Annual Report & Accounts for the Year ended 31 March 2018

Company Registration Number 10004003 Charity Number 1165716

Company Address 5th Floor Nuffield House, Queen Elizabeth Hospital Birmingham B15 2TH Trustees Report incorporating the Strategic Report | University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

Contents

Executive summary 2 Chair’s statement 4 An overview 6 Charitable purpose and public benefit 6 Information about University Hospitals Birmingham NHS Foundation Trust 6 Information about Heart of England NHS Foundation Trust 6 Our key performance indicators 7 Plans for the future 8 What we fund 9 Equipment 10 Research 10 Facilities 11 Training, education and patient support 12 How we are funded 14 Fundraising 14 Legacies 17 Governance 18 More about who we are and how we work 18 Our history 18 How do we do things? 18 Details of Trustees 18 Trustee recruitment, appointment and induction 19 Charity sub-committees 19 Our staff 19 Remuneration policy 19 Volunteers 20 Grant making structure and policy 20 Charitable expenditure 20 Charity’s advisors and agents 20 Wider networks and related parties 21 Administrative Structure as at 31 March 2018 21 External support structure as at 31 March 2018 21 Risk management 22 Investment policy 22 Reserves policy 23 Financial review 23 Statement of Trustees’ responsibilities 24 Independent Auditors’ report to the Trustees 25 Statement of Financial Activities for year ended 31 March 2018 27 Balance sheet as at 31 March 2018 28 Notes to the financial statements 30

2 Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity | Trustees Report incorporating the Strategic Report

Executive Summary

University Hospitals Birmingham Charity exists to support the Our two NHS family facilities, Karen’s Home from Home and patients of University Hospitals Birmingham NHS Foundation SACA’s Home from Home (SACA is the name of a charity bike Trust, by funding equipment, facilities, research and patient ride from Birmingham to London), continue to build on the support that is over and above what can be provided by the success of Fisher House and serve the families of leukaemia NHS. and cancer patients.

On 1 April 2017, University Hospitals Birmingham Charity merged None of this would be possible without the generous support with Heart of England NHS Foundation Trust Charitable Funds of our fundraisers and donors, and we thank each and every and thus also became responsible for supporting the patients one of them. of Heart of England NHS Foundation Trust. In particular, we are especially grateful to US charity Fisher This was in anticipation of the merger of University Hospitals House Foundation and UK charity Help for Heroes for their Birmingham NHS Foundation Trust and Heart of England NHS support. Without their contribution, Fisher House could never Foundation Trust, which took place on 1 April 2018. have been built, and we are very grateful to Help for Heroes for their ongoing support of £50,000 per year towards the Fisher University Hospitals Birmingham Charity therefore works across House running costs. four of the largest hospitals in the Birmingham area - The Queen Elizabeth Hospital Birmingham, Heartlands Hospital, Good Hope We are very pleased to have worked with a number of local Hospital and Solihull Hospital. charities, including Help Harry Help Others, Ladies Fighting Breast Cancer, The Get A Head Charitable Trust, Friends of Together, the hospitals see over two million patients a Queen Elizabeth Medical Centre, Friends of Good Hope year. Patients are referred to the hospitals’ many centres of Hospital, Friends of Solihull Hospital and Breast Friends Solihull. excellence from across the UK. In partnership with these organisations, we have continued to support ground breaking medical research, provide cutting The general public identify with the names of the individual edge medical equipment, and improve patient experiences hospitals rather than the name of the NHS Foundation Trusts across the hospitals. running them, and so the charity has adopted four working names that it is known to the public by – Queen Elizabeth This is just a snapshot of the progress University Hospitals Hospital Birmingham Charity, Heartlands Hospital Charity, Good Birmingham Charity has made during the last year, including Hope Hospital Charity and Solihull Hospital Charity. becoming a major provider of research grants in the region, and funding services and equipment that are over and above The merger with Heart of England NHS Foundation Trust that which the NHS provides. Charitable Funds sees the charity having many more opportunities to engage with patients, families, donors and The report that follows provides full information on the charity’s supporters across Birmingham and the wider West Midlands, history and background, its structure and governance, its and Trustees want to see an increase in total grants made and plans for the future, and detailed reports on its revenues and total fundraising income. expenditure.

Fisher House, the “home away from home” for military patients and their families, has now been a safe haven for over 3,500 patients and family members in the four years since it opened in June 2013 and has provided over 20,000 nights’ accommodation. 2017/18 was the busiest year for the house since it opened, with just over one thousand patients and family members using the house.

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Chair’s Statement

I am honoured to be writing my first Chair’s statement having The charity is registered with the Fundraising Regulator, who been appointed by my fellow Trustees as Chair of University is responsible for the Fundraising Preference Service which Hospitals Birmingham Charity on 1 February 2018. launched in July 2017, and was a member of its predecessor, the Fundraising Standards Board. I would like to take this opportunity to thank our previous chair, Brian Hanson, for his dedication and service to the charity. Brian We encourage all our fundraising staff to join the Institute of has served as a Trustee for fifteen years and had been Chair for Fundraising, and our Chief Executive holds MInstF(Cert) status ten years. Under his leadership, the hospital charity has grown with the Institute. from strength to strength and I am privileged to become Chair as we enter a new era, having this year merged with Heart Your personal data is important to you, and we only want to use of England NHS Foundation Trust Charitable Funds and now it in ways you have asked us to. We only send our newsletters serving four of Birmingham’s busiest hospitals. out to people who have asked for them, and you can remove yourself from that mailing list at any time by emailing charities@ When we talked to donors and fundraisers, they were very uhb.nhs.uk. keen to understand where their donations were going, and be reassured that they could support an individual hospital It is important for Trustees to set the tone for the charity, and especially if they had strong personal reasons for doing so. we very much want our donors and supporters to be treated in the way we would expect to be treated ourselves. This belief Therefore, my fellow Trustees and I have decided to continue permeates the charity, and I have seen this when I have had the to operate under the brands of the individual hospitals, and so privilege of attending many fundraising events throughout the the charity has four working names – Queen Elizabeth Hospital year, where fundraisers tell me how much they have enjoyed Birmingham Charity, Heartlands Hospital Charity, Good Hope working with the charity, and how they have felt looked after by Hospital Charity and Solihull Hospital Charity. the fundraising team.

Thus, although the charity as a whole operates under a single I am always amazed to see what people are prepared to do in charity registration number (1165716) and has a single set of order to raise funds for the hospital charity, and the numbers of accounts, donors and fundraisers can choose to donate to a people that take part in events – from parachute jumps to mud specific fund within the charity for each hospital. splattered obstacle courses, from half marathons to treks across the Sahara. We believe that reassuring donors and fundraisers where their money is being spent will really be able to benefit patients This year saw our biggest ever participation event, when over a by increasing the amount of money we can raise and spend thousand riders took part in Velo Birmingham, a 100 mile closed to provide “over and above” items across University Hospitals road cycle ride, raising over £400,000 for the hospital charity. Birmingham NHS Foundation Trust (‘UHBFT’). I would like to thank each and every rider, roadside supporter and donor for what was an amazing event. During the year, the hospital charity prepared for the new General Data Protection Regulations that became law in May We are looking forward to the next Velo Birmingham in May 2018.w 2019, when again we are fortunate enough to be one of the official charities of the ride. We know that in view of the media coverage surrounding charities and some dubious practices across the sector, that this All of our fundraising activities are to progress us towards one is another area of importance for our donors and fundraisers. goal – supporting patients at University Hospitals Birmingham NHS Foundation Trust. As you will see in this report, this is done During the past twelve months, there was ongoing media by purchasing cutting edge medical equipment normally coverage and large fines for some of the charities that have available only abroad or in private practice, providing facilities mishandled the personal data of their donors and fundraisers. not normally seen in NHS hospitals (such as Fisher House), funding world class research at the hospital and universities I therefore think it is appropriate to reassure again all our donors across the region, or simply making a patient’s stay in hospital and supporters that University Hospitals Birmingham Charity just that little bit less stressful. does not, and has never, taken part in these types of activities. Through your kind and generous support, we can continue to ÎÎ We do not sell the names, addresses or data of any of our make a difference to the hospital’s patients and families, not by supporters. replacing government funding, but by adding to that level of ÎÎ We do not share our supporter databases with other charities. care provided in other NHS hospitals, and helping make our ÎÎ We do not use third party fundraising agencies to sign up hospitals world class facilities. donors on the street (known as “chugging”) or to contact donors at their home or place of work

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It is important that we can get that message out into the public We would also like to acknowledge the valuable support of domain, and our job is made so much easier because of the volunteers, both at the hospital and the numerous volunteers wonderful level of support we get from local, regional and carrying out their own fundraising events across the country. national media outlets. Notably, we would like to acknowledge the support given by Particular thanks must go to BBC Midlands Today, BBC Radio all the staff at the hospital who have taken part in bike rides, half WM, Heart FM, Free Radio, ITV Central News, Birmingham marathons, skydives, and the ever popular hospital cake sales! Mail, Birmingham Post and British Forces Broadcasting who all continue to be very supportive in carrying news stories about The role of Trustee is vitally important to the charity, and I the charity and its support of patients. would like to thank all my fellow Trustees for their support and dedication. Please read through our case studies later in this report, which expand on some of the stories I’ve mentioned and also give You can see more about the hospital charity at our website, some other good examples of where the charity’s support is www.hospitalcharity.org. benefiting patients and their families. I hope you will enjoy reading this report and hearing a bit The Trustees are grateful to UHBFT who provide finance more about the projects we have already funded and the administration to the charity through a Service Level Agreement. stories behind some of our fundraising successes. Please do let me know what you think of the report, either by emailing In particular, I would like to thank the Rt Hon Jacqui Smith and me at [email protected] or writing to me at Queen Elizabeth Dame Julie Moore for their valuable support of the charity, Hospital Birmingham Charity, 5th Floor Nuffield House, Queen ensuring that we have good links throughout the hospital and Elizabeth Hospital, Birmingham, B15 2TH. helping us to identify ways we can benefit patients. Thank you all for your support We were sad to hear of Dame Julie’s upcoming retirement at the end of August 2018, and we are particularly grateful for her leadership of the NHS Foundation Trust and her dedicated support of the charity. We were pleased to hear that Dr David Rosser, previously Deputy Chief Executive of the NHS Foundation Trust has been appointed to lead the Trust when Dave Mackay Dame Julie retires. Chair

