2016-17 annual review

B

nemouth

Hospital Charity

Annual report 2016/17

Donate

Fundraise

Volunteer

Bournemouth Hospital Charity Annual Report

The Royal Bournemouth Hospital serves Dorset and Hampshire - Patient locations 2016 - Map data Š2016 Google

13,146

17,417

23,909

31,542

87,237

4,332

19,362 48,747 4,835

199,667

3,349

3,092

Contents: Chairman’s Welcome 3 Achievements and Performance 4 Financial Review 6 How we raised the income 6 How we spent the money 8 Events 12 Corporate Supporters 14 Challenges 15 Campaigns 15

2

Community Fundraising 16 Individuals 17 Volunteers 18 Objectives for 2016/17 20 Planned spend of funds 21 Reference and Administrative Details 22 Structure, Governance and management 23 Accounts 26 Thank you 48

Bournemouth Hospital Charity Annual Report

Chairman’s Welcome

I

was very honoured to take up the role of Chairman last autumn and am delighted to welcome you to Bournemouth Hospital Charity’s Annual report for 2016-17. Having taken this role after the establishment of a new strategy and direction for the charity I am pleased to report a successful year and a positive start of the implementation of the strategy for the Royal Bournemouth and Christchurch NHS Foundation Trust Charitable Fund.

2016/17 was the first year in our new five-year ambitious strategy to raise £3million by 2021 to enable further support and enhancements to our hospitals; we are determined to rise to this challenge and our increase in funds raised this year is a very promising start.

Being in hospital is never easy - our mission is to enhance the care and treatment of patients accessing NHS services at the Royal Bournemouth and Christchurch Hospitals by fundraising to provide enhanced facilities, state of the art equipment and support NHS staff development to enable the Trust to provide the excellent care we would expect for our own families.

Thanks to generous patients, their relatives and communities across Dorset and West Hampshire we are able to support the hospitals to provide the excellent care we would expect for our own families, helping patients get back to their everyday lives as soon as possible.

The charity’s core objective is to support projects and purchase medical equipment that improve the patient experience, alongside this it funds investment in our staff through development and training.

During the year the charity supported a wide range of developments around the Trust and fully met the

objectives set to fund the Orchard Garden, provide medical equipment to support improved patient pathways and the funding of new X-ray equipment at the refurbished Christchurch Hospital. Key pieces of equipment funded include a new CT scanner through legacy income, telemetry equipment, bladder scanners and ultrasound scanners.

Central to the patient experience is the morale of our staff and the charity was pleased to again support training and development for our staff alongside welfare items including improvements to staff areas.

My fellow committee members and I would like to extend our sincere and grateful thanks to every family, company, organisation and to all the amazing individuals who have contributed to the charity over the last year – whether taking part in March for Men, holding a Brew Up, making personal donations or leaving a gift in a will, our supporters and donors are at the heart of everything we do. Without their dedication and hard work we would not be able to support the many good projects that allow the patient experience to be improved.

The charity has the potential to turn an excellent hospital into a truly great one through the support of individuals and the community - together we can make a difference for every person accessing the services of our hospitals.

Thank you for your loyal and generous support this year, your ongoing contributions are vitally important for the future of the hospitals and the patients and staff of the Trust.

Alex Jablonowski

3

Bournemouth Hospital Charity Annual Report

Achievements and performance Bournemouth Hospital Charity raises funds to enhance the care and treatment of patients accessing NHS services at the Royal Bournemouth and Christchurch Hospitals by fundraising to provide additional facilities, state of the art equipment and supporting NHS staff development to enable the Trust to provide the excellent care we would expect for our own families.

T

he charity aims to make a difference to every patient and every condition that is treated at our hospitals above and beyond that which can be provided through NHS funding.

Money is raised to: • Enhance patient care and comfort • Provide state-of-the-art and extra equipment and facilities • Invest in our experienced staff to support improved patient health and wellbeing

We do this by raising funds through a variety of fundraising activities including: • Organising fundraising events • Community activities • Promoting legacies and in memory giving • Applying for grants • Working with local businesses • Effectively managing the charity funds and investing wisely • Trading

Working with the community we aim to speed up patient treatment, reduce patient anxiety, aid quicker recovery, provide less intrusive treatment and improve the health and wellbeing of both patients and staff within the Royal Bournemouth and Christchurch Hospitals.

Total

raised

£1,645,000 4

Bournemouth Hospital Charity Annual Report

The charity’s income supports services and new equipment across the hospital supporting

382,262

outpatients

&

114,911

inpatients

1800

PEOPLE

OVER

who accessed services during 2016-17

73

businesses have supported the charity

have been involved in raising funds for the charity

36

community groups have supported the charity

4% 17% 19% 60%

Breakdown of charitable spend:

21p

medical equipment staff welfare patient welfare and amenities staff education

It costs the charity 21p to raise £1

£1 5

Bournemouth Hospital Charity Annual Report

Financial Review How we raised the income Our mission is to enhance the care and treatment of patients accessing NHS services at the Royal Bournemouth and Christchurch Hospitals by raising as much money as possible to support the welfare of hospital patients and staff.

We continue to raise much needed funds in a variety of ways:

2015/16 2016/17

£178,000

Donations

£247,000 £788,000

Legacies Grants

£861,000 £50,000 £44,000 £159,000

Fundraising Investments

£163,000 £1,000 £4,000

Third party donations

£333,000 £326,000

TOTAL INCOMING RESOURCES

£1,509,000 6

£1,645,000

Bournemouth Hospital Charity Annual Report

1699

We could not raise this money without all our supporters to whom we are very grateful and extend our thanks:

59

Event participants

Businesses supported the charity financially

30

36

Community groups supported the charity

Individual fundraisers

14

Businesses have supported the charity by donating gifts in kind

7

Bournemouth Hospital Charity Annual Report

How we spent the money This year the charity has spent £2.34 million and committed a further £704,000 to improve care and treatment across both the Royal Bournemouth and Christchurch Hospitals. The charity seeks to invest in key areas such as providing state-of-the-art medical equipment, providing patient and family support and helping to transform our hospitals into more comfortable, practical and welcoming environments.

