TRUSTEES’ ANNUAL REPORT 2004 – 2005

Ceredigion and Mid National Health Service Trust General Fund Charity INVESTOR IN PEOPLE A MESSAGE FROM THE TRUSTEES

The charity for which we are trustees is known as transactions during the year, and the position of its “ and Mid Wales NHS Trust General Fund funds at the end of the year. Charity”.We produce an Annual Report and Accounts each year, as part of our duty of public accountability We would like to express our thanks to all those who and stewardship.The Trustees’ Annual Report includes a helped Ceredigion and Mid Wales NHS Trust to summary of the annual accounts and also explains the improve facilities for patient care during the year.Your charity’s objectives, structure, activities and generosity and support is unfailing and is always achievements.We hope it will enable you to gain a full appreciated. and proper understanding of the charity’s financial

Charitable Funds

NHS Charitable Funds are principally funded by voluntary donations from the general public. In most cases, the Trust Board members of an NHS organisation are also trustees of the charitable funds held by that organisation and this is the case for Ceredigion and Mid Wales NHS Trust.

Statutory Instrument Number 504 1995 formally transferred the NHS Charitable Funds relating to Ceredigion from the control of Dyfed Health Authority to the Trust on 1st April 1995. The statutory instrument was made by order of the Secretary of State for Wales and Ceredigion and Mid Wales NHS Trust Board members became trustees for the funds.

These funds have been registered by the The trusteeship of NHS Charitable Funds on NHS Trusts. In Ceredigion, the Trust with the Charities Commission is provided for in the following legislation: “appropriate hospital authority” is the (registration number 1052231) and are NHS Trust acting through its directors operated in accordance with charity law. 5 NHS Reorganisation Act 1973, (the charity trustees), as determined by the Charity law is not specific to the NHS, but Section 29 NHS and Community Care Act 1990. deals with all charities. 5 NHS Act 1977, sections 90, 92, 95(2) The Trust Instrument referred to in the and 96(A) 1990 Act is the deed of trust or will. The four main Acts are: 5 NHS and Community Care Act 1990, Sections 11, 16(c), Schedule 2 Part II. Legal and Administrative Information 5 Trustee Investment Act 1961 (as amended) Section 90 of the NHS Act 1977 states Name of Charity: Ceredigion and Mid 5 Charities Act 1992 that “A Health Authority has power to Wales NHS Trust General Fund 5 Charities Act 1993 accept, hold and administer any property Address: Bronglais General Hospital, 5 Charities (Accounts and Reports) on trust for all or any purpose relating to Caradog Road, , SY23 1ER Regulation Act 1995 the NHS”. The NHS and Community Trustees in 2004/05: Eleri Ebenezer Care Act 1990 conferred the same power (Chairman); Allison Williams (Chief

2 TRUSTEES’ANNUAL REPORT 2004/2005 Designed and printed by: Gomer Press Limited, Photography by:Arvid Parry Jones / Arwyn Parry Jones – 01970 832423 Executive); Dr Alan Axford (Medical particular wards or services, which are discretionary portfolio on behalf of the Director); Stephen Griffiths (Director of managed on a day to day basis by the charity, within the parameters set by the Nursing and Patient Services); Stephen clinical staff of Ceredigion and Mid Wales Charitable Funds Committee. They Forster (Director of Finance); Nick Busk NHS Trust. balance the requirement to generate (Non-Executive Director); Chris Hewitt income for charitable purposes against low (Non-Executive Director); Emlyn Thomas ORGANISATIONAL STRUCTURE risk investments, consistent with the (Non-Executive Director); Amanda charity’s aims. Investment in the tobacco Newman (Non-Executive Director); Anita The Trust’s Charitable Funds Committee industry is not permitted. Rogers (Non-Executive Director). is responsible for the co-ordination of Governing Document: “The Declaration charitable activities. Applications to set up MAJOR RISKS of Trust” dated 1st December 1995. new charitable funds must be submitted to Bankers: HSBC, Aberystwyth the Charitable Funds Committee, stating The major risks to which the charity is Investment Manager: Chiswell their purpose clearly in charitable terms. exposed, as identified by the trustees, have Associates, 4 Chiswell Street, Finsbury The Charitable Funds Committee been reviewed and reasonable systems have Square, London, EC1Y 4UP determines the Trust’s investment policies been established to mitigate those risks. Solicitor: None appointed and has a key role in the management of Auditor: Audit Commission in Wales, Charitable Funds, as the Trustees are HOW IS YOUR MONEY USED? accountable to the Charities Commission and to the general public for the Charitable funds are used for the purchase OBJECTS OF THE CHARITY expenditure of donated monies. of equipment for patients, staff amenities and for research and education. They The Trust has registered all of its funds INVESTMENT POLICY make a valuable contribution to the Trust’s under the “Ceredigion and Mid Wales primary charitable purpose, which is for NHS Trust General Fund Charity” and The Charitable Trust’s investment policy is the relief of those who are ill or the objects of this charity are as follows: to hold an element of its overall funds in handicapped in Ceredigion, and must be cash deposits for operational of public benefit, not limited to a single “The trustees shall hold the Trust Fund commitments, whilst also employing beneficiary. upon trust to apply the income and, at Investment Managers to manage a their discretion, so far as may be permissible, the capital, for any charitable purpose or purposes related to the NHS wholly or mainly for the services provided by Ceredigion and Mid Wales NHS Trust.”

