulators are met. Tho Clinlcal St8n(Jards Commilt8e m8&ts quartorSy and compris8s Or J Fllni Bfldgew8t&r (Commltte Chair and Tru8to•1. john Graham ITru8te•). Barbara Colas ¢Trugte•). Clair& Towns IChi8f Ex8cutlv? Offic&r} and oth8r m8mb8rs of sp•cialist p8lliativo Gare staf f who attend for sperif IG agerh(Js item s. "A$ • tru$t•• 8t The Mary St&v•n$ Ho$pi¢•. I have b•8n privrleg8d to work with knowldgeabJe $t&ff and trv$te•$ 4$ & mmb•r the ClfnJ'¢8J Stfind8rds Committee. I fourjd the Charity Commifjsloft docum ent$.. Th8 w•l¢ome p8¢k for Trustee8 ond TP• Es$•nt181 gulde for Tru$teos. 8¥•rl•bl• th? docvmer4t libraiy vry u$eful. Voiou¥ $t&ff tr4•mtsr$ bl$0 $upport my Indu¢tion •n$vrlng l ¢ovJd fulfil my ro10 8$ o tru$te gnd ¢ru¢ lally ob$prv• th¥ G&r• giv¢n both in tho lft-Pgtient Unit the Pey Servic? Unrft and 8160 ihe •¢ellnt m•n•gomn¢ of the ho$pl¢•. Tho provldor vi$lt 8180 o4¥• m• th• r>PPtsrtvility to ob$orv¢ thtr d&y to day working ol th• ho$pi¢e." Q4rbarq ColoB. Tru5tgq

Ro munpr&tion Committvo rhe CQmTnittee ig re5pon5ible for onEuring thg remuDeratioD grrangEm?nts Fupport thp 5tratpgiG aiTn¥ Df the org8nis£tion. The Cotnmittep romprbsps Peter Marsh Ichair 8n¢J Trv8teèl. JOhD Turner (Trvsteel aDd Dr Janp Flint 6ridgewEter (Trustge), rneetirhg quarterly and £5 requirpd. Clairp Towns (Chief Exocutive Officor) and Sirnc>rk Henwotyd IDirectOr of FinancE) attènd to providè bripfirkgs an(J give evid?nGe. The overarGh1ng responEibilitieg of the committee include monitoring the hospice remun?r8tion ptslicy. review $4l&ry and reward packago5, a pprove non-consol id ated pay Bwards and determine 5UGGV5sion plsDning and talerbt management. FSp)•noo •nd Ho•our¢g ¢¢mmStt¢ The committe& 13 resporTrsible for ensuring the f in4ncial viability of The Mary Stèvèrt$ Ho$pi Gè. prtsvidino 8tew$rd$hi p and tsvèf&è èifTrg thè eh èriièbl a a$et$ nd the externEI au, Bri8n Blahemore (Trustee and Trading Chair). Peter Marsh {Ch8if of Trustees), D8vid Mgrtin (Trugtee). Spencer Hodg8rJn (Trust&e). Cllr. Steve C18rk (Trusteo). Claire Town8 (,Chief Exec utive Of fic8r} and Simon Henwood l Director ol Finan¢e). Fundr•iglng Governane• Cammitt•• Th• cornmittee Is r06pon8ibl• for the overslght of fundraising &Ciivitie6. including evalustion ag8Fn$t the fundraiBing strategy. revi?wins the firkancial Position and performanc&, and ensuring Gompli8fbC• With the Cod& of Fundraisirkg Pract,icg 8nd Dther ytandards. The CDmmittee comptlS8B Peter Marsh (Ch?Ir of Trustees), David M8rtirb {Tru8tee}. Spencer Hodg5¢n ITru8tee), Ilr, Steve Wgliho ¢Trusteql. Arthur Baher {Trvst?e an($ Chgir of Lottery Eo4rd). Claire Tovwns (Chief Executive Off icer), Simon Henwood (Director of Finenc¢> Ènd Am8ndg Bowen (Hesd gf Furtdraising and Lottpryl. Fundr•l$lng $tandard$ We abide by the FiJThdraising Code of Practice whi¢h covers all 85pects of fundrgiging 4nd good practic?. We 8ct to pnsurp thai we ar? fully oomplr8nt With The D8t• Protection Aot 2018 and Gen?r81 Data Protectlon Regul8tion IGDPR). The hospi¢e recogni5es its duty of care to mgrnber5 of the pvblic end vulnerable paoplo and ha$ a Safeguarding Policy, in addition. all members of the lundr8isirhg dep?Ttment gnd rrv6teè£ ere Ois¢l¢sure and e?rring Servioè re9lSterè4. All funJrai$in9 &vntS 9re ras1¢ $s6ossèd. The fvfbdr8èsin9 depgrtmgnt received no formal tsomplaint$ during 2023124. W? do Thot utili6e thè &èrvi¢èS of art èxtèrrtal pr¢f¢$aiofièE f ufidr)i$èr. Prl n¢lpg I rl6k$ gn¢ un ¢¢rtolntl?$ The irvstees arg 8cuiely @ware of the rheèd trj fdentify 8nd 8ss¢8e thg prin¢ip?I ri$l¢$ and ￿￿¢rt)I￿f1¢$ fa¢¢d by thè Hospi¢•. A rièk rèèÈStèr 1$ MaihtJiTh¢d revi¥wed >t 011 trvgièe rneèting3. The r¢gi$rèr pxtFnd8 to è3 P8r$t¢ ri81¢8 as$t$$¢s the lik¢lih¢o4 of a ri¥k o¢¢urriThg and it.? ¢¢n$¢gu¢n¢¢. ¢n8bling the relativ¢ $4gfkifi¢gri¢è to bo tsetèrmined. The risk$ ¢Dvpr ¢liDioal. financial $nd r¢o¥rlat¢ry i$6yeS.

Successes and Objectii'es Ouf Ing thFS fin•rL¢lal year, all staff •rtd Va￿u￿t￿@rS warè ¢on$ultÉd ifh dèvèlop4ng a new S year $trat&¢y. The stratetry 16 d&$lgned to Thavio$te lh¢ Challenges ahead. $et$ QLrt ) ¢E¢$r clir&¢tion for the hospi¢e for 2024-2027 with thrèe over8r¢hÈnu $ttatÈ9kC objè¢iiV$. View Thè M4ry St¢vÈn$ Hc>spiC& St¢?tèoy 2024-20271 FIn4nCl￿ Prior to thè strateoy 18unch, w• contlnued io focus on activitiés that hold strattgic Importantt• for thè eharity. S•fe gov•rn•n¢• t¢ •Th$yrfj w• ¢ontinu• t¢ pr ovid• $afo ?n4 •f fg¢tiv• p•tiont car• To ¢ontinu• t¢ inv•gt in and focug on arèaè of InrbOVatiV• practie• and rèsèarch io improv• equity In palliativ• Caro through the No Barrl•r$ Pléré programme To invgst in and support our workforco To further irbcr•as• access to béreavem•nt services for adults. young pérsons, and chlldf8n across the borough To b8 recognlsed as a local provider of spec1811st palllative c8r8 Bervic&s wlth congultant18d rnodol of cgr To focus on tha 8r¢a$ of kncome o•Theratlon whére thor• Is potential for growth To 8nsur8 that th8 h08pIc8 bulldlngs aré flt for purpos8 Tho fo11owlno paoés of thè report hlghlioht tho dallvéry of key projects durlng 2023-2024. aach of whlch has contrlbutfd towards th8 d8llv8ry of thè slratègic ims. From Aprlè 2023 th* In-Patl&nt Unlt has participated In ttho medpcaF èxamlnérÉ process, Thls supports good practlce where all doaths v¢lthin the hospicè &r Éubjèet to &xtÈrnal serutiny to both confirm an a¢curatg eaus• of d&ath and ch@ck any coThcèrns about caré rocoivéd. No Barrlers Her&. an equlty-orl&nt8d progrèmmo. hès corktlnuod to mak8 Éljrhlf￿CaTht pragr&s2 dLFrlFlQ 2023124 Ineluding lèadèrghlp and eo-applleants In 4 nation81 résÉ4arch studl&s a￿d tha contlnual succ8ss of Its gducation dgllvory a¢ro$$ the UK.

TO SLJpport staff and the busln49SS. prof8sslonal HR sérvlcas hav8 b8èn corhtractèd slncè tho $t8rt of 2023. Throughout the yè8r. all èmploymènt poifcl&s hav• boern updat8d, 49mploymernt contracts r4svl•w8d and updat8d In lin8 with currant 49mploym8nt law. Manag8rs hèver r8c•lv8d tralnlng around sSckn8ss srFd 8b&ènc8 managomont. All staff can now accass HR If t*•y r8qulro It. Th•r8 has b88n a contiTrued sigTrlflcant investrnent Fn staff training with mor• sènior nurs8s b•lno supportéd to compl8t8 onhancad cllnlc81 ass8ssmont tral nln9. 88roav8m8nt $8rvlc8s h8V8 expanded and the t&am now support b8roav8m8nt hubs aero88 th• eommunlty, In sddltlon to bor88vomont inlormatlon points locatèd in the hospTce shops. Young•r chTldr•n hav8 supportèd wlth group sèsslons In publlc Ilbrary s•ttlngs. Sincè Octobèr 2023 spocS815Bt paiifatlv• m8diclnè consultant covér has bèon corhtractod from 8fb OXt8rn&l provider. All p8tient car• providod withln th8 In- Patlont Unlt Is supportod by 2 consultants with a wa•kly multl-dlsclpllnary toam mo8ting and wo•kly ward round, Th• hospice 81so contracts a wfapbround corbsultant t•lé phono support sorvlca 3 d8ys po r w•ek. Income from lagaoles has b&en strong across the reportlng perlod. performlng 8bov8 th8 budg•t lin•. This is for•cast to continu• through th• n•xt flnèncial y•4 r. A major refurblshm8nt proSect for th8 In-Patl6nt Unlt has b88n scoped following con£ult8tion with staff, p8tientg. and visitors. Followirbg tho COVID-19 parhd8mic it was appar&nt that somo 8re&s of th8 hospice were no lorigfrr f it for purpos•. The work will Improvo ihe visitor &r88S to include new ovfirnight facllit10s arhd b loung& ar@a. Tha r&f urb4shm8rbt also Includ8S th8 cr•8tiorb of a viBible nursing 8tstion. improv8d staft aro8%, 8 Th6w ph8rmacy snd b pationt b•droom whlch will accommodato th•lr vi8itors ov&rrÈ4gat and havo g•rd8n aGC•aSS. A Strat8giG D8volopm8nt T8&m was forrned in ALJgust 2023 to collaborbt8 with th8 S•nlor L•ad8rship T8am to d@v8lop a now hospic8 strategy and @mbark on journey of tran6formational Ghange. A 3 year str&tegy has be6fi doveloperj. cov8ring tho p8riod from 2024-2027. provlding cl88r p8thways to 8ddross th koy priorlties for th8 hos pico.

Fi. I f_lt Reflections from a New Triislee I'd nov•r bèén Insid• Th• Mary Stov•ns Hospie• until th• and of 2022. whén I first visiie(J as I had been asked to be a trustee. At flr$t I didn't see much apart from thè board roorn. but soon becama avéarp of thè wlde range of actlvptlos and porsonn•l at The Nary Stevens HospSc• from tha reporis glven to trust&es' me&tlng8. Som8 of the information I was procèsslng was rathor outgldo my comfort zon•. such as médlcal r&crulimént and interactlon with NHS admlnlstration. But I felt abla to contrlbute when it cam8 to 1ogallHR Issugs, dlsablllty provlslon and flnancl81 adm5nistration. I came fromlggal practlco In thè prlvat8 sector, with disabillty and caririg a8 part of my homo Ilfé. I thlnk I had &om• rolèvant gkllls whieh l eould put.to good usa as a volunteor now that I hav8 rot Sr8d from practic•. I found straloht Away that It was gtimulatlno and gnSoysblo to Éérvè AlongÉldo skl118d and d8dlca tod profassionals both amon g th a tru&t8&s and th & hosplc staff. I havo rkQW had tho opportunSty to takè part In tasks that Intfoducèd mg to a numb8r of other staff ènd volunt88rs, aThd It has contSnued to bo pléasL5ré to maet moro fjf thgr admirablé téam h4 r8. I hopo I villl Conisn ué to maot and worl¢ w5th more of th8m as tlm49 goes on. l also hop8 that my prof&%sslonal and IlfÉ% skllls may contiThUè to ba of some usa to th& hospleo In my trust8& rol•. John Graham Tr￿st•9

14 In-patient Unit rhe In-patient Unit (SPU) ha5 seerb a rbumb&r of %ignifiG8nt Changes over the past twolv* IT￿nth& Following th8 appointmerit of è ward manag8r in J&nu8ry 2023, our IPU Ljnderwent restruGturing. arbd ihp gppointment to ihe role of deputy war(J manager. In 8ddltiorb. Job descriptiorbs f or our Ho8lth C818 Assist8rit8 ¢HCA8), Band 5 6&nk 6 Registered Nurses {RNs) have all been reviewed and updated and st8lf havo b8•n oThcour898d tc> complete ttheir ward-b8s8d comp8t8nci8s. We ara fortu nate to hav6 an actbv8 group of bank collobguas as part of the team follDwing 8 rec ru Itrnent carnpaign allowirig us to ensure we 8 re suitably staffed at all times. The 5818fi8S of 81 I permane nt staff have been reviewed and 8ttjusted to lign rnore closely to those of other health care profession81s across th& comrnunity 8Thd Scute clinical environments. In doing so. we becom8 a more ttractive e￿vIrOn￿&￿t vwhen advertising v&cancies. In addition. a review of the nur?￿8 on-call rota now means th&t only %onior nurses 8re rfftquired to undfrrtake thi¥ r&sporisibil Ity. At the be91 nning of 2 023. vrfe resumed regu18 r teem meeting8. wiith the addition of separat& me8tings for HCAS. B8nd 5&, Band 6s &rbd administr&tivÈ staff. These meetings 8re BV8i18bl& 38 either face-to-f8ce or online. Wlth st&ff choosing to engage from home If they are not orb duty, We hav? found thqs has enh8nced cornrnurbFC8tion across IPU. with cornprehensiv? notes of each nieet4ng shared with staff by emeil, These meetings eneble statt to share their thoughts and feelings with 08ch oth?r as well as eng8girbg directly with the ward Manager 8nd deputy. Winningtfrmps, gmploy?e en9agement platlocm. is avai18bl• for thos collea9ves who pref?r to eng¥9 e enonyrnovsly. In April 2 023 a new grbnual performance rèview {APR} proorammè was introdvced for all staff which Inc ludes erb initial meeting to1dentify objectives for the follow4ng 12 month¥, a8 well fKu$inq upon prep? of good prKtice whorp further devfrlopme nt m8y be req uired. Each APR is followed by three meetings throughout the year allowing egc h of the Berbior stgff OTh thp unit to enggo? with a core group of colleayves. BDth professional and pgstoral engagpment 18 important at thesp moetings whioh gffirms Th¢ Mary Stev¢np• Hospi¢¢ èP• 4 truly fpmily friendly rgani88tion. The introcluction of 5elf-ro8tering fvas workred rg£lly well vthich meBrbS staff h8ve g gregt¢r involvement in choosing the shif ts they wish to vlor￿. Figure$ demonstrate thfji we &re now honoufing 100% of day off and erbDual leave request in &dditiDn to 85-90% of prefe rred Sfvifts te¢h month.

