11 Working together to deliver outstanding palliative and end of life care - Ashgate Hospice Annual Report April 2022 - March 2023 Ashgate Hospice Compas >ionate care for ei eryone www.ashgatehospice.org.uk
Annual Report 2022123 Hospice care for the people of North Derbyshire We aim to be there for people at any stage of their illness to ensure they are well supported and cared for in the place of their choosing. Wherever you are, there is an Ashgate Hospice nursing team working in your area, supporting people in your community. Our support and care covers: Hayfield Sheifieid New Mil Central • Edale A57 Bamfor Whaley Brldge Chap21-en-le-Frlth Ca5tleton Bradwell Hopevalley Killamaysh 150 Oronfieid Work5QP - A6 Your Ho$pice Ecklngton Oper Hous• Tideswell A623 A61 Clowne Bumton Brlmlngto tavele Cresswell A6 8asiow Blackwell A54 A619 Chesterfield Bo150ver Shlrebrook Hasiand Bo130ver C*stl• Bèktwell clsorth House A617 P•ak Dhstrict National Par11 A55 A6 Row51ey Lonynor j29 A60 A515 Upper Hukne Darley Dale CY Cross A$htsver MI Hartington Mansfleld Newhaven Matiock A61 Tibshelf• HLyghtsof Abra1 38 A617 Grangemill Alfreto Key to symbols Town or village Place of interest Chesterfield Royal Hospital Catchment area Ashgate Hospice Shop Our teams make 6.000 home visits every year.
Annual Report 2022123 Contents The difference we made ................................................................ Welcome from our Chair and Chief Executive ............................ Strategic report Who we are and what we do .10 What we believe 12 Our strategic approach 13 Our future plans.............................................................................. 14 Our impact .................................................................................... 16 Our care............................................................................................ 17 Our people .24 Our voice .34 Raising money for our crucial care and support...................... 37 Trustees. report 46 How we're governed..................................................................... 46 Governance and trusteeship at Ashgate .46 Public benefit and fundraising standards .47 Financial review.............................................................................. 48 Financial statements .................................................................... 50 Reference and administrative information .50 Financial review 51 Principal risks and uncertainties .52 Independent auditors report .54 Our financial statements .58 Thankyou ...................................................................................... 83
Annual Report 2022123 The difference we made Our hospice services are available for those living with a life-limiting illness and complex needs. Wherever you are, there's an Ashgate Hospice team working in your area, supporting people in your community. 7650 £2.688.561 left to Ashgate as gifts in wills volunteers gave their time freely One in five of our patients is cared for by a gift left in a will Our eldest volunteer is 90 years old and our youngest is 14 years old The work our volunteers do equates to around 131.549, visited our website for information. support andll 00 to fundraise. £22,924 per week £103.000...... our supporters in the Ashgate lottery
Annual Report 2022123 617 50 Christmas Trees were collected as part of our Treecycle campaign helped to raise £17.163 in the first ever Tractor Fest 16.807 lattes were sold across our coffee shops £4,200 raised from a painting that had been donated to our shops patients and their families 2.351 ' supported across North Derbyshire 293 271 1.307 894 received specialist inpatient care access Day Services support cared for in their own homes 1ST suppor Care teams y our Suppor Ive
Annual Report 2022123 Welcome from our Chair and Chief Executive Chair. P•nny Brooks (left) and Chief Executive, Barbara-Anne Walker Iright) This last year truly epitomises Ashgate Hospice's commitment to working together to deliver outstanding palliative and end of life care. Our fundraising and community events have also evolved to include new and innovative ways to raise the much-needed funds to deliver our care. This includes the reimagining of our poignant Light up a Life celebrations and the opening of a new shop in Buxton. Together. we supported over 2.300 people. helping them to receive the very best care available at what is often the most difficult time of their lives. Despite the profound challenges brought about by the pandemic and then the cost- of-living crisis, our staff and volunteers continued to work tirelessly to support families living with a life-limiting illness in North Derbyshire. Whether this was caring for someone in their own home, delivering round-the-clock care at our Inpatient Unit or serving our loyal customers in our shops. everyone played an integral part in helping to deliver our crucial support. This togetherness. something we refer to as One Ashgate. is at the very heart of what we do. It is embodied by our staff and volunteers who are compassionate. dedicated and resilient. However, there is more to be done. More to improve and adapt our services to the changing needs of our communities. More to address the inequalities of marginalised people accessing our services. More to secure our future with a long-term sustainable funding model. These are exciting times ahead. We are determined to do more and to do it together. We will work as One Ashgate to develop our services to meet the needs of the population we are proud to serve, and we will work in partnership with others to address inequalities in palliative and end of life care. This commitment to making a difference, delivering outstanding care and teamwork is what unites everyone here at Ashgate Hospice. Our annual report gives us an opportunity to look back on a year of immense pressure and significant achievement. We'd like to take this opportunity to thank everyone who has stood alongside Ashgate Hospice this year. From our incredible staff and volunteers to our supporters and local communities. without you the hospice would not be the thriving charity that it is today. We've seen our care and services adapt to meet the changing needs of our communities. From the introduction of a new virtual ward, supporting people at home with real-time monitoring. to enhancing our services to help guide children and young people through the complexities of grief. Penny Brooks Chair of the Board of Trustees Barbara-Anne Walker Chief Executive
Annual Report 2022123 Remembering Nicholas and Tony by Barbara-Anne Walker I would like to pay special tribute to our Chair of Trustees. Nicholas Jeffrey and our Patron. Tony Nunn. Nicholas Jeffrey Tony Nunn Nicholas joined us in 2018 and became our Chair in April 2019. Tony. founder of Antony Nunn Agencies. a successful toy business based in Chesterfield. had lived next to our hospice in Old Brampton for more than 28 years. During his time as Chair. Nicholas oversaw Ashgate's response to the pandemic. which included services switched to virtual- only offerings overnight. the opening of our award-winning COVID ward and the successful campaign for sustainable funding from local health budgets. He was a dedicated supporter of the hospice for many years and became an Ashgate Hospice Patron in 2017. He was passionate about supporting the hospice and raising money and introduced many of his friends. family and business contacts to the hospice. bringing further awareness to the essential work and care we provide. Sadly, he died of cancer on 19 December 2022. aged 80. On a personal note, l appreciated his true kindness when I was faced with personal bereavements. Tony died unexpectedly on 5th February 2023. aged 69. I will miss his laughter and his continued and insistent encouragement of my leadership of the hospice. We shall hold his memory at the heart of our work. Our dear friend. Patron and neighbour. will be remembered for his kindness, generosity and will be sincerely missed by all who had the pleasure to know him.
Annual Report 2022123 Strategic report In this section. you can read about who we are and what we do. our plans for the future and a summary of our objectives for the coming financialyear. Why we do what wedo Heather on her wedding day at Ashgate Hospice
Annual Report 2022123 Richard and Heather on their wedding day Heather and Richard's story Our staff and volunteers pulled together to give Heather. who had incurable cancer. a'beautiful" wedding day to remember. Heather. 32. and her husband Richard Odams tied the knot surrounded by family and close friends in our picturesque gardens in Old Brampton. Chesterfield. Our teams -went above and beyond" to ensure their day was as special as possible. "It was pretty much a case of turning up on the day and everything was sorted. We can't thank them enough. "They organised everything for us in such a short space of time. Everyone at the hospice has just gone above and beyond what we could have imagined." Richard said- "It was a really beautiful day. It seemed to go in a flash just like every wedding does, but we had such a lovely time. "It was mentioned to the staff at Ashgate that we were supposed to be getting married in June and they just rallied around and took everything off our hands really - everyone wasjust so brilliant.
Annual Report 2022123 Who we are and what we do Whether you're living with a life-limiting illness. caring for someone who is. or grieving the death of a loved one. we're here to help. Support when and where it's needed When someone living in North Derbyshire is diagnosed with a life-limiting illness and has complex needs. they can access Ashgate Hospice's services through a referral. This normally comes from their GP. hospital team or community nurse. We are here for the people of North Derbyshire and beyond. We work together with energy. care and compassion so that people can have a good death in a place of their choosing and know that their loved ones are important to us too. At that point, we provide specialist care and support for our patients in their own homes or at our Inpatient Unit in Old Brampton, or sometimes both. For example, patients can come to the hospice for a few days to control their pain, before returning home, if able to do so. We also provide practical. emotional and bereavement support for the families of our patients. We provide palliative and end of life care free of charge to people aged 18 and over. We care for people living with a life-limiting illness, including cancer, neurological diseases, and end-stage heart, kidney and lung diseases. The type of care and level of intervention we provide depend on the degree to which a patient's disease has advanced. We also consider other factors, such as their support network, home environment and pain levels. We aim to ensure that our patients are well informed. supported and pain-free. While our purpose is to provide end of life care, our work doesn't only begin at the very end of someone's life. We can help improve quality of life soon after a terminal diagnosis. We also support people's loved ones to ensure they get the practical, emotional and bereavement support they need. Our aim is to provide the right care at the right time. We are proud that the Care Quality Commission continues to rate our care as 'Outstanding . When it comes to funding. much of the care and services we deliver are funded by the generosity of our supporters. In fact. more than 70% of what we do is paid for through fundraising and less than 30/0 comes from local NHS budgets. More than 00 70/ of what we do is paid for through fundraising io
Annual Report 2022123 Ashgate Hospice was founded in 1988 Weicorne to Ashgate Hospice TV, Iinii STOP li
Annual Report 2022123 What we believe We're working to ensure everyone in North Derbyshire has access to excellent palliative and end of life care when they ask for it and where they need it. Here's how: Our vision Our purpose Our values Our vision is for people with a life-limiting illness to be able to live well and to have a good death - well informed and supported and for their loved ones to be well supported and comforted too. We provide, campaign for, and educate about, specialist palliative and end of life care and bereavement support. We aspire to be a centre of excellence working as part of the wider healthcare system with energy, openness, compassion and hope. We are compassionate. We work as a team. We are respectful, open and inclusive. Compassion Our values Open Teamwork Inclusive Respect 12
Annual Report 2022123 Our strategic approach At the beginning of 2022. we published our Three Ambitions that set out the ideal world we want to create- not what we are doing day to day- but what we hope will one day come about. These ambitions were split into three categories; our care, our people and our voice. The things, above all else, we'll work to achieve and will shape everything we do. Our care are proud ambassadors and fundraisers for Ashgate Hospice and understand how we all help deliver outstanding care are committed to improvement and excellence, celebrating successes together and speaking up when something is wrong or requires change are leaders and learners, committed to our wellbeing and able to say why a positive working culture matters reflect the diversity of the communities we serve. Care is at our heart. We open our arms to you and the people you care about. Our ambition for our care an Ashgate model of care which.. is about living well and dying with dignity and in comfort is accessible to everyone who needs our care, in all their diversity is safe, and always improving, using feedback, our expertise, research. emerging ideas and innovation is delivered in collaboration with other care providers - including on issues where we can have more influence and impact together - promoting best practice across different healthcare settings is fairly funded, well supported and understood. Our voice We use our trusted voice to make things better for our patients, their loved ones and people needing specialist palliative and end of life care in North Derbyshire and further afield. Our ambition for our voice - a powerful and combined Ashgate voice which.. increases our reach. influence and impact across North Derbyshire and beyond is as inclusive and accessible as possible. so that everyone can get the help they need helps create a North Derbyshire community who know how to support people at the end of their lives, and those living with loss encourages conversations about death and dying, and demystifies hospice care advocates locally, regionally and nationally for specialist palliative and end of life care to be properly funded and resourced. Our people We are the One Ashgate team working together with warmth and hope to provide compassion and care. Our aim is to be exceptional in everything we do. Our ambition for our people - a One Ashgate team who: bring our values to life with the people in our care at the centre of everything we do connect and collaborate. working together and where everyone's views are heard and valued 13
Annual Report 2022123 Our future plans Just as we were beginning to emerge from the shadow of the pandemic the cost-of-living crisis hit. Like everyone. we have been impacted by a rise in our day-to-day running costs for things like food. heat and electricity. So. we're focussing on building financial resilience. improving access to our services and developing our workforce to ensure our care remains the very best. With all this in mind. in 2023124. we will: O Listen to our patients and their families to improve our care by expanding the methods used to obtain meaningful feedback. As part of this work. the hospice will continue to introduce and embed the new national Patient Safety Incident Response Framework. O Increase access to pre-bereavement support and intervention for children and young people with an aim to reduce inequalities in later life and reduce the impact of adverse childhood experiences. We will increase the awareness of the pre-bereavement service across North Derbyshire, offering and delivering workshops to schools and colleges with a focus on supporting students who have a relative approaching end of life. O Continue to work as part of Joined Up Care Derbyshire. to share our specialist palliative and end of life care expertise. to enhance the quality of care for the people of North Derbyshire. O Continue to improve the facilities at our Old Brampton site to support the standardisation of care and to improve patient experience and comfort. This includes updating our Outpatient Clinic rooms, reimagining our Day Services space and defining plans for modernising the remainder of bedrooms on the Inpatient Unit, and associated work spaces, which were not included in our previous refurbishment in 2019. O Continue to develop a Single Point of Access, to ensure that all referrals have a consistent response and that those referred receive the right service at the right time. Embed the virtual ward approach to support our community in their preferred place of care, enhancing our community services with a rapid response to care needs, admission avoidance and discharge support. We will use qualitative feedback from service users and staff to support continuous improvements. Continue to make Ashgate Hospice a great place to work and volunteer with the introduction of wellness days and an even greater focus on inclusion, including awareness and training on topics such as menopause to ensure our people continue to be well supported. Joined Up Care Derbyshire Ashgate Hospice 14
Annual Report 2022123 O Expand our reach and grow our sales in retail with the opening of further shops across the region. Not only does this help to generate the much-needed income to fund our care but it also helps to raise awareness of hospice services within local communities. O Deliver an inclusive portfolio of fundraising campaigns and events. offering an activity for everyone and expanding our regional reach to generate more income and build deeper relationships with the community. Our events and fundraising activities will grow and adapt to ensure they are as accessible and inclusive as possible. New events added this year include the Superhero Night Walk. for under Ils and the return of the Open Air Cinema. Ilir One of the new bedrooms on our Inpatient Unit 15
Annual Report 2022123 Our impact Working together to provide the very best care At Ashgate, our ambition. for every patient we meet, is to enable them to live their life as fully as they are able for however many days, weeks or months they have left. We care for them in a way that is right for them. Because every person is different, and their care must be too. We try to care for everyone we meet as if they were our own loved ones. •• p ••••
Annual Report 2022123 Our care In 2022123. we continued to emerge from the pandemic and respond to the ever-changing environment caused by the cost- of-living crisis. Our focus was always on providing those families living with a life-limiting illness the very best care and support at what is often the most difficult time in their lives. Our teams supported 2.351 people living with a life-limiting illness. their families and their loved ones. That included care in homes across North Derbyshire and the High Peak and Dales. as well as on the ward at our site in Old Brampton. We supported 2.351 people living with a life- limiting illness in 2022123 Our services at a glance Palliative Care Specialist Nurses supporting you in your place of choice Physiotherapy helping to improve your quality of life Lymphoedema managing the symptoms of lymphoedema Spiritual Care finding peace, comfort and hope Day Services advice. activities and peer support Complementary Therapy from head massages to aromatherapy Occupational Therapy helping you maintain your independence Counselling and Therapies a safe space for you to be heard Virtual Ward safe care at home through remote monitoring using easy-to-use technology Social Work support for you and your loved ones Inpatient Unit round the clock care on our ward 17
