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THE ROYAL UNITED HOSPITAL BATH NHS TRUST
Charitable Funds
Annual Report and Accounts 2010-11
Royal United Hospital Bath NHS Trust Charitable Fund. Registered number 1058323
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Contents Foreword by the Chairman of the Charities Committee Page 3 Who are we? Page 5 What do we want to do What have we achieved? Page 7 Our future plans Page 13 How do we benefit the public? Page 14 How do we govern the charity? The Charities Committee Page 15 Trustee representative recruitment Day-to-day management Page 17 Policies Further details Page 20 Annual Accounts Page 21
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Foreword by the Chairman of the Charities’ Committee
This has been
another successful year for RUH Charitable Funds and I would like to thank all who have contributed
to that success, culminating in
the achievement of our main
goals: funding for our new Neonatal Intensive Care Unit (opening in Summer 2011) and raising £850,000 towards the purchase of a Linear Accelerator for the treatment of cancer patients. Our Charitable Funds are devoted to improving the experience of our patients, their relatives and our staff. We have funded purchases of additional equipment to improve patient care and facilities, provided specialist training courses and recognition awards for staff who made significant contributions to advancing patient care. Our ongoing investment in Medical Research is another key area, providing longer term patient benefit. The Committee’s investment strategy and the portfolio under its management have
been kept under regular review and despite a difficult economy, the Charity’s investments have grown in value over the year. We endeavour to ensure that all funds are expended as effectively as possible, through our fund holders who, at the front line of patient care, are best able to determine greatest need. We also work closely with colleagues in the RUH League of Friends, sharing thoughts and ideas towards more effective charitable spending in the Trust. On behalf of the Charities Committee and the Board of Directors, I would particularly like to thank our many volunteers and supporters for generously giving of their time and hard work, whether rattling collecting tins as part of ‘Ted’s Big Day Out’, or negotiating with corporations and foundations. And of course, all our donors for their great generosity. We look forward to future challenges and our next significant campaign. Michael Earp Chairman of the Charities Committee 8 June 2011
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Art at the RUH
“Art at the Heart” presents a high quality programme of arts within the RUH for the benefit of patients, staff and visitors.
The programme covers the visual arts, music and literature through exhibitions, performances and readings, together with educational workshops for patients and staff.
We also improve the healing environment through innovative design ideas for the interior and exterior spaces of the hospital, art acquisitions and commissions, and an ambitious temporary exhibitions programme which covers the ground floor central and the north areas of the hospital.
For more information please visit: www.ruh.nhs.uk/art
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Who are we? Royal United Hospital (RUH) Charitable Funds is an umbrella fund registered with the Charities Commission for England and Wales as the “Royal United Hospital Bath NHS Trust Charitable Fund” (registered number 1058323) which raises and receives donations for the Royal United Hospital. RUH Charitable Funds works closely with the Royal United Hospital NHS Trust By securing donations, legacies and sponsorship, RUH Charitable Funds can help make a real difference to patients and their families, and the staff who look after them. The umbrella fund may be used for any charitable purpose or purposes relating to the National Health Service wholly, or mainly provided by the RUH. Within the umbrella fund, and gaining investment and other powers from the governing document of the umbrella fund, are the following designated funds:
Medical Surgical Specialty General
and the following special trusts (restricted funds):
Forever Friends Appeal (Formally known as the “RUH 2001 Appeal”) Sheila McBrien Coronary Care Unit RUH Research Kidney Research and Equipment
The objects of the special trusts are as detailed on page 17. NHS Trust policies are complied with to ensure probity in expenditure.
What do we want to do? Our mission is to: help our patients, their families and visitors to the hospital, by enhancing the care the hospital can offer, provide new equipment, fund research and investment in people, and create a caring environment for all who use the hospital. We accomplish our mission by spending the money provided by our generous donors on a range of charitable programmes. The Charity’s objectives for the year, which were highlighted in last year’s annual report, are linked to our mission. They are: 1. Fundraising : Maximising the funds raised by
the Charity through fundraising, donations, legacies and gifts;
2. Spending : Spending wisely on additional
equipment and facilities to The Royal United Hospital in support of its work to care for its patients, their relatives and staff;
3. Investing : Ensuring that surplus funds raised
are invested prudently until they can be spent appropriately.
How we have made a difference In our department charitable giving has been dominated by the fantastic support via the Forever Friends Appeal for the building of our new NICU allowing us to deliver the care to babies in a much more family centered way with plenty of space and a calm environment it is also a beacon of sustainable building methods. Steve Jones, Consultant Paediatrician
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Ted’s Big Day Out!
This year’s annual fundraising event, Ted’s Big Day Out! was one of the final events to be held to raise funds for the new Neonatal Intensive Care Unit. The event saw over 300 organisations around the catchment area of the hospital taking part by being silly in stripes for the day, or simply taking their teddies to work, school, wherever. The festivities included Ted visiting schools, before returning to the RUH to meet up with Gemma Bissex (former Hollyoaks actress). Some very brave staff of the RUH also took part in our very own Weakest Link game show, which was hosted by the Deputy Chief Executive Brigid Musselwhite. The Charity would like to thank everyone who took part in the event, helping to raise over £30,000.
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What have we achieved? Our performance for the year, compared with last year, is highlighted below in Figure 1.
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2009/10 financial year 2010/11 financial year
Figure 1: Financial performance over 2009/10 and 2010/11 This is explained as follows: 1. Fundraising The main fundraising arm of the charity is the Forever Friends Appeal, formally known as the RUH 2001 Appeal, which focuses on major campaigns. Since 2007 the Appeal has focused on the “NICU Space to Grow” Campaign. This campaign, launched publicly in July 2007 and concluded during the current financial year. Building work commenced in 2010 and the Unit, “The Dyson Centre for Neonatal Care” is due to open in June 2011. The Appeal team have found the input of volunteers invaluable, including street collections, taking part in events and preparing mailshots for delivery. The Charity received the following during the financial year:
Donations £1,271,000 (2009/10: £1,727,000) From pennies and pounds in a collecting box to hundreds, even thousands of pounds, we are fortunate to receive thousands of generous gifts each year towards our work.
