APPROVAL COPY Charity registration number 701458 HOLBEACH AND EAST ELLOE HOSPITAL TRUST ANNUAL REPORT AND FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST LEGAL AND ADMINISTRATIVE INFORMATION Patron Lord Taylor of Holbeach CBE Trustees actlng as Management Commlttee Lady J Taylor Miss T Carter Mr JB Earnshaw Mr J Dalton Mr P Johnson Mrs K Win8 Mrs H Aedv Mrs S Inns Mr E Dunham Mi55 R Ingham Mrs K Presslev (Appointed 31 May 20251 (Appointed 31 May 20251 IAppointed 31 May 20251 Senlor management Mrsj Scott Manager Deputy Manager Mrs R Griffin Charfty number 701458 Reglstered offlce Holbeach H05Pltal Boston Road North Spalding Lincs PE12 8AQ Audltor TC Group 1-4 London Road Spalding Lincolnshire PEII 2TA Bankers Lloyds Bank plc Hall Place Spaldin8 Lincolnshire PEII ISE
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST CONTENTS Page Trustees, report Statement of trustees, responsibilities Independent auditor's report 8-10 Statement of financial activities 11 Balance sheet 12 Statement of cash flows 13 Notes to the financial statements 14-30
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST TRUSTEES, REPORT FOR ThIE YEAR ENDED 31 MARCH 2025 The trustees present their annual report and financial statements for the year ended 31 March 2025. Current Posltlon of the Trust and the challenges during 2024-2025 As 3 result of resource implications resulting from growth in servite demand arising from the demographic increases in the older population, the funding and provision of social care have not received the level of attention the Trust had expected. Significant challenges lay ahead with further funding capped within the NHS that has affected social care funding. NHS providers and social care organisations will need to collaborate and use co- production methods to address the needs of local communities. The NHS 10-year plan for community care outlines a comprehensive strate8y aimed at enhancing the quality, accessibility, and sU5tainability of healthcare services delivered within local communities. The plan focuses on shifting care closer to home, integrating health and social care systems, and prioritising preventive measures to reduce hospital admissions. By investin8 in community-based services and promotin8 collaboration among health and social care professionals, the plan seeks to improve patient outcomes and support healthier, more resilient communitie5 across the UK. The trust has faced difficulties due to limited funding, rising inflation, and higher employer national insurance contributions required by the treasury. This contributed to a 15-20% increase in operational costs with fundin8 increases si8nificantly lower between 1% & 7%. This has led to an overall review of the services we provide and collaboration wlth community teams to identify servlce gaps and how our trust can support shortfa115 meetin8 our commitment to serving the local community and the wider residents within South Hollands and Lincolnshire. Cllnlcal Achlevements and performance Raisin the ro social care nursin at national level It was anticipated that the Government's evaluation of health and social care would raise awareness and prompt a reassessment of the major funding 8aps in the sector. Holbeach H05Pltal were able to attend the Chief Nurses meeting held by Lincolnshire Care Association ILinCAI in January 2025 seeking to increase capacity of community nurses to meet increasing demand from patients requiring care at home. Review of funding for residents with nursin8 needs in dual registered care homes are better supported by staff who know them best and ensure timely care interventions through honorary contrads for this service. This would increase signif icant numbers of district nurses and specialist community nursing visits for clients in the communitv, with the added benefit of improving person centred care in residential care facilitie5 in a collaborative and co- produced approach. In this meeting, we were able to highlight our service model of the former cotta8e hospital approach with direct admissions under specific service level criteria which is a modernised approach - a model with which the NHS in Lincolnshire were interested in re-producing. Within the meeting we werÈ able to speak direct to the chief nurse of England Duncan Burton and deputy chief nurse Deborah Sturdy - Social Care Nursing regarding the challenges between social and acute nurse sectors. the lack of understanding and appreciation of both sectors roles, responsibilities, and challenges. Pre-registration nursin8 programmes acr055 the country now include 50cial care placements, aiming to encourage students to consider careers in social care nursing, with Holbeach Hospital offering student nurse placements.
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST TRUSTEES, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Transitionol Core Service This has been 3 service we have successfully provided for 8 years. Following a review of NHS commissioning, a decision was taken at County level to adjust the number of beds across the county. The Managers and Trustees, working in partnership with Lincolnshire County Council ILCCI. our MP and senior NHS leads have been able to secure funding for 3 Nursing and 2 Residential contracted beds for the south of the county. This service is invaluable for residents requlring additional support in re-enablement and rehabilitation. who no longer require hospitalization but require ongoin8 rehabilitation. During the procurement proce55 Holbeath Hospital continued to provide this support with spot purchase funding. The reduction in fixed bed contracts is indicative of the move to spot purchasing to create a flexible approach to the use of resources with the ability to spot purchase beds in time of increased demand. While funding 15 fixed by the NHS, this contract will Ènable our residents in South Holland to remain near to their families, Vital for maintaining moral support and psychological wellbeing linked to improved outcomes. Re-accreditation o Platinum Gold Standards Framework As a 5ervlce, acce55 to end.of-life care provision is essential. We are in a unique position to support patients and their families with access to nursing care via the GP Bed Contract and AQP funding. The GP bed contract enables residents and famllies who are strugglin8 to mana8e end of life symptoms at home to avoid the unnecessary admission to acute hospital. This Is a unique service to Holbeach Hospital, Achieving re-accreditation twice in a row is a testament to the exceptlonal care standards provided. Recognltion of a direct access pathway via East Midlands Ambulance Service IEMASI as part of the hospltal admission avoidance pathway is known to ambulance crews who can contact the Care Home out of hours to determine capacity and arrange admissions to support preferred place of care. Visitin8 remains open visitin8 for all residents with an ability to accommodate overnight stays in accordance wlth patient and family wishes, making this a holistic person-centred approach. Recruitment and retention As with all care providers, this remains dynamic in terms of meeting the challenges of safÈr staffing for our residents. A program of review is in place to explore how we can improve these processe5 and meet staff well- being. Trainin8 pro8rams have been reviewed and aligned to national policy for mandatory training in which this has increased the time nurses and carers are able to provide dirert care to our resident5. Provision of support such as access to speakers for health care conditions and support services have been organised as part of staff well-being. We have strengthened our links with Holbeach Hub who can offer a of facilities and support services from general to include financial advice and support. We have sought to develop greater links with ARU and Holbeach Academy for student nurses and carer trainees to gain work experience for those who may consider a career in social care.