Patient benefit We spent £1.131 million and committed a further £120,000 on patient benefit projects, such as: Haematology / Oncology Alternative Therapies Room £5,000 Providing a holistic approach to patients care is paramount. As a hospital we have not been able to provide any alternative therapies to cancer patients to support them through their cancer journey. We now have the facilities to provide these therapies and it will ensure equality of care is provided across Dorset.

Transformation of a multi purpose staff room for multi-disciplinary teams (MDT) to discuss patient care and pathway planning within the Orthopaedic Team.

The new room now enables the team to schedule daily morning and afternoon MDT meetings to discuss patients needs which will have an immediate affect on returning the patient to their home in a speedier manner.

These conversations can now take place on site where patients’ are treated and provide a confidential environment to do this.

Other:

Maternity interactive toys - £300

Jigsaw Building - £400,000

Toys purchased for the antenatal clinic where expectant mothers and their children wait for, sometimes long periods, for scans, blood tests and appointments.

Patient day quiet room £120,000

ITU/CCU dedicated room £13,283 Provision of a quiet facility for patient relative meetings which can sometimes be very sensitive and upsetting such as potential organ donation.

8

Orthopaedics in the Derwent Building - £17,000

Cancer care Social Worker and Specialist Nurse - £64,000

Bournemouth Hospital Charity Annual Report

Staff benefit We spent £203,000, some examples: Refurbishment of the Urology surgical seminar room - £42,499 The refurbishment of the room was to improve the environment for staff. This space provides a better environment for quality improvement work, review of morbidity and mortality for governance and performance meetings which all then have a positive effect on patient experience.

Work experience coordinator £13,242 This post has a very positive impact on the hospital’s links with schools, colleges and universities which increases the profile of the hospital within the community and encourages local people to consider careers within the NHS.

Orchard Garden - £128,000 The Orchard Garden has transformed the redundant space outside of the Jigsaw Building into therapeutic gardens for patients to enjoy enabling them to visit an external peaceful setting at what can be a frightening and painful time. It enhances the experience of patients using the Jigsaw Building and Renal Department by providing a dedicated garden area accessible to patients before, during and after procedures.

Clinical textbooks - £206 Provision of textbooks within the hospital for staff which assists in a number of ways such as keeping policies up to date and broadening knowledge. Having hands-on material, readily accessible on wards has a positive impact on staff.

Other: Christmas Uniforms Health and wellbeing initiatives

9

Bournemouth Hospital Charity Annual Report

Examples of how we spent the money Staff Training The charity is proud to support additional staff training to enhance patient care We spent £71,500, some examples: Palliative Care end of life advanced pain course - £1,350 Staff attending these courses enhance their skills and knowledge in pain and symptom control for end of life care which can then be shared with the onsite teams within the Palliative Care Unit.

Cancer / Heart / General – Sage and Thyme Course - £12,835 The Sage and Thyme course provides training for staffing in relation to palliative care across the Trust including areas such as Cardiac. This course teaches staff key communication skills to deal with distressed patients and relatives and ensure the appropriate support is provided.

Endoscopy therapeutic training course - £700 This course provided a review of practical aspects of therapeutic endoscopy and includes several practical demonstrations followed by hands-on experience to give staff confidence and knowledge in using equipment during endoscopic procedures.

10

Equipment We spent £561,000 and committed a further £584,000 on projects such as: Vascular Ultrasound probe £7,210 This vascular ultrasound probe is used with all electrophysiological procedures which study the electrical activity of the heart.

The Trust undertakes over 700 of these procedures each year and this probe aids in safer femoral venous access with direct vascular visualisation. This decreases the incidence of femoral artery puncture, making the procedure safer and giving direct visualisation of the vessels.

Women’s Health Myosure equipment - £6,825 This specialist equipment allows consultants to carry out procedures to treat polyps in an outpatient setting rather than having to admit patients to theatres.

Radiology CT Scanner - £617,853 The new CT scanner enables full range of specialist examinations to be performed such as examinations for cancers and stroke. The rapid CT scans will benefit emergency patients by improving outcomes, reducing length of stay of patients, and two stroke performance measures around timely access.

Other Cardiac Telemetry - £257,000

Bournemouth Hospital Charity Annual Report

Reserves Policy Most of the expenditure incurred by the Charity is in respect of contributions to patients, staff and the purchase of medical equipment. The policy of holding reserves is a balance between keeping a relatively small sum of money in individual funds for which specific donations have been made and planning for additional capital investment.

The Trustees would normally expect to retain reserves equal to two to three years’ net annual expenditure, not including the balance of the restricted funds. The reserves are replenished through the receipt of significant legacies and donations. In recent years, the value of income has reduced resulting in a corresponding reduction in committed expenditure. The reserves policy will continue to be reviewed annually.

In 2016/17, net expenditure was £800,000, resulting in an expected reserve balance of £2.4 million, which equates to the balance on unrestricted funds.

Going Concern The Charity has significant financial resources , and Charity Fund approval commitments are included in these accounts, which therefore show the available funds. The return on investments, donations and legacies have increased from the previous year , which together with the expansion in the fundraising / legacy staff will development the awareness of the charity and increase income in future years. After making enquiries , the Corporate Trustee has reasonable expectation that the Charity has adequate resources to continue in operational existence for the foreseeable future . For this reason , they continue to adopt the going concern basis in preparing the Annual Report and Accounts.