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An Overview

Charitable purpose and public benefit The Queen Elizabeth Hospital Birmingham provides services to over one million patients every year, from a single outpatient University Hospitals Birmingham Charity, company number appointment to a heart transplant. UHBFT is a regional centre 10004003, registered charity number 1165716, is the official for cancer, trauma, burns and plastics, and has the largest solid charity of University Hospitals Birmingham NHS Foundation Trust organ transplantation programme in Europe, as well as the (‘UHBFT’) and Heart of England NHS Foundation Trust (‘HEFT’). largest paediatric radiotherapy practice in the country outside London. It exists for the benefit of patients at UHBFT and HEFT and provides funding for support that is over and above that UHBFT also hosts the Royal Centre for Defence Medicine provided by core NHS funding. (RCDM), the primary function of which is to provide medical support to military operational deployments. It provides It operates predominantly across four hospitals – Queen secondary and specialist care for members of the armed Elizabeth Hospital Birmingham, Heartlands Hospital, Good Hope forces and incorporates a facility for the treatment of service Hospital and Solihull Hospital but also supports UHBFT and HEFT personnel who have been evacuated from an overseas patients wherever they are treated, including regional dialysis deployment area after becoming ill or wounded/injured. clinics, Birmingham Chest Clinic, Solihull Community Services and Umbrella Sexual Health Services. RCDM is a dedicated training centre for defence personnel and a focus for medical research and it is a tri-service establishment, The charity’s income comes from fundraising, donations, meaning that personnel from all three of the armed services charitable grants, legacies and sponsorship. The Trustees work at the hospital. Defence personnel are fully integrated oversee charitable expenditure to ensure that funding is for throughout the hospital and treat both military and civilian the clear benefit of patients, their families and others using the patients. UHBFT also holds the contract for providing medical hospitals. services to military personnel evacuated from overseas via the “Aero med service”. Under the Charities Act 2011, charities are required to demonstrate that their aims are for the public benefit. The two The Wellcome Trust Clinical Research Facility (CRF) is also hosted key principles which must be met in this context are first, that by UHBFT at the Queen Elizabeth Hospital. This development there must be an identifiable benefit or benefits; and secondly, is a joint initiative between UHBFT and the University of that the benefit must be to the public, or a section of the public. Birmingham Medical School.

Charity Trustees must ensure that they carry out their charity’s UHBFT partnered with University of Birmingham and aims for the public benefit, must have regard to the Charity Birmingham Women’s & Children’s Hospital NHS Foundation Commission’s guidance, and must report on public benefit in Trust to create Birmingham Health Partners, bringing together their Annual Report. clinical, scientific and academic excellence across an integrated medical and life sciences campus. Birmingham Health Partners The Trustees of University Hospitals Birmingham Charity operates the Institute of Translational Medicine on the UHBFT regularly monitor and review the success of the charity in campus. The Centre for Rare Diseases, supported by the charity, meeting its key objectives of benefiting patients at UHBFT and is part of the Institute of Translational Medicine. HEFT. The Trustees confirm, in the light of the guidance, that these aims fully meet the public benefit test and that all the Information about HEFT activities of the charity are undertaken in pursuit of its aims. Because University Hospitals Birmingham Charity merged with A vital role of University Hospitals Birmingham Charity is its work Heart of England NHS Foundation Trust Charitable Funds a year in supporting and enhancing UHBFT and HEFT’s outstanding before the two NHS Foundation Trusts merged, the hospital quality of clinical activity, and so this report includes some charity has been working across HEFT for a year. general information about UHBFT, and for the year under review, HEFT, which merged with UHBFT on 1 April 2018. Heart of England NHS Foundation Trust (HEFT) consists of three hospitals – Heartlands Hospital, Good Hope Hospital and Information about UHBFT Solihull Hospital, as well as Birmingham Chest Clinic and Solihull Community Services. University Hospitals Birmingham NHS Foundation Trust (UHBFT) is the leading university teaching hospital in the West Midlands. Seeing just over a million patients per year across the sites, HEFT It provides traditional secondary care services to the South was one of the largest NHS foundation trusts in the country, with Birmingham catchment area. Specialist tertiary care is provided over 2,700 inpatient beds. across the wider West Midlands and a proportion of UHBFT’s activity is provided to patients who are referred from outside HEFT specialises in treating patients suffering from a wide range the region. of illnesses including heart and kidney disease, cancer, HIV and AIDS, as well as respiratory conditions like cystic fibrosis.

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HEFT also provides expertise in premature baby care, bone Our key performance indicators marrow transplants and thoracic surgery. The Trustees reviewed the charity’s business plan during HEFT has large paediatric and maternity services, with over the last twelve months, and developed a series of eight key 11,000 babies being born across HEFT and over 100,0000 performance indicators to clarify if the charity is performing children being seen as patients each year. against its business plan.

This is an exciting area for development in the charity’s strategy, These key performance indicators are assessed on a traffic light as the area of paediatric and maternity services is a new one for basis – green means the key performance indicator is being the charity. met, yellow means it is not met but plans are in place to rectify this and red means the key performance indicator is not being HEFT merged with UHBFT on 1 April 2018. met and needs immediate action or constant monitoring

These key performance indicators are discussed with, and reviewed by, our internal auditors.

Key Performance Indicators

KPI No. Status Aim KPI Action 1 To raise funds so the Meet budgeted income Achieved (£4,664,000). This figure excludes the charity can support target of £4,550,000 transfer of assets of Heart of England NHS Foundation patients across UHBFT Trust Charitable Funds awarded as a charitable grant. 2 To spend charitable Meet budgeted charitable Achieved (£6,732,000) funds to support expenditure target of patients across UHBFT £3,900,000 3 To minimise the cost Cost per £1 raised to be Achieved. Costs 5p to raise £1 against the charity per £1 raised below the charity sector sector average of 25p. QEHB Charity in the top average and to strive to quartile for minimising costs. (If the transfer of be in the top quartile for assets from Heart of England NHS Foundation Trust minimising costs Charitable Funds is excluded, this figure is 15p to raise £1 which would still be in the top quartile) 4 To maximise how Amount per £1 spent which Achieved. 91p of every £1 spent is spent on charitable much per £1 spent is is spent on charitable activities against the charity sector average of 74p. spent on charitable activities to be above the QEHB Charity in the top quartile for maximising activities charity sector average and charitable expenditure. to strive to be in the top quartile for maximising charitable expenditure 5 To raise awareness Increase in staff awareness Achieved. Awareness rose to 73% from 72%. This just of the hospital charity as measured by the UHBFT relates to Queen Elizabeth Hospital Birmingham site, across NHS staff staff survey and awareness needs to be raised significantly at Heartlands Hospital, Good Hope Hospital and Solihull Hospital. 6 To be an employer of Monitor staff turnover rates Achieved. Staff turnover 12.5% against charity sector choice with the aim to be lower average of 22%. than the charity sector average 7 To have a healthy and Monitor staff absence rates Achieved. Staff absenteeism of 1.3 days per supportive working with the aim to be lower employee p.a. against charity sector average of 8.4 environment than the charity sector days per employee p.a. average

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Plans for the future 4. Fisher House

University Hospitals Birmingham Charity met during the year Fisher House provides a “home away from home” for with UHBFT and HEFT on a regular basis and, with the help of military patients and their families. these discussions, Trustees have identified the following areas for support: Fisher House receives no funding from the NHS or the Ministry of Defence and relies on charitable donations.

1. Partnership Learning Centre & Education Centre, Good University Hospitals Birmingham Charity needs to provide Hope Hospital £250,000 each year to run Fisher House. The Friends of Fisher House scheme allows groups, companies and Good Hope Hospital in Sutton Coldfield is a centre of individuals to support Fisher House directly. excellence for clinical skills training, and the charity is working with UHBFT to upgrade the facilities on site to We need your support ensure Good Hope Hospital can offer the very best in training skills. We will be seeking the community’s support in raising the funds required for the above major projects. If you would like to learn University Hospitals Birmingham Charity has identified the more about our ambitious plans to support Queen Elizabeth need to support UHBFT with up to £700,000 from charitable Hospital Birmingham, Heartlands Hospital, Good Hope Hospital funds. and Solihull Hospital, and how you can play a part, please contact University Hospitals Birmingham Charity at charities@ 2. Childrens’ wards and outpatients areas across uhb.nhs.uk Heartlands, Good Hope and Solihull You can also visit our website at www.hospitalcharity.org or our The childrens’ wards, accident & emergency and Fisher House website at www.fisherhouseuk.org outpatients areas across Heartlands, Good Hope and Solihull see over 100,000 children every year but the facilities If you would like to know more about how we operate, are not child friendly and enhancing of the treatment both administratively and for fundraising, please contact provided. Mike Hammond, the Chief Executive of University Hospitals Birmingham Charity, at [email protected] or on 0121 The charity, learning from the work carried out at 371 4852 or by writing to: Birmingham Children’s Hospital, would like to enhance these areas to be more child friendly, welcoming and relaxing for Mike Hammond, children and parents alike. Chief Executive, Queen Elizabeth Hospital Birmingham Charity University Hospitals Birmingham Charity has identified a 5th Floor Nuffield House, need to raise up to £900,000 to support UHBFT in this area Queen Elizabeth Hospital, and has launched a fundraising appeal. Edgbaston, BIRMINGHAM B15 2TH 3. Giles’ Trust

The Queen Elizabeth Hospital Birmingham is a national centre of excellence for the diagnosis, treatment of, and research into brain tumours.