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST TRUSTEES, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 The educational net has been cast wider, and we are also exploring the development of links with medical schools for medical students in gaining greater exposure into community care concern5 and delivery as part of their educational programme5. Opportunity for attaining the end-of-life certificate qualification to build resilience in this service provision. More specific training has been attended in tracheostomy care for higher level care needs patients where community placements are challenging a5 part of 5Èrvice development which will increase the unique service5 offered at Holbeach Hospital. PEG tube changes preventing the need for delays In providin8 nutritional support and improving hospital admission avoidance. All of these opportunities can improve our ab111ty to recrult and retain staff includin8 newly qualified nurses to work at Holbeach. ntondu rade 8uildin work As part of the program of refurbishment, a rolllng program of maintenance and up8radin8 work has taken place this year. This was possible with grateful thanks to the generosity of legacy donations from previou5 fiscal years that required significant planning. • We are pleased to have completed the major refurbishment of Day Room including new furnishings with a new bar area to create a modern and homely envlronment. This also includes improved access to an enclosed new patio and garden area for residents, The updating of the downstairs bathroom to include a new wet room area for residents. Aesthetic improvements of adjacent Corridors and improved floorin8 which has created unity in the style between the improved areas as part of the upgradin8 works to the day room to create a modern and refreshed look. As part of the CQC requirements for sustainability the solar park installation on the adjacent field has been integral to reducing energy consumption and cost effectiveness, makin8 us almost self-sufficient in this expensive utility area. Due to the location. and lack of public transport, extension of the car park on the adjacent land for visitors and staff team member5 was essential to improve parkin8 capacity. Flood lightin8 was included for staff during the winter months. Flnanclal revlew During the year, the Trust raised £2,440,323 from the National Health Service , Local Government, other a8encies, self-funders and the general public to its aims mentioned earlier. The Trust used £2,577,960 in the current year. Overall this has led to a deficit in resources of £137,637. This has meant the Trust has decreased its total reserves to £2,661,570. Of this total figure £894,670 relates to restricted reserves leaving £1,766,900 attributable to general reserves.
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST TRUSTEES, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Plans for fvture perlods The Independent Care Sector, along with other sectors in the economy, is facing Significant financial challenges resulting from inflationary wage increases, utilities and other running costs, and the impact of the NIC Contributions Threshold. Holbeach Hospital is similarly affected by these financial pressures, but unlike other businesses its fees and charges are set by Government Agencies including Lincolnshire County Council and the NHS. The increase in fees and charges have not kept pace with inflation and this has contributed to our deficit operating position for 2024125. Durin8 the latter part of 2024125 and the early part of 2025126, Lincolnshire County Council has been working on an Employers National Insurance Contribution IENICSI Mitigation Subsidy Scheme for Care Providers - this 15 now at implementation stage but it is too early to give a view about its effectiveness in offsetting the Employer Contribution increases. Our future business plans are bein8 developed within this context and include the following initiatives, all aimed at supportin8 the Care Home to remaln financially sustainable while providin8 excellent quality services for the local community. Our alms will be to maximise opportunities presented by the NHS 10-Year Plan with a focus on prevention and early intervention, the development of community alternatives to hospital care, and digital support to systems and services. Working in collaboration and co-production with local service providers and charities to identify potential new services which will support increase in community care. Opportunltles Partici ation in the Cose review into sociol care services. As part of the review the Casey Commlsslon are vlsltlng Lincolnshire on the 22nd of Ortober. In thSs WÈ have requested the opportunity to highlight the trust and the work we have undertaken to develop the cottage hospital model to modernise to meet the needs of our residents in 2025. We intend to maximi5e the opportunity to support the delivery of care in a communlty settlng. Develo ment o 5ervice5 which su orto ositive resence. The further development of services from Holbeach Hospital. Working with local service providers, residents. relatives, and staff to consider opportunities to expand services are being considered. Amongst these, day care support for less mobile residents where facilities at home to accommodate their needs are limited. We are strengthenlng our community engagement with introductions of coffee morning in which all are welcome. This includes collaboratin8 closely with social prescribers to reduce isolation and improve support for our more vulnerable residents. Discussion5 are in place to review our GP contract which is unique to the Trust and will develop expressions of interest to extend the bed base. This would meet the requirement of admission avoidance in and new frailty pathways. Upgrading of the physiotherapy block would enable a flexible approach to supporting Flu vaccinations and local point of clinical testing with sessional contracts. Maximising value of public funding with flexible approaches to meet demands in the NHS system. There is a need to consider dementia care a5 the demand for this care is predicted to rise. This is 3 clear prioritv for Lincolnshire NHS and LCC. Training and development of staff in this area of care is being implemented as part of our training programme to work towards developing services in this are of need. All these service development5 will support of a modernised approach to the Cottage Hospital style service that fits in with the NHS 10-Year Plan.