Investment Policy Investment Fixed Assets are shown at Market Value, as detailed in Note 8 to the Statement of Financial Activities. The Trustee policy is to invest charitable funds with investments that maximise capital and are the most suitable investment type. The long-term objective is to invest capital that will give the maximum growth on income with minimal risk. The investment held as at balance sheet date are units within a Common Investment Fund and are included in the Balance Sheet at the closing price at 31st March 2017.

11

Bournemouth Hospital Charity Annual Report

Events The fundraising team hold a number of events over the year to raise funds for specific departmental projects – these have included our annual mass participation events:

M

arch for Men - over 270 people participated in this event and together raised over £24,000 to help fund a new service called ‘blue light cystoscopy’. This involves passing a special chemical into the bladder, which any cancer cells will absorb more than normal cells and become more visible when viewed using a special camera and blue light. This will: • • •

make it clearer for our consultants to see cancer cells in patients help identify areas that could be missed by other examination types help to identify the cause of any abnormal cells found in the urine

This event was kindly sponsored by Keith Motors

12

March for Men 270 participants RAISED

March for Men

£24,000

for urology equipment

Kindly sponsored by Keith Motors

Our other events Light up the Prom - this event, jointly organised with Macmillan Caring Locally, has become a very popular in memoriam event in our calendar. Attended by thousands of people the money raised significant funds for the two charities.

Twilight Walk for Women – the event attracted over 250 participants who together turned the promenade into a sea of pink in solidarity for women’s health.

Pedal Power – our third annual cycling fundraiser attracted over 100 cyclists who raised over £3,000 in funds for our Cardiac Department and.

New events included: Ladies Lunch – this new event was incredibly popular, held at the Captain’s Club of Christchurch.

Over 80 women enjoyed a fine lunch and talks by two inspirational local ladies, Felicity Irwin and Sam McGratty to celebrate International Women’s Day. The event raised over £1,800 with sponsorship from Talbot Heath School and Greenslades Pleasure Boats.

Corporate Quiz - attended by over 50 people, the 10 corporate teams used their collective brain power to raise over £1,300. Supported by Hot Radio and Easy Curry.

Bournemouth Hospital Charity Annual Report

Corporate Supporters The charity is very proud to have been associated with a number of local and national businesses who have chosen to support the work of the Hospital over the year; this support has totalled over £75,000.

Many thanks go to the companies who chose Bournemouth Hospital Charity as their charity of the year: • • • • •

14

Stewarts Gardenlands Thomson Airways Dudsbury golf club 5@7 networking club Chewton Glen hotel

And thanks to those companies that have supported specific projects including: • • • • • • • •

Tesco LV JPMorgan Asda Nationwide Waitrose John Lewis Aviva

Challenges Over the course of the year we were fortunate to have many people taking part in organised and individual challenges – our thanks go to each and every one of them.

T

he fundraising team coordinated skydive challenges, wing walk and a plane pull for our intrepid fundraisers.

Together these amazing individuals have raised over £7,000.

Campaigns

D

uring the year we held a variety of campaigns to raise funds, these included:

• • •

Our annual Brew Up campaign to raise funds for dementia projects in the Royal Bournemouth Hospital Various raffles, including our Christmas Raffle which had a top prize of a Mulberry Handbag Our Christmas Campaign included the sale of Christmas puddings, cake sales and donations from individuals and companies to help fund the purchase of presents for in-patients on Christmas Day

15

Bournemouth Hospital Charity Annual Report

Community Fundraising We place enormous value on the relationships we develop in the community with individuals, small businesses and voluntary groups. These vital connections allow us not only to raise funds, but also to build a credible presence locally, create trust, strengthen relationships and raise awareness of the work of the charity. By raising our profile in the community, we are investing in the future of the charity.

W

e were honoured to be chosen as one of the Bournemouth Mayor’s charities for 2016/17 and have enjoyed working in partnership to raise substantial funds through a range of themed events for Bournemouth charities. This included the organisation of a Reindeer Run which will become a regular feature in our calendar in future years.

Our heartfelt thanks go to all the community groups which have supported us with donations and events over the year, providing vital funds to the charity.

16

Bournemouth Hospital Charity Annual Report

Individuals

From legacies to individual challenges to in memory donations – we are fortunate to receive hundreds of donations from individuals in our community who give in appreciation of care, whether for themselves or a loved one. Many of these have undertaken personal challenges in a range of creative ways to raise their funds. Here are just a few of the highlights:

Lucy Denslow – ‘How many baubles on the Christmas Tree?’

As a self-confessed bauble addict Lucy chose to support the hospital in recognition of the care a family member was receiving by asking people to guess how many baubles were on her Christmas Tree – this raised a big shiny £719!

Sophie Smith - Sponsored head shave Sophie bravely had her head shaved to help support her mum, who was receiving treatment at The Royal Bournemouth Hospital, and to raise funds in recognition of this.

17

Volunteers at the Twilight Walk Bournemouth 2015 Hospital Charity Annual Report

Volunteers We are extremely fortunate to have a fantastic team of volunteers who support us with admin tasks in the office, the running of events, selling raffle tickets and in the hospital’s charity shop. We simply wouldn’t make the impact that we do without their generosity and support.

Volunteers – numbers of and hours contributed

Off ice Support C ha r i t y

Shop

March for Men 52 Volunteers

gave

197 Hours

16 Volunteers

Light Pedal Twilight up the Power Walk 13 Volunteers P r o m 13 Volunteers gave gave

72 Hours

72 Hours

39 Volunteers

gave

71 Hours

gave

1800 Hours

Christmas

Ra ffle 5 Volunteers

gave

52 Hours

18

4 Volunteers

gave

468 Hours

Bournemouth Hospital Charity Annual Report

The Hospital Charity Shop

O

ur volunteers play a vital role as they also act as charity ambassadors in the community, promoting charity events in and outside of the hospital, distributing collection pots, finding prizes for raffles and collecting items for our charity appeal shop.

