Company wistration number: 02274925 arity registration numtrm: 700586 Barnsley Hospice Appeal {A company limthl by gu*antee) Annual Rewt and Finanaal Statements for the Year Ended 31 March 2021 Hardwick5 Accountsnts ￿Mited charte￿ Accountsnts R¢)therham S66 IEH •AAJUB6NS* 2111212021 COMPANIES HOUSE A16 #240 Barnsley Hospice Appeal Contents Reference and Administrative Detsils Strategic Re 2to9 Trustees, Re￿rt ioto16 IndeFwdent Auditors. Report 17to20 Statsment of ￿nanCIal Acbvsties 21to22 Balance Sheet 23 5tstement of Cash Fh)w5 24 Notes to the FYwKial Ststements 25to44 Barnsley Hospice Appeal Reference and Administrative Details Chaimian Mrs C Gibbard Chief Executlve Offlcerlthief Mrs M Tune Nurse Mr S Eyrtrwood MrJPitt Mrs A Salt Mr N Wright Mr J Sheriff Mrs A Robert9 Mr M Lunn Principal Offi 104 - 106 thurch Street 8arnsl S75 2RL The charity is incwated in UK. Company Registration Numb¢r02274925 C1￿￿ty Registration Numbv 7￿586 Solicitors Eknhirst Soliators 17119 Regemt Street Barnsky S70 2HP yorkshi￿ Bank la Peel Square Bamsley S70 2PL Bankers HardwiL*s Accountsnts Limited Chartered kC￿ntsnts Rotherham S66 IEH Page I Barnsley Hospice Appeal Strategic Report for the Year Ended 31 March 2021 The tnrtees, wh) are threct(Ks for trt wrr*)ses of coM￿Y law, present their strategic report for the year ended 31 Marth 2021. in compliance with S414C of the Ccmnpanies Art 2Crf)6. Athievements and perfornian Bamsley Hospice, located in a delightful setting, wovths spetialist palliative care Servi￿ to the local community in a wami. friendty, relaxed environment vthere the patients and their famil￿$ needs come firt Bamthy Hospi￿ reg￿tered with ￿ Cue ￿ality C￿mi￿lon and the last inspert￿ was cwried out on 29th April 2021. This r￿lted in an ovuall ratirvj of inadequate which was published in Juty 2021. Sir£e the report was the hos￿￿ has worked tirelessly to address the issues raised and is confident that the rating will improve on ransFethn. 8amsley HOSP￿ has a 10 bedded Inpabent Unit (IPU), whth is open 24 hwrs a day, 365 days per year. We have ovtr 200 admissions in a typKal year. Patients from the Barnsley area can be referred by a heath wofessi¢y￿l and can be admitted on a 7 day admissions basis. There ￿ a dIStr￿t wide speoalist palliats.ve care referral fomi which is used for referrals into the IPU which wrfies the reason for r8]uesting admission. Incl￿1￿)9 symptom Managern￿t. emotional arKI psych)kA3ioI i&5ues a￿1 e￿1 of lrfe care. Patients with a compkx Mixtu￿ of phyg'cal, eMO￿al or spiritual needs are cared for by the specially trained team. Patients and their famil￿5 are treated a5 indtviduals by the mu￿Idi￿1pllnary team (MDT) team whith consists of s[￿alty trained nursirMJ staff. dcth. consultsnts, physiotherapist, cttupatic¥wl therapist, SLxial w(￿ker and the famity team. The￿ is a lounge area for use by the patients and visitors. and the howce has a garden where patients arKI their families can spe￿1 tin￿ together. Open vi5rtirvJ IKwrs are in Pla￿ ts relatives and friends. I mea15 and refreshments are free for pati￿ts and are PTwded by the hospi￿ caterirrtj team. The counsellors provide a Se￿￿ for dMts who are ewi￿c￿g a wide variety of drfficulties which relate to their diagnos￿ or prognogs. The service ￿ not ts lorMJ term counselling. however sometimes the unpredirtabilty of disease or e¥ected lrfe span may rnean that counsel1￿5 will continue to work with cl￿ts at the eThJ of kfe fff longer than may have teen anticipattrj or planned. The bereaveTr￿t service wovides to one any ￿lull or thikE whose famity or friends have died in the how'ce. A large propLYtion of the supwrt work conducted within the famify team at the hO5￿ce is pre-bereèVem￿t work. One to one support and or group support is a150 available for any bereaved adu￿ and child who may have a wevKxts connecbon to the hospti. Page 2 Barnsley HOSPI￿ Appeal Strategic Report for the Year Ended 31 March 2021 The howce has a part time soaal wor*w who supports patients and thwr families aThJ is able to explore and signpost to services and rv>ources. suth as ￿sIng, sttial care, carer support and atting as an advocate for pattents rvjhts and choices. and Com liments Therd The Day Therapy Unit (DTU) servi￿ gJpr￿rts patients with cancer and non-carKu diagTr)ses. Patients are referred by th￿r health professional for symptom management, social and *bysical Issue5. In addrtion to this, i% a drop in session, where patients can attend f¢y peer and social 5UtwrL The DTU is staffed by registered nurses and a IEalih cwe a55istsnL Eath day therapy session is SUPPKJrted by YO￿￿eerS and the nwsiry team. Complernentsry therapy is prov￿ by u￿raPists a￿1 vduntews. Most staff aTrJ volunteers are qualrfTred in more than one therapy offering an holisbc approach. Therapies providoj indude a￿1 dinical ar(xnatherapy, Indian head massage. reikn. relaxation, reflexokjgy and amatsu, Phamia IPU ha5 regular pharniacy gjpwt services. The pham￿C1st attends the weekty MDT meetings and ensures that medione management systems are in place to ensure the safety of all the patients. The phamiacist is an excdlent resource fry ￿ MDT. Medical Services Bamsley Hospi￿ empby5 ￿lY Pallative M&Jicine corsu￿ants within the Bamsw area. Consultants see patients within the communty and at Barn51ry Hoswtsl NHS Four#Jation Trust as well as at the hospi￿ itself. Patients a￿ cared for in their Ib)mes, in Ixrtpatient settings and within in-patient wards by all three corb5uItWbts. The Consultsnts are supwrted by specialty dort(Ys. These are general practitioners with a speaal interest in palliative mediane. Other dcthrs, mosty GPS. (￿tribUte to weekend cover rots. Consultation a Pab'ents and rdative5 are the central part of care and inNthed in all asF*Lts of developing the care pkn. The hospice undertakes a yearty patient satiSf￿10n questionnaire of inpabents. DTU patients, and counselling clients. All of this dats prowdes a valuabbe insight into how the hospi￿ can improve services for its pakn.ents dien Page 3 Barnsley Hospice Appeal Stratsgic Report for the Year Ended 31 March 2021 Pr vi Support semces functions indude volunteer 9JPF4Xt. retail. recepbon. ftJndrntsirKJ, human resour￿. estates and ￿. which are all teams vital to the success of the hospi￿ by SUPFQrting patient service5. Retsil The retsil division of the Ib)spce closed sx slws ènd cornmwKed trade from a Sing￿ gte hub durirvj 2020121. This decision was driven by Iwing challenges on the high street aThJ reduc&J footfall due in Effective fundraising vrtal to the continued success of Bam51ey Hospice and new and innovative ways of raising funds are alway5 being wht. The covid pandemic ha5 enablal the fundraising team to seek out different ways of rntsing funds, primarity virtually. The fvndraising team is also invdved in lega￿ and expk)ring grart oP￿rtUnitIeS. The hospice is grateful for the ￿p￿)rt wovwjed through grants, which this y&ir have b￿n enabled to be used to offset wenue nJnniThJ costs. d19 Comd 19 has pr(Aluced a &gnificant challenge to the hospi￿, in the way rt operates and how it is fvnded. This year we have been gratefijl for financial Yjp[￿rt from Hospice UK, HMRC and Barns Metropolitan Borough G￿nCIl and 'in kn.rrt supiy)rt from C￿ntkn organisations. As ever, the people a￿1 bu5inesse5 of Bam* have rallied to 5UPWrt the hosp￿ at a time when fundraising events coukl N)t tske place and retsil Shops were ch)wJ. The s￿￿)rt rttaved frem the town ha5 ontt again been s&orKI to none. Hospice UK support has exterKbJ beY￿d financial assistance arnl I￿S I￿luded provision of PPE equipment