Within the General Fund Charity are five subsidiary registered deeds of trust, which define elements of the charity as being for particular sites and services:

5 Bronglais Hospital 5 Cardigan Hospital 5 Hospital 5 Hospital 5 Ceredigion Community Services.

Some of the money is held for the general charitable purposes of each of the above, but within these five special trusts are many designated restricted funds used for

TRUSTEES’ANNUAL REPORT 2004/2005 3 CHARITABLE FUNDS During 2004/2005, the Trust received donations and legacies to the value of £383,000. In total, the Trustees approved expenditure of £548,000 during the year to improve patient care, examples of which are shown in the following list.

Charitable Funds: Main Purchases Approved in 2004/2005 Department/Site Equipment Price £

Radiology Hologic Discovery C Bone Densitometer 57,000.00 Tregaron Hospital Nimbus systems and Contura beds 24,631.17 Meurig Ward 2 Olympus Cystoscopes 20,660.00 Meurig Ward PACS workstation for breast clinic 13,279.00 A&E 2 Datex monitors, 1 Energen scanner and 1 Tuffsat monitor 11,187.50 Owain Glyndwr Ward Bard portable bladder scanner 7,770.00 Photo courtesy of the Cambrian News Angharad Ward Patient monitor (multi parameter) 6,679.89 Palliative Care Project Architects’ fee for palliative care project 4,707.60 Rheidol Ward Grasby 500 Volumetric Pump 3,000.00 Trust-wide Videoconferencing maintenance contract, equipment and line rental 2,808.75 Tregaron Hospital 4 Pemberton Chairs and 4 Duchess Chairs 2,231.88 Tregaron Hospital 2 PB Oxygen concentrators 2,000.00 Bronglais Hospital Baby warmer (Special Care Baby Unit) 2,000.00 Owain Glyndwr Ward 469 Pro Contour electric bed with sides and Photo courtesy of the Cambrian News Penflax mattress 1,659.00 Ystwyth Ward ADL Enabler Unit and Sigma Stroke Chair 1,520.00 Angharad Ward Grasby infusion pump 1,495.00 Iorwerth Ward 2 NPB40 Oxiumeters, 2 finger probes and 2 ear clip and ear lobe sensors 1,383.44 Cancer Care Community 2000 Palliative Care booklets and 2000 Art Therapy cards 1,156.00 Rhiannon Ward Omnifuse syringe infusion pump 1,075.00 Tregaron Hospital 8 Cotside Bumpers 1,056.00 Angharad Ward Oxygen monitor 957.63 Gwenllian Ward 3 Aqua Dopplex D920 824.28

Cardigan Hospital Manual handling equipment 753.70 Photo courtesy of the Cambrian News Cardigan Community Nursing community supplies 680.00 Rheidol Ward 4 Instrument Trolleys 664.56 Occupational Therapy 3 Wheelchairs (League of Friends) 608.25 Rheidol Ward 2 Repose mattress systems and 4 heel protectors 470.00 Meurig Ward Beluga recliner bath lift and height raisers 445.00 Leri Day Hospital Electric cooker 364.77 Cardigan Hospital Cotside bumpers 340.00 Family Support Various toys, equipment and books (League of Friends) 78.39

Photo courtesy of the Cambrian News

4 TRUSTEES’ANNUAL REPORT 2004/2005 SUMMARY OF ACCOUNTS 2004/05 A summary of the Trust’s Annual Accounts for charitable funds is shown on the following pages.These summarised accounts may not contain sufficient information to allow for a full understanding of the financial affairs of the charity. For further information, the full annual accounts and the auditor’s report on those accounts should be consulted. Copies of these may be obtained from the Finance Department,Ael y Bryn, Bronglais General Hospital,Aberystwyth, SY23 1ER.

