Charlty reglstration numbèr 518394 Company reglstration number 02080756 (England and Wales) DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE ANNUAL REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE LEGAL AND ADMINISTRATIVE INFORMATION Trustses MrA Macconachie OBE DL Hon DBA Hon. President- Not a Director Mrs C S Charlton - Chalr Mr S J Metcalfe (Appointed 7 December 2023) Col N C T Millen OBE Mr C J Clinkard Couneillor C B Hughes Mr M W Brown Mts D Murphy Se¢retary Mrs N J Myers Charlty number 518394 Company number 02080756 Registèred offlcé The Woodlands 91 Woodland Road Darllngton Co Durham DL3 7UA Auditor Azets Audtt Serrflces Bulman House Regent Cent Gosforth Newcastle upon Tyne NE3 3LS Bankors Bardays Bank plc Darlington 27131 High Row Darlington Co Durham DL3 7QS Key Management Personnel N J Myers, Chief Executlve Offleèr D Farrell, RegiSte￿d Manager D Roblnson. Director of Care L Daynes. HR Manager K Woods, Finance Manager J Wallis. Director of Income Generation DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE CONTENTS Page Statement from th8 Chief ExecLrtlve Trustees, report Independ&nt auditorfs report 9-12 ststement of financial activities 13 Balance sheet 14 Statement of cash flows 15 Notes to the financial statements 16-34 DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE STATEMENT FROM THE CHIEF EXECUTIVE FOR THE YEAR ENDED 31 MARCH 2024 Welcome to the Annual Report of St. Teresa's Hospice Limited for the financial year endlng 31 March 2024. At St. Teresa'5 Hospice, we are committed to enhancing th6 quality of life for individuals V￿th lrfe-limiting illnesses and those close lo them. This year, we have accomplished a great deal. We have strengthened our working culture. undertaken a comprehensive review of the tools we use to measure clinical effectiveness and launched an outreach program that has introduced our services to people who may rtot have otherwise accessed them. In total, we supported 1.230 people this year. Of our patients. 93 /0 were able to achieve their preferred place of care and 97% of service users expressed they would recommend us to friends and family.. figures we are truly proud of. We have continued to collaborate and expand our partnerships across health, social care, and the ¥vluntary and community sectors. We have benefited from ongoing support from the County Durham and Darlington FourNJation Trust palliative care team throughout the yoar. As part of the 12 independent charitable Hospi￿$ in the North East. we also collaborate through Hospices North East and North Curnbria IHNENC}. dedicated to ensuring that people in the North East receive outstanding hospi￿ care and support. In 2023124, we b8gan developing a n8W thr88-y8ar strat8gy engaging key stakeholders including patients, families and the public to ensure it reflects local needs and aligns with broader health and care syst8m priorities. The core ambition of thi5 Stralegy 15 to ensure that everyone in our ¢ornrnunty who 1$ faclng the end of life has accèss to hig1￿qualIty car8 and support wh8n they need It most. Every stsff member and volunteer have an essentlal role in d81ivering our strategic objectlV8S. Flnan¢ially 2023124 has b88n ¢hall8nglng and wlth the dèmand for palliative care continuing lo grow thls financial pressur8 will only continu8. Our fundraising and retail teams, as always. are Showing craatlvlty and adaptability in finding new ways to boost income, helping to make our goals a reallty. Thank you for your continued support. Hospiee care Is, above all, a team effort. and l extend my Ppartf8lt thanks to everyone who has Gontributed to our work this year: donors. funders, partners, supporters, staff and volunteers. We could not continue to improve the lives of local families without you. l am particulady grateful to our dedicated team of staff and volunteers whose efftirts have enabled us to accomplish so much this year. Without them, V￿ wouldn't be able to provide the exceptional care and compassionate support that our patients and their families have come to expect from St. Teresa's Hospice. l am incredibly proud of all that we have achieved together over the past year. Finally, here at St. Teresa's Hospice. we remain steadfast in our Vision.. to ensure that all in our community facing the end of their life are supported to live life full and die with dignity, in a place that is right for them, knowing their loved ones are supported. Thank you for taking the time to read our Annual Report for 2023124. 1 look forward to another year of growth and challenge. Thank you for your continued support. N J My8rs Chièf Executive Offlcor Date: 5 December 2024 DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE TRUSTEES, REPORT {INCLUDING DIRECTORS. REPORT AND STRATEGIC REPORT) FOR THE YEAR ENDED 31 MARCH 2024 The Trustees present their annual report and financial statements for the year ended 31 March 2024. The financlal statements have been prepared in accordance wlth the a¢¢ountSng policles set out In note 1 to Ihe financial ststements and comply with the Charity's Deed of Trust, the Companies Act 2006 and 'Accountlng and Reporting by Charities.. Ststement of Recommend8d Practice appllcable to cha￿tieS preparlng their accounts in accordance wlth the Flnancial Reporting Standard appli¢able in the UK and Republic of Ireland {FRS 102)" {effective 1 January 2019). Objectlvos and actlvlties Our aim is to care for people wlth a palliative diagnosis, to provida excellent end and lo provide support for their carers and other family members up to and beyond bereavement. Mi$$ion slatement st Teresa's Hospi¢8 aims to provide "CHOICE. C omplets H olllstic palliative care O ffered I n the palients C hosen E nvlronment We believe we will achieve this through good managemenL through partnerships. through fun&raising and through the recrultrnent and management of quallty personnel in all flelds. Our values The Hospice exists to enhanc8 the qu81ty of life for those suff8ring from Ilf&limiting illness, and offers speciallst palliatlve care and support to patients and carers, in the belief that each person Is