The charity is working with Professor Garth Cruickshank and Professor Colin Watts to fund cutting edge medical equipment for the diagnosis and treatment of brain tumours, and is funding a Clinical Research Nurse who will be able to increase the number of patients taking part in clinical research trials by recruiting appropriate patients and administering the new treatments.

The charity is delighted to be working with former England cricketer Ashley Giles and his wife Stine Giles in the area of brain tumour research, under the banner of The Giles’ Trust.

University Hospitals Birmingham Charity has identified a need to raise up to £400,000 to support UHBFT in this area and has launched a fundraising appeal in the name of The Giles’ Trust.

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What we fund

The charity funds projects in four main areas – equipment, Heart in a Box is now ready and waiting for its first use at QEHB, research, facilities and training, education and patient support. following the £265,000 campaign by QEHB Charity to raise In this section of the report we give some more information funds for the machine. Heart Research UK generously donated together with some case studies as real life examples of what an incredible £132,500 towards the Heart in a Box campaign, we fund. with the rest of the money being raised by QEHB Charity’s fantastic supporters.

Equipment The arrival of Heart in a Box was marked with a special event, put on by QEHB Charity and Heart Research UK, to thank some UHBFT and HEFT provide world class medical care for their of the inspirational fundraisers who helped to raise money for patients within the NHS. However, the charity can provide this important cause. Justine Davy, Head of Fundraising for QEHB equipment that is over and above core NHS funding that Charity said: “I am immensely proud of all of the hard work and may be either cutting edge medical equipment not currently dedication of our fundraisers who have helped to bring Heart available within the NHS, or additional machines that will be of in a Box to the hospital. I am delighted that the machine is now direct patient benefit, through reducing waiting times or giving at the hospital, ready to help the incredible heart team to save a more individual service to patients who don’t have to share more lives than ever before. Huge thanks go to Heart Research equipment. UK in the West Midlands, and all of their supporters for their wonderful donation that helped make the campaign such a In 2017/18, Queen Elizabeth Hospital Birmingham Charity spent huge success.” £2,757,000 on new equipment. (2016/17: £542,000). John Lloyd, Regional Executive at Heart Research UK in the Some of the major items of equipment purchased are detailed Midlands, said: “The Organ Care System has the potential to below. allow surgeons to carry out up to 50% more heart transplants every year. This new technology will increase the number of

suitable organs and the chance of survival for so many patients. Designated Fund Equipment £ QE Breast Cancer Appeal DIBH Radiotherapy 284,400 “Heart Research UK has always been committed to make Equipment surgery safer, and ‘heart in a box’ will help patients live healthier, happier and longer lives in the Midlands and nationwide.” QEHB Charity Heart in a Box 97,500 machine (initial Present at the event was Sarah Codling, 31 year old mother of payment) one from Woodgate Valley, who received a heart transplant Heartlands Hospital Faxitron 95,742 at QEHB in 2015. Since her heart transplant, Sarah has worked Charity tirelessly to fundraise for heart patients at the hospital, and was Heartlands Hospital MR1 Ventilator 31,000 delighted that heart in a box is now at the hospital. Charity Sarah said: “Heart in a Box is an astonishing piece of technology, Get A Head Portable ultrasound 29,950 I am really proud to have played my part in helping to fundraise QEHB Charity Portable ultrasound 28,500 for it. Since my heart transplant, I’ve wanted to give something Critical Care Adjustable electric 23,496 back to the amazing hospital that saved my life. I know that bedside chairs Heart in a Box will completely change the way that heart transplants are carried out at QEHB, and the heart team will be Liver Foundation Synapse 3D liver 22,670 able to change even more lives in the future.” planning tool Good Hope Hospital “Sherlock” Siterite 8 19,990 Case Study 2 Charity console Deep Inspiration Breath Hold technique improves care for breast cancer patients Case Study 1 Heart in a Box arrives at the Queen Elizabeth Hospital QEHB Charity has bought two new pieces of imaging Birmingham equipment for the Radiotherapy Department, which cost in total £400,000. Heart in a Box, a revolutionary machine that could increase the number of heart transplants carried out at the Queen Elizabeth The equipment will allow doctors at QEHB to offer a new Hospital Birmingham (QEHB) by up to 50% has arrived at the technique called Deep Inspiration Breath Hold (DIBH) to patients hospital following a successful fundraising campaign. undergoing radiotherapy for left sided breast cancer.

The machine keeps a retrieved heart alive outside of the DIBH allows doctors to take advantage of a patient holding body, by pumping blood around it, and irrigating it ready for their breath, which moves the breast away from the heart transplantation. This radically increases the amount of time that during treatment delivery, minimising the dose to surrounding surgeons have to perform the transplant, compared with the areas and protecting the heart. This system will revolutionise more traditional method of storing the heart in ice. treatment for patients with left-sided breast cancer.

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Ben Allen, Technical Lead Radiographer at QEHB said: “This new for other indications, in order to look into and identify if these equipment allows the radiographers and the patients to be drugs could be used as treatments in the field of head and neck confident in the DIBH treatment delivery and ensures we are cancer. delivering the radiotherapy exactly as we plan to. Now in the fifth year of a five year grant, working with a team “It is a patient friendly system and is extremely quick and easy at the Institute of Head and Neck Studies and Education, led by to use, minimising the time the patient needs to lie on the Professor Hisham Mehanna, Chair of Head and Neck Surgery, treatment couch whilst ensuring the highest quality delivery of patients at the Queen Elizabeth Hospital Birmingham are DIBH.” receiving new treatments as part of the research programme, speeding up the process of recovery for patients and cutting Case Study 3 the cost to the NHS. Faxitron improves care at Heartlands Hospital As part of the AcceleraTED research grant, QEHB Charity has One of Heartlands Hospital Charity’s first purchases was a funded a Research Fellow, Nikos Batis, who is running and Faxitron machine. analysing the data from hundreds of experiments that the team undertakes to find out if re-purposed drugs can be used to treat When a surgeon is removing cancerous tissue, one of the certain types of cancer. major concerns is that all the cancer has been removed, with a minimal amount of healthy tissue removed. Nikos, a 34-year-old who has studied and lived in Birmingham for the past 14 years, joined the programme after completing When samples of tissue have to be sent to another laboratory a PhD in Pharmacology and Neuroscience. He said: “Cancer for testing, this can either lengthen surgery time whilst the is indiscriminate. It affects people of all ages and all races surgeon waits for results, or leads to the surgeon removing and indirectly, the patient’s loved ones. This appeal is about additional healthy tissue to give a wider margin of error. speeding up treatment by matching existing drugs, which have already been approved in other conditions like arthritis, to The Faxitron machine allows the tissue removed to be tested cancers where they have not been tried before. immediately within theatre, meaning the surgeon can be more confident they have removed all the cancerous tissue and no “Drugs that have been used to fight cholesterol or epilepsy, for more healthy tissue than necessary. example, could help fight cancer – we just need to test them out, which is why we need your support.” The charity was delighted to be able to purchase this machine with a £95,000 grant. Since the program began two and a half years ago the team has made exciting discoveries.

Research Nikos explained: “We have now reached a point where we have screened thousands of drugs. What’s more, we have An important part of the charity’s charitable grants programme established that nine of these drugs have shown strong results is funding research at UHBFT and HEFT and associated against cancer cells in the laboratory. The results are so strong universities. The charity funds research into any field of that we are now planning to start human clinical studies in medicine carried out at UHBFT and gives grants of a maximum people suffering from cancer, to prove how effective they are of £70,000 for up to two years. The intention of these pump against cancer.” priming research grants is often to help clinicians develop their research sufficiently to then apply for larger national grants but If the team can prove that re-purposed drugs can be used to with an emphasis on delivering patient benefits in the short to treat head and neck cancers, the programme can be rolled out medium term, rather than blue sky medical research. to test other cancers, including thyroid, oesophageal cancer and lung cancer. The AcceleraTED drugs programme led by Professor Hisham Mehanna was the largest research grant ever awarded by the Case Study 2 charity, and will total £1,000,000. The grant will be spent over a Research Nurse joins brain tumour team thanks to The number of years. For the year under review, expenditure was Giles’ Trust £200,000. The Giles’ Trust, a fund within the hospital charity, was set up by In total University Hospitals Birmingham Charity made research Stine Giles and her husband, former England cricketer Ashley, to grants of £1,597,000 in 2017/18. (2016/17: £1,352,000). Some of our raise money to fund vital research into brain tumours at Queen research grants are outlined in the case studies below. Elizabeth Hospital Birmingham (QEHB). The Giles’ Trust now funds a research nurse to work alongside Professor Cruickshank Case Study 1 at the hospital. AcceleraTED research programme Stine set up The Giles’ Trust after receiving successful treatment Drug development through pharmaceutical companies using for brain tumours at the Queen Elizabeth Hospital Birmingham. the conventional approaches can take up to 15 years before Stine said: “After I had brain tumours successfully treated for the they reach patients, and have a 90% failure rate. second time I decided that I wanted to give something back. I set up The Giles’ Trust with the help of the hospital charity and Due to these difficulties, a team of eager researchers at the I’m delighted that we’re now in the position to be able to fund a University of Birmingham decided to set up an accelerated research nurse to work here at QEHB.” drug treatment programme, using drugs originally licensed