The fn&jority of our HCAS have undertaken specific training to 8851%t with the dminbstration of medicetion on IPU bnd known as 'seGond Gh8ck&rs". rréining intro¢JuGed by our Sperialist Palliativo Calf PherrnaGi5t Prescriber 8nd thoso additional skills learn&d within thfr clinical envirorbment 811ow staff to support their qualified nurse CDJle8gues in offering timely medication to our patients. The practice works v&ry well at Th8 M8ry Stevons Hospico and has befjn identified E5 best praGtIGe by other hospiGe5. We ar? also able to dernorlstrate tho eff&ctivene8s of our interv&ntions by r6gularly undert8king pre and post pain Scores. which me8ns we can evidenc? what we do as we strive f u rth•r towards b8St practice. Followlng a SLscc&s%ful rocruitm8Tht camp8ign w8 sppolnted thro8 new Band 5 IINs who will be jrjinlng us later in the year. We sre also hopeful that an additional 88Thd 6 RN proposal will b• accept&d which will orbsuro 4 senior nurs• is on duty around the clock. An inrTrovaiive Band O d8velopm8nt post for our xistiri9 Band 5 RNS is to b& launched over the comino months. All Band 65 hav• eith&r completed, or 8re pfesently undertaking. the He81th Asse35mfrnt Module t univer¥ity providing each with thft sklll¥ to clinically oxarninv patients eithgr before Dr durino 8dmi8sion to the hospice, These a¢Jvanced cllnic81 ski118 plece our staff and. therefore, our hospico ln a strorbger position to provide the speciBli¥t pelliativg 4rkd end c>1 life cgre to those In the community we Berve. Staff pride thpsrnselvps on providing holi8tic pglliative and end of life c8re to those admitted to the hospice. which irbcludes their significant others, end the introductiorh of a comprehensive audit prograrrEm? acrosB IPU ensur?5 wie can provide ttto necessary (Jata and evid&nco to maintain the outstanding lev?1 of linlcgl car• which qu3ntifies our reput8tlon. Staff ar? corbstantly striving to be the best 8fbd this is reflected irk their hends-on clirbical work and the do¢L4meDtption which Supports reg1 holi$tiG ¢pre,

In April 2023. staff w&r• ask8d to vot@ on the propos￿4 to mov8 from w6aring 5Grubs irktrixJucesJ prior to the COVID-19 P£ndorniG £nd before bir Gondiiioning was in%t8llèd in pBtiont fooms into now uniforms. Tho vast major ity ol 8t3ff &xpro888d prefererhc& lor we8rirLg uniforms denoting their role IPU th&58 h8ve b￿&rh ntroducod for both porfnan8 nt and bank siaff. WÉ+ welcomfrd now %t8ff into IPU kitcherb 8arlier in th8 yo8r 8nd anticlpat8 rolling out 6 new rrbenu for patients. visitors end st8ff over thp coming month5. We un£lerstand th8 imPDrt8ncf of ensuring thai mfjal tirnes arf protectfrd for our P8ti8ntS 8nd e8c h has th& oppDrÉunity to have 8 rne81 with their loved ones Bhould th@y wish to do so. Whilst pl anni ng th8 ref urbishm8nt of IPU, the visitor'8 loung8 h as be8n freshened up and ￿dItIOnal furniture Bcquire(J. We are hopefLs1 that 8ny future work to update our f8cilitios will tjltimate ly benef bt our p8tients and t heir r8lativeslfrien4Js to ensure our care is the very best wifr ceri p rovide. Similarly. after consultation with colle8gues ov&r t h& past 6 month s, we co nt inu& to work towards a more conducivef environment for removing the dpce 85ed f IPU into the care of luneral directors. This work is ongoing, Fin8lly. bs a result of th•so changes and th• support now provid8# 10 IPU staff. WPJ have seen a redLkQtion irh $ick né85 bbsenc•4 arbd a happ ier tesm, We hBve the dat which demonstratos we'rfj caring for moro peoplg with those admitted to IPU f requently havi ng mor? complo x nef ds resulti ng in & h i9her dependerbcy. "Care. CompasElon and Klndn•ss remain •t the fore ol all vrn do. My thanks to my coll•agues for thgirstorlinq •fforts ov•r th• p8St twelvernonths." Andr£w Bagnall, Ward Marbager

Day Seri'ices Unit Du rlng 2023124 saw Sn lThcraas8 Ir& r•f8rrals f rom prot8ssionals irb comm unity and Increaslno nLJmb(Jrs from thè hospital Dutpaileni taam& Patients aref often r&férrod latér In thèir lournoy and with rnor8 complèx nééds to thè long-la 8t Ina ff8cts of tha COVID-19 pand￿rnIe. Wé work c loso ly wlth th& communlty t8ams hav8 continu8d to b8 part of th8 Dudl•y N8uro Rèhab vrf88kly rnulti-dlsclpl.Inary t&am IMDT) m&gtlng which, If noi vl• téams. is hostod Sn Day S•rvlc&s Unlt. W& continué to hogt th& Motof Néuronè Digoasè IMN D) cllnics whèré patiènts sèè thè sr>ac1814St nurso and communlly 8lllod h•èlthc aré prof49881onèls. Th858 patl&Thts may not b& known prevlously to th8 hospice and, tharef ore. It's a good opportunlty for Sntroductlon to tho sorviogs avllabl& bNd we hav8 rocèlvod sevg ral rofér rals Via thSs cllnlc. W8 p8rt of th• HND MDT 8nd host m88tings h•r• Involvino tho communlty t8am and Ellzabaih Hospltal Mb40 toam. N•w Patient Cliniet All new pai18nts ar• soon ITh 8 nurs•18d clinlc for ass•ssm•nt. 8v8r8glno 1 patl8nt a day. Thls Is an opportunliy for pail8 nts to sha ro ihélr srory and to bo slg nposted to th8 approprlat8 hospice $8fYlcos. An hollst4c plan allows fo r tha most bppropriate Èupport to bé offérèd may Incl￿d8 a rétèf ral to of our groups. to ih&rapi&s Icompl8m8ntary 8ndlor physioj. soclal work. splritual car8, rn8dic81 support wlth syrnptom managérné rbt 8 ndlor rèforral io anoth&r communlty toam Such as Sp￿Ch nd languago. diaticlans or a speciajlst prof8ssion81. M•dio41 R•vi•w Clinic• The speclalist palll4ti¥• car• pharmacist prescrlbor hold s a med ical revlaw cll r)Sc &bch Mond ay. Thls •n8b1•s patl8nts who have symptom i ssu@s. 8 lihar in tho new patlont cllnic or a support s•ssio n, to hav• dl scussions and dov•lop tf •atm•nt plans in I lalson wilh GPS and the hospital team. Patients h ave blso be8n able to seo members of th & m&dlc al t8am on other days If they havo attènded and identlff Od gyrnptoms or othor m8dic81 issu•s. Educ&tion&l Oroupg corÈilnu to dollv8r tho 8 vé8ok N8uro W8llb8lng and Fatlguo. Anxl•ty and Er8athing l FAB) group5. Both pationts a nd thair si4Jnificant P8rsorFS c8rh be 8nro148d on th8s8 cours8S that ar8 daslgnod to otfer support. advic8 and slgnposting for patients Ilvlng with ne4Jrolog ic al conditiorbs (such as Parkirbson's, Motor N4Jurorh@ Dis8as8, Mijltiplè Systoms Airophy and many Oihor condltlons) or 8xpori@ncing syrnptoms of fatigue. anxiety or br•athing issu&s fel8t8d to their illness andlor tr88tm8Trt. Th8 groups ar& vory wall subscrib8d and run on a rolllng programme throughout thfr ye&r. ExvrGi¥e groups Th8r& I s evid&nc8 to S4J Pport hovi ex8rcis• can Improv8 symptoms su ch as f atlguo rbd incro8S@ 8 P8rson's senst of v1811b0irbg. W@ hav8 support8d P81iFJnis and r818tiv88 wlth 2 &x8rcls@ group81@d by thg physloth8rbpy 8SSiSt8Tht with suprxjrt of our phy%ioth6rapist. Thos8 in blocks of 8 and pati8nts ar@ abl4> to 8ttend mor& than On61 block a rotatlonal basis.

Monthly Support $•55ions Pbtiéntk h ava bèttn %i9npo$tèd tC* thos8 sè&slong following complation of 1 of th• eoursos. If th@y rèqu Ir8 additlonAI support from Day S8rvlcé Unlt. Thè p8ti&rhts ar8 supportod with th8rsp8utiC crsft 8Ctivlti@S 8•rvd 18g8cy work. Pat18 rfrts can acc•ss support wlth &ny m&dlcal, goclAI. splrltu81. clSnScal or pgycho1ogrca I Issu49& PatI￿rItS can 8lw 8xploi8 f utur49 carè planning a nd complét8 th49 R8SPECT of lif8 doc durlng thè sesslorF. Patiernts f08d back th8t th•y b8n8fit fcom bèin9 wlth, other patients who rnay bv( g xparlenclng slmllar Sssues concerns as themselves and d•v•lop supportlvo r818tionshl ps. Th•ra py S•ssions Patl8nt& and r8lativ8s hav8 b8aTr abl& to 8cc8ss thera py sossionB- physloth8fbpyb coMpl8r￿&￿t6rY th8r8pI88 8nd •rt psyehothorapy. Wo hav8 8UPPOrt•d mor8 people with the dev8lopm•nt of the physiotherapy and complom•rthtary th8r•py sorvlco8, Somo p8opl• ara alrè&dy accossSng hosplco sèrv5cos such a s 08y S8 rvlcos, In-Patl8nt Unit and b8r8av8m8 nr suprport, but th• 3•rvlc8 also r•c8lv•s 8xt•rn•l r•f• rrals. wh Ic hès ￿1pOd pooplo f8mi114risè t hémsalvès with tho hosplcé and wh8t wé can oftar. A mlndfulnoss 8 vw8•k Couf so has boon runnlng 8v•ry W•dnosdayy following compl•tlon of tho course pooplè c an 8ccess monthly mindf uln8ss sossrons. Tho l¥fND Socloty holds its monthly support gf oijp In Day Ser¢Sc•s Unit supportod by staff. somfr patlfrnts rbQt prevlously known to ihe hosplce hav• subsequantly asked to b8 roferf Od to day s8rvic•s for furth8f support. Tho t88m con8l&ts of 2 part tlmo r8gistertsd nurs&s who cover 5 days per w¥frk Includ ing h¢>lld&y covor and sickness and aro suppo rted by 1 PU staff wa8n iequlred. Wo also h8ve 3 perm8nènt HCA'8. Tho compl@m8nt8ry i h8r8Py t88m is m&d8 up of 3 part ti m• staff with speoialisl tr&lning in complemont8ry ihpbrapk&S. Our iegula r art p8ychother8pist is paid per sessiorb. The te8m wo r14 8longside the physiotheraplst and physiothor8py assistant to SUPPDrt pai18nts and r•latlvos in al l ar&•s ol th8 hospSco.

20 Medicine Management Exeéllént modlclné marb8gÉ*maTht at th8 hosplc8 r&m&ins at the forafront of our ara. Our Elèetronic Pr&£erlbrn9 •nd M&d ieifb•S AdminiStratiOTh I EPMA) sy$tÈm is vrf&ll omb8ddgd now. bnd sèo ih@ &dvaniao&s of LFsln9 such a systém In rè4u¢lfig th& of Mèdieatioal iffh¢ldèfit8: It altso ènsutès that patlènts'Gèt St on Tlma. Evary Tlmè.. Whllst natlonally suppllos of c•rtaSn m8dlcJtlons at tlmos has b8&n problematlc. Nvé have worked with our Suppliér to èfisurè our pat4eTht caro 5s not aff8ct8d. and thls Is rof loctod Irh tho hSgh l•vèl of complSmènts wo rac8iVè both formally an(S Informally. Th¢ ellnlcal usè of mèdlcaiions and Snte9ratlon of the ph8rmac5$t wlthin thé cllnlcal ioarp), that now Inolu(J8s consultant lov81 cover. not only &nsuros tha Glrnical service vie provide Is approprlate but also ihat ara dellvering robusi sympiom manag&mont uslng nov81 8ganis 8pproaoh&8 sn Iln8 with naw èvidene• as ic &mèrgéS in the rèpldly dèvèl¢plr49 rèalm of palllative and supportlvè care.

21 No Ilarriers Flere: Research and Education Th• vl¢torl• • nd Stu• rt ProJ•¢t INI H14 f und•KI) Th& Mary Sttyvens Hospi¢• were ¢o-appli¢aniS on this Study. led by l<ingston Uttivèr$ity. aloth¢<ède VODG. Dimen$iOn$. Ma¢lntyrè and The Opèn Univèrsity. Irb January 2024, we f ravèllèd to KFngSton Urkiv¢fsity for thè re$eat¢h tèam. ncluding rèBtrarGhprB with Itarning disabilili¢s, to tpst Ntr Barriers Her?. Wè'ro doli#hted It 18 recooThls¢d Bs on of only 4 'told standard, re¢ommènded reBourGè$ that f¢rms 8 natiorhal toolkit for he&lihc&re pr¢fè£$ionals to use wh¢n planning for future car¢ wlth peoplè N¥4th léarnÈn9 disabilities. The toolkit will be 18uncF76d In June 2024 with publicat￿on6 from th• utudy to follow. 'It s mor• than rainbows lft r•e•ptions'_ Worklng with LQBTQ+ yopl• in palliatl¥• and •nd of lif • oare ( Fund•d by Mari• Curi• UK) This i•s•areh Is led by Th• Mary Stév•Ths Hosp1¢• and •xplor•s palllarlv• and ènd tsf IF￿ cara for LGBTQ+ peopl•. DurSng tho tlma undar rèport. a co-prodLactSon team W8s recruited. arbd Gommunity workshops facllltatad at MAC Blrmingham, An111 ustrator from th• co-produetlon team was commlsBion•d to eapture th8 study for a co-producod rèsoure• for h8althcar• profasslorbals. Th• r•s•arch and Its flndlnos wlll bo pr•s•ntod 8t Publlc H•8lth Pa Illative C8r8 InterngtionAI Conf8réric• sn Swltzér14Thd Sn Oeiobor 2024 and by Invltatlon ai HoÉplcè UH Corbféroncé Irb Nov•rrbber 2024. Vlow lh8 rosourc• No 8•rriers Here and peoplo excluded by identity. culture. othpiicity and raGO {Fufid?d by Nxg Charitieg Toyeth•r) Our roso arch conclud8d Its funding per40d with th8 publication of a national r8search report in April 2023. This was b8sfjiJ on the two yfjar qualliative study fjnd sharos th8 vl8ws and livéd 8xp8rienc8s of poo plo who 8xperi&nce In@qulty &CC88girJg pa114atkYe care. It highlights racisffl. disc rimination. biases. and und&rropr8serbt8tlori 8rhcount8rod by p8opl8 f rom minoriils8d •thnic comrnun Itios within complex car• systfjms. EKh st4gfj ot this rf search was dfiv&loppd, guided. 8rLd challong &d by a co.production t8am, with th• r8port co.8ut*)or8d by 8v8ry membBr of thfr t88m. R•ad tho report b "Yh•ytr• don• It•9aln. Wjth humllityp ¢urlosity •ndg•ntA•na$8_l•t $ alAdo ovrp•rt-

We have to h,. Illustratlorb from 'lt'g morg than rglnlx>ws In rgcgptlong'_ wor￿Ing wlth LG8TQ+ P￿p1& In Palliatlv& 8 nd E nd of Lif49 Carè rosourc8. Illustratlon by Ca$s Humphri&%S-14asséy.

23 Exploring th• viovls ff a6vanc• oar• plann inf and palliètiv• car• amongst old•r HIV survivors usin g tho No Barrièrs Here methodology. IFuThded by Mari e Curio UK nd in partnèr>hip with th• T•rr•Theè Higgin& Trugt) Th8 Mary St8VVrns Hosple8 aré suppartinfj th Is study, tralThln9 St& Irom Marl8 Curl UK. Tèrt&n¢e H599 ifts Trust and pgopl£ w￿t￿ livod experiènce to run No Barr lers H&rfr worksop4 in addltlon to provlding siJPPDrt With data analysl Eduoation The No Barrifrrs Hera Facllltator Trainlng programme has eX￿rIenCed slgnlflcant growt h su ce8gs ovgr tha p8st yésr. l&ading io an OXP&nSiOll of our 8duc8tion ancl support tèam_ Thè irainine Is dellvèrod at Thè Mary Stèvens Hospicé. wlih p&ople Ifavolling f rom across th8 UM to atio nd. wlth addlilonal off slte dollwary. Thls yoar we also welcorA8d a medical dir&cior who trave Ilad from Naw Zoaland to Mary Siovens osplea to •U49ndJ Tha programme has s••n a m•rk•d Sncr•&s8 In partic5p8tlon, •sp8clally from paediatritt pallpatlva cato h&althear8 profèssionals. In Octobor 2023. a bespokg Ifaining day was hold at Forgéi Mè Not Chlldr&ri's Hospleé Huddorsflèld. Furth8rmoré. tallorad trarnlng sesslons have bèèn conducted In variOU£ locatiofhs Inclvdlng Hastings. London, Llncoln, Brl9hton and other ar•aE ih rough0￿ the yèar. Th£r• has b&&n a Slgniflcani boogt In fund5ng from Intogratèd Caro Boards. facilltatlng eommissionad placos arbd place-basod delivory of our t raining pro9rammoS. Th& impaet of our trglnlw Is •vldgnt through th• 4ehl4v•m•r)ts withSn our Community of Practic•; Oxl•as Loarnin£ Disab11ity Nurslng t•8m r8celv•d a highly comm&nded N￿s award, J•rs8y Hosplco was f04turod on BBC Nows for 5ts No Barriors Hero d8Jlv43ry and numérous or9anlsatk)ns have foc&Sved fundlng to Implèmont No 8arri&rs Héré. Looklng ahoad, No Barrlors Horè s•t to launch InternatSonallyi wlth oducatlon SO￿70 and sp8gkfng opportunltlos schodul8d for d8llv8ry In Orhtarlo, Canada. Irb May 2024. Thls rna rk s an éxcltlng stèp f orward and wo ar& cont5nually ingp5réd by th& 8torl8s of positlv• chango and f8r reaching impact of No Earrlars H8r8 on wuity- orlefitod palllatfve care.