Legacies £250,000 (2009/10: £151,000) A gift in a will or a collection in memory of a loved one is a valued way of donating to charity. A gift to the RUH Charitable Funds is an investment in the future, and we are fortunate to be remembered by so many people each year. Other income £191,000 (2009/10: £210,000) By prudent management of funds held for future expenditure we earn interest and dividends. This also includes activities for generating funds, grants received and Incoming resources from other charitable activities.
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2. Spending Throughout the year the Charity has supported individual wards and departments, areas of research and education, and trust-wide needs such as aftercare, academic meetings, medical staff education and nurses’ amenities. The Charity’s expenditure mainly consists of: Charitable activities £2,001,000 (2009/10: £541,000) Significant items of expenditure included:
• Research £30,000 (2009/10: £34,000) Research into cancer and oncology continues at the hospital through the Oncology research fund.
• Patients welfare and amenities
£1,810,000 (2009/10: £241,000) This includes: £850,000: LINAC Radiotherapy equipment for the Cancer Unit £613,000: Construction costs for the new Neonatal Intensive Care Unit £64,000: Intellivue System for the Stoke unit £8,000: Wall-beds for overnight stays by parents in the children’s unit Further information on the major gifts made to the hospital is included on page 29.
• Staff welfare and amenities £161,000
(2009/10: £266,000) This relates to a number of small items of expenditure across the Trust.
Sundry expenditure from the umbrella fund has included purchases such as Christmas decorations, patients’ Christmas presents and hampers, scarves and aromatherapy treatments for cancer patients and massage treatment for Intensive Therapy Unit patients.
• Costs of generating income £296,000
(2009/10: £336,000) This represents the costs to the Charity of its fundraising activities, as well as the costs of running events and courses which are on a not-for-profit basis.
• Other costs £93,000 (2009/10:£91,000)
Other costs include investment management costs along with the costs of governing the Charity through, for example, audit fees.
3. Investing Surplus funds are pooled and invested in order to maximise income while minimising risk for the charity. Income and cash, gains and losses of the investments are distributed equitably across the charity funds. During the financial year the investments generated approximately £97,000 (2009/10: £113,000) of income and an unrealised gain of £67,000 (2009/10: an unrealised gain of £600,000).
2010/11
£’000
2009/10
£’000
Market value of investments at 1st
April 3,233 2,633
Unrealised gains 80 600
Disposals (463) 0
Market value of investments at 31st
March 2,850 3,233
How we have made a difference Charitable Funds have provided us with the opportunity for specialist training (Neonatal Individualised Developmental Care and Assessment Programme) which will help us better support the development needs of our premature babies. This will work hand in hand to improve care as we move into our new Neonatal Intensive Care Unit. Debbie Grant, Clinical Manager, Paediatrics
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NICU Campaign completion The fundraising for the new ‘Dyson Centre for Neonatal Care’ has been completed, and the first phase is due to open in June 2011. This pioneering, purpose-built, environmentally sustainable Centre will serve the catchment area of around 500,000 people, and treat approximately 500 babies each year. The concept of the unit has been based on a holistic model of care, creating a uniquely therapeutic NICU environment that is aimed at producing the best outcome for every premature and sick baby. Welcoming, spacious and easy to maintain, our NICU design will radically improve the ability to manage the Unit efficiently and reduce the risk of infection. The clinical area will more than double in size and be designed to accommodate the busiest of work flows whilst retaining a calm and tranquil environment, so crucial to the care of premature babies and their parents. The design encapsulates the essence of sustainability from the sourcing of materials to avoiding waste, utilising natural light as much as possible, conserving energy, using heat recovery systems, developing water conservation strategies and ensuring that all materials have the minimum toxicity to protect babies from risk. Most of all it will have a beneficial effect on the treatment of premature and sick babies. It will provide space to accommodate life saving equipment, greater flexibility to deal with emergency situations, and privacy for private consultations. It will reduce noise levels and promote sleep – so crucial in the neurodevelopment of infants. It will enable mothers to breast feed in privacy and give them the opportunity to develop skin to skin techniques – so valuable in the nurturing of tiny babies. Parent accommodation will double in size and capacity – giving greater flexibility for families. This in turn will lead to improved development for babies and ultimately shorten their length of stay.
Cutting of the first turf and site clearing Following a £500,000 donation Sir James and Lady Dyson officially started the building works by cutting the first turf.
The building under construction
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How the interior looks Pendants system supported by Garfield Weston Foundation During 2011/12 the refurbishment of the existing unit will also commence. It will provide training and seminar rooms, staff working space and new parental accommodation. The parental accommodation will be linked to the new Centre through a wonderful new garden which has been funded by a local family. The garden has been designed to complement the design of the new centre and provide a space for parents to sit in a peaceful environment.
Interior pics to be inserted at last minute
Interior pics to be inserted at last minute
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LINAC Radiotherapy In March 2011, we installed a new Linear Accelerator to replace our ageing equipment. This unit was part-funded by a legacy made to the Charity of £850,000. This will be used to deliver radiation treatment to cancer patients. As the new facility has an integral diagnostic x-ray unit, this enables the radiographers to image the patient in the treatment position to ensure that they are aligned correctly with the treatment beam. This will allow us to improve our treatment margins, with reduced uncertainty in the target position and hence reduce normal tissue damage. The system will become clinically operational in September 2011.
Acute Stroke Unit The quicker patients who suffer from a stroke receive treatment, the greater their chances of a better recovery. The fast track system of getting patients to the Stroke Unit has been operational for some time. Once patients are admitted, constant monitoring for the first twenty four hours enables clinicians to detect the slightest change in their condition. With the generosity of donors, Brian & Margaret Roper, the latest monitors have now been installed, ensuring that patients receive the highest level of care at this critical stage – saving lives and reducing the risk of longer term disability.