Annual Report 2022123 Helping those living with a life-limiting illness to make the most of the time they have left At Ashgate Hospice. we offer a holistic range of services to help our patients and their loved ones manage both their physical and emotional needs. We believe that everyone should be able to spend their final days surrounded by the people they love. As we began to emerge from the pandemic. our clinical teams were able to increase face- to-face contacts. either at the hospice or in a patient's own home. They continually adapted to changing guidance and restrictions issued by the government to ensure that our care and support continued. Lydia's story Lydia Williams is one of our Palliative Care Specialist Nurses at the hospice and has been caring for patients and their families in their homes for about 15 years now. From working with other hospice teams to ensure patients are comfortable to prescribing the correct medication so their symptoms are under control - Lydia provides complex care to people who are nearing the final months, weeks and days of their life. "The best thing about working at the hospice is working with patients and families - it is a privilege to go into someone's home and get to know them and their family," says Lydia. ~It's different f rom being in a clinical setting: you can see how people are living their lives and you get a real feel of what's important to each individual. Every patient we support is unique. it is about them as a whole and what means most to them. Lydia Williams. Palliative Care Specialist Nurse ~People think that dying and preparing for death is sad but there is often a lot of humour, love and warmth. You have difficult conversations but there is an openness which can be really moving. "Of course. it can be very challenging at times too. There are lots of sad and painful moments and you feel for patients and families who are experiencing such heartbreak. "Working in their homes, you're more aware of the emotions patients and families are going through. You can almost absorb the emotions physically and sometimes the conversation sticks in your mind and sits with you for many years - it can be very emotional. ~That's why we do what we do - to try and make the lives and journeys of the patients and families we're caring for that little bit easier for them. 18
Annual Report 2022123 During the year our services included: people to understand what help and support is available, including any wider needs Ifor example. the needs of children and young people when an important adult in their lives has died). They help to arrange and manage practical support for daily tasks. Spiritual care - our Spiritual Care Practitioners works as part of the Supportive Care Team. They are all specially trained and experienced in providing person-centred spiritual care in a healthcare setting and provide support to patients. their relatives, friends, carers, staff members and volunteers. The team seeks to listen. with compassion. helping people to explore their own sources of strength, comfort and hope. Care at home - Most of our patients tell us that they would prefer to spend their last days at home. Our nurses, doctors, occupational therapists and support workers work alongside other health and social care professionals to ensure patients can remain in their own homes. This includes helping to manage difficult symptoms and providing advice or equipment when needed. Physiotherapy - our physiotherapists assist patients with a variety of needs including breathlessness, fatigue, discomfort, weakness, mobility and pain. by providing a realistic and appropriate treatment regime to help improve quality of life. Lymphoedema specialist support - our specialist Lymphoedema Nurses work with our medical team to provide support and care to patients who have lymphoedema. We help them by carrying out a thorough assessment and providing an individual treatment plan. The plan may consist of skincare. massage. exercise and compression. It aims to manage the symptoms of lymphoedema and improve quality of life. Occupational therapy - our Occupational Therapists promote independence and quality of life when a patient's illness has restricted their normal activities of daily living. The team works very closely with other members of the care team, carers and community agencies. and the patient's choice is central to any decisions made. They can see patients in a variety of settings. including their own homes and at Ashgate Hospice's Inpatient Unit and Day Services. They can also provide an advisory role to nursing and residential homes. Counselling and therapies - the Counselling Team is part of the Ashgate Hospice Supportive Care Team and is based in the Harry Fisher Building at the hospice. Our service is available to patients with palliative care needs, their families, friends and carers. We offer a safe space for our patients to be heard and supported, as they explore their concerns and any issues they wish to resolve. Complementary therapy - our Complementary Therapists specialise in palliative care. They form part of the Supportive Care Team at Ashgate Hospice and are based in the main hospice building. This service is available to inpatients, Day Services attendees and to participants in the recently bereaved groups. The complementary therapy treatments that we provide can be used alongside conventional medicine or on their own. Outpatient care - we continue to provide important services including lymphoedema treatment. counselling. consulting. medical assistance, physiotherapy, psychology, consultation with the Ashgate Community Nurse Specialists and bereavement services. Social work - our Social Work Team is based at the hospice and out in the community. They work alongside other professionals and agencies to understand the needs of patients. their families, friends and carers. They help Inpatient unit - our Inpatient Unit at Old Brampton in Chesterfield offers the reassurance of round-the-clock. expert care and support. 19
Annual Report 2022123 Day services - Our Day Services Team provide advice, education, activities and support to a patient and their family at an earlier stage of their diagnosis. At a drop-in session a patient has access to a range of services. including physiotherapy, complimentary therapy and expert medical advice. In 2022123, Day Services were able to resume onsite drop-in sessions that were complemented by virtual groups for those who are unable to attend. 293 people received specialist Inpatient care 271 people accessed day services support 307 people were cared for in their own homes 894 people were supported by our supportive care teams 724 people were supported to live independently by our occupational therapists 480 people were supported by the lymphoedema team 612 patients received physiotherapy support 237 people were supported with complementary therapies onsite at Old Brampton and in their own homes You can read the Quality Account online at www.ashgatehospice.org.uklreports What makes a good death? By Dr Sarah Parnacott Drsarah Parnacott For many people, trying to comprehend the concept of a good death, may seem impossible, particularly so soon after the death of a loved one. providing care which is competent, confident, compassionate and personalised offering joined-up. co-ordinated services and pathways which are easy to access and navigate access to psychological and spiritual support tailored pain management timely assessment and provision of bereavement services. You might think that the term is jarring and insensitive,. that the words 'good' and 'death' should not be in the same sentence. However. for us at Ashgate Hospice. and for our palliative and end of life care colleagues across the UK. we believe the term good death, can have positive connotations. For us. a good death. is an end of life experience that seeks to remove pain. distress and suffering and takes into account the wishes of the patient and their loved ones. For each individual we care for. we strive to ensure all these attributes are met - doing everything possible to ensure our patients have the most comfortable death possible. We all wish we could avoid death. It is certainly something that is never wanted and can never be forgotten. The London End of Life Clinical Network has worked with a range of organisations and people to identify exactly what makes a good death.. At the point when death is something that can't be avoided, when there really is no other outcome to the most heart-breaking of situations, we strive to ensure that symptoms are controlled, and that the person has a say in where they want to be. The organisation says a service supporting someone at the end of their life must follow certain criteria for the patient to experience a good death, This includes.. 20
Annual Report 2022123 Extending our care with the Virtual Ward In January 2023, we opened our palliative and end of life care Virtual Ward, allowing us to admit 10 patients at any one time. The Virtual Ward allows patients to get the care they need in the place they call home safely and conveniently, rather than being in hospital or the hospice. Care includes remote supervision from consultants, specialist nurses, social workers, therapists and other medical professionals. Modern equipment and technology provided to patients also allows them to easily submit readings, such as their blood oxygen levels and temperature. Patients. including those in care homes. receive high quality face-to-face care when needed and can request 24-hour help through an out-of-hours number. Patients remain under our care. through remote monitoring using easy-to-use technology and face-to-face visits. Here's what our Director of Quality and Patient Care, Hayley Wardle. had to say... Hayley Wardle We're delighted to be introducing our new Virtual Ward to the patients and families who need us now and in the future. teams, such as our community nursing team, doctors and therapists - and they can be reassured they re being monitored on an on-going basis. The initiative is an enhanced version of the community care we are already delivering and allows patients to get the support they need at home safely and conveniently, rather than being in hospital or the hospice. Virtual wards can also support the safe and earlier discharge of patients from our Inpatient Unit. enabling patients to be monitored at home and freeing up our specialist beds. It essentially means that we can extend our care and support the community even further by bringing more people into our care. Not only will the service be convenient so the patient's condition can be monitored at home, but we hope it will empower patients to take a more active role in the management of their health to improve their quality of life. Patients and their families will have access to doctors, nurses, physiotherapists, occupational therapists and more whilst receiving Virtual Ward care at Ashgate. Support can include remote monitoring using apps, technology platforms, wearables and medical devices and may also involve face-to-face care from multi-disciplinary Our Vlrtual Ward Palllatlve Care Speclallst Nurses. Amanda Hall and Sophie Dudley 21
Annual Report 2022123 Supporting children and young people through bereavement In addition, the development of our clinical supervision training offer is in progress and focuses on a restorative and resilience-based model with support from Hospice UK. Bereavement isn't easy for anyone, but it can be especially difficult for children and young people. That is why we have developed our children's services to offer one-to-one support in schools and support to teaching staff and other professionals in the community. During 2022123, we provided 22 patient safety study days for our staff on the Inpatient Unit, introducing the basics of clinical human factors, principles of incident investigation, and a refresher on the Duty of Candour. We welcome the introduction of the new national Patient Safety Incident Response Framework and have begun a phased approach to the introduction of the new framework. We are providing education and training to all staff who work in and support clinical teams via patient safety study days and cascading via team meetings. Work is now underway to widen the offer and reach more children and young people. This will include virtual groups and specific targeted activities. Support is also given to those attending the bereavement groups, to support them to talk to their children and grandchildren about death, and similar sessions will be delivered throughout the year through our Day Services. We have also increased our pre-bereavement support. with a greater presence on the Inpatient Unit. supporting children to understand what is happening to their loved one and having honest and kind conversations about death. We also have a variety of books to give to children and families to help them prepare for a death or to reflect on the death of a loved one. These may be story books or books written by other young people offering advice and coping strategies. Making our care and support easy to access We want everyone who needs our care and support to be able to easily access it. This starts at the point of referral. In 2022123, we began work to create a single point of access to all our services. We implemented a new streamlined method of referral to ensure that IOO/o of patient and client referrals. both external and internal. are registered consistently and given a decision outcome based on service criteria. Additionally. we have worked to ensure that there is a consistent and centralised approach to making internal referrals between services. Ensuring patient safety Ashgate is well known for its outstanding patient care, but we are always looking for ways to improve. It is important that our staff and volunteers feel well supported to be able to keep delivering the best possible care. The second part of the project has been looking at how we ensure that referrals are sent to the right service at the right time through a single point of access. Improvements are also being made to make it easier for referrals to be made through our website. We champion an environment of reflection and learning. encouraging staff and volunteers to be open and honest including access to reflective practice and clinical supervision. In July 2022. we established one-to-one, small and medium-sized clinical supervision groups. 22
How engaging with patients and families is key to care improvements by Ashgate's Head of Quality Improvement, Claire Blakey Claire Blak We strive to continuously improve for our patients and their loved ones because we want them to experience the highest standards of specialist palliative and end of life care and support. At Ashgate, we introduced our own Model for Improvement IMFII, a three steps process that uses a simple methodology. It recognises that improvement works best when people at the point of delivery, those who are directly engaged in the work, are empowered to test changes and use feedback from staff, volunteers and patients to make improvements. MFI is made up of the 'Plan. Do. Study. Act. cycle which allows for continuous improvement and learning that is fundamental to quality. Since introducing QI at Ashgate. we have already seen fantastic changes made by our staff and volunteers who ensure patients, and their families remain at the heart of our QI practices. By listening to their experiences. we can learn and improve instead of assuming that we understand what is needed. Quality Improvement (Qll is embedded into our practices to ensure that all services are safe. timely. efficient. equitable and patient-centred. It is a collaborative approach to identify and address problems in order to improve the quality of care. a process or a system. It is about looking at what we do and seeing if we can do things differently to improve safety. experience. and effectiveness. So why does it matter for patients and families? In clinical work. there are many reasons why QI is important for patients and their families: It helps to ensure that patients receive the best possible care and treatment: It helps to improve patient safety and reduce the risk of errors and adverse events," It helps to improve the efficiency of care delivery and make the best use of resources.. When QI is part of everyday work it has been shown to deliver better patient outcomes. staff experience. and improve morale. Plan Model for Act improvement Do Study 23
Annual Report 2022123 Our people We're proud of the way our staff and volunteers work together to support families living with a life-limiting illness in North Derbyshire. Our aim is to create an environment where our people can bring their authentic selves to work. fulfil their potential and support their wellbeing. We invest in training and development and strive to become North Derbyshire's employer of choice. attracting and retaining the best people to work with us. We want everyone's experience of Ashgate Hospice to be a great one - whether they work for us. volunteer with us. support us. or come to us for care and support. Caring for our people Radical Kindness We know that looking after the wellbeing of our workforce is important to engaging our people, preventing stress and creating a positive working environment where our staff and volunteers can deliver the outstanding care and support we are known for. We have developed a bespoke model for communication, teamwork and management at Ashgate to help our people better live our values. This approach was adapted from Kim Scott's Radical Candor and encourages open and compassionate conversations, supports compliance with management processes, and challenges incivility and bullying at work. The intent is to have a shared language and understanding, and processes and spaces that enable clear and consistent actions in line with our values. In the last twelve months. we developed an inclusive and dynamic rolling offer of wellbeing support. This includes virtual and face-to-face support and one-to-one wellbeing and coaching sessions. We are also working with Joined Up Care Derbyshire to access their wellbeing support and ensure it is readily available to our workforce. This wellbeing support. coupled with an encouragement in peer-to-peer support has contributed to a steady reduction in staff absence throughout the year. We have 352 staff who are supported by a team of 765 volunteers. 24
Annual Report 2022123 Supporting equality. diversity and inclusivity Our work with Derbyshire LGBT+ has resulted in us signing up for their Rainbow Accreditation Scheme. which offers a comprehensive framework to look at every area of Ashgate from patient care, to fundraising events and the experience of customers in our shops and cafes. It is an opportunity to evaluate our organisation with honesty and openness. so that we can identify potential barriers and areas for improvement in our LGBT+ inclusion. We reinforced our commitment to the LGBT+ community with the installation of a rainbow crossing at our Old Brampton site. ensuring everyone gets a warm welcome when they visit. Equality. diversity and inclusivity IEDI) is deeply important at Ashgate. We are passionate about our care and services being accessible to anyone who needs them and in turn we're committed to being an inclusive employer and valuing the diversity of our people. Driven by our Equality. Diversity and Inclusion Lead. we set up a Workforce Advisory Group to bring about positive changes in our policies. practices and culture. This has included information sessions for our staff and volunteers about identity. pronouns and LGBT+ awareness. We've also engaged with local communities who represent marginalised groups. including the Chesterfield EDI Forum. the Maclntyre charity for people with learning disabilities and Derbyshire LGBT+. We've also focussed on the diversity of our workforce, helping us to understand who we are and how we can create a better working environment where they can do their best.