èntitled lo d¢nty and cholce within Ihe best provision of care. Our services are built-up on the basis of patient need and ¢hoic8. using a holistic approach. SeNlcas are accésslble to everyone in the communlty (regardless of race. creedlnorFcreed, sexual orientstion. soclal standing, age, or financial status). How do wo respond to their need$? We are a need-18d service, responding to the needs of patients and their carers. Our soNices hav8 developed entirely as a result of listening to carers, ne8ds for support and patients, naeds for comfort and thoiGe in when and where they receive their care. We also hav8 close working relationships with 10¢81 GP'S and Community Nurses, who have con8id8rable input into the options we provid8 for patient care. The Charity's development is as a direct result of input from patients. carers and health care professionals. In brief, summary. our services are: 6 Bedded Inpatlènt Unit - Day hosplce s8NicE,' a tèlephone "keeping in touch. service was initiated - Hospic8 Home Care - Rapid Responsp S8Nices - Lymphoed8ma Service - Family Support (including counselling. sp8dallst social work and bereav8m8nt care) - Complementary Therapies Publie benefit The charity's aims and achievements are set out within this report. The adivities set out in the report have been undertaken to further thè charity's charitable purposes for the public benefit. The Trustees confirTn that they have complied with Ihe duty in section 17 of the Charities Commission. The Trustees have considered this guidance in shaping the charitable company's objectives for the year and planning current and fulure activities. The Trustees have paid due regard to guidance issued by the Charity Commission in deciding what activities the Charity should undèrtake and when planning future activities. The charitable objectives are also set oul in order to provid8 a dear and demonstratable public benefft, which the trustees believe are continually achieved. DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT AND STRATEGIC REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Volunteers Volunteers offer thelr skllls, 8xp8d8nc8. exp8rtls8 and time to every department in the Hospice and fonn an important part of St Teresa's worlrforce. We recognise their commilment and their value. The Board of Trusteès who have uppermost authority for controlling the 8¢tivities of the Hospice aré volunl88rs. Strateglc report The description under the headings 'Achievements and performance" and "Financial review" meet th8 company law requirements for the Trustees to present a strategic report. Achievements and p•rfomian¢e In the Quality Improvement Priorities 2023124 report, wè set out three priorities for improvement. We are pleased to report that considerable progress has been made as detailed beiow. Developlng our worklng cultur8 The aim of this objective was to bring staff and volunteers together to develop and 'own' a framéwork for Hospice culture that would ènable the Hospicé to become a great place in which to work. During the past year we have Conduct8d various 8ngagem8nt 8xerclses wlth the Hospice team, including questionnai￿$. asklng them to answer the question.. 'when we are at our best what values are alive in the organi5ation', Wè havè incrèased lèvals of t8am understsnding and Qoopèration by introduclng a section in our newsletter focusing on different t8ams, their role and responsibilities Completed personality profiling to improve self-awareness of the leadership team and to help them become more effective leaders and managers Shared with the staff team the drafl values for comment prfor to rolling them out. Once finalised the aim 18 to provide focus and a greater sense of purpose and engagement, reinforcing our broader goals and feeding into everyday decisions and work. These will act as one of the bulldlng blocks of hospice culture. giving a rnnsistent ￿f$ranGe point, even in times of thange. Measuring clinical effectiveness.. A fundamental review Consldering the National Guidance for Palliative and End of Life Care, we Identmed the need for a fundamentsl review of the tools we use to measur8 clinical 8ffectiv8n8ss and evaluate how compatible they are with a ￿rSOn- ntred approach. We identified a handful of current ass8ssm8nt tools which ar8 routinely completed on a daily or weekly basis. W8 then fomied a team from the Inpatient Unit to review each assessment tool. This proje¢t was split into threo phases=. Audit of current tolls. a lit8rature s8arch. r8vi&w of NICE guidance. collat8 b8St practice from local hospic8 networks and hospitals. Fo￿nulatIOn/adapt1on of Glinical tool and publish within Syslmone Provide staff education to enable trial and revi8w In three months against data collated from current tools. Our Ilteralure revlew and research on the first phase highlighted themes such as Incomplete ass8ssm8nt tools, poor sensitivity accuracy, inadequate Int8r-rat8r r81iabllity- thls may b8 due to lack of clear definitions withln the categories and differentiating level of knowledge between the users. For example, limitalions in the predlctive validity of the Waterlow sco￿. By contrast, within palliative care the PURPOSE-T assessment tool can be indivlduallsed, providlng speclfic care to that patient. We havè therefore formed a collaboration wtth a local hospice to integrate the PURPOSE-T tool Into practice and, by working together, plan to slandardise care. DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT AND STRATEGIC REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 We are also currently piloting a nursing acuty tool known as The Mary Potter Tool". to assess individual patient acuty levels. to support decisions around admission and discharge and identfy appropriate staffing levels to ensure a high standard of nursing care and safety. W8 are now able to progress to the second and third phases of the review which we plan to complete within the next six months. Widening aC￿sS to Hospice servi￿$ This quality improvement priority emerged from our ambition to ensure Hospice care is accessible to the whole community. especially