Added to this The Medlock Charitable Trust’s donation has funded a Resource & Rehabilitation Room, helping patients to receive ongoing occupational therapy. This room also provides a place for families to visit patients away from the more clinical environment, especially when children are visiting. The Resource & Rehabilitation Room additionally serves to provide space for training staff as well as facilities for studying scans and x-rays during case studies. The excellent care provided by the staff together with these additional facilities has put this Stroke Unit in the top 20% in the country.
How we have made a difference We have been able to purchase a microwave and toaster to provide little extras for patients on the ward when they need them. We've also purchased a recliner chair for patients to ease the transition from bed to chair and prevent chest infection while regaining strength. We've purchased specialist scales which can measure patients and enable us to calculate the correct dosage of drugs, monitor water retention and whether patients are effectively gaining or maintaining weight. We were also able to buy some 'little extras' over Christmas for our patients. Jo Flint, Ward Manager, Waterhouse Ward
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Community groups, schools, business and individuals all play a major part in helping the charity. Every year the charity continues to receive grateful donations from all sources large and small, and we really do appreciate the generosity.
Supporters of the charity
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Our future plans Achieving our mission involves an ongoing programme of fundraising today to give us the funds we need to invest in the health of patients tomorrow. We will achieve this by working with the NHS Trust to develop the facilities needed to provide healthcare of the highest quality to the population it serves. Our objectives The Charities Committee have agreed a set of 5-year strategic objectives which will be reviewed regularly, and which are summarised as follows:
1. To promote effective and efficient fundraising, both on the main fundraising schemes but also more generally across the RUH site;
2. To work in partnership with other charities
where this can help the Charity;
3. To pursue an investment policy which provides a balance between income and long term capital growth and protecting fund values;
4. To invest in innovations that lead to
continuous improvements in health and wellbeing. This will be achieved through targeted investment in:
• Improving patient, staff and visitor
amenities through investing in facilities and the arts;
• Improving patient care through state-of-
the-art equipment;
• Improving patient care through improving staff knowledge and experience;
• Practical and tangible research and
development.
Principal fundraising plans Pending the approval of business cases by the RUH Trust Board, the Forever Friends Appeal is planning to launch an exciting new fundraising campaign to improve the Cancer Services at the hospital: A two phase campaign that will initially seek support for a large item of cancer diagnostic equipment, and in the second phase, to part-fund an important new building for the diagnosis and treatment of Cancer. This is an exciting new venture for the Charity, and further information will be provided over 2011/12.
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How do we benefit the public? All Charities are required by the Charities Commission to demonstrate how they pass the ‘public benefit test’:
1. There must be an identifiable benefit; 2. The benefit must be to the public or a
section of the public. The Charity’s objects and activities at each stage to ensure that the patients, relatives and staff of the NHS Trust are benefited directly or indirectly by the work of the Charity. Generally, spending directly benefits patients through new equipment, facilities or skills; which also benefits relatives and staff through enabling the Trust to provide improved care. Sometimes, spending directly benefits staff or relatives, through improved training and facilities, but this will also benefit patients.
How do we govern the Charity? The NHS Trust is the sole Corporate Trustee for the Charity, under a declaration of trust. Each voting Trust Board member is a Trustee Representative which carries similar responsibilities to those of a Trustee. The Trustee’s Representatives maintain independence from the Trust in making decisions which affect the Charity. In order to ensure this:
1. There is a Charities’ Committee which meets separately from the Trust Board and deals solely with issues affecting the Charity;
2. The Charity has a separate strategy, objectives, and risk register to ensure that the Charity’s integrity is maintained;
3. Relationships between the Charity and the Trust are enshrined in a Service Level Agreement which ensures that the service which is provided to the Charity in terms of administrative, financial and staffing support is subject to rigorous scrutiny.
How we have made a difference The Lung Research Fund enabled two doctors who had carried out research on the time-to-diagnosis of pleural cancer and the causes of pleural effusion (fluid collection around the lung) to present their findings at an international meeting of respiratory clincians and researchers. The findings which we presented have contributed to changes in the care pathway of these patients at the RUH, which in turn have led to speedier diagnosis. We plan to repeat the study when the new pathway has been in place for at least one year. Noeleen Foley, Consultant Respiratory Physician
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The Charities Committee All Trustee Representatives are invited to attend the Charities Committee, however the permanent members of the Committee at the year-end were:
Michael Earp
Charities’ Committee Chairman & Vice Chairman of the RUH Board of Directors
Moira Brennan
Non-Executive Director
Stephen Wheeler
Non-Executive Director
Catherine Philips
Director of Finance
Francesca Thompson
Director of Nursing
Trustee Representative Recruitment The members of the NHS Trust Board are appointed in one of two ways:
1. Executive Directors are appointed to the NHS Trust following recruitment and selection policies and procedures laid down by the Trust.
2. Non-Executive Directors and the Trust Chairman are appointed by the NHS Appointments Commission, an independent body which covers all such appointments to the NHS. The Trust has no powers to influence the decisions of this Commission.
New appointees to the Charities Committee are provided with training in their role by the Director of Finance and the Chair of the Committee. The level of training and induction is dependent on the experience and background of each member. Administrative support for the operation of the Charity is provided by the Finance Department of the Royal United Hospital Bath NHS Trust. A full list of Trustee’s Representatives is provided on page 28.
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A racing driver, a policewoman and a fairy were among the costumes seen at a fun run in support of a premature baby unit being built in Bath.
People of all ages took part in the charity’s new running event called The Mad Dash. The event was held at the University of Bath, and saw participants running a 10km, 2km race or a 200-metre toddle for young children.
It was a fun day for all and with the help of local running clubs and the team behind the Bath Half Marathon it is an event that the charity hopes will get even larger in the coming year.
The charity would like to thank Ray and Sue Brigden, and Running High Event Management in helping the charity with specialist advice and support.