STATEMENT OF FINANCIAL ACTIVITIES 2004/05 £000 2003/04 £000 CASHFLOW STATEMENT 2004/05 £000 2003/04 £000

Incoming Resources Net cash inflow/(outflow) from operating activities 122 68 Donations 265 185 Legacies 118 196 Capital Expenditure Grants receivable 0 0 Payments to acquire tangible fixed assets 0 0 Investment income 75 69 Payments to acquire investment fixed assets -193 -303 Incoming Resources from Activities Receipts from the sale of tangible fixed assets 0 0 - to generate funds 0 0 Receipts from the sale of investment fixed assets 205 316 - in furtherance of the Charity’s activities 0 0 Other capital expenditure 0 0 Other incoming resources 54 0 Other capital receipts 0 0 Total Incoming Resources 512 450 Net cash inflow/(outflow) from capital expenditure 12 13 Resources Expended Costs of generating funds 0 0 Management of Liquid Resource Grants payable 548 359 Purchase of current asset investments and deposits 0 0 Activities in furtherance of Charitable objects 0 0 Sales of current asset investments and deposits 0 0 Support Costs 0 0 Net cash inflow/(outflow) from management of liquid resources 0 0 Management and administration 29 29 Total Resources Expended 577 388 Financing Net incoming/(outgoing) resources before transfers -65 62 Increase/(decrease) in debt due within one year 0 0 Gross transfer between funds 0 0 Increase/(decrease) in debt due after one year 0 0 Net Incoming/(Outgoing) Resources -65 62 Capital element of finance lease rental 0 0 Gains/(losses) on revaluation and disposal of Net cash inflow/(outflow) from financing 0 0 investment assets 138 214 Increase/(decrease) in cash 134 81 Net Movement in Funds 73 276 Fund Balances Brought Forward at 31st March 2004 2,055 1,779 Fund Balances Carried Forward at 31st March 2005 2,128 2,055

BALANCE SHEET AT 31st MARCH 2005 2004/05 £000 2003/04 £000 NOTES TO THE ACCOUNTS

Fixed Assets Intangible assets 0 0 1. ACCOUNTING POLICIES Tangible assets 0 0 Investments 1,783 1,657 Total Fixed Assets 1,783 1,657 The accounts have been prepared in accordance with the

Current Assets Statement of Recommended Practice – Accounting and Reporting Stocks 0 0 by Charities – issued in October 2000 and with the Standard Debtors 11 14 Short term investments and deposits 0 0 Accounting Practices and Policies for the NHS approved by the Cash at bank and in hand 535 401 Assembly. Total Current Assets 546 415

Creditors Amounts falling due within one year 201 17 Net Current Assets 345 398 Total Assets Less Current Liabilities 2,128 2,055

Creditors Amounts falling due after more than one year 0 0 Provisions for liabilities and charges 0 0 Net Assets 2,128 2,055 Funds of the Charity Unrestricted 578 59 Restricted 1,479 1,925 Endowment 71 71

Total Funds 2,128 2,055

TRUSTEES’ANNUAL REPORT 2004/2005 5 2. DETAILS OF INCOMING RESOURCES Total 2004/05 £000 Total 2003/04 £000 Material grants receivable 0 0 Material other incoming resources 54 0 Total incoming resources 54 0

3. DETAILS OF RESOURCES EXPENDED – GRANTS PAYABLE Unrestricted Restricted Endowment Total Total 2003/04 Funds Income Funds £000 £000 £000 Funds £000 £000 Patients’ welfare and amenities 0 41 0 41 67 Staff welfare and amenities 0 10 0 10 10 Research 0 0 0 0 0 Other Contributions to NHS 194 303 0 497 282 Miscellaneous 0 0 0 0 0 Total grants payable 194 354 0 548 359

4.ANALYSIS OF FUNDS – ENDOWMENT AND RESTRICTED INCOME FUNDS Balance at Incoming Resources Transfers Gains Balance at 1 April 2004 Resources expended £000 and 31 March £000 £000 £000 losses 2005 £000 £000 Endowment Funds Material Funds FE Smith – Permanent 71 0 0 0 0 71 Other 0 0 0 0 0 0 Total 71 0 0 0 0 71

Restricted Funds Material Funds A Bronglais Hospital Fund 737 400 -290 0 58 905 B Tregaron Hospital Fund 18 65 -14 0 2 71 C Aberaeron Hospital Fund 1,096 36 -55 -711 75 441 D Cardigan Hospital Fund 7 4 -2 0 1 10 E Ceredigion Community Fund 67 6 -22 0 1 52 Other 0 0 0 0 0 0 Total 1,925 511 -383 -711 137 1,479

5. ANALYSIS OF UNRESTRICTED AND UNRESTRICTED DESIGNATED FUNDS Balance at New Utilised/ Transfers Gains and Balance at 1 April 2004 Designations/ Realised £000 Losses 31 March 2005 £000 Receipts £000 £000 £000 Ceredigion and Mid Wales General 59 1 -194 711 1 578 Total 59 1 -194 711 1 578

RELATED PARTY TRANSACTIONS capital payments to the Ceredigion and Mid Wales NHS Trust and details of these transactions are recorded in the annual accounts, During the year, none of the trustees or members of the key which are available from the Director of Finance. management staff or parties related to them have undertaken any material transactions with the Ceredigion and Mid Wales NHS Charitable Funds Authorisation Statement Trust General Fund Charitable Trust. The Trustees approved the Annual Report and Accounts as a body on 12 January 2006 Board members and other senior staff take decisions both on Charity and Exchequer 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 Eleri Ebenezer, capacities and are available to be inspected by the public. Chairman, Charitable Funds Committee During 2004/05, the Charitable Trust has made revenue and (on behalf of the trustees)

6 TRUSTEES’ANNUAL REPORT 2004/2005