people with a low social*conomic status who are under-represented in our services. Our vision was to work with those system partners who already engage with people who are homeless, in vulnerable housing or experiencing financial hardship, to improve their awareness of Hospice services and to sw)port people known to them with palliative care needs. We also wanted to learn how to reduce barriers to Hospi￿ care arKI deliver more inclusive services. In April 2023 the Hospice was awarded a grant through Hospice UK to implement a 1&month outreach programme with three main obje¢tives:_ Out-Reach', regular visits to voluntary organisations to raise awaran8ss of Hospice carg. In-Reach: provision of pallialive care social work support into lo¢al authority housing services. Lasting change: leaming from the lived experience of others, improving pathway. reducing barriers. improving outcomes. We have been deltghted by the progress mad8 and the response we have ￿CeIv@d, l)oth in terms of the additional people we hav8 been able to support and the enthusiasm of other organisations to support Ihe project. In liné with the projéct plan, we have forged good relationships and rèferral pathways with the Local Authority téam rèsponsible for homelessnèss and thelr contracted providers. This has successfully raised awareness of palliative ¢ar8 and the support available and, through these contacts. we have met new people who may othe￿ise not have accessed our services. Beyond the immediate stakeholders we hava shared the project aims with local councillors. the ICB and the Primary Care Nelwork. This led to a meeting with project leadèrs of a "Poverty Proofjng Pathways. audit for the local NHS Trust. This second phase of the project focussed on th8 Outreach to communty groups who V￿rk wlth people experiencing financial hardship, including k)cal foodbanks and debt management agencies. Like our earlier work with the housing teams, our social worker met with these new stakeholders to rdise awareness of palliative care and Hospice services and. through these contacts. we have taken new referrals. Since the project began. 16 new referrals have been received. four of whom were for peop18 homeless at the point of referral. Our social V￿rker has worked with these individuals and partner organisations trj advocate for the privacy and dignity of Peop￿ in temporary accommodation. support advance care planning for those with lif8-limiting illness, enable access to specialist clinical services and help peopb to maximise their income. To date six people being cared for under this project have died: four on the Inpatient Unit and two died at hom8 with the support of our Community Hospice team. As we enter the final phase of the project we are looking to discem lasting quality improvements. Some th8mes are already emerging which we aim to take forward in the coming months. These include a named link worker in th8 Hospice team for housing and social care. exploring thè viability of outreach clinics in the communty and ongoing work with stakeholder agencies to embed referral triggers in their processes. From this year's review of our priorsties thal we have achieved a great deal. We have developed our working culture, initiated a fundamenlal review of the tools we use to measure clinical effectiveness and, throu9h the implementation of an oulreach programme, have introduced people to our services who may otherwise have not accessed them. Our work is made possible through an effectiv8, eclectic mix of stsff and volunt88rs. The Board and Senior Manager thank all of the people in our team and our supporters in the wsder communty. DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT AND STRATEGIC REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Fundraising The charity is required to report how it deals with fundraising froffl the public. The charity does not US8 professional fundraiser or commercial participator to raise funds. Any monies raised dired from the public follows all guidelines set out by the Charities Commission and UK law in every respect. We respect the privacy and contact preferences of all public donors. Financial review We provide all our core services free of charge to patients, families and carers. Our fijnding continues to be provided via a core grant re￿iVed from the NHS and through the generous support of the local community in the form of donations. legacies. fundraising evènts and our One Wish Lottery and shops. We commenced the year wilh a deficit budget of £539.474, the outcome for the year was a positlv8 uplift. however still a deficit of £195.817 with the previous year being a £336,044 deficit. Donations from events and trusts has increased on th8 previous year from £426,353 to £495,061 along with trading income from £707,755 to £740.820 Exp8nditure has increased on the previous year from £3,385.373 to £3,570,977. this is In Ilne with budget. Staff costs are our largest expense equating to 60.371)kn of total expendlture, howav8r without the dedication from all our professional staff and volunte8rs th8 Hosplco could not contlnue to provide its services. In summary the Hospice relies on the support of the Integrated Care Board (ICBI. our committed staff and volunteers. the community and businesses and its i)wn commercial actlvitles to continue operating. This continues to b8 so as the cost of Ilvlng continues lo increase for everyone. We enter 2024125 with 8 deficit budget of £593k, we are therefore reliant on our healthy cash position and built up reserves. The staff, Trustees and volunteers Bre commltted to maximising incom8 and controlling expgndlturé without ompromising services to help ensurg that Ihe Hospice can conilnu8 to offer the high-quality care and support that has made it an essential part of the communty for so many years. Golng eoneern Forecasts have been prepared covering 12 months from the date of slgning these financial statements. Trustees are satisfied that there are no material uncertainties in respect of going concern. Further d8tail is glven in the notes section. Policy on reserves Reserves are needed to