Annual Report 2022123 Our Equality, Diversity and Inclusion Lead, Liz Allam on our work to become an open and inclusive organisation where everyone is warmly welcomed. Liz Allam Staff and volunteers at Ashgate are committed to welcoming people from all identities and backgrounds to the organisation as patients, staff, volunteers or supporters - however we know that historically people from LGBT+ communities have experienced discrimination and inequality both within healthcare and in the workplace. We want to ensure Ashgate is open to everyone who needs us, and we are working to understand how we can improve this. Ashgate already has a hugely committed and compassionate workforce and by welcoming staff and volunteers with diverse backgrounds we can enhance and strengthen the organisation further. Research tells us that, even in organisations with good intentions, LGBT+ people can experience barriers accessing services, such as end of life care, due to systemic discrimination and inequality embedded in society and its institutions. Compassionate care for everyone Liz Allam from Ashgate Hospice and John Yates-Harold from Derbyshire LGBT+
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Annual Report 2022123 Gender pay gap and hold positions of authority. We are also delighted that following several new appointments. the gender diversity on our board of trustees now more closely reflects the make-up of our workforce. The Equality Act 2010 requires all organisations with 250 employees or more to report on their gender pay gap. The gender pay gap is defined as the difference in the average earnings of men and women over a defined period. regardless of role or seniority. In 2022. Ashgate had a negative gender pay gap. The 'mean' gender pay gap shows that for every £1 a man is paid a woman is paid £1.05. The 'median' figure shows that for every El a man is paid a woman is paid £1.16. In recognition of our predominantly female workforce, we are enhancing workplace support- for example, increased carers leave. women's wellbeing provision and the introduction of a menopause policy and support. We have improved employee diversity monitoring. which will enable us to examine potential intersectional factors influencing the pay, performance and progression of our employees. Following an anomaly in the 2021 figures - due to the engagement of contractors that year - the 2022 data builds on the 2020 gender pay gap lin favour of women) and demonstrates that Ashgate is continuing to close the gender pay gap ahead of national benchmarks. We acknowledge the society wide issues that mean women are over-represented in the hospice and health care sector and recognise that there is work to be done to increase the representation of men in roles such as nursing and healthcare assistants. and to ensure the representation of women at senior levels in the organisation. This is a testament to our commitment to equity, and to Ashgate as an organisation where women are treated fairly, are valued Mean gender pay gap Median gender pay gap -5.35/ -15.65/ £1.00 £1.05 £1.00 £1.16 28
Annual Report 2022123 Listening to our people Fairly rewarding our people We have focused heavily on our internal engagement this year, including the introduction of stay interviews to complement our existing exit surveys and bi-annual People Survey. This helps us to understand what our people think about working at Ashgate and enables us to prioritise areas for further development. Recruiting, retaining, and motivating employees are critical to Ashgate's sustainability and success. Our Reward and Recognition project saw an organisation wide consultation and review of staff terms and conditions with the aim of introducing a fair, transparent and consistent framework for how we pay and reward staff and to strive for the hospice to be North Derbyshire's employer of choice. We also created a new Employee Forum, which is a way for our workforce to raise ideas or questions through their elected representative. The Employee Forum played a crucial role in Reward and Recognition, the review of staff terms and conditions, which saw the introduction of a new pay framework and enhanced benefits. We prioritised clear communications and inclusivity to ensure that everyone's voices could be heard throughout the collective consultation which ran from April 2022 to July 2022. As a result of the Reward and Recognition project. a new equitable and sustainable pay framework has been implemented. ensuring that for the first time all staff have the opportunity for pay progression. Other changes included an increase in carer's leave. bereavement leave and compassionate leave. Our weekly email communication. The Weekly Bulletin. provides regular organisational updates. equality. diversity and inclusion initiatives. and celebrations of our workforce successes to all our staff. This is complemented by a bi-weekly email communication to our volunteers. Offering staff greater choice and flexibility has also seen the introduction of a new way for staff to buy and sell their annual leave. Weekly Bulletin The annual review process was also overhauled to support staff to perform their best by providing a comprehensive evaluation of their progress and development in a way that is fair and transparent. Individuals are assessed against clear criteria for performance, values and learning, and supported by regular l-l meetings throughout the year. In addition, we have modernised our long service recognition, ensuring staff and volunteers receive formal recognition sooner in their service with us. 29
Annual Report 2022123 Attracting the very best people As part of our response to a highly competitive labour market, we have introduced onsite clinical recruitment events to showcase our benefits and amenities. We were keen to recruit more nurses to help alleviate winter pressures. help staff our new Virtual Ward and future proof our Inpatient Unit. Pleasingly, an increasing number of nursing vacancies have also been due to internal promotion and progression. The recruitment events included guided tours. a chance to speak with staff on the ground and on-the-spot interviews. Both events were well attended, and 10 people were recruited in addition to our usual recruitment activities. We also modernised our application process as part of our digital transformation, to create a seamless and easy-to-use system, not just for prospective candidates but for managers too. Developing our people At Ashgate, we are committed to developing our people. We offer apprenticeships. work placements and shadowing opportunities across the organisation to give individuals the chance to step into a career they love. 30
Annual Report 2022123 Charlotte's story Our very own Charlotte ButtenNorth started off her career at Ashgate Hospice 10 years ago by taking on a one-year Business and Administration apprenticeship,. now she works as our Partnerships Manager. She said: -completing an apprenticeship with the hospice helped with my personal development,. I learned what working in a charitable fundraising team was like, and it gave me the opportunity to learn from professionals. It boosted my confidence and provided me with the opportunity to grow within an organisation which I love working for. "The best thing about the apprenticeship was that it helped me decide that a career in events was right for me and more so, it opened my eyes to the third sector as an industry which I had never considered. I learnt so much about the broad range of care the hospice provides and the importance of what we do, it made me incredibly passionate about the cause and how organising fundraising events was able to directly impact patients and families.. Charlotte Butterworth. Partnerships Manager (2nd from right) Innovating in technology undergone internet and email training to help improve knowledge, confidence and encourage safe practice. Information security continues to be of utmost importance at Ashgate. particularly as cyber-crime continues to increase. Our security has been greatly enhanced through device encryption. network and website scans as well as multi-factor authentication and awareness raising for our workforce. External auditors carried out penetration testing of our systems which we were pleased to pass with -flying colours-. During 2022123, we nurtured innovation across Ashgate to enable collaborative working and developed our digital space to transform how we share information and data. This has included providing new laptops and a new Virtual Desktop Interface solution to ensure our workforce has the tools they need to fulfil their roles whilst working from a range of locations. An overhaul of the way in which we work has seen a move to cloud-based servers to reduce cost and risk whilst providing a sustainable solution for our future. This has been further enhanced by a new strategic reporting database with live downloads of clinical data which allows Ashgate to produce real-time reports on all aspects of patient care. Internet and email training has helped improve knowledge. confidence and encouraged safe practice Our intranet system has also undergone extensive development to encourage easier information sharing and collaboration with teams from across Ashgate. Staff have also 31
Annual Report 2022123 Celebrating our amazing volunteers Yet again. our volunteers have been incredible. Volunteers are a crucial part of the work we do at Ashgate. enabling us to support families who need us the most. In the past year, 765 volunteers contributed their time. knowledge. and expertise. supporting Ashgate in a wide variety of roles. including as part of our Inpatient Unit. maintaining our gardens and fundraising events. In the last year alone. we have welcomed more than 200 new volunteers into our hospice. Significant progress has been made to improve volunteer recruitment and retention. This includes the introduction of dedicated recruitment events. streamlining online applications and refreshing training and development. Ann Roberts enjoying a Calendar Girts photo opportunity
022123 49/• of our volunteers are based in our shops. coffee shops and donation centre. helping to generate the £8 million needed to fund our services ProLId ' to support Ashgate Hospice ate Ann's story Our fundraising volunteer Ann Roberts gives back her time after we were there to support her when she was first diagnosed with incurable cancer more than 30 years ago. From giving talks in the community about Ashgate to doing her bit to help us prepare for our events - Ann says volunteering gives her "a great sense of pride". She was first touched by our care after being diagnosed with a rare form of cancer in 1991. aged 37.. doctors said it had spread around her body and Ann was given two years to live. ~In desperation, I rang Ashgate and within two days. a nurse came to visit and was just absolutely brilliant and helped me get my emotions under control. "Ashgate did so much for my family all those years ago and it's a pleasure to give something back and do my bit. "I'm determined that the hospice should survive so other families can benefit as mine did. "If giving up a few hours of my time each week helps then I'll continue to volunteer as long as I'm able. "I love volunteering. I get to go out into the community and tell people about the history of the hospice, what we do, how we're funded. what it costs to run each year. how we're staffed, and then if appropriate I'll tell them my story too.- Ann said.. ~The hospice was there for me when I desperately needed them. When I was first diagnosed my kids would have been 10 and 12 -1 had two operations and they thought they had stopped it in its tracks. ~But in a few short weeks they told me it was well and truly taking over my body," they couldn't cure it and gave me two years to live. 33
Annual Report 2022123 Our voice Raising awareness of death. dying and bereavement and the work we do is essential to our fundraising and campaigns work. Through our website. social media and the press. we can make more people aware of what we do and help create a North Derbyshire community who know how to support people at the end of their lives. and those living with loss. Life. death and everything in-between Mary-Frances O'connor from episode three visited Ashgate to deliver an in-person talk to staff and volunteers about the effects that grief has on the brain. The popularity of the podcast continues to grow. allowing us to help create a North Derbyshire community who know how to support people at the end of their lives. and those living with loss. It also supports conversations about death and dying. and helps to demystify hospice care. Series three of The Life and Death podcast debuted in May. Hosted by our Senior Physiotherapist. Stephen Rumford, the six- part series is an honest look at life, death, bereavement and everything in-between. In this series he sat down with special guests to discuss their experiences of death, dying and bereavement - with the aim of finding a deeper understanding of what life and death means to them. This series saw us meet guests from as far as Arizona who have experienced death, dying and bereavement. Since the first episode was shared on 8th October 2020. the podcast as a collective has had Guests included: Mary-Frances O'connor - neuroscientist, author and associate professor at the University of Arizona and investigator on the effects of grief on the brain and the body. 11.614 listens The podcast has listeners right across the world. including 58.6/0 inthe UK and 24/ . America Clover Stroud Sunday Times Bestseller and journalist writing for the Daily Mail, Sunday Times. Daily Telegraph and author of her new book, The Red of My Blood. Her book shares her grief story following the death of her beloved sister, Nell. oin Stacey Heale - writer, Ted Talk contributor and well-known grief commentator on social media. Her husband, Greg Gilbert, lead singer of noughties indie-rock band The Delays, died of bowel cancer in 2021. C) 70.9/ o are women listeners aged 35-44135.5/1 34
Annual Report 2022123 Giving a voice to others The blog is written by staff and volunteers right across Ashgate and includes stories Throughout 2022123, we helped people living from nurses. those working in fundraising and with a life-limiting illness and their loved our Supportive Care team. ones tell their stories and bring to life the challenges they face. We also highlighted the crucial role of Ashgate in the healthcare system, challenges in the way we are funded and how our care and support can make a lasting impact to those in need. We achieved this through vital media coverage, to help inform and educate about the way hospice care is funded and reach others that may need our services so they would know they were not alone. This included the blog: 'What makes a good death?. from Specialist Palliative Care Nurse. Sophie Dudley. She said: "I think a good death is one that the patient wanted. To be as settled. comfortable and pain free as possible, in the place that they want to be. For us, it is about ensuring that the patient's wishes are met, whether that is to be surrounded by loved ones. their pets and their favourite things, or simply being in their own bed." Stories told by our patients and their loved ones gained extensive local media coverage, including broadcast and print. Their stories were also shared within our twice-yearly supporter newsletter which is delivered to 17.000 homes across the region. Our professionals on the frontline understand the challenges faced by those living with a life-limiting illness. That is why we set up an online blog area on our website: to give them a platform to tell their stories. The Life Deat Podcast 35
Annual Report 2022123 An online community of support In 2022123, our social media platforms reached approximately 1.3 million people. Our website is often the first step in someone getting in touch with Ashgate. It's the place our patients and their families go to find vital information to make informed choices about their care. As well as sharing our own content across our social media channels, we engage with others through the content they share, and encourage engagement. It is a valuable tool to not only cement our messages in other media, but also to reach new people and generate more support for Ashgate. Our website is also home to multiple resources. including videos. leaflets and articles. This includes tips for coping with grief at Christmas. hand massage techniques and mindfulness breathing exercises. At Ashgate, we know that peer-to-peer support is important to those we care for and their families. Whether someone is living with a life-limiting illness or is grieving their loss, our online communities are there for each other. It is also an important way for us to raise awareness of our services, extend our support and encourage open and honest conversations about death, dying and bereavement. We have also increased our video content, including reels Ishort videos), and have started to post more content on TikTok, aiming to grow our audience on that platform. 131.549 people visited the Ashgate Hospice website Supportin•yw j, every step :*•.- Wt'reh•r•foTyO 36