24 Bereavement rhe Mary Stevens Hosp Ice ￿re8ve￿￿r￿t gervicp has ¥upport&d ovpr 260 individual¥ this yeor. F rom April 2023 to March 2024, w& d81ivored exte nsive su Ppoft. tot811 Ing 656 hours, Tho collective learn effo rt has m&de B Significant diffe re nGe in the livo of b8reaved people. W& rem8 ined cornmiit8d to providing high-quality yupport and expandiw our service to re￿ h rnore people. Stoff and voluni¢¢rn Duiing 2023124 thefe was a rèstructure vwiihln thè te8m and an intèrlm be re8vernent sèrvicè l@èd èPPtsintèd for 6 12 mtsfbth Pèritsd. To ¥upptsrt $èrvittè devtrlopmeril. 2 rtew bereavemenr service Goordirb&torS wpr¢ recruited and additiongl volunt¢ors. Training and d•¥•lopment Internal pre-bereavement to ber¢gv•mèftt tr8inin9 wa$ deliv&red to 12 staff membprs an£. to eThable the exparbsion of 2 bpreavefneni hubs, a further 8 voluntee rs attended facllitator iraining. A 4 (Jay SLJpportivo Ilgtening programme was delivared for 7 new volunteers 8nd we recruited 5 supportiv& listening vojuntee rE, enablirbg u$ to enhance sgrvlee d•livery and ancreaso c8pacity. Regular train ing provid •d during rnor)thly supervision megting6 onsur•s volunte•rs are i nfcrmed on current bost practicè and 8 re equipped with the rhtrce888ry 8ki118 orbd knowlod99. In &tober. $t•fl from Wolverh?rnpton Univ•r¥lty pr97ent•d their re808rch o n the impact of continuing bonds bfter bereavoment to volunteers. Staff 8ttondèd trinin9 Wlth Chll(J Bere8vemènt UK. Co￿ring topics such as $ypportine ¢hitdren end young wopa¢ throuoh tr4ym•, FupportiTh9 thos9 be rgaved by guicide. and ¢roativ£ ways of v￿rkIng with younG pgoplo. The b•rgevemènt servica le8d obtained 4 Level 3 Oiploma In Counselling Ski Ils a nd has progrèssed to study Level S Diplom$ Irb Thèr8peuti¢ Covnsellin9. All Bt8ff h8ve ¢ompletecl mandatory trai nlng. B•r••v•m•nt Sgrvlces Tho team 4&llvèr&d 110 tolephoTho SLrpport Fegeions to 8 dlverse group of peoplo Sncludl rbg b&reav&d callers. school teachers $eeklng g uldance. Btscial prescrlbers arbd GP?. Tho diretrt phorh• line ineredibly aLJ¢ts3sful, with ¢all¢r$ pr¢vidino positive fÈ•d b8¢k. Pra-barejavement support W88 provided to 5 in¢Yividuals on an ad b8sS$ durang è¢lm166iofb tty th¢ lTh-Patièrtt Unit. AtYditFoh&l 4$$i$t4h¢è V4ra & K]r¢vrd¢d to pèoplè who ViSit&d tho hospic& requèsting 8UpI￿rt after thè déath of a lov¢d one.

25 &•r•a¥•m•nt Inform?tlon P•Snt$ Bere8vemenr information point$ in The Mgry evgns Hospitse charity shops rovid¢ a¢¢¢S$ibl¢ eupport to grieving 5ndivFdu$l& By oFF¢rin9 roadily ¥vgilaE>l rpstsurce$ and foBtering J supportive ènvironment, the i nitiative contributes tts thè ho14$ta¢ ¢are WOvitlè¢l by th? hogpitse. We have exparkd¢d thi8 resovr¢¢ Wlth ereavement infc>rmation pointy installed in S librèrieg &nd tho Ctrventry Duilding So¢iOty lts¢atèd in thè irtèrry H Ill C¢ntre. Support1￿ Ll st•nlng a¢tw&èn April 2023 and Martsh 2024. 344 8uPPtsrtivè liÈtefiing 6è86itsfb& rovidad. Wè weleomtrd 49 nèw s¢rvi¢¢ LFs&rs and ¢omplei¢d 394 htsur$ ¢f fè¢e-to- f?¢0 8vpporr. The dedicgtiori of vol unteers orid %taff hgv ¢ru¢io1 ID pr¢￿Id1n9 this much nè•dtd £upport. Thtlr afforts have been ¢OnSisiently r8cogni6ed and &ppr?ciat¢d by pF¢Jpl¢ who aG¢è$$ thè $Orvi¢g. uttdgrS¢Ori ftho tht impo¥tsfic• of thè supportive listening Befvice. Yhe supportiv• fJst•n•r rs a cr•dit to th• sorvio•, it mgd•• differenoo to m• b•e•vs• I hlt I could t•Ak fr••ly8bout how I hlt in mys•ll." CouThs•llSng1ThordpIo8 Our taam of froélanco therapiÈtè and trtsunB•llor• havé aè•l£ted 21 n•w cllents through s total of 173 w85ion$. Bereavemont Hubs aèrèavèfrtènt h ubs pl ay a Vital role in supporting Irbdlvl,duals 68allrtg wlth grl•f and loss. This y&ar 45 new participant3 have att&nd8d our bereavement hubB. Thè $tron9 5?nse of ¢ommynity and peer support in $harirb9 ?xpgr i¢n¢fjs hos proven to be benofiei81 in the hèal ing proce38 8nd feelinos of isolation. "Tho hub h•s bMn a Ilf•JiR• for rn• I vKuldhav• stru99l•d th• last d months bvithout jL' Children and young p•opl• During DyÈng 14atters Awarenfrss Week, our t88m orgarbisfrd o commurbity ng8gement event for chpldren and youThg people. This Incl￿ded actpvitFeS such 88 stone d8coratirLg and colouring. reprfjserktirhg 8 mfimory ot 8 loved one and providii ng 8 sp8ce f or c hildrFn io express their ernotions and explore grief through cr06t4ve emprfrssion. For Children's Grief Awarenoss Wfifrk. pirtnored with loc al librarios to sot up boDk Brbcl resourc? di£plBys aimed at chilcSr&n and carg giv?rB. P4tpmbers of the ber88vefnent te&rn gng8ged with th& community, answftred questions, and 6ddre3sed any Goncerns relatpd to grief and loss. An additional eng￿9￿r￿nt 5sion was h8ld at Halfrs04Y@ll Library. f@aturing storyiolling &rhd 8n art 5055ion. Child ren participqted in deGorating masks eDd Grpéting hEndpri nts. enabli rbg them tc expross their t80lings snd frxperioncffts su rrou nding loss find giief.

26 Wol Ik>trlng Ba$kat$ Wè introclueed wellb¢i rhp ba$ktts in supportiv• li$t•ning ¥eBai•n$ or bereavernent hLTrbs. Yheso ba$kets contain itpm$ Buch e ? ¢andFp¥. face m8 sks. hand ¢ream8 and ch¢¢ol &t¢, aim¢d at #upporting 4ndividv8I w¢ll￿1r￿9. Perti¢ip&nt6 re encouTagfrd to teke tirne for ref18CEion arbd self-CBre by Ser￿tIrb9 afb item f rc>m tho ba£k¢t. Ev•ni$ In August. V4re f KilitBte¢J B po&try workshop 8ttended by10 pa rtiGlp&ni￿ The V4rorkshr)p roceived po8lt ive f eedba¢k. with partic ipaThtS 8ppre¢iating th¢ opportunity to explore their f eelkngy and experiencez through poetry. From September11th to October 14th. coll4boraied with the Art Yard in C rgdley Heath to c ur8te an a rt exhi bitiDn. Th? exhibition featured artworks ¢roated by bereaved community rnember¥ du ring art5 4nd craf ts BesBions at bere8vpm&fbt hubs. alloyiing participants to visually e xpres8 their grlef. Due to the POBltive r?sponBg f rom the Ioc81 com munity. the exhibition was èxtended. Our t&am represented the hospice at Beverèl local èvents, includlng a Coffin Club nd Dudley's Health on the Shelf. to r4i8e awar&ness of ou r services. In Decern￿r. we ¥UPPDrted The M ery Steven3 Hospi¢è Trée of Light #vènt. wher• attende¢S were encouraged to le 8ve rneG8ages orb a mem¢ry traè. "l •xplared dlll•r•nt p•R8yetlves •rJd 8bstract W8yS to •xpress l•ellng& maklng rt I•ss *¢8ry and 0&8ier to pr￿•$￿. Connectlonl &nd N•tviork W& contirbuè to streng then connection s with local beroavemant g roups and org8n1$8tionF, incl uding viyiting Dthor hosp iceB to share res¢ur¢eE ènd bèst practicè. Our focu s rèmalrhs on p roviding ¢omp rehensive 6upport for our Gommunity. Irb 2025. y￿ attended t he Hosp ice UX Conference. gaining valu8 ble in$ightG tu onh3nea ¢ur b•r¢av£merbt support sèrviee6 aThd futurè irhbtiativ•& (-

27 Voliinteer Seri'ice Rèeruitmont and Training Volunt•&rs continu8 to prov5d8 wStal support to Mary Stèwns HosgiC&. April 2023 ttomm%)Thcèd wlth 99 voluftt&èrs V4rith plan$ to rè¢ruit addition•1 vgluntè•r$ throughout lh8 yèar. A tr84nlng day for néw r@cruits was dÉllvgr49d In May 2023 pèopl& léarni about thè vafr&d voluffytèèf rfola& within th¢ ho$FYitè )ficl mandaiory trainlng raqulrèmènts. This w8s followgd by d•livary of two f urthor tralnin9 days. Oue to retlrèmènt or cha nyès with wrsonal olrcumstaThc&s. w& said ooodbye tts 10 vol unt8&rs during the y&ar. Howèv8r. r8crultod 19 nèw volunt*èrs and o rfrdod the yèar wlih a toial of 108 voluniee r£. We vwe Icomed a new rThembèr lo th& team In Docom bor 202 3 to onsuro that tho volunt&or CL￿r￿1n ator rolo is cov8r&d ova¢ f Ivo day$. C8lèbratlng Volunt•er8 To eelabr&t8 and ihaThE¢ th& volunt8or t•8m for tholr slgnlflcant contrlbution as valuèd mèmbar8 of thè hospicè tèam. a Chrlstmas evérbt was organiséd by thè hospico. VolLFntèèrs w8r8 tr88tèd to a vlntago Styl8 aftorThoon toa and P8rformanc• by th• hosplcè choir. who aro also volunt••rs. F&&dback ffom th• èvént waa r>osFtlv&. wlth tho d4y w&1 I sttèThd•d and è nJoyèd by all. Community Companion S•rvic• Volunt£&rs corbtlnLr& io prov1dg a eommurbSty eompa nloTh servlc• whoroby po091& can ￿11 . r•f8 r to acc49SS volu rhté8r support a nd compa nEonshlp véithln thè5r homè ènvlronment. We recog nisè that this IÉ a valuabla Bé rvlcé to our communlty arbd will •xplor• approaches to Sncr?as• capaclty and provlslorb over th• co m Irbg yoar. It Is •ss•ntial to cont5nu• to support voltjnteo rs. both p8rsonally and prof8sslonally owr ttta comlng y8ar and acknovil8dg8 ttri& contribLFtlon that voluntoors provida to th8 hosplc8 8OCtor. Addltlonally, w8 alm to &xt8nd our r8ach to expand the voluntgèr Égrvie8 to méét thg ovor Incré gglno Thood￿ of thg local co m munity. J•

29 Social Care Support lor Co r•r5 Thb hospicè soclal Yrforkèr supportèd an avèrage of 3Q6 carars d urlrhg the y8af. wlth upport providad at homé. ITh th& community aThd withln tha hosplcé. A monthly arérs group 1% w&ll attèndèd wlth pproximst@ly 50 ear&rs 8tt8ndl ng on a r&gul8r basis. Th8 group focus•s on 8ducation, th8fapèirtlc rhggg8m8rtht, rèlaxation. soclallsatlon and bLblldlno r•l&tlonshlps to support èach oth8r_ Car8rs hav• dally contact v5 8 sèlf-lad What's App group. which Ig véry oftéctiva. "Tho oarer3 group has been transformvdin the Aast S years. It tru• holistio ca W& knowth•t th• so¢iaJ hvork•rls 8Jways th•r• loru&" Car•rs W••k National Carers Week took plac8 betweerb th& 5th-Ilth Juno 2023 and Thvj Mary Stovong Htssplcé, in conlunctlon wSth ot har ora&rhls&ilons who support carars lfi tho community, c&l&br&tad by coordinatfThg a borough-wid• Award C&r8mony at H8losow&n Town Hall. Thls was h1gh1y succossf Lbl Wbth a young caror of a hospicè pationt r8cognl8ed for theSr c&re glvlng. Durlng th8 we8k, daily actlvlil88 took place t thé hosplco fof carérs to onjoy whlch Includod. cfbfts floral d&eorailons. compl8mont•ry t h8r8pb&s and a talk from a g￿eSt spe&kor. Car•rs Right5 Dby C8r•r8 Rlghts Day took plac8 In Nov•rnb&r 2023 afid In co-productlon wlth patlèntÈ and carers. • Fashion Show was doY8lopod. St4ff, volunteors. pationts and carars all participatod Irth th& frvont V4rhSch was lat•r r•ward•d by Th• Assoc4atFon of Social Work Awards 20231, "We are unable to attend anyclothing shops due to ourmobility •nd it is •n honouf hAt M8ryStev•ns Hospice could brinq the clothing shops to u&.

30 Community Foous Tha hospic8 participatos In DLJdléy Carors Alliancè méEpting8 and collaboiato> in workirbg group to Id8ntSy communlty mèmb&rs In n&od of support. W49 partnor with th8 Brltish Association lor Soclal Work on various projcts rolat8d to Incluslon and div•r&ity, such as rècognlslng t￿r￿rg, communSty Inltlatlv8s, SOCI81 work sn crl$is s5tLlat5ons. 4nd provldlng èducatlorth 8nd m&ntorship to Studbrkts In th8 Wèst Midlands. Th8 soclal work•r attènds thè Assoclatlon for Palliatlve Care social Work me&tlngs. offering support to fellow palliative care social work&rs In th• r8gloTh. A Th oducatlonal w8binar focusad on IncEusSon and diversity In palliatlve car8 and was distribut8d to social work d@P8rtmènts In 8FI un5v•csltlos throughout th• Wost Mldl8nds. Thls Inltlatlva r•ca5vèd natlonal r8cognitlorb at Th8 Soclal Work National Awards 2023. vwh&r8 WEf W8r& flnallsts for thls proJ•et. Education As a ￿0claI Wofk practlcè oduc8tor. W49 prowido 70-100 day plac•m•nts lor university social work students. Placom&nts irbvolv• wfrèkly supervision. social worker guidance. mentoring, working with 8•ven ca8frs and direct obs8rv8tions. Fe8db8ck to the university IB provided through an inFt1818ssessment, 8 midpoirht r8view meeting and Srh end ol placerrtsnt m•o1ing. It is th8 soci81 workar, responsibillty to orbsuro that students aro SUPPOftod in méeting th• requirod srandards for th8lr r•sp•ctiv8 dgr88S. Students find ih•ir placemonts onjoy&bl•. wFth most progressing onto suGces¥ful c4roers and many nové In senior Social work pouitions. The FTrospice soclal work•r r8c8Sved r•cognrtlon 81 the 8flti8h Associ81ion for Soclal Work Awards 2023 for thfrir outstanding worl4 irb practice educgtion. "Alllhavo J•arnt frorn Statutory soci81 work was influenc•d by myfir¥tSOC141 work student pl￿eMent ot Th? Mary ste￿￿9 Hogpic?." Sooial W?rk Support 78 siatutory a￿s￿sSM&ntS wgr& eonducted dLJrlng this pgrlod, wlth 44 individuals r8coivinu assl stanc8 to XC8ss fina nclal su pport. Addltiona Ily, 78 p8opl@ und0rw8nt carèrs, nèods assessm&nts and tl indivld uals n&&d8d m8ntal capac Ity a $58ssm8nls. 2 2 pat18nts r8celv8d respit8 care Nyhllst 13 Yw8r8 supported accefsslng nurslng hom c4ro and 12 individu8lg wgro supportg(J wlth r8houglno. Thè soci•l work toam r•c&ivod 251 rgf &rrals. I ncluding 66 èxt£rnal rof•rrals. In tota I, 340 p&opl8 w8r8 support@d by tho s￿191 workor. this Sncluded hom8 visits, fun@ral earè and É￿ppOrt. Int•ir(ational Social Work Day 2024 In March th8 hospicè social workor arrang8d Int&rTh81 to comm&morat IrLtsrTratlorFal Soeaal Wark Oay, r8eognlslng tha outstanding eoThtrlbLrtlons of d•partm8nt at Mary Stèvèns HospSco. Th8 day I nclud8d a mlx of c818br8ptlon and Contem plation, a 'talking cafa" and a staff Goncert for Day Sorvico UThit patients. who 8Ctlv8ly ong8g&d by ludoing th8 varlous p8 rformaThc•s.