sustain operations during periods when there is an unanticipated shortfall in main income sources or to cover unanticipated significant expenditure. The Trustees review risk to the Hospice on a regular basis via a panel of expert5 on the Finance Committee. In previous years the Trustees have concluded that reserves of at least six monlhs, operational costs should be held. This would equate to a reserve in the range of £1.5m to £2m as at 31 March 2024. Reserves at 31 March 2024 ar6 £5,661,706 {2023: £5,857,523} of which £904,020 (2023: £888,480) are restricted and £4,757,686 (2023: £4,969,043) are un-restricted. Restricted reseNes are to be used for expenditure as specrfied by the donor, un-restricted reserves are available to fijrther the Hospices purpose. The actual free reserves currently held al 31 March 2024 amounted to £2.953,504 (2023: £3,073.709). The Trustees consider that the Hospice has sufficient readity available reserves to enable it to pay for ongoing operations during the year to come. DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE TRUSTEES. REPORT (INCLUDING DIRECTORS. REPORT AND STRATEGIC REPORT) (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Risk management Ke8ping patients. families, slaff and visitors safe is a fundamental principle at St Ter8sa's and as such, rlsk management is fimily embedd8d in the cultur8 and structure of the organisation. The Trustees review dsk to the charity on a regular basis, as part of tho adminlstration of the charity,. thls process is undertaken through Management meetings and through the sub 1 5.540 (195,817) (359,907) 23.863 {336.044} Fund balances at 1 April 2023 4.969,043 888.480 5,857,523 5,328.950 864,617 6,193.567 Fund balances at 31 March 2024 4,757,686 904.020 5.661.706 4.969,043 888,480 5.857.523 The statement of financial activltles Includes all gains and losses r6cognised in the year. All inKJrne and exp8nditure d8rive from continuing adivities. The statement of financial activilies also complies with the requirements for an income and expenditure account under the Companies Act 2006. 13- DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE BALANCE SHEET AS AT 31 MARCH 2024 2024 2023 Notes Fixèd as$ots Tangible assets 15 2.708,202 2.783.814 Current assots Debtors Cash at bank and in hand 16 515.775 2.628,488 374,909 3.166.422 3,144,263 3,541.331 Credltors: amounts falling due within one year 17 (190.759) (467,622) Net current assets 2.953,5Q4 3.073.709 Total assets less Current liabilities 5,661,706 5,857,523 Income funds Restricted funds Unrestricted funds - gen8ral 21 904,020 4,757,686 888,480 4,969.043 5,661,706 5,857,523 The financial statements were approved by th8 Trustees on 5 De¢8mber 2024 Mr M W Brown Trustee Company reglstratlon number 02080756 14- DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 MARCH 2024 2024 2023 Notes Cash flows from operating activities Cash (absorbed byygenerated from operations 25 {380.589) 694.978 Investing activities Purchase of tangible fixed assets Investment income received (38,847) 73.169 (87,399) 4,642 Net cash generated froml{u3ed in) invèsting activitios 34,322 (82,757) Flnanclng actlvltles Repayment of bank loans (191,667) (50,000) Net cash used In financlng actlvltles (191,667) (50.000> Net (decreaseVin¢rease in cash and cash equivalents (537.934) 562.221 Cash and cash equivalents at bèginning of yéar 3.166,422 2.604,201 Cash and Cash oqulvalents at end of yoar 2,628,488 3,166.422 15- DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 Accounting policlos Charlty Inforniation St T8resa's Hospice is a privat8 Company limited by guarantee, registered in England and Wales and a registered charity in England and Wales. The address of the registered offio is The Woodlands. Woodlands Road. Darlington. DL3 7UA, Durham. The liability of Individual membérs is limited to a maximum of £1 rf the charity is wound up whilst helshe is member or wlthin one year of ceasing to be a member. 1.1 A¢countlng convention The financial statements have been prepared in accordance with the Charity's Deed of Trust, the Comp8ni8S Acl 2006, FRS 102 'The Financial Reporting Standard applicable in the UK and R8publi¢ of Ireland" {FRS 102.) and th8 Charities SORP "Accountlng and Reporting by Charities: Slatement of Recommended Practice appllc8b18 to charitles preparing thelr accounts In accordance wlth the Financial Reporting Slandard applicable in the UK and Republic of Ireland {FRS 102)" (effectlve 1 January 2019). The Charity is a Public Benefit Entity as defined by FRS 102. The financlal ststements are prepared in sterling, which Is the functional currency of the Charity. Monetary amounts In these financial statements are rounded to the nearest £. The financial statements have been prepared under the historical cost convention. The principal accounting policies adopt8d are set out below. 1.2 Golng concern At the time of approving the financial statements, the Trustegs have a reasonable expectation that the Charty has adequate r8sources to continue in operational existence for the foreseeable future. Thus the Tnstees continue to adopt the going concern basis of accounting in preparing the financial statements. Th8 Charity me8ts its day to day working capital r8quirements through cash generated from operations. At the year end th& charity had n8t current a￿ets of £2,953,504 including cash of £2,628.488 and made a deficit of £195,817. The chsrlty took out a CBILS loan during a prior year, however, this was fijlly paid off in July 2023 and there are limlted other financial commitments. The charity's forerAsts and projections for the next tsvelv8 months show that the charlty should be abl8 to ontinue in operational existence for that period, taklng into account reasonable possible changes in trading performance. Th8 charity has strong cash and n81 current assets balances. In the trustee's assessmènt of reasonably possible changès In financial pèrfonnance for the n8xt tsvelve months they hav8 consid8red a fall in fundraising and tradlng income should restrictions be reintroduced. Based on the factors set out above. the trustees believe that there is no material uncgrtalnty in relatlon to going ¢oncem and that the charity has adequate financial resources to ￿ntInUe in operational existence foT at least ￿e1ve months from the date of signing the financial statements and therefore, the trustees beliève it remains approprlate to prepare the financial statements on a golng con￿rn basis. 