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST TRUSTEES, REPORT (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Gronts ond Alternative undin In the last fiscal year, we have seen a downturn in legacy donations requiring exploration of alternative funding through local grants and charitable funds to support re-clevelopment of the slte and support expansion of new services. We continue to receive support of the Holbeach Hospital League of Friends to raise added income to support provision of valuable equipment. In combination with the employment of a business administrator, managers, and trustees we will seek sponsorship and community support through social media promotions and marketing to raise the profile of the Trust and what we do. Appolntment of Trustees The Trustee5 who have served during the year and since the year end are set out on page l. The Board of Trustees have the gener31 control and management of the administration of the Trust. Prospective Trustees are nominated before appointment and, after serving as a member, are then eligible for nomination and appointment to the 8oard of Trustees Council of Management as a Trustee. Trustee Inductlon and Tralnln8 Significant change5 in the charlty commission regulations requires all new Trustee5 to undergo orlentatlon sessions which include observation at a Council of Management Meeting prior to becoming a Trustee to familiarise themselves in the way the or8anisation carries out its day-to-day duties and implements decisions, including business planning, the Constitution and Financial Performance. Trustees are encouraged to attend external training events which aid them in undertaking their role. Organlsatlon The constltution requlres the composition of the Board of Trustees. A Manager 15 appointed by the Trustees to manage the day-to-day operations of the Trust. The Trustees have examined the major strategic buslness and operational rlsks which the Trust faces and confirm that reportin8 Systems are in place that have been proven to be able to deal with concerns raised and steps put in place to mitigate risk, Trustees and volunteers The Trust is a Charitable Incorporated Organisation ICIOI and currently membership is open to anyone who is interested in furthering its purpose. Subject to guidelines advised by the Charities Commission. The Trust acknowledge5 the valuable aid of our volunteers who give freely their time to help residents, The aim is to widen and strengthen connections with charitable organizations for mutual benefit reason5. This SUPPOrt has been invaluable in supporting our residents and staff, ranging from help with practical jobs, driving the minibus, and supporting activitie5 and days out with grateful thanks. The Trust acknowledges the Holbeach & East Elloe Hospital League of Friends whose continued support enhances the charity's work in the care of the resident5. The League of Friend's charity shop continues to be a real asset to the Trust as they help fund the purchase of a variety of equipment, furnishings and accessories that benefit the residents and aid the Trust in providing a high standard of care.
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST TRusfEES' REPORT (coMnNUED) FOR THE YEAR ENDED 31 MARCH 2025 Reserves Policy It 15 the policy of the Trust to maintain unrestricted funds, whlch are free reserves {funds not committed or Invested in tangible fixed assets) of the Trust at a level of between 3 and 6 months of resources expended. At this level, the Council of Management feel that they would be able to continue the current activities of the charity, in the event of a significant drop in funding. The Trustees are constsntly investigating various fundin8 sources to safeguard the artivities of the Trust. ConclUon$ Despite the financlal challenges facing Holbeach and East Elloe Hospital Trust, It continues to flourish and provide high quality services for the people of Holbeach and surrounding areas. The Health and Social Care review and the NHS IYear plan ha5 required greater collaboration and co-productlon to ensure that publlc funding is specific to need and deployed in a flexible way. Leading the Council of Management to look to the future as to how we can complement and work wlth other servlce providers. charities, volunteers, and alongslde the Invaluable support and commitment from the local community, and the commltment of staff. In doing $0 we continue to ensure that the trust aligns itself to the aims and goals of stayin8 relevant, Sustalnlng an ongoing valuable local rÈ50urce of care provislon, placing person centred care, accessiblllty, and community-based care at the heart of the services we provide. The trustees, report was approved by the Board of Trustees. ef- MrJB Earnshaw Chalr of Trustee Date..
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST STATEMENT OF TRUSTEES, RESPONSIBILITIES FOR THE YEAR ENDED 31 MARCH 2025 The trustees are responsible for preparing the annual report and the financial statements in accordance with applicable law and United Kingdom Accepted Accounting Practice. Law applicable to charities in England and Wales requires the trustees to prepare financial statements for each financial year which give a true and fair view of the charity's financial activities during the year and of its financial position at the end of the year. In preparing those financial statements, the trustees are required to: al select suitable accounting policies and then apply them consi5tentlv bl observe the methods and principles in the Charities Statement of Recommended Practice 2019 IFRS 1021 cl State whether applicable atcounting standards have been followed subject to any departures disclosed and explained in the financial statements.. and d) prepare the financial statements on the going concern basis unle5$ It is inappropriate to presume that the charity will continue in business. The trustees are responsible for keepin8 accounting records which disclose with reasonable accuracy at any time the financial position of the charity and enable them to ensure that the financial statements comply with the Charitie5 Act 2011, the Charitles Act (Accounts and Reports) Regulations 2008 and the provisions of the trust deed, A resolution proposing TC 8ulley Davey be re-appointed as auditors will be put to the Annual General Meeting.