The Mad Dash
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Day-to-day management The Charities Committee has itself delegated responsibility for management of individual funds to designated fund managers who must provide an annual expenditure forecast for approval. When undertaking charitable expenditure the Trust’s normal procedures for procurement, tendering and capital expenditure apply. All expenditure transactions are referred to the Head of Financial Services who ensures that the correct level of authorisation is obtained. The Charities Committee has set the following expenditure authorisation levels:
Policies i. Funds RUH Charitable Funds has 2 types of fund available to support the hospital, as well as 4 special trusts (restricted funds): • Designated (earmarked) Funds – these usually
contain donations where a particular part of the hospital or an activity was nominated by the donor. They are overseen by Fund Managers who can make recommendations on how to spend the money within the designated area.
• General Funds – these funds are received with no particular preference expressed by donors and are therefore the most flexible funds. These are overseen by the Committee and requests are made to the Committee for purchases.
• Special Trusts –
i. Forever Friends Appeal (formally known as the RUH 2001 Appeal) The provision of equipment for paediatrics, Critical Care, Cancer Care and Cardiology or for any other charitable purpose relating to the provision of healthcare within the redeveloped RUH site. During the year the funds raised by the appeal were committed to the purchase of medical equipment for use at the RUH and towards the provision of a new, sustainable, Neonatal Intensive Care Unit (NICU) for premature babies.
ii. RUH Research
Furtherance of: investigation of the causes of sickness and disability; prevention, treatment, cure and defeat of sickness and disability; advancement of scientific and medical education and research relating to sickness and disability; any other charitable purpose for the relief of sickness and disability. During the year these funds were used to advance the scientific knowledge of RUH staff in the areas of prevention, treatment, cure and defeat of sickness and disability.
Category Review Purpose of review Charitable expenditure (Excluding Research and NICU) All expenditure
Fund Manager Review of appropriateness of use of funds
Charitable Fund Manager
Checking sufficient balance of funds to spent
Head of Financial Services
Review of appropriateness of use of charitable funds
£1,000 + As above, plus Director of Finance
Authorising on behalf of the Charities’ Committee
£10,000 + As above, plus Purchasing Manager or Deputy
Checking purchases conform to Trust policies on tendering
£25,000 + As above, plus Charities’ Committee
Trustee’s representatives with authority to spend
£100,000 + As above, plus Trust Board of Directors
Trustee’s representatives with authority to spend
Specific areas Research funds only
As the table above, plus Research and Development Manager
Review of appropriateness of use of funds
NICU build As the table above, plus Director of Facilities
Review of appropriateness of use of funds
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iii. Sheila McBrien Coronary Care Unit Relief of sickness of patients of the CCU including promoting efficient performance of duties by staff. During the year the funds attributed to this unit were used for the purchase of equipment and training for staff of the CCU.
iv. Kidney Research and Equipment
Furtherance of: investigation of the causes of kidney disease; prevention, treatment, cure and defeat of kidney disease; advancement of scientific and medical education and research relating to kidney disease; any other charitable purpose for the relief of kidney disease. During the year these funds were used to advance the relief of patients.
ii. Income Receipt books are used by all wards and departments receiving cash and cheque donations directly. Donations and other monies intended for charitable funds are accompanied by a copy of the receipt when paid in to the hospital accounts receivable team. Regular donations, including Gift Aid, are received as standing orders directly into the charitable fund bank account. Income to the ‘1001 Lottery club’ a staff based lottery generating income for the ‘Forever friends Appeal’, is deducted directly from the pay of participating permanent employees, and received from the RUH Bath NHS Trust. Income from participating casual staff is received into the charity bank account by standing order. The Forever Friends Appeal is granted permission by the local authority to make street collections in the City of Bath on its allocated ‘flag day’ and at events such as the Bath Half Marathon. Cash collected is banked with the hospital accounts receivable team. iii. Expenditure Charitable funds should be spent in accordance with the objectives of the fund, at the earliest opportunity (subject to the reserves policy below).
At the time of ordering equipment or services it is confirmed that charitable funds are an appropriate and legitimate source of funding for the purchase in question. Expenditure is accounted for on an accruals basis. iv. Research Only research income and expenditure meeting the requirements of charitable research is administered through the Charitable Fund. v. Reserves The Charities Committee requires the fund to keep reserves which are at least sufficient to cover known future commitments. This is a prudent measure to avoid the costs and risks of having insufficient cover for future expenditure. vi. Investments
The Charity has a portfolio which is balanced between cash, corporate and Treasury bonds, and shares. The investment in shares will not exceed 80% of the total investment on average over any financial year. The charity invests through BlackRock Investment Management (UK) Ltd who invest in:
• Charinco Common Investment Fund • Charishare Tobacco Restricted
Common Investment Fund • Institutional Sterling Fund
vii. Risk Management The NHS Trust has a series of policies and procedures to ensure that risk is managed to within acceptable levels. The main risk to which the Charity is exposed relates to the loss of funds which is needed for ongoing commitments. In the short term this would be managed by use of reserves while in the longer term, Trust policies and management support would be relied upon to relieve the charity of the salary commitments of staff. The policies and procedures are regularly reviewed and audited to ensure their effective operation. The Charitable Funds are governed in such a way as to make best use of these procedures so that the Trustees can gain assurance that risks are minimised.
How we have made a difference Charitable funds allow us to give our patients those little extras at Christmas and has allowed us to purchase equipment to benefit our patients stay on the ward. Simon Andrews, Charge Nurse, Forrester Brown Ward
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The RUH choir continued to flourish. The choir consists of staff, volunteers and friends of the hospital from throughout the hospital and performs a variety of light classical music, classic pop songs, jazz and world music. During the last year, the choir performed both within the hospital and the wider Bath community, mainly fundraising for Forever Friends. Performances have included Ted’s Big Day Out, two concerts at St Swithin’s and at several residential homes for elderly people. Future plans include the production of a CD to sell in aid of Forever Friends.