1.3 Charltable funds Unr8Stricted funds are available for use at the discretion of the Trustees in furtherance of their charitable objectives. Designated funds comprise fLtnds which have been set aside at the discrelion of the Trustèes for specific purposes. The purposes and uses of the designated funds are set out in the notes to the financial stst8ments. Restricled funds are SubJ￿t to specific Gonditions by donors as to how they may be used. The purposes and uses of the reslricted funds are set out in the notes to the financial statements. 16- DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Accountlng pollcles Icontlnuod) 1.4 Income All income is includèd in th6 Statement of financial activitias when entitlemént has passed to the charity. it is probablè that the economic benefits associated with th8 transaction will flow to the entity and the amount can be measured reliably. Donations and l•gacles Cash donations are recognised on receipt. Other donations are recognised once the Charity has been notified of the donation, unless performance Conditions require deferral of the amount. InGom8 tax recoverable in relation to donations received under Gifl Aid or deeds of covenant is recognised at the lime of the donation. LegaGies are recognis8d on receipt or otherwise if the Charity has been notified prior to the year end of an impending distribution, the amount is known, and receipl is expected. If the amount is not known. the legacy is trealed as a conlingent asset. Donated services and facilitles Income from donaled goods is measured at the fair value of the goods unl8ss this is impractiGal to measure reliably, in which case the value is derived from the costs to the donor or the estimated resale vahje. Donated facilities and services arè recognised in the accounts when received if the valug can b8 reliably measured. No amounts ar8 included for the contribution of general volunt8ers. Income from contracts for the supply of services is reGognised with the delivery of the contracted servi￿. This is classifi8d as unrestricted funds unless there is a contractual r8quirement for it to be spent on a particular purpose and retumed if unspent. in which case it may be regarded as restricted. Grants recelvable Income from grants is recognised when there is evidence of entit18ment to the grant, receipt is p￿babIe and the amount can be MeaSu￿d rellsbly. Grants are recognised in income over the pe￿0d in which the casts are recognised wh8r8 ther8 are p8rfomanc8 conditions attachèd to the grant. otherwis8 the income is recognisèd Other trading acliviti8s Shop income is recognised at point of sale. 1.5 Expenditurn Expenditure is recognised once there is a legal or constructive obligation to Iransfer economic benefrt 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 activty. The costs of each activity are made up of the total of di￿ costs and shared costs, including support costs involved in undertaking each activity. Direct costs attributatle to a single activity are allocated directly to that activity. Shared costs whith wntribute to mor8 than one activity and support costs which are not attributable to a single activity are apportioned between those actbvitie5 on a basis consistent with the use of resources. Raising funds Expenditure on raising funds includes the cost of all fundraising activities, events, non-charltable trading activities, and the sale of donated goods. 17- DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Accounting pollclos (Contlnued) Charitablo Actlvltles Expenditure on charltable activities Includes all costs incurred by a charity in undertaking activities that further its charitable aims for the ben8fit of its beneflciaries, includlng those support costs and wsts relating to the govemance of the charty apportioned to charitable adivitl8s. other Expenditure Other expendltur8 includes all expenditure that is neither relat8d to raising funds nor part of its exp8nditure on charitsble activttles. 1.6 Tanglble fixed assets Tangible fixed assets are initially measured at cost and subsequently measured at cost less any accumulated deprèciation and impaiment losses. Depreciation is recognised so as to write off ihe cost or valuation of assets less their residual values over their usèful lives on the following bases: Land and buildings Furnitur8 and equipment Motor vehicles 2•10 Straight line Stralght line 4 years and straight line 15 years 25°/0 Straight line The gain or loss arising on the disposal of an asset is detem)ined as the difference balween the sale proceéds and the carying value of the asset, and is recognised in the ststament of financial activities. 1.7 Impaimient of fixed assets At each reporting end date, the Charity reviews th8 carrying amounts of its tangible assets to determine whether there is any indication that those assets have suffered an impairment loss. If any such IndrAlion exists, the recoverable amount of the asset is estimated in order to determlne the extent of the impairment loss (if any). Where the carying v21ue exceeds the recoverable amount. the asset is impaired accordingly. Prlor impaimients are also reviewed for possible reversal at each reportigng date. 1.8 Cash and cash equivalonts Cash and cash equivalents indude Cash in hand, deposits held at call with banks, other short-tem liquid Investments with original maturities of three months or less from the date of acquisition or opening of the deposrt or similar account. Trade debtors Trade and othèr debtors are recognised at the settlement amount due after any rate trade discount offered. Prepaymenls are valued at the amount prepaid net of trade discounts due. Tradè credltors Creditors and provisions are r8cognised where the charity has a present obligation resutting from 8 past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can b8 measured or estimat8d reliably. Creditors and provisions are normally recognis8d at their Settle￿nt amount after allowing for any tradg discounts due. 1.9 Retlrement benèfits Pensions and other post retiroment obligallons Contributions to defined contribulion plans are recognis8d as an expènse in the period in which related Se￿1￿ is provided. Prepaid contributions are r8cognised as an ass8t to the extent that the prepaymant will lead lo a reduGtion in future payments or a cash refund. 18- DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Critical accounting estimates and judgements In the applicatlon of the Charity's a¢￿UntIng policies. the Trustees are required to make judgements, estimates and assumptions aboul the carrying amount of assets and liabilities that are not ￿adIlY apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates. The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised In the period in which the estimate is revised where the revision affects only Ihat period, or in the period of the revision and future periods where the revision affects both current and future periods. Key sources of estlmatlon uncertainty Legacles The charity includes (in its debtors) amounts due from legacies, where these have been notified prior to the year end. These are based on best information received prior to ¢ompletion of the amounts and ar8 only eslim8tes made by solicitors which are subject to change. 19- ) p￿ ¢0 (ts ) c> Lnp 00) o sX> iNow) (N r Ln tr) w In c c o o o o DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 other trading activities Unrnstrictod Unrostrleted funds funds general general 2024 2023 Shop income 740,820 707.755 Shop income is from the sale of donated goods. Invesiknents Unrestricted Unrestrlcted funds funds general g•noral 2024 2023 Interest receivable 73,169 4.642 Olher income Unrestrietèd Unrestrlcted funds funds general general 2024 2023 Net gain on disposal of tangible fixed assets Other income 2.51)0 6.640 30,906 30.906 9,140 -21 DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Raising funds Unrnstrlctod Restricted funds funds general 2024 Total Unrestricted funds general 2023 2024 2024 Cost of Events Advertising Other fundraising costs Stsff costs 46,596 5,199 598 169,168 200 46,796 5,199 598 169,168 74,908 476 9.824 144.006 Fundraising and publicity 221,561 200 221,761 229.214 221,561 200 221.761 229.214 -22- DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Charitable aetivftles (Continued) For the year onded 31 March 2023 Shops Governancè Expensos Costs In Patlent Home Care Out Patlent Unit and Operatlonal Costs Total 2023 Staff costs Charitable activities 392,967 261,397 705,838 27,494 425,239 172 375,188 1,899,232 45,701 334.764 654.364 733,332 425.411 420,889 2,233.996 Share of support cosls (see note 91 Share of govemance costs (see note 9) 537,940 537.940 384,223 384,223 654,364 384,223 733.332 425,411 958,829 3,156,159 Analysis by fund Unrestricted funds - general Restricted funds 654.364 384,223 729.175 4.157 340.876 84.535 930,698 3,039.336 28,131 116.823 654.364 384,223 733,332 425,411 958,829 3,156,159 -24- DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Support costs Support Governance Costs costs 2024 Support Govomancè costs costs 2023 Staff Costs Depreciation Running costs Travel costs Training 132.551 106.059 276.678 40.490 8.190 313.219 445.770 106.059 276.678 40,490 8.190 114.297 89.767 291.858 31.796 10,222 263.845 378.142 89.767 291,858 31,796 10.222 Audit fees Legal and professional Human resources Finance costs Running costs Travel costs Sundry 12,100 10.214 31,886 7.651 23.550 78 14,704 12,100 10.214 31,886 7,651 23.550 78 14.704 11.000 42,329 22.047 13.239 17,918 183 13,662 11.1)00 42,329 22.047 13,239 17.918 183 13,662 563,968 413.402 977,370 537.940 384.223 922,163 Analy58d b8twe8n Charitabl8 acltviti8s 563.968 413,402 977.370 537.940 384,223 922.163 10 Net movement In funds 2024 2023 Net movement in funds Is staled after chargingl(crediting) Depreciation of owned tangible fixed assets Lossl(profit) on disposal of tangible fixed assets 106,059 8,400 89,767 {2,500) 11 Audltorfs rnmuneratlon Feos payable to tho Charlty's audilor and assoeiates: 2024 2023 Audit of the Chariws annual aG¢ounts 12.100 11.000 12 Trustees None of the Trustees {or any persons connectèd with them) received any remuneration or benefits frcffl the Charity during the year. -25- DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 13 Employ¢os The average monthly number of emptoyees during the year was: 2024 Nurnb8r 2023 Numb8r 126 126 Employment costs 2024 2023 Wages and salaries Social security costs other pension costs 2.352,288 187,894 108,237 2,146,936 170,208 104,236 2.648,419 2,421,380 The number of employees whose annual remuneration was more than £60,000 is as follows.. 2024 Numbar 2023 Number £60,001 to £70.000 £70,001 to £80,000 14 Taxatlon The Charity is exempt from tax on income and galns falling withln section 505 of the Taxes Act 1988 or section 252 of the Taxationof Chargeabl8 Gains Act 1992 to thè extent that thesè are applied to its charitable objects. -26- DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 15 Tanglble fixed assets Land and Furntturg and Motor v•hlcles buljdlngs oqulpmvnt Total Cost At 1 April 2023 Additions Transfer to held for sale 3,636,018 1,498 (26.250) 599,325 37,349 28.181 4.263.524 38,847 {26.250) At 31 M8rch 2024 3.611.266 636.674 28.181 4.276.121 Depreciation and impaimient At 1 April 2023 Depreciation charged in the year Transfer to held for sale 951.880 68.734 (17,850) 513.432 33,479 14,398 3.846 1.479.710 106.059 (17,850) At 31 March 2024 1,002,764 546.911 18.244 1.567.919 Carrying amount At 31 March 2024 2.608.502 89.763 9,937 2.708,202 At 31 March 2023 2,684,138 85,893 13,783 2.783,814 The charity has a £1 ordinary share in North East Hospice Lottery Limited INEHLI This represents a 250/0 share in the alloted share capital of this entity which is incorporated in England. The audited fIn￿CIal statements for North East Hospice Lottery Lirnited for the year ended 31 March 2024 shows shareholders fijnds in a surplus of £88 (2023.. £12). NEHL will be terminating activity on 31 March 2024 subj8Ct to a final distribution in due course. 