Annual Report 2022123 Raising money for our crucial care and support Without our incredible supporters. we simply couldn't provide so much care and support to families living with a life-limiting illness. Last year. despite the shadow of the pandemic and the cost-of-living crisis. they helped us to raise £10.147.098. From recovery to record growth Over the past year. our furniture store has been working alongside new local suppliers to broaden our product range. This has allowed us to include more choices to cater to all budgets as well as the addition of white goods. This led to record-breaking sales here too. with income reaching £1,193.247. Not only are we seeing an increase in footfall on the high street. but our online sales have also rocketed with a record-breaking year for our eBay. Amazon and Auction activities. raising £158.921. Our network of 16 shops and two coffee shops directly funds the compassionate care and support we provide to families living with a life-limiting illness. Without this support, we simply couldn't do what we do. Last year, we were delighted to report record-breaking sales for our shops totalling £3,632,167 and exceeding our expectations. The ongoing economic uncertainty meant our shops saw record numbers of customers and transactions. In our clearance shops, where items are 50p to £3, an amazing 182,996 items were sold and saved from recycling or disposal, generating an incredible £216,685 of income. 00 Across the wider network of our shops. we sold 1.001.872 items. from second hand clothing and homeware to furniture and toys. We are not an NHS Hospice. That means we must raise 0 £3.632.167 was raised by our network of shops £8 million Q £1.193.247 each year to continue to provide our crucial palliative and end of life care. was raised by our furniture store 0 £158,921 was raised by ouronline sales 37
Annual Report 2022123 Thankyou We are hugely grateful to our retail teams, who work tirelessly to sort through donations, keep our shelves stocked and our tills ringing. We are also hugely grateful to the communities who shopped and donated throughout the year. This ongoing support enables us to fund our compassionate hospice care. when and where it's needed most. The closing bid reached £4.2001 Experts revealed the piece had been painted by famous French impressionist painter Pierre Adolphe Valette. who tutored L.S. Lowry before he would go on to become one of Britain's most celebrated and renowned artists. How your donation can make a difference One donation that made a huge difference was a mystery painting that was picked up by staff in one of our shops - it turned out to unknowingly be the work of a world- renowned artist and raised thousands of pounds at auction. When it went to auction earlier this month it was expected to fetch between £300 and £500. but bidding exceeded way beyond the estimate before eventually reaching £4.2001 Ashgate Hospice received the total amount fee-free thanks to the continued generosity and support of Sheffield Auction Gallery, meaning the money will go further towards helping us fund vital care for the families who need the hospice most. Our Ecommerce team spotted something special when they saw the framed artwork. so sent it across to its partners at Sheffield Auction Gallery to get their opinion. Emma's story Emma Holloway, who uses a wheelchair, decided to volunteer with us as she was looking for a new volunteering opportunity in her local area of Alfreton and she saw that we were opening a new shop - that was over seven years ago, and the rest is history. Her main duties include operating the till and serving customers and she says one of the best things about volunteering in retail is the connections and relationships she has made. Emma does three shifts a week. plus an additional Saturday shift once a month and is a highly valued member or the Alfreton team. She added- "l enjoy the fact that every day is different and it's never boring. l enjoy meeting lots of new people and getting to know regular customers. Alfreton shop volunteer ~There is a wide variety ofjobs within the shops and there is always somebody around for support. Every day is different and you learn new skills which could help you in the future.- 38
Ashgate Hospice eport 202 Buxton New shop opened in Buxton Around 100 patients living in the Buxton area accessed our care and support last year - from clinical care at home to our Inpatient Unit to occupational support and physiotherapy. Now with the opening of our 16th shop there is a way for the Buxton community to support the delivery of our care to families in their local community living with a life- limiting illness. The opening of our new shop in Buxton The opening of the shop has proven to be very popular with £886 taken on the first day. ~When Mick was admitted for the second time, we knew it would be the last. My big, cuddly husband became thin, frail and not much longer for this world in just a few days. Mick Cook was looked after on our Inpatient Unit last summer Penny's story ~We'd been together 2417 for the last 30 years and the thought of being apart now engulfed me in sadness. But once again, the hospice's team came together and pulled out all the stops for us. The shop has been funding care for families like Penny Cook's, whose husband Mick died on the hospice's Inpatient Unit, aged 75, after being diagnosed with incurable stomach cancer. ~Sleeping by Mick meant we didn't lose a minute together. I was blessed to have another eight weeks with him at the hospice before he died. The Buxton couple had onlyjust celebrated their 50th wedding anniversary the year before. Penny said: "Within a few hours of being at the hospice. Mick looked like a different person - he was relaxed. I'd finally got my husband back. "We planned to make lots of memories when Mick was diagnosed but we didn't get the chance because he lost his mobility quickly. So being able to spend the last eight weeks together with nowhere else to be and nothing else to do was precious. "Being at the hospice feels like someone has wrapped a blanket around you, like you're getting a hug. It's the people who make it feel that way. "Having nowhere else to be except by my husband's side meant the world to both of us.- 39
Annual Report 2022123 Extending our support further Together. they raised E171.575 in 2022 to help fund our vital. compassionate care for patients and their loved ones living with a life-limiting illness. A total of 135 people volunteered at the event. including many staff and volunteers from across the organisation who supported in a variety of roles, including assisting with car parking, helping out at the event village and marshaling the route. In response to the cost-of-living crisis, we set up a warm space to help the community of Clowne amid the cost-of-living crisis. The initiative was backed by Derbyshire County Council, which provided Ashgate with a grant of £3,000 to fund the scheme. The scheme was open twice daily throughout March and April. Anyone who asked for a "winter warmer" at the till point of the coffee shop received a hot drink, as well as a slice of toast, teacake or crumpet for free. Stepping out for palliative and end of life care On Saturday 9th July 2022, more than 2,000 people donned flashing bunny ears and their brightest clothing and took part in our annual Sparkle Night Walk. Our 2022 Sparkle Night Walk raised £171.575 Rachel's story Among those taking part in Sparkle Night Walk was RacheL who walked with her sisters Helen, Hannah and Becky in loving memory of her father. Keith to raise funds for the vitsl care he received at the end of his life. Before he died on 8th February 2021. aged 63, Keith was cared for at the hospice for two weeks and during that time. Rachel said the care he received was~second-to-none.- "The staff werejust so attentive. compassionate and professional during the time Dad was in Ashgate's care.~ said Rachel. ~1 remember just days before he died, one of the wonderful Healthcare Assistants explained everything to me, not in a patronising way, but in a manner which I could understand. Rach Keith r father. ~Their honesty and support was so comforting at such a diffi'cult time, and l just knew his care was in the best hands it could have been. "Ashgate's care relies so much on fundraising and we want to do as much as we can to support Ashgate as it made our family feel as though we were at home from the moment we arrived.- 40
Annual Report 2022123 Gifts in Kind Trust and Grants Not all the support we receive is monetary, many companies and organisations choose to support us by donating their goods or services. This support is just as valuable, and in 2022123 gifts in kind totaled £160,829. Some of those gifts include: Netflix which continues to be donated to our Inpatient Unit by our IT provider, Central Technology £4.000 worth of bread donated by Jacksons the Bakers for our patients at the hospice and for our fundraising events The scoreboard at Chesterfield Football Club which was kindly donated by Jason Elliott and is worth over £16.000 Without funding from trusts and foundations, we wouldn't be able to make a difference to the lives of so many people living with a life-limiting illness and their loved ones. In 2022123, we received £740,424 from a wide range of charitable funds. This included.. £122.784 secured from nine trusts. the largest being £45.000 from CRASH to pay for the renovation of our courtyard and accessible entrance, £49.834 from BBC Children in Need to enable our Supportive Care Team to make an incredibly positive difference to the lives and futures of the children and young people facing grief and loss living in Bolsover £IO.000 secured from Westfield Health Charitable Foundation and £10.250 secured from The Gordon Bramah Charitable Settlement to pay for syringe drivers to help to keep our patients pain free on our Inpatient Unit £470,617 from the Laura John Foundation to fund the provision of children's bereavement services over many future years. 3,300 bottles of water donated by Nestle for supporters taking on our fundraising events Pro bono quantity surveyor time to assess our new accessible entrance and courtyard from CLOSE UK worth £10,000. As well as the significant donation of £45.000 from CRASH Charity. we also received donations of between £l.000 and £20.000 from other foundations and charities, including: The Garfield Weston Foundation, Edward Gostling Foundation, Zachary Merton and George Woofindin Convalescent Trust, February Foundation, Hobson Charity, and the Welcome Club of Dronfield. This meant that the project was funded entirely by grants, donations, and through gifts in kind from the patrons of CRASH Charity and local businesses. We also received a grant of £20.000 from the Albert Hunt Trust towards the running costs of the Hospice. ¥•bl, Before and after photos of the new accessible entrance and courtyard renovation 41
Annual Report 2022123 Our corporate partners Thank you to our corporate partners, who went above and beyond in supporting us last year. We partnered with several fantastic organisations to help families living with a life-limiting illness, including- Kingfield Electronics. who raised a total of £13.500 via monthly contributions. They increased their monthly donation to £1.500 in January after receiving a tour of the hospice and being awarded a framed nurses tunic Technique Learning Solutions for sponsoring the Hospice's flagship Sparkle Night Walk event Harold Lilleker & Son's Funeral Directors for their ongoing support of fundraising events and initiatives, including Sparkle Night Walk and Light up a Life. A special thank you also goes to them for developing the idea of the Tractor Fest event Flamecare supported Ashgate by donating every time they signed up a new customer, raising £4,228 Whittam Cox Architects, who raised £6,000 by donating £500 a month Graysons Solicitors for their generous ongoing sponsorship and support of our Spring Appeal £10.500 raised from multiple businesses who sponsored of the stars that adorn the front of the hospice building in Old Brampton throughout December. Kingf ield Flèctrornic£ IITECHNIQUE Ilaixhld Lilleker Whitta ARCHITECTS ox GRAYSONS SOLI CITORS are 42
'Ii Annual Report 2022123 Fantastic fundraisers right across the region 19 Over the past year. we have been overwhelmed by the ongoing support from fundraisers across North Derbyshire. Their ongoing dedication to funding our crucial care and support is demonstrated through their tremendous efforts.. The total raised by BRM Solicitors was £23.495 Challenge Derbyshire The initiative began in 2015 with an ambition to raise Elm. which they achieved by 2019. The initiative continues to provide outstanding support. including the Challenge Derbyshire Ball at the Dome in Buxton in February which raised £165.000 of which Ashgate will receive £82.500 Make a Will Month We have once again been grateful for the support of BRM Solicitors, who encouraged local people to make a will and instead of paying a fee to the solicitors, they were encouraged to make a donation to the hospice. During Make a Will Month. which took place in April. a total of 175 people made their will with BRM while making a suggested donation of £75 for a single will or £150 for a mirror will for a couple. North Derbyshire turned pink in October for Go Pink Week and raised £8,146 In the run up to Christmas, thirty-six hampers were beautifully wrapped by staff and volunteers, with the content primarily donated by Spar. These were given to organisations to run their own raff les and raised £3,489 The total amount raised by BRM Solicitors was £23.495 - the largest amount the firm have raised for any charity in a single month. Rob Woodhead, Head of Wills and Probate at BRM Solicitors, said: -we are delighted to be teaming up with Ashgate Hospice again this year to raise funds for a charity that plays such a key role in the Chesterfield and North Derbyshire community. We hope to build on this year's success and raise even more money for the hospice in 2023.- During the last academic year St Mary's Catholic High School in Chesterfield raised £9,121 The Louise Smalley Walk committee raised £ll.000 from their 40 mile walk in the summer In March, Tractor Fest was held at Storforth Lane Trading Estate and was organised with support from Harold Lilleker and The Green Hall Estate. A total of £17.163 was raised with 50 tractors showcased and over 3,000 people in attendance. 739 fundraising tins were distributed across shops and pubs and raised an incredible £38.937 43
Annual Report 2022123 Fundraising in memory Then in December, our annual Light up a Life event took place, this time with a memorial lantern procession which concluded with a touching ceremony within the grounds of our hospice at Old Brampton. The appeal raised £27.100, including generous sponsorship from Harrold Lilleker and Sons Funeral Director. Last year we provided two very special ways for supporters to celebrate and honour the lives of their loved ones. Our Forget-Me-Not Appeal, sponsored by Graysons Solicitors, invited supporters to dedicate a flower in memory of their loved ones. Over 1,200 flowers then formed a beautiful display at Renishaw Hall. helping to raise £62.850. Chloe's story We were pleased to receive the support from five families who shared stories about the care their loved ones received to help us promote our Light up a Life campaign. Among them was Chloe Rumsey. whose mum, Claire Sivorn, a teaching assistant from Chesterfield, was diagnosed with secondary cancer in October 2020. Chloe will always be grateful to the hospice after we ensured her mum was able to fulfil her wish of getting married to her partner Craig before she died, aged just 55. She said: -Everyone says it about their own but my mum really was one of a kind - she was amazing. "My mum was a patient in Ashgate's Inpatient Unit for a few weeks after being in hospital with a blood clot in her leg. "She had 24-hour care and a physio which enabled her to build the strength to stand and walk so it was safe for her to come home. Chloe with a photo of her mum. Claire Sivorn "The support they provided with the wedding meant the world to Mum as it took a little stress away for her. -Although her original plans changed. it meant she could get married and that is all she wanted.~ As well as the care Claire received. Chloe has received counselling from our Supportive Care team. Her counsellor. Annie, made a huge difference. Chloe says it helped to "talk to someone about what mum was dealing with and what we were going through as a family". She added.. "It was a very confusing time, and it still is. but she listened and helped me try and understand. I'm grateful she was there for me to talk to.- 44