31 Spiritual Care Splri tual Car• T•arn Ourlntr this year 2 volunteer6 have avppori?d the In-Patl¢nt Unit. provldlng a liste￿In0 to patlèht$. thèFt lovèd on&t tstèff as aAEY Whè￿ èppropri&t¢ off¢rèd prayèr. A voluntoèr 81s0 8upporl$ thè O¢y Sèfvi¢è$ Unit, bvlldlThe re10tion$hip> ?n¢y li¥tortifh9 Wilh potl¢nt$. TWQ wol4pnt¢er¢ h?v¢ b¢?n rècruited to support thè on-¢all rota 8fbd ovèr tlme w• èndeévouf fo have 2417 rota. All $plrituJl carè yoluntè&ra ¢èport to th& tsPatrÉtuèl ¢arfè lèod. A l&)f lèt Introdutsifhg spiritual carè hes bèèn d$vèloped. Vièw the 1è8flèt hère: &OlLiL￿ Day S•rvic•s Unit A tsPiritu81 car¢ SeS#kOTh. what It is Jnd why It 19 so Emptsrtant hss b¢en dttllverèd on rolling 8-we&k ¢ourses for peopl& with neurologlcal conditÉons. failou?. anxiety or br•bthlessness. rh•$• hav¢ •valuatod wèll and have markred th• bèglnning of m•anifhoful r•latlonshlp$ with patlent6. Orb èliernai5vè vwèeb¢$. 8 spiritual ¢èr• volunteer attend$ Day S&rvieè8 Urblt IL) support the patients ènd work wlth staff. 'Frlday Foous. sesslons have been rfrbrandÈd to 'Monday Mu$inÈ&' wlll laLrn¢h in Aprll 2024. In-Pati•ftt Unlt W8 alm to m••t •v•ry patient. as w•ll as m•mb•rs of their family, frl•nds and srèls. The t•am tsffer what&v•t hèlp 16 appropriata and fflak• r•farral$ a8 requlred. knformation at>out splrltual care has b&•rb updated wlthin Irb-Pat5•nt Un it inf o rma tion bool¢ le ts. B•r•av•m•nt Support A Ilst of people who havo dl&d In our car& Is produced and dlsplayed sn both Peace Rooms next to an el&ctri¢ candle which is lit 24'.7. P&ople can arranoe to vigw thg book of r8m8mbraThcg or drop In on gfgnlficant d8t@s rgl8vant to them. The bool¢ of romombrsnct Is updated on a daÉly basis. W& wlll worl¢ ckosely with the beroav8ment team Dver the coming months to plarb a summor remembrance event. Educatlon and Trainlng The spirituak car& léad dèllvergd a sésslon Introducpng splrlttjal care to a group of new volunteèrs in Febru8ry 2024. Time Is allo¢8ted With student nurses and occupatlonal th&raplsts on thelr placements at the hospice, includ5ng introduGlrh9 and talking about spir4tual Caro and It? Importan¢a for p9tients, famiJlo&. friend?, ¢ar¢rs and $taff.

32 WaG$&ll In Jgnuary w& oèthred to 'w¥$$9il' Tr¢è of Light and b1&$6 the h¢spi¢¢. The ts¢rèm¢Thy lèd by the Outgoing spiritual tr#rtr ctsordinator and & P¥gan advi60. Wlth blessings on both th? troe )rh¢b ttospiC• roflg¢ting diffarent $piritu&l v4luè$. The hts6pi¢è tshoir offèrèd $omè wortderful ètshg$ durin¥ th ¢¢r•m¢ny. followèd by refreshmènts 8nd livè musi¢. Ngtwo rklng and Goll8 boratlon The spiritual car¢ lead has attended irktroductory meetingts or contactgd multi- faith le&dèrs irt thè lo¢al arès who havè pr¢viousIy SLrpported thè hospice. A meeting wiith a hospital based lead chap14in WB$ vtrry Pncouraging and supportivè. Tho splrituak csr• lead is a m¢mb¢r of th• AG$Otsi8tion of Hr)spiC• and Palliativè Care Ch8plains (AHPCC) and 8ttend3 m&etirbgs on a reguler b8sis. The Birmingham & Blaek Courhtry Chaplaincy Coll4borativ• {B8CCC) brlngs tooeth•r healthcare chaplain8 8nd Spiritual car& leads of 811 faith8 &nd nono. In addition to mutual Support and r•flactl¢n tsrb pr&cti¢•, thls 9roup offers trèiriifbg to volunteer3to which our spiritual c8r• le8d will contribuie as part of the group.

33 Creative Wellbeing In D8cetnb@r 2023. The Mary Stov&rTs HosF>iC8 vrfere 9ranted £20.000 by Th6 N&tional Lott8ry Community Fund. Tho funding supportéd th& d@Yelopm8nt of a n@w 2 year crestive wellb&ing programme. with Bn overarching aim to anh8nC& 8fbd Support mental h@8lth snd w8llb8ing f or st8ff, volLJnt&ers. p&ti•rrts 8nd C8pr81s. Tho rnor)thly programm8 offors & spac@ for 5tatf and volunto8rs to embr￿& th•ir creetivity. gather with colleagues 8nd frxplorfr different Creat￿Ve methods. Th& s@ssion8 hsv8 roc&iv8d 8xtr8m8ly positiv8 f•edb￿￿. spsc88 ar• oft8n fully book8d arbd i n high demand. To sccorrkmodfite shift pattern5 Qr for those wiho are unabl? io att8nd on th plbnn8d dato dufr to othfrr commltmfjrbts. additlonal 'pop.up' 8Vants have bee rb cu rated., Furthermore. the grarbt hes envdbled th• weekly deliv&ry of a crefitive vfftllb8ins progr8mme for ho8pic& p8ti&nts &tt8nding tho D8y 8ftniice U rtrit, 8d-hoc sos8pons for the hospic¥ carer support 9roup and for IrA￿l¥IdUaIS with learning disabiliti•s who ttond local commun ity groups. "P•tidts h•v• rtally found it b•r>èfi¢i&A, Jth•$ hèlpéd thèm tts b• tt*•atlvè. $how th•ir tru• selv•s wnal their hidden tal•nts at times but also really h￿P¥peOPle to In¢r•as• their dexterky. So this IJ not onlygood for th¢irgovls It i¥ h•Jplng improv• theirphy5iooJ wellboing."

35 Trusts aiid fi)uiidalions Tho suppoti of Trusis and Faundatlarhs hélps us to ma14• a hu0• dlffèr•ne• to the lTrveg Of so mèny people livirtg Wlth life lifftitifhe Irh¢ur¥bfe illTho$s and their Iov&d oThes. Thank you to th foll¢wlThg Trusts •n¢l Foundatlort• for thgar $uppurt during 2023124. Thè N8tfonaP Lottèry Tho M.K. Ros8 Charitablo Trust Laslètis Ch8ritl&s Josaph Ho pklns and H&nry James Sayor The Albefrt Gubay Foundati on Charity Dudl&y 8ullding stsCl￿tY Hcjgpico Aid U {Communlty Support Fund I DMF Efiis Ch8rit&bl• Trust P&9Ot Trust Tho Anthony and Gwondolino Wyld48 The Ratclitf Foundatlon Memo rial Groundworl4 sl Onè Stop Thè C.B & H.H Taylor t984 The F&bru8ry Found8tion Tho Edward Cadbury Charitab18 Trust The Al bort H unt Trust Geoff HI11 CharFtablo Trusi Baron Davonports Ch•rity Tho G.J.W. Turn8r Trusi Thè Blué Lighi Card Fourhd8tlon Al brlght Gf imloy Charlty Wilmcot• Charitrust Tho Birmin9ha m Dlstrlct Nurslng Charlt8bla Resi-Ha rrow Trust Trust Tho Diana St8rtin Charitablo Tr usi The Muntz Trust Tho Rog &r and Douglas Turn8r Trust Tho Brian Shaw Momorlal Trust Tho GrImM￿ll Trust Of bis Invostmonts Mlchael and Anna Vllx Charitabla Trust Th6 W,E.D Charltablo Tru st Dumbreck Ch8rlty Tho Eric W. Vlricont Trust Ftjnd Co-op Local Community Fund T5pton and Coso1@y Charltablo Foundatlon Hen Wiigl8y M•morl81 Trust Legacies In thè last 12 monthe, tho generous l•gacy gifts our supporters left ln thepr Wllls totalled È2,348.44S which Includes É312.581 receivèd gfter dgte bvt re¢ogni¥frd rrt a¢¢¢rd•n¢¢ with the 袢ountins polioies. The£? ￿e98¢Y g if ts 8re vital to caur wr)rk nDw. gnd in the futvre. We rg¢eived gifts of •ll $41?9. &ncl f h¢y ?11 m¥k¢ 9 le$ting ¢Jiffgr¢n¢o. They allow v$ to r¢$p¢nJ to thp ev&r-growrno dem8nds on uur $ervi¢PE by continuing to deliver tho higfv- Qualif y ¢)rè l¢)tr)l ¢ofrtrrtutsitiè$ rèly Ort. Whgn our 8upport¢r8 ¢hoo$¢ t¢ #upport u¥ with è gTrft In th¢ir Wlll. they $ro Showing local poopie livjrtg with lifè limiting |n¢uTable illn¢$#è8 th¢ care. e¢mPa$$i¢n 8nd ki ndThes6 that is at the li¢art of &verythint v¥ do at the Mary Stvvgn$ Hts$pi¢*.

36 Fundraising EN'ents The fundraising department Ecknowledged the eGonomic uncerta irbty and identili8d &r8as for financial growth brhcl support•r eng￿8￿ont due to the nationvwvde GQEt of living Gri sis, We embraced our support&r's appetite for spending th@ir dispo88ble income on f 8mily &ntert8inment. @XP8ri&ncos and days Out. With a sigThificant iThcre ase irb loc&1 6rbd Gh&r Ity e¥entS to compete with. we endeavou red to produce laroer. quality and 6ngaging ev&ntS to rnaximise pot8ntibl incom8 from thesa activities. We enco urage(J footlall through a programme ol marketi rhg arbd cornmunic8tion. allowing us to raiw aviar&ness and promot& tho values of the hospice through maxirnum au(Jience &ngag8ment. April 2Q23.' Stou rbridge FC Footb911 atch and Funday Forecasted income - £7k A¢tUg1 income - £8.61¢ April 2023: Egster Coff ¢e Morning Forecasred in¢ome - £l.Ql¢. ctuel income - £4.7k Mèy 2023: B5&ck Country O uck Rac8 Forecast8d I ncome - E10.5k AetU81 ineom8r - £15.8k iThc. E2.5k eorporato spoThsc)rshSp and support Summ8r 2023.. Ic8 Cr8&m Trik• sal•s Forecasted Incom• - £7.5k Actu81 incomé - £6.2k

37 SoMeMbè￿ 2023: Fayré Around lh& world For£e9Èt@d in¢om& - É16.6 Actual incomg- £17.6k Inc.£2.1bt COCPr)r£t¢ spon$¢r£h Ip and Support Nov&rhbèr 2023., 8af4t3 Jog Forècasted income - £814 A¢tv•l Irhcomè - 217.4k in¢. Él Corporatè sponsorship and Support ecycle. ij. JanLJ&ry 2024: Treecycle Foréeagtod Ineomè - É34k Actu al Incom& - È3Sk + È71¢ Gift Abd Irkc. £4k corporat8 sponsorsh Ip ènd support Spotl Ight on Panto Th• Mary 8t8v&ns ￿OSpIC8 P4ntomTma 'Clndor8lla' pgrform49d 17 $hows to ow r 7.000 8opJ@, including local schools. brovtyniè a nd Scout groups. hospi ca patl&nts and earérs, bèréavéd hogpicè faMS1ièS and mèmb&ffg of thè communlty. Wé wèFcomèd VIP 91JÈStS ine1udino hosp icè trLFStÉés. l*xal busln&ss lead&rs, Irtsd ustry profÈsÉiorbals. Thé Mayor and Consort (Dudl&y NBC) and Comedlartr Lycett! We were d&li9hted io b& nomlnatÈd for 'ThÈ C&d rick Hardwicl¢ Awacd for thg ArtÉ' {Dudlèy M BC} and With a rècord num bor of soclal modla hits. Mary 8t8v8ns Hosplc8 P8ntomlm8 goès from $treTh9th to $trÉ rb9th. February 2024.. Cindor@Il• Pa ntomimo Foroc8St8d Incom• - £841¢ Actual incom8 - £100k Total rais•d from Hospie• lad •v•Thts: £280.000

lj}Iir_ 14-

39 Corporate Fundraising Corporat• Spontarshi p Local busbn&ss&s ensurèd most of our 8V&nts V￿re f ully sponsor8d to thè valuè of £35.500 allowlng to rodLFC& tho cost of staging thé avènts to thè ho&pico. Sponsors durln9 thè ya8r Sncludigd: Ent8 rpriS&. Brooks Foroings, WaldroTh Solicltors and T8ylors Estat@ Ag&nts. Sponsors réealvèd thè5r 1090 on markoting, rn8ntiorhS In programmos. sac5bl médla posts and prass roloasos. Compllni8ntary tlck•ts wèr• glvon whorg appllc8blp/ along with regular updatas the diftergnce their spon sorship has made, and other Inc8ntiV•& In C¢fporat8 fundrblslng, wo b&ll•v• sponsorshlp and corpor8tè donatlons &r• not 8 on8 way stroet and wo actlvaly •rbg8ga and striv8 to glv• som8thl w bac1¢ In ack nowlod9emont of th8lr gefh•rous donatlo n. Wo wor& 8814ciod to bo charltl•g of t h& y•ar by bu8ln48888 Including: Covontry Bui4ding Socloty S￿rgO Gr￿Tr LLP NatEonal Highways Blrmingham lan P8rks Estatè AgèTht2 The W8t8rf rorbt Corporat• Vol unt••ring Day¥ Wè havè wolcoméd volunt49Of dAy8 from th• bèlow bu$inègsé8 throughout 2 023124: NatW•st- May 2023 Preml•r Inrtr- June 2023 Sky - Sept8mb•r 2023 Virgin MedEa - Soptqmbof 2023 Sky - Octobfrr 2023 Worce star Bosch - Novemb8r 2023 Corpc>rata érthgag•m8rbt has also Snclud•d glfts In klnd and dorb&ilon of ooods toward& the work of thfr *osplc•. Total raiBpd from corporat• busin•89 donBtionB [£11.500) and corporat• •v•nt sponsorship . £35.000