16 Debtors 2024 2023 Amounts falllng due within ono year: Trade debtors Other debtors and accrued income Prepayments 12,396 419,246 84,133 19,486 262,658 92,765 515,775 374,909 -27- DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 17 Creditors: amounts falling due wlthin one yoar 2024 2023 Notos Bank loans Other taxation and social security Govemment grants Trade creditors Other creditors Accruals and deferred income 18 191,667 39,570 79,804 73.117 21,631 61.833 44.331 19 100,326 21,107 24,995 190,759 467,622 18 Loans and overdraft8 2024 2023 Bank loans 191.667 Payable within one year 191.667 During the 2020121 financial year the charity obtained a Coronavirus Business Interuption Loan. lrterest was Charged as at rate of 2.28 /0 over base rate and interest for the first year was paid by th8 UK Govemment. The Loan was repayable over 60 monthly installments ￿Mmencing 12 months from drawdown (February 2022)-The loan was fully repaid in July 2023. Bank loans were secured by a legal charge by NHS England over the freehold property at Thé Woodlands, Wood￿nd Road. Darlington on the bank's standard terms. 19 Government grants Deferred income is included in the financial statements as follows: 2024 2023 Deferred income Is Included within: Current liabilities 79,804 Movements in the year- Deferred income at 1 April 2023 Released from previous periods Resources deferred in the year 79,804 (79,804) 1,999 {1,999) 79.804 Defe￿ed income at 31 March 2024 79,804 -28- DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 20 Rèlirement benefit schemes Defined contribullon schomos The Charity operates a defined contribution pension scheme for all qualifying employees. The assets of the scheme are held separately from those of the Charity in an independently administered fund. The charge to profit or loss in respect of defined contribution schemes v￿$ £108.237 (2023 - £104.236). Contributions tolalling £21.107 (2023: £21.273) were payable to the scheme at the end of the year and are included within creditors. 21 Restricted funds The income funds of the charity include restricted funds comprising the following unexpended balan￿S of donations and grants held on trust for specific purpos8s.' Movement In funds Incoming Ro￿ur¢¥$ Balance at resources expended 1 Aprfl 2023 Movement in funds Incomln9 Re¥our¢•$ Balanc• at r•sour¢•$ expended 31 Mar¢h 2024 Balance at 1 Aprll 2022 IPU Building Grant NHS England grant Family Support Rooms refurbishment Wolfson Suite Tees Esk and Wear Valley Resilience Funding The JGW Patterson Foundation North East & North Cumbria CHC Mattress Fund The Albert Hunt Trust February Foundation Sir James Knott Trust The Hobson Charity Darlington Borough Council Car8rs break 127,155 {2,890) 124,265 (2.890) 121.375 700.000 700.000 700,000 24.698 5.257 {613) (2.013) 24.085 3.244 (613) (2,013) 23,472 1,231 9,995 (5,172) 4.823 (4.823} 10.000 r, (10,000) 49,001 (49.001) 11,000 (1,943) 9.057 15,000 (15.000) 7,500 (7,500) 9.462 (9,462) 9,795 {1,016} 8.779 4,330 (4.330) 3,996 (3.996) -29- DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 21 Rostrlcted funds (Continued) Darlington Womens Group Tees Valley Sport Hospice Ald UK Mogan & Mogan Hadrian Trust IPU Door ProjeGt Other restricted funds (see lable below} 1,000 1,000 1.000 4,000 4,000 14,000) 999 (183) 816 2(10 200 (200) 1,000 -r (1.000) 15,054 fy 15,054 6.507 121,162 (101,805) 25,864 34,078 (36.706) 23,236 864,617 140,686 (116,823) 888,480 185,886 (150.346) 904,020 Other restrfcted reserves com rise.. Balanco at Incomlng Resources Balance at Incoming Resourcès Balance at 1 April resources expondod 1 Aprll resources oxpendod 31 March 2022 2023 2024 North East & North Cumbria ICB Happiness Hubs Fund The William Lee¢h Chari North East & North Cumbria ICB Personalised Care Non Recurring Fund 2023 The Muckle Fund at Community Foundation Tyne & Wear and Northumb8rland Masonic Charitable Foundation vla Hospice UK IT Equlpment Syringe Drivers Tesco Stron er Starts other misc restricted funds Tolal other restricted funds 5.750 (4.252) 1,498 5.000 (5,000) 3.588 (3,588) 1.444 8,892 (8.892) 4,620 3,784 1,000 (278 1456 4,342 5,828 1,000 9,124 2,500 2.500 6,507 118,662 {101,805> 23,364 114.240) 6,507 121,162 {101,805) 25,864 34,078 136.706} 23,236 -30- DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 21 Restricted funds (Contlnued) The speafic purposes for which the fiJnd5 are io be applied are as follows: The in Patient unit {IPUl Grant was a contribution towards the construction of the IPU building and the grant was fully spent in 2015116 year. The NHS England grant was lo fund the continuing use of the freehold property 'The Woodlands,. The fund is restricted until the NHS release the legal charge over the property or until the propety is sold. The refurbishment of the 1 st floor of The Wotsjlands {fomier IPU) to house the family support suites was funded by the Children in Need grant. Finaly Cooper Fund and William Webster Charitable Trust, all of which were fully spent in 2017118 year. and the ASDA Foundation grant whith was also fully spent in 2018119 year. The Wolfson Suite grant was to fund the kitchen added to the Wolfson Suite In the Hospice. The grant was fully spent in 2017118 year. Tees ESK and Wear Vall8y Resilience Funding funded a staff members salary for the period 1 October 2022 to 30 September 2023. The brought forward balance was fully expendèd i99n th8 year. The JGW Patterson Foundation provid8d £10,000 as a contribution towards the Cost of proving our compl8mentary therapy servic8. which was fully spent on staff salaries in the year. North East & North Cumbria ICB provided £49,001 for the provision of continuing health care and thls has been fully spènt in the year against staff costs. Mattress Fund.. The Barbour Foundation provided £1,000 for tuming mattr8SS8s in the year and this was fvlly spont in the year. A further donor, who wishes to remain anonymous. provided £10.000 for luming mattresses in the year and this was fully spent in the year. The Albert Hunt Trust provided £15.000 in the year as a contribution towards core nursing Costs, ￿lch has been fully spent in the year. February Fciundation provlded funding of £7,500 in th8 year as a contribution towards core nurslng costs. whlch has been fully spent in th8 yèar. Sir James Knott Trust provided funding of £9.462 as a contribution towards the cost of proving our complementary therapy service. which was fully spent in the year. The Hobson Charity provided funding of £9,795 in the year to switch to more energy efficient LED lighting and has been fully spent in the year. Darlington Borough Council carer breaks provided funding of £3,996 in the year to run support groups. complementary therapies and counselling for adult and young carers, which was spent in the year. Darlington Women's Group provided fijnding of £1,000 for furniture within the Family Support seNice during 2021122 and this remains unspent. Tees Valley Sport provided £4,000 of funding for Stay Active Sessions, which wa5 r8ceived in 2022123 for the delivery period 1 April 2023 to 30 September 2023. This was fully spent in the 2023124 year. Hospi￿ Aid UK provided funding of £999.98 for the purchase of two vacuum Cleaners which was spent in the year. Mogan & Mogan providad £200 of funding for Easter treats to show appreciation for our staff and vdunteers. This was spent in the year. Hadrian Trust provided £1,000 in th8 year as a contribution towards core nursing costs. This has b88n fully spent in the yèar. 31 DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 21 Restrict￿ funds (Continued) IPU Doors Project - replace and widen the patio doors in the IPU bedrooms to allow patients access to the gardens. Funds received from the following are contributing to this, but remain unspent in the year, wilh the project being completed in the 2024125 year: The Hospitsl Saturday Fund £2,000 The Jack Brunton Charitable Trust £5.000 The A M Fenton Trust £6.554 The Barratt Foundatlon £1.500 North East & North Cumbria ICB - Happlness Hubs Fund, managed by Ploneering Care Partnership, provided funding of £5,750 for a crealive ¢afé running to June 2024. The balance of the funds relatlng to 2024125 year have been carried for•iard. The William Le8ch Charlty provided £5,000 In th8 year as a contributlon towards community h¢)spi¢e co costs, which has been fully spent in the year. Norih East & North Cumbria ICB - Personalised Care Non-Re¢urrfng Fund 2023, provided funding of £3,588 for the Woodlands Wellbeing Hub for targeted community Outreach for South Durham. This has been fully spent in year. The Muckle Fund at Community Foundation Tyne & Wear and Northumberland provided funding of £1.444 for IPU visitor chairs which is unspent in the year. Th8 chairs will be purchased early in the 2024125 year. Masonic Charitable Foundation Hospice grant programme. managed by Hosplce UK, provided funding of £8,892 to improve accessibility to hospice seNices for péople impaded by povety or hom818ssness. This was fully spent in the year. IT Equipment: The Rothley Trust provided funding of £1.500 for IT equiprnenl in the year and this was fully spent in the year. Darlinglon Borough Council provided funding of £3.120 for laptops for the communty hospiGe seNice in the year and this was fully spenl in the year. Syringe Drivers: Kilpatrick Fraser Charitable Trust provided funding of £1.284 in the year for a syringe driver and this was fully spent in the year. The Catherine Cookson Charitablè Twst provided funding of £2,500 in the year for syringe drivers which was fully spent in the year. The William Webster Charitable Trust provided £2,500 for syringe drivers in the year. Tesco Stronger Starts provided £1,000 funding for child bereavement resources in the year and thls remalns unspent. For capitsl expanditure, the funding is being released to unrestricted funds in line with the depreciation policy. -32- DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Analysis of net assets between funds Unrestricted Restrlcted funds funds 2024 2024 Total Unrèstrlcted Restrlcted funds funds 2023 2023 Total 2024 2023 Fund balances at 31 Ma￿h 2024 are repres6nt8d by: Tangible assets Current assetsl(Ilabllitles) 1,804.182 2,953.504 904,020 2,708,202 1,895,334 2.953.504 3.073.709 888.480 2,783,814 3,073.709 4.757.686 904.020 5.661,706 4.969,043 888,480 5.857,523 23 Operating lease commitments At the reporting end date the Charity had outstanding commitments for future minimurn18as8 payments under non4ancellable operating leases. which fall due as follows: 2024 2023 Within one year Beiween two and five years 100,797 218,530 134.527 284,962 319,327 419,489 24 Related party transactlons Remuneratlon of kèy management personnel The remun8ratlon of kay management personnel is as follows. 2024 2023 Aggregate compensation 251,155 152,312 -33- DARLINGTON & DISTRICT HOSPICE MOVEMENT TIA ST TERESA'S HOSPICE NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 24 Related party transactlons (Continued) Transactions wlth related parties During the year th8 Charty entered into the following transactlons with related parti8s: North East Hosplee Lottery Llmltod (Common d1￿Clor$) Income r8céiv6d amounting lo £38,584 (2023:£54,475}.At the balance sheet date the amounl due from North East Hospices Lottery Limited was £10,825 {2023:Nil). 25 Cash generaled from oporallons 2024 2023 Deficit for the year (195,817) {336,044) Adjustments for.. Investsnent income recognised in ststement of financial activities Depreciation and impaim)ent of tangible fixed assets (73.169) 106.059 {4,642) 89,767 Movements in working capital: (Increase)Idecre8se in debtors (Decreaseyincrease in creditors (Decrease) in deferred income {132.466) {5,392) (79.804) 870.047 77.849 (1.999) Cash (absorbod by}Jgonerated from oporatlons (380,589) 894.978 26 Analy$ls of changes In net funds At 1 April 2023 Cash flowsAt 31 Mor¢h 2024 Cash at bank and in hand 3,166,422 (537,934) 2,628,488 Loans falling due within one year (191,6671 191,667 2,974.755 (346,267) 2,628,488