The work they do is invaluable as they are able to reach out to the community in ways charity staff are often unable to.

We also have volunteers who come in to the hospital to sell raffle tickets throughout the year. This is an extremely valuable and proactive way of boosting our ticket sales and raising awareness of our work. We regularly rely on volunteers to help at our charity led mass participation events. Their involvement is crucial to the success of our events.

Our hospital charity shop provides traditional charity stock of second hand clothes, shoes, books, knickknacks, DVD’s, jewellery and games/puzzles to visitors to the Hospital. Stocked through generous donations from the public we are indebted to the 16 volunteers who work in the shop and have together raised £20,884 through sales in the year.

The shop also provides an invaluable service to the staff and patients at the hospital, with daily visits from ward clerks and nurses for clothes, shoes and other items for patients who have come to hospital without these items.

19

Bournemouth Hospital Charity Annual Report

Plans for future periods: Objectives for 2016/17 The Bournemouth Hospital Charity has developed a detailed strategy for 5 years from 2016-2021. This provides a framework within which charitable fundraising linked to the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust should be conducted; and how charity money raised is spent to benefit staff and patients within the Trust.

T

financially viable and appropriately supports the Trust’s vision and mission.

The main aim within this strategy is to significantly increase charitable income from current levels to £3 million per annum by 2021.

This is vital to ensure that the Charity remains

The primary objective of the Charity during 2017-18 is to ensure that the operational implementation of the fundraising strategy is delivered, and that charitable income increases in line with the agreed trajectory, specifically to raise £2.1million. In order to achieve this the Trust have identified a range of projects suitable for fundraising which will be the focus for the main fundraising activity in 2017/18 across all appropriate income streams.

he Bournemouth Hospital Charity has developed a detailed strategy for 5 years from 2016-2021. This provides a framework within which charitable fundraising linked to the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust should be conducted; and how charity money raised is spent to benefit staff and patients within the Trust.

Additional objectives In addition to the delivery of the Charity Strategy; there are a number of additional objectives that the Charity will focus on: • Medical equipment – support the requirements of directorates and departments with the funding of non-essential equipment which will enhance patient care and welfare.

• Increased awareness of the charity throughout the Trust to maximise all fundraising opportunities

20

• Education and Training. Continue to support increased education and training of staff to ensure a well trained workforce and make the Trust a more attractive place to work to support recruitment and retention.

Bournemouth Hospital Charity Annual Report

Planned spend of funds Work will be carried out with the fund holders of the larger funds, which include the Heart Fund, Stroke Fund, Cancer Fund and Haematology/ Oncology fund to ensure that spend plans are in place in line with donors wishes as appropriate.

In 2016/17 the charity spent

ÂŁ3.05 million. being

77% spent on

medical equipment

and direct patient welfare

A

further 23% was spent on staff welfare including over 100 applications for specific team and individual training and development to enhance the care provided to our patients. This profile of spend is broadly consistent year on year and it is recommended that:

The Charity will aim to maintain this spend with circa 80% on patient benefits whilst ensuring that donors wishes are followed where donations have particularly been given for staff welfare and appreciation .

21

Bournemouth Hospital Charity Annual Report

Reference and administrative details

T

he accounts on which this report is based have been prepared in accordance with the Charities Act 2011, the Charity (Accounts and Reports) Regulations 2008 and the provisions of the trust deed.

The registered Charity Commission number for the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust Charitable Fund is 1057366.

The registered address is: The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust Castle Lane East Bournemouth Dorset BH7 7DW The Governing Document (dated 17th May 1996) of the charity is in the form of Trust Deeds and has been registered with The Charity Commission. This document encompasses the main objectives of the charity for the provision of patient care and staff welfare at the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, with the Board of Directors acting as a Trustee. The Trustee is given the authority to efficiently and effectively manage the Charitable Funds.

22

Bournemouth Hospital Charity Annual Report

Structure, governance and management The following were members of the Charitable Funds Committee at the financial year end: Alex Jablonowski Non-Executive Director and Chair of Committee Stuart Hunter Director of Finance

T

he charity raises funds that can be accessed and not unreasonably restricted for the benefit of all members of the public. Due regard has been paid to the public benefit guidance published by the Charity Commission.

The Trustee of the Charitable Fund is the Board of Directors of The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust. The Board of Directors has appointed a Charitable Funds Committee to oversee the arrangements of the charity. This committee monitors the requirements imposed on the Trust by statutory legislation and by the Charity Commission. The committee is also responsible for monitoring the performance of the investments of the charity through its external advisors and approves significant expenditure proposals.

The Charitable Trust has made revenue and capital payments to the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust where the Trustees are also members of the Board of Directors; details of these payments are shown in Note 3.3 to the accounts. A summary of the Turnover and Net Surplus for the NHS Foundation Trust for 2015-16 and 2016-17 is shown in Note 15.

Karen Allman Director of Human Resources Tea Colaianni Non-Executive Director John Lelliott Non-Executive Director Paula Shobbrook Director of Nursing In addition to the voting members, the following attend committee meetings in an advisory capacity: Pete Papworth Deputy Director of Finance Debbie Anderson Head of Fundraising Safa Al-Shamma Consultant Surgeon Roger Parsons Governor (Bill Yardley, Dave Bennett and Christine Hallett left the committee during the year and were replaced by Alex Jablonowski, Tea Colaianni and John Lelliott.)

(Stuart Hunter was replaced as Director of Finance by Pete Papworth on 29 May 2017.)