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST INDEPENDENT AUDITOR'S REPORT TO THE TRUSTEES OF HOLBEACH AND EAST ELLOE HOSPITAL TRUST Opinion We have audited the financial statements of Holbeach and East Elloe H05Pital Trust {the 'trust'l for the year ended 31 March 2025 which comprise the statement of financial activities, the balance sheet, the statement of cash flows and notes to the financial statements, including 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 applicoble in the UK ond Republic of Irelond (United Kingdom Generally Accepted Accountin8 Practice). In our opinion, the financial statements: give a true and fair view of the state of the charity's affairs as at 31 March 2025 and of its incoming resources and application of resources, 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 Charities Act 2011. Basls for oplnlon 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 respon51bilities for the oudit of thefinoncial statements section of our report. We are independent of the trust in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC'S Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion. Concluslons relatlng to golng 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 relatlng to events or condltlons that, Individually or collectively, may cast significant doubt on the trust'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 sertion5 of this report. Other Information The other information comprises the information included in the annual report other than the financial statements and our auditor'5 report thereon. The trustees are responsible for the other information contained within the annual report. Our opinion on the financial statements does not cover the other information and we do not express any form of assurance conclusion thereon. Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the course of the audit, or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed. we conclude that there is a material misstatement of this other information, we are required to report that fact. We have nothing to report in this regard.
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST INDEPENDENT AUDITOR'5 REPORT (CONTINUED) TO THE TRUSTEES OF HOLBEACH AND EAST ELLOE HOSPITAL TRUST Matters on whlch we are requlred to report by exceptlon We have nothing to report in respect of the followin8 matters in relation to which the Charities IAccounts and Reports) Regulations 2008 require us to report to you if, in our opinion.. the information given in the financial statements is inconsistent in any material respect with the trustees, report,. or sufficient accounting records have not been kept; or the financial statement5 are not in agreement with the accounting records; or we have not received all the information and explanations we require for our audit. Responsibilities of trustees As explained more fully in the statement of trustees, responsibilities, 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 the trustees determine is necessary to enable the preparation of financial Statements that are free from material misstatement, whether due to fraud or error. In preparing the financial statements, the trustees are responsible for assessin8 the trust's ability to continue as a going concern, disclosing. as applicable, matters related to 80ing concern and using the golng concern basis of accountin8 unless the trustees either Intend to cease operations, or have no realistic alternative but to do so. Audltor's responslbllltles for the audlt of the flnanclal statements We have been appointed as auditor under section 144 of the Charities Act 2011 and report in accordance with the Act and relevant regulations made or having effect thereunder. Our objectives are to obtain reasonable assurance about whether the flnancial statements as a whole are free from material misstatement, whether due to fraud or error, and to Issue an auditor's report that includes our opinion. Reasonable assurance 15 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 user5 taken on the basis of these financial statements. The extent to which our procedure5 are capable of detecting Irregularities, Including fraud, is detailed below. A further description of our responsibilities is available on the Financial Reportin8 Council's website at: https:// www.frc.or8.uk/auditorsresponsibilities. This description forms part of our auditor'5 report, Other matters Your attention is drawn to the fact that the charity has prepared financial statements in accordance with "Accounting and Reportin8 by Charities.. Statement of Recommended Practice applicable to charities preparin8 their accounts in accordance with the Financial Reportin8 Standard applicable in the UK and Republic of Ireland {FRS 1021" las amended} in preference to the Accounting and Reporting by Charities: Statement of Recommended Practice issued on l April 2005 which is referred to in the extant regulations but has now been withdrawn. This has been done in order for the financial statements to provide a true and fair view in accordance with current Generally Accepted Accounting Practice.
APPROVAL COPY HOL8EACH AND EAST ELLOE HosprrAL TRUST INDEPENDENT AUDITOR'S REPORT ICONTINUEDI TO THE TRUSTEES OF HOLBEACH AND EAST ELLOE HOSPITAL TRUST Use of our report Thls report is made solely to the company's members, as a body, in accordance with Section 391 of the Companies Art 2014. Our audit work has been undertaken so that we rnight state to the company's members those matters we a 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 company and the company's members as a body, for our audit work, for this report, or for the opinions we have formed. Josh Rowljottom (Senlor Statutory Audltor) for and on behalf of TC Group Statutory Auditor 14 London Road Spaldin8 Lincolnshlre PEII 2TA TC Group is ell8lble for appointment as audltor of the trust by vlrtue of its eli8ibility for appolntment as audltor of a company under section 1212 of the Companies Act 2006.