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Donna Gillen, a nurse with a background in treating patients which is a great step forward.” with cancer and who spent five years working at The Alfred Hospital in Melbourne has taken up the post and is excited The Charity helped to provide the unit with newly refurbished by what the role entails. Donna said: “I am quickly settling into equipment to tailor individual treatment pathways for patients. the role, there is a lot to learn and I am excited about the two trials that are being set up. These trials will help to increase our To celebrate the opening of the Haematology and Oncology understanding of brain tumours and could change the way that Day Unit, local celebrities came to show their support and we treat people with tumours.” gratitude, one of which was Tony Iommi. Tony, lead guitarist for Black Sabbath was diagnosed with Non-Hodgkin’s Lymphoma Donna will play a key role in the drugs trial as a link between back in 2012. Iommi is a patron to Ward 19 at Heartlands and the patients and the hospital, informing and educating patients regularly shows his support for the doctors and nurses who about the trial. Donna said: “I am there to provide advice for treat those with cancer. patients who come onto the drug trial. It is important that they are able to ask all of the questions that they want to when Justine Davy, Head of Fundraising at Solihull Hospital said: “The they’re in hospital but also when they’re at home and have a Charity is delighted to have been able to provide a substantial question to ask.” contribution towards this Unit. With the generosity of its supporters, the Charity has been able to fund this amazing Stine agreed that this is immensely important, saying: “When I facility as well as the quality of care and overall attention to was in that position I had so many questions to ask. You’ve got a detail that makes the patient’s time here as comfortable as lot of decisions to make in a short amount of time and a whole possible” new language to learn. Donna will be able to take time to talk with the patients about their options, providing this care is so Case Study 2 important.” Fisher House UK Facilities Over the past five years since it opened in 2013, Fisher House has accommodated over three thousand military patients and As well as funding equipment and research, University their families, allowing family members to be close by to their Hospitals Birmingham Charity sometimes funds improvements loved ones whilst they are in hospital. to buildings or even completely new facilities. In 2017/18 the charity spent £1,214,000 in this category. (2016/17 £378,000) Pat and Sue are housekeepers at Fisher House and have worked there since it opened in 2013. As well as keeping Fisher Fisher House is the charity’s largest commitment under this House spotless, Pat and Sue and friendly faces who are always category, and the costs of building Fisher House have been around, offering residents someone to chat to and helping to capitalised and will be spread out over a period of ten years in make Fisher House feel even more homely. the accounts. Sue and Pat have been a key part of the fabric of life in Fisher The charity also provides accommodation for the families of House for the past five years. Both Pat and Sue worked within leukaemia and cancer patients through Karen’s Home from the NHS before Fisher House opened. Pat had worked at Home (kindly by the Karen Morris Memorial Trust) and SACA’s the old Selly Oak site on the Alexandra Wing, where military Home from Home (kindly supported by the SACA Charity Bike patients were treated, for ten years before making the move to Ride). Fisher House.

Case Study 1 Speaking of making the move to Fisher House, Pat said: “I felt Solihull Haematology & Oncology Unit as if I wanted to give something back, having worked on the Alexandra Wing for ten years I wanted a change, and when I Solihull Hospital Charity awarded a grant of £170,000 to support saw that Fisher House was opening I knew I wanted to work the creation of a new Haematology and Oncology Day Unit at there!” Solihull Hospital. Over the five years that Pat and Sue have worked at Fisher The new facility provides more peace and comfort for the House, they have met and come to know hundreds of patients that receive treatments and is a far lighter and brighter residents, and both love this aspect of their job. Pat said: “Our environment for them. Previously, patients from Solihull were longest-staying resident was here for nearly 18 months and in required to travel to Ward 19 at Heartlands Hospital which treats that time you create a bond and a friendship with the resident. over 8,000 patients annually, across seventeen chemotherapy We’ve got lovely memories of working in Fisher House, we’ve spaces. had tearful and we’ve had happy days but it’s the good times that you remember more than the bad times. The new chemotherapy centre will see a ward at Solihull Hospital renovated to a state of the art facility with up to 31 new Sue spoke of the pride that she feels when welcoming new chemotherapy spaces, increasing the number of patients that residents into the house, saying: “I love the amazed look that can be seen by 170%. people often have when they walk into Fisher House. They just don’t expect it to be the way it is. Working at Fisher House, I Consultant haematologist Dr Shankara Paneesha, who works don’t feel like I’m staff, I feel like I’m part of a team that is helping at Ward 19, said: “It is important for our patients to be able to to create something special.” access services in the most comfortable way possible. The new unit at Solihull Hospital will provide a convenient and Fisher House offers accommodation to military patients and comfortable environment for patients to receive their treatment, their families at any time that they are receiving treatment at

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the hospital. This means that many people stay at the house on are different from conventional bras in that they take pressure multiple occasions. off the suture lines, helping them to heal. The second type of bra includes within it a pouch for gel prosthetics, allowing Sue and Pat have learnt a lot from these families over the years, women who have received a mastectomy to have a restored and Pat said: “Working in Fisher House strengthens your belief sense of self. in people and families. Many of the families who stay in Fisher House have been through a lot of turmoil, and the strength that The team of surgeons behind the scheme had realised that they show throughout gives you hope for yourself.” patients had not been able to provide their own special bras following surgery due to concerns over cost or worry When contemplating the future, both Pat and Sue see surrounding having their surgery. themselves staying on to help even more families in their time of need. Sue said: “The families who stay here make our The bra scheme, supported by QEHB Charity, will provide a job so enjoyable. It’s nice to get up in the morning knowing free, specially made bra in the correct size for all patients who we’re coming into work, knowing that we’re going to make a have had breast cancer surgery. This service will include a visit difference. I’m incredibly proud to work at Fisher House and I from a nurse to help with measuring and fitting and a velvet don’t think that I’ll ever want to leave!” bag for the bra to be presented in.

Fisher House relies entirely on donations to remain open, QEHB surgeon, and star of BBC Two’s Surgeon’s programme, and Pat had some advice for anyone who was considering Kate Nelson said: “My colleagues and I in the breast donating to Fisher House, saying: “Come and have look at what reconstruction team have seen the effect that breast surgery we do here at Fisher House, if you donate you can feel proud has on patients. We thought it would be a great idea to that you have done something to give back to those who serve provide each patient with a properly-fitted bra that will aid their in our military, and their families.” recovery, ease pain and increase self-confidence.

“I am delighted that QEHB Charity has been able to fund this Training, education and patient initiative, thanks to the generous donations from the Charity’s support and welfare supporters, patients will benefit from properly fitted bras long into the future.” The fourth area of grant making is in the area of training, education and patient support and welfare. It is important to Senior Fundraiser at QEHB Charity, Rachel Learmonth, said: note is that the charity does not fund statutory training – that is, “The Charity is delighted to be able to support this wonderful training that the NHS should provide to all staff. scheme to the benefit of breast cancer patients at the hospital. QEHB Charity’s aim is to go ‘over and above’ for patients and University Hospitals Birmingham Charity funds courses and this scheme certainly does this, improving patient welfare and conference fees for nursing staff to attend events that will bring helping to restore a sense of normality to their lives after a knowledge back into the hospital for the benefit of patients. traumatic period.”

The charity has also funded a range of patient information films Case study 2 on subjects as wide ranging as cardiac rehabilitation exercise, Green spaces at the QE breast reconstruction information and paediatric radiotherapy. With all the vital, life-saving work that occurs on a daily basis In addition, the charity funds a number of patient welfare at the Queen Elizabeth Hospital Birmingham, it can be easy to initiatives, from pizza night on the Teenage Cancer Trust Young overlook the environmental factors that can have an impact on Persons Unit, to memory lane cafes and activities for elderly wellbeing when coping with recovery, rehabilitation or grief. patients. Regardless of the high standard of care provided by staff at the In 2017/18, Queen Elizabeth Hospital Birmingham Charity spent Queen Elizabeth Hospital £1,165,000 in this category. (2016/17 £658,000). Birmingham, staying in hospital or visiting a family member Case study 1 – Post breast reconstruction bra support service there can be stressful and difficult to deal with.

QEHB Charity is supporting women who have had surgery Having a quiet space to reflect and relax away from the wards for breast cancer by providing them with special bras that can be invaluable when it comes to wellbeing - not just for help to speed up post-surgery recovery, both physical and patients and their families, but for the staff who treat them. psychological. We are lucky at the QE to have a lot of green space available The scheme, being referred to as ‘Bra first’ runs across QEHB throughout the site and the charity has been working alongside and the Birmingham Women’s Hospital and has been funded UHBFT and its partners to transform these areas through a new by donations to QEHB Charity. Community Orchards and Gardens Project.

There are two types of bra in the scheme, one type specially A number of walking routes give people the opportunity to get made for patients who have received reconstructive surgery fresh air and exercise, even when visiting patients or using the and the other for women who have received either a single or hospital. double mastectomy. A variety of new trees has been, and will continue to, be The bras for patients who have received reconstructive surgery planted around the site.