which a donated gc(xJs (redit of £30.0(Kl has been reflected in the accounts with a corresponding debit entry. PPE SUFWrt ha5 c￿tinued p05t pandemic for thith ts ho¥M'ce vmuld like to exlend its gratitude, Barnsley Hospice Appeal Strategic Report for the Year Ended 31 March 2021 Flnancial review reserves Barnsley Hospi￿ nee(ts emergency reseThes to protect its current activibe5. The directors have set a reserve5 tsrget at a realistic level to &)sure bu￿ne$S continuty due to unforeseen events, t*ng Into account the needs. risks and challenges faced by the d￿rity in the short to medium term. The level of reserves and reserves poficy vdill be monitored and rewewed by the directors annualty, Jt reserves will ￿ be built or maintsined at the expense of patient care. The direct(Ks consider it prudent that reSer￿S other than resiricted and designated shwkl be sufficient in order to: . avot(l the of wlising fixed assets hekl for the charity's Use: - provide protection agoinst any pjssible dedine in future income from stattrtw fvndirKJ, fvndraising, donations in general recapts fr(xn charity sws P￿d a150 to F￿)de for the wide fluctuatron in legacy income. The current Reser￿ Pdicrf. was re4B¥ed in September 2020, is alk￿èted as follows but not restricted to.. "Emergency Resen￿ are set at a levd of £3.LKIO.CKM] - current ￿lS hehj to counter the extren external financial environmenL whth may adver5ety affect the fubjre level of fvndirvj fvom the Clinic31 Commissioning Group wtsth will be replacal by the In￿rat￿l Care Board in April 2022:. Any surplus is split betsVe￿ development and investmert resen￿5 - to facilitate deVebprn￿t of our 5wvices and income streams in h'ne the strategy; 80th are designed to proteLt the exisbng levd of pattent care. and develop the raffje of seNi provided to an increa￿n9 numt*r of peop* in Bam51ey." in No fijnds wwe in deficit durirrfj the year Prina I fundi The ClinKal Commisg)ning Group (CCG) wovided grant income d £1.666.696 with a fvrther £741.343 being raised from leg&ie5 and donab"ons. In addition thi5 year the hospi￿ has receNed restrirtive fvnding fr(Mn Hospice UK arKI varityjs g)v&nment sd￿ne5 totalling E660.996 Page 5 Barnsley Hospice Appeal Strategic Report for the Year Ended 31 Marth 2021 vestment policy and objectiv The Board of Directors approved an IrNestment PolKy in No¥￿ber 2020, whith is re￿eWed on an annual basis. The key el&)￿ts to the policy are bebw: In accordan￿ with the Artides of Ass(Kiation. the d￿rity has the power to do anylhing which is cakulated to further ts obiertives or is conducive or incid￿tta1 to thyrwj $0. In particular, the trtarty has power to.. . de[￿t or invest funds- b, employ a profes5i¢Mal fund and c. arrange for the inve#ments or other property of the dlarity to be he￿ in the name of a ncfflinee. Investment ObieLtves . Bamsky Hospi￿ seeks to Pr(KI￿ the best financial retwn wrthin an acceptsble level of risk. - The investment objective for h)ng temi cash reserves is to genewate a retum in excess of infiation, whi15t generatirwj an income to yjpwrt the onwng actvttses of the hospi￿. - The investment objective for the short temi cath reserves is to preseNe the caFital value with minimum level of risk. Assets shLKld be readily ar#ilabk tt> meet unanticipated cash flow requirements. Investment Ibsks . Security of the invesb))ert ￿ paramounL fThncial in5btU￿ and rating is key and a well spread po￿￿10 is preferatAe. . Gi￿tal should be protetted. whwe FW)55ibk. bjt a rither arKI more variabk retums policy on some invesfftnts shoubJ k consdered, to improve retums. - A balanced portfolio in terms of risk versus reium. L*]uwJity Requirements - Income from the long temi reseJves will be used to fijnd the thanty's activitie5. - The value of three months current i)verheads must