Annual Report 2022123 Gifts in wills Lottery Over 30 people generously left us a gift in their will last year. This resulted in us receiving an incredible £1,261,890 in cash during 2022123 to help fund our crucial, compassionate hospice care. This amount is increased to £2,688,561 in our financial statements due to a requirement in charity accounting rules, to accrue for legacies received post year end where there was sufficient certainty and entitlement at the year end date. Ashgate Hospice operates raffles and a weekly lottery as a way for people to support us. These activities are regulated by The Gambling Commission. In 2022123, our lottery raised £710,425. We currently have around 8,000 active players with 12,200 numbers at £1 per week. In 22123. we were fortunate to be supported by BRM Solicitors and Graysons Solicitors who held free will months and weeks in which they waived their will-making fee and instead asked for donations to Ashgate Hospice. This not only helps to raise immediate funds for the hospice. but also helps to secure legacy gifts for the future. We are looking forward to working with these solicitors in future years, as well as welcome new ones as partners of the hospice. Finally. this year we are also pleased to have partnered with Guardian Angel to offer free online will-making services to our supporters. This was launched in January 2023 and so far. six people have completed their wills via the site which is estimated to bring in £22.000 in future legacy income. Ashgate Lottery Upto £25.000 Join today £1 per Sign up online today at: www.ashgatehospice.org.ukllottery And help us care for people in the community 2417 One in five of our patients is cared for by a gift left in a will Every penny really does make a difference. In fact, last year we received 21.375 donations of £10 or less. Together, this raised £142.826 45
Annual Report 2022123 How we're governed Governance and Trusteeship at Ashgate Trustees undertake a full induction and take part in the role-specific essential training provided by the hospice for all staff and volunteers. Trustees also take part in Quality Visits to clinical services. They shadow both clinical and non-clinical teams to gain assurances about performance and quality. to introduce themselves to staff and volunteers and to increase their knowledge of our services. Our Board of Trustees consists of volunteers who bring a range of professional expertise and life experiences to shape the direction of our strategic approach. Trustees are not involved in the day-to-day management of the charity. They delegate this responsibility to the Chief Executive and the Leadership Team. They hold the Chief Executive to account. ensuring that the hospice is managed effectively and in line with the highest standards of quality, safety and customer service. Our Ashgate Governance Framework sets out a robust hospice-wide governance and assurance structure. This has fully developed operational alignment and an emphasis on the golden thread. from frontline to Board. Our Board of Trustees Our Trustees are all volunteers and they are responsiL)le for ensuring that the organisation is effectively managed and well led. Our Chief Executive and the Leadership Team report directly to the Board. DrRuthCowr VKEChJ Klrityllc14Ktsn MakDlmP•p Lynnkndr NWIMYhl t•PllÈworth Ashgate Hospice Robln& D•kiAtstT¥Jbrty Vltt4)ktiW•bb Our Leadership Team Our Leadership Team Is responsible for managing all aspects of our work here 8t Ashgate. rbM-AnnWalk•r RodlJTh IproFinwK DrSirthParni¢ott DI0rofIr9rn¢ OorofQy411ty For more information. go to www.ashgatÈhospice.org.uklour-people 46
Annual Report 2022123 There are three committees which report directly to the Board. Their membership is drawn from the Trustees and senior leaders. The Healthcare Quality Committee includes clinical quality and safety. evidence-based care and patient experience in its portfolio. The People, Engagement and Performance Committee has a focus on our staff and volunteer workforce, on information governance, IT and digital development and community engagement. The Finance and Strategy Committee is charged with governance of our income generation, our reserves and investments. procurement and estate management. Fundraising standards Ashgate Hospice's approach to fundraising is focused on supporter care through extensive and regular training of staff and volunteers. Ashgate Hospice is registered with the Fundraising Regulator and ensures its fundraising is legal. open, honest and respectful. We monitor third parties who fundraise for us by asking supporters for feedback. providing training and following up any complaints. The charity received no complaints during the year. As part of our approach. policies and standards. we ensure that we protect vulnerable people and other members of the public from inappropriate behaviour. We train everyone involved in fundraising and clear processes are in place to monitor and manage every interaction. In the past year. we have not uncovered any failure by staff, volunteers, professional fundraisers or commercial participators to comply with our policies and standards. This framework enables the Board meetings and development days to focus on long- term strategy. oversight of the charity s performance, risk management and sustainability. The Board and the Committees meet on a quarterly basis. Public benefit The Trustees have referred to the guidance contained in the Charity Commission's general guidance on public benefit when reviewing the hospice's objectives and in planning its future activities. In particular, the Board of Trustees considers how planned activities will contribute to the objectives they have set. The Trustees are confident that this report appropriately reflects public benefit in some detail when describing the purpose. objectives and strategic plans, services, service developments and future plans for continued or enhanced service delivery. Registered with FR FUNDRAISING REGULATOR 47
Annual Report 2022123 Financial review A firm foundation This will still mean that statutory funding covers only 32/0 of our total cost base. but this is a massive vote of confidence in the future of Ashgate and the need for our services. Inflationary pressures on our costs and on our donors. mean that we still have a £0.5m deficit budget for 23124. but we are injecting fresh momentum into a strategic review of our functions in order to elevate the hospice back out of deficit. 2022123 has been a transformational year in terms of our funding. It began precariously but has ended on a significant note of optimism for the future. In March 2022, the Hospice Board approved a £2.Im deficit budget for 22123 - this had obvious risk and would have necessitated drawing on our tight reserves. It was, however, agreed to maintain our well integrated portfolio of services, while we engaged in longer term funding discussions with Joined Up Care Derbyshire IJUCDI. 22123 in more detail Despite a £2.Im deficit budget for 22123. the actual result was much better. with a £1.5m surplus. The £3.6m improvement reflected three main themes.. negotiation of improved funding, a large restricted donation to fund future years. children's bereavement services and a large adjustment to legacy income due to charity accounting requirements. JUCD recognised the value and importance of our hospice services within the wider healthcare system and agreed to provide a one off £0.9m for 22123 from their Hospice Sustainability Fund. This was a supplement to our underlying statutory funding. As a result of continued partnership dialogue, and despite their own financial challenges, JUCD were sufficiently assured as to the funding risks in the hospice and Ashgate's criticality to the wider system, that they initiated a £1.5m recurrent increase to our annual contract value for 23124 onwards. That is now firmed up in a five-year contract as opposed to previous one-year contracts. As explained above, the Hospice secured a £0.9m increase in JUCD funding which has become a stepping stone to a larger increase for 23124 onwards. The Hospice has also successfully engaged in the first year of the national pilot of Virtual Wards, taking on new staff and new costs in the process, but securing an extra £0.2m funding in 22123 lyou can read more about this new service on page 211. Strong donations of goods and their sale led to £0.2m extra contribution from retail activities and staff costs were £O.Im below budget due to the complex resourcing environment. The restricted donation for children's bereavement services was £0.5m and has had to be accounted for in full in the year of receipt even though it will be used to cover increased costs of new roles in future years. Legacy income was £1.4m above budget at £2.7m due to an increase in the year end debtor figure reflecting legacies received or expected in the subsequent year, but where there was entitlement and high likelihood at year end. 51/ 30/ NHSfunding Legacies Fundraising and Retail 48
Annual Report 2022123 Trusts and trust accessibility at the main hospice site, but we did not have the funds to do the necessary building work. Our Trust and Grants Team were able to share our story with supporters and trust and grant funders with a wonderful outcome of complete funding for the required works. The project is explained further on page 41. Our trust in our staff and volunteers, our trust in our supporters and the trust that JUCD has demonstrated in us, manifest themselves in many other positive outcomes. Early in 22123 we knew that we needed to enhance our How we raised our money Donations Legacies 19/ IT/ Gift in Kind Fundraising For every £1 we raise: 62p goes towards delivering and improving our care and services. The other 58p goes towards generating future income. Other i/ 30/ 25/ NHS Funding Shops How we spent our money Patient care - therapies and rehabilitation Patient care - community 12/ /. Raising voluntary income Lottery 3/ Events Community Patient care - hospice 25/ Shops 49
Annual Report 2022123 Reference and Administrative Information Charity Name.. Ashgate Hospicecare Charity Registration Number- 700636 Company Registration Number: 02263980 Registered Office and Operational address.. Ashgate Road. Old Brampton. Chesterfield. S42 7JD This Trustees, Report also meets the requirements of a Directors, Report for Companies Act purposes. Directors and Trustees Leadership Team Penny Brooks, Chair Malcolm Pope, Vice Chair Kirsty Mcmillan Nigel Myhill Dermot Toberty Nicholas Jeffrey. Chair (sadly died 20112120221 Daniel Ratchford. Vice Chair Iresigned 23103120231 Claire Newton (appointed 01107120221 Ruth Cooper (appointed 29109120221 Tim Robinson (appointed 29109120221 Victoria Webb (appointed 15112120221 Kirstie Wi150n (appointed 15112120221 Lynn Andrews lappointed 23103120231 Matt Corbishley Helen Furnivall (Resigned 06105120221 Rod Ismay Dr Sarah Parnacott Peter Stone Barbara-Anne Walker Hayley Wardle Company Secretary Heidi Golden Auditors Bankers Azet5 Audit Services Limited, Triune Court, Monks Cross Drive, York, Y032 9GZ Barclays, I St. Paul's Place, 121 Norfolk Street, Sheffield, Sl 2JW Governing Document Related Parties Ashgate Hospicecare is a charitable company limited by guarantee. incorporated on 2 June 1988 and registered as a charity in England and Wales on 14 September 1988. Ashgate Hospicecare Shops Limited is a subsidiary of Ashgate Hospicecare. During 2022123. it operated fifteen shops and three coffee shops, the profits of which are spent wholly supporting the work of Ashgate Hospicecare. The charity's object5 are specifically restricted to the relief of sickness and the preservation of health among people residing permanently, or temporarily. in North Derbyshire. Ashgate Hospicecare is a partner and shareholder in Hospice Quality Partnership IHQPI. HQP was set up to support independent hospices with procurement. benchmarking and collaboration regarding the improvement of value and reduction of cost. as well as the potential to generate new income through dividends in the future. The hospice sees significant benefits in being a Partnerlshareholder with HQP and is supportive of the company's aims. The company was established under a Memorandum of Association and is governed under its Articles of Association which were revised and amended in 2016. to ensure that appropriate consideration was given to tenures and succession planning for the Chair and Trustees. 50
Annual Report 2022123 Financial Review The consolidated net surplus before investment movements and tax for 22123 is £1.639k compared to a net deficit of £492k in 21122. The improvement of £2.131k is almost exactly explainable by an increase in legacy income of £2,125k. That increase is partly a reflection of higher legacy receipts within the year. but is mainly due to legacy SORP accounting and its requirement to accrue for post year end legacies where there were was entitlement and high likelihood as at the year end. Naturally. there are many other variances line by line. These broadly net off against each other. Within donations. unrestricted income fell by £108k. but restricted income rose by £503k driven by a one-off donation of E472k to fund bereavement services for children. This will cover the incremental costs of such services for many years ahead, but has to be recognised in full in the year of receipt. This is a very exciting development for the breadth of services. Retail income rose by £381k on the back of strong donations. strong brand awareness and increased recognition of Hospice shops as both a value and quality retailer. The cessation of any Covid related funding in 22123 meant a drop of £894k in that area now that normal trade and Service has resumed. Income f rom charitable activities was £1.264k higher. This mainly reflected additional funding from Joined Up Care Derbyshire who recognised the underlying year on year funding challenge and the distorting effect of legacy accounting. All these variations in income closely matched an increase in costs of £1.232k. This increase reflected inflationary pressures on salaries. consumables and energy. plus higher new goods purchases linked to higher sales of such new goods. It also reflected stronger recruitment and retention after a very challenging period for resourcing as well as the cost of retail. fundraising and events returning to full service after all the restriction5 of Covid. Total funds have increased by £1.549k due to the surplus above. partly offset by a decrease in investment valuations of £61k. Investment Policy The hospice has a portfolio of long-term investments. deposit accounts and an interest-bearing current account. to ensure appropriate liquidity of funds. Investments were £966k at 31 March 2023, down 6/. from 31 March 2022. With regard to the ethical investment element of the Policy, the Trustees do not wish to adopt an exclusionary policy when considering prospective investments. or potential donation receipts. However. individual investment proposals, and donations, may be rejected if they are perceived to be in conflict with the purpose of the Charity. Reserves Policy Reserves are held to give the h05pice a financial buffer against shocks to income and expenditure. They are necessary for protecting SeiCe$ in the event of a short-term disruption to normal income Streams and they ensure the hospice has funds available to cater for capital works. The Hospice implemented a risk-based reserves policy in 19120. This has supported subsequent years. strategic decision making and has been subject to regular review in the Finance & Strategy Committee. Whilst total funds have increased by 17/1£1.549kl from £9.371k to £10.921k, in line with the surplus for the year. free reserves have reduced by 21/.1£852kl from £4.070k to £3.218k mainly due to the legacy debtor of £1.861k121122 - £434kl no longer being recognised in free reserves in either year it 15 not a liquid debtor at year end, and although accrued under charity SORP, a large part of it may not arise in cash for many months. There is also an increase of £405k in the offset for restricted funds and designation of £501k for the budgeted deficit in 23124. The risk-based target for free reserves on 31st March 2023 was £2.144k121122 - £2.797kl meaning that the h05pice was at 150/0 of target121122 - 146/1. Whilst there is an expected increase in expenditure in 23124. the free reserves target has reduced due to the certainty of the increased funding from JUCD. Free reserves are net of restricted funds and designated funds. The purpose of such funds is narrated further in Note 25 of the accounts. 51