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST STATEMENT OF FINANCIAL AcfiviTIES INCLUDING INCOME AND EXPENDITURE ACCOUNT FOR THE YEAR ENDED 31 MARCH 2025 Unrestricted Restrl¢ted funds funds 2025 2025 Total Unrestrlcted Restrlcted funds funds 2024 2024 Total 2025 2024 Notes Income from: Donations and legacies Charitable activities Other trading activities Investments 53,709 2,332,841 29,690 24.083 53,709 2,332,841 29,690 24,083 81,750 2,152,339 35,635 11,220 81.750 2,152,339 35,635 11.220 Total Income 2,440,323 2,440,323 2,280,944 2,280,944 Expendlture on: Charitable activities 2,534,704 43,256 2,577,960 2,423,545 35,798 2,459,343 Total expendlture 2,534,704 43,256 2,577,960 2,423,545 35,798 2,459,343 Net gainslllossesl on investments li 12,961) (2,9611 Net expenditure and movement In funds 194,3811 {43,2561 {137,6371 1145,562) 135,7981 (181,3601 Reconclllatlon of funds: Fund balance5 at l April 2024 1,861,281 937,926 2,799,207 2,006,843 973,724 2,980.567 Fund balance5 at 31 March 2025 1,766,900 894,670 2,661.570 1,861,281 937,926 2,799,207 The statement of financial activities includes all 8ains and losses recogni5ed in the year. All income and expenditure derive from continuing activities. 11
APPROVAL COPY HOLBEACH AND EAsf ELLOE HOSPITAL TRusr 8ALANCE SHEET AS AT31 MARCH 2025 2025 2024 Notes Flxed assets Tangible assets 2,103,113 1,708,015 Current assets Stock5 Debtors Cash at bank and In hand 14 15 12,965 147,666 532,046 9,866 224,741 978,361 692,677 1,212,968 Credltors: amounts falllng due wlthln one year 17 {134,220) 1121,776) Net current assets 558,457 1,091.192 Totsl assets less current Ilabllltles 2,661,570 2,799,207 Net assets excludln8 penslon Ilablllty 2,661,570 2,799,207 The funds of the trust Restritted Income funds Unrestricted funds 19 894,670 1,766,900 937,926 1,861,281 2,661,570 2,799,207 The financlal ststements were approved by the trustees on ..... ........ Mr P Johnson Treasurer of Trustees 12-
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST STATEMENT OF CASH FLOWS FOR THE YEAR ENDED 31 MARCH 2025 2025 2024 Notes Cash flows from operating activitles Cash generated from operations 25 91,982 540,346 Investinz activltles Purchase of tangible fixed a55et5 Proceeds from disposal of investments Investment Income received {544,2651 1112,1601 141,492 11,220 24,083 Net ¢ash (used In)/generated from Investln8 artlvltles 1520,1821 40,552 Net cash used In flnanclng a¢tlvltles Net (decrease)/ln¢rease In cash and cash equlvalents 1428,2001 580,898 Cash and cash equivalents at beginning of year 960,246 379,348 Cash and ¢ash equlvalents at end of year 532,046 960,246 Relatlng to: Cash at bank and In hand Bank overdrafts included In creditors payable within one year 532.046 978,361 {18,115) 13-
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MARCH 2025 A¢¢ountin8 policles Charlty information Holbeach & East Elloe Hospital Trust is a Charitable Incorporated Organisation. In the event of the charity being wound up, the liability in respect of the guarantee is limited to £5 per member of the charity. The nature of the charity's operations and principal activitie5 are primarily palliative care including the provision of medical care and treatment, nursing and residential care to the people of the local area. 1.1 Accountln8 conventlon The financial statements have been prepared in accordance with Accounting 3nd Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with Financial Reporting Standard applicable in the UK and Republic of Ireland IFRS 1021, the Financial Reporting Standards applicable to the United Kingdom and Republic of Ireland {FRS 1021, the Charities Art 2011 and UK Generally Accepted Accounting Practice. Holbeach and East Elloe Hospital Trust constitues a public benefit entity as defined by FRS 102. Assets and liabilities are initially recognised at historical cost unless otherwise stated in the relevant accounting policy note(sl. The financial Statements are presented in sterlin8 which is the functional currency of the charity. 1.2 Goln8 concern The trustees are of the opinion that the charity is a going concern and the financial statements have been prepared upon that basis. The trustees have considered the level of funds held and the expected level of income and expenditure is sufficient with the level of reserves for the charity to be able to continue as a going concern. However, it should be noted that the relevant Government bodies will only award annual contracts. The trustees have no reason to expect that these contracts will not be renewed annually. 1.3 Deflnltlon of Funds Unrestricted General Funds are those available for use at the discretion of the Trustees in the furtherance of the objects of the charity and which have not been designated for other purposes. Designated Funds are unrestritted funds earmarked 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 Fund5 are fund5 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 c05t of raising and administering such fund5 are charged against the specific fund. The aim and use of each restricted fund is set out in the notes to the financial statements. Endowment Funds represent those assets which must be held permanently by the charity. Income arising on the endowment funds can be used in accordance with the object5 of the charity and is included as unrestricted income. Any capital gain5 or losses arising on the investments form part of the fund. Investment management charges and legal advice relating to the fund are charged against the fund. Restricted funds are subject to specific conditions by donors or grantors as to how they may be used. The purposes and uses of the restricted f unds are set out in the notes to the financial statements. Endowment funds are subject to specific conditions by donors that the capital must be maintained by the trust. 14-
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Accounting pollcies Icontlnued) 1.4 Income All incoming resources are included in the Statement of Financial Activities ISOFAI when the charity is legally entitled to the income after any performance conditions have been met, the amount can be measured reliably and it is probable that the income will be received. For donations to be recognised the charity will have been notified of the amounts and the settlement date in writin8. If there are conditions attached to the donation and this requires a level of performance before entitlement can be obtained then income is deferred until those conditions are fully met or the fulfilment of those conditions is within the control of the charity and it is probable that they will be fulfilled. Donated facilities and donated professional services are recognised in income at their falr value when their economic benefit is probable, it can be measured reliably and the charity has control over the item. Fair value is determined on the basi5 of the value of the gift to the charity. For example the amount the charity would be wllling to pay in the open market for such facilities and services. A corresponding amount is recognised in expenditure. No amount is Included in the financial statements for volunteer time in line with the SORP IFRS 1021. Where practicable, gifts in kind donated for