RUH Choir
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Further details
Bankers Government Banking Service
7th Floor, Southern House Croydon
Solicitors Bevan Brittan Solicitors 35 Colston Avenue Bristol BS1 4TT
Auditors Grant Thornton UK LLP Hartwell House 55-61 Victoria Street Bristol BS1 6FT
Investment Advisors
BlackRock Investment Managers PO Box 9036 Chelmsford CM99 2XD
Contact Us Finance Department Malvern House
Royal United Hospital Combe Park Bath
BA1 3NG Tel: 01225 825601 Legal information The accounts to which this report relates have been prepared under the provisions of Section 96(6) of the Charities Act 1993, which allows the accounts to be prepared and filed at an overall Charitable Fund ‘umbrella’ level. This annual report has been prepared to comply with the Statement of Recommended Practice (SORP 2005) “Accounting and Reporting by Charities”. The Charitable Fund is registered with the Charities Commission for England and Wales as the “Royal United Hospital Bath NHS Trust Charitable Fund” under registration number 1058323. Its principal office is at the Royal United Hospital NHS Trust, Combe Park, Bath BA1 3NG.
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ROYAL UNITED HOSPITAL BATH NHS TRUST
CHARITABLE FUNDS ANNUAL ACCOUNTS 2010-11
FOREWORD
These accounts have been prepared by the Trustee to comply with the Statement of Recommended Practice 'Accounting and Reporting by Charities' (SORP 2005). The Royal United Hospital Bath NHS Trust is the Corporate Trustee of the charitable funds. STATUTORY BACKGROUND The Royal United Hospital Bath NHS Trust charitable funds held on trust are registered with the Charity Commission, registration number 1058323. MAIN PURPOSE OF THE FUNDS HELD ON TRUST
The main purpose of the charitable funds is to apply income for any charitable purpose relating to the National Health Service wholly or mainly for the services provided by the Royal United Hospital Bath NHS Trust (RUH).
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Statement of Trustee's responsibilities The Trustee is responsible for: - keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the funds held on trust and to enable it to ensure that the accounts comply with requirements in the Charities Act 1993 and those outlined in the SORP 2005; - establishing and monitoring a system of internal control; - establishing arrangements for the prevention and detection of fraud and corruption. The Trustee is required under the Charities Act 1993 and the National Health Service Act 1977 to prepare accounts for each financial year. The Secretary of State, with the approval of HM Treasury, directs that these accounts give a true and fair view of the financial position of the funds held on trust, in accordance with the Charities Act 1993. In preparing those accounts, the Trustee is required to: - apply on a consistent basis accounting policies laid down by the Secretary of State with the approval of HM Treasury; - make judgements and estimates which are reasonable and prudent; and - state whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the accounts. The Trustee confirms that it has met the responsibilities set out above and complied with the requirements for preparing the accounts on a going concern basis. The financial statements set out on pages 21 to 35 attached have been compiled from and are in accordance with the financial records maintained by the Trustee. By Order of the Trustee Chairman........................................................................................................................... Brian Stables 8 June 2011 Chief Executive and Trustee's Representative......................................................................... James Scott 8 June 2011
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Independent Auditor’s Report to the Trustee of Royal United Hospital Bath NHS Trust Charitable Funds We have audited the financial statements of Royal United Hospital Bath NHS Trust Charitable Fund for the year ended 31 March 2011 which comprise the Statement of Financial Activities, the Balance Sheet and the related notes. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). This report is made solely to the charity's trustees, as a body, in accordance with Section 43 of the Charities Act 1993 and regulations made under Section 44 of that Act. Our audit work has been undertaken so that we might state to the charity's trustees 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 and its trustees as a body, for our audit work, for this report, or for the opinions we have formed.
Respective responsibilities of trustees and auditor As explained more fully in the Statement of Trustees’ Responsibilities, the trustees are responsible for the preparation of financial statements which give a true and fair view. We have been appointed as auditor under section 29 of the Audit Commission Act and section 43 of the Charities Act 1993 and report in accordance with regulations made under section 44 of that Act. Our responsibility is to audit and express an opinion on the financial statements in accordance with applicable law and International Standards on Auditing (UK and Ireland). Those standards require us to comply with the Auditing Practices Board’s (APB's) Ethical Standards for Auditors.
Scope of the audit of the financial statements A description of the scope of an audit of financial statements is provided on the APB's website at www.frc.org.uk/apb/scope/private.cfm.
Opinion on financial statements In our opinion the financial statements: • give a true and fair view of the state of the charity’s affairs as at 31 March 2011, 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 1993.
Matters on which we are required to report by exception We have nothing to report in respect of the following matters where the Charities Act 1993 requires us to report to you if, in our opinion: • the information given in the Annual Report is inconsistent in any material respect with the financial statements;
or • sufficient accounting records have not been kept; or • the financial statements are not in agreement with the accounting records and returns; or • we have not received all the information and explanations we require for our audit. Senior Statutory Auditor John Golding
8 June 2011
For and on behalf of Grant Thornton UK LLP, Registered Auditor, Chartered Accountants, Hartwell House, 55-61 Victoria Street, Bristol BS1 6FT
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Statement of Financial Activities for the year ended 31 March 2011
2010-11 2009-10 Note Unrestricted Restricted Total Total Funds Funds Funds Funds £000 £000 £000 £000
Incoming resources from generated funds Voluntary income: Donations 2.1 153 1,061 1,214 1,727 Legacies 2.1 106 144 250 151 Grants receivable 2.2 10 0 10 7
Total voluntary income 269 1,205 1,474 1,885
Investment income 2.2 38 59 97 113 Activities for generating funds 2.2 0 26 26 29 Incoming resources from charitable activities 2.2 58 0 58 61
Total incoming resources 365 1,290 1,655 2,088
Resources expended Costs of generating voluntary income 3 0 296 296 336 Charitable activities 3 314 1,687 2,001 541 Governance costs 3 25 46 71 69 Investment management costs 3 9 13 22 22
Total resources expended 4.1 348 2,042 2,390 968
Net incoming/(outgoing) resources 17 (752) (735) 1,120 Gain on revaluation and disposal of investment assets 29 38 67 600
Net movement in funds 5 46 (714) (668) 1,720 Fund balances brought forward at 1 April 1,042 3,743 4,785 3,065 Fund balances carried
forward at 31 March 1,088 3,029 4,117 4,785
The notes at pages 26 to 35 form part of this account.