Annual Report 2022123 Financial Review continued Senior Management Remuneration Pay awards for the workforce are recommended to the Board by the Chief Executive with supporting evidence and rationale from the Leadership Team. No recommendations are made by the Chief Executive or Leadership Team for setting their own pay or remuneration. other than where an explicit recommendation or offer is made by them to forfeit any award. Instead. the Board of Trustees take responsibility for making any such decisions for key senior management personnel based on organisational performance. affordability and taking account of sector benchmarks. The HR team undertake regular pay benchmarking exercise5 for the workforce in general, using the independent benchmarking tool, Cendex. This includes review of salaries for Chief Executive and Leadership Team. Principal Risks and Uncertainties The Board of Trustees has established processes to assess business and corporate risk. This involves identifying the types of risk the charity faces. prioritising them in terms of potential impact and the likelihood of occurrence. and identifying means of mitigating the risks. This assessment is monitored and updated on a regular ba51S. The corporate risk register and the operational risk registers are monitored by the Risk Review Group which meets quarterly to ensure effective operational management of risk. Operational risk registers are. in turn. reported to the three Board Committees to ensure effective oversight and escalation. The corporate risk register is reported to the Board to ensure that Trustees are fully appraised of any strategic risks and the actions being taken to mitigate them. A wide range of policies and procedures have been introduced to minimise risk and ensure compliance with legislation and CQC standards. Specific policies relating to risk include management guidelines. standing fi'nancial instructions. health and safety. information governance. clinical issues and employment. Going Concern and Cashflow The Trustees have considered the impact of the global economic situation. UK inflation. international tensions and the legacy of COVID-19 on the company s income and operating cost base. Whilst it is not considered practical to accurately assess the duration and extent of the disruption. the Board are confident that they have in place plans to deal with any financial losses that may arise. The Board have prepared forecasts of income and expenditure and cash flow for the period to 31 March 2025 and subjected these forecasts to sensitivity analysis which shows that they have sufficient reserves 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 Board do however recognise that uncertainty exists around the global econorny and the evolution of COVI D-19 and hence there is inherent risk regarding the success and sustainability of future plans. however the Board have concluded that the company remains a going concern whilst such viable options are available to it. The Board therefore continue to adopt the going concern basis of preparation for these financial statements. 52
Annual Report 2022123 Statement of Trustees. Responsibilities The trustees (who are also directors of Ashgate Hospicecare for the purposes of company lawl are responsible for preparing the Trustees. Annual Report lincluding 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. which give a true and fair view of the state of affairs of the charitable company and of the incoming resources and application of resources. including the income and expenditure. of the charitable company 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 in the Charities SORP 2019 IFRS 1021.. make judgements and estimates that are reasonable and prudent.. State whether applicable UK Accounting Standards have been followed. subject to any material departure5 disclosed and explained in the financial statements,. prepare the financial statements on the going concern basi5 unless It is inappropriate to presume that the charitable company will continue in operation. The trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial position of the charitable 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 charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. In so far as the trustees are aware.. there is no relevant audit information of which the charitable company s auditor is unaware,. and the trustees have taken all Steps that they ought to have taken to make themselves aware of any relevant audit information and to establish that the auditor is aware of that information. The trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company s website. Legislation in the United Kingdom governing the preparation and dissemination of tinancial statements may differ from legislation in other jurisdictions. Auditors The auditor. Azets Audit Services Limited. is deemed to be reappointed under section 487121 of the Companies Act 2006. By Order of the Board 1411212023 Penny Brooks Chair of Trustees Chesterfield 53
Annual Report 2022123 Independent Auditor's Report to the Members of Ashgate Hospicecare Opinion We have audited the financial statements of Ashgate Hospicecare Ithe "parent charity") and its subsidiary (the 'group'l for the year ended 31 March 2023. which comprise the Consolidated Statement of Financial Activities. the Group and Charity Balance Sheets. the Consolidated Statement of Cash Flows and the related Notes to the Financial Statements. including a summary of significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards. including Financial Reporting Standard 102.. The Financial Reporting Standard applicable in the UK and Republic of Ireland Iunited 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 group and parent charity s affairs a5 at 31 March 2023 and of 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 opinion 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 statements section of our report. We are independent of the charity in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the Ethical Standard of the Financial Reporting Council IFRCI, and we have fulfilled our other ethical re5ponsibilitie5 in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion. Conclusions relating to going concern In auditing the financial statements. we have concluded that the 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 events or conditions that, individually or collectively, may cast significant doubt on the group and parent charity's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue. Our responsibilities and the responsibilities of the Trustees with respect to going concern are described in the relevant sections of this report. Other information The Trustees are responsible for the other information. The other information comprises the information included in the annual report other than the financial statements and our auditor's report thereon. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon. 54
Annual Report 2022123 In connection with our audit of the financial statements, 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 audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements. we are required to determine whether there is a material misstatement in the financial statements or a material misstatement 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. We have nothing to report in this regard. Opinions on other matters prescribed by the Companies Act 2006 In our opinion, based on the work undertaken in the course of the audit.. the information given in the trustee5' report (incorporating the Strategic report and the directors, reportl for the financial year for which the financial statements are prepared is consistent with the financial statements.. and the trustees. report lincorporating the strategic report and the directors, reportl has been prepared in accordance with applicable legal requirements. Matters on which we are required to report by exception In the light of the knowledge and understanding of the group and parent charity and its environment obtained in the course of the audit. we have not identified material misstatements in the Trustees, Annual Report. We have nothing to report in respect of the following matters in relation to which the Companies Act 2006 requires u5 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.. the financial statements are not in agreement with the accounting records and returns.. certain disclosures of trustees, remuneration specified by law are not made.. or we have not obtained all the information and explanations necessary tor the purposes of our audit. Responsibilities of trustees As explained more fully in the trustees, responsibilities statement, 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 control as they determine is necessary to enable the preparation of financial statements that are free from material misstatement. whether due to fraud or error. In preparing the financial statements. the Trustees are responsible for assessing the group s and parent charity s ability to continue as a going concern. disclosing. as applicable, matters related to going concern and using the going concern basis of accounting unless the Trustees either intend to liquidate the charity or to cease operations. or have no realistic alternative but to do so. 55
Annual Report 2022123 Independent Auditor's Report to the Members of Ashgate Hospicecare Our 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 f rom material mi5Statement, whether due to fraud or error, and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with ISAS IUKI will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if. individually or in the aggregate. they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements. A further description of our responsibilities for the audit of the financial statements is located on the Financial Reporting Council's website at.. www.frc.org.uk/auditorsresponsibilities. This description forms part of our auditor's report. Extent to which the audit was considered capable of identifying irregularities. including fraud Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities. outlined above and on the Financial Reporting Council's website. to detect material misstatements in respect of irregularities. including fraud. We obtain and update our understanding of the entity. its activities. its control environment. and likely future developments. including in relation to the legal and regulatory framework applicable and how the entity is complying with that framework. Based on this understanding. we identify and assess the risks of material misstatement of the financial statements. whether due to fraud or error, design and perform audit procedures responsive to those risks, and obtain audit evidence that is sufficient and appropriate to provide a basis for our opinion. This includes consideration of the risk of acts by the entity that were contrary to applicable laws and regulations, including fraud. In response to the risk of irregularities and non-compliance with laws and regulations, including fraud, we designed procedures which included: Enquiry of management and those charged with governance around actual and potential litigation and claims as well as actual. suspected and alleged fraud.. Reviewing minutes of meetings of those charged with governance: Assessing the extent of compliance with the laws and regulations considered to have a direct material effect on the financial statements or the operations of the group through enquiry and inspection.. Reviewing financial statement disclosures and testing to supporting documentation to assess compliance with applicable laws and regulations-, Performing audit work over the risk of management bias and override of controls, including testing of journal entries and other adjustments for appropriateness, evaluating the business rationale of significant transactions outside the normal course of business and reviewing accounting estimates for indicators of potential bias.. Performing audit work over the timing and recognition of income and in particular whether it has been recorded in the correct accounting period. 56
Annual Report 2022123 Because of the inherent limitations of an audit, there is a risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of non-compliance. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery. intentional omissions. misrepresentations. or the override of internal control. Use of our report This report is made solely to the charity 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 charity's members those matters 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 charity's members as a body, for our audit work, for thi5 report, or for the opinions we have formed. 1411212023 ALan Sidebottom (Senior Statutory Auditor) For and on behalf of Azets Audit Services Limited Chartered Accountants Statutory Auditor Triune Court Monks Cross Drive York Y032 9GZ 57
Annual Report 2022123 Consolidated Statement of Financial Activities Incorporating a Consolidated Income and Expenditure Account For the year ended 31 March 2023 Unrestricted Designated Restricted Fund5 Funds Funds 2023 Total 2022 Total Income.. Donation and legacies Donations 121 131 1,896,134 2,688.561 4,584,695 715,720 2.611.854 2.688.561 5.300.415 2,217,064 563,881 2.780,945 Legacies 715,720 Income from other trading activitie5'. Shops Fundraising Other 141 151 161 3,632.167 1,047,672 166.844 4,846,683 3,632,167 L047,672 166,844 4,846,683 3,251.641 1,020,660 114.105 4,386,406 Investment income 171 181 191 iioi 13,237 4.277.317 13.237 4.277.317 1,372 3,012.897 880,154 13.350 Income from charitable activities Income from COVID-19 Grants Income from furlough Total income 715.720 14.437.652 11.075.124 Expenditure.. Costs of raising voluntary income Fundraising & other trading costs Costs of charitable activities Iiii Iiii Iiii 661,298 4,160,117 7,947,754 661.298 4.160.117 7.977.731 579,404 3,652,729 7,335,066 29,977 Total expenditure 12,769,169 29,977 12.799,146 IL567.199 Net movement in funds before investment gains Unrealised Ilossesl I gains on investments 952,763 685,743 L638,506 1492,0751 116bl 161.0191 16L0191 19,941 Corporation tax 1241 128,0001 128,0001 Net income I lexpenditurel 863,744 685,743 1.549.487 1472,1341 Funds transfer 1251 280.877 1501,0001 1280.877) Designated funds transfer 501,000 Net movement in funds 643.621 501.000 404.866 1.549,487 1472.1341 Reconciliation of funds Total funds brought forward 9,026,506 loo,000 244,811 9.37L317 9,843,451 Total funds carried foThvard 1251 9.670.127 60LOOO 649.677 10.920.804 9.371.317 All activities are continuing activities. All gains and losses recognised in the year are included in the Consolidated Statement of Financial Activities. A fully detailed Consolidated Statement of Financial Activitie5 for the year ended 31 March 2023 is shown in note 30. The Statement of Financial Activities also complies with the requirements for an income and expenditure account under the Companies Act 2006. 58
Annual Report 2022123 Balance Sheets At 31 March 2023 2023 Group 2022 Group 2023 Charity 2022 Charity Fixed assets Tangible assets Investments 1151 116 a&bl 4.945.247 965.761 5.911.008 4.876,608 1,026,780 5.903.388 4.812.554 965.765 5.778.319 4.746,443 1,026,784 5,773,227 Current assets Stock of finished goods Debtors 79.627 2,292,033 3,974,513 6,346,173 43,859 2.194.386 2,408,861 4.647,106 39.631 3,049,497 3,090,366 6,179,494 2,572 3.241.983 1,709,015 4,953,570 1171 Cash at bank and in hand Creditors- Amounts falling due within one year Net current assets 1181 1981.377) 1824,177) 1683.2461 1620,0351 5.364.796 3,822,929 5.496.248 4,333,535 Total assets less current liabilities 11.275.804 9.726,317 11.274.567 10,106,762 Creditors= Amounts falling due after more than a year 1191 1355.0001 1355,0001 1355.0001 1355,0001 Net assets 10,920,804 9,371,317 10,919,567 9.751,762 Unrestricted charity funds Unrestricted general funds Unrestricted designated funds 9.670.127 9,026.506 9.668.890 9.406,951 601,000 loo.000 60LOOO loo.000 Restricted funds 649.677 244,811 649.677 244,811 Total funds 125 & 261 10.920.804 9.371.317 10.919.567 9.751.762 The financial statements were approved by the Board of Directors and are signed on its behalf by'.- 1411212023 Penny Brooks, Chair of Trustees Company Registration No. 02263980 The notes on pages 61 to 82 form part of these financial statements. 59
Annual Report 2022123 Statement of Cash Flows For the year ended 31 March 2023 2023 2022 Cash generated by operating activities 1281 2,025,254 787,807 2,025.254 787.807 Cash flows from investing activities Interest received Purchase of tangible fixed assets 13,237 1466,2421 1.372 1249,2371 Cash used in investing activities 1453.0051 1247,8651 Cash flows from financing activities Repayment of finance leases 16.5971 119.7901 Cash used in financing activites 16.5971 119.7901 Increase in cash and cash equivalents in the year L565,652 520.152 Cash and cash equivalents at the beginning of the year 2.408.861 1.888.709 Cash and cash equivalents at the end of the year 3.974.513 2,408,861 60
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 Accounting policies a. Basis of preparation The financial statements have been prepared in accordance with 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 Charities Act 2011. the Companies Act 2006 and UK Generally Accepted Accounting Practice. Ashgate Hospicecare 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 financial statements are presented in sterling which is the functional currency of the charity and group and rounded to the nearest £1. b. Company status The charity is a company limited by guarantee and has no share capital. The charity is registered in England and Wales. with company number 02263980 and charity number 700636. The members of the charity are the Trustees named on page 50. In the event of the charity being wound up. the liability in respect of the guarantee is limited to £1 per member of the charity. Basis of consolidation The consolidated financial statements include the results of Ashgate Hospicecare and its wholly owned subsidiary Ashgate Hospicecare Shops Limited on a line by line basis. A separate Statement of Financial Activities for the charity has not been presented because the charity has taken advantage of the exemption afforded by section 408 of the Companies Act 2006. The surplus for the year for the charity was £1.167.80312022 deficit £463.9611. d. Going concern The Trustees have considered the impact of the global economic situation. UK inflation. international tensions and the legacy of COVID-19 on the group and charity s income and operating cost base. Whilst it is not considered practical to accurately assess the duration and extent of the disruption. the Board are confident that they have in place plans to deal with any financial losses that may arise. The Board have prepared forecasts of income and expenditure and cash flow for the period to 31 March 2025 and subjected these forecasts to sensitivity analysis which shows that they have sufficient reserves 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 Board do however recognise that uncertainty exists around the global economy and the evolution of COVID-19 and hence there is inherent risk regarding the success and sustainability of future plans. however the Board have concluded that the group and charity remain a going concern whilst such viable options are available to it. The Board therefore continue to adopt the going concern basis of preparation for these financial statements. 61
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 e. Fund accounting General funds are unrestricted funds which are available for use at the discretion of the Trustees in furtherance of the general objectives of the charity 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 notes to the financial statements. Restricted funds are funds which are to be used in accordance with specific restriction5 imposed by donors or which have been raised by the charity for particular purposes. The costs of raising and administering such funds are charged against the specific fund. The aim and use of each restricted fund is set out in the notes to the financial statements. f. Critical accounting estimates and areas of judgment In the application of the group s accounting policies. the Trustees are required to make judgements. estimates and assumptions about the carrying amount of assets and liabilities that are not readily apparent from other sources. The estimates and associated assumptions are based on historical experience and other factors considered to be relevant. The estimates and underlying assumptions are reviewed on an ongoing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised, if the revision affects only that period, or in the period of the revision and future periods if the revision affects both current and future periods. The estimates and assumptions that have a significant risk of causing a material adjustment to the carrying amount of assets and liabilities are outlined below.. Depreciation of tangible assets Depreciation policies have been set according to management's experience of the useful lives of the assets in each category. something which is reviewed annually. The charity incurs expenditure on creating tangible fixed assets for use in the charity with costs being incurred over a number of months. The Trustees believe it is possible to segregate these costs into identifiable projects, and as such no depreciation 15 charged on that project until it is brought into use. Legacies Legacies are recognised as income when probate has been granted. the charity has established its entitlement to the funds and where sufficient information is available to allow it to measure its entitlement with reasonable accuracy. 62
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 g. Income All income is recognised when the charity and group have entitlement to the income. it is probable that the income will be received and the amount of income receivable can be measured reliably. Donated services are recognised when the charity has control over the item. any conditions associated with the donated item have been met. the receipt of economic benefit from the use by the charity of the item is probable and the economic benefit can be measured reliably. In accordance with the Charities SORP IFRS 1021, general volunteer time is not recognised. Please refer to the Trustees, report for more information about their contribution. Donations and gifts towards the running cost of the hospice are treated as income when received. Gifts in kind and donated goods are valued where the item is specifically identified and some reliable form of valuation is available. Goods donated for sale are not accounted for until the point of sale. On receipt. donated professional services and donated facilities are recognised on the basis of the value of the gift to the charity which is the amount the charity would have been willing to pay to obtain services or facilities of equivalent economic benefit on the open market: a corresponding amount is then recognised in expenditure in the period of receipt. Government and other grants are included in the SOFA in the year in which they are receivable and allocated to the necessary funds accordingly, and would be deferred if relating to services in a future period. Lottery income is accounted for in respect of those draws that have taken place in the year. Income received from draws after the balance sheet date is deferred to the relevant accounting period. Trading income is recognised at point of sale for both donated and purchased goods. Other income is recognised in the period in which it is receivable and to the extent the goods have been provided or on completion of the service. Retail grants received after the first national lockdown have been recognised in the period in which they relate to. h. Expenditure Expenditure is recognised on an accruals basis inclusive of any irrecoverable VAT. Costs of generating funds comprise the costs associated with attracting voluntary income. Charitable expenditure comprises those costs incurred by the charity in the delivery of its activities and services for its beneficiaries. It includes both costs that can be allocated directly to such activities and those costs of an indirect nature necessary to support them. which have been apportioned based on headcount and activity. Allocation of support costs Support costs are those functions that assist the work of the charity and group but do not directly undertake charitable activities. Support costs include executive costs, H R & IT costs. other support functions, depreciation and governance costs which support the services providing care to patients and families. These costs have been allocated between the costs of raising funds and expenditure on charitable activities on the basis set out in notes 11 and 12. 63
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 i. Tangible fixed assets and depreciation All assets costing more than £l.000 are capitalised. except for computer equipment where all items with a value of £100 or more are capitalised. All fixed as5et5 are included at cost, net of depreciation and any provision for impairment. Depreciation is calculated to write down the cost of fixed assets by equal annual instalments over the following periods'.- Freehold buildings 2/. straight line per annum Fixtures and fittings 25/0 Straight line per annum Motor vehicles 25/0 Straight line per annum Buildings extension 2/0 Straight line per annum IT hardware 33/0 Straight line per annum Plant 10/0 Straight line per annum Freehold land is not depreciated The gain or loss arising on the disposal of an asset is determined as the difference between the sale proceeds and the carrying value of the asset. and is recognised in the statement of financial activities. j. Fixed asset investments Investments are a form of basic financial instruments and are initially recognised at their transaction value and subsequently measured at their fair value as at the balance sheet date using the closing market price. except for shares in the trading subsidiary which are carried at cost. The Statement of Financial Activities includes the net gains and losses arising on revaluation and disposals throughout the year. All gains and losses are taken to the Statement of Financial Activities as they arise. k. Stock Stocks of retail goods are included at the lower of cost and net realisable value. Donated items of stock for resale or distribution are not included in the financial statements until they are sold or distributed because the Trustees consider it impracticable to be able to assess the amount of donated stocks as there are no systems in place which record these items until they are sold and undertaking a stock take would incur undue cost for the charity which would far outweigh the benefit5. Additionally, due to the agent arrangements present for the purposes of retail gift-aid, some donated items of stock held at the year end are not technically an a55et of the charity and therefore no value can be assigned to them. l. 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. m. Cash at bank and in hand Cash at bank and in hand includes cash and short term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account. 64
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 . Creditors and provisions Creditors and provisions are recognised where the charity has a present obligation resulting from a past event that will probably result in the transfer of funds to a third party and the amount due to settle the obligation can be measured or estimated reliably. Creditors and provisions are normally recognised at their settlement amount after allowing for any trade discounts due. o. Leases Rentals applicable to operating leases are charged to the SOFA over the period in which the cost is incurred. Leases are classified as finance leases whenever the terms of the lease transfer substantially all the risks and rewards of ownership to the lessees. All other lease5 are classified as operating leases. Assets held under finance leases are recognised as assets at the lower of the assets fair value at the date of inception and the present value of the minimum lease payments. The related liability is included in the balance sheet as a finance lease obligation. Lease payments are treated as consisting of capital and interest elements. The interest is charged to the statement of financial activities so as to produce a constant periodic rate of interest on the remaining balance of the liability. p. Pensions The pension costs charged in the financial statements represent the contributions payable by the charity during the year in accordance with FRS 102. Employees who joined the hospice before February 2020 and who were already active members of the NHS Pension Scheme are permitted to continue contributing to the Scheme. Rates are set by the NHS Pensions Agency. The scheme is a multi-employer scheme not designed to identify the assets and liabilities attributable to the Charity. so in accordance with FRS102 the scheme is accounted for as a defined contribution scheme. q. Employee benefits The costs of short-term employee benefits are recognised as a liability and an expense. unless those costs are required to be recognised as part of the cost of stock or fixed assets. The cost of any unused holiday entitlement Is recognised in the period in which the employee's services are received. Termination benefits are recognised immediately as an expense when the group is demonstrably committed to terminate the employment of an employee or to provide termination benefits. r. Taxation The Hospice is a registered charity and as such is a charity within the meaning of schedule 6 of the Finance Act 2010. Accordingly, the Hospice is potentially entitled to tax exemption under part 11 of the Corporation Tax Act 2010 or section 256 of the Taxation of Chargeable Gains Act 1992 in respect of income and gains arising. Given this. no tax charge arises on the charity. The trading subsidiary is liable to corporation tax on its chargeable profits. Current tax. including UK Corporation and foreign tax. is provided at amounts expected to be paid lor recovered) using the tax rates and laws that have been enacted or substantially enacted at the balance sheet date. 65
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 Donations 2023 Total Unrestricted Restricted 2022 Total Unrestricted Restricted General donations 773.880 305.570 5.064 i.ioo 778.944 306.670 933,767 319.809 17.765 2.375 951,532 322.184 In memory Gift aid income from individuals 138.708 138,708 172,692 622 173,314 Community Gifts in kind (see below) Trusts and grants 476.970 9.309 486.279 356.156 5.664 361.820 13L791 29,038 160.829 96.892 96.892 69,215 L896.134 671,209 740,424 715.720 2.611.854 125,175 2,004,491 186,147 311,322 212,573 2,217,064 2023 Total 2022 Total Unrestricted Restricted Unrestricted Restricted Gifts in kind Donated food and drink 13,333 13.333 2.704 2.704 Capital items Other items 29,038 29.038 118.458 160,829 13,280 80.908 96.892 13.280 80,908 96,892 118.458 13L791 29.038 Legacies 2023 Total Unrestricted Restricted 2022 Total Unrestricted Restricted Legacies 2,688,561 2.688,561 562.381 1.500 563.881 Shops 2023 Unrestricted 2022 Unrestricted Trading activities Donation of sale proceeds for goods sold as agent Gift aid on donations of sale proceeds to charity COVID-19 Retail Grant 2.830,972 2,500,559 637,243 553.877 160,919 3.033 3.632,167 139.868 57.337 3,251,641 66
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 Fundraising 2023 Unrestricted 2022 Unrestricted Lottery Events 710,425 337,247 1.047.672 745,304 275,356 1.020.660 Other income 2023 Unrestricted 2022 Unrestricted Training and Education Catering Other 4.188 42,012 120,644 166,844 2.842 30,461 80,802 114.105 Investment income 2023 Unrestricted 2022 Unrestricted Gross interest receivable 13,237 1.372 Income from charitable activities 2023 Unrestricted 2022 Unrestricted NHS Derby and Derbyshire Integrated Care Board / Joined Up Care Derbyshire University of Sheffield Student training Chesterfield Royal Hospital - Medical secretarial support Other 4.192.831 2,946,714 54,180 39.200 16.591 16.590 13.715 4.277.317 10.393 3.012.897 67
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 Income from COVID-19 grants The NHSE awarded funding to allow the hospice to make available bed capacity and community support from December 2021 to March 2022 to provide support to people with complex needs in the context of the COVID-19 situation. io. Income from furlough The hospice received funding through the COVID-19 Furlough Scheme for staff who were furloughed due to Government restrictions. In accordance with the guidance on gov.uk, 'furlough' refers to employees who have been asked to stop working for at least 3 weeks. but who are still being kept on their employer's payroll. ii. (al Analysis of group expenditure current year Direct staff costs Other direct costs Support costs Total costs Donations Legacies Costs of raising voluntary income 377.092 21.559 398.651 180.951 8.929 189.880 49.863 22.904 72,767 607,906 53,392 661,298 Lottery Events 69.894 164.895 150,521 1.741.023 2.126.333 225.700 146.272 46,353 1.165,335 1.583.660 47.968 58.877 40,332 302,947 450.124 343.562 370,044 237.206 3.209,305 4.160.117 Community Shops Fundraising and other trading costs Patient care Patient care hospice community Therapies & rehabilitation Cost of charitable activities 2.876,133 1.261.011 1.247.668 5,384,812 498,650 49.718 79.163 627,531 1.515,736 265,684 183.968 1,965,388 4.890,519 1.576,413 1,510.799 7.977,731 Total 7.909.796 2,401,071 2,488.279 12,799,146 68
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 ii. Ibl Analysis of group expenditure prior year Direct staff costs Other direct costs Support Costs Total costs Donations 303.108 43.197 346,305 160.504 6.399 166,903 45.356 20.840 66,196 508,968 70.436 579,404 Legacies Costs of raising voluntary income Lottery Events Community Shops Fundraising and other trading costs 101,108 129.826 92,104 1.550,237 1.873,275 223.405 139.655 32,007 972.571 1.367.638 43,641 53.567 36,685 277.923 411.816 368.154 323,048 160.796 2.800,731 3,652.729 Patient care hospice Patient care community Therapies & rehabilitation Cost of charitable activities 2,823,221 1.097.510 1.095.541 421,039 45.618 65.663 1,377,470 241.691 167,313 4.621.730 1.384.819 1.328.517 5.016,272 532,320 1,786.474 7,335.066 Total 7,235,852 2,066,861 2,264.486 11.567.199 All costs for raising voluntary income and for fundraising and other trading costs, in both years, related to unrestricted funds. Charitable expenditure includes E29,97712022 E914,6401 of restricted expenditure. Patient care within the hospice includes the activities of the Inpatient Unit. Outpatient and Day Services teams. Patient care within the community includes the activities of the Palliative Care Nurse Specialists. Palliative Care Community Nurses. Support Workers and End of Life Care Facilitators. Therapy and rehabilitation includes the activities of teams within Supportive Care Services. Lymphoedema. Occupational Therapy and Physiotherapy. The patient facing functions above are all directly supported by a Clinical Administration Team. Quality Improvement Team. Catering, Housekeeping and other Estates functions. The costs of these functions are included within the direct costs above. All patient facing functions. direct support teams and fundraising functions are then supported by the wider management structure of the organisation including HR. Learning & Development. Executive Team. Finance. Procurement. IT and Governance. The costs of these functions and costs of depreciation are all included in Support Costs. Support costs include £165.365121122 £150.1321 of governance costs incurred in connection with the compliance with constitutional and statutory requirements of the charity. 69