dlstribution to the beneficiaries of the charity are included in stock and donations in the financial statements upon receipt. If it is impracticable to assess the fair value at receipt or if the costs to undertake such a valuation outweigh any benefits, then the fair value is recognised as a component of donations when it is distributed and an equivalent amount recogni5ed as charitable expenditure. Fixed asset 8ifts in kind are recognised when receivable and are included at fair value. They are not deferred over the life of the asset. For legacies, entitlement 15 the earlier of the charity bein8 notified of an impendin8 distribution or the legacy being received. At this point income is recognised. On occasion le8acies will be notified to the charlty however it is not possible to measure the amount expected to be distributed. On these occasions, the legacy is treated as a contingent a55et and disclosed, The charity receives government grants in respect of the charitable activities it carries out, namely the provision of care in conjunction with the NHS. Income from government and other grants are recognised at fair value when the charity has entitlement after any performance conditions have been met, it is probable that the income will be received and the amount can be measured reliably. If entitlement is not met then these amounts are deferred. Investment income is earned through holdin8 assets for investment purposes such as shares and property. It includes dividends, interest and rent. Where it is not practicable to identify investment management costs Incurred within a scheme with reasonable accuracy the investment income is reported net of these c05t5. It Is included when the amount can be measured reliably. Interest income is recognised using the effective interest method and dividend and rent income is recognised as the charity's right to receive payment is established. 15-
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Accountlng policies {Contlnued) 1.5 Expendlture Expenditure is included on an accruals basis, and has been classified under operational headings which reflect the general organisation of the charity. Expenditure is retognised where there is a legal or constructive obligation to make payments to third parties. it 15 probable that the settlement will be required and the amount of the obligation can be measured reliably. Costs of 8eneratin8 funds includes all expenditure incurred in 8eneratin8 income for use by the charity. Fundraising costs includes expenditure relatin8 to raisin8 the profile of the charity and fundraisin8 activities. Charitable actlvlties include the costs of the actlvities defined by the charity's aims for the benefit of the persons sited in the charity objects. Costs of charitable activities includes the direct costs of the activities and depreciation on related assets. Where such assets relate to more than one functional cost category, they have been allocated on either an estimate time or floor space basis, as appropriate. Resources expended are allocated to the particular activity where the costs relates directly to that activity. Staff are allocated to a particular activity, but where they spend time on an alternative activity, their cost 15 time apportioned. Support costs comprises of costs for the running of the charity itself as an organisation and are allocated between the activities of the charity on the same basis as described above. Governance costs include the costs of 8overnance arrangements which relate to the general running of the Charity as opposed to the direct management functions inherent in generating funds. These activities provide the governance infrastructure which allow the Charity to operate and to generate the information required for public accountability. They also include the strategic planning processes that contribute to the development of the Charity. 1.6 Tanglble flxed assets Tangible fixed assets are initially measured at cost and subsequently measured at cost or valuation, net of depreciation and any impairment losses. Depreciation is recognised so as to write off the c05t or valuation of assets less their residual values over their useful lives on the following bases: Freehold property Land Security Equipment Fixtures and fittings Office Equipment 4% per annum reducing balance NIL IO% per annum straight line 20% per annum straight line 20% per annum straight line 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. 16-
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Accounting pollcles (Contlnued) 1.7 Impairment Assets not measured at fair value are reviewed for any indication that the asset may be impaired at each balance sheet date. If such indication exists, the recoverable amount of the asset, or the asset's cash generating unit, is estimated and compared to the carryirsg amount. Where the carrying amount exceeds its recoverable amount, an impairment loss is recognised in profit and loss unless the asset is carried at a revalued amount where the impairment loss is a revaluation decrease. 1.8 Stocks Stocks are valued at the lower of cost or net realisable value. 1,9 Taxatlon The charltv Is an exempt charity within the meaning of schedule 3 of the Charities Act 2011 and is considered to pass the tests set out in Paragraph I Schedule 6 Finance Act 2010 and therefore it meets the definition of a charity for UK corporation tax purposes. 1.10 Prov151on$ Provi5i0ns are recognised when the charity has an obligation at the balance sheet date as a result of a past event, It Is probable that an outflow of economic benefits will be required in settlement and the amount can be reliably estimated. 1.11 Employee beneflts When employess have rendered service to the charlty, short term employee benefits to which the employees are entitled, are recognised at the undiscounted amount expected to be paid for those services, The charity operates a defined contribution plan for the benefit of Its employees. Contributions are expensed as they become payable. 1.12 Retlrement benefits Payments to deflned contribution retirement benefit schemes are charged as an expense as they fall due. 1.13 Leases Rental costs under operating leases are char8ed to the Statement of Financial Activlties on a straight line basis over the term of the lease. 1.14 Jud8ements and Key Sources of Estimation Uncertalnty The preparation of the financial statements requires management to make judgements, estimates and assumptions that affect the amounts reported. These estimates and judgements are continually reviewed and are based on experience and other factors, including expectations of future events that are believed to be reasonable under the circumstances. The following judgements and estimates have been made in the process of applying the above accounting policies that have had the most signif icant effect on amounts recognised in the financial statements.. Tangible fixed assets - In order to calculate depreciation an estimation must be made of the useful economic life of each a55et along with an estimate of the value of the asset at the end of that time based on prices prevailing at the balance sheet date. Details of this item is included within the accounting policies below. 17.