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Queen Elizabeth Hospital Birmingham Charity has now appointed a Green Spaces Coordinator in association with The Conservation Volunteers who will coordinate volunteer activities, encourage community interaction with the site, and launch the Green Gym initiative, which will see patients who have been prescribed a fitness regime be able to carry out those activities within the green spaces of the hospital site rather than within a gym environment.

These trees will require love and care as they continue to grow and bear fruit, and so the charity has also launched a Sponsor the Tress Appeal which allows people to support this project financially (www.hospitalcharity.org/trees).

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How we are funded

University Hospitals Birmingham Charity continues to use money Fisher House donated in previous years to provide the level of grants made www.justgiving.com/fisherhouse in 2017/18 but in order to continue making those grants in future years, the charity relies on new income coming into its funds Fundraisers can use their mobile phones to donate to the from generous individuals, companies, community groups, staff, charity, either through their own fundraising page or via the patients and their families. main charity donation code. To donate £5 to the charity, fundraisers and donors can text QEHB01 £5 to 70070. The whole Please can we issue a massive thank you to everyone who £5 goes to the charity as mobile phone provider Vodafone is has fundraised, donated, shaken buckets or taken part in one covering the costs as part of their corporate social responsibility of our many events over the last year. It is only with your help programme. Thousands of pounds have been donated to the and support that we can continue to fund our projects for the hospital charity via this method over the past twelve months. benefit of patients at UHBFT and HEFT. The Fundraising team would be delighted to speak to anyone who is considering taking part in an event, or organising their Fundraising own fundraising, for any of our hospital charity funds and can be contacted by email at [email protected] or by telephone University Hospitals Birmingham Charity organises events and on 0121 371 4852. supports many more fundraisers organising their own events throughout the year. As well as the many individuals to whom the charity is very grateful for their support, we would also like to mention some Fundraisers can download the charity’s fundraising toolkit from of the companies and organisations that have supported our website www.hospitalcharity.org which is packed with hints University Hospitals Birmingham Charity over the past twelve and tips for your fundraising, as well as the charity’s registration months. We have so many generous supporters we cannot form. Sponsorship and Gift Aid forms are also available from the mention them all by name, but they all make a real difference to website. the care we can give our patients. Our case studies show just some of the ways people have supported the charity. Our Fisher House specific website is at www.fisherhouseuk.org. We would welcome feedback on our websites from donors Donor Area of support and fundraisers. Birmingham Publicity You can also follow the charity on social media for each of the Association Queen Elizabeth Hospital four hospitals we support: Joseph & Lena Randall Birmingham Charitable Trust Twitter @QEHBCharity Facebook www.facebook.com/qehbcharity Blakemore Foundation Heart Research UK Twitter @HHospCharity Five Rivers Restaurant Facebook www.facebook.com/hhospcharity Cook & Wolstenholme Trust Twitter @GHHCharity Sarah Codling Heart in a Box Appeal Facebook www.facebook.com/ghhcharity Louise King Twitter @SHospCharity Ryan Chapman Facebook www.facebook.com/shospcharity Handsworth Boys School

People taking part in sponsored events can also raise funds Amazon UK through our dedicated charity pages on the online giving site Birmingham Irish Cycle Appeal JustGiving: Tony Iommi Queen Elizabeth Hospital Birmingham Charity Breast Friends Solihull www.justgiving.com/qehbcharity ABA Cranes Solihull Haematology & Jaguar Land Rover Heartlands Hospital Charity Oncology Centre www.justgiving.com/heartlandshospital Get A Head Charitable Trust Help Harry Help Others Good Hope Hospital Charity Lions Solihull www.justgiving.com/goodhopehospital Philip Baldwin Solihull Hospital Charity HSBC www.justgiving.com/solihullhospital

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Donor Area of support Donor Area of support Help for Heroes George Henry Collins Charity HEFT Children’s Appeal SSAFA The Eric W Vincent Trust VIP Treatment Appeal TroopAid NET Patient Foundation Neuro Endocrine Tumours Warwickshire County Cricket Robert Gaddie Memorial Fund Heartlands Research & Club Development Centre Royal Marines Association Holly Trust Good Hope Hospital MacRobert Trust Coloproctology Research ABF The Soldiers Charity Case Study 1 353 Charity Over one thousand cyclists take to the roads and ride for Queen Elizabeth Hospital Birmingham Charity in Royal Navy & Royal Marines Birmingham’s first 100 mile close road cycle ride Charity Fisher House Royal Air Force Benevolent On Sunday 24 September 2017, Birmingham saw its first ever Fund 100 mile close road cycle ride – Velo Birmingham. Over 15,000 The MacRobert Trust cyclists had registered for the event, and over a thousand of those had chosen to ride in the Queen Elizabeth Hospital The Lt Dougie Dalzell MC Birmingham Charity colours – the largest team in the whole ride. Memorial Trust Spitfire MCC From complete novices to seasoned sportive riders, from Lord Mayor of Birmingham’s doctors, nurses, patients and big city lawyers, the team came Charity from far and wide, all with their own reasons for riding for the hospital charity. BAE Systems Ltd Henry Wong Cantonese In total, the riders raised over £400,000 to support many Restaurant different areas across the hospital, and the charity is looking forward to the return of Velo Birmingham in May 2019. Stan Bowley Trust Joseph Hopkins Charity QE Cancer Appeal Stuart Turner took on Velo to raise funds for the Renal Unit Mohammed Akhtar & friends at QEHB after his wife, Rachael, was diagnosed with a degenerative kidney disease. When Rachael required a kidney Kevin Giddins & friends QE Fighting Skin Cancer transplant, in 2012, Stuart was found to be a match and gave his Stine & Ashley Giles wife the ultimate present; a kidney. Stuart raised over £1,000 for The Giles’ Trust Sir Doug Ellis the Unit, thank you Stuart! Tony Fox & friends Liver Foundation Another brave fundraiser is Christine McAteer, who decided Paul Cunningham & friends to challenge herself to Velo after having been knocked off her The Parnell family Cancer Immunology & bike by a van in 2015. Fortunately Christine’s injuries were not life Immunotherapy Centre threatening and she was able to get back on her bike, and raise funds for the team that cared for her. Karen Morris Memorial Trust Karen’s Home from Home Sikh Arts & Cultural Association SACA’s Home from Home Christine said: “Velo surpassed my expectations, it was given (SACA) Charity Bike Ride me back my love of cycling and now I have amazing memories of all the beautiful countryside and the wonderful support TSB Bank from the people of Birmingham, Staffordshire, Worcestershire, Santander Foundation Sandwell and Dudley.” Birmingham Pragati Mandal Steve Whitehouse rode to raise funds for the Teenage Cancer Birmingham Hospital Saturday Trust Young Person’s Unit at QEHB as his 18 year old niece was Fund Elderly Care undergoing chemotherapy. Guru Nanak Nam Ladies Jatha Persimmon Homes He said: “What a fantastic day it was and a pleasure to take part and contribute to your fantastic charity which more than ever is William Adlington Cadbury close to my family’s hearts.” Charitable Trust Jarman Charitable Trust Friends of Queen Elizabeth Chris Jones said: “It was easily the most satisfying cycle event Medical Centre I’ve ever completed which was made even better by my being really proud to wear your colours.” The Florence Shaw Trust Military Patients The Patrick Trust Renal Patients Stevie Durrant said: “What an absolutely awesome day; perfect Richardson Brothers Neurology weather; good company and it was great to see so many QEHB Foundation riders who were so well supported throughout the day.”

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As well as individual supporters, a number of businesses Sam and Carl presented Clare Beesley and Sarah Lane, also entered teams to raise funds for QEHB. Thank you to bereavement midwifes, with the CuddleCot. NEC Group’s Ian Taylor and Martin Clarke, Oxford Biosystems, Bidfood, Mills & Reeve and RSM. Samantha Howell, Senior Fundraiser at Good Hope Hospital Charity, said: “We would like to say a heartfelt thanks to Sam and For QEHB eye-doctor Alastair Denniston and his brother Richard, Carl for their very generous donation. It is humbling that, even Vélo Birmingham was a particularly special challenge. Richard after experiencing such a great and personal loss, they are able has been blind since shortly after birth and was the inspiration to help other people through their generous gift.” for his brother’s career which has led him to become an Ophthalmology consultant at QEHB. Case Study 3 Woman who had two liver transplants in five days walks As a cycling enthusiast, Alastair wanted to take on the Vélo 1,000 miles for QEHB Charity Birmingham challenge for QEHB Charity but didn’t want to take it on alone. Alastair and Richard decided to take on the cycling After a period of ill health, Valerie Pinfold, 50, from Chipping challenge together and, thanks to their trusty tandem bike and Norton, was diagnosed with Primary Biliary Cholangitis (PBC), a a lot of hard work and training, made it through the 100 mile disease where the immune system attacks the bile ducts in the course in an incredible time of 7:34. liver causing a build-up of scar tissue, dramatically reducing liver function. Together with Alastair’s colleagues from the eye department at QEHB, the team beat their incredible fundraising target of After eight years Valerie’s condition rapidly deteriorated. By £30,000 which will go towards a new scanner that the team January 2015 she was on the transplant list for a new liver. Valerie want to bring to the hospital. was extremely fortunate as just one month later she received the call telling her that a liver had been found and that she The scanner, which is the latest generation of OCT scanners needed to make her way to the Queen Elizabeth Hospital in that enable earlier detection of diseases such as macular Birmingham as soon as possible. degeneration, glaucoma and diabetic eye disease, and helps guide treatment, will be of benefit for patients as well as staff at “You live your life waiting for the call, but when I got it, although the hospital. I had a bag packed ready, it was still a shock” Valerie explained. In the early hours of the morning Valerie underwent surgery, Case Study 2 but in a cruel twist of fate, the liver failed. The desperate search CuddleCot comfort for bereaved families for a new liver began. Valerie’s daughters, Robyn, 25, and Leah, 23 were told that the doctors had just 72 hours to find a suitable A West Midlands family raised £4,000 to purchase a CuddleCot liver. Just before the 72 hours were up, thankfully a liver was for the bereavement suite at Good Hope Hospital, in memory found. of their daughter Willow. Throughout this traumatic period between the two liver Sam Phillips and her partner Carl were at a routine 28 week transplants Valerie had to be placed in an induced coma, scan, when they discovered that their daughter Willow had no meaning she had no idea of the danger she was in. Whilst the heartbeat. second transplant was deemed a success, due to the sheer amount of blood that she had lost, Valerie’s life was once again Sam delivered Willow two days later and thanks to a piece hanging by a thread. of equipment called a ‘CuddleCot’, Sam and Carl were able to spend five days with their daughter, giving them and their Leah said: “The doctors told my sister and I that the next few families valuable time with her. They spent the five days in the hours were crucial. We were asked to make a very difficult Snowdrop Suite, an area at Good Hope Hospital for families decision as to whether to let our mum have a tube put into her who are experiencing early miscarriage, still birth, or neonatal throat to help her to breathe, but to our great relief, she woke death. up herself just in time so we didn’t have to make that decision.”