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 12. lal Analysis of support costs current year Other support function costs Executive costs HR&IT Total costs costs Depreciation Donations Legacies Costs of raising voluntary income 10,972 5,240 21.360 10,201 14,657 7,000 2,874 463 49,863 22.904 16.212 31.561 21.657 3.337 72.767 Lottery Events 10.849 13.359 8,783 59.043 21.121 26.006 17,098 114.942 14.492 17.843 11,731 78.868 1.506 1.669 2,720 50,094 47,968 58,877 40,332 302,947 Community Shops Fundraising and other trading costs 92.034 179,167 122.934 55.989 450,124 Patient care - hospice Patient care - community Therapies & rehabilitation 285,376 59,043 39,362 555.554 114,942 76,628 381,194 78,868 52,579 293.612 12,831 15,399 1.515.736 265,684 183,968 Cost of charitable activities 383.781 747.124 512.641 321.842 1.965.388 Total 492.027 957.852 657.232 381.168 2.488.279 70
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 12. Ibl Analysis of support costs prior year Other support function costs Executive costs HR&IT costs Depreciation Total costs Donations Legacies Costs of raising voluntary income 11,999 5,731 17,844 8,522 12,916 6,168 2.597 419 45,356 20.840 17.730 26.366 19.804 3.016 66.196 Lottery Events 11.865 14.609 9,605 64.571 17.644 21.725 14,283 96.021 12.771 15.725 10,339 69,504 1.361 1.508 2,458 47,827 43.641 53,567 36,685 277.923 Community Shops Fundraising and other trading costs 100.650 149.673 108.339 53.154 411,816 Patient care - hospice Patient care - community Therapies & rehabilitation 312,091 64,571 43,047 464.102 96,021 64,014 335.935 69,504 46,336 265.342 11.595 13,916 1.377.470 241,691 167,313 Cost of charitable activities 419.709 624.137 451.775 290.853 1.786.474 Total 538.089 800.176 579.198 347.023 2.264.486 13. Net movement in funds is stated after charging- 2023 Group 2022 Group Auditors, remuneration audit Auditors, remuneration Auditors, remuneration 17,685 915 16,250 371.231 9.937 330.722 13.385 840 4.575 327.149 19.874 317,626 tax other Depreciation Depreciation assets held on hire purchase Payments made under operating leases owned assets 71
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 14. Wages and staff costs 2023 Group 2022 Group Gross salaries Social security costs Pension costs 7,957,144 727.678 505.094 9.189.916 7.111.858 612.537 495.474 8,219,869 Average number of employees and full time equivalents for the group and analysis of employees in the year were: 2023 FTE 2022 FTE No. No. Clinical Retail Finance & IT HR & Executive Estate Fundraisinglmarketing Total 159 105 113 161 96 115 65 65 22 26 34 19 18 29 18 27 31 13 18 27 354 252 339 244 Employees earning over £60.000 are summarised below (excluding pension costs): 2023 No. 2022 No. £60.001- £70.000 £70.001- £80.000 £80.001- £90.000 Pension contributions relating to the staff earning over £60.000 totalled £20.15512022'. £30.0281. The total amount of employee benefits received by key management personnel is £421.66312022= £477.1881. The charity considers these to be the staff who comprise the senior management team on the hospice payroll.. Chief Executive Officer, Director of Income Generation. Director of Quality & Patient Care, Director of People, Engagement & Performance, Director of Finance & Estates and Director of Marketing & Communications. Included within gross salaries are redundancy payments totalling £1.62412022'. £nill. 72
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 15. Tangible fixed assets The group Freehold Land Extension & Fixtures & & Buildings Development Fittings Original Plant & IT Hardware Motor Vehicles Total Cost At l April 2022 Additions Disposals At 31 March 2023 Depreciation At l April 2022 Charge for the year Disposals At 31 March 2023 355.000 4.903.727 1.102.284 104,589 154,5611 4.903.727 L152.312 1.193.175 323,540 160,0761 1.456.639 188.644 7.742.830 38,113 466,242 123.5401 1138.1771 203.217 8.070.895 355.000 156.200 1.060.883 884.412 576.083 188.644 2.866.222 7.100 98.075 100.401 170.828 4.764 381.168 138,3161 946.497 159,8861 687.025 123.5401 1121.7421 169.868 3.125.648 163.300 L158.958 Net Book Value At l April 2022 At 31 March 2023 198,800 19L700 3,842.844 3.744.769 217,872 205.815 617,092 769.614 4,876.608 33.349 4.945.247 The charity Freehold Land Extension & & Buildings Development Original Fixtures & Fittings Plant & IT Hardware Motor Vehicles Total Cost At l April 2022 Additions Disposals At 31 March 2023 Depreciation At l April 2022 Charge for the year Disposals At 31 March 2023 Net Book Value 355.000 4.903.727 492,959 75.353 1.131.971 321.831 159.6201 L394.182 80.350 6.964.007 397.184 159.6201 80.350 7.30L571 355.000 4.903.727 568.312 156.200 1.060.883 381.652 538.479 80.350 2.217.564 7,100 98,075 64,655 161,243 331,073 159,6201 640.102 159.6201 80.350 2.489.017 163.300 1.158.958 446.307 At l April 2022 At 31 March 2023 198,800 19L700 3.842,844 3.744.769 111.307 122.005 593.492 754,080 4.746.443 4.812,554 The value of fixed assets held under finance leases is £nil12022= £9,937) in both the group and the charity. 73
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 16. (al Investments- charity Shares in group undertakings and participating interests Cost at l April 2022 and 31 March 2023 Net book value at l April 2022 and 31 March 2023 Holding of more than 20% The charity holds more than 20/0 of the share capital of the following company.. Company Company number County of registration or incorporation Shares held class / Ashgate Hospicecare Shops Limited 02577401 England & Wales Ordinary lOO/. The aggregate amount of capital and reserves and the results of the subsidiary for the financial year are as follows.. Principal Activity Capital and reserves Profit for the year Ashgate Hospicecare Shops Limited Charity shop 1,242 381,684 (bl Fixed asset investments Charity and group 2023 2022 Listed investments Fair value at l April 2022 Additions 1.026.780 1,006,839 Adjustment Investment Ilossesl / gains Fair value at 31 March 2023 16L019) 965.761 19.941 1,026,780 The historical cost of the investment is £900.00012022= £900.0001. 74
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 17. Debtors Group 2022 Charity 2022 2023 2023 Trade debtors 101,390 53.053 61.068 2,076,522 89.249 260.225 686.098 1,158,814 96.553 14,712 46.659 1.978.571 913.002 3.049.497 79.891 229.169 668.434 1,085.490 1.178,999 3.24L983 Other debtors Value added tax Prepayments and accrued income Amounts owed by group undertakings 2.292.033 2.194.386 The Charity s intercompany debtor balance includes an intercompany loan of £543,093 which is due after more than one year. The loan has been provided on a 5 year term. is repayable by 8 December 2026 and has an interest rate of 5/0 per annum. 18. Creditors Group 2022 Charity 2022 2023 2023 Amounts falling due within one year Trade creditors Tax and social security Accruals and deferred income Finance lease creditors < l year 280.169 276,287 424.921 210,407 191,270 415.903 6.597 824,177 163,166 221,349 298.731 145.537 170,525 297.376 6,597 620,035 981.377 683.246 Deferred income relates to lottery money received in advance for future draws. At 31 March 2023 this totalled £95,81812022- £100,790). 19. Creditors: amounts falling due after more than one year Group 2022 Charity 2022 2023 2023 Other creditors 355,000 355.000 355.000 355.000 355,000 355.000 355,000 355.000 75
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 20. Operating lease commitments At 31 March 2023 the charity had future minimum lease payments under non cancellable operating leases as follows.. Group 2022 Charity 2022 2023 2023 Within one year Within two to five years In more than five years 307.550 479.432 277,709 365.622 8,319 1,067 12,743 3.634 786.982 643.331 9,386 16,377 21. Pension costs The pension costs relate to the amounts contributed by the Group and paid over to the Health Service pension scheme or to eligible employees, pension schemes. The pension costs amounted to £505,094 12022.. £495.4741. The amount owed to the pension providers at the year end was £69.86812022'. £39.6881. All schemes are treated as defined contribution and payments are charged to the SOFA in the year they are payable. 22. Capital commitments There were no capital commitments at 31 March 202312022'.£nill. 76
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 23. Related party transactions and trustee renumeration No Trustee received or waived any remuneration during either year. There were no other transactions with Trustees during either year. The only related party transactions were between the parent charity and the trading subsidiary. These were routine items, primarily where shops in the subsidiary receive gift aided donations of the sale proceeds of donated goods but then transfer such donations. net of commission. into the parent charity accounts. The parent charity administers payroll for the group and transfers the salary costs of shops staff into the subsidiary. Both companies also incur some costs which benefit the other entity, primarily costs borne in the subsidiary associated with sale5 of gift aided stock and costs of central support functions such as finance and HR, borne in the charity. Year end balances are shown in the charity columns of Note 17 Debtors. Net recharges in the year were £1,979k12022- £2,238kl. 24. Taxation As a charity. Ashgate Hospicecare is exempt from tax on income and gains falling within section 505 of the Taxes Act 1988 or $256 of the Taxation of Chargeable Gains Act 1992 to the extent that these are applied to its charitable objectives. No tax charges have arisen in the Charity. The tax charge arises from the trading results of the subsidiary. Group 2022 2023 Corporation Tax current year 28.000
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 25. lal Statement of funds current year Balance at l April 2022 Balance at31 March 2023 Transfers inlout Designated Losses Corporation Tax Income Expenditure Unrestricted Funds General Funds Designated Funds 9,026,506 13,721,932 112,769,169) 280,877 1501,0001 161,0191 128,0001 9,670,127 loo,000 501,000 601.000 9,126,506 13,721.932 112,769,169) 280,877 161,0191 128,0001 10,271,127 Restricted Funds Earmarked Donations Children's SeNices 244,811 244,909 129.977) 1269,9961 189,747 470,811 110.8811 459.930 244,811 715,720 129.977) 1280,8771 649,677 Total of Funds 9,371,317 14,437,652 112.799,1461 161,0191 128.0001 10.920.804 Ibl Statement of funds prior year Balance at l April 2021 Balance at31 March 2022 Transfers inlout Designated Corporation Tax Income Expenditure Gains Unrestricted Funds General Funds 7.292,645 9.980.897 110.652,5591 106.497 2,279.085 19.941 9.026.506 Designated Funds 2.379.085 12,279,085) loo,000 9.671,730 9,980,897 110.652,5591 106.497 19.941 9.126.506 Restricted Funds Earmarked Donations 171.721 214,073 134,4861 1106.4971 244.811 HUKINHSE COVID-19 880,154 1880.1541 171.721 1,094.227 1914.6401 1106.4971 244.811 Total of Funds 9.843.451 11,075,124 111.567,1991 19,941 9,37L317 78
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 Transfer of Funds The transfer of £280,877 relates to expenditure on restricted projects which has been disclosed as unrestricted expenditure on the face of the SOFA. This predominantly relates to staff costs which are reported within the costs of charitable activities. Designation of Funds The Trustees designated £IOO.000 in 2022 to support the pilot of new income generation initiatives. The balance remains unutilised. In 202212023. the trustees have also designated £501.000 for the budgeted deficit in 202312024. Restricted Funds These are funds restricted by the donors for items of expenditure as follows.. Earmarked Donations These are donations contributed by the general public to help fund specific clinical activities. At the end of the year £189.747 remained unspent and this will be expended in 202312024 onwards. Hospice UKINHSE In 21122 non recurring funding of a restricted nature was received from NHSE as explained in Note 9. The cost of charitable activities (Note 111 is greater than the combination of this NHSE funding and other income from charitable activities (Note 81 and therefore the Trustees consider that this restricted funding was fully utilised in 21122. Children's Services This donation is restricted to develop and extend child bereavement support within Derbyshire and the High Peak. 79
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 26. la) Analysis of net assets between funds current year Unrestricted Unrestricted General Funds Designated Funds Restricted Fund5 Total Funds Fixed assets 5.908.508 5.097.996 1981.3771 1355,0001 9.670.127 2.500 647.177 5.911.008 6.346.173 1981,3771 1355,0001 10.920.804 Current assets Current liabilities Liabilities due after one year 601.000 601.000 649.677 Ibl Analysis of net assets between funds prior year Unrestricted General Funds Unrestricted Designated Funds Restricted Funds Total Funds Fixed assets Current assets Current liabilities 5.900.888 4,304,795 1824.1771 1355,0001 9.026.506 2.500 242,311 5.903.388 4,647,106 1824,1771 1355,0001 9.371.317 loo.000 Liabilities due after one year loo.000 244.811 27. Ashgate Hospicecare Shops Limited.. Profit and loss account for the year ended 31 March 2023 2023 2022 Turnover 2.830,972 2,500,559 12.659 57.337 Furlough Retail Grant 3.033 555,000 3,389,005 12.154,5181 1,234.487 1801.934) 127.1541 4,285 128.000) Other income Total income Cost of sales Gross Profit 2,570,555 11.898.882) 671.673 1671.7541 18,2581 166 Administrative expenses Other interest payable Other interest receivable Tax on profit Retained profit / Ilossl for the year 381,684 18,1731 Number of shops and coffee shops 18 18 80
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 28. Reconciliation of net movement in funds to net cash flow from operating activities 2023 2022 Net movement in funds Depreciation charges Increase I Idecreasel in creditors excluding finance leases Ilncreasel / decrease in debtors Ilncreasel / decrease in stocks Loss on disposal Loss / Igainl on investments Interest received 1,549,487 381,168 163.797 197.6471 135.7681 16,435 61.019 113.2371 2.025.254 1472.1341 347.023 122.5021 965,359 18,6261 119.9411 11.3721 787,807 There were no changes in net debt other than the cashflows above. 29. Contingent assets - legacy income As at the reporting date, the charity has entitlement to 8 further legacies121122 - 181. but these have not been included within accrued income. as although the income is probable. the amounts have not yet been confirmed. 81
Annual Report 2022123 Notes to the financial statements For the year ended 31 March 2023 30. Consolidated statement of financial activities - prior year Unrestricted Designated Restricted Funds Funds Fund5 2022 Total Income- Donation and legacies Donations 2,004,491 562,381 2.566,872 212,573 1,500 214.073 2.217.064 563.881 2.780.945 Legacies Income from other trading activities- Shops Fundraising Other 3.251.641 1,020,660 114.105 4,386,406 3,25L641 L020,660 114,105 4,386.406 Investment income 1,372 3.012.897 1.372 3.012.897 880.154 13.350 Income from charitable activities Income from COVID-19 Grants 880.154 Income from furlough 13,350 1.094.227 IL075.124 Expenditure: Costs of raising voluntary income Fundraising & other trading costs Costs of charitable activities 579,404 3,652,729 579.404 3.652.729 6,420,426 914.640 7.335.066 Total expendlture 10.652,559 914,640 IL567.199 Net lexpenditurellincome before investment gains Gains on investments 1671,6621 179.587 1492,0751 19.941 19.941 Corporation tax Net lexpendlturelllncome 1651,7211 179,587 1472.134) Funds transfer 106.497 2.279,085 12,279.0851 1106.4971 Designated funds transfer Net movement in funds L733.861 12.279.085) 73.090 1472.134) Reconciliation of funds Total funds brought forward 7,292,645 2,379,085 171,721 9,843,451 Total funds carried forward 9.026.506 loo.000 244.811 9.37L317 82
Annual Report 2022123 Thankyou We'd like to say a special thank you to everyone who supports us and helps us to be there when it matters most. Our funders and supporters. you recognise the importance of what we do and are as determined as we are to ensure that those who need our care can access it. We couldn't do what we do without your unwavering generosity. Our One Ashgate team, our dedicated and hardworking staff and our loyal volunteers. We are incredibly proud of all you do and how you work together to help families living with a life-limiting illness across North Derbyshire. Lastly. a special thank you to the patients and the families who allow us to share their stories. Who are featured throughout this report to help raise awareness and understanding of our crucial palliative and end of life care. Our patients and their families remain at the heart of Ashgate Hospice and all we do. Thankyou. 83
For more information If you would like to know more about how you can help us to care for people living with a life-limiting illness, please contact us- Call us on 01246 567 250 Or email us at fundraising@ashgatehospice.org.uk Looking for support? Call us on 01246 568 801 Or email us at clinicalenquiries@ashgatehospice.org.uk Or visit www.ashgatehospice.org.uk in Compassionate care for ew tsryone Ro915fered FR FUNDRAISING REGULATOR disability LG confdent MINDFUL EMPLOYER Ashgate Hospice EMPLOYER Registered Chèiity No. 700636