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST NOTES TO THE FINANCIAL STATEMENTS ICONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Ac¢ountln8 policies {Contlnued) 1.15 Value Added Tax Currently. Value Added Tax is not recoverable by the Charity and as such is included in the relevant costs in the Statement of Financial Activities. 1.16 Debtors and credltors re¢elvable I payable within one year Debtors and creditors with no stated interest rate and receivable or payable within one year are recorded at transaction price. Any losses arising f rom impairment are recognised in expenditure. CrltScal accountln8 estlmates and Judgements In the application of the trust's accounting policies, the trustees are required to make judgements, estimate5 and assumptions about the carrying amount of assets and liabilities that are not readily apparent from other source5. The estimate5 and associated assumptions are based on historical experience and other factors that are considered to be relevant. Actual results may differ from these estimates. The estimates and underlying assumptions are reviewed on an on80ing basis. Revisions to accounting estimates are recognised in the period in which the estimate is revised where the revision affects only that period, or in the period of the revision and future periods where the revision affects both current and future periods. In¢ome from donatlons and legacles Unrestrlcted funds 2025 Unrestrlcted funds 2024 Donations and gifts Legacies receivable Grants received 51,209 73,313 8.437 2.500 53,709 81,750 18-
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST NOTES TO THE FINANCIAL STATEMENTS ICONTINUEDI FOR THE YEAR ENDED 31 MARCH 2025 Income from charitable artivitles Unrestrlcted funds 2025 Unrestrlcted funds 2024 Fees received Nursing Home Fees received - GP Beds Fees received- Re-enablement fees 1,760,064 257,928 314,848 1,896,451 255,888 285,831 2,332,840 2,438,170 Income from other tradlng actlvltles Unrestrlcted Unrestrlcted funds funds 2025 2024 Fundraising events Other Income Renewable Heat Incentive IRHI) 1,385 317 27,988 1,326 1,938 32,371 Other trading activities 29,690 35,635 Income from Investments Unrestricted Unrestrlcted funds funds 2025 2024 Dividends Interest receivable 364 23,719 755 10,465 24,083 11.220 19-
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APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST NOTES TO THE FINANCIAL STATEMENTS ICONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 Net movement In funds 2025 2024 The net movement in funds is stated after chargingllcreditingl: Depreciation of owned tangible fixed assets 149,167 123,465 Trustees None of the trustees lor any persons connected with them) received any remuneration or benefits from the trust during the year. 10 Employees The average monthly number of employees during the year was: 2025 Number 2024 Number Key management personnel Administrative Hospital Services 86 88 Total 93 94 Employment costs 2025 2024 Wages and salaries Social security costs Other pension costs 1,796,532 134,195 39,291 1,673,882 115,725 35,190 1,970,018 1,824,797 There were no employees whose annual remuneration was more than £60,000. Remuneratlon of key management personnel The remuneration of key management personnel wa5 as follows: 2025 2024 Aggregate compensation 167,053 147.011 -22-
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST NOTES TO THE FINANCIAL STATEMENTS {CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 11 Gains and losses on investments Unrestrlcted Unrestrlrted funds funds 2025 2024 Gainslllossesl arisin8 on.. Sale of investments {2,9611 12 Taxatlon The charity is exempt from taxation on its activities because all its income is applied for charitable purposes. -23-
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APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 14 Stocks 2025 2024 Stock of Food Stock of Consumables Stock of Stationery Stock of Heatin8 Oil 2,226 3,098 1,854 2,689 1,913 6,653 4,022 4,903 12,965 9,866 15 Debtors 2025 2024 Amounts falllng due wlthln one year: Trade debtor5 Accrued income debtor Prepayments and accrued income 110,838 8,731 28,097 157,678 41,544 25,519 147,666 224,741 16 Loans and overdrafts 2025 2024 Bank overdrafts 18,115 Payable within one year 18,115 17 Creditors: amounts falling due wlthin one year 2025 2024 Notes Bank overdrafts Other taxation and social security Trade creditors Other creditors Accrua15 and deferred income 16 18,115 24,876 55,399 8,683 14,703 29,752 67,619 25,449 11,400 134.220 121,776 -25-
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 18 Penslons and other post-retirement benefrts 2025 2024 Char8e to profit or loss in respect of defined contribution schemes 39,291 35,190 The charity operates a defined contribution pÈnsion plan for its employees. The amount recognised as an expense in the period was £39,29112024 £35,190}. There are defined contribution liabilities amounting to £23,401 {2024 £8.2921 allocated to Charitable activities. 19 Restrlcted funds The restricted funds of the charity comprise the unexpended balances of donatlons and grants held on trust subject to specific conditions by donors as to how they may be used. At l Aprll 2024 Incomlnl resources Resources expended Transfers Galns and At 31 March losses 2025 League of Friends Equipment fund Buildings fund Equipment fund Grounds and Garden fund Staff and Patient Care 66,179 754,879 68,670 {3,8981 131,9181 16,2791 62,281 722,961 62,391 24,014 {9601 23,054 24,184 12011 23,983 937,926 143,2561 894,670 -26.