40 Community and Third Party Fundraising D&c8mbef 2023 s8w us wplcome on@ of our existing fundr8i8irhg groups. The Stourbridg& Jig&aw Library. to th@ grounds Ot th• hospic8. Having 0￿glowTh th ga r8ge of one of the fo urFders, we provided a dedicat8d sp8ce in th@ lod98. to eXP8nd th8 fnitiativé. grow incom8 a rld support th8 work ot thé hospic•. Th8 libr&ry raiséd É3,050 during 2023-2024. It not only offer¥ & 3af&. wbrm space for commLJnity puzzllng but also provld•s companionship. combgts lonolin8ss and a s8ns8 01 we51be Ing 85 members meet for a chat. 8 cup of tea and to socialise. With a d8(*icated team of volunio8rs @nsuring th8 Ilbr&ry is open Monday to Saturday. th8 grou p are 88Jf-suff Icient and p8ssiori&te 8bout supporting th&ir m•mb8rs. thè hospicè 8nd th8 Ir Ioc81 commu rbity. Fri8nds of M ary St8v8ns H osplce, Stourbrldg• group conti nued to hold fundrèising 8v8nts 4 Thd 8ttend community everbt8 on beh81f of the hoBpice. InclLJd4n9 a Qij iz ni9ht 8nd an ové ning of r8cin9. Th8 group rals8d £6,330 during 2023-2024, Rfrcycling for M8ry St8v8ns Hospice fundr8iging oroup r8is&d El.930 throughout 2023-2024. Rfrcycping tor The l¥f8ry Stevens Hospice. is arb initiative that has bepln going for over 5 ye ars. Sally Philpotts has bofrn passionate 8bout turning rubb ish into funds with her regular recycling coll?ctions aTrd campeign5 for a greener f uture, Running rho collections f rom her front g8 rdBn. S&lly r•c•ivod rècognltion for hér wor by winnq ng "Funclraiser of the Yfrar- and was an -Environmental Project ol the Year- f inalist at the Dudl@y Borough Awar(Js, 2023. Total raised from ￿MmunitY •v•nts, lundr&ising groups and third party •v?nt¥: £118.157.24 Blu? box Goll ectiong: E15,608.B8 In memory Ifuneral aF)d cornrnemorati¥?) dongtion¥: £150.934.09

41 Lottery Thé Mary Stèv8Th$ Hosplee Lottèry continuad to perform V4rèll and provide a 6ubstaThtial gntj eusf ainabl¢ fofm of in¢ome to help fund ihe care of our patients f aMili&$. R•tail Salg$ Apr il 2023 4¥88 aTh •x¢itino timo for our in-Fwuse l¢tt•ry 8S we retvrn•d to sèll ing Our wèèkly ahd b1-a￿fi ual ti¢k¢i8 ae*os£ OLrf hioh at¢èèt Éhops. Laufiehlrto thè 111 bas+d' ti¢kef 6 had its ¢h•11è￿o¢s with new tè¢hntsloFy 8nd protye$s£s io follow, hoYrfeY• r, With staff •rhd Yoluntoer training thè rètall tèams tmbraced thg changÈ8. Thelr commitment to thè hospice and ihÉlr wlllingn•ss to Support the Lottary compania8' ooal was demonstratéd Irh thè dlffér•nce of tho numbér of yoplé laying and th& wèob¢ly arThount th• lottèry r616ed. Ttte èlèctronic point of salè (•pos} lottery tittktot sal•9 w•r• launehèd tsn 18th Apr11 2023 In all 13 h¢spiC• shops. Ourlno thè flnancial yèar, 2023-2024. an 4￿ra90 weèkly sale Df 184 tlekèts 501 d resultèd in art additrtsnal £8.539 of In￿rn? oenef •ted whi¢h weni towards thè hospic• run nlng costs. W••kly Draw The ?vgr•ge rb¥mty•r <)f m¢mbor$ gntorod into tho wggkly T￿•￿1•Y drow w81 6.800. Tho Lott•ry Continuéd to @ngag• wlttt mémb•r$ during 2023-2024 by: Re m lrnding whèn $ubs¢ription$ arè du . Sondin9 blrthd4ylthank you eards onco a yaar Engaging with m•mb&rs to thank them f or t h&i.r support . Calllng mgmb9rs wh8n mgrnbgrshSp has lapséd . Sending our newsletterll¢ttery 'Big Draw. tlcket8 bl-arbnually .Yil.' V Lotter

42 Big Or4w5 J LJn8 2023 saw our summ8r 819 0 raw "Pl8r8 comès lh& stjn". whlch was clyculated to 11.000 &no&g8d Bupport&rB as part of our 'Hosplté Néws, SpringlSumm8r nèwslé tt&r_ Thls r49sult8d Irb an addltyonal È23.492 r8ls&d by tho Lottèry eofftp8ny. Otjr -S8nta 8oTh&nza" drèw took plac8 in D&cèmb8 r 2023. h&ving b&on promot8d I thg AutumnlWlnt8r &dltlorb of 'k4osplc• Nèws and • furthèr É30,984 w&s r4Ss•d. Sponwrship Lottery conilnued throu9hout th• football season 2023124 to sponsor StourbrFd9 FC wlth a £l.S00 packag8 th8t Included soclal modla prorrtotion of tha lottèry w8•kly on tho football club's w•bsito arhd social m8dla platforms fjnd 2 largè boards F)osltlon•d around tho pltch and on tha frcjnt gatos. Th•r• was also arh opport unity to reward m8mb8rs wlth a fr88 VIP 08y at a home match, Total rais•d trom Th• Mary St•v•ns H•spi¢• Lott•ry Lim It•d: UJ7.000.IXI

43 Trading Du ring 202 3124 Th& M8 ry St8ve ns Hosprce Tfadi rhg Company activoly VI￿r￿@d to mako changes that would positively Impact on the buslTh&ss, In quarter 3 the company bggarb a 12 (nonih tri41 with Boxrrkove to rnangge thé logistics of f UTniiuro col lectiorb and d8liv8ry. Th8 •xtornal platform olfors fl8Mibility tsnsuring that tho collèction of quality stock is maximisod. Th& pot8nti 81 cost savings for th? businft85 ot u p to 35% wll I bef r8vl8wed in th8 n8Xt fin&nc5al y*ar aft8r th& tr181 p8riod. 88y sal8s r8cov8r8d sigrbiPIc8ntly across tho yo8r' thls lollowod 8 r&strLJCturi ng of th• t&£rrb in tha pr8ceding yoar. To su pport fij rthe r 8conomic ratijrn from orFline sale s tho t&am r&cruit•d an additional m&mb8r of st8ff. Sat•s across th• 13 r8tail outl8ts hav& boon biJoyaTht across th• 12 month poriod. There has been a 22% increa8& in dortrations. howevef. the quality of donatkons has continu•d to doterlor8t8. S&le8 w8r• positlvèly aff•ctod by th8 donatiorb ol show home furnitur& frorn Taylor Wimpey. The don8ted goods saw a return of E3 2,819. The Trading company ha8 undgrgonft a noiabl? change in rnanagement structure OV8r the p8St y&8r. When the Ho8d of Tr8di rhg post b•camè v8C8nr th8 decision was made to operate 8 different managernent model. Thfj cost savirbgs of not appointing to tho Post will offset tho impl8m&nt&tion of th• riso in tho N8tion81 Minimum W898 in 2024, With a focus on f urthef driving cost eNiciencies and irnproving the f irban cbal r¢iu rn to th6 hospice, véh11st &lso consid• ring @xternal factors, lighting e n8rgy audiis hav6 b88n carried out ecross the retail shops. With Predicted annual cost savings of on èstimat￿ É7H per y8ar for 8om8 of the Isrgar pr&rnis•s. théro IS an ￿r0ed pl8n to invest in LED lighting over the coming 12 months, iwen the consistency Trn the performance of the shDPS 8cross the rpporting period. next yebr will sofj thp company irbcrease its portfolio of SFFOPS With the fÈrst shop c)peThing in the 2nd quarttrr of 202 4- 2025. V STÉVENS HOSPI

44 Structure, Goi'ernance and Management Qovorning Document Th6 Mary $18 V&r)s Hogplco Llmkéd I r8oist&r8d ehgrlty {nLrmb4r 517656) and company Ilrrblted by gLraranto• gov&rned by its Mamorandum and ArtlelÉs of Associatlon datod 4 M8rc h 1986. as am&nd&d up to 2018. As outlin8d in our Articlès of Incorporatlo rn. tho hosplcg èxists to promot8 Nyolfara and r8118f of suff49rlno so f4r bs such purwpsèls charit&blo. R•cruitm•nt and Appointm•nt ol N •w Tru8t••B Eoua1ity. divisity and if1cl￿S10n hav& been focussèd upon ai Govornanc• Com mittoo a nd Main Board. Currènt po11cy Includos adv8 rtising to recrult divorsè Intorost In sorvifag on tha board rnovlng forward. Both tho chalr aThd chléf Qmec ui1ve offlcer may be approached to discuss the role an(a responsl bilitifrs. with an Inductlon programme provided follovlino lTht8rvl&w. Or8&nisational Struciur• The hospice is governed by th8 dlrfrctors vého form ih8 Board of Truste&8. Th& dlr49Ctors volunt&&rs who h8vo o r h&vo h4d e4r&•r$ In 4 wld & varl4ty uf busln•ss and profossÈonal actlvitlts. Théy ar8 u sual ly f rom the Dudl&y Motropollian Borouoh and surroundlThg dlstrlcts. All olèctèd dlr6ctors ar• also trusto•s. Two eounc511ors ar8 nombnatoé by Dudloy Mètropollian BoroLbgh Counc51 10 $8rv8 as dlroctor$ltru#téé& All nomlnèès aré Èubj&CI to ratlflc4tiOfi by th• goard of Trust88s. Th8 Board ol Olfactors m•ot regularly with gov•rn8nco subcommittees r•portino to It. IndlvSdLTral dlroctors Ilals• w5th mam b8rs of th• S8nlor L•bd•rshlp T@8m on a r•gular basls. Th@ chiof oxocutiv8 of flc8 r and Sfrnior L•ad•rsttlp Toam aré rosponsibl& to th8 Board of Dlrectors f or t￿￿ day-to-day runnlng of tho hospic• and the implfrmontatlon of pollclfrs and stratogi8s decid•d by th• boar(J. st4t•m•nt of Publio 8•n•fit Trust885 alrn to obs8rv8 th8 2020 4th odltlon Charlty C3ovornanc8 Cod& to support continuous Improv8m8nt In purpo88, l •ad8rship. intogrity, docisio n m8kins and r15k control syst8 m& board 8ff8Ctlven8ss. board dlv49rslty and tr anspafefnt countabillty. Th8 charlty op8rat8S 8 syst8m of subcommFtt808, each focuss&d on 8n aspéct of th8 charlty op8rations. That systam 55 r8v149w•d frequ8ntly arbd changgs intf oducéd to improve 8ff ￿tIv￿￿o$S. The charbty's obj&ctiYe and prTn cip81 actlvity is th&t of provid ing p&lllative and 8n(J- of-li8 caré for thoso with progr•ssSwo. Sncur&bl8. lifè ghorton ing i11Th8ss.

45 Th8 actlvltlés of Th8 Mary Sta￿r￿s Hosplca arè of bén&flt to tho public and th trustèè& é ity of tc Ové ryoThè. Irr8spactiv4 018go, disabilFty. g49nd8r r88ssigThm&nt. fac&. r•lSglorh or b8118f. $8x or any othar discrimEnatory factor. Th8 syst8m Is frqu8ntly r8vi8w@d and chang*rS havè b88n mad8 to th Styl& of board m49@ti ngs. Ind@p&pidèr)t ch81c￿rgOnS ol Lottéry and Tradlno 808rds stablish8d. and all gov8 rn4nc8 commltt88S. The trust•es conf irrn that thfry have complied wpth the duty In seciion 7 of the CharStl8s Act 2011 to ha￿ dub regèrd to public b8n8fit guid8nc•.

46 RefLrenL'e aiid ,4dminislralive Details Registerod Company Number: 19059891England and Wales} Ftegistored ClTr&rity Number.- 517650 Charity'% Principle Addres5 and Registered Otff G•: 221 Hagley R04d. Oldswinlord. Stourbridg•, DY8 2JR. Trustoes {2023124) P M8r8h D Martin J Turn8 r E Fl Int Bridgew3tar 8 818kemor& e Col¢s S Hodgson J Groh&m ALee8 S Clark S W&liho BÈkèr Ch•ir o+ Lottery Board A Baker Chair of Trading Board 8 Blak@more Th8r@ 8ro no corpor8to TfUSt899 and no Trust••8 hold titlo to 4ny property b&lDngingtothecharity Qroup Chitl Ex?GUtivo C Towris Bsc {Hon$) Pblli&tiv• Caro Matron And Registered Manag•r C TowThs BSC IHons) Palliativ6 Care Our Advisors Auditor¥: Crowq V.H. LLP. Black Country Hou5fr. Round5 Gr8frn Road, Qldbury. B69 2DG. Sol icitors." Hig9s & Sons. 3 Wat8rfront Business Park. Brifrrloy HI11, DV5 ILX. W811. Je mes Chepppll, 15-23 Hagley Road. Stourbridge. DY8 IQW. Bmnkg: NBtwest PLe.141 High Street, Stou rbridge, DY818F. 8 arclays. I Snowhill. Qu88nsway. Birrningham. B4 60N. Metro Bank, 50 Two W4xbds Lane, Brierley Flill. DY5 1 TA. co.op Eank. PO BOK 250, Skélmérsdal8. WN8 Ovff. Invostment Advigor¥: C8rbaccord (g@nui ty W&&lth. Slip Houso, Princoss Driv8. WorGe5ter, WR12AB.

47 Reserves Policy Th¢ ttst>P funds of th¢ group $1 the y£gr-end wère È6,509.000 (2023 £S,O92,00 0) Df Vwhi¢h £356,000 were Ire$tritsr¢d 12023 £1,233.000). Funcls of e4.358.000 12023 £3.$22.000) v¢?re deEiyngted for the gpBc ific purpoBes of 3 po Yg i'ble Ho%pir? ai Hom? $¢Thii¢è. £2 00.000 (a$ 18St year) fixed o$se t$ £4.158,000 12 022 £3.322,000>, Ihè lètier being ¢?p¢ blo of being realised g nly tyy p di Bpo%41 of fi% s¥Ei¥, UDrestri¢ted fr¢t res¥TwaS of the group at th¢ year-ond végr? £1.79S.000 (2023 £937,000). R¢¢rv¢S, E>sirtg uTh$pèfht. unre$tri¢ted hèld tts £8¥i£t in thè manaoerfi¢fit of thè H06Pi¢¢'S ¢a$h r&qLFir¢m¢rhts. arÈ imp¢rt>rht tts )pproKim)tèly 8S% of th& Ho%pico's income is from volatilo sources Such a% donation$. legdc ies an& f undraising èvents. Tho reser￿8 arè held only to AÈSi£t the Ho$pi¢e to ¢orbtinuè to providt Its charitabl• erviGos. The Hospice seÈkF to have free rtsf equivalent to & month8. running costs and l aèt did 30 On 31 March 2019. Thè eurrent lovel of r•s•rvBs is Irtsufficiènt to attsin tF)at target, reprosenting only 3 or 4 moriths, running costs. The Truste&s antittipatè some improvgmènt kn the level of fr•¢ resorvès during tha current year due prinGipalJy to the l&vel of legacy receipt& IiiN;eslnieiils Over the course of tho188t financi31 ye3r. t h8 tot41 r•turrb f ro m the inve8tm8nts has shown a risè of 8.341Jl• Wkth thè valuatptsn of th• ptsttfolio rtovi at É1.570.354 (to 31st M&rch 2024). The peer 9roup eouiv4lent p•rf¢rrnan¢e w88 very 81ightly 8h&ad at 8.44% over the same perlod. During the year, the portfolFD r•ceived an addilional incrèase in fuThds of 8pproximat&ly £200.000 following t h8 tra nsf8r of Inv£8tm8nts hold In the Frad•rl¢k Donald Jaspar Wlll Trust Irb January 2024. The fiThal quarter of 2023 ended with further glob81 uncerta inty with tha ongoing cri818 in the Middle East and the Ukrainlan war continLFifbg wlih no further sIOn3 of a concluslon. From an èconamie pèrspèctivo, we Startèd to Sae a f all irh irbflation rate3 8nd thè li kèliho¢xI that we had reached a p&ak in g lobal iniérest rates but as y&t thor& have been no intor•st rète evts. After 8 d iff icult 2022 whon borbds and equities suffered in 2023, vie $aw o r￿0verY in stock market aciivi ty and t h8 r8&urg8nc• in tho US of the concèntratod ollè¢tityn of tè¢hrLol¢gy ut¢¢ks in P•rtieul at. The over•ll g$$ot 8 Ilooatiorb of the I rbve$tment portfol io on 31st March 2024. $howe that 24'A of ths fund vtyas Invèst@d irb dèbt and fixgd Snt&r&st lThvestmonts. 65% In equiti¢$. 11% in AltèrThatlVfy$ 8n4 2% In ¢)sh. The portfokio is in line wpth tlia r&commenYèd asset 8lloeation for tho assooiated risk profila and thé ine*>mé yièld from th¢ inve $tm¢rtt$ 6tood èt 4.10

Goiiig Coiicern 48 Wé, tha trustfyès. sÉ%t out ITh thls raport a rev￿￿ of th• flnanelal p&rFarmanc4, risk manèg&m¢nt FX]liCi¢< thg r•s•rvèS I)OSiti¢>fb and oth?r factor$ lil¢¢ly to affèct tho futuro dp3velopmèni of thef Hospi¢è. We hava conclud&d that thèrè Is no mat&rlal un¢•rtainty that calls into dtyubt th• ttharliy's ability to ¢ontlnu•. Tha finaneial statèrnants have thèréf¢r• prèparéd on a 9olrb9 coThcèrrh basis. Mora Irhf¢>rmation is in¢lv¢J&d in the accouThtifi9 poli¢i•$. Trustees/ Direclors Indemnily Policy Insurancè arr8ng•montS aro in pl8cè wlth AXA I nsur8nc49 PLC to indomnlfy tru8t88S and dif8clors. pollcy numbèr Is LS BOX 698StsI010108 &rkd Ind4mrhity Ilmit Is E3,000,OQO,. The premium paid was £1.627.00 Pay and Reinuneralioii Flèmunefatitrn of wrèonnèl and ot nior m anègemènt its Èpprovèd by th• rèmune ration committe* constituted OTh pa9e. Whilst vw& are sware of NHS pay 6cales. wa do nor at this time offer matched 5&1gries, but a comparable system véh ich 1$ governed by aur financial constraints ae an Sndependent hospicg. A 5% gengral pay rlse W£G awarded across the organisation in April 2 023. Mernbershlp of the Remun¢r&t5Gn Cornrnittee rhe following trusteos aré marnb&r8 of th& Remunaration Commlttéé: Petor Ma rs h (chair) John Turn&r (Vice Chair) Dr J8ne Flint Eridgvw8ter {fru8tee) Meetln9$ are attended by. Clairo Towns IChÉof F xecvtive Off |¢er) Sirnon Henwood (O irector of Fin8n¢el Quorum ol 98y A•munor•ilon M•etln9 All present for gnnual rneeiing to mako •boYe 4&¢￿S1On9 and any ¢xc¢pti¢na1 individu41 awèrdg. A¢¢ouniablllty To Fin 8n¢e and Resources Committee. Govern8nce ¢omrnittee arkd Main Board.