The CuddleCot cooling mat is placed under the cot or Moses Valerie explained “When I came to, I didn’t believe the doctors basket and allows the family to spend time with their family, at first when they told me that I’d had two liver transplants. I can without distressing trips to and from the mortuary. remember thinking that maybe I was in hospital because I had fallen down the stairs.” Sam and Carl were determined to raise money for more CuddleCots, so organised a sponsored walk around Sutton Park Valerie began to recover, but unfortunately in the days following with their families and friends – raising £4,000 to purchase a the operation she developed pneumonia and was forced to new one. return to Intensive Care. The rehabilitation process was long and difficult for Valerie, especially after having been bed-bound for They found the stillbirth very traumatic, but were grateful for the such a long time. The strength she should have had as a fit and time they had with Willow and raising this money, they feel like healthy fifty year old had been lost to the cruel illness. her life has meant something. “I think one of the difficult moments for me was being pushed Sam said: “We were devastated to lose Willow, but spending around by my daughters in a wheelchair in the hospital, I looked time on the Snowdrop Suite, where it was so peaceful, gave around at everyone else rushing around and thought to myself us time to grieve for our daughter. I am proud that we’ve been “I’ll never be able to do that again” able to help other families who have lost a child.”

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But Valerie Pinfold had far from given up, as two years later she set herself the challenge of walking 1,000 miles in 2017, and now, Valerie has walked over 1,000 miles and raised a staggering £1,030 for the Liver Unit and Critical Care Unit.

Legacies

Historically, legacies have been a major source of funding of University Hospitals Birmingham Charity. Whilst the number and value of legacies has fallen over recent years, we continue to have an active legacy programme with the aim to continue receiving legacies into the future.

Legacies are used, in accordance with donors’ wishes, to support research; to fund capital projects; to allow continued investment in equipment; and to support UHBFT’s patients, their families and staff.

University Hospitals Birmingham Charity is very grateful to those donors who have considered us in their will, and we would encourage anyone considering bequeathing a legacy to contact the Chief Executive to discuss their plans, how they would like to support the work of UHBFT and how University Hospitals Birmingham Charity can recognise their vital support.

We are delighted to report that in the year to 31 March 2018 the charity received generous legacies to the value of £576,881. (2016/17: £97,000). We would like to acknowledge the generous sums received from bequests made by the following people:

Donor Donor James Ayres Trevor Ballinger Doris Briney Brenda Capener Gwendoline Clarke David Crackle Monica Degg Maureen Gibson Sheila Green Alan Gubbins Violet Lackey Harold Lloyd James Matthews Luciano Melito Janet Munnoch E L Perry Kim Pickford Doreen Potts Beatrice Pritchard Martin Purdy Mary Rickards Ruby Smart Reginald Trout Gladys Turvey Anthony Williams Anne Wright Janet Wright Joyce Young

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Governance

More about who we are and how we Trustees who were in Date of first Date when office throughout the appointment* appointment expires work year to 31 March 2018 University Hospitals Birmingham Charity has four working names Brian Hanson 23 February 2016 22 February 2020 to reflect the four hospitals it operates over: Queen Elizabeth Peter Mayer 23 February 2016 22 February 2020 Hospital Birmingham Charity, Heartlands Hospital Charity, Good Hope Hospital Charity and Solihull Hospital Charity. Andrew Pemberton 23 February 2016 22 February 2020 David Ritchie 23 February 2016 22 February 2020 The charity made the decision to take advantage of the Michael Seabrook 23 February 2016 22 February 2020 guidance published by the Department of Health on “How NHS charities can convert to independent status” and converted to a David Mackay 23 February 2016 22 February 2020 new charitable company limited by guarantee on 1 April 2017. Ru Watkins 23 February 2016 22 February 2020 *All the Trustees previously served as Trustees under the old Previously, the charity operated under the name of University charity registration number. They were all appointed as Trustees Hospital Birmingham Charities, charity registration number for the new charity registration number for a four year period. 1093989 as an unincorporated trust.

Our history Details of Trustees worked for West Bromwich Building Society The teaching hospitals of Birmingham, originally amalgamated David Mackay for 33 years, retiring in 2008 as Managing Director of West as the United Birmingham Hospitals, had charitable funds Bromwich Mortgage Company. He is a Fellow of the Institute managed by the Special Trustees for the Former United of Sales & Marketing Management. David has served as a Birmingham Hospitals Trust Funds. When the hospitals were Board Member of the Black Country Chamber of Commerce & split into separate trusts, the decision was made to split Industry, and as Chair of Governors at Howley Grange Primary the charitable funds in the same way. The Special Trustees School. were dissolved by Statutory Instrument on 1 April 2001. An apportionment of their funds, together with corporate funds, is a retired consultant metallurgist. He is a were transferred to University Hospital Birmingham Charities. Brian Hanson member of the Dental Hospital Planning Committee and Chair of the Clinical Governance Committee at Birmingham On 1 April 2017, the charity became a charitable company limited Community Healthcare NHS Trust. He is also Chair of the Patient by guarantee, fully independent from the Department of Health Council at UHBFT. who are no longer responsible for the appointment of Trustees. Dr Peter Mayer was a former consultant in Geriatric and Stroke How do we do things? Medicine at UHBFT and South Birmingham Primary Care Trust from 1977 until 2007 and was also an Honorary Senior Clinical University Hospitals Birmingham Charity can have up to fifteen Lecturer in the Department of Geriatrics at the University unpaid Trustees who make up the Board of Trustees. They of Birmingham during the same period. Peter is Chair of decide policy and make sure it is implemented. University Birmingham & District Nursing Charitable Trust and Honorary Hospitals Birmingham NHS Foundation Trust has the right to President of the Institute of Ageing and Health. nominate up to a third of the Trustees. Andrew Pemberton is a qualified Chartered Accountant. He Day to day management is delegated to the Charity Chief had a 27-year career with Peugeot Motor Company retiring in Executive who is responsible for carrying out the decisions of 2007 as Director-Service for Peugeot UK. Andrew has been the Trustees and working with professional external advisors a member of Balsall Common Lions club for 25 years and and the representatives of UHBFT who provide services to currently volunteers with the Lions organisation nationally. University Hospitals Birmingham Charity. David Ritchie worked at a senior level in Government for a The Chair of the Trustees, who is elected by the Trustees, chairs number of years, latterly as Regional Director, Government meetings and takes an active role working with the Charity Chief Office for the West Midlands. He was also Chair of the Oldham Executive in the daily management of Queen Elizabeth Hospital Independent Review into the causes of the Oldham Race Riots Birmingham Charity. In the financial year to 31 March 2018 the in 2001 and has served as a non-executive director for University Chair of Trustees was Brian Hanson until 31 January 2018, and Hospitals Birmingham NHS Foundation Trust. He is currently then Dave Mackay from 1 February 2018. Chair of Trustees for The Robin Centre

Detailed in the table below are all the Trustees who held office Michael Seabrook was a practising solicitor after he was during the financial year to 31 March 2018. admitted in 1976 and a partner at Eversheds from 1986 until he retired in 2011. He was a corporate lawyer for over thirty years, advising venture capitalists and management teams. He is also a Director of Soliull Moors Football Club CIC.