(Graham Swetman was replaced as the Governor representative by Roger Parsons in March 2017)

23

Bournemouth Hospital Charity Annual Report

Charity Committee Members Induction and Training

T

he Trustee has delegated authorisation of requests for funds based on the following limits:

• • • • •

Up to £500: Authorised Fund Manager.

Up to £5,000: Fund Manager and Director of Finance.

Over £5,000: Fund manager, Business Case Review Panel and Director of Finance.

Any requests for funds above £20,000 require the additional approval from the Charitable Funds Committee.

Any requests for medical equipment, regardless of value, must receive approval from the Medical Equipment Committee in addition to the financial approvals above.

The Trustee has agreed that The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust will provide administrative support to the charitable funds.

This takes the form of managerial and accounting services, financial monitoring and advice. An annual fixed sum is recharged, together with actual fundraising costs incurred throughout the year.

N

on-executive directors of the Board of Directors are appointed by the Council of Governors. The chief executive is appointed by the non-executive directors, subject to the approval of the Council of Governors. Executive directors of the board are appointed by a committee, normally comprising the chairman, the chief executive, at least two other nonexecutive directors and an independent assessor, to be approved by the Board of Directors. Members of the Board of Directors and the Charitable Funds Committee are not individual trustees under Charity Law but act as agents on behalf of the Corporate Trustee.

The charity provides, in collaboration with the NHS Foundation Trust, an induction pack for newly appointed members of the NHS Board of Directors and Charity Trustee Committee. As part of their induction programme, new executive and nonexecutive directors of The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust are made aware of their responsibilities as Board members of the Corporate Trustee of The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust Charitable Fund.

All executive and non-executive directors are invited to attend core induction and diversity training programmes. A guided tour of the beneficiary NHS Foundation Trust’s facilities and any additional training that their role(s) may require is also offered. The chair of the Charity Committee gives new members of the Charitable Funds Committee a briefing on the current policies and priorities of the charitable funds. This induction includes an introduction to the objectives, scope and policies of the Charitable Funds, member responsibilities and a copy of the latest Charity Annual Accounts and Trustee Annual Report.

24

Bournemouth Hospital Charity Annual Report

Risk Management The Trustee employed the following professional advisors during the year: a) Bankers: Barclays Bank, London

T

he major risks to which the charity is exposed have been identified and considered by the Trustees.

Key risks include increased local competition; the current economic climate; adverse publicity; and a potential fall in the value of investments.

b) Solicitors: Beachcroft LLP, Bristol c) Independent Auditor: KPMG, Bristol d) Investment Managers: Quilter Cheviot, Bristol A full set of Annual Accounts relating to Charitable Funds held on Trust for the year ended 31 March 2017 are included in section 4 of this report.

The Royal Bournemouth and Christchurch hospitals website can be found at: www.rbch.nhs.uk The Bournemouth Hospital Charity website can be found at: www.BHCharity.org

A five year Strategy has been prepared and the major risks to which the charity is exposed have been identified and considered by the Trustees. Key risks include increased local competition; the current economic climate; adverse publicity; and a potential fall in the value of investments.

A five year Strategy was approved in 2016 to actively mitigate these risks; and where appropriate, systems, policies and procedures have been established to mitigate specific risks. The trustee is confident that reliance can be placed upon the management arrangements in place, which include internal and external audit services, to minimise any risk to the funds.

The most significant risk identified is the possibility of losses from a fall in the value of investments and the level of reserves available to mitigate the impact of such losses. Investments are held by qualified and experienced Investment Fund Managers who act in accordance with the agreed Investment Policy.

These investments are subject to regular review, with unrealised gains and losses allocated to funds at agreed intervals.

Procedures are in place to ensure that financial commitments remain affordable within the fund balance. Income and expenditure are covered by the Trusts standing financial instructions and there is an agreed recognition criteria in place for the receipt of donations.

There are clear approval procedures in place which give the corporate trustee confidence that expenditure will remain in line with the limits of the charity’s resources, ensuring continued compliance with the agreed reserves policy.

25

Bournemouth Hospital Charity Annual Report

The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust Charitable Funds Funds held on trust Annual Accounts 2016-17

Contents Page Description

27 Funds held on trust

28 Executive Summary

29 Statement of Trustees’ responsibilities

30 Independent Auditor’s Report

32 Statement of Financial Activities

33 Balance Sheet

34 Notes to the Accounts

26

Bournemouth Hospital Charity Annual Report

National Health Service Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust

Forward The Charity’s annual report and accounts for the year ended 31 March 2017 have been prepared in accordance with Part V1 of the Charities Act 2011 and the Charities (Accounts & Reports) Regulations 2005.

Statutory background The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust is the Corporate Trustee of the charitable funds governed by the law applicable to Trusts, principally the Trustee Act 2000 and the Charities Act 2011.

The Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust Charitable Funds are registered with the Charity Commission, registration number 1057366 and include funds in respect of the Royal Bournemouth and Christchurch Hospitals.

Main purpose of the funds held on trust The main purpose of the charitable funds held on trust is to apply income for any charitable purpose relating to the National Health Service wholly or mainly for the services provided by the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust.

27

Bournemouth Hospital Charity Annual Report

Executive Summary The year ended 31 March 2017 was a successful year for the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust Charitable funds in the current market conditions.

The charitable funds had total incoming resources amounting to £1,645k (2015/16: £1,509k). This includes legacies bequeathed totalling £861k (£788k), donations of £247k (£178k) and investment income of £4k (£1k). The charitable funds also received £163k (£159k) from other trading activities and £370k (£383k) from other income.

Resources expended in 2016/17 totalled £3,048k (2015/16: £2,031k), of which £1,131k (£761k) related to patient welfare, £274 (£241k) to staff welfare and amenities, and £575k (£484k) was spent on capital schemes throughout the Trust. Commitments of £721k (£336k) are included, and further details on the expenditure for the year can be found in the Annual Report 2016/17.

For 2016/17, there was a net outgoing resource of £1,403k for the funds (2015/16: £522k net outgoing). This was partially offset by a gain on the revaluation of investment assets of £601k (loss of £110k) and other recognised gains of £2k (2015/16 Zero). The charitable funds therefore decreased overall by £800k (£632k) leaving a closing balance of £4,074k (£4,874k). The Financial Report is set out in two parts: namely an Annual Report followed by the Financial Statements, which include the Notes to the Accounts.

Charitable expenditure is of paramount importance in the continuation of the high quality service offered to our patients and also assists staff in their working lives.

The Trustee wish to thank all patients, relatives, staff, volunteers and supporters whose energy and dedication has enabled us to achieve our charitable objectives.

Member of the Charitable Funds Committee Date: 8 November 2017

Mr P Papworth Director of Finance

28

Bournemouth Hospital Charity Annual Report

Statement of Trustees’ responsibilities in respect of the Trustees’ annual report and the financial statements Under the trust deed and charity law, the trustees are responsible for preparing the Trustees’ Annual Report and the financial statements in accordance with applicable law and regulations. The trustees have elected to prepare the financial statements in accordance with FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland.

The financial statements are required by law to give a true and fair view of the state of affairs of the charity and of the excess of expenditure over income for that period.

In preparing these financial statements, generally accepted accounting practice entails that the trustees: •

select suitable accounting policies and then apply them consistently;

•

make judgements and estimates that are reasonable and prudent;

state whether applicable UK Accounting Standards and the Statement of Recommended Practice have been followed, subject to any material departures disclosed and explained in the financial statements; •

state whether the financial statements comply with the trust deed, subject to any material departures disclosed and explained in the financial statements; and

•

prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue in business.

The trustees are required to act in accordance with the trust deed of the charity, within the framework of trust law. They are responsible for keeping proper accounting records, sufficient to disclose at any time, with reasonable accuracy, the financial position of the charity at that time, and to enable the trustees to ensure that, where any statements of accounts are prepared by them under section 132(1) of the Charities Act 2011, those statements of accounts comply with the requirements of regulations under that provision.

They have general responsibility for taking such steps as are reasonably open to them to safeguard the assets of the charity and to prevent and detect fraud and other irregularities.

The trustees are responsible for the maintenance and integrity of the financial and other information included on the charity’s website. Legislation in the UK governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

Date: 8 November 2017

Date: 8 November 2017

Alex Jablonowski Pete Papworth

Member of the Charitable Funds Committee Director of Finance

29

Bournemouth Hospital Charity Annual Report

Independent auditor’s report to the Trustees of Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust Charitable Funds We have audited the financial statements of Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust Charitable Funds for the year ended 31 March 2017 set out on pages 26 to 47. The financial reporting framework that has been applied in their preparation is applicable law and UK Accounting Standards (UK Generally Accepted Accounting Practice), including FRS 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland.

This report is made solely to the charity’s trustees as a body, in accordance with section 144 of the Charities Act 2011 (or its predecessors) and regulations made under section 154 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 set out on page 29, 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 144 of the Charities Act 2011 (or its predecessors) and report in accordance with regulations made under section 154 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 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 Financial Reporting Council’s website at www.frc.org.uk/auditscopeukprivate.

Opinion on financial statements In our opinion the financial statements:

30

•

give a true and fair view of the state of the charity’s affairs as at 31 March 2017 and of its incoming resources and application of resources for the year then ended;

•

have been properly prepared in accordance with UK Generally Accepted Accounting Practice; and

•

have been properly prepared in accordance with the requirements of the Charities Act 2011.

Bournemouth Hospital Charity Annual Report

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 2011 requires us to report to you if, in our opinion: •

the information given in the Trustees’ Annual Report is inconsistent in any material respect with the financial statements; or

•

the charity has not kept sufficient accounting records; or

•

the financial statements are not in agreement with the accounting records; or

•

we have not received all the information and explanations we require for our audit.

Jonathan Brown for and on behalf of KPMG LLP, Statutory Auditor Chartered Accountants 66 Queen Square Bristol BS1 4BE 16 November 2017 KPMG LLP is eligible to act as an auditor in terms of section 1212 of the Companies Act 2006

31

Bournemouth Hospital Charity Annual Report

Statement of Financial Activities for the year ended 31 March 2017

The notes on pages 34-47 form part of these accounts.

32

Bournemouth Hospital Charity Annual Report

Balance Sheet as at 31 March 2017

Alex Jablonowski Pete Papworth Member of the Charitable Funds Committee Director of Finance

Date: 8 November 2017

Date: 8 November 2017

33

Bournemouth Hospital Charity Annual Report

Notes to the Accounts Accounting Policies 1 1.1

Basis of Preparation

The financial statements have been prepared under the historical cost convention with items recognised at cost or transaction value unless otherwise stated in the relevant notes to these accounts. The financial statements have been prepared in accordance with the Statement of Recommended Practice: Accounting and Reporting by Charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued on 16 July 2014 and the Financial Reporting Standard applicable in the United Kingdom and Republic of Ireland (FRS 102) and the Charities Act 2011. The trust constitutes a public benefit entity as defined by FRS 102.

The trustees consider that there are no material uncertainties about the Trust’s ability to continue as a going concern.

In these financial statements the charity is considered to be a qualifying entity (for the purpose of FRS 102) and has applied the exemption available under FRS 102 in respect of the requirement to present a cash flow statement.

1.2

Incoming Resources

a) All incoming resources are recognised once the charity has entitlement to the resources, it is probable that the resources will be received and the monetary value of the incoming resources can be measured with sufficient reliability. b) Gifts in kind The charity received no gifts in kind during 2016-17 c) Intangible income The charity had no intangible income/expenditure during the year. d) Legacies Legacies are accounted for as incoming resources once the receipt of the legacy becomes reasonably probable. This will be once confirmation has been received from the representatives of the estates that payment of the legacy will be made or property transferred and once all conditions attached to the legacy have been fulfilled.

Material Legacies which have been notified but not recognised as incoming resources in the Statement of Financial Activities are disclosed in a separate note to the accounts with an estimate of the amount receivable. (Note 12) 1.3

Resources Expanded & Arrangements with RBCH Staff

Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the charity to that expenditure, it is probable that settlement will be required and the amount of the obligation can be measured reliably

34

Bournemouth Hospital Charity Annual Report

a) Cost of generating funds The cost of generating funds are the costs associated with generating income for the funds held on trust.

The Trust fundraising team continues to organise fundraising and provides the opportunity to increase income. The costs associated with fundraising, and the overhead facility costs, are recharged from the Royal Bournemouth (RBH) and Christchurch (XCH) Hospitals NHS Foundation Trust, and these are on an accruals basis based on actual costs incurred. b) Grants payable Grants payable are payments, made to third parties (including NHS bodies) in the furtherance of the Trust’s charitable objectives which are the provision of patient care and staff welfare.

They are accounted for on an accruals basis where the conditions for their payment have been met or where a third party has a reasonable expectation that they will receive the grant. This includes grants paid to NHS bodies.

1.3 c) Management and administrative costs Service provision for financial information support has been agreed. Associated costs are accounted for on an accruals basis and are recorded as recharges of appropriate proportions from the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust. The recharge for 2016/17 totalled ÂŁ55,000.

The recharge is made up as follows:

Financial Services : 2016/17 2015/16 RBCH Staff 18 12

Internal Audit 2 6

External Audit 5 5 Non Pay Costs 7 8 Ext NHS Finance Services 22 22 Indemnity insurance 1 1 Total 55 54

35

Bournemouth Hospital Charity Annual Report

Fundraising costs are also recharged to the charity from the Foundation Trust and are detailed below: RBCH Staff 2016/17 2015/16 Pay 297 160 Non-Pay 35 25 Total 332 185 1.3 d) Staffing The charity has no employees.

1.4

Structure of funds

The funds are classified and structured as below : Unrestricted Funds A majority of the charitable funds are unrestricted in their classification. They are “earmarked” unrestricted funds which are classified into individual areas, to be used for a particular purpose in the future. The use of these funds is at the discretion of the Trustee to benefit both patients and staff in their use within a specified area of the Hospitals.

Restricted Funds Jigsaw - new build, Orchard Garden and charities office are restricted income funds that are expendable at the discretion of the Trustee in furtherance of some particular aspect(s) of the objectives of the charity which are in line with the donor’s wishes.

These funds have arisen from income generated, and are for use by the fund managers to benefit the area specified. The funds must be utilised in line with the specified purpose.

The Trust has no Endowment (Capital - Expendable or Permanent) Funds.

Analysis of the unrestricted and restricted funds can be found in Note 11.1 & 11.2.

1.5 Fixed Asset Investment Investment Fixed Assets are shown at market value, as detailed in Note 8 to the Statement of Financial Activities.

The Trustee policy is to invest charitable funds with investments that maximise capital and are the most suitable investment type. The long-term objective is to invest capital that will give the maximum growth on income with minimal risk. The investment held as at balance sheet date are units within a Common Investment Fund and are included in the Balance Sheet at the closing price at 31st March 2017.

36

Bournemouth Hospital Charity Annual Report

1.6

Investment 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 the closing market value and the opening value (or date of purchase if later). These are shown in the Statement of Financial Activities under gains on revaluation of investment assets.

Analysis of the Investment gains and losses can be found in Note 8 to the Statement of Financial Activities.

1.7

(Fixed) Short Term Investments

This is interest received on the main bank accounts.

Short Term Investments include Stocks and Equities that have been received as part of Legacy distributions given to the Charitable Funds. These are revalued at year end and any gain or loss on revaluation of the investment asset is shown in the Statement of Financial Activities.

1.8

Apportionment of Investment Income

The Fixed Asset Investment (Common Investment Fund) is revalued every month and any unrealised gains or losses on the difference between the closing balance and the opening balance are apportioned over the funds (excluding Restricted).

1.9

Pensions Contributions

There are no employees within the charity.

1.10

Prior Year Adjustments

There have been no prior year adjustments during 2016-17 1.11

Pooling Scheme

An official pooling scheme is registered for investments with the Charity Commission on 16 June 1998.

1.12

Related Party Transactions

The Charitable Trust has made revenue and capital payments to the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust where the Trustees are also members of the Board of Directors. A summary of the Turnover and Net Surplus for the NHS Foundation Trust for 2015-16 and 2016-17 is shown in Note 15.

37

Bournemouth Hospital Charity Annual Report

Arrangements are in place with the Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust for the completion of a monthly recharge relating to all charitable expenditure incurred by the Trust. The recharge is paid in arrears.

Details of Resources Expended with related parties during 2016-17 are shown in Note 3.2.

As at 31/03/17 , the charity owed £490,000 to the Trust.

1.13

Reserves Policy

Most of the expenditure incurred by the Charity is in respect of contributions to patients, staff and the purchase of medical equipment. The policy of holding reserves is a balance between keeping a relatively small sum of money in individual funds for which specific donations have been made and planning for additional capital investment.

