Registered number.. 01801708 Charity number.. 519540 TREETOPS HOSPICE TRUST (A company limited by guarantee) TRUSTEES, REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 ENV89610744-0669-DEAF-0295-BAAB 1011412024 17'.35 PM UTC
TREETOPS HOSPICE TRUST IA company limited by guarantee) CONTENTS Page Reference and administrative details of the Company, Its Trustees and advisers Trustees, report 3-33 Independent auditor's report on the financial statements 34-37 Consolidated statement of financial activltles 38-39 Consolidated balance sheet 40-41 Company balance sheet 42-43 Consolldated statement of cash flows 44 Notes to the flnanclal ststements 45-72 ENV89610744-0669-DEAF-0295-BAAB 1011412024 17'.15 PM UTC
TREETOPS HOSPICE TRUST IA company limited by 8uaranteel REFERENCE AND ADMINISTRATIVE DETAILS OF THE COMPANY, ITS TRUSTEES AND ADVISERS FOR THE YEAR ENDED 31 MARCH 2024 Trustees Dr R EAldridge Mrs Beeley Mr C Glynn, Treasurer Mrs Y Hobday MrR Wjones DrCSKang Ms S Khalid (Appointed 26 September 20231 Ms H Macdonald IResi8ned 24 September 20241 Mr S Mitchell IResi8ned 30 August 20241 Mr A Perkins Ms Harris-christensen (Resigned 5 June 20231 Mr Millington (Resigned 5 June 20231 Mrs C Webster Dr C Potts (Appointed 3 July 20231 Dr M Swanwick Dr G Walton (Resigned 30 August 20241 Company registered number 01801708 Charity re8lstered number 519540 Registered office Treetops Hospice Derby Road Risley Derbyshire DE72 355 Company secretafy C Munton Chief executive Mrs J Heath Independent auditor UHY Hacker Young Chartered Accountants 14 Park Row Nottingham NGI 6GR Bankers Santander Bridle Road Bootle Merseyside GIR OAA ENV8961074 1011412024 17..15 PM UTC Page I
TREETOPS HOSPICE TRUST IA company limited by guarantee) REFERENCE AND ADMINISTRATIVE DETAILS OF THE COMPANY, ITS TRUSTEES AND ADVISERS ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Soli¢itor5 Ellis Fermor & Negus 2 Devonshire Avenue Beeston Nottingham NG9 IBS Investment managers Rathbone Brothers PIC Temple Point l Temple Row Birmingham B2 5LG ENV8961074 1011412024 17'.15 PM UTC Page 2
TREETOPS HOSPICE TRUST {A company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT FOR THE YEAR ENDED 31 MARCH 2024 The Trustees present their annual report together with the audited financial statements of the Company for the year I April 2023 to 31 March 2024. The annual report serves the purposes of both a Tru5tees' report and a Directors, report under company law. The Trustees confirm that the annual report and financial statements of the charitable company comply with the current statutory reouirements, the requirements of the charitable company's governing document and the provisions of the Statement of Recommended Practice ISORPI applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS1021 leffertive I January 2019 and updated October 20191. Objectives and activities Policies and objectives The objettives of the charity are contained in full in the Memorandum and Articles of the charity. They are also clearly Stated in the Vision, Mission and Values statement and are summarised as follows.. That everyone living within the communiries we serve has access to end of life care of the highest quality. To make every day count through giving the hi8hest quality support for patients and families living with life limiting illness or afferted by death and dying by.. Ensuring we have the skills and experience to deliver and promote excellence in end of life care provision Working in partnership with other local end of life service providers to ensure the best possible patient experience is achieved Developing services to reflect the changing needs of the diverse community we serve Respertlng the unique worth of every person We believe that every person is different but equal, and that everyone's unique needs and contribution5 should be recognised and supported. Exercising responslble stewardship The commitment of our staff and volunteers to making the best use of all our resources enables us to deliver high quality care today and in the future. Worklng With hope Our hope is to enable patients and families supported by the Hospice to live well and die well. Sustaining a culture of trust, warmth and safetv Everyone who comes into contact with Treetops is treated with care and respect. ENV8961074 1011412024 17.15 PM UTC Page 3
TRE0P5 HOSPICE TRUST IA company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Objectives and activities Icontinuedl b. Strate8ies for achieving objertive5 This year sees the current three-year strategy come to an end. Reflection on our aspirations shows a record of success in delivering on many aspects whilst recognising the challenges created by the pandemic and cost of living cris15. As outlined demand for our Hospice services are ever-growing, and it is unfea5ible to think that TreetOP5 as a provider can ever grow both physically and financially to a sustainable level that meet5 this demand for our services. As such our challenge is to think differently and grasp the opportunity to meet rising needs by supporting the knowledge 8rowth and skill level of others working with individuals and supporting families through education provision. Treetops will work with the trustees over the comin8 year to review the strategy for the next 5 years creating a renewed direction of travel with some ambitious plans fit for the next five years. Attivities for achieving objectlves These objectives are met through the provision of care services as follows.. Wellbeing Provision.. Wellbeing Days with Activity Programmes Wellbeing at Home Out-Patient Clinic Drop-ln Café Support and Information Carer Support and Signposting Therapeutic Services Pre and Post Bereavement Support Complementary Therapy Hospice at Home Roaming Nurse Service Education Compassionate Communities The Trustees have referred to the guidance contained in the Charity Commission's general guidance on public benefit. They are confident that the aims and objectives of the charity a5 manifested in the services it offers. both provide a public benefit and enhance the lives of the people who use the services. More information on how the charity has provided public benefit can be found in the achievements and performances section of this report. ENV8961074 1011412024 17'.15 PM UTC Page 4
TREoPs HOSPICE TRUST IA company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDIFOR THE YEAR ENDED 31 MARCH 2024 Objective5 and activities (continued) d. Volunteers We have 527 active volunteers, 92 inactive (either through ill health or personal choice) and approximately 37 in process lawaiting references etcl. These numbers bring us back to pre-pandemic levels. It has been a very busy year in volunteer services, partly due to attention created by the building and opening of The Saplings but also changes to what we do and how we do things. A new café opened on a Monday at the beginning of the year for those clients that need more ongoing support (they need to have been referred on via the Thursday café) and volunteers have been recruited to support this, including kitchen volunteers. The befriendin8 role remains one of the most popular choices for volunteers,. we now have a team of nearly 40 befrienders and the demand for befrlender support is increasing, the service has proved very successf ul. The gardening team has also grown over the last 12 months, now with a team of 14. With the help of the marketing team our methods of recruitment have been reviewed with a growing use of social media to attract volunteers. Retail volunteer recruitment has also been reviewed using on-line recruitment, moving towards a paperless process. The foundation induction course has been relaunched in a new format, and feedback is that it is popular and informative, with around 20 attendees at each session. New volunteer roles include a hospitality Meet and Greet role for The Saplings, in an attempt to reduce anxiety for the people attending for counselling. We have encountered several delays with DBS check5 during the earlier part of the year. The Disclosure and Barring Service took several weeks for certificates to be i5sued/received (rather than the standard 1-2 weeks). This is a government run service so there is little we can do to mitigate it. The knock-on effect from these delays has been felt with our Wellbeing space, Counselling. Befriending and Meet and Greet volunteers having delayed start dateslinductions. A major change during the year was the introduction of a digital telephone system. Some reception volunteers found it hard to adapt despite training and have chosen not to continue in the role. We held several recognition events this year. The volunteer winter social was held over a Saturday and Sunday which included long service award presentations,. it was enjoyed by those that came. During Volunteers Week in June, we said 'thank you, to our volunteers on social media and visited all of our shops with 'thank you biscuits, which were also distributed for volunteers on campus. The summer volunteer social evening was held during the week which was very successful with over 50 volunteers attending. Anna Bown, Volunteer Support Co-ordinator. is a founder member of the Wellbeing focu5 group and the Equality, Diversity and Inclusion group and in her role champions the volunteers interests at both groups so that our offer is as equal as it can be to both paid staff and volunteer5 ENV8961074 1011412024 17'.15 PM UTC Page 5
TREEfops HOSPICE TRUST IA company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUED} FOR THE YEAR ENDED 31 MARCH 2024 Achievements ond Performonce Review of activlties Provision of Care The Hospice last had a full onsite inspection by the Care Quality Commission ICQCI in April 2016. The final report awarded the rating of "Good" across the five domains of Safe, Effective, Caring, Responsive and Well Led. The exemplary report can be found on Treetops, website and on the CQC website. Over the last three years CQC has reconfigured its regulatory process to one of ongoing monitoring using a variety of information. Assessment is not tied to set dates or driven by a previous rating. It is focused on the five key questions, underpinned by quality statements. They Set clear expectations of providers, based on people's experiences and the standards of care they expert. As a part of this new process CQC undertook dirett monitoring activity IDMAI with the hospice early in 2022 and again in 2023. This involved gathering information from a wide range of sources and reviewing this in relation to data held by CQC registration and ratings information. This helped them determine our on80ing rating. As a result, the hospice continues to be rated as GOOD. There continues to be regular liaison between the hospice and our designated inspector. which has facilitated the sharin8 and monitoring of care delivery. These regular communications have been extremely welcome and supportive. Philippa Shreeve (Director of Clinical Services) is the registered manager for the organisation. The priorities that we set for 2023124 l- Wellbelng. Support and Informatlon Servl¢e Our Wellbeing Services deliver support to people from the point of diagnosis, through maintenance of wellbeing and recovery following periods of ill health, through to more assisted support as health declines. The Wellbeing Service provides enablement and reablement for individuals living with a life-limiting illness, focused on personalised support and intervention plans. Feedback from individuals accessing our services highlights how people living with a life-limiting illness need advice, education and support at various times. Over the past year the team have focused on building this structured support. The Wellbeing Support and Information café has continued to grow from strength to strength over the year and necessitated the introductr.on of a second day focused on ongoing support provision. Thi5 5truttured opportunity provide5 access to 5UPPOrt and information along with the opportunity for peer support and meeting other people in similar situations in a Safe. caring environment. The staff team help facilitate advance care planning, ReSPECT conversations and care coordination. The collaborative work with both the Huntington's Disease Association and the MND Imotor Neurone Disease) Association have seen the establishment of monthly support groups for individuals living with the conditions and their family members and carers and this has been a truly positive collaborative development. ENV8961074 1011412024 17'.15 PM UTC Page 6
TREEfops HOSPICE TRUST {A company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Achlevements and Performance l¢ontinuedl Treetops now also supports the delivery of a quarterly Secondary Breast Cancer sUPPOrt group who use the facilities for their meetings. Wellbeing at Home has seen significant growth in demand and towards the end of the year we had to make the difficult decision to limit our offer in order to manage capacity. The service sUPPOrts patients to remain living in the place they call home, maintaining health through nursing interventions and holistic assessment enabling people to plan their future care and preferred place of death and delivering quality end of life care. We continue to support those individuals who live with a life-limiting condition and struggle to access our onsite services with emphasis now on a prognosis of 6 months or less. When capacity permits, we also provide valuable respite support to carers. 2- Hosplce at Home Our Hospice at Home service continues to provide valuable support to individuals, families and their carers in their own homes overnight at the end of life. Demand remains consistent and the hi8h level of positive feedback received about the difference our staff make, highlights the impact of the service. The Roaming Nurse Service is now an embedded part of the Hospice at Home offer, providing additional support to patients with symptom management, medication administration. personal and psychological care and verification of death. They provide a responsive service supporting our own Hospice at Home team along with colleagues from other agencies such as Marie Curie and Domicillary Care agencies. This model has proved a excellent way in which to gain the best capacity from our limited registered nurse workforce. The roaming service model has demonstrated the value of providing responsive support throughout the night, preventing the escalation of problems and possible hospital admissions. Workforce capacity continues to impact on availability and recruiting staff with palliative care experience ha5 been challenging. As a re5uIt, patients continue to be prioritised based on acuity. Due to these challenges, the average length of contact with the service has dropped to just two visits prior to death. The year has also seen continued investment in IT-based working with all staff members now utilising Systmone for care planning and reporting. This has not been without its challenges due to ongoing connectivity issues. The team have worked hard to establish robust documentation structures within Systmone and this has been underpinned by a comprehensive programme of education and 5UPPOrt across the clinical team with further plans for expansion and development within practice. 3 - Compasslonate Communltles Volunteer Befriendlng Our Befriending programme continues to grow in size and scale with a number of new volunteers recruited throughout the year. The model is underpinned by a robust programme of volunteer recruitment, training and ensuring the be5t-fit match with a client to befriender. The scale of growth of this service is restricted by the small staff team supporting the initiative and the rate at which volunteers can be recruited and trained. ENV8961074 1011412024 17'.15 PM UTC Page 7
TREETOPS HOSPICE TRUST IA company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Achievements and performance {contlnuedl This service successfully reduces social isolation for those impacted by health issues or bereavement. Emphasis is placed on confidence building, facilitating social contact and the establishment of networks of sUPPOrt enabling people to stay at home whilst they wish to do so and supporting them to thrive in the home environment. As with previous years the Compassionate Communities programme also supports the delivery of spiritual support offering 'Time to Remember, events for those individLJals impacted by the death of a loved one, along with wider Spiritual support across the clinical services and ro the Treetops workforce. Last year Treetops set a strategic ambition to improve engagement with communities that do not currently access our services. Over the year this work has grown establishing links with community groups and faith leaders engaging in conversations and local community events. Through this work, a plan of action was established with the YMCA and Padley charity to explore ways in which the organisations could work collaboratively in order to share knowledge and explore ways in which to support the local homeless population requiring end of life care. 4- Therapeutlc Services This year saw much excitement when Treetops Hospice was delighted to be chosen as the location for the annual DIY SOS Big Build for BBC Children in Need. This resulted in the building of a children's and youn8 person's bespoke bereavement counselling and therapy centre in just 10 days. This was an amazing opportunity and 8ift to the organisation but also a direct reflection of the outstanding work delivered bv our Counselling and Emotional Support team working in this area. Supporting the associated filming work was intensive and much thank5 goe5 to the wonderful children, youn8 people and families who gave so much time to participate and to share their personal stories. Since the completion of the building the team have worked hard to develop the service model within the new facility. Demand unsurprisingly has grown for the service following the extensive publicity and this has resulted in some operational chan8es and the introduction of a waiting list System. The team continue to deliver a successful programme of education both internally and also externally to schools supporting staff working with bereaved children and young people. The previous year saw the team achieve the standard required for recognition as a Centre of Excellence for Trauma Informed Coun5elling and Emotional Support and they have worked hard to maintain this again this year. 5- Palllative and End of Life Care collaboration with the Residential Care Home Sector The past year saw the gradual growth of our work with the Residential Care Home sector. Through collaboration, the team identified how the hospice could 5UPPOrt residential homes to identify residents who may be reaching end of life and to provide the skills, knowledge and additional sUPPOrt when required to ensure residents could remain in their own homes and die in their place of choice. An initial pilot was undertaken working Wlth three care homes and from this, a succe55ful bid wa5 made to the Sir Jule5 Thorn Charitable Trust - Innovation & Improvement Fund. We secured a grant for £IOO,000 to 5UPPOrt our Education and Clinical care Virtual Ward model. Feedback at the time of our application praised our approach of focusing on skill development and support to care home Staff, viewing it as an innovative alternative to stand-alone delivery models. ENV8961074 1011412024 17'.15 PM UTC Page 8
TREETOPS HOSPICE TRUST IA company Ilmited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Achievements and performance {continued) Delivery of this model is in collaboration with residential care homes in the Erewash PCN working directly with their lead GP for palliative care, the frailty team and district nursing. The model focuses on delivering a programme of education for the home staff aimed at enhancing knowledge and skills to support their recognition of potential deterioration. In addition the team also support the home with the development of palliative care register to track residents needs and care planning, through to hands on clinical care working alongside the staff of the home. Data is being gathered to ascertain if this model facilitates an increase in the number of residents who can be cared for and remain in the place they call home at the end of their lives. 6- V]rtual Educatlon Centre, Palllatlve and End-of-Llfe Care Educatlon Our focus for this year was to consolidate the collaborative work between University Hospital Derby and Burton and Treetops in the delivery of communication skills training from entry level to advance Skills. This has been hugely successful with 30 education courses delivered across the year attracting 341 delegates across the programmes. We have also continued to support the growth and stewardship of the conversation-based analysis website RealTalk. At the time of coming into TreetOPS Stewardship RealTalk had under 200 registered users. Since thi5 time the team's support has seen this grow to 444 registered users with recognition both nationally and internationally recognised with the first overseas user5 signing up to the platform. We also submitted a successful bid to the NHS En8land programme for Education innovation to improve access, quality, and sustainability for Palliative and End of Life Care in rhe Midlands. This was a three-system application by Derbyshire, Nottinghamshire and Birmingham & Solihull creating interactive resources with an intuitive education and training platform to support the people across our systems delivering end of life care. TreetOP5 have led the work for Derbyshire and a5 such have received regional-wide profile. Review of Servlces From l April 2023 to 31 March 2024, Treetops Hospice was commissioned to provide the Wellbeing Service and Hospice at Home Service to the Derby and Derbyshire Integrated Care Board along with the Nottingham and Nottinghamshire Integrated Care Board. Counselling and Emotional Support for those who have been bereaved and support for people who are facing, or supportin8 someone who has been diagnosed with, a life-limiting illness, are commissioned by the Derby and Derbyshire Integrated Care Board. Treetops Hospice raises 70% of the fundin8 for these services through retail outlets, lottery and fundraising. The remaining 30% comes from the NHS via the above ICBS through block grant and cost and volume contracts. ENV8961074 1011412024 17.'15 PM UTC Page 9
TREETOPS HOSPICE TRUST IA ¢ompany limited by guarantee} TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Achievernent5 and performance (contlnued) Following the success of the Syringe Driver Education programme the CCG / ICB contratted for a further year support for nursing homes across Southern Derbyshire. Treetops Hospice also offers a Support and Information Service, Complementary Therapy and Befriending / Compassionate Communitles Service, along with our Virtual Ward model Supporting Residential Care Homes. We continue to host an outpatient clinic for the University Hospital Derby and Burton NHS Trust. The clinic is run by a Specialist Palliative Care Consultant, supported by host volunteers. The clinic supports patients with palliative care needs. Our Clinical Services are governed by the Clinical Sub-committee of the Board of Trustees, who meet quarterly and receive individual service reports, which enables them to review the management and quality of care provided by the h05pice. The reports are then submitted to the whole Board of Trustees at their meetings. Partlclpatlon In Cllnical Audit5 During 2023124. Treetops Hospice did not participate in any national or local clinical audits. The hospice did however complete internal audit and quality checks in line with its policies and procedures. Research During 2023124. the Hospice was not involved in any research projetts. NHS Quallty Improvement and Innovation Goals Treetops Hospice has quality requirements set by the Derby and Derbyshire Integrated Care Board formally the Clinical Commissioning Group.. All quality requirements for 2023124 were met (Quality Schedule available) Treetops Hospice continued to be an active parhcipant in the Joined Up Care Derbyshire IJUCDI End of Life Programme Board, with representation on the End of Life Operational Group, Informed Workforce, Demand and Capacity workstreams and The Derbyshire Alliance for End of Life Education clinical reference group. Treetops Hospice currently chair the End of Life Operational Group and the People Drivin8 Change workstream for Derbyshire Treetops Hospice continued to provide all technical support to the Derbyshire Alliance End of Life web-based toolkit. Quality Overview Activity data acr05S the year reveals the following trends Wellbein Service Over the course of the year 714 indivlduals were supported by the Wellbeing service both on site and in people's homes. This is an increase of 26% on last years activitv. This equated to 10,748 hours of care and Support given to individuals. ENV8961074 1011412024 17..15 PM UTC Page 10
TREEfops HOSPICE TRUST (A company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT {CONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Achievements and performance {continuedl 152 referrals were received for the Wellbeing Space which is comparable to last years referral rate. 340 referrals were received for Wellbeing at Home which is a reduction of 13% on last year but is in line with a clarification in order to manage capacity. The Support and Information Cafe had 2,057 visitors across the year The data below captures the range of activities provided across the year. Artivity 2022123 ' 2023124 oiiiments Activity Artivity Number of individual support contacts delivered across the year within the Wellbeing Space. 3,034 individual contacts 7,488 individual contacts The Wellbeing Service provides enablement and reablement for individuals living with a life limiting illness. The programme Structure aims to support the maintenance of health and wellbeing and adjustment after periods of ill health and deterioration. ,517 hours of care and support Included activities.. 6,010 hours of care and support SPRING programme Mollie's MND Support group Huntington's Disease Support Group Support and Information Cafe Assisted bathing Tears to Laughter group Number of Wellbeing at Home care visits 3,188 hours of care 4,738 hours of care rovision of l.'I care in the home nvironment by either an HCA or RN 361 Individuals supported by the service 484 Individuals 5UPPOrted by the service ENV8961074 1011412024 17'.15 PM UTC Page 11
TREoPs HOSPICE TRUST IA company limited byguaranteel TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Achievements and performance Icontinuedl Activity Number of indtviduals Number of hours Adapted Tai Chi 57 48 386 413 Wellbeing SPRING Face to Face Delivery 34 45 142 Tears to Laughter Group 69 73 3,101 2,230 Occupational Service Therapy 50 70 32 73 Mollie's Group MND Support li 18 65 113 Huntingtons Support Group Not in operation 14 Not in operation 88 Wellbeing at Home Attivity ," b2022123 2023124 Wellbeing at Home Assessments 121 238 Number of hours of care for wellbeing at home 3,188 4,738 Number of contacts for wellbeing at home 2,078 10,201 Average number of contacts per person for Wellbeing at Home Not Calculated 21 ENV8961074 1011412024 17..15 PM UTC Page 12
TREETOPS HOSPICE TRUST {A company Simited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Achievements and performance Icontinuedl Hos ice at Home Service The Hospice at Home service consists of the Roaming Nurse Service which provides a flexible response to care needs across the night shift alongside the provision of l.'I nursing support for 9 hours throughout the night. Over the course of the year, the service delivered nursing care and support to 983 individua15 which is comparable to the previous year. This equated to.. 13,927 hours of Hospice at Home 5UPPOrt. This is a 3% reduction on last year 3,681 hours of Roaming Nurse Service support. This is a 6% increase on last year 590 hours of care planning and triage which is a significant increase of 75% on last years activity. During the year the 906 referra15 were made to the service. This is a 7% decrease on last years activity. The Hospice at Home Service has continued to deliver an exceptionally high standard of care throughout the year. However, capacity continues to be influenced by several extenuating circumstances. Although the criteria for support from Hospice at Home remains the same (patients must be considered to be in the last six months of lifel, available capacity within the service has meanr that only patients prioritised as red or amber under a traffic light system are routinely scheduled for care. Patients classified as being green are not routinely offered care, unless there is a need to support the carer, in order to maintain their health and wellbein8. A5 a result, many patients are only being supported for a short length of time, days rather than weeks and the average number of full night shifts per patient sits at 3. The Roaming Nurse Service has again seen an increase in growth over the year and the service is now often requested a5 the preferred model of delivery for familie5. Roaming Service activity 2022123 2023124 Telephone calls received by Treetops Roaming Nurse Service and families requesting support 1,878 1,814 Total number of contacts from Roaming Service 3,952 4.917 Total number of hours of care delivered by roaming service 3.411 3.681 Total number of Indivldual patients 5UPPOrted in financial year 610 554 ENV8961074 1011412024 17.'15 PM UTC Page 13
TREoPs HOSPICE TRUST {A company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT {CONTINUED} FOR THE YEAR ENDED 31 MARCH2024 Achievements and performance {continuedl The Hospice at Home Service enabled 92% of individuals to achieve their preferred place of death at home. 82% of patients receiving support from Treetops dies in the place they call home. Thera eutic Services Our commi55ioned Bereavement Support Service in Derbyshire is unusual in hospice terms as we accept referrals from anyone in the community regardless of any previous association with Treetops Hospice. Growing demand has required that the team focus on the most complex cases and signpost to other services for less complex support when required. Demand for our Life Limiting Counselling service has declined over time but any capacity released has been absorbed into the bereavement counselling service. During the course of this year the complementary therapy team have worked hard to establish the CT offer to children and young people. Over the course of the year the service provided.. 4,395 hours of counselling assessment and therapy. This is an 8% increase on last year. 436 hours of Complementary Therapy. This 15 a 16% reduction on last year. 583 referrals were received for counselling services a¢r055 adults and children. This is a 20% increase on last year's activity. Adult Bereavernent Ser¥i¢e Data During the year 418 adults were supported with bereavement coun5elling. 2022123 2023124 Sessions Sessions Percentsge chan Total number of counselling sessions lincluding assessments) 2,923 3,167 8°A increase ENV8961074 1011412024 17'.15 PM UTC Page 14
TREETOPS HOSPICE TRUST {A cornpany limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Achievements and performance Icontinuedl Chlldren and Familie5 Bereavement Service Data The last year has seen a steady growth in demand for the children and young people's counselling service. During the course of the year 177 children and young people were supported with bereavement counselling or attending the Mollitum non-talking therapy group. We saw a slight reduction in counselling contacts for children and young people forthe total year as the service was significantly impacted in September when the BBC Children in Need DIY SOS Big Build took place. This was because the service had to be suspended during the build period. Sessions Se5sion5 Percentage chan Total number of counsellin8 sessions 1,288 1,228 50A decrease Llfe-Llmltlng Illness Counselling Support Data Again, this service is not only for people who are accessing end-of-life care at the hospice but 15 for anyone in our community facing a life-limiting illness or their family. In total 45 individuals either living with a life-limiting condition or their families were provided counselling. 2022123 2023124 Sessions Sessions Percentage change Total number of counselling sessions 317 259 18% decrease Treetops Counselling and Emotional Support Services continue to monitor care delivery against the Bereavement Care Service Standards national evaluation tool, endorsed by the National Bereavement Alliance, to which Treetops Hospice is affiliated. This sets three leve15 of achievement within seven separate standards. These are Planning, Awareness and Access, Assessment, Support and Supervision, Education and Training, Resources, and Monitoring and Evaluation. ENV8961074 1011412024 17'.15 PM UTC Page 15
TREETOPS HOSPICE TRUST IA company lirnited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Achievements and performance {contlnuedl Our team are dedicated to working to this standard and we are confident that we continue to achieve the highest level acr055 all seven of the standards. ComplementaryTherapyServlce Data Since the service review in 2022-23 Complementary Therapy has been delivered on campus site focusing predominantly on clients referred for emotional support and wellbeing. This service is not a commissioned service. 94 referrals were received for Complementary Therapv 473 hours of complementary therapy were delivered across adults and children Compasslonate Communlty Befriending Service The year saw continued growth of the Befriendin8 Service supporting people in their own homes who are socially i501ated due to their ill health or following a bereavement. This is not a commissioned service and is now fully funded by the charity. Over the year, the Befriending Service supported 29 individuals with a Volunteer Befriender, 435 support vlsltslcalls were made which equates to 453 hours of support delivered. The Service received 39 referrals, a 15% increase on last year's activity. Referrals from other Treetops services were stopped halfway through the year due to the growing waiting list. By the end of the year, we had 20 people waiting for a Volunteer Befriender to become available. 15 new Volunteer Befrienders were trained, with 10 becoming active and joining the workforce. What other5 54y about U5 Care ualit Commission TreetOP5 Hospice is registered with, and regulated by, the Care Quality Commission in accordance with the Health & Social Care Act 2008. Our most recent inspection report dated 7 April 2016 is available on the CQC website and finds us meeting the standards and rating us "Good" in all five core areas inspected. The report can be found at.. www.c c.or ENV8961074 1011412024 17'.15 PM UTC Page 16
TREEfops HOSPICE TRUST IA company Ilmited by guar3ntee} TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Achievements and performance (continued) What our patients and carers say about us Wellbeing service Wellbeing Service evaluations are gathered through a number of routes. Comment Cards.. 45 comment cards were completed acr05S the year. Of these 95'A gave exceptionally positive feedback on the services provided across Wellbeing with specifi c recognition of The professional approach, knowledge and manner of the staff The warmth of welcome provided within the café environment The approachable and supportive nature of the volunteers The quality of the catering provided 2 cards1S%1 gave negative feedback directly related to the Monday café and a less positive experience of this environment. Direct quotes extracted include'.- °Excellent, connot believe how ot eose we were mode tofeel. It Wos on eye-opener. Everyone without exception wos professional ondfriendly. Gove greot odvice t7nd the coffee & fvod wos o bonus." °Service is so incredible, friendly coring stoff, very well informed ond supportive. MND diognosis was such 0 shock, just your support ha5 mt7de such o difference. Thonkyou." efind the staff veryfriendly ond helpful. fhey have helped our Daughter tremendously since her diognosis ond hove a5515ted her in coming to terms with it. They hove also welcomed us and mt7de u5feel port of the 'fvmily" Ps thefood is alwoys terrificl" Tears to Lau8hter feedback forms.. 28 feedback forms were completed by attendees of the Tears to Laughter sessions. 4 rated the sessions as good 24 rated the sessions as excellent 15 strongly Agreed that the se5sion5 had improved their wellbeing 10 Agreed that the sessions had improved their wellbeing 2 Neither agreed or disagreed and I no response "The Tears To Laughter group is so special it support5 you when you are at your lowest. The volunteers ore omozing and the foct that you con lough and cry and everyone understand how youfeel os we have all experienced orief." ENV8961074 1011412024 17'.15 PM UTC Page 17
TREETOPS HOSPICE TRUST IA company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Achievement5 and performance (continued) "The Teors To Loughter group hus been such t7 lifesover to be able to talk to other people in the sume situation.. "Support receivedfrom staff, volunteers und the group. Thefriend5hip5 mode. Colm, peacefulfriendly surroundings. Alwoys know there is someone to talk to on difficult days." Wellbeing SPRING Programme Evaluation.. 17 feedback forms were completed by SPRING programme attendees. The format of gathering feedback was changed halfway through the year All respondents reported a positive engagement with the sessions All respondents felt that the content of the sessions had provided knowledge and insight that had had a positive impact on their wellbeing I respondent commented that the session length could be longer, all remaining respondents felt the timing and content were appropriate. °One to one contact. supportive and very useful information. Felt listened to, relaxing, colm otm05phere. Mode tofeel I m not olone and support is therefor me." "I was seen os a whole person with oll my conditions and the enormity of my symptoms acknowledged. lfrlt understood ond myfeelings volued. -opportunity to disCU55 one-to-one with a supportive expert." "Clear infvrmotion provided infuce tofoce meetings, written moteriol helpful exploined well with on opportunify to discu55 our thoughts" Hosplce at Home Service- Famlly or Carer Evaluatlon Families and carers of patients in our care between the l January and 31 December 2023, and who die during this period, are all invited to provide feedback on their experience. In this period, 983 individua15 were supported, and 175 responses were received which is an 180A return rate. This rate of return is a drop on previous years. All evaluations are anonymi5ed. Of those who returned the questionnaire.. 98% thought that the referral to the Service was timely 20A felt that the referral was made too late 99% of respondents who utilised the Roaming Nurse Service felt that it had been helpful and met the needs required 95% felt phone calls had been handled 5en5itively and professionally 95% said that the amount of night-time care provided was enough 5% said the amount of care was too little 99% were totally at ease or comfortable about the way we cared for their loved ones 100% felt that the TreetOP5 nurses had the appropriate knowledge to care for their loved one 98% felt that the Treetops nurse always took time to listen to their concerns 96% said that the Hospice at Home Service enabled them to care for their loved ones at home ENV8961074 1011412024 17'.15 PM UTC Page 18
TREETOPS HOSPICE TRUST {A company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Achievements and performance Icontlnued) The significant reduction in the number of completed returns makes service evaluation problematic as it is hard to gain a true picture of the impact of the service on families and carers. The late stage at which referrals are received by the service a nd the subsequent number of care episodes provided for each individual may also be impacting on the number of service evaluation forms being returned. Quotes from Hospice at Home - Carer evaluations 2023 We os o fomily can t thank you enough for your help ond support at our time of need. Me ond my515ter in low ct7redfor our dod ot the end of his life. It wos the support we needed to get U5 through ond to be reossured we were doing everything perfect. Thank you once 0g(Jin. Yhere ore no words thot cun express the grt7titude I hove for the level of core ond compassion I experienced with the teum who looked after my husbond even though it wosfor o brief time.. "We connot thank you enough for the wonderful hospice ot home nurses who looked after our mum with such loving core. not to mention giving such support und comfort to our dd und ourselves whofor thefirst time got o good nights sleep, which helped us rechorge our batteries. Your core ond (Jttention at such o very sod time meant the world to U5 all. Thank you so very muchfor your wonderfulserrfice.. "Only used the roaming service. Dod pa55ed owoy on the dote we were experted to hove night hospice at home core. Rooming team cume out twice ond both times were professional and caring. Good service and come as quickly os possible." -we conrROt expres5 how 9roteful we oll are to you. Just knowing we could ring you anytime ot night took so much pressure off us. When we rong you were straight out and so helpful and kind. Words just cannot express how thankful we ore to you. Keep thi5 going as this h05 m(Jde a mussive difference to us. We will neverforget the help t7nd kindness YOU gove to ourfamily." -Amozing service. Stoff were unbelievoble t7nd wonderful ot the worst time. Very empothetic and understonding. Wefeel without this service it would huve been much more difficult. Morefunding required so you con give otherpeople the help thot you gove us. A mo55ive thunk you to you oll.. "Without TreetOP5 and Rooming we would've been unoble to nurse my mother-in-law ot home at her end of life where she w(Js desperate to be. Fontostic. supportive, and olw(Jys herefor the entirefomily too. So very groteful to all the omazing st(Jff who made our difficult time so much eosier to deol with. Kindness and hugsfor all who needed. Just knew what to St7y to make our lives better." Counselling and Emotional Support Servi¢e All clients who finish receiving support during the year from the Counselling and Emotional Support Services are asked to complete an evaluation of their experience. ENV8961074 1011412024 17'.15 PM UTC Page 19
TREETOPS HOSPICE TRUST IA company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT {CONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Achievements and performance (continued) Counsellin8 and Emotlonal Support Service All clients who fi'nish receiving support during the year from the Counselling and Emotional Support Services are asked to complete an evaluation of their experience. Adult 8ereavement 122 evaluation forms were sent out and 50 forms were returned141%1. This is a decrease from last years return of 55%. 96% said that the support they received had been helpful in their experience of bereavement 99°A said they were satisfied with how quickly the service was provided. This is positive considering the high demand for counselling support and the longer waiting time5 that have resulted following the DIY SOS big build. 960A said that they had the right number of sessions. Only 2% this year said they felt they did not have enough sessions. 100% said that they were happy with the service provided 100% said they would recommend the service to other people Quotesfrom evaluotions, 2023-2024 Bereaved Adufts Yhe counselling I received was everything I needed ot thotpoint in my life. It taught me how to listen to my body ond whot I need rother than pushing myself." -1 can't thank S enough forsupporting me through the m05t difficult time of my life. He was kind, coring, compossionote ond empothetic. It's hard to put into words how he helped me and the difference he mode, but what I do know is the journey I hove mude to acceptance and proce55ing my10s5 and the raw pain of grief hos been helped with his gtjidonce. He has o true gift os o coun5ellor ond Ifeel very privileged to have received his support." °T wos obsolutelyfant05tic. Gave me o greot platform to work through things." "K is a credit to yourselves,. I was referred to yourselves by my mum ond 515ter who both received help from yourselves ond I con honestly Say it hos been o godsend." °Ifeel hoving someone listen to me. Who did not know me helped". he support I received came at just the right timefor me. From a55e55ment, through to treotment, the service I hove received hus beenft7nt05ticl" -5 wos o lovelyfriendly caring person I could tolk problems through with. "On both occosions I hove used Treetops I hove been amazed at how quickly it work5. Compored to moinstre(Jm counselling which my wife had you ore in u different league- "J hos been instrumental in helping me deal with the possing of my Mum. I don't think I would've coped onywhere os well as I ht7ve if it weren'tfor her support.. ENV8961074 1011412024 17'.15 PM UTC Page 20
TREETOPS HOSPICE TRUST IA company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 A¢hievernents and performance (continued) -my counsellorprovide support ond helped me through some difficult months. It wos good to be oble to tolk with someone outside myfomily ondfriend s network. J tought me coping srrotegies to get through the months after my Mum po55ed owoy. She helped give me my confidence back and sow me through o difficultfirst Christmos without Mum." Parents/Carers of Bereaved Chlldren 43 evaluation forms were sent out of which 11 were returned126%1'. The period of the DIY SOS Big Build saw a significant disruption to the setvice which impacted upon waiting times. Demand for the service has also grown considerably and as a result we are operating a waiting list in order to manage capacity. Therefore, children can be waiting longer to access the service. IOOQA were happy or very happy with the speed of response to the referral. This is reassuring considering the demand for the service and the waiting list system. IOO°A reported a decrease in their level of concern about their child after the period of counselling support had finished 83% were happy or very happy with the extent to which the support had addressed their child's bereavement needs 82% were happy or very happy with the number of sessionsllength of support their child received IOOOA would recommend the service to other people Quotes from evaluations, 2023-2024, Parents/Carers of Bereaved Children "My daughter's time with P has been o tremendous help, even ofter I session She wanted the next session to come round. Absolutely omozing support and my doughter wos sod to see it end. ond extremely hoppy to be toldshe was welcome bock in thefuture. Thunkyou- -1 would just like to soy thorjk you so much to everyone especiallyJ. She hos really helped my son to be the happy little boy he wa5 before. Thonk you 50 much- "N s needs ore complex. and he doesn't respond to loss as a neurotypicol person might. but I'm very glL7d tht7t he had the opportunity to experience these therapy sessions." °R s whole demeanour changed gradually week after week, I sow her grow more independent and self-confident. I hod to hold her hondfor thefir5t couple of weeks ond by the end she wa5 hoppy to walk without it. I hove olso seen on improvement in her behoviour, she is less irritoble and more settled in general. Thonk you" "We ore so groteful thot this service hus been available to us, andfor children to hove the opportunity to hove trained professionals help them through bereuvement. it has helped us so much. The hospice ond counselling Services t7re set in such beoutrful natumlsurroundings th(Jt (Jre olso openfor loca15 to walk around, there is o lovelyfeeling of peace and tranquillity Gs you wolk uround or even sit in the woiting t7rea. Very Comforting indeed. Thonk you to all who ht7ve given their time and love to help others." ENV8961074 1011412024 17'.15 PM UTC Page 21
TREETOPS HOSPICE TRUST (A company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Achievements and perforrnance {continued} Children/Young People 48 evaluation forms were sent out of which 18 were returned117%1'. 100% were happy or very happy with the number ofsessions they had IOOOA said the session5 had been helpful or very helpful 100% said they would recommend the service to other people Quotesfrom evoluotions, 2023/24 Bereaved Children/Yo(Jno People °They mode me be oble to tolk to other people without getting onxious ond they mode me be able to do thirJg5 that I would huve never been oble to do before ond they mode my confidence levels go up". "l enjoyed my time ot Treetops." "Veryfriendly ond kind" "J hos really helped me. and l am now hoppy ogoin and can think of my greot grt7n ond not olwoys get upset" °Ifelt comfortoble.. Life-limiting Illness Counselling 8 evaluation forms were sent out and 3 were returned138%1. The LLI work represents only a small part of our overall service delivery. The return rate could be a reflection of the health needs of these clients. 100% said the support they had received was helpful IOOOA were happy or very happy with the speed of response of the service 100% said the number of sessions provided was just ri8ht 100% said they would recommend the service to others Complementary Therapy 21 evaluation forms were sent out and 15171%) were returned 100% felt the information received about their therapy was helpful 100% were satisfied with how quickly a service wa5 provided 100% were satisfied with the service provided 100% said they would recommend the service to others Quotes from evaluations, 2023-24 ComplementaryTherapy ery helpful in relieving my anxiety, coused initially by bereavement, then by on enforced return to work. Provided me with 'tools' to help with ongoing onxietie5." e reflexology helped with stre55 and anxiety it helped me to relax and let it go. It will be something I will look to continue. -Nice to be pornpered & relax.- ENV8961074 1011412024 17'.15 PM UTC Page 22
TREETOPS HOSPICE TRUST IA company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT (CONTINUED} FOR THE YEAR ENDED 31 MARCH 2024 Achievements and performance lcontinuedl -Helped with my sleep pt7ttern & help olleviote onxiety. Also guve me coping Strategies & tools to help manage." 'Helped with relieving upper body tension immensely." he service was brilliantfor a holistic opprooch ro my treotment. I've been carrying tension in my back, shoulders ond headfor some time t)nd it hos ret711y helped to eose thot. J wa5 professionol ond empothic throughout- she really helped mel" "Helped to relux ond colm my arjxiety while struggling in difficult time5, some time to be oble to think of myself." "A wos lovely superfriendly. showed me thing5 to do ot home to keep me reloxed listened to my needs ond reolly supported me.- What our staff Say about the organisation The results of this year's Employee Engagement Survey were pleasing, 136 staff from Treetops Hospice took the survey - an 86% response rate.. Treetops Highest 5 Engagement Factors 99% agreed with the statement - If a friend or relative needed treatment I would be happy with the standard of care provided by thi5 hospice 98% responded yes to the statement- l am proud to work for this charity 98% selected the statement- I believe in the aims of this charity 93% selected the statement - I feel like l am making a difference 92% said that they enjoyed the work they do Factors that resulted in high Employee Engagement are flexible working, work life balance, camaraderie. helping others. making a difference, being supported, being respected and our beautiful surroundings. Factors that require further development are communication, at all levels, but in particular interdepartmental communication, pay, return to regular meetings, workspace, the best use of supporter5, tTme/money and work-related stress. Towards improving comrnvnication, a staff conference was planned and delivered. All employees were invited and the majority attended,. it was an informative and enjoyable day for everyone. Another huge boost to employee and volunteer engagement was the DIY SOS Big Build project. Staff and volunteers who assisted, were caught up in the buzz and excitement of the build and were eager to play their part. TreetOP5' Foundation Course has been reintroduced in a new two day format for new employees and volunteers,. volunteer services was restructured to allow more focused support for retail. reception and campus volunteers and work on wellbeing at work continues. ENV8961074 1011412024 17'.15 PM UTC Page 23
TREETOP5 HOSPICE TRUST IA company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Achievements and performance Icontinuedl Complaints and Compliments Complalnts During 2023124, we received four clinical service complaints. All incidents were investigated, documented and action taken as required. Feedback on the outcome and action was provided to the complainant. Actions taken in response included staff retraining on medication administration and management. communication skills, policy review and procedural updates. Compliments In addition to the positive evaluations of our services, we receive many emails, Facebook comments and individual cards and letters of thanks to our full range of services during the year. We do not at present have a comprehensive way to capture and108 all this feedback. Patient Safety Indicators Patient safety as ever is paramount to our services and all incidents are reported and logged. We ensure that every incident is reviewed. and assessed, relevant risk assessments are completed and any wider implications are considered. Where necessary this results in policy and training update5 as identified. The Health and Safety Committee meets quarterly and is made up of staff and trustees. They receive departmental reports and review and drive forward the Health and Safety Action Plan and scrutinise all accidents and incidents in order to identify trends. During 2023124, there were 67 clinical incidents recorded in total. 7 Safeguardin8 8 Medication administration 11 Staff welfare 2 GDPR 14 Unrelated clinical incidents l Unsafe dischar8e 2 Patient falls 21 IT connectivity issues I Clinical documentation Incidents relating to medication administration highlighted procedural issues due ro a lack of access to MAR sheets and inaccurate documentation across provider systems. As a result, a decision wa5 taken to stop HCA medication administration until a complete review of the policy and procedure had been undertaken. This has resulted in new medication management procedures being implemented and staff retraining. Connectivity i55ues continue to be a challen8e for the clinical team and as yet, there are no clear solutions identified for this. ENV8961074 1011412024 17'.15 PM UTC Page 24
TREEfops HOSPICE TRUST (A company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Achievements and performance Icontlnued) All incidents were fully investigated, and any action taken documented and reported to the Clinical Sub Group of the board of Trustees, along with the Derby and Derbyshire Clinical Commissioning Group. No other trends were identified across the reported incidents. Investment Policy and Performance During 2015 the Board of Trustees decided that due to the low interest rates, it was the appropriate time to move some of our reserves from interest bearing accounts to be managed by investment brokers. However during 2023124, due to rising interest rates available for savings accounts, and an subpar performance with the investment portfolio, the decision was taken to close the portfolio and transfer all funds to saving5 accounts instead. This means that at the end of the financial year, the only investments are £IO.000 invested in Treetops Funding Limited and £1,000 in Treetops Retail Limited. Financiol Review Going Concern After making appropriate enquiries, the Trustees have a reasonable expectation that the company has adequate resources to continue in operational existence for the foreseeable future. For this rea50n, they continue to adopt the 80in8 concern basis in preparing the financial statements. The lon8er-terrn financial position of the Hospice is reviewed on a regular basis by Trustees at the Finance & Income Generation quarterly sub-committee meetings. Whilst the short-term forecasting currently projects a deficit position for 2-3 years, the Trustees are confident that plans and investments being made now will result in an improved financial situarion in the medium to long term, and therefore have no issues with going concern bl Results for the year The Charity's gross income rose from £4,252,654 to £5,458,732, an increase of £1,206,078. Gross costs increased from £4.770,455 to £5,192,558, an increase of 8.12%. which was within the targets approved by the budget. The charity had funds carried forward at 31 March 2024 of £5,463,01512023'. £5,196,841) of which £45,26312023..£77,4621 are restricted funds, £2,759,70612023.' £3,036,2761 are unrestricted funds and £2,658,04612023.' E2,083,1031 are designated funds. TreetOP5 Funding Limlted and Treetops Retail Limlted In 2003, Treetops Retail Limited was created for the Retail shops and catering operation. From l April 2018 onwards, the Retail Shops were transferred over to Treetops Hospice Trust to ensure Gift Aid claims were correctly dealt with and did not leave the Subsidiary company insolvent. Treetops Retail Limited now only contains the catering operation and is part of the VAT registered group with Treetops Hospice Trust. The Charity's wholly owned trading subsidiaries carry out non-charitable trading activities for the Charity. ENV8961074 1011412024 17'.15 PM UTC Page 25
TREEfops HOSPICE TRUST IA company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Financial review Icontinuedj Funding Company- TreetOP5 Hospice Lottery The Funding Company's turnover fell from £715,355 to £701,96811.9%1, prolit decrease from £443,162 to £441,3411<0.01%I. Membership leve15 were over 13,400 active members by the year end, although it is anticipated this number may stagnate into 2024125 due to economic pressures from the on-going cost of living crisis. A strategy is in place to encourage these numbers to grow. Retail Company Treetops Retail Limited made an operating loss of £nil compared to a loss of £8,400 for 2022123. These accounts cover the financial position of the catering outlets only which are currently not trading due to uncertainty following the Covid pandemic. It Is not currently known if or when trading will resume. Fundralsing Le8acy income ha5 experienced an increase in income rising from £283,406 to £444,031. This increase was expected due to the notilication of a lar8er, one-off donations. The legacy strategy implemented a few years ago is still in place and showing signs of keeping legacy donations at a strong level. Principal risks and uncertaintie5 The Board has a8reed a risk management structure for the organisation and has identified the major risks to which the organisation is exposed, which are reviewed every six months and appropriate mitigating action is taken accordingly. The most recent review showed that the highest risks as.. Loss of Key Staff Failure of generate sufficient incorne Increased operating costs Loss or reductron of Lottery income dl ReseeS policy The Board of Trustees regularly review the level of reserves to ensure that fund levels are appropriate for the current activities and long term aims, should they need to be called upon. The Reserves Policy forms part of our Finance Policies and can be provided upon request. The most recent review has highlighted that a different approach would be a more suitable way of estsblishing a fair reserve5 level. This would take into account the changes arising from the updated Organisational Strategy, and reflect the additional strains from the current economic climate and high inflationary impacts. The chosen approach is therefore to establish the financial obligation on the organisation in three different scenarios ceasing to trade. six months trading costs lexcluding Income Generation) and providing for any forecast deficit5 over the next four financial years. Once these figures are established, the Board will then use these amount5 to determine a suitable Reserves range that ensure5 the financial stability of the organisation, whilst ensuring it can deliver on its charitable aims and purposes. At the last review, this methodology produced a Free Reserves range of £1.3m £1.6m. The Trustees are satisfied with the reserves level and feel it is at a satisfactory level for the organisation to discharge its obligation5 and long-term plans. ENV8961074 1011412024 17.'15 PM UTC Page 26
TREoPs HOSPICE TRUST IA company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT {CONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Structure, governance and management al Constitution Treetops Hospice is a registered charity and company limited by guarantee without share capital and was set up on 20 March 1984 under the name Draycott Hospice Association. The name ofthe company was changed to Treetops Hospice Trust on 21 June 1993. The charity's governing document is its Memorandum and Arkncles of Association (last amended on 24 November 20081, which restrict the charity's operations to all such lawful acts as are incidental or necessary to the attainment of its objectives. bl Method of appointment or electlon of Trustee5 The management of the company is the responsibility of the Trustees who are elected and co-opted under the terms of the Articles of Association. cl Policies adopted for the Inductlon and training of Trustees The Board agreed a written structure for the induction of new Trustees, and a code of conduct for Trustees and the Chief Executive. Trustee induction is managed by the Chief Executive and the Company Secretary and includes written information on the following topics.. The legal status of the charity and governance The structure and staffing of the organisation Finance information Policie5 and strategv Professional advisers All new Trustees will spend time with the Chair of the Board and the Chief Executive at an early stage. The charity subscribes to Governance a journal for Trustees. All Trustees receive individual copies and a copy is held in the general office and Trustees are given information on relevant training courses. dl Pay pollcy for senior staff It is the policy of the Board of Trustee5 to remunerate the Senior Leadership Team1SLTI in line with market forces and pay a n acceptable salary that in general is in line with the charity sector and specifically hospices, which will attrart and keep q ualitv staff. The SLT are only awarded pay increases in line with the cost of living annual award given to all staff and will not receive and other financial recognition. The cost of living increase is discussed by the Board of Tru5tee5 annually and is awarded in line with the charity's performance, affordability and external indicators, such as the cost of living index. e) Organisational structure and declslon making The responsibility to ensure appropriate management of the charity is vested in the Board of Trustees, a third of which are elected annually by the members of the Company. To assist the Board in discharging its responsibilities, it receives regular reports on some aspects of its principle functions from the Finance and Income Generation and the Clinical ENV8961074 1011412024 17.'15 PM UTC Page 27
TREETOPS HOSPICE TRUST IA company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Structure, governance and management Icontinuedl sub committees. These committees consist of members of the Board of Trustees and senior members of staff. The Finance and Income Generation Sub committee meet to review the linancial activity every quarter, as do the Clinical sub committee who monitor clinical services. The Board also meets quarterly with additional meetings as required. The Chief Executive, who leads the SLT, is responsible to the Board of Trustees for the day to day management of the charity and the execution of the policies and strategies defined by the Board. 8) Rlsk management The Board has agreed a risk mana8ement structure for the organisation and has identified the major risks to which the organisation is exposed, these are reviewed every six months and appropriate mitigating action is taken accordingly. The Hea Ith and Safety committee continue to ensure that all relevant issues are considered and addressed at departmental level and the Health and Safety Responsible Person prepares quarterly Health and Safety reports for the Board. Planslorluture perlods Last year was the first full year of normal operations, however, clinical services were disrupted during September due to the BBC Children in Need DIY SOS Big Build and this is reflected in the activity figure5. Although this was a wonderful opportun ity and gift to the charity it also created operational challenges for clinical services and a noticeable increase in demand, especially counselling and emotional support. The charity still faces the challenge of financial sustainability due to the very difficult economic climate. Statutory fund ing remains static whilst opportunities to generate income via public sUPPOrt continue to be hard. As a result, the charity enters another year with a deficit budget. These economic parameters will again limit the scope for development within Clinical Services in order that we remain within budget and financially sustainable. All operational procedures continue to be monitored for quality alongside assurance that they remain value for money. We will look at growth where an opportunity presents itself, such as via the support of grant and trust income or through charging, such as within education. Equally, we will need to consider service restructuring, reform or even reduction if productivity and economic value dictate. Staff recruitment, retention and investment continue to be a priority for this year as maintaining our workforce is fundamental to the quality and capacity of our services. The workforce market continues to be challenging with Agenda for Change being the driving factor on salary. Historically the hospice has opted not to adopt the Agenda for Change salary structure in full, choosing instead to map closely to pay levels. This may well need further review this year if recruitment continues to be a challenge. Treetops endeavours to attract staff by ensuring that it can offer terms and conditions that are appealing and adaptable alongside robust education, trainin8 and staff wellbeing. ENV8961074 1011412024 17'.15 PM UTC Page 28
TREETOPS HOSPICE TRUST {A company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Plans for future perlods Icontinuedl Clinical data collection, analysis and interpretation Over this last year we have continued to evaluate and refine our use of Systrnone improving the way that it supports clinical practice and care delivery ensuring it is structured robustly and logically. We now have firm foundations on which to extract accurate clinical data and this is enabling us to review our service delivery, quality and value for money in ways not previouslv available to us. This coming year, we aim to undertake a detailed review of each clinical service and identify ways in which the data can help inform future planning and service development. This Seems especially perrinent now that we have established the new normal following the disruption of the pandemic years. We will do this by.. Reviewing local population data in line with national data for End of Life Care Reviewing operational data to identify trends and spot opportunities for development and growth. Identify service needs for underrepresented communities in the catchment area by evaluating our activity data alongside local data intelligence Workin8 in collaboration with the ICB and other providers to generate compelling cases for support and ensure alignment with strategic direction Seeking ways to achieve financial efficiencies without compromising on clinical quality Our data and intelligence tells us that we are still underperformin8 as an organisation in addressing equality, diversity and inclusion. We will continue to build on the engagement work undertaken by establishing links and engaging in conversations with a variety of community networks with the aim of building collaboration. Community Provision and Support Activity data collected across our services shows a continuing growing demand for hospice services delivered direttly in the community. Whilst service provision on the campus site will still be a mainstay of our clinical care community-based care is in line with the aspirations of the charity and the strategic direction for the next five years. The charity is however aware that it cannot address the palliative and end-of-life need5 of the population we serve just through the provision of éirect clinical services provided by the charity. As a result, we plan this next year to look at how we can further develop collaborative models of workin8, sharing knowledge, expertise and re50urce5. We have already seen success with the development of the Huntington's and M ND collaborative Support groups within Wellbeing and the Care Home Development and Support programme. These small-scale developments highlight the impact that collaborative working can have when developed effectively. We are keen to see how we can share our knowledge whilst learning from others in order to capitalise on opportunities to support more individuals living with life-limiting illness, at end of life and also the bereaved in culturally sensitive and diverse ways. Alignment with the local Primary Care Networks will underpin this work along with closer working with acute sector colleagues. This may result in the redistribution of some resources within existing services as we develop this style of working. ENV8981074 1011412024 17'.15 PM UTC Page 29
TRE0P5 HOSPICE TRUST IA company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Plans for future periods Icontinuedl Education Ensuring access to education is crucial for staff across the Palliative and End of Life Care sector in order to provide adequ ate care to the population. Professor Chris Whitty, at the Hospice UK National Conference in 2023, highlighted the need to enhance the skills of generalist staff across the healthcare and social care sectors. He urged the hospice sector, which specializes in palliative and end of life care, to share their knowledge and expert7se with healthcare providers working in different fields. We currently face a challenge to recruit, develop and retain sufficient staff to maintain our own workforce. We are fi8htin8 in a competitive market and securing sufficient staff with prior palliative care experience is challenging at best and impossible at worst. The question for any potential future Treetops employee is what makes us an appealing employer above other providers. Maintaining competitive on salaries is financially challenging so findin8 alternative ways to engage with future staff has to be underpinned by education and reputation in order to Stand out more effectively from the crowd. Underpinning the delivery of good end of life care is the ability to recognise a deteriorating patient, a general knowledge of palliative care and perhaps most importantly the essential skill of communication between clinician and patient. Understanding human interaction is the means by which we do thin85 With and to one another, and to how we create, maintain, and Shape relationships. For many years the Treetops internal education programme has been centred around developing skills and task-based knowledge within our own workforce, addressing day-to-day competencies. We have failed over the years to recognise the value of our collective specialist knowledge. and as a result, we have never capitalized on our potential to share our knowledge both internally and outside our own team. Over more recent years the Counselling and Emotional Support Team have grown a robust programme of trauma-based training which is highly regarded in its field and there has been steadily growing demand for these sessions. Our successful student counsellor programme acts as a supply chain for future counselling Staff. Over the past two years we have been able to be part of an exciting opportunity collaborating with staff at University Hospital Derby and Burton, and Loughborough University developing a comprehensive programme of communication skills training delivered across Derbyshire and beyond. In addition our teams have collaborated together developing and delivering a number of competency-based education sessions supporknng essential to role competency criteria. These are in line with national objectives for workforce education and development and have proved popular with those acce55ing the education sessions. Our aspiration is to grow this collaboration in order to SUPPOrt the development of an academy model creating the workforce of the future for both Treetops and the wider community so replicating the succe55 of the model developed by our Counselling and Emotional Support Team. From these fledgling foundations the potential for further growth is becoming apparent. As a result, there is a need for new thinking, strong leadership and innovative delivery. ENV8961074 1011412024 17'.15 PM UTC Page 30
TREETOPS HOSPICE TRUST IA company limited by 8uarantee} TRUSTEES, REPORT INCLUDING STRATEGIC REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2024 Plans for future periods (continued) Over the coming year we plan to Grow our reputation as a centre of excellence for communication skills training and trauma informed work in counselling and emotion31 support. Raise income through education delivery but also via grant and research-based activity associated with education to support educatr'on delivery infrastructure. Support the development of our own future workforce by developing a robust model of education delivery based on the concept of an academy and capitalising on the apprentice model. Support our wider community through the provision of education to the generalist in order to improve the standards of care delivered. Become the main provider of advance communication skills training for Derbyshire and beyond, with the potential to expand across a wider area as Opportunities arise. Information on Fundraising Practices All staff and volunteers read the Treetops Hospice Trust policies on fundraising as part of their induction. All outside agencies are registered with appropriate regulatory bodies and sign agreements with Treetops Hospice Trust re8ardin8 policies on fundraising and General Data Protection Regulation compliance. Staff and volunteers attend training sessions on specific aspects of fundraising e.g. collections, and are given the Fundraising Regulators Code of Fundraising Practice for that particular activity. Breach of any of the policies is dealt with by the Head of Community Relationships, Head of Retail or Volunteers Services in line with the Treetops Hospice Trust volunteer procedures. Any breach by a paid fundraiser would be handled through the Treetops Hospice Disciplinary Policy and Procedure. Treetops Hospice also has a clear Gift Policy on accepting or abusing position for receiving money18ifts. If Treetops Hospice Trust is notified of third party fundraising events, any person from a group or any individual holding th at event, informs us to ensure that we are aware of the event's details, they are compliant, and that the money is received after the event. This is monitored by the Community Relationships team. Treetops Hospice Trust's income generation department organises fundraising events and co-ordinates the activities of our supporters both in the Hospice an(1 in the wider community on behalf of the charity. The department has signed up to the Fundraising Regulator's Code of Fundraising Practice, and the organisation as a whole adheres to the General Data Protection Regulations. All direct marketing is undertaken by the Incorne Generation and Marketing departments to ensure that it 15 not unrea50nably intrusive or persistent. All marketing material contains clear instructions on how a person can be removed from mailing lists, as do all letters of thanks. Treetops Hospice Lottery does use third party canvasing companies to recruit members of the Lottery. Data Protethon Agreements are in place with those companies, which confirms that they adhere to the Fundraisin8 Regulator's Code of Fundraising Practice and the General Data Protection Regulations. ENV8961074 1011412024 17..15 PM UTC Page 31
TREETOPS HOSPICE TRUST IA company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT {CONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 This year sees the current three-year Strategy come to an end. Reflection on our aspirations shows a record of success in delivering on many aspects whilst recognising the challenges created by the pandemic and cost of living crisis. As outlined demand for our Hospice services are ever-growing, and it is unfeasible to think that Treetops as a provider can ever grow both physically and financially to a sustainable level that meets this demand for our services. As such our challenge is to think differently and grasp the opportunity to meet rising needs by supporting the knowled8e growth and skill level of others working with individuals and supporting families through education provision. Treetops will work with the tru5tee5 over the coming year to review the strategy for the next S years creating a renewed direction of travel with some ambitious plans fit for the next five years. d. Actlvltles for achlevlng objerttves These objectives are met through the provision of care services as follows: Wellbeing Provision.. Wellbeing Days with Activity Programmes Wellbeing at Home Out-Patient Clinic Drop-ln Café Support and Information Carer Support and signposting Therapeutic Services Pre and Post Bereavement Support ComplementaryTherapy Hospice at Home Roaming Nurse Service Education Compassionate Communities ENV8961074 1011412024 17..15 PM UTC Page 32
TREETOPS HOSPICE TRUST (A company limited by guarantee) TRUSTEES, REPORT INCLUDING STRATEGIC REPORT ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 Statement of Trustees. responsibllitles The Trustees (who are a150 the directors of the Company for the purposes of company lawl are responsible for preparing the Trustees, report including the Strategic report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). Company law requires the Trustees to prepare financial statements for each financial year. Under company law, the Trustees must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affairs of the Group and the Company and of their incoming resourtes and application of resources, including their income and expenditure, for that period. In preparing these financial statements, the Trustees are required to.. select suitable accounting policies and then apply them consistently,. observe the methods and principles of the Charities SORP IFRS 1021,. make judgments and accounting estimates that are reasonable and prudent. state whether applicable UK Accounting Standards IFRS 1021 have been followed, subject to any material departures disclosed and explained in the financial statements,. prepare the financial statements on the going concern basis unless it is inappropriate to presume that the Group will continue in business. The Trustees are responsible for keeping adequate accounting records that are sufficient to show and explain the Group and the Company's transactions and disclose with reasonable accuracy at any time the financial position of the Group and the Company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for Safeguarding the assets of the Group and the Company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. Dlsclosure of informatlon to audltor Each of the persons who are Trustees at the time when this Trustees, report is approved has confirmed that.. so far as that Trustee is aware, there is no relevant audit information of which the charitable 8roup's auditor is unaware. and that Trustee has taken all the steps that ought to have been taken as a Trustee in order to be aware of any relevant audit information and to establish that the charitable group's auditor is aware of that information. In approving the Trustees, report, we also approve the Strategic report included therein, in our capacity as company directors. Approved by order of the members of the board of Trustees and signed on their behalf by.. 60&rf fjé*¢rt MrCGlynn Date-. 1011412024 17=44 UTC ENV89610744-0669-DEAF-0295-BAAB 1011412024 17'.15 PM UTC Page 33
Hackeryoung UHY Hacker Young LLP 14 Park Row Nottingham NG1 6GR Chartered Accovnlanls INDEPENDENT AUDITOR'S REPORTTO THE MEMBERS OF TREETOPS HOSPICE TRUST Opinion We have audited the financial statements of TreetOP5 Hospice Trust I'the charitable group'l for the year ended 31 March 2024 which comprise the Statement of Financial Activities, the Balance Sheet and Statement of Cashflows and notes to the financial statement, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including FRS 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'5 and 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 the requirements of the Companies Act 2006. Basis for opinlon We conducted our audit in accordance with International Standards on Auditing IUKI IISAS IUKII and applicable law. Our responsibilities under those standards are further described in the Auditor's responsibilities for the audit of the financial statement5 section of our report. We are independenr of the charitable company in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC'S Ethical standard and we have fulfil led our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained 15 sufficient and appropriate to provide a basis for our opinion. Concluslons relatlng to going ¢on¢ern In auditing the financial statements, we have concluded that the trustees, use of the going concern basis of accounting in the preparation of the financial statements is appropriate. Based on the work we have performed. we have not identified any material uncertainties relating to event5 or conditions that, individually or collectively, may cast significant doubt on the group and 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 155ue. Our responsibilities and the responsibilities of the trustees with respect to going concern are described in the relevant sections of this report. Other information The other information comprises the information included in the annual report other than the financial statements and our auditor's report thereon. The trustees are responsible for the other information contained within the financial statements. 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 expre55 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 inconsistencie5 or apparent material misstatements, we are required to determine whether there is a material misstatement in the tinancial statements or a material mi55tatement of the other information. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact ENV8961074 1011412024 17..15 PM UTC Page 34
TREETOPS HOSPICE TRUST IA company limited by8uarantee) INDEPENDENT AUDITOR'S REPORTTO THE MEMBERS OF TREETOPS HOSPICE TRUST ICONTINUEDI We have nothing to report in this regard. Opinions on other matters prescrlbed by the Companies Act 2006 In our opinion, based on the work undertaken in the course of the audit.. the information given in the tru5tees' report for the financial year for which the financial statements are prepared is consistent with the financial statements,. and the trustees, report has been prepared in accordance with applicable legal requirements. Matters on whlch we are required to report by exception In the light of the 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 trustees, report. We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires us to report to you if. in our opinion.. adequate accounting records have not been kept, or returns adequate for our audit have not been received from branches not visited by us,. or the financial statements are not in agreement with the accounting records and returns,. or certain disclosures of trustees, remuneration specilied by law are not made,. or we have not received all the information and explanations we require for our audit,. or the trustees were not entitled to prepare the financial statements in accordance with the small companies. regime and take advantage of the small companies, exemption in preparin8 the trustees, report and from the requirement to prepare a strategic report. Responsibilitie5 of trustees As explained more fully in the tru5tees' responsibilities statement set out on page 16, the trustees 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 co ntrol 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 and parent charitable company's ability to continue as a going concern. disclosing, as applicable, matters related to goin8 concern and using the going concern basi5 of accounting unless the trustees either intend to liquidate the charitable company or to cease operation5. or have no realistic alternative but to do so. Audltor 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 mi55tatement, 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 condurted in accordance with ISAS IUKI will always detect 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. ENV8961074 1011412024 17'.15 PM UTC Page 35
TREETOPS HOSPICE TRUST (A company limited by guarantee) INDEPENDENT AUDITOR'S REPORTTO THE MEMBERS OF TREETOPS HOSPICE TRUST ICONTINUEDI 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, iricludin8 fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below.. Based on our understanding of the charitable company and the industry in which it operates, we identified that the principal risks of non-compliance with laws and re8ulatTons related to the act5 by the charitable company, which were contrary to applicable laws and regulations including fraud, and we considered the extent to which non-compliance might have a material effect on the financial statements. We also considered those laws and regulations that have a direct impact on the preparation of the financial statements such as the Companies Act 2006. We evaluated management's incentives and opportunities for fraudulent manipulation of the fi'nancial statements (including the risk of override of controls) and determined that the principal risks were related to stock valuation and legacy income. Audit procedures performed by the engagement team included-. reviewing the systems, controls and procedures of the charity relevant to the preparation of the financial statements to ensure these were in place throughout the year,. evaluating management's controls designed to prevent and detect irregularities; review of the financial statement disclosures to underlying supporting documentation,. review of correspondence with and reports to the regulators, including correspondence with the Charity Commission,. enquiries of management in so far a5 they related to the financial statements,. testing of journals in particular journal entries posted by unusual users, postings Wlth unusual descriptions, postings with unusual times and dates and postings with unusual and material amount5,' evaluating whether there was evidence of bias by the trustees that represented a risk of material misstatement due to fraud; challenging assumptions and judgements made by management in their critical accounting estimates. reviewin8 legacies to ensure income is being recognised in line with the relevant performance obligations and correctlv classified in line with the applicable financial reporting standard5,' and reviewing and testing Stock values pre and post year end to ensure stock is correctly stated. There are inherent limitations in the audit procedures described above and the further removed non-compliance with laws and regulations is from the events and transactions reflected in the financial statements, the less likely we would become aware of it. Also, the risk of not detectin8 a material misstatement due to fraud is higher than the risk of not detecting one resulting from error, as fraud may involve deliberate concealment by, for example, forgery or intentional misrepresentations, or through collusion. A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at.. http.'/lwww.frc.org.uk/auditorsre5ponsibilitres. This description forms part of our auditor's report. ENV8961074 1011412024 17'.15 PM UTC Page 36
TREETOPS HOSPICE TRUST {A company limited by guarantee) INDEPENDENT AUDITOR'S REPORTTO THE MEMBERS OF TREETOPS HOSPICE TRUST ICONTINUEDI 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 company's members those matter5 we are required to state to them in an auditor's report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the charitable company and the charitable company's members as a body, for our audit work, for this report, or for the opinions we have formed David Allum (Senior statutory auditor) for and on behalf of UHY Hacker Young LLP Chartered Accountants Statutory Auditor 14 Park Row Nottingham NGI 6GR Date: 10/29/2024 19..13 UTC ENV8961074 1011412024 17'.15 PM UTC Page 37
TREETOPS HOSPICE TRUST IA company limited by guarantee) CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES {INCORPORATING INCOME AND EXPENDITURE ACCOUNTI FOR THE YEAR ENDED 31 MARCH 2024 Unrestricted funds 2024 Restrirted funds 2024 Total funds 2024 Total funds 2023 Note Income from: Donations and legacies Charitable activities 1,851,808 2,681 1,854,489 1,092,471 1,008,819 917,221 1,092,471 Other trading activities Investments 2,467,948 61,785 117,9611 2,467,948 61,785 117,9611 2,265,121 38,993 22,500 Other income Total income 5,456,051 2,681 5,458,732 4,252,654 Expenditure on: Raising funds- Voluntary income Fundraising trading Charitable activities io 582,652 1,757,816 2.817,210 582,652 1,757,816 403,995 1,600.522 li 12 34,880 2,852,090 2.765,938 Total expenditure 5,157,678 34,880 5,192,558 4,770,455 Net lexpendlturelllncome before net {losses)/Ealns on Investments Net Ilossesl/gains on investments 298,373 132,1991 266,174 1517,8011 127,93SI 17 Net {expendlturel/lncome before taxatlon Taxation 298,373 132,1991 266,174 1545,7361 18,2451 Net lexpenditure)lincome after taxation Transfers between funds 298,373 132,1991 266,174 1553,9811 21 Net movement In funds 298,373 132,1991 266,174 1553,9811 Reconciliation of funds: Total funds brou8ht forward Net movement in funds 5,119,379 298.373 77,462 132,1991 5,196,841 266,174 5.750,822 1553,9811 Total fund5 carried fonvard 5,417,752 45,263 5,463,015 5, 196,841 ENV8961074 1011412024 17'.15 PM UTC Page 38
TREETOPS HOSPICE TRUST IA company limited by 8uarantee} CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES (INCORPORATING INCOME AND EXPENDITURE ACCOUNTI ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2024 The Consolidated Statement of Financial Activities complies with the requirements for an income and expenditure account under the Companies Act 2006 and includes all gains and losses recognised in the year. All income and expenditure derive from continuing activities. ENV8961074 1011412024 17'.15 PM UTC Page 39
TREETOPS HOSPICE TRUST {A company limited by guarantee) REGISTERED NUMBER.. 01801708 CONSOLIDATED BALANCE SHEET ASA T31 MARCH 2024 2024 2023 Note Fixed assets Tangible assets Investments 16 2,658,046 2,083,103 578,290 17 2,658,046 2,661,393 Current assets Stock5 18 103,941 129,315 322,451 2,454,177 Debtors 19 241,438 2,758,357 Cash at bank and in hand Creditors.. amounts falling due within one year 20 1298,7671 1370,4951 Net current assets 2,804,969 2,535,448 Total assets less current Ilabllltles 5,463,015 5,196,841 Total net assets 5,463.015 5,196,841 Charltyfvnds Restricted funds 21 45,263 77.462 Unrestricted funds Designated funds 21 2,658,046 2,083,103 General funds 21 2,759,706 3,036.276 Unrestricted funds 21 5,417,752 5,119,379 Total funds 5,463,015 5,196,841 ENV8961074 1011412024 17..15 PM UTC Page 40
TREoPs HOSPICE TRUST IA company lirnited by guarantee) REGISTERED NUMBER.. 01801708 CONSOLIDATED BALANCE SHEET ICONTINUEDI ASA T31 MARCH 2024 The Trustees 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 Trustees and signed on their behalf by.. Mrc Glynn Date.. 10/14/2024 17:44 UTC The notes on pages 44 to 71 form part of these financial statements. ENV8961074 1011412024 17'.15 PM UTC Page 41
TREETOPS HOSPICE TRUST {A company limited by guarantee) REGISTERED NUMBER.. 01801708 COMPANY BALANCE SHEET ASA T31 MARCH2024 2024 2023 Note Flxed assets Tangible assets Investments 16 2,658,046 2,083,103 589,290 17 2,658,046 2,672,393 Current assets Stocks 18 103,941 373,691 129,315 505,859 2,047,846 Debtors 19 Cash at bank and in hand 2,529,659 Creditors.. amounts falling due within one year 20 1688,5091 1644,7591 Net current assets 2,318,782 2,038,261 Total assets less current Ilabllltles 4,976,828 4,710,654 Total net assets 4,976,828 4,710,654 Charity funds Restricted funds 21 45,263 77,462 Unrestricted fund5 Designated funds 21 2,658,046 2,083,103 General funds 21 2,273,519 2,550,089 Unrestricted funds 21 4,931,565 4.633,192 Totsl funds 4,976,828 4,710,654 ENV8961074 1011412024 17'.15 PM UTC Page 42
TREETOPS HOSPICE TRUST IA company limited by guarantee) COMPANY BALANCE SHEET ICONTINUEDI ASA T31 MARCH2024 The Company 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. The Company's net movement in funds for the year was £1266,174112023 - £615,601). The Trustees acknowledge their responsibilities for complying with the requirement5 of the Act with respect to accounting records and preparation of financial statements. The financial statements were approved and authorised for issue by the Trustees and signed on their behalf by.. 6olM Mr C Glynn Date.. 10/14/2024 17.. 44 UTC The notes on pages 45 to 72 form part of these financial statements. ENV8961074 1011412024 17'.15 PM UTC Page 43
TRE0P5 HOSPICE TRUST IA company Ilmlted by guarantee) CONSOLIDATED STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 MARCH 2024 2024 2023 Note Cash flows from operating artivities Net cash (used inl/provided by operating activities 24 1199,8921 184,4391 Cash flows from investing actlvlties Dividends and interest from investments 38,993 1115,6001 175,597 Purchase of tangible fixed assets Proceeds from sale of investments 163,6761 572,003 Purchase of investments 126,6411 3,990 18,2451 1241,1981 Proceeds from disposal of tangible fixed assets Taxes paid Net cash used in investin8 activities 477,431 1142,2081 Charsge in cash and cash equivalents in the year 277,539 1226,6471 Cash and cash equivalents at the beginning of the year 25 2,480,818 2,707,465 Cash and cash equlvalents at the end of the year 2,758,357 2,480,818 ENV8961074 1011412024 17'.15 PM UTC Page 44
TRE0P5 HOSPICE TRUST (A company limlted by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 General information The company is a company limited by guarantee. The members of the company are the trustees named on page l. In the event of the company being wound up, the liability in respect of the guarantee is limited to £1 per member ofthe company. Accounting policie5 2.1 Basis of preporotlon offlnonclol statements The financial statements have been prepared in accordance with the Charities SORP IFRS 1021 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 IFRS 1021 (effective l January 20191, the Financial Reporting Standard applicable in the UK and Republic of Ireland (FR5 1021 and the Companies Act 2006. Treetops Hospice Trust 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 ISOFAI and consolidated balance sheet consolidate the financial statements of the Company and its subsidiary undertaking. The results of the subsidiary are consolidated on a line by line basis. The Company 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. The financial statements are prepared on the going concern basis under the historical cost convention, modified to include certain item5 at fair value. The financial statements are presented in sterling which is the functional currency of the charity and rounded to the nearest £1. The significant accounting policies applied in the preparation of these financial statements are set out below. These policies have been consistently applied to all years presented unless otherwise stated. 2.2 Going concern The Trustees have considered the impact of the current economic situation, such as high inflation and cost of living increases. They have prepared forecasts of income and expenditure, and cash flow for the period up to 31 March 2025 and ensure that these are updated on a quarterly basis for review, a5 well as allowing for stress-testing differing financial circumstances over that period. The trustees are confident that these forecasts show there are sufficient reserves and cash to be able to continue for the foreseeable future. They will continue to monitor the impact on income and take appropriate action as necessary. The trustees therefore continue to adopt the going concern basis of preparation for these financial statement5. ENV8961074 1011412024 17'.15 PM UTC Page 45
TREETOPS HOSPICE TRUST {A company limited byguarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 Accounting policies (continued) 2.3 Income All income is recognised once the group has entitlement to the income, it is probable that the income will be received and the amount of income receivable can be rneasured reliablv. 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 legary exists when the charitable company has sufficient evidence that a gift has been left to them Ithrough 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 lusually grant of probatel. 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 charitable 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 inc5uded in creditors as deferred income. Where entitlement occurs before income is received, the income is accrued. Gifts in kind donated for distribution are included at valuation and recognised as income when they are distributed to the projects. Gifts donated for resale are included as income when they are sold. Where the donated good is a fixed asset, it is measured at fair value, unless it is impractical to measure this reliably, in which case the cost of the item to the donor should be used. The gain is recognised as income from donations and a corresponding amount is included in the appropriate fixed asset class and depreciated over the useful economic life in accordance with the charitable company's accounting policies. On receipt, donated professional Services and facilities are recognised on the basis of the value of the gift to the charitable company which is the amount it would have been willing to pay to obtain SeiCe5 or facilities of equivalent economic benefit on the open market,. a corresponding amount is then recognised in expenditure in the period of receipt. Income tax recoverable in relation to investment income is recognised at the time the investment income is receivable. 2.4 Expenditure Expenditure is recognised once there is a legal or constructive obligation to transfer economic benefit to 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 asseys use. ENV8961074 1011412024 17..15 PM UTC Page 46
TRE0P5 HOSPICE TRUST (A Company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 Accounting policles (contlnued) 2.4 Expenditure fcontinuedj Expenditure on raising funds includes 311 expenditure incurred by the group to raise funds for its charitable purposes and includes costs of all fundraising activities events and non-charitable tradin8. Expenditure on charitable activities is incurred on directly undertaking the activities which further the charitable company's objectives, as well as any associated support costs. All expenditure is inclusive of irrecoverable VAT. 2.5 Interest re¢eivoble Interest on funds held on deposit 15 included when receivable and the amount can be measured reliably,. this is normally upon notification of the interest paid or payable by the institution with whom the funds are deposited. 2.6 Toxotion The charitable company is considered to pass the tests set out in Paragraph I Schedule 6 of the Finance Act 2010 and therefore it meets the definition of a charitable company for UK corporation tax purposes. Accordingly, the charitable 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 of Chargeable Gains Act 1992, to the extent that such income or gains are applied exclusively to charitable purposes. 2.7 Tangible fixed ossets ond 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 impairment10sses. All costs incurred to brin8 a tangible fixed asset into its intended working condition should be included in the measurement ofc05t. Depreciation is charged so as to allocate the cost of tangible fixed assets less their residual value over their estimated useful lives, using the 5traight-line method. Depreciation is provided on the following base5'. Freehold property Motor vehicles Fixtures and fittings Office equipment 2% straight line 25% straight line 25% straight line 25% straight line Asset5 under construction are not depreciated as they are not yet operational within the business. ENV8961074 1011412024 17'.15 PM UTC Page 47
TREETOPS HOSPICE TRUST (A company lirnited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED31 MARCH 2024 Accounting policies (continued) 2.8 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 C05t less impairment. Investment gains and losse5, whether realised or unrealised, are combined and presented as 'Gains/lLossesl on investments, in the consolidated statement of financial activities. Investments in subsidiaries are valued at cost less provision for impairment. 2.9 Stocks Stock5 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. Donated items of stock for resale are not included in the financial statements until they are sold a5 the Trustees consider it impractical to assess the amount of donated stock held, as there is no system in place to record these items or value them until they are sold. The value of these good5 to the charity is instead recognised when they are sold in the shops. 2.10 Debtors Trade and other debtors are recognised at the settlement amount after any trade discount offered. Prepayments are valued at the amount prepaid net of any trade discounts due. 2.11 Cash ot bank and in hond 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. 2.12 Llobllities and provislons 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 group 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 15 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 15 recogni5ed in the consolidated statement of financial activities as a finance cost. ENV8961074 1011412024 17'.15 PM UTC Page 48
TREETOPS HOSPICE TRUST IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 Accounting policies (continued) 2.13 Financial in5trument5 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. 2.14 Operating lea5e5 Rentals paid under operating leases are charged to the consolidated statement of financial activities on a straight-line basis over the lease term. 2.15 Pension5 The charitable company contributes to individuals, defined contribution pension schemes. Contributions are charged to the SOFA in the year they are payable. 2.16 Fund accounting General funds are unrestricted funds which are available for use at the discretion of the Trustees in furtherance of the general objertives of the Group and which have not been designated for other purposes. Designated funds comprise unrestricted funds that have been set aside by the Trustees for particular purposes. The aim and use of each designated fund is set out in the note5 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 15 Set out in the notes to the financial statements. Investment income, gains and losses are allocated to the appropriate fund. 2.17 Employee benefits When employees have rendered seNice to the charitable company, short-term employee benefits to which the employees are entitled are recognised at the undiscounted amount expected to be paid in exchange for that service. 2.18 Aqenry armngements The charity act5 as an agent in distributing fund5 in relation to the End Of Life Toolkit Project. Payments are received from NHS Nottingham & Nottinghamshire ICB and Derbyshire Community Health Services. Subsequent distributions are made to other NHS ICBS. The funds are excluded from the statement of financial activities as the charity doe5 not have control over the charitable application of funds. The funds received and paid, and any balances held are disclosed in note 28. ENV8961074 1011412024 17'.15 PM UTC Page 49
TREEfops HOSPICE TRUST IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 Critical accounting estimates and areas of judgment Estimates and judgments are continually evaluated and are based on historical experience and other factor5, including expectations of future events that are believed to be reasonable under the circumstances. Critical accountin8 estimates and assumptions.. The group makes estimates and assumptions concerning the future. The resulting accounting estimates and assumptions will, by definition, seldom equal the related actual results. There are no 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. The charity has valued the addition of the Saplings building and fixtures and fittings held within the building, using a best estimate judgement. The building has been based on the valuation provided by an external valuation entity and the internal fixtures based on expected market value of the assets. Income from donation5 and legacies Unrestrirted funds 2024 Restricted funds 2024 Total funds 2024 Total funds 2023 Donations Donations and sponsorship Giftaid 278,096 113,802 53,351 265,768 652,000 671 278,767 113,802 296,548 104,570 Income from charitable trusts (note 51 Income from other clubs and organisations Saplings Building 53,351 265,768 652,000 43,815 216,429 Grants Hospice UK BBC Children in Need 4,263 17,092 42,696 283,406 25,244 19,516 444,031 2.010 27,254 19,516 NHS Charity fund Legacies and bequests 444,031 1,851,808 2,681 1,854,489 1,008,819 Total 2023 910,887 97,932 1,008,819 ENV8961074 1011412024 17'.15 PM UTC Page 50
TREETOPS HOSPICE TRUST IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 Charitable trusts Unrestricted funds 2024 Restricted funds 2024 Total funds 2023 Albert Hunt Trust 15,000 200 20.000 200 Ardwick Trust ASDA Foundation 400 Boots Charitable Trust 51)0 Cecil Rosen Foundation 500 Children in Need 670 665 Cumberland Trust 375 250 Institute of Our Lady of Mercy Making a Difference Local S5P Foundation 1,000 250 The Hudson Charitable Trust 200 30D The Mary Robertson Trust The PWC Foundation 2,000 250 The Sir John Eastwood Foundation 2.000 Thomas J Thorne Memorial Trust 7.000 14,000 The Orr Macintosh Foundation 6,000 1,000 The Paget Trust Hi5cox Foundation UK 2,500 TYI Giveback Community Fund The Adam Berry Foundation Reuben Foundation 5,000 4,000 250 AW Lymm Centenary Foundation The Fifty Fund The Sawley Charities Masonic Charitable Trust 656 I,OCKJ 750 250 The Grace Trust 3,000 53,351 43,815 Total 2023 43,815 43,815 ENV8961074 1011412024 17'.15 PM UTC Page 51
TREEfops HOSPICE TRUST IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 Income from charitable activities Unrestrlrted funds 2024 Restricted fund5 2024 Totsl funds 2024 Total funds 2023 Derby & Derbyshire CCG Nottingham County Teaching CCG Education 984,196 984,196 879,748 16,755 8,105 1,556 6,029 6,029 86,508 3,637 12,101 86,508 Meals and refreshments 3,637 12,101 Miscellaneous 11,057 1,092,471 1,092,471 917,221 Total 2023 904.016 13.205 917,221 Income from other trading artivities Income from fundraising events Unrestrlcted funds 2024 Totsl funds 2024 Total fund5 2023 Shop sales Hospice lottery income Catering income 1,544,987 922,961 1,544,987 922,961 1,549,767 715,354 2,467.948 2,467,948 2,265,121 Total 2023 2,265,121 2,265,121 ENV8961074 1011412024 17'.15 PM UTC Page 52
TREETOPS HOSPICE TRUST {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 Investment income Unrestri¢ted funds 2024 Total funds 2024 Total funds 2023 Bank interest 61.785 61,785 27,864 11,129 Listed investments income 61.785 61.785 38,993 Total 2023 38,993 38,993 Other Income Unrestrlcted funds 2024 Total funds 2024 Total funds 2023 Financing income 117,9611 117,9611 22,500 117,9611 117,9611 22,500 Total 2023 16,409 16,409 ENV8961074 1011412024 17..15 PM UTC Page 53
TREETOPS HOSPICE TRUST IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 io. Raislng funds- voluntsry income Unrestricted funds 2024 Totsl funds 2024 Total funds 2023 Direct costs - other 122,697 122,697 23,638 373,389 Direct costs - staff 459,955 459,955 Investment management fees 6,968 582,652 582,652 403,995 ii. Raising funds- fundraising trading Direct staff Direct other costs costs 2024 2024 Total fund5 2024 Total fund5 2023 Hospice lottery Shops Catering 229,797 749,072 265,870 474,149 38,929 495,666 263,948 1,328,174 8,400 1,223,221 38,929 978,868 778.948 1,757,816 1,600,522 Total 2023 958,849 641,673 1,600,522 Dirett costs - other are those associated with providing the activity, for example, lottery prizes, shop c05t of sales, depreciation and other costs. All costs are unrestricted. ENV8961074 1011412024 17..15 PM UTC Page 54
TREETOPS HOSPICE TRUST {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 12. Cost of charitsble activities Direct staff Direct other costs costs Support costs 2024 2024 2024 Totsl funds 2024 Total funds 2023 Wellbeing Bereavement support Complementary therapy Hospice at home Trainin8 Governance costs Inote 131 442,782 30,186 330,948 210,550 803,916 511,509 620,644 282,267 18,692 651,864 28,992 763,576 62,516 25,626 572 20,683 555,692 45,607 50,247 1,349,995 110,797 25,626 3,630 1,377,045 72,033 40,722 30,727 2,674 1,605,759 82,851 1,163,480 2.852,090 2,765,938 Total 2023 2.060.085 97,497 608,356 2,765,938 Support costs outlined below have been allocated to charitable activities in proportion to the direct costs attributed to each activity. The relevant proportions are wellbeing 28.4% 12023.. 22.80AI, bereavement support 18.1% 12023.- 23.9%), complementary therapy 1.7%12023'. 0.1%), h05pice at home 47.7%12023'. 50.5%) and training 3.9%12023.' 2.7%). Restritted expenditure totalling £Nil12023'. £17,411) is included in the total expenditure of £2,852,090 12023.. £2,765,938). Support costs 2024 2023 Administration 1,100,708 62,772 396,039 212,317 Marketing 1,163A80 608,356 ENV8961074 1011412024 17'.15 PM UTC Page 55
TREoPs HOSPICE TRUST IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 13. Governance costs 2024 2023 Direct costs - other 25,626 27,509 13,213 Direct costs - staff 25,626 40,722 Other governance costs represent audit fees, legal costs and health & safety audit costs. Staff costs represent company secretarial and chief executive governance costs. 14. Net incomel{expenditure) 2024 2023 Depreciation of tangible fixed assets - owned by the charity Auditor'5 remuneration audit 119,543 26,000 104,895 25,330 15. Staff costs Group 2024 Group 2023 Company 2024 Company 2023 Wages and salaries Social security costs Contribution to defined contribution pension schemes 3,146.078 250,211 2,958,422 222,868 3,146,078 250,211 306.178 2,958,422 222,868 306,178 211,033 211,033 3,702,467 3,392,323 3,702.467 3,392,323 ENV8961074 1011412024 17:15 PM UTC Page 56
TREETOPS HOSPICE TRUST {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 15. Staff costs Icontinuedl The average number of persons employed by the Company during the year was as follows.. Group 2024 No. Group 2023 No. Direct charitable 42 43 Fundraisin8 and publicity Management and administration 46 20 21 116 iio The number of employees whose employee benefits (excluding employer pension costs) exceeded £60,000 was: Group 2023 Group 2022 No. In the band £60.001- £70,000 In the band £70,001~ £80,000 In the band £80,001- £90,000 The total amount of employee benefits received by key management personnel, including employer's Nl and pension, is £328,07712023.' £399,360). The Trust considers its key management personnel to comprise the Chief Executive Officer. Director of Clinical services, Company Secretary, Head of Finance, Director of Income Generation and Marketing. and Director of Operations and Compliance. No Tru5tee5 were paid any remuneration during the year. One Trustee was reimbursed travel expenses of £38 durin8 the year for their parhcipation in volunteering in line with the charitable company's expense policy12023'. £461. Treetops H05pice Trust makes payments on behalf of employees into individuals, defined contributions pension schemes. The a55ets of these schemes are held Separately from those of the charity in independently administered funds. The pension cost charge in the Statement of Financials Activities represents contributions payable by the charity to the fund5 and amounts to £306,17812023: E211.0331. At the year end, contributions of £25,33812023.. £20,1971 were outstanding. ENV8961074 1011412024 17'.15 PM UTC Page 57
TREETOPS HOSPICE TRUST (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 16. Tangible flxed asset5 Group and Company Freehold Assets under property construction Motor vehicles Flxtures and flttlngs Office equipment Total Cost or voluation At l April 2023 Additions 2,491.062 593,323 139,700 83,099 785.006 122,353 100,003 3,598.870 715,676 121,190} Disposals 121,1901 At 31 March 2024 3,084,385 139,700 61,909 907,359 100,003 4,293.356 Depreclotlon At l April 2023 Charge for the year On disposals Impairment charge 719.581 51,1)09 53,456 7,408 (16,5271 647,687 72,693 95,043 4,960 1,515,767 136,070 116,527) At 31 March 2024 770,590 44,337 720.380 100,003 1,635,310 Net book value At 31 March 2024 2,313,795 139,700 17,572 186,979 2,658,046 At 31 March 2023 1,771,481 139,700 29,643 137,319 4,960 2,083,103 The Trustees are of the opinion that the open market value of the freehold property is in excess of its carrying value. It is not considered practical to quantify this excess. ENV8961074 1011412024 17'.15 PM UTC Page 58
TREETOPS HOSPICE TRUST (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 16. Tangible fixed asset5 The cost of the freehold property comprise of the buildings and grounds known as Treetops Hospice Trust. 2024 2023 Original costs Improvements to freehold property Sandiacre premises New build costs 246,882 1,329,017 167,941 246,882 1.310,694 167,941 765,545 575,000 765,545 Saplings building 3,084,385 2,491,062 17. Flxed asset Investments Group Listed Investments Total 2024 Total 2023 Cost or voluotlon At l April 2023 Additions 578,290 578,290 513,983 241,198 1175,5971 Disposals Revaluations (578,2901 (578,2901 127,9351 At 31 March 2024 551,649 Investment cash 26,641 At 31 March 2023 578,290 Historical cost 595,279 ENV8961074 1011412024 17..15 PM UTC Page 59
TRE0P5 HOSPICE TRUST IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 17. Fixed asset Investments {contlnued) Companv Investment In subsidiary Listed investments Total 2024 Total 2023 C05t or valuation At l April 2023 Additions 11,000 551,649 562,649 524,983 241,198 1175,5971 Disp05a15 Revaluations 1551,6491 1551,6491 127,9351 At 31 March 2024 11,000 11,000 562,649 Investment cash 26,641 11,000 11,000 589,290 At 31 March 2024 Historical cost 595,279 The investment in listed securities represents a portfolio investment that was held by Rathbones Investment Management Ltd. All listed investments have been disposed of in the year ended 31 March 2024. ENV8961074 1011412024 17'.15 PM UTC Page 60
TREETOPS HOSPICE TRUST IA company limited by guarantee) NOTE5 TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 Fixed a55et investments (contlnued) Principal subsldiaries The following were subsidiary undertakings of the Companv.. Names Class of shares Holding Included In consolidation Treetops Retail Limited Treetops Funding Limited Ordinary Ordinary loo% loo% Yes Yes The financial results of the subsidiaries for the year were.. Names Income Expenditure ProfltllLossl for the year Net assetsl Treetops Retail Limited Treetops Funding Limited 135,582) 970,310 701,968 {260.626) 437,542 18. Stocks Group 2024 Group 2023 Company 2024 Company 2023 Donated stock 103,941 129,315 103,941 129,315 19. Debtors Groyp 2024 Group 2023 Company Company 2023 2024 Trade debtors 47.632 170,670 47,632 170,670 Amounts owed by 8roup undertakings Other debtors 177,445 16,856) 155,470 189,129 29,416 116,644 {3,9421 197,748 33,045 118,736 Prepayments and accrued income 241,438 322,451 373,691 505,859 ENV8961074 1011412024 17'.15 PM UTC Page 61
TRE0P5 HOSPICE TRUST IA company limited byguarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 20. Creditors: Amounts falling due within one year Gioup 2024 Group 2023 Company 2024 Company 2023 Amounts held under agency arrangement Inote 29 109,502 60,634 140,000 64,539 109,502 140,000 57,979 Trade creditors 50,826 Amounts owed to group undertakings Other taxation and social security Other creditors 472.652 342,747 52,046 26,238 25,749 45,227 57,599 52,046 45,227 (6.895) 17,197 80,351 33,559 Accruals and deferred income 25,805 298,767 370,495 688,509 644,759 ENV8961074 1011412024 17'.15 PM UTC Page 62
TREETOPS HOSPICE TRUST IA company limited byguarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 21. Statement of funds Statement of funds- current year Balance at I Aprll 2023 Translers Inlout Galnsl (Lossesl Balance at 31 March 2024 Income Expendlture Unrestricted Deslgnotedlunds Fixed assets 2,083,103 652,000 (140,733) 63,676 2,658,046 Generalfund5 General funds 2,550,089 4,102,084 14,756,319) (260,6261 377,665 1441,3411 2,273,519 Treetops Funding Treetops Retail 522,769 (36,5821 701,967 522,769 {36,582) 3,036,276 4,804,051 15,016,945} 163.676) 2,759,706 Total Unrestricted funds 5,119,379 5A56,051 15,157,678) 5,417,752 Restri¢tedfvnds Grounds fund 12,900 671 11,452) 12,119 Children's bereavement 8,258 2,010 (13,5721 3,527 223 Support and information 19,016 (19,0161 Nationwide Compassionate Communities 17,904 4,263 17,904 Hospice UK Grant 4,263 Contemplation Courtyard NHS Charity Fund Roaming Nurse Car Fund 7,290 1840) 6,450 4.304 4.304 Syringe Driver Grant Children in Need 3,527 13,527) ENV8961074 1011412024 17'.15 PM UTC Page 63
TREETOPS H05PICE TRUST IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 21. Statement of funds (continued) Stotement ofAund5 - current yeor (continued) alance at I April 2023 Transfers Inlout Galnsl (Losses) Balance at 31 March 2024 Income Expendlture 477,462 2,681 (34,8801 45,263 Totol ofAunds 5,196.841 5,458,732 {5.192,558) 5,463,015 ENV8961074 1011412024 17'.15 PM UTC Page 64
TREETOPS HOSPICE TRUST {A company Ilmlted by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 21. Stat•m•nt of fund¥ Statement of funds- Prior year Balance * I April 2022 Translars inlout G•insl Balance at 31 (Losses) March 2023 Inegm• Expend Unrestricted De$lgnotedfund$ Fixed essets 2,165,049 1197,5461 115,600 2,083,103 6enerolfund$ General funds 3,115,890 3,426,162 715,355 (4,283,150) (272,1931 18,400) 319,122 1373,142) 127,935) 2,550,089 522,769 {36,5821 Treetops Fundin8 Treetops Retall 452,749 (28,1821 3,540,457 4,141,517 14,563,743) 154,020) 127,935) 3,036,276 Totol Unrestrirted Junds 5,705,506 4,141,517 14,761,289) 61,580 127,935) 5,119,379 Restrictedfunds Grounds fund 13,715 (8151 12,900 Children's bereavement 13,565 (5.307) 8,258 Support and Information Nationwide Compasslonate Communltles 19.016 19.016 17,904 (9,6191 17,904 Trauma fund 9,619 4,263 Hosplce UK Grant Contemplation Courtyard NHS Charity Fund Roamlng Nurse Car Fund 4,263 4,300 8,881 42,696 {5,891) 7,290 142,6961 25,000 [20,6961 4,304 Syringe Driver Grant 3,586 5,527 15,3981 1,812 Children in Need 3,527 ENV8961074 1011412024 17'.15 PM UTC Page 65
TREoPs HOSPICE TRUST (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 21. Stat•mont of funds lcontinuedl Statement offvnds - prior year (¢ontinuedJ 8al•rhce at I April 2022 Transfers inlout Garni Balanee at 31 March 2023 Incom• EXpendur* ILosi•i) 45,316 111,137 {17,4111 161,580) 77,462 Total offunds 5,750,822 4,252,654 14,778,700) 127,935) 5,196,841 ENV896107 1011412024 17-.15 PM UTC Page 66
TREETOPS HOSPICE TRUST IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 21. Statement of funds (continued) Designated Funds Designared funds comprise the net book value of the group's unrestricted fixed assets. Restrlcted Funds Grounds fund - for maintaining the ground surrounding the Hospice. Children's bereavement project to pay salaries of counselling and emotional 5UPPOrt staff who provide services to bereaved children. Support and information - to assist in the provision of support and information. Nationwide Compassionate Communities Projett - established to engage and empower people and communities to have conversations about death, dying, bereavement and loss, ultimately enable people to share thelr preference and wishes about these. Trauma - non-talking therapy for children and young people who had experienced some trauma through their bereavement. Hospice UK The NHSE awarded funding to allow the hospice to make available bed capacity and community support from April 2020 to July 2020 to provide 5UPPOrt to people with complex needs in the context of the Covi[ 19 situation and to provide bed capacity and community support from November 2020 to March 2021 for the same purpose. Contemplation Courtyard to provide a peaceful, contemplative area surrounding our Memory Tree in which people can remember loved ones who have died. NHS Charity Fund to provide continued funding for the Roaming Nurse Service started in 2020121 during the pandemic. Syringe Driver Grant to purchase Syringe Driver equipment in order to help provide specialised training to local care home5. Roaming Nurse Car Fund to purchase a vehicle which can be used by the Roaming Nurse team to provide specialised overnight care. Transfers During the year, a transfer has been made between general fund5 and designated funds in relation to fixed a55ets. The transfers represent a movement in NBV on fixed a55et5. A transfer has been made between Children in Need and Children's Bereavement as they relate to the same fund. A transfer was a150 made between General Funds and Treetops Funding in unrestricted funds, representing the gift aid payment made from the subsidiary to the parent in the year. ENV8961074 1011412024 17..15 PM UTC Page 67
TREEfops HOSPICE TRUST IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 22. Surnmary of funds Summary of funds- currentyear Balance at I Aprll 2023 Transfers inlout Galnsl ILossesl Balance at 31 March 2024 Income Expenditure Designated funds General funds 2,083,103 3.036,276 77,462 652,000 4,804,051 1140,733) (5.016,945} 134,8801 63,676 (63,6761 2,658,046 2,759,706 Restricted funds 2,681 45,263 5,196,841 5,458.732 {5,192,558) 5,463,015 Summary of funds- prloryear Balance at 31 March 2023 Balance at l April 2022 Transfers in/out Gains/ (Losses) Income Expenditure Designated funds General funds 2,165,049 3,540,457 45,316 1197,5461 14,563,743) 117,4111 115,600 154,0201 161,5801 2,083,103 4,141,517 127,9351 3,036,276 77,462 Restricted funds 111,137 5,750,822 4,252,654 14,778,700) 127,9351 5.196,841 23. Analysis of net assets between funds Analysls of net assets between funds - current year Unrestricted funds 2024 Restrlcted funds 2024 Total funds 2024 Tangible fixed assets Fixed asset investments 2,658,046 2,658,046 Current assets 3.058.473 {298,7671 45.263 3,103,736 1298,7671 Creditors due within one year Total 5,417,752 45.263 5.463.015 ENV8961074 1011412024 17'.15 PM UTC Page 68
TREETOPS HOSPICE TRUST {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 23. Analysis of net assets between funds lcontinuedl Analysis of net asset5 between funds - prior year Unrestritted funds 2023 Restricted funds 2023 Total funds 2023 Tan8ible fixed assets Fixed asset investments 2,083,103 578,290 2,083,103 578,290 2,905,943 1370,4951 Current assets 2,828,481 1370,4951 77,462 Creditors due within one year Total 5,119,379 77,462 5,196,841 24. Reconciliatlon of net movement In funds to net cash flow from operating actlvTrtles Group 2024 Group 2023 Net lexpenditurel/ income for the year las per Statement of Financial Activities) 266,174 1553,9811 Adjustmentsfor.. Depreciation charges Impairment charges IGains}Ilosses on investments Dividends and interest from investments IGainsl/losses on disposals of fixed assets Movement of investments to bank Ilncreasel/decrease in stocks Ilncreaselldecrease in debtors Increase/ldecreasel in creditors 116,798 104,895 92,651 17,287 27,935 138,9931 161,785) 673 {572,0031 25,374 81,013 (73,423) 130,5211 205,610 107,965 Net cash (used inJ/provided by operating artivlties (199.892) 184.4391 ENV8961074 1011412024 17..15 PM UTC Page 69
TREETOPS HOSPICE TRUST {A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARC14 2024 25. Analysls of cash and cash equlvalents Group 2024 Group 2023 Cash in hand 2.758.357 2,454,177 26,641 Cash held in investments Total cash and cash equivalents 2,758,357 2,480,818 26. Analysis of changes in net debt At l April 2023 At 31 March 2024 Cash flows Cash at bank and in hand 2,454,177 26,641 304,180 (26,6411 2,758,357 Investment cash 2.480.818 277,539 2,758,357 27. Capital commitments Group 2024 Group 2023 Company 2024 Company 2023 Controctedfor but not provlded In these finonciol Statement5 Acquisition of tangible fixed assets 17,550 17,550 ENV8961074 1011412024 17'.15 PM UTC Page 70
TREoPs HOSPICE TRUST IA company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 28. 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 2024 Group 2023 Not later than l year Later than l year and not later than 5 years Later than 5 years 200.085 163,000 557,042 285,125 638,283 250,428 1.088.796 1,005,167 There was £241,59112023'. £176,375) of lease payments recognised as an expense Sn the statement of financial activities. 29. Agency arrangements The charity acts an an agent in distributing EOLT project funds. In the accounting period ending 31 March 2024 the charity received £109.50212023.. £140,000) and disbursed £nil12023'. £nill from the fund. An amount of £109,502 12023.. £140.0001 is included in note 20 related to undistributed funds that are repayable to NHS Nottingham and Nottinghamshire ICB and Derbyshire Community Healrh Services. ENV8961074 1011412024 17..15 PM UTC Page 71
TREETOPS HOSPICE TRUST (A company limited by guarantee) NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2024 30. Related party transactlons During the year, 5 trustees made donations totalling £38212023.. 10 trustees, £2,796). A number of trustees also donate goods to the retail shops. Sharan Harris-Christen5en is a trustee who is employed by the University of Derby. Due to work on an on going project which is expected to benefit Treetops in the future, Treetops have been contributing 25% of her salary. This amounted to £nil12023'. £13,972). There was no balance due to, or from the University of Derby at both year ends. During the year the charity received income of £2,418,89112023.. £3,658,858) from Treetops Funding Limited. The charity incurred expenses of £Nil12023.. £92,228) on behalf of Treetops Funding Limited and £1312023.. £131 on behalf of Treetops Retail Limited. Treetops Retail Limited, a subsidiary of the charity, owed a balance of £147,16112023.' £189,129) at the year end, which is included within debtors. The charity owed Treetops Funding Limited, a subsidiary of the company, £883,70912023.' £715,889) at the year end, which is included within current liabilities. A gift aid payment was made from Treetops Funding Limited to Treetops Hospice Trust in the year totalling £437,54112023'. £373,142). Between the subsidiary companies there was a balance of £74,68512023.' £166,273) owed by Treetops Retail Limited to Treetops Funding Limited. 31. Controllin8 party The company is controlled by its members. No individual member has overall control. ENV8961074 1011412024 17'.15 PM UTC Page 72