49 riiiaiiLial RLNIL The fin&rbci81 results for th8 y8ar endfjd 31 March 2024 are given in thfr 8Lxlited Financial StatprneTrts to this f epDrt, Those FaCCQ ufbt5 afbd thf related noto¥ have b88n prepared In accordance with the relfrv8nt 18w and th8 Charities SORP LFRS1021. rhe Mary St8vf rTrs HospiG@ genf rated & 3urplus for the y@Ir of E817.000. a ffjlGome arbd much n&6d8¢J itnprovement on the def icit o £385.000 suffergd last year. Total Ikquid funds, which include the inveBtrnpnt portft)lio. increbsed by E541.000 to £2,863.000. Th8 pri ncipal re83on for the ¥urplu8 th8 record level of leg acy Tncom8 which at É2.348,000 wes more thbn double the É919.000 received 18St year. The current indic&t ions 8r& that l &gacy Incom& for tho year to 31 MBrch 2025 will also bfr above histOfiC18v@Is although not as high 8s this year. Funds raised from charit8blg donations. inoluding ffom chbrit8ble trust8. and fundraising evf Tht¥ declined slightly to £1,11P,000, This rFflects a lac14 of larg individu81 doriat￿n5. 8 modest reduction In income from charitable trusts. the I gtter neve rtheless still producing E279.000 a rbd arb increas? in genoral f undraisi ng income. The two most sigrhificgnt &nnu81 f undraiBirhg events Ymr? again successf ul with th? HospiG• Pa rbtomime and the Treecyclo prod uclng £50,000 and £45.000 respectively. Th• Hospice's Trading subsidiaries performod solidly, Th? Lottery company producing 4 net profit of £237,000 only slightly down on th? £252.000 gerbereted last yoar. Tho HospiGO'S retail Shops contirbued th?ir rocovery and despitby some costs a8sociated with a changB Df management structure 8nd some Bignificant rep8lr 0Sts. 8 surplus ol E196.000 was rea lised. Increase f rom the É176,000 last year. c.osts It is dlsappoprbti ng to not8 that dosplte tha local NHS Commissione rs havlno accèpted that thg hospice m8rlts f urthèr support there was a small d8croaso. to É514,000. Irb thg toi81 support provldéd. Thls lack of adéquate support is typical of thé Hosplc Èèctor gènéfalLy. Th& raté of anbn￿al incr&ag&s In thè f undlng of thé N HS f Ing afè not bein¢3 roflected in the Incréases awarded by tho N￿8 to hospices. Thls rs a continuln9 arthd worserbln9 5ssuo for hogplcès wh4ch, of n•c&ssitYb havè to comp&t wlth thé NHS Éala ry strueturoÉ to rgcruit a nd rètain staff. ThÉ Issu?15 lik•ly to improv& only by1obbying al a nation al léval. Th8 Mary gtovèns Hosplc& nov8rth8less contl nu&s to strènothèn its liThks wit h thè local h&althcar¢ Commun Ity. ThÈ truÉtèès ¢ontinu@ to monltor rrjsourcos of thÉ hospiee clowly as d&spit@ Ihg Improv&mgnt ITh fr•& ros8rvos tho Incr8ased r8llanc• on lègacy Incom8 crèatés mor& v¢latil& fin8nei81 outlc>Ok.

50 Slateinenl ofTriisleL Responsibililies Th• trustoos {viho are Also th8 Dir&C￿r8 of Thg Mary Stèvgns Hosplca Llmltéd for tho purpos&g of company lawl aro rè2porFslblo for prépsriThg tho Roport ol tho Trust88s and tho fln8 ncl81 stale m4Thts In accordanee wSth appl Icablè law arhd U4iltèd ¢irLgdom Accounting Sta nd8rd s (Unit•d Tr¢lngdom G8n&rally Acc•pt8d Accountln Practlc8>. Company la4w rèquiros tho trustè&s to prapar49 flnanclal statomonts for &ach f inèrTrcièl year whfch gives 8 tr4Je and fair vlew of th8 state of affairs ot thg oharlta ble compa ny and of th* incoml ng resourcgs and applicatlon of r8sourc8s, Includlno th 5ncoma and ox p8nditur&. of the charitabl8 comparhy for that pèriod. In propar Ina thoso f Inarhclal statomènts. thè irustoas ar• roquSr8d to: Sor￿t guTt8blo 8ceo untl ng pol Icl98 and th8rh apply th em ca risS8t8ntfy Obsarv8 th8 mothods and prlnclples in rh• cFiarity SORP MakèJudg&ments and ostimates that ar8 ro&sonable and prud8 nt Pr8par8 the financial st&tom8nts on th8 going concern b8sls urthFess It Ss Irhapproprlatè to pr&sum6 thai thè charltablo eorhpany W411 eontiThUé in buÈlnèss Th• trusteos 8r8 r•sponsiblé f or 1¢6ep5ng prop•r aecountlng racords whlch dlscloso with r88sonabl& 8ccur8cy 8t any time th8 fin8nci81 position of tho ch8riiablo compa rtsy and to onablg them to ensure thst thè f Inanclal stat8 ments comply wlth the Compani•s Act 2006. TFi&y aro 81 so r88ponsiblo tor $afegu&rding the as88ts of the charkta ble company and hence for taklrthg reasonabl& steps for ihe preveni lon and d&t&ction of f raud 8nd oihar irr8gulariti•s. In so fa r as th• trustoos ar0 awar•: There l& no relevant aud 5t Snform&tlon of whlch the charStabl8 company auditors arg un8war8 Th• trustg8s have taken all stgps that th•y ought to hav• tak8n to mak thfjmselves &w&r• ot any ro18varbt audit Inform8tion 4nd to est81)lish thfi 84Jditors ar8 84¥ar• of that I nform atlo n Exemptlons I rom dlsclos•' Nll Th• Board of Trugt••s d•c1ar• th4t th•y hav• approv•d th• Trust••3 Annua1 Report incrJrpDrffpting tho Dir•ctor¥ R•port bnd Strategi c Roport. Signed on behalf of The Mary Stevens Hospice Trustees Signature: Positlon: Full name: Date: /i2/z

THE MARY STEVENS HOSPICE

(A company limited by guarantee)

INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF THE MARY STEVENS HOSPICE

Opinion

We have audited the financial statements of The Mary Stevens Hospice (the 'parent charitable company') and its subsidiaries (the 'group') for the year ended 31 March 2024 which comprise the Consolidated statement of financial activities, the Consolidated balance sheet, the Company balance sheet, the Consolidated statement of cash flows and the related notes, including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable lawand 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 of the parent charitable company's affairs as at 31 March 2024 and of the Group's incoming resources and application of resources, including its 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 therequirements 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. Weare independent of the Group in accordance with the ethical requirements that are relevant to our audit of the financial statements in the United Kingdom, including the Financial Reporting Council's Ethical Standard, and we have 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 Trustee's 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 Group's or the parent charitable company'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.

Page 51

THE MARY STEVENS HOSPICE

(A company limited by guarantee)

INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF THE MARY STEVENS HOSPICE (CONTINUED)

Other information

The other information comprises the information included in the Annual report other than the financial statements and ourAuditor's report thereon. The Trustee are responsible for the other information contained within the Annual report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, weare 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, weare required to report that fact.

We have nothing to report in this regard.

Opinion on other matters prescribed by the Companies Act 2006

In our opinion, based on the work undertaken in the course of the audit:

the information given in the Trustee's Report including the Strategic Report for the financial year for which the financial statements are prepared is consistent with the financial statements.

• the Trustee's Report and the Strategic Report have been prepared in accordance with applicable legal

• requirements.

Matters on which we are required to report by exception

In the light of our knowledge and understanding of the charitable company and its environment obtained in the course of the audit, we have not identified material misstatements in the Trustee's Report including the Strategic Report.

We have nothing to report in respect of the following matters in relation to whichCompanies Act 2006requires us to report to you if, in our opinion:

• the parent charitable company has not kept adequate and sufficient accounting records, or returns

• adequate for our audit have not been received from branches not visited by us; or

• the parent charitable company financial statements are not in agreement with the accounting records and

• returns; or

• certain disclosures of Trustee's remuneration specified by law are not made; or

• we have not received all the information and explanations we require for our audit.

Page 52

THE MARY STEVENS HOSPICE (A company limited by guarantee)

INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF THE MARY STEVENS HOSPICE (CONTINUED)

Responsibilities of Trustees

As explained more fully in the Trustee's responsibilities statement, 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 Group's and the parent 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 Group or the parent charitable company or to cease operations, or have no realistic alternative but to do so.

Auditor's responsibilities for the audit of the financial statements

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

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below:

We obtained an understanding of the legal and regulatory frameworks within which the charitable company 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 Charities Act 2011 together with the Charities SORP (FRS 102) and the Companies Act. 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 ability to operate or to avoid a material penalty. We also considered the opportunities and incentives that may exist within the charitable company for fraud. The key laws and regulations we considered in this context were CQC regulations, General Data Protection Regulation, health and safety legislation, taxation legislation and employee legislation.

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 within the timing and completeness of income recognition and the override of controls by management. Our audit procedures to respond to these risks included enquiries of management and the Finance and Audit Committee about their own identification and assessment of the risks of irregularities, sample testing on the posting of journals, designing audit procedures over income, reviewing accounting estimates for biases, reviewing regulatory correspondence with the Charity Commission, and reading minutes of meetings of those charged with governance.

Page 53

THE MARY STEVENS HOSPICE (A company limited by guarantee)

INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF THE MARY STEVENS HOSPICE (CONTINUED)

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. 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 non- compliance and cannot be expected to detect non-compliance with all laws and regulations.

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.

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 weare 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 its members, as a body, for our audit work, for this report, or for the opinions we have formed.

Helen Blundell LLB FCA FCIE DChA (Senior statutory auditor)

for and on behalf of

Crowe U.K. LLP

Black Country House Rounds Green Road Oldbury West Midlands B69 2DG

Date: 19 December 2024

Page 54

(A company limited by guarantee)

THE MARY STEVENS HOSPICE

CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES (INCORPORATING INCOME AND EXPENDITURE ACCOUNT) FOR THE YEAR ENDED 31 MARCH 2024

		Unrestricted	Restricted	Total	Total
		funds	funds	funds	funds
		2024	2024	2024	2023
	Note	£	£	£	£
Income from:
Donations and legacies	4	2,875,041	222,581	3,097,622	1,813,419
Charitable activities	5	514,425	-	514,425	519,424
Other trading activities	6	2,615,543	-	2,615,543	2,420,241
Investments	7	83,096	-	83,096	59,935
Other income		79,969	-	79,969	120,898
Total income		6,168,074	222,581	6,390,655	4,933,917
Expenditure on:
Raising funds	8	2,025,397	-	2,025,397	1,975,232
Charitable activities	9	3,491,386	134,071	3,625,457	3,199,586
Total expenditure		5,516,783	134,071	5,650,854	5,174,818
Net income/(expenditure) before net
gains/(losses) on investments		651,291	88,510	739,801	(240,901)
Net gains/(losses) on investments		77,695	-	77,695	(144,216)
Net income/(expenditure)		728,986	88,510	817,496	(385,117)
Transfers between funds	20	965,655	(965,655)	-	-
Net movement in funds		1,694,641	(877,145)	817,496	(385,117)
Reconciliation of funds:
Total funds brought forward		4,458,982	1,233,328	5,692,310	6,077,427
Net movement in funds		1,694,641	(877,145)	817,496	(385,117)
Total funds carried forward		6,153,623	356,183	6,509,806	5,692,310

The Consolidated Statement of Financial Activities includes all gains and losses recognised in the year.

The notes on pages 61 to 86 form part of these financial statements.

Page 55

THE MARY STEVENS HOSPICE (A company limited by guarantee) REGISTERED NUMBER: 1963989

CONSOLIDATED BALANCE SHEET AS AT 31 MARCH 2024

			2024		2023
	Note		£		£
Fixed assets
Tangible assets	14		4,158,594		4,343,236
Investments	15		1,570,354		1,273,477
			5,728,948		5,616,713
Current assets
Stocks	16	1,000		1,100
Debtors	17	769,188		260,542
Cash at bank and in hand		1,292,458		1,048,345
Current liabilities		2,062,646		1,309,987
Creditors: amounts falling due within one
year	18	(452,671)		(370,530)
Net current assets			1,609,975		939,457
Total assets less current liabilities			7,338,923		6,556,170
Creditors: amounts falling due after more
than one year	19		(829,117)		(863,860)
Total net assets			6,509,806		5,692,310

Page 56

THE MARY STEVENS HOSPICE (A company Ilmited by guarantee) REGISTERED NUMBER: 1963989 CONSOLIDATED BALANCE SHEET (CONTINUED) AS AT 31 MARCH 2024 2024 2023 Note Charlty funds Restricted funds Unrestricted funds 20 356,183 1.233,328 Designated funds General funds 20 20 4,358,594 1,795,029 3, 522.014 936.968 Total unrestricted funds 20 6,153,623 4,458, 982 Total funds 6,509,806 5,692,310 The Trustee acknowledge their responsibilities for complying with the requirements of the Act with respect to accounting records and preparation of financial statements. The financial statements were approved and authorised for issue by the Trustee and signed on their behalf by: Mr P Marsh Date: The notes on page 61to 6 form part of these financial statements. Page 57

THE MARY STEVENS HOSPICE (A company limited by guarantee) REGISTERED NUMBER: 1963989

COMPANY BALANCE SHEET AS AT 31 MARCH 2024

			2024		2023
	Note		£		£
Fixed assets
Tangible assets	14		4,122,279		4,281,857
Investments	15		1,570,354		1,273,477
			5,692,633		5,555,334
Current assets
Debtors	17	1,000,481		501,107
Cash at bank and in hand		926,295		660,354
Current liabilities		1,926,776		1,161,461
Creditors: amounts falling due within one
year	18	(302,404)		(209,799)
Net current assets			1,624,372		951,662
Total assets less current liabilities			7,317,005		6,506,996
Creditors: amounts falling due after more
than one year	19		(811,632)		(837,269)
Total net assets			6,505,373		5,669,727

Page 58

THE MARY STEVENS HOSPICE (A company Ilmltad by guarantée) REGISTERED NUMBER: 1963989 COMPANY BALANCE SHEET ICONTINUED) AS AT 31 MARCH 2024 2024 2023 Note Charlty funds Restricted funds Unrestricted funds 20 356,183 1, 233, 328 Designated funds General funds 20 20 4,322,279 1,826,911 3,460, 635 975, 764 Total unrestricted funds 20 6,149,190 4, 436,399 Total funds 6,SOS,373 5, 669, 727 The Company's net movement in funds for the year was £835,646 (2023 - £(403, 161)). The Trustee acknowledge their responsibilities for complying With the requirements of the Act with respect to accounting records and preparation of financial statements. The financial statements were approved and authorised for issue by the Trustee and signed on their behalf by. Mr P Marsh Date.. The notes npag s61t 86 form part of these financial statements. Page 59

THE MARY STEVENS HOSPICE

(A company limited by guarantee)

CONSOLIDATED STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 MARCH 2024

		2024	2023
	Note	£	£
Cash flows from operating activities
Net cash used in operating activities	23	473,258	90,346
Cash flows from investing activities
Dividends, interests and rents from investments		83,096	59,935
Purchase of tangible fixed assets		(65,048)	(53,365)
Proceeds from sale of investments		69,982	241,317
Purchase of investments		(361,544)	(117,780)
Net cash (used in)/provided by investing activities		(273,514)	130,107
Cash flows from financing activities
Repayments of borrowing		(28,011)	(36,865)
Net cash used in financing activities		(28,011)	(36,865)
Change in cash and cash equivalents in the year		171,733	183,588
Cash and cash equivalents at the beginning of the year		1,170,746	987,158
Cash and cash equivalents at the end of the year	24	1,342,479	1,170,746

The notes on pages 61 to 86 form part of these financial statements

Page 60

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

THE MARY STEVENS HOSPICE (A company limited by guarantee)

1. General information

The Mary Stevens Hospice (the Charity) is a Company Limited by Guarantee (registered number 1963989), registered in England and Wales. Its charity registration number is 517656. The registered office and principal place of business is 221 Hagley Road, Oldswinford, Stourbridge, DY8 2JR.

Its principal activities are end of life care for people as well as provision of education and training in end of life care to healthcare professionals in the surrounding areas.

2. Accounting policies

2.1 Basis of preparation of financial statements

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

The Mary Stevens Hospice meets the definition of a public benefit entity under FRS 102. Assets and liabilities are initially recognised at historical cost or transaction value unless otherwise stated in the relevant accounting policy.

The Consolidated statement of financial activities (SOFA) and Consolidated balance sheet consolidate the financial statements of the Group and its subsidiary undertaking. The results of the subsidiary are consolidated on a line by line basis.

The Group has taken advantage of the exemption allowed under section 408 of the Companies Act 2006 and has not presented its own Statement of financial activities in these financial statements.

2.2 Going concern

Having reviewed the funding facilities available to the Company together with the expected ongoing demand for places and the Company's future projected cash flows, the Trustees have a reasonable expectation that the Company has adequate resources to continue its activities for the foreseeable future and consider that there are no material uncertainties over the Company's financial viability. Accordingly, they also continue to adopt the going concern basis in preparing the financial statements as outlined in the Statement of Trustees' Responsibilities on page 50.

Page 61

THE MARY STEVENS HOSPICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

2. Accounting policies (continued)

2.3 Income

All income is recognised once the Company has entitlement to the income, it is probable that the income will be received and the amount of income receivable can be measured reliably.

The recognition of income from legacies is dependent on establishing entitlement, the probability of receipt and the ability to estimate with sufficient accuracy the amount receivable. Evidence of entitlement to a legacy exists when the Company has sufficient evidence that a gift has been left to them (through knowledge of the existence of a valid will and the death of the benefactor) and the executor is satisfied that the property in question will not be required to satisfy claims in the estate. Receipt of a legacy must be recognised when it is probable that it will be received and the fair value of the amount receivable, which will generally be the expected cash amount to be distributed to the Company, can be reliably measured.

Grants are included in the Consolidated statement of financial activities on a receivable basis. The balance of income received for specific purposes but not expended during the period is shown in the relevant funds on the Balance sheet. Where income is received in advance of entitlement of receipt, its recognition is deferred and included in creditors as deferred income. Where entitlement occurs before income is received, the income is accrued.

Donated services and facilities are recognised when the company has control over the item, any conditions associated with the item have been met, the receipt of economic benefit from the use of the company of the item is probable and that economic benefit can be reliable measured. In accordance with the Charities SORP (FRS 102), general volunteer time is not recognised.

Income tax recoverable in relation to investment income is recognised at the time the investment income is receivable.

Other income is recognised in the period in which it is receivable and to the extent the goods have been provided or on completion of the service.

2.4 Expenditure

Expenditure is recognised once there is a legal or constructive obligation to transfer economic benefit to a third party, it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is classified by activity. The costs of each activity are made up of the total of direct costs and shared costs, including support costs involved in undertaking each activity. Direct costs attributable to a single activity are allocated directly to that activity. Shared costs which contribute to more than one activity and support costs which are not attributable to a single activity are apportioned between those activities on a basis consistent with the use of resources. Central staff costs are allocated on the basis of time spent, and depreciation charges allocated on the portion of the asset’s use.

Expenditure on raising funds includes all expenditure incurred by the Group to raise funds for its charitable purposes and includes costs of all fundraising activities events and non-charitable trading.

Expenditure on charitable activities is incurred on directly undertaking the activities which further the Group's objectives, as well as any associated support costs.

All expenditure is inclusive of irrecoverable VAT.

Page 62

THE MARY STEVENS HOSPICE (A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

2. Accounting policies (continued)

2.5 Taxation

The Company is considered to pass the tests set out in Paragraph 1 Schedule 6 of the Finance Act 2010 and therefore it meets the definition of a charitable company for UK corporation tax purposes Accordingly, the Company is potentially exempt from taxation in respect of income or capital gains received within categories covered by Chapter 3 Part 11 of the Corporation Tax Act 2010 or Section 256 of the Taxation Chargeable Gains Act 1992, to the extent that such income or gains are applied exclusively to charitable purposes.

2.6 Tangible fixed assets and depreciation

Tangible fixed assets costing £1,000 or more are capitalised and recognised when future economic benefits are probable and the cost or value of the asset can be measured reliably.

Tangible fixed assets are initially recognised at cost. After recognition, under the cost model, tangible fixed assets are measured at cost less accumulated depreciation and any accumulated impairment losses. All costs incurred to bring a tangible fixed asset into its intended working condition should be included in the measurement of cost.

Depreciation is charged so as to allocate the cost of tangible fixed assets over their estimated useful lives, using the straight-line method.

Depreciation is provided on the following bases:

Fixtures and fittings -20% on cost Computer equipment -25% on cost

Leasehold buildings prior to 2018 are depreciated on a straight line basis from the date the building is brought into use until the end of the original lease in October 2040 (this lease has since been extended). Leasehold buildings capitalised from 2018 are depreciated on a straight line basis over 50 years.

2.7 Investments

Fixed asset investments are a form of financial instrument and are initially recognised at their transaction cost and subsequently measured at fair value at the Balance sheet date, unless the value cannot be measured reliably in which case it is measured at cost less impairment. Investment gains and losses, whether realised or unrealised, are combined and presented as ‘Gains/(Losses) on investments’ in the Consolidated statement of financial activities.

2.8 Stocks

Stocks are valued at the lower of cost and net realisable value after making due allowance for obsolete and slow-moving stocks. Cost includes all direct costs and an appropriate proportion of fixed and variable overheads.

Page 63

THE MARY STEVENS HOSPICE (A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

2. Accounting policies (continued)

2.9 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 with the exception of bank loans which are subsequently measured at amortised cost using the effective interest method.

Debtors

Trade and other debtors are recognised at the settlement amount after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due.

Cash at bank and in hand

Cash at bank and in hand includes cash and short-term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account.

2.10 Liabilities and provisions

Liabilities are recognised when there is an obligation at the Balance sheet date as a result of a past event, it is probable that a transfer of economic benefit will be required in settlement, and the amount of the settlement can be estimated reliably.

Liabilities are recognised at the amount that the Company anticipates it will pay to settle the debt or the amount it has received as advanced payments for the goods or services it must provide.

Provisions are measured at the best estimate of the amounts required to settle the obligation. Where the effect of the time value of money is material, the provision is based on the present value of those amounts, discounted at the pre-tax discount rate that reflects the risks specific to the liability. The unwinding of the discount is recognised in the Consolidated statement of financial activities as a finance cost.

2.11 Pensions

In respect of former qualifying National Health Service personnel the Company continues their participation in the NHS defined pension scheme. The NHS scheme is a defined benefit pension scheme. However, the scheme is a multiple employer scheme and the group is unable to identify its share of the underlying assets and liabilities. The scheme is therefore accounted for as a defined contribution scheme. Contributions are charged to the SOFA so as to spread the cost of pensions over employees' working lives with the charity.

Other contracted staff are offered an opportunity to participate in a separate defined contribution scheme for which contributions are charged in the Statement of Financial Activities.

Page 64

THE MARY STEVENS HOSPICE (A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

2. Accounting policies (continued)

2.12 Fund accounting

General funds are unrestricted funds which are available for use at the discretion of the Trustee in furtherance of the general objectives of the Group and which have not been designated for other purposes.

Designated funds comprise unrestricted funds that have been set aside by the Trustee for particular purposes. The aim and use of each designated fund is set out in the notes to the financial statements.

Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors or which have been raised by the Group for particular purposes. The costs of raising and administering such funds are charged against the specific fund. The aim and use of each restricted fund is set out in the notes to the financial statements.

Investment income, gains and losses are allocated to the appropriate fund.

3. Critical accounting estimates and areas of judgement

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.

Critical accounting estimates and assumptions:

The Company makes estimates and assumptions concerning the future. The resulting accounting estimates and assumptions will, by definition, seldom equal the related actual results. The estimates and assumptions that have a significant risk of causing a material adjustment to the carrying amounts of assets and liabilities within the next financial year are discussed below.

Critical areas of judgement:

Accrued income includes legacy income amounts. In recognising accrued legacy income, the Trustees have considered the probability of receiving each legacy. Each legacy is carefully assessed to determine an appropriate allowance which reflects the possibility of not subsequently receiving the full legacy income amounts that the Charity is aware of. The allowance is based on the circumstances behind each legacy and the probability of receiving the income.

Page 65

(A company limited by guarantee)

THE MARY STEVENS HOSPICE

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

4. Income from donations and legacies

	Unrestricted		Restricted	Total
	funds		funds	funds
	2024		2024	2024
	£		£	£
Donations	501,444		147,581	649,025
Legacies	2,273,445		75,000	2,348,445
NHS Grants and contracts for patient care	100,152		-	100,152
	2,875,041		222,581	3,097,622
	SSS	—		_—$—$—$—————————
	Unrestricted		Restricted	Total
	funds		funds	funds
	2023		2023	2023
	£		£	£
Donations	543,860		213,972	757,832
Legacies	919,265		-	919,265
NHS Grants and contracts for patient care	93,600		-	93,600
Other grant income (including Hospice UK)	42,722		-	42,722
	1,599,447		213,972	1,813,419

Page 66

THE MARY STEVENS HOSPICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

5. Income from charitable activities

		Unrestricted	Total
		funds	funds
		2024	2024
		£	£
Local Clinical Commissioning groups - Patient care	Local Clinical Commissioning groups - Patient care	514,425	514,425
		Unrestricted	Total
		funds	funds
		2023	2023
		£	£
Local Clinical Commissioning groups - Patient care	Local Clinical Commissioning groups - Patient care	519,424	519,424

6. Income from other trading activities Income from fundraising events

	Unrestricted	Total
	funds	funds
	2024	2024
	£	£
Fundraising events	470,271	470,271
Shop income	1,730,090	1,730,090
Lottery income	415,182	415,182
	2,615,543	2,615,543

Included in Shop income is £447,013 (2023: £413,569) of gift-aided donated goods and £111,771 (2023: £103,378) of gift aided amounts.

Page 67

THE MARY STEVENS HOSPICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

6. Income from other trading activities (continued) Income from fundraising events (continued)

----- Start of picture text -----
|||| |---|---|---| |Unrestricted|Total| |funds|funds| |2023|2023| |£|£| |Fundraising events|370,004|370,004| |Shop income|1,630,572|1,630,572| |Lottery income|419,665|419,665| |2,420,241|2,420,241|

----- End of picture text -----

7. Investment income

----- Start of picture text -----
|||| |---|---|---| |Unrestricted|Total| |funds|funds| |2024|2024| |£|£| |Investment income|60,206|60,206| |Bank interest|22,890|22,890| |83,096|83,096| |Unrestricted|Total| |funds|funds| |2023|2023| |£|£| |Investment income|52,833|52,833| |Bank interest|7,102|7,102| |59,935|59,935|

----- End of picture text -----

Page 68

THE MARY STEVENS HOSPICE (A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

8. Expenditure on raising funds

Costs of raising voluntary income

	Unrestricted	Total
	funds	funds
	2024	2024
	£	£
Costs of raising voluntary income	150,808	150,808
Costs of raising voluntary income - wages and salaries	227,015	227,015
Costs of raising voluntary income - NI	12,000	12,000
Costs of raising voluntary income - pension costs	12,000	12,000
	401,823	401,823
	Unrestricted	Total
	funds	funds
	2023	2023
	£	£
Costs of raising voluntary income	98,970	98,970
Costs of raising voluntary income - wages and salaries	221,399	221,399
Costs of raising voluntary income - NI	10,000	10,000
Costs of raising voluntary income - pension costs	6,500	6,500
	336,869	336,869
Fundraising trading expenses
	Unrestricted	Total
	funds	funds
	2024	2024
	£	£
Fundraising trading expense	759,334	759,334
Fundraising trading expenses - wages and salaries	812,669	812,669
Fundraising trading expenses - pension costs	26,507	26,507
Fundraising trading expenses - depreciation	25,064	25,064
	1,623,574	1,623,574

Page 69

THE MARY STEVENS HOSPICE (A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

8. Expenditure on raising funds (continued)

Fundraising trading expenses (continued)

	Unrestricted	Total
	funds	funds
	2023	2023
	£	£
Fundraising trading expense	724,381	724,381
Fundraising trading expenses - wages and salaries	862,042	862,042
Fundraising trading expenses - pension costs	26,670	26,670
Fundraising trading expenses - depreciation	25,270	25,270
	1,638,363	1,638,363

9. Analysis of expenditure on charitable activities

Summary by fund type

	Unrestricted	Restricted
	funds	funds	Total
	2024	2024	2024
	£	£	£
Patient care	3,491,386	134,071	3,625,457
	Unrestricted	Restricted
	funds	funds	Total
	2023	2023	2023
	£	£	£
Patient care	3,020,967	178,619	3,199,586

Page 70

THE MARY STEVENS HOSPICE (A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

10. Analysis of expenditure by activities

	Activities
	undertaken	Support	Total
	directly	costs	funds
	2024	2024	2024
	£	£	£
Patient care	3,161,274	464,183	3,625,457
	Activities
	undertaken	Support	Total
	directly	costs	funds
	2023	2023	2023
	£	£	£
Patient care	2,857,444	342,142	3,199,586
Analysis of direct costs
		Total	Total
		funds	funds
		2024	2023
		£	£
Staff costs		2,632,745	2,435,563
Depreciation		217,649	199,077
Managem ent		310,880	222,804
Total 2024		3,161,274	2,857,444

Page 71

THE MARY STEVENS HOSPICE (A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

10. Analysis of expenditure by activities (continued)

Analysis of support costs

				Total	Total
				funds	funds
				2024	2023
				£	£
	Depreciation			6,977	12,597
	Managem ent			301,287	230,369
	Support			123,956	74,681
	Governance costs			31,963	24,495
	Total 2024			464,183	342,142
11.	Net income/(expenditure)
				2024	2023
				£	£
	Depreciation of tangible fixed assets			249,690	236,944
	Auditors remuneration
	- audit			17,695	19,495
	- other services			4,590	1,500
	Pension costs			144,929	134,010
	Operating lease rentals			151,254	292,593
12.	Staff costs
		Group	Group	Company	Company
		2024	2023	2024	2023
		£	£	£	£
	Wages and salaries	3,354,933	3,213,492	2,517,264	2,351,450
	Social security costs	223,074	214,672	223,074	214,672
	Contribution to defined contribution pension
	schemes	144,929	134,010	118,422	107,340
		3,722,936	3,562,174	2,858,760	2,673,462

Termination payments totalling £20,500 were made to 1 employee during the year (2023: £Nil) .

Page 72

THE MARY STEVENS HOSPICE (A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

12. Staff costs (continued)

The average number of persons employed by the Company during the year was as follows:

	Group	Group
	2024	2023
	No.	No.
Average number of employees	151	159

The number of employees whose employee benefits (excluding employer pension costs) exceeded £60,000 was:

	Group	Group
	2024	2023
	No.	No.
In the band £60,001 - £70,000	-	1
In the band £80,001 - £90,000	1	1

The key management personnel of the charity trust comprise the trustees and senior management team. The total amount of employee benefits (including employer pension contributions) received by key management personnel for their services to the charity was £272,510 (2023: £328,681) .

13. Trustee's remuneration and expenses

During the year, no Trustees received any remuneration or other benefits (2023 - £NIL) .

During the year ended 31 March 2024, no Trustee expenses have been incurred (2023 - £NIL) .

Page 73

(A company limited by guarantee)

THE MARY STEVENS HOSPICE

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

14. Tangible fixed assets

Group

	Long-term
	leasehold	Motor	Fixtures and	Computer
	property	vehicles	fittings	equipment	Total
	£	£	£	£	£
Cost or valuation
At 1 April 2023	6,318,362	32,905	666,835	193,483	7,211,585
Additions	5,900	-	53,339	5,809	65,048
Disposals	-	-	(200,468)	(71,124)	(271,592)
At 31 March 2024	6,324,262	32,905	519,706	128,168	7,005,041
Depreciation
At 1 April 2023	2,127,336	22,493	551,030	167,490	2,868,349
Charge for the year	152,902	3,471	75,407	17,910	249,690
On disposals	-	-	(200,468)	(71,124)	(271,592)
At 31 March 2024	2,280,238	25,964	425,969	114,276	2,846,447
Net book value
At 31 March 2024	4,044,024	6,941	93,737	13,892	4,158,594
At 31 March 2023	4,191,026	10,412	115,805	25,993	4,343,236

Page 74

THE MARY STEVENS HOSPICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

14. Tangible fixed assets (continued)

Company

	Long-term
	leasehold	Fixtures and	Computer
	property	fittings	equipment	Total
	£	£	£	£
Cost or valuation
At 1 April 2023	6,114,593	520,208	93,596	6,728,397
Additions	5,900	53,339	5,809	65,048
Disposals	-	(200,468)	(71,124)	(271,592)
At 31 March 2024	6,120,493	373,079	28,281	6,521,853
Depreciation
At 1 April 2023	1,943,815	414,676	88,049	2,446,540
Charge for the year	145,635	72,014	6,977	224,626
On disposals	-	(200,468)	(71,124)	(271,592)
At 31 March 2024	2,089,450	286,222	23,902	2,399,574
Net book value
At 31 March 2024	4,031,043	86,857	4,379	4,122,279
At 31 March 2023	4,170,778	105,532	5,547	4,281,857

Page 75

THE MARY STEVENS HOSPICE (A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

15. Fixed asset investments

	Listed
	investments	Cash	Total
Group and Company	£	£	£
Cost or valuation
At 1 April 2023	1,151,076	122,401	1,273,477
Additions	177,717	(177,717)	-
Disposals	(85,657)	85,657	-
Change in market value	64,454	-	64,454
Net movement of cash	28,916	-	28,916
Additions - Gifted investments	183,827	19,680	203,507
At 31 March 2024
	1,520,333	50,021	1,570,354

16.	Stocks
		Group	Group
		2024	2023
		£	£
	Finished goods and goods for resale	1,000	1,100

17. Debtors

	Group	Group	Company	Company
	2024	2023	2024	2023
	£	£	£	£
Due within one year
Trade debtors	67,033	103,962	67,033	103,962
Amounts owed by group undertakings	-	-	266,164	288,214
Other debtors	40,347	40,060	27,868	19,469
Prepayments and accrued income	596,755	56,912	574,363	29,854
Tax recoverable	65,053	59,608	65,053	59,608
	769,188	260,542	1,000,481	501,107

Page 76

THE MARY STEVENS HOSPICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

18. Creditors: Amounts falling due within one year

	Group	Group	Company	Company
	2024	2023	2024	2023
	£	£	£	£
Bank loans	100,323	93,591	90,323	83,591
Trade creditors	98,981	70,103	57,602	35,908
Other taxation and social security	64,245	56,401	55,216	48,458
Other creditors	24,078	35,382	24,078	24,078
Accruals and deferred income	165,044	115,053	75,185	17,764
	452,671	370,530	302,404	209,799
		___	=	{_—__3
			Group	Group
			2024	2023
			£	£
Deferred income at 1 April 2023			70,302	125,139
Resources deferred during the year			104,432	70,302
Amounts released from previous periods			(70,302)	(125,139)
			104,432	70,302

Deferred income comprises lottery income received in advance by Mary Stevens Hospice Lottery Limited and project funding received in advance in Mary Stevens Hospice.

Page 77

THE MARY STEVENS HOSPICE (A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

19. Creditors: Amounts falling due after more than one year

	Group	Group	Company	Company
	2024	2023	2024	2023
	£	£	£	£
Bank loans	829,117	863,860	811,632	837,269
Included within the above are amounts falling due as follows:
	Group	Group	Company	Company
	2024	2023	2024	2023
	£	£	£	£
Between one and two years
Bank loans	100,323	93,590	90,323	83,590
Between two and five years
Bank loans	278,454	267,362	270,969	250,771
Over five years
Bank loans	450,340	502,908	450,340	502,908

There are two loans in this year's accounts.

The first loan was drawn down in December 2018 and is repayable over a term of 25 years. The total amount drawn down was £1,000,000 and repayment commenced on 21 January 2018. Repayment is paid interest only for the first twelve months, followed by monthly installments of £5,084 (including interest).

Interest is charged at 2.65% per annum over the Bank of England base rate.

The loan is secured by means of a legal mortgage and fixed and floating charge over 221 Hagley Road, Oldswinford, Stourbridge, DY8 2JR and any property or undertaking of The Mary Stevens Hospice.

The second bank loan is a term loan repayable in monthly installments over a 6 year term and bears interest at 2.5% per annum.

There is an unlimited guarantee in place for Mary Stevens Hospice Trading Company Limited and Mary Stevens Hospice Lottery Limited. There is a charge over 221 Hagley Road, Stourbridge, DY8 2JR on the bank accounts.

Page 78

THE MARY STEVENS HOSPICE (A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

----- Start of picture text -----
|||||||| |---|---|---|---|---|---|---| |20.|Statement of funds| |Statement of funds - current year| |Balance at| |Balance at 1|Transfers|Gains/|31 March| |April 2023|Income Expenditure|in/out|(Losses)|2024| |£|£|£|£|£|£| |Unrestricted| |funds| |Designated| |funds| |Fixed assets|3,322,014|-|(161,843)|998,423|-|4,158,594| |Hospice at home|200,000|-|-|-|-|200,000| |-|-| |3,522,014|(161,843)|998,423|4,358,594| |General funds| |General Funds|936,968|6,168,074|(5,354,940)|(32,768)|77,695|1,795,029| |Total| |Unrestricted| |funds|4,458,982|6,168,074|(5,516,783)|965,655|77,695|6,153,623| |Restricted| |funds| |Donations|237,080|222,581|(71,288)|(32,190)|-|356,183| |Restricted fixed| |assets|996,248|-|(62,783)|(933,465)|-|-| |-| |1,233,328|222,581|(134,071)|(965,655)|356,183| |-| |Total of funds|5,692,310|6,390,655|(5,650,854)|77,695|6,509,806| |—— Eee|

----- End of picture text -----

Page 79

THE MARY STEVENS HOSPICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

20. Statement of funds (continued)

Restricted funds

The restricted funds relate to donations received for specific expenditure that have not yet been expensed.

Designated funds

The Hospice re-development and extension fund is earmarked for the Phase 3 development of the Hospice which commenced in June 2017.

The Hospice at Home fund is earmarked for the potential establishment of a "Hospice at Home" service in the future.

The fixed asset fund represents value embodied in the charity's buildings and equipment.

Transfers between funds

Transfers between funds relate to restricted funds for capital projects, which have been fully spent and transferred to the designated fixed assets fund.

Page 80

(A company limited by guarantee)

THE MARY STEVENS HOSPICE

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

20. Statement of funds (continued)

Statement of funds - prior year

							Balance at
	Balance at			Transfers		Gains/	31 March
	1 April 2022	Income	Expenditure	in/out		(Losses)	2023
	£	£	£		£	£	£
Unrestricted
funds
Designated
funds
Fixed assets	3,512,006	-	(189,992)		-	-	3,322,014
Hospice at home	200,000	-	-		-	-	200,000
	3,712,006	-	(189,992)		-	-	3,522,014
General funds
General Funds	1,167,446	4,719,945	(4,806,207)		-	(144,216)	936,968
Total
Unrestricted
funds	4,879,452	4,719,945	(4,996,199)		-	(144,216)	4,458,982
Restricted
funds
Donations	183,166	213,972	(146,586)	(13,472)		-	237,080
Restricted fixed
assets	1,014,809	-	(32,033)	13,472		-	996,248
	1,197,975	213,972	(178,619)		-	-	1,233,328
Total of funds	6,077,427	4,933,917	(5,174,818) a	LO	-	(144,216) LO	5,692,310

Page 81

THE MARY STEVENS HOSPICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

21. Summary of funds

Summary of funds - current year

						Balance at
	Balance at 1			Transfers	Gains/	31 March
	April 2023	Income Expenditure		in/out	(Losses)	2024
	£	£	£	£	£	£
Designated
funds	3,522,014	-	(161,843)	998,423	-	4,358,594
General funds	936,968	6,168,074	(5,354,940)	(32,768)	77,695	1,795,029
Restricted funds	1,233,328	222,581	(134,071)	(965,655)	-	356,183
	5,692,310	6,390,655	(5,650,854)	-	77,695	6,509,806
	ooo	==	{§_.	ll	=	——
Summary of funds - prior year
						Balance at
	Balance at			Transfers	Gains/	31 March
	1 April 2022	Income	Expenditure	in/out	(Losses)	2023
	£	£	£	£	£	£
Designated
funds	3,712,006	-	(189,992)	-	-	3,522,014
General funds	1,167,446	4,719,945	(4,806,207)	-	(144,216)	936,968
Restricted funds	1,197,975	213,972	(178,619)	-	-	1,233,328
	6,077,427	4,933,917	(5,174,818)	-	(144,216)	5,692,310

Page 82

THE MARY STEVENS HOSPICE (A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

22. Analysis of net assets between funds

Analysis of net assets between funds - current period

	Unrestricted	Restricted	Total
	funds	funds	funds
	2024	2024	2024
	£	£	£
Tangible fixed assets	4,158,594	-	4,158,594
Fixed asset investments	1,570,354	-	1,570,354
Current assets	1,706,463	356,183	2,062,646
Creditors due within one year	(452,671)	-	(452,671)
Creditors due in more than one year	(829,117)	-	(829,117)
Total	6,153,623	356,183	6,509,806
	{_—______		Se
Analysis of net assets between funds - prior period
	Unrestricted	Restricted	Total
	funds	funds	funds
	2023	2023	2023
	£	£	£
Tangible fixed assets	3,346,988	996,248	4,343,236
Fixed asset investments	1,273,477	-	1,273,477
Current assets	1,072,907	237,080	1,309,987
Creditors due within one year	(370,530)	-	(370,530)
Creditors due in more than one year	(863,860)	-	(863,860)
Total	4,458,982 {_—______		1,233,328 Se

Page 83

THE MARY STEVENS HOSPICE

(A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

23. Reconciliation of net movement in funds to net cash flow from operating activities

	Group	Group
	2024	2023
	£	£
Net income/expenditure for the period (as per Statement of Financial
Activities)	817,496	(385,117)
Adjustments for:
Depreciation charges	249,690	236,944
(Gain) / Losses on investments	(77,695)	144,216
Dividends, interests and rents from investments	(83,096)	(59,935)
Decrease/(increase) in stocks	100	(850)
Decrease/(increase) in debtors	(508,646)	153,322
Increase in creditors	75,409	1,766
Net cash provided by operating activities	473,258	90,346

24.	Analysis of cash and cash equivalents
		Group	Group
		2024	2023
		£	£
	Cash in hand	1,292,458	1,048,345
	Cash held in investments	50,021	122,401
	Total cash and cash equivalents	1,342,479	1,170,746

25. Analysis of changes in net debt

			Other non-
	At 1 April		cash	At 31 March
	2023	Cash flows	changes	2024
	£	£	£	£
Cash at bank and in hand	1,048,345	244,113	-	1,292,458
Debt due within 1 year	(93,591)	28,011	(34,743)	(34,743) (100,323)
Loans due after 1 year	(863,860)	-	34,743	(829,117)
	90,894	272,124	-	363,018

Page 84

THE MARY STEVENS HOSPICE (A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

26. Pension commitments

Staff may opt to join a defined contribution pension scheme, the assets of which are held separately from those of the charity in independently administered funds. The employer's contribution to this scheme is between 3% and 6.5% (2023: 3% and 6.5%) of pensionable pay. Future contributions are expected to be at a similar level.

Staff previously employed by the National Health Service and who were members of the NHS Superannuation Scheme continue to be members of that scheme. The NHS scheme is a defined benefit pension scheme. However, the scheme is a multiple employer scheme and the group is unable to identify its share of the underlying assets and liabilities. The scheme is therefore accounted for as a defined contribution scheme. Contributions are charged to the SOFA so as to spread the cost of pensions over employees' working lives with the charity.

Details of the benefits payable under these provisions can be found on the NHS Pensions website at www.pensions.nhsbsa.nhs.uk.

The employer's contribution to the scheme is 14.38% (2023: 14.38%) of pensionable pay.

The pension cost charges, representing employer's contributions to both schemes, amounted to £144,929 (2023: £134,010) . This is net of a NHS pension contribution of £43,563 (2023: £43,563) received as part of the Dudley CCG grant. Contributions totalling £Nil (2023: £Nil) were payable at the year end and are included in other creditors.

No trustee qualified for benefits under either of these schemes.

27. Operating lease commitments

At 31 March 2024 the Group and the Company had commitments to make future minimum lease payments under non-cancellable operating leases as follows:

	Group	Group	Company	Company
	2024	2023	2024	2023
	£	£	£	£
Not later than 1 year	186,144	151,254	16,844	16,844
Later than 1 year and not later than 5 years	241,649	399,650	19,626	38,042
Later than 5 years	-	23,184	-	-
	427,793	574,088	36,470	54,886

28. Members' liability

Each member of the charitable company undertakes to contribute to the assets of the Company in the event of it being wound up while he/she is a member, or within one year after he/she ceases to be a member, such amount as may be required, not exceeding £1 for the debts and liabilities contracted before he/she ceases to be a member.

Page 85

THE MARY STEVENS HOSPICE (A company limited by guarantee)

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024

29. Related party transactions

There have been no other related party transactions that require disclosure other than the transactions with the subsidiary companies, The Mary Stevens Hospice Trading Company Limited and Mary Stevens Hospice Lottery Limited, as set out below:

Income from donated goods under the retail Gift Aid scheme are sales which were processed by The Mary Stevens Hospice Trading Company Limited on behalf of the Charity and are included under retail income.

The subsidiary companies also made a gift aid distribution to the Charity as disclosed in Note 30.

The balance outstanding at the year end owed from The Mary Stevens Hospice Trading Company Limited was £85,483 (2023 - £98,539) .

The balance outstanding at the year end owed from Mary Stevens Hospice Lottery Limited was £180,681 (2023 - £200,979) .

30. Principal subsidiaries

The Charity has two wholly owned trading subsidiaries which are registered and incorporated in England.

The following were subsidiary undertakings of the company:

Names	Company	Registered office or	Principal activity
	number	principal place of business
The Mary Steven Hospice	02648133	221 Hagley Road,	Sells goods and gift
Trading Company Limited		Oldwinsford, Stourbridge,	aids taxable profits to
		DY8 2JR	The Mary Stevens
			Hospice
Mary Stevens Hospice	03885815	221 Hagley Road,	Runs a lottery and gift
Lottery Limited		Oldwinsford, Stourbridge,	aids taxable profits to
		DY8 2JR	The Mary Stevens
			Hospice

The financial results of the subsidiaries for the year:

			Profit/(Loss)	Net
Name	Income	Expenditure	for the year	assets/(liabilities)
The Mary Stevens
Hospice Trading	1,730,090	1,533,591	196,499	214,602
Company Limited
Mary Stevens Hospice	419,152	181,739	237,413	241,893
Lottery Limited

At the end of the financial year, Mary Stevens Hospice Lottery Limited made a gift aid distribution of £237,460 ( 2023: £249,458) and The Mary Stevens Hospice Trading Company Limited made a gift aid distribution of £214,602 (2023: £158,078).

Page 86

'!lYi ri• 01384- 443010 [e-mail] wMw.marystevenshospice.co.uk Donate to The Mary Stevens Hospice and help us continue to provide specialist palliative ¢areto our community. SCAN ME r-