The Trustees would normally expect to retain reserves equal to two to three years’ net annual expenditure, not including the balance of the restricted funds. The reserves are replenished through the receipt of significant legacies and donations. In recent years, the value of income has reduced resulting in a corresponding reduction in committed expenditure. The reserves policy will continue to be reviewed annually.

In 2016/17, net expenditure was £800,000, resulting in an expected reserve balance of £2.4 million, which equates to the balance on unrestricted funds.

1.14 Supporters Recognised organisations as major supporters to the Royal Bournemouth & Christchurch Hospitals NHS Foundation Trust Charitable Funds are as follows: - The League of Friends Bournemouth and League of Friends Christchurch - Friends of the Bournemouth Eye Unit - Bournemouth Chest Diseases - Tulip Appeal - Sustain Income relating to Third Party Recharges is included in other within Incoming Resources, and expenditure is included within Grants Payable.

Details of all Third Party Recharges during 2016/17 are shown in Note 2.3.

1.15

Trustee Remuneration

There have been no payments made during the year for the refund of expenses or remuneration to the Trustee.

38

Bournemouth Hospital Charity Annual Report

1.16

Donations Policy

Donations are received and receipted to the donor. All donations are allocated to the specified fund, as stated by the donor. Any restrictions on donations usage are adhered to by the Fund Managers and the funds are classified accordingly.

Further details of the purposes of various funds can be seen within the Annual Report.

1.17

Activities in Furtherance of Charity Objectives

In the furtherance of charity objectives, events have been held throughout the year by the fundraising office to generate income to the charitable funds.

Income from the fundraising events held can be seen within Operating Activities for generating funds. see Note 2.1.

All related expenditure to these fundraising events has been included within costs of generating funds and can be separately seen on the Statement of Financial Activities for the year.

1.18

Post Balance Sheet Event

There are no post Balance Sheet events.

1.19

Support Cost Apportionment

The historic approach was that all charges were debited to the general fund rather than apportioned against all funds . This ensured that specific and small fund balances were not eroded through admin and fundraising charges. To off-set this, and to ensure equity, all interest and investment gains/losses were also accounted in the general fund.

After review by the charity committee, in 2015/16 the methodology was amended to apportion fundraising and administration recharges , together with investment gains and losses across all fund balances (excluding restricted funds , namely Jigsaw, Orchard Garden and Christchurch Refurbishment). This methodology has continued in 2016/17.

39

Bournemouth Hospital Charity Annual Report

1.20 Support Cost, Governance Cost and Cost of Generating Funds Apportionment to Expense Type Consistent with the methodology for apportioning costs to funds, the apportionment of costs to expense type excludes restricted funds.

1.21

Going Concern

The Charity has significant financial resources, and Charity Fund approved commitments are included in these accounts, which therefore show the available funds.

The return on investments, donations and legacies have increased from the previous year, which together with the expansion in the fundraising team will develop the awareness of the charity and increase income in future years.

After making enquiries , the Corporate Trustee has reasonable expectation that the Charity has adequate resources to continue in operational existence for the foreseeable future. For this reason, they continue to adopt the going concern basis in preparing the Annual Report and Accounts.

40

Bournemouth Hospital Charity Annual Report

1.22

Public Benefit Entity

This is an NHS Charity , a public benefit entity, whose purposes are detailed in the introduction on page 27.

Charity Fund Applications are reviewed and approval given (within the authorites detailed on page 23) with due regard to the commission’s public benefit guidance and the purposes of the charity.

1.23

Judgements and Estimations

The accounts include commitments for items approved through the Charity Fund Approval process. (see note 13). The values of these approvals will be based on best estimate of costs, some supported by quotations, purchase orders and costed internal recharges.

1.24

Donated Goods, Facilities or services

The charity received no material donated goods, facilities or services.

Events may be held on third party sites, but costs associated with events would be recorded under cost of generating funds expenditure.

1.25 Volunteers Volunteers have played a role in the running of the charity’s events as detailed on page 18.

1.26

Irrecoverable VAT

Irrecoverable VAT is charged against the category of resources expended for which it was incurred.

1.27 Taxation Liability As a registered charity, the fund is potentially exempt from the taxation of income and gains falling within S505 of the Income and Corporation Taxes Act 1988 and S256 Taxations and Chargeable Gains Act 1992.

No tax charge has arisen in the year.

41

Bournemouth Hospital Charity Annual Report

42

Bournemouth Hospital Charity Annual Report

43

Bournemouth Hospital Charity Annual Report

44

Bournemouth Hospital Charity Annual Report

45

Bournemouth Hospital Charity Annual Report

46

Bournemouth Hospital Charity Annual Report

47

Bournemouth Hospital Charity Annual Report

Thank you to the volunteers, supporters, fundraisers and groups without whom we would not be able to provide the many benefits to the patients and staff at the Royal Bournemouth and Christchurch Hospitals. We simply cannot thank everyone so here are a few of our major donors and supporters:

The League of Friends of the Royal Bournemouth Hospital Christchurch Hospital League of Friends Going for Bust Thomson Airways Nationwide Chewton Glen Hotel Village Hotel Bournemouth Friends of the Bournemouth Eye Unit JP Morgan Fiona Castle Wimborne Mower Club Tenovus Cancer Care Tesco Bags of Help Franco Macera and Dudsbury golf club Valentine Charitable Trust Pink Ribbon Foundation LV Roger Counter Foundation Stewarts Gardenlands Rotary Club of Boscombe and Southbourne Rotary Club of North Bournemouth Meggit PLC Roly Frost and the London Tavern Bourne Lodge no. 6959 John Lewis

For more information please contact us:

01202 704060 www.BHCharity.org

Royal Bournemouth Hospital, Castle Lane East, Bournemouth BH7 7DW

Registered Charity no. 1057366

48