APPROVAL COPY HOL8EACH AND EAST ELLOE HOSPITAL TRUST NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 19 Restrl¢ted funds (Continued} The League of Friends Equipment Fund is to be used for the purchase of equipment as required in the Hospital. In the event of an unused surplu5, thi5 should be returned to the donor. The Buildings Fund is designed to encompass all funds associated with the purchase and renovation of buildings. In the event of a deficit, this is to be met by unrestricted funds, In the event of an unused surplus, this should be returned to the donor. The Equipment Fund is designed to encompass all fund5 relating to equipment purchased and used In the hospital. In the event of a deficit. this is to be met by unrestricted funds. In the event of an unused surplus, this should be returned to the donor. The Grounds and Garden Fund is designed to encompass all fund5 related to the maintenance of the grounds and garden. In the event of a deficit, this is to be met by unrestrlcted funds. In the event of an unused surplus, this should be returned to the donor. The Staff and Patient Care Fund is designed to encompass all funds related to staff and patient care, In the event of a deficit, this is to be met by unrestricted funds. In the event of an unused surplu5, thi5 Should be returned to the donor. 20 Unrestricted funds The unrestricted funds of the charity comprise the unexpended balances of donations and grants which are not subject to specific conditions by donors and grantors a5 to how they may be used. These include desi8nated funds which have been set aside out of unrestricted funds by the trustees for specif 1¢ purposes. At l Aprll 2024 Incomln8 resources Resources expended Galns and At 31 March losses 2025 General funds 1,861,281 2,440,323 12,534,704) 1,766,900 Prevlous year: At l Aprll 2023 Incomlng resources Resources expended Galns and At 31 March 1055e5 2024 Hobbies Lounge General funds 29,110 1,977.733 29,110 1,832,171 2,280,944 12,423,545) 12,9611 2,006,843 2,280.944 {2.423.5451 12,9611 1,861,281 Hobbies Lounge fund This fund is to be used to convert Day Room 2 into a bespoke Hobbies Lounge for the residents and patients. In the event of an unused surplus, the Trustees will redesignate the remaining funds to a future project. -27-
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 21 Analysis of net assets between funds Unrestrlcted funds 2025 Restrlcted funds 2025 Total 2025 At 31 March 2025: Tangible assets Debtor5.' Amounts falling due within one year Cash at Bank and in Hand Stocks Other Credltors 1,268,394 147,666 472,095 12,965 (134.2201 834,719 2,103,113 147,666 532.046 12,965 1134,2201 59,951 1,766,900 894,670 2,661,570 Unrestrlcted funds 2024 Restrlcted funds 2024 Total 2024 At 31 March 2024: Tangible assets Debtors: Amounts falling due within one year Cash at Bank and in Hand Stocks Other Creditors 989,379 224,741 759,071 9,867 1121,7771 718,636 1,708,015 224,741 978,361 9,867 1121,7771 219,290 1,861,281 937,926 2,799.207 22 Operating Sease commitments Lessee At 31st March the charity had total future minimum lease payments under non-cancellable operatin8 leases as set out below'.- 2025 2024 Within one year Between two and five years 12,566 3,714 15,970 12,453 16,280 28,423 -28-
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST NOTES TO THE FINANCIAL STATEMENTS {CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 23 Related party transactlons There were no disclosable related party transactions during the year12024 - none). 24 Controllin8 Partles There Is no overall controlling party. Each member of the CIO is liable to contribute to the assets of the CIO such amount Ibut not more than £51 as may be required for payment of the debts and liabilitiesof the CIO contracted before that person or organisation ceases to be a member. The Management Committee control the charity as a body. No single member can or does exercise any individual control. -29-
APPROVAL COPY HOLBEACH AND EAST ELLOE HOSPITAL TRUST NOTES TO THE FINANCIAL STATEMENTS (CONTINUED) FOR THE YEAR ENDED 31 MARCH 2025 25 Cash generated from operations 2025 2024 Deficit for the year 1137,637} 1181,360) Adjustments for: Investment income recognised in statement of financial activities IGainl/loss on disposal of investments Depreciation and impairment of tangible fixed assets 124,0831 {11,2201 2,961 123,465 149.167 Movements in working capital.. Ilncreasel/decrease in stocks Decrease in debtor5 Increase in creditors 13,0991 77,075 30,559 7,625 589,415 9,460 Cash generated from operatlons 91,982 540,346 26 Analysis of changes In net funds The trust had no material debt during the year. -30-
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