remain liw￿, LY Wrthin an Interest karing account that allows in*ant attess with a minimum penaty. . There shwld be rna￿n9 cash investm￿ts every tt*eelfour mcfflths. Ethi&il Requirem&)ts . The tharity's assets *thld be M)vest&J in line with its al￿￿. The Directors do not Wish to adopt an exclu5i0nary policy. but Indi￿dual invesbn&)ts may be exduded rf p￿1ve￿ to conflitt with the charl￿$ purpose. The Board of Dirertors regulady review the prc¢*yts"ons of the investment portfolio in light of anticipated cash requirements. The management of investments ts delegated to the Finance, Audit nd Income G&￿rat￿ Committee. Barnsley HOSPI￿ Appeal Strategic Report for the Year Ended 31 March 2021 Prfnaple risks uncertaintie5 The organisation has cornpleted risk assessments in fi￿ safety, health and safety, food hygiene and infection control. All SFeofic fijndraiyrvj events are 5ubj.ect to individual risk asseSSm￿ts. Where risks have been identified action has been trken to minimise these. in9Jran￿ cover has been taken sjrt where considered prud￿t. The Board of Dirfftsr5 identifie5 and regularty r￿ewS mai)r risks to which the charity is ex￿Se￿ and ensures that system5 are in plao to mana9e suth risks. A comprehensive risk regist¥ is maintsined by the Hogx"ce Executi￿ Team and reviewed by the trustees at least a year, aThJ mtye frequenuy rf necessary. For each specific risK the regt5ter de5uibe5 the risk and assesses the level of risk, the likellhood of it happening and the potents.al impacL The register also inC￿deS proposed mitigation for each risk. Barnsley Hospice Appeal Strategic Report for the Year Ended 31 March 2021 Our m05t signifKant risk5 and mitigating act￿5 are set £￿t Lth: PrinO*wlr￿k. ￿rIn5￿￿ Risk that follown9 ¥tsF¢tt1￿. any subsequent reinspectK>n does show gJffitient inlwvement in issues raised - Implementstion of acbon plan - Review of management and incmlent re￿rtir￿J tha - Recruitment of additional resour￿ where requir&J pri￿￿01R￿k. Re￿￿ed1￿coMe Risk that if there is a prolW period with rtyjuction in inc(xne from the various intyne stream5. there cwld te impact on the organisation's atm'lity to deliver Se￿iceS arKI the strategK objertives Managementofrsk - Monthly expenditure is monitored - The Finance, Audit and IrKome Generati¢Jn Corrmrtt& rwlarly ctytsider the implicatw)ns of this - Truste5 are kept fvlty informed . R&JurtK)n in cost base folh)wing Covid pandunic PniKipalrisk . ￿HS￿￿nyests?￿ Risk that the NHS will hwe an extEttaiion that the dwrity will significandy irKrea* its share of fvnding over a very 5hcrt ￿0￿ of time arKI vrill want to dT4n¥esL - aose m¢)ni￿ng of any information comirvj fr(xn the CCG . The expectations of the CCG are managed. A5Wr4r￿ have been giv￿ that ￿ CCG are keen to maintsin the servi￿. The CCG %wll be repl￿ed ty the Intergratsj co￿ PA)ard - a05e monitoring of monthly spending - Trustees are kept funy infcffted Page 8 Barnsley Hosplce Appeal Strategic Report for the Year Ended 31 March 2021 Risk of a $i￿1ficant drop in legacy irKI)me and thereth a lower than expectèg revts￿e incon - Monthly spend is Ch￿lY mana - The Finan￿, Audit and Ir￿lrE Ge￿ration C(xnmtiee regularly cLYsiders the implithons of this - Re-organisation following Covid Pand￿1¢ Beyond the speofic mitigation strabjies for eKh risk, trustees take the strategic view that the overarching risk Mitigati￿ strategy is to ensure that the charity is well by the Hospice Executive Team, supetvised and supported by the P•)ard of Tru* The strategic reFQrt Was approved by the tw*ees of the tharity ￿ 15 D￿nber 2021 and signed on its behalf by.. Mrs C Gibbwd Chairman Mr M Lunn Trustee Page 9 Barnsley Hospice Appeal Trnstees. Report The tnJ5tees. who are direttors for the PLfPOW rf company law, wesent a tru*ee5' re￿rt with the annual ￿port together with the fina￿lat statanents aThJ a￿lit0￿S rewrt of the charitsble company the year ended 31 March 2021. These are prepared to meet the requirements for the TnJs￿s Rep(Yt aThY Accounts for Companles Art wrposes. The financial statements compty with the Charities Act 2011. the Companies Art 2016. the Articles of Association, the Acccrtjnting and ReFKwknng by Charities: Ststement of Recommended Practi￿ (SORP) applicable to Charit￿S, preparing their accounts in attordante with the ￿nant￿l Reporting Stsndard appliCat￿e in the UK and Republic of Ireland (FRS102) {effective l January 2015) Mr S Eyre.WfxJd, (Finan￿. Auclit & Income G￿atiOn) Mr J Pitt, (ainiral Govemance and HR & F￿llitieS) Mr D Hibbiry (ainical Govern￿) (reggned 30 NrNembu 2020) Mr R Knowles. {Finance, ￿lt & incryne C￿nerati(￿) {resigned 30 No￿L￿r 2020) Mr A Higgins. (finance HR & Facilitses) (resgned 19 AUW 2020) Mrs A SaK (ainKal G￿nan￿ and HR & Facilities) Mrs J Ward, (Finance, Audit & Irmne c￿eratiOn) (Resigned 5 September 2021) Mr N Wright, (HR & Facilikne5) Mr J Sheriff, (Finall￿, Audit & IrKc*ne Generation and HR & Fatilities) (appcArt&l 2 September 2020) Mrs A Robertg)n, (Clinical Govemance) {appinted 2 September 2020) Mr M Lunn, (Finarte, Audit & IrKome Generation) (aprh)inted 2 September 2020) P•Je 10 Barnsley Hospice Appeal Trustees. Report Objertivas and artivitles ObSerts and aims Mission - We we a charty dedicated to No￿1n9 qualty specialist pall'alive aThd eThJ of life Ca￿ to all people. V15ion . To be the fitst thtjo for all those with specialist pallkibve Ca￿ neets . To provide rn0￿ servitrs to more people. - To be regarded as of the t*st. Values Comfort . Pattents, t￿r families ￿ those dose to tt*m are C￿ed for and 9JPP￿d in safe arKI comfortable surroundings. Care . We pffj￿de the hohest siandard of care by resP￿1￿j to individual needs, suppxting choice aThJ independence. - Pats"ents and their families and those (ktse to them a￿ at the centre of all athvitres. Dignity - Each person wli I be treated as an individual and will te given empathy and rw. - We are passionate about getting things r*3ht in an efficient and effectre way. The￿ are fve key mes&iges that Barnsley Fkvl￿ c(bnslrt￿th communicates to its stskeholders., l. We are a charity- wr Ca￿ is free for pat*nts not free to wovKJe 2. We care for patients at home, in the tommunity and at the IK4M 3. We care for patients with all Itfe limthng illnesses 4. We care for patients in all areas of BaM5￿Y 5. We sUPPOrt patI￿ts. tsmil￿S and t￿}Se ck)5e to them Pèje li Barnsley Hospice Appeal Trnstees, Report Pub￿¢ benefit The directors con￿der that they I￿ve complied with their dLty in section 17 (5} of the Charthe5 Act 2011 having regard to putAic benefit guidance publtshed ty the Charity Commis&￿. The principal actiwty of the oryani5ation 15 the prwsiffi of specialist palliatrve and of life care. Palliats"ve ore is defined by the National Council for Palliative Care as: °Palliative care is the aLtre t￿liS￿C care of pati￿ts with advanced progressive i11r￿. Management of pain and other symptoms aThJ provision of psychok*Jical, sc(¢al and spiritual support is para￿￿)unt. The goal of palliative care is achievement of ￿ best qualty of lrfe ts patients and their families. Many aspects of palliatr've care are also applicable earlier in ￿ CLwrse of the illnes5 in conjunction with other treatments.- SLKh care is deliv¥ed by a wialist team that Ythjes Pallwtive Me(lione Consultants and palliative care nurse specialists tL￿￿her with a range of expertise prowded by physotherapist5, OCCUPational therapists, d*ticians, pharmacists, social workus and those abk to 9Jve spiritLk41 and psychological suppo Public benefit is denved by the free of speoalst pallkitprfe care, of which Bamsky HO4)1￿ is the key Ic