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Balance Sheet as at 31 March 2011 Notes Total at 31 Total at 31
Unrestricted
Funds Restricted
Funds March
2011 March 2010
£000 £000 £000 £000
Fixed assets Investments 6 701 2,149 2,850 3,233
Total fixed assets 701 2,149 2,850 3,233
Current assets Debtors - accrued income 7 3 177 180 432 Cash at bank and in hand 414 1,408 1,822 1,272
Total current assets 417 1,585 2,002 1,704
Creditors: Amounts falling due within one year 8 30 705 735 152
Net current assets 387 880 1,267 1,552
Total assets 1,088 3,029 4,117 4,785
Funds of the Charity Income funds: Restricted 9.1 0 3,029 3,029 3,743 Unrestricted 9.3 1,088 0 1,088 1,042
Total funds 1,088 3,029 4,117 4,785
The notes at pages 26 to 35 form part of this account.
The financial statements on pages 21 to 35 were approved by the Trustee on 8 June 2011 and signed on its behalf by: Signed: ……………………………..………………….. James Scott Chief Executive of the Corporate Trustee and Trustee's Representative 8 June 2011
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Notes to the Accounts Accounting Policies 1.1 Accounting convention
The financial statements have been prepared under the historic cost convention, as modified for the revaluation of certain investments, and in accordance with applicable United Kingdom accounting standards and policies and the Statement of Recommended Practice 'Accounting and Reporting by Charities' issued by the Charity Commission in 2005.
1.2 Incoming resources
a) All incoming resources are included in full in the Statement of Financial Activities as soon as the following three factors can be met:
i) Entitlement - arises when a particular resource is receivable or the charity's right becomes
legally enforceable; ii) Certainty - when there is reasonable certainty that the incoming resource will be received; and
iii) Measurement - when the monetary value of the incoming resources can be measured with
sufficient reliability. b) Legacies
Legacies are recorded in the statements according to the date on which they become receivable. This is consistent with the same rules as above.
c) Grants
Grants are recorded as income in accordance with the same rules as expressed above.
1.3 Resources expended
a) The funds held on trust accounts are prepared in accordance with the accruals concept. All expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party.
b) Governance costs are accounted for on an accruals basis and are recharges of appropriate proportions of the administrative staff costs from the RUH. These are recharged to restricted and unrestricted funds based on a combination of the fund balances and the number of transactions undertaken. The audit fee is billed directly.
c) Costs of generating voluntary income are recorded as those costs of the charity which relate to fund raising staff and associated administration costs.
d) Those costs recorded as charitable activities are the purchase of medical equipment, training and support for the staff and services of the RUH. These last two categories of costs are recorded against restricted and unrestricted funds according to which fund incurred the cost.
e) Liabilites to pay costs are recognised when they are certain, e.g. when an order has been placed or
a contract signed.
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1.4 Structure of funds
Where there is a legal restriction on the purpose to which a fund may be put, the fund is classified in the accounts as a restricted fund. Other funds are classified as unrestricted funds. Funds which are not legally restricted but which the Trustee has chosen to earmark for set purposes are designated funds. The major funds held within these categories are disclosed in notes 9.1 and 9.3.
1.5 Investment fixed assets
Investment fixed assets are shown at market value. i) Quoted stocks and shares are included in the balance sheet at mid-market price, ex-div. ii) Other investment fixed assets are included at the trustee's best estimate of market value.
1.6 Realised gains and losses
All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and losses on investments are calculated as the difference between sales proceeds and opening market value (or date of purchase if later). Unrealised gains and losses are calculated as the difference between market value at the year end and opening market value (or date of purchase if later).
1.7 Pensions contributions
The cost of employer pension contributions to the NHS Pension Scheme and other schemes is charged to the Statement of Financial Activities as they fall due.
1.8 VAT
Irrecoverable VAT is included in resources expended, and the historic cost of fixed assets.
1.9 Change in the basis of accounting There has been no change in the basis of accounting during the year.
1.10 Prior year adjustments There has been no change to the accounts of prior years.
1.11 Pooling scheme A pooling scheme is in operation for investments relating to all funds. Gains and losses, both realised and unrealised, are apportioned equitably over the funds involved.
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1.12 Related party transactions
During the year, there have been no transactions between the members of key management of the Trustee nor parties related to them and the Royal United Hospital Bath NHS Charitable Funds.
Board members (and other senior staff) take decisions on both the Charity and NHS Trust matters but endeavour to keep the interests of each discrete and do not seek to benefit personally from such decisions. Declarations of personal interest have been made in both capacities and are available to be inspected by the public.
The Charitable Trust made revenue and capital payments to the NHS Trust where the Trustee's representatives (whose names are listed below) are also members of the Trust Board.
The RUH Bath NHS Trust acts as a Corporate Trustee. The Board members of the NHS Trust were:
James Scott * Chief Executive Tim Craft * Medical Director from 01/08/10 Howard Jones Director of Facilities
Brigid Musselwhite
Deputy Chief Executive & Director of Planning and Strategic Development
Catherine Phillips * Director of Finance
James Rimmer * Director of Operations Francesca Thompson* Director of Nursing Lynn Vaughan Director of Human Resources John Waldron* Medical Director to 31/10/10 Brian Stables * Chairman Moira Brennan * Non Executive Director Michael Earp* Non Executive Director Peter Stoate* Non Executive Director 22/07/10 to 03/01/11 Stephen Wheeler* Non Executive Director
Those marked * were Trustee's Representatives of the funds during the year. John Waldron and Peter Stoate were no longer Trustee's Representatives at the date of signing the accounts.
The Director of Nursing, Director of Finance, Michael Earp, Stephen Wheeler and Moira Brennan were members of the Charitable Funds Sub-Committee during 2010/2011 and until the date of signing the accounts.
The Royal United Hospital Bath NHS Trust is viewed as a connected organisation by virtue of its position as Trustee of the Charity. There are no other connected organisations.
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Details of 2.1 Unrestricted Restricted Total Total material Funds Funds 2010-11 2009-10 voluntary Funds Funds income £000 £000 £000 £000 Material donations, legacies and gifts Legacies Russell R 64 64 128 0 Spiers I 0 85 85 0 MacMillan N 11 23 34 0 Reed G 0 10 10 0 Coombes D 0 0 0 48 Watkins H 0 0 0 31 Cooke K 0 0 0 21 Charitable Trusts Brownsword Charitable Foundation 0 150 150 0 James Dyson Foundation 0 56 56 333 Medlock Charitable Trust 0 10 10 50 Enid Linder Foundation 0 10 10 10 Garfield Weston 0 0 0 250 RUH League of Friends 0 0 0 250 Roper Family Charitable Trust 0 0 0 75 Breakthrough Breast Cancer 0 0 0 20 Yews Trust 0 0 0 10 Bath Municipal Charities 0 0 0 10 Individuals Anonymous 0 250 250 0 Sir J D 0 50 50 50 Ms P D S 0 30 30 0 Ms C R 0 10 10 0 Dr M & J W 10 0 10 0 Mr & Mrs B R 0 0 0 20 Ms A Y 0 0 0 10 Companies and other organisations The Bell 0 28 28 0 Nutricia Ltd 0 0 0 17 Pfizer Ltd 0 0 0 12 Actelion UK Ltd 0 0 0 12 Dept of General Practice 0 0 0 10
Material voluntary income has been defined as donations made in excess of £10,000 over a single financial year.
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Details of 2.2 Unrestricted Restricted Total Total
incoming Funds Funds 2010-11 2009-10
resources £000 £000 £000 £000 Grants received Arts Council England 10 0 10 7
Total 10 0 10 7
Investment income Investments listed on Stock Exchange 32 50 82 98 Cash held as part of the investment portfolio 4 6 10 14 Bank interest 2 3 5 1
Total 38 59 97 113
Activities for generating funds Sale of bought in goods 0 1 1 1 Lottery 0 25 25 28
Total 0 26 26 29
Incoming resources from charitable activities Course/conference income 58 0 58 61
Total 58 0 58 61
Details of 3 Unrestricted Restricted Total costs
Total costs
resources Funds Funds 2010-11 2009-10 expended Costs of generating voluntary income £000 £000 £000 £000 Development of fundraising initiatives 0 57 57 56 Fund raising costs, publicity & adverts 0 7 7 12 Fund raising costs, other 0 232 232 268
Total 0 296 296 336
Funds raised in response to the above expenditure represented £1,088,650 in 2010/11 (2009/10: £1,531,644).
Unrestricted Restricted Total costs
Total costs
Funds Funds 2010-11 2009-10
Resources expended for charitable activities £000 £000 £000 £000 Patients welfare and amenities 186 1,624 1,810 241 Staff welfare and amenities 128 33 161 266 Research 0 30 30 34
Total 314 1,687 2,001 541
Governance costs Salaries 23 41 64 62 Audit fee 2 5 7 7
Total 25 46 71 69
Investment management costs Investment Management (BlackRock) costs 9 13 22 22
Total 9 13 22 22
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Analysis of 4 resources expended Category 4.1 Costs of Costs of Costs of Costs of Total Total of resources voluntary charitable investment Governance 2010-11 2009-10 expended income activities management £000 £000 £000 £000 £000 £000 Staff 252 40 0 64 356 305 Auditors remuneration: Audit fee 0 0 0 7 7 7
Investment management costs 0 0 22 0 22 22
Other 44 1,961 0 0 2,005 634
296 2,001 22 71 2,390 968
Staff costs 4.2 Total Total 2010-11 2009-10 £000 £000 Salaries and wages 245 257 Social security costs 18 18 Other pension costs 29 30
Total emoluments of employees (remuneration plus benefits for tax purposes) 292 305
Average monthly number of employees in the year: 10 10
The analysis above represents amounts charged to the Charity for staff employed by the NHS Trust who work solely on behalf of the Charity. All staff are on standard NHS terms and conditions and are contracted to work with the NHS Trust. No staff earned more than £60,000 during the financial year (2009/10: nil).
Changes in 5 Unrestricted Restricted Total Total resources Funds Funds 2010-11 2009-10 available Funds Funds for Charity £000 £000 £000 £000 use Net movement in funds for the year 46 (714) (668) 1,720 Transfer between funds 0 0 0 0
Net movement in funds available
for future activities 46 (714) (668) 1,720
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Analysis of 6 2010-11 2009-10 fixed asset 6.1 Fixed Asset Investments: £000 £000 investments (Restated) Market value at 1 April 3,233 2,633 Less: Disposals at carrying value (463) 0 Add: Acquisitions at cost 0 0 Net unrealised gain on revaluation 80 600
Market value at 31 March 2,850 3,233
Historic cost at 31 March 2,646 3,068
The historic cost of the investments held at 31 March 2010 has been restated which has increased the value by £66,000. This has not affected the carrying value of the investments.
6.2 Market value at 31 March: 31 March
2011 31 March
2010 £000 £000 Investments listed on the Stock Exchange Charinco Common Investment Fund (Unit Trust) 293 293 Charishare Tobacco-Restricted Common Investment Fund 1,542 1,925
1,835 2,218
Cash held as part of the investment portfolio Institutional Sterling Fund 1,015 1,015
2,850 3,233
All investments are held in the UK (31 March 2010: all held in the UK).
Analysis of 6.3 Total gross income gross income 2010-11 2009-10 from Total Total investments £000 £000
Investments listed on Stock Exchange 82 98 Cash held as part of the investment portfolio 10 13
92 111
In both 2010/11 and 2009/10, all investment income was derived from investments held in the UK.
Analysis of 7 31 March
2011 31 March
2010 debtors £000 £000 Amounts falling due within one year: Accrued income 40 257 Unrealised legacy income 140 175
Total debtors 180 432
Analysis of 8 31 March
2011 31 March
2010 creditors £000 £000 Amounts falling due within one year: Other creditors (RUH NHS Trust) 692 152 Accruals and deferred income 43 0
Total creditors 735 152
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Restricted 9.1 Balance Incoming Resources Gains and Balance Funds 31 March Resources Expended Losses 31 March 2010 2011 £000 £000 £000 £000 £000 RUH Research 1,610 137 (909) 34 872 Shelagh McBrien Coronary Care Unit 110 38 (59) 3 92 Kidney Research & Equipment 33 1 (7) 1 28 Forever Friends Appeal* 1,990 1,114 (1,067) 0 2,037
Total 3,743 1,290 (2,042) 38 3,029
Restricted funds are defined as registered subsidiaries of the RUH Bath NHS Trust Charitable Fund *Formally known as the RUH 2001 Appeal
Details of 9.2 Name of fund Description of the nature and purpose of each fund restricted RUH Research Various NHS Research funds Shelagh McBrien Coronary Care Unit NHS Coronary Care Kidney Research & Equipment NHS Kidney Disease Research Forever Friends Appeal Provision of equipment within redeveloped RUH site *Formally known as the RUH 2001 Appeal
Designated 9.3 Balance Incoming Resources Gains and Balance Funds 31 March Resources Expended Losses 31 March 2010 2011 £000 £000 £000 £000 £000 RUH - General Fund 178 48 (72) (1) 153 RUH - General Fund (other) 148 119 (100) 10 177 RUH - Medical 148 37 (32) 4 157 RUH - Surgical 186 51 (42) 5 200 RUH - Specialty 382 110 (102) 11 401
Total 1,042 365 (348) 29 1,088
Designated funds are defined as those designated to specific departments within the RUH.
Details of 9.4 Name of fund Description of the nature and purpose of each fund designated RUH - General Fund Any charitable purpose relating to NHS, mainly for RUH services funds RUH - General Fund (other) Any charitable purpose relating to NHS, mainly for RUH services RUH - Medical Any charitable purpose relating to RUH Medical wards/departments RUH - Surgical Any charitable purpose relating to RUH Surgical wards/departments
RUH - Specialty Any charitable purpose relating to RUH Specialty
wards/departments
Contingencies 10 There were no contingent losses/gains at 31 March 2011 (31 March 2010: nil).
Commitments, 11 There were no commitments beyond those recognised as creditors at 31 March 2011 (31 March 2010: nil). liabilities and provisions There were no provisions for future liabilities at 31 March 2011 (31 March 2010: nil).
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Trustees and connected persons transactions
12 There were no reimbursements of Trustee expenses and no Trustee remunerations were paid (2009/10: nil). Trustee Indemnity Insurance Indemnity insurance is provided for the Trustee's representatives by the Royal United Hospital Bath NHS Trust.
Loans or 13 No loans or guarantees were secured against the charity's assets (31 March 2010: nil). guarantees secured against assets of the charity
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Restricted Funds Unrestricted funds Total Funds Total Funds Analysis of Statement
of Financial Activities
14
Forever Friends Appeal*
RUH Research & Equipment
Other Arts Fund Other
2010/11 2010/11 2010/11 2010/11 2010/11 2010/11 2009/10 £000 £000 £000 £000 £000 £000 £000 Incoming resources Voluntary income: Donations/Grants 1,048 63 10 55 108 1,284 1,734
Legacies 33 29 22 0 106 190 151
Total voluntary income 1,081 92 32 55 214 1,474 1,885 Investment income 8 46 5 1 37 97 113 Activities for generating funds: Merchandise 1 0 0 0 0 1 1 Lottery 25 0 0 0 0 25 28
Total income from activities to generate funds 26 0 0 0 0 26 29 Incoming resources from charitable activities: Course/conference fees 0 0 0 0 58 58 61
Total incoming resources 1,115 138 37 56 309 1,655 2,088
Resources expended Costs of generating voluntary income: Fundraising costs 31 0 0 0 0 31 63 Staffing 252 0 0 0 0 252 259 Lottery Prizes 13 0 0 0 0 13 14
Total costs of generating voluntary income 296 0 0 0 0 296 336 Charitable activities: Patients welfare and amenities 738 854 36 39 189 1,856 241 Staff education, welfare and amenities 1 10 19 0 85 115 266 Research 0 23 6 0 1 30 34
Total charitable activities 739 887 61 39 275 2,001 541 Governance costs 33 11 2 2 23 71 69 Investment Management costs 0 12 1 0 9 22 22
Total resources expended 1,068 910 64 41 307 2,390 968
Net incoming/(outgoing) resources 47 (772) (27) 15 2 (735) 1,120
Gains on revaluation and disposal of Investment assets 0 34 4 0 29 67 600
Net movement in funds 47 (738) (23) 15 31 (668) 1,720 Transfer between funds 0 0 0 0 0 0 0 Fund balances brought forward 1st April 1,990 1,610 143 7 1,035 4,785 3,065
Fund balances carried forward 31 March 2,037 872 120 22 1,066 4,117 4,785
* Formally known as RUH 2001 Appeal
I would be interested in supporting the Royal United Hospital Charitable Funds. Please send information on the following: Fundraising Pack Gifts in memory and legacies Collecting Tins / Boxes Appeal events NICU DVD Volunteering I would like to make a donation for the sum of £ __________ I am a UK Tax payer and would like to Gift Aid this and all future gifts (please tick) Name
Address
Postcode
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Please make cheques payable to ‘RUH Charitable Funds ’ and enclose with this postcard in a sealed envelope and return to the address overleaf.
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Charitable Funds Officer Finance Department Royal United Hospital Combe Park Bath BA1 3NG
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