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Ru Watkins was Chief of Staff for the Royal Centre for University Hospitals Birmingham Defence Medicine from 2010 to 2012. Prior to that role, Ru had commanded infantry soldiers in Bosnia and Kosovo and Charity’s Staff then a number of Communications roles within the Ministry of Defence. He is a Fellow of the Royal Society of Arts and of The charity directly employs sixteen members of staff as at 31 the Chartered Institute of Management. He led the first UK March 2018 (thirteen as at 31 March 2017), equivalent to 13.2 full expeditions to conquer the Miette Mountains in Canada and time employees (10.1 as at 31 March 2017) across the four hospital navigate the Monkey River in Belize. He is now Chief Executive sites of Noah’s Ark Children’s Hospice in Barnet. The Charity Chief Executive is responsible for delivering the strategic objectives set by the Trustees and has delegated day Trustee recruitment, appointment and to day responsibility for running the charity. induction Finance administration services are provided by UHBFT under Trustee recruitment is carried out by the hospital charity. a service level agreement and individually named members of Trustees are recruited following public advertisement, or are staff are responsible for providing those services, but the staff nominated by University Hospitals Birmingham NHS Foundation are employed by UHBFT. Trust, who have the right to nominate up to a third of the Trustees. As at 1 April 2018, UHBFT has not nominated any External and internal auditors, legal advisors, investment Trustees. managers and representatives of the NHS, amongst others, complement the staff in support of the Board of Trustees. All potential Trustees must be interviewed and recommended by a panel consisting of two Trustees of University Hospitals Remuneration policy Birmingham Charity and the Charity Chief Executive. Candidates must show knowledge of, and an interest in, UHBFT and the The Trustees consider the following when setting remuneration community it serves and be willing to give the time necessary. levels for the Charity Chief Executive and any other senior executives. Trustees are also selected to give University Hospitals Birmingham Charity a good mix of appropriate professional skills, such as finance, investment and law. All Trustees are 1. The goal of the charity’s remuneration policy is to offer fair appointed for a fixed term of up to four years, which is pay to attract and keep appropriately qualified staff to lead, renewable. manage, support and deliver the charity’s aims. 2. Trustees are ultimately responsible for setting remuneration Performance measures adopted by the Board include amongst levels for the charity’s most senior staff. At University Hospitals other things a measure of the attendance level of Trustees. All Birmingham Charity, this applies to the Charity Chief Executive. measures are monitored regularly by the Board of Trustees. 3. To set appropriate pay and rewards requires making informed judgments and following the charity’s governance and New Trustees are provided with an induction pack comprising constitutional arrangements. governing documents, and policies and procedures, and if 4. In deciding top levels of pay and rewards, Trustees will they have not had previous dealings with UHBFT, a tour of the consider the purposes, aims and values of the charity, and its hospital. beneficiaries’ needs. 5. Trustees will consider how increasing pay, particularly at Training courses are offered to the Trustees, in charity law and senior levels, would be perceived by employees, donors and administration and the roles and responsibilities of Trustees, as beneficiaries. part of their ongoing professional development. 6. Trustees will make an assessment of the charity’s and senior staff’s performance against expectations, both short and long Our auditors and solicitors provide much useful material and the term. Association of NHS Charities (to which we belong) runs regular 7. Trustees will seek information on pay policies and practices conferences for Trustees. in other organisations that could help guide a decision on whether a level of pay is fair.

Charity Sub-Committees Having considered the above points, Trustees increased the Charity Chief Executive’s salary to £80,000 per annum The Trustees have the power to establish committees to in February 2018 from £65,000 per annum. This was the first provide scrutiny of aspects of University Hospitals Birmingham increase in the Charity Chief Executive’s salary since February Charity and to make recommendations to the Board of Trustees. 2013 and recognised his increased responsibilities following the merger with HEFT Charitable Funds. There are two formal sub-committees – the Board Performance Committee and the Finance & Risk Committee - which both met twice during the year 2017/18.

Trustees Report incorporating the Strategic Report | 19 Trustees Report incorporating the Strategic Report | University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

Volunteers All of the different types of funds have Fund Advisors who facilitate local decision-making and offer expertise in the Many hundreds of volunteers, including Fund Advisors, particular area of the fund. contribute to the work of University Hospitals Birmingham Charity and we are very grateful to them all. The Fund Advisors have delegated powers and responsibility to authorise expenditure in line with the purpose of the fund and Members of the public as well as Fund Advisors organise to manage projects and activities on a day to day basis within fundraising events for us during the year and some members certain limits. of the public also volunteer within UHBFT on projects that are funded from University Hospitals Birmingham Charity’s For expenditure in excess of these limits they make designated funds. recommendations to the Charity Chief Executive and Trustees.

It is not possible, due to the nature of such volunteering, for All University Hospitals Birmingham Charity’s restricted and University Hospitals Birmingham Charity to quantify in terms of unrestricted funds can be spent at any time. Grants from these hours the contribution of all its volunteers. funds are applied for by Fund Advisors. University Hospitals Birmingham Charity wishes to thank all its Charitable expenditure volunteers for their contribution to its ongoing work. Details of our major expenditure in the areas of equipment, Grant making structure and policy medical research, facilities and training, education and patient support, are given elsewhere in this report (see pages 7-13). The charitable funds that University Hospitals Birmingham Charity manage, and from which grants are made, are held as During the financial year under review, University Hospitals endowment funds (expendable or permanent), restricted funds Birmingham Charity made grants totalling £6,436,000. (2016/17: and unrestricted funds (designated or wholly unrestricted). £3,105,000)

It is the Trustees’ policy to ensure that all grants made from It should be noted that the construction costs of Fisher House these funds are used in accordance with the purposes of the were capitalised as an asset rather than as expenditure. The individual fund and University Hospitals Birmingham Charity’s costs are spread over a ten year period. This will show in purposes and aims. charitable expenditure over the coming years. Individual funds’ purposes include research, equipment and Charity’s advisors and agents patient and staff welfare. Representatives of senior management of UHBFT attend Board Day to day operational policy guidelines, which deal with such Meetings and receive copies of Board papers. matters as expenditure on travel when on charitable business, are issued to Fund Advisors and regularly reviewed. There is also regular contact with senior UHBFT management, including the Chief Executive of UHBFT, both formally and on an The definitions of endowment, restricted and unrestricted funds informal basis. are detailed below: a. Endowment funds – the donor has expressly provided that the Fund Advisors to University Hospitals Birmingham Charity are investment income of the fund may be applied for a specific clinicians, ward sisters and other staff of UHBFT who are in charitable purpose. regular contact with patients. Endowment funds are further split between expendable endowments (where the Trustees have the discretion to The Finance Department of UHBFT provides financial and spend the capital) and permanent endowments (where administrative support to the charity under a Service Level Trustees have no discretion to spend the capital). Agreement. University Hospitals Birmingham Charity has no endowment funds. Details of our other advisors can be found below. a. Restricted funds – the donor has provided for the entire donation to be used for a specified purpose or has been Other advisors given assurance that the donation is destined for a particular ÎÎ RSM: St Philips Point, Temple Row, Birmingham B2 5AF (internal purpose. auditors) a. Unrestricted funds – funds which are neither endowment nor ÎÎ Mazars LLP, 45 Church Street, Birmingham B3 2RT (external restricted. auditors) ÎÎ Barclays Bank: Colmore Row, Birmingham B3 2BY (bankers) These are held either as designated (earmarked) funds (where ÎÎ Schroder & Co Limited: 12 Moorgate, London EC2R 6DA the donor has made known their non-binding wishes) and (investment managers) wholly unrestricted funds which are for use at the Trustees’ ÎÎ Shakespeare Martineau Solicitors: 1 Colmore Square, discretion. Birmingham B4 6AA (lawyers) ÎÎ Withers LLP: 16 Old Bailey, London EC4M 7EG (lawyers) Unrestricted funds are held under the umbrella of the General Fund; there are currently just over 400 such funds.

20 Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity | Trustees Report incorporating the Strategic Report

Wider networks and related parties University Hospitals Birmingham Charity works closely with, and provides the majority of its grants to, UHBFT and the University of Birmingham, the hospital’s main University Hospitals Birmingham Charity is one of some 290 NHS-linked charities in England and Wales. A number of the research partner. Although the Trustees are careful larger NHS-linked charities have, for a number of years, joined to consult with representatives of these organisations through their board meetings and other, less formal together to form the Association of NHS Charities. contacts, they retain their independence to act in the best interests of University Hospitals Birmingham Charity As a member, we have the opportunity to discuss matters of common concern and exchange information and experiences, and the community they serve. join together with others to lobby government departments and others, and to participate in conferences and seminars which offer support and education for our staff and Trustees.

Administrative Structure as at 31 March 2018

Trustees

Charity Chief Executive

Head of Fundraising Grants Manager Communications Officer Fundraising Managers (4) Grant Officer

Senior Fundraiser

Fundraising Officers/ Assistants (3)

Administration Officers (2)

Patient Advocate

External support structure as at 31 March 2018

Queen Elizabeth Hospital Birmingham Charity

UHBFT Internal and Legal Investment Finance External Auditors Advisors Managers

Trustees Report incorporating the Strategic Report | 21 Trustees Report incorporating the Strategic Report | University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

Risks policy The Trustees have adopted the following investment policy: i. The charity’s aims in investing its funds A Risk Register, identifying the major risks to which University “The Trustees recognise that donors to the charity expect Hospitals Birmingham Charity is exposed, and an action plan of their donations to be spent on charitable activities relating controls to mitigate those risks is in place and is tabled at each to the work of UHBFT in a timely manner. The Trustees Trustee Board meeting. therefore wish to invest those funds to generate a financial return on capital, whilst minimising the risk to capital. The The Risk Register and controls are reviewed by our internal and income thus generated will be used to further the aims and external auditors. objectives of the charity.” A Fraud and Corruption policy was updated and adopted by ii. The balance between capital growth and income the Board of Trustees in August 2007. generation “The Trustees main concern is preservation of capital. A written policy on the acceptance and refusal of donations However, whilst taking that into consideration, the need was updated and adopted by the Board of Trustees in March for capital growth is not a main priority. Thus, within the 2011. constraints of capital preservation, the Trustees prefer income generation over capital growth.” Internal auditors, RSM have carried out a review of the Risk Register and controls in the year under review. iii. Consideration of risk “The Trustees desire a low to medium risk investment The Trustees have identified the following principal risks to the portfolio. Charitable funds should be spent in a timely Charity, with the details of how they are managing these risks: manner, thus investments that require a long period of investment are not to be recommended.” Risk Mitigation The hospital Advertising sites within the hospital, iv. The timing of returns charity not having permanent presence within the “The Trustees need to draw a steady cash stream from their a significant profile hospital, direct meetings with doctors, investments during the year. The investment policy should within the hospital nurses and management enable the funding of the cash requirements provided by itself the Trustees.” A lack of charitable Working directly with doctors, nurses v. Special preferences – e.g. ethical investments projects to and management to identify ways the “The Trustees wish to invest solely their cash holdings in fundraise for hospital charity can help to benefit organisations protected by the UK regulatory authorities. patients. Planning of fundraising In addition, the Trustees do not wish to invest directly in appeals well in advance tobacco securities because of the proven link between Managing the funds Charity Chief Executive formally reports smoking and poor health which would make such and assets of the at each Trustee meeting. UHBFT Chief investments contrary to the charity’s objectives. Any hospital charity Financial Officer presents quarterly investment manager should provide the Trustees with their effectively finance reports to Trustees. Investment Socially Responsible Investment policy prior to investing Managers present to Trustees on an in equities to enable the Trustees to give approval of such annual basis policy.”

vi. Review of the policy statement “This investment policy statement will be reviewed by the Investment policy Trustees on an annual basis.” The charity’s long term investments are managed by Schroders vii. The way in which the investment discretion will be & Co Limited. The investments are held in the Schroders Charity exercised Multi Asset Fund. “The Trustees delegate the day to day management of the investments to the investment manager subject to the The Board of Trustees monitors investment performance and policy above. The investment manager should be able to receive regular reports from the investment manager. demonstrate how the investments made on behalf of the charity meet the policy requirements and should present During the financial year under review the investment portfolio to the Trustees on an annual basis their plans for the year was targeted to deliver a return of RPI+4% including both capital ahead.” value and income paid out. The portfolio achieved a return of 8.98% against the target of 7.4% (RPI for the year was 3.4%) viii. Reserves policy “Once the Trustees have formally agreed any charitable The move to the Schroders Charity Multi Asset Fund was to grant, the funds covering that grant will be moved into reduce volatility and generate a sustainable rate of income a cash account. In addition to those funds necessary to from the investments, and the Trustees note the portfolio is cover any agreed grants, the charity wishes to hold in a performing to those requirements over the long term. cash reserve a sum equal to six months expenditure of its general funds to allow the charity to meet its obligations in The investment policy and investment performance is reviewed the event of a failure to raise any new charitable funds. at each quarterly Trustee Board meeting.

22 Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity | Trustees Report incorporating the Strategic Report

There is no need to set aside any reserves against the earmarked funds as if no income was received, no expenditure would be made.” Financial review

Reserves policy The full 2017/18 Statement of Financial Activities and Balance The reserves policy is reviewed annually and is now Sheet and accompanying notes to the accounts are set out on incorporated into the investment strategy to help our pages 30 to 41. investment advisors manage our funds in the most appropriate way. Income during the year (including the transfer of assets from Heart of England NHS Foundation Trust Charitable Funds as The reserves policy was established by the Board of Trustees grant income, otherwise primarily from donations, legacies, as part of their plans to provide long term support to UHBFT for fundraising and investment income) amounted to £12.89 million equipment, medical research, facilities and training, education & (2016/17: £4.07m) and expenditure in the year was £7.44 million. patient support. (2016/17: £3.63 million)

The Trustees calculate the reserves as that part of University Hospitals Birmingham Charity’s unrestricted income funds that are freely available after taking account of designated funds which have been earmarked for specific purposes, unrealised gains or losses and certain funds, which on the basis of prudence do not form part of the reserves.

The total funds of University Hospitals Birmingham Charity at the year ending 31 March 2018 were £15.649 million. The total level of unrestricted reserves is analysed as follows:

£ Total funds available at year end 31 March 2018 15,649,000 Less: Fisher House and other programme related 2,093,000 capital assets Restricted funds 1,298,000 Designated funds 11,782,000 Total free reserves 476,000

Trustees calculated the level of required or target free reserves after reviewing University Hospitals Birmingham Charity’s annual income and expenditure level and taking into account medium term commitments.

The target reserves ensure stability of grant funding to UHBFT. The target reserves are calculated as follows:

£ Provision for six month's general fund 300,000 expenditure requirements* Total target reserve requirement: 300,000

*The figure for six month’s general fund expenditure requirements are those costs the charity would incur, including redundancy costs, if fundraising income ceased and Trustees had to wind up the charity’s activities.

The available reserves are above the target range and the Trustees believe these are sufficient and at a prudent level.

The Trustees note that there is still a large balance of designated funds within the charity and have set plans to continue to spend these balances on the areas appropriate to donors’ wishes.

Trustees Report incorporating the Strategic Report | 23 Trustees Report incorporating the Strategic Report | University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716 UNIVERSITY HOSPITALS BIRMINGHAM CHARITY COMPANY NUMBER 10004003 CHARITY NUMBER 1165716 Statement of Trustees' responsibilities in respect of the Trustees' Annual Report and the Financial Statements

The charity trustees (who are also the directors of the University Hospitals Birmingham Charity for the purposes of company law) are responsible for preparing a trustees' annual report and financial statements in accordance with the applicable law and United Kingdom Accounting Standards.

Company Law requires the charity trustees to prepare financial statements for each year which give a true and fair view of the state of affairs of the charitable company and of the incoming resources and application of resourses, including the income and expenditure, of the charitable company for that period. In preparing these financial statements, the trustees are required to:

• select suitable accounting policies and then apply them consistently;

• make judgements and estimates that are reasonable and prudent;

• state whether the financial statements comply with applicable accounting standards and statements of recommended practice, subject to any material departures disclosed and explained in the financial statements;

• prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charity will continue its activities.

The trustees are responsible for keeping proper accounting records that disclose with reasonable accuracy at any time the financial position of the charity and to enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charity and hence taking reasonable steps for the prevention and detection of fraud and other irregularities.

The Trustees are responsible for the maintenance and integrity of the corporate and financial information included on the charitable company's website. Legislation in the United Kingdom governing the preparation and dissemination of financial statements may differ from legislation in other jurisdictions.

Statement as a disclosure to our auditors In so far as the Trustees are aware at the time of approving our trustees' annual report:

- there is no relevant information, being information needed by the auditor in connection with preparing their report, of which the group's auditor is unaware, and

- the trustees, having made enquiries of fellow directors and the company auditor that they ought to have individually made, have each taken all steps that they are obliged to take as a director in order to make themselves aware of any relevant audit information and to establish that the auditor is aware of that information.

Approved by Trustees on 15 August 2018 and signed on their behalf by:

David Mackay (Chairman) David Mackay (Chairman)

24

Page 1 Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity Independent auditor’s report to the members of University Hospital Birmingham Charity pinion

e hae audited the financial statements of niersity ospital irmingham harity the charity for the year ended arch which comprise tatement of inancial ctiities the alance heet the tatement of ash lows and notes to the financial statements including a summary of significant accounting policies he financial reporting framework that has been applied in their preparation is applicable law and nited ingdom ccounting tandards including he inancial eporting tandard applicable in the and epublic of reland nited ingdom enerally ccepted ccounting ractice

n our opinion the financial statements

gie a true and fair iew of the state of the charitys affairs as at arch and of its income and ependiture for the year then ended; hae been properly prepared in accordance with nited ingdom enerally ccepted ccounting ractice; and hae been prepared in accordance with the reuirements of the ompanies ct

Basis of opinion

e conducted our audit in accordance with the nternational tandards of uditing s and applicable law ur responsibilities under those standards are further described in the uditors responsibilities for the audit of the finacial statements section of our report e are independent of the charity in accordance with the ethical reuirements that are releant to our audit of the financial statements in the including the s thical tandard and we hae fulfilled our other ethical responsibilities in accordance with these reuirements e beliee that the audit eidence we hae obtained is sufficient and appropriate to proide a basis for our opinion

Conlusions relating to going onern e hae nothing to report in respect of the following matters in relation to which the s reuire us to report to you where

the trustees use of the going concern basis of accounting in the preparation of the financial statements is not appropriate; or the trustees hae not disclosed in the financial statements any identified material uncertainties that may cast significant doubt about the charitys ability to continue to adopt the going concern basis of accounting for a period of at least twele months from the date when the financial statements are authorised for issue

ther information

he trustees are responsible for the other information he other information comprise the information included in the annual report other than the financial statements and our auditors report thereon ur opinion on the financial statements does not coer the other information and ecept to the etent otherwise eplicitly stated in our report we do not epress any form of assurance conclusion thereon

n connection with our audit if the financial statements our responsibility is to read the other information and in doing so consider whether the other information is materially inconsistent with the financial statements or our knowledge obtained in the audit or otherwise appears to be materially misstated f we identify such material inconsistencies or apparent material misstatements we are reuired to determine whether there is a material misstatement in the financial statements or a material misstatement of the other information f based on the work we hae performed we conclude that there is a material misstatement of this other information we are reuired to report that fact

e hae nothing to report in this regard

age Trustees Report incorporating the Strategic Report | 25 University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716 Independent auditor’s report to the members of University Hospital Birmingham Charity (cont') Independentpinion on other auditor’s matters report prescribed to the members by Companies of University ct Hospital Birmingham Charity (cont') n our opinion based on the work undertaken in the course of the audit pinion on other matters prescribed by Companies ct the information gien in the rustees eport for the financial year for which includes the trategic eport and the n our irectors opinion eport based preparedon the work for undertakenthe purposes in ofthe company course of law the for audit the financial year for which the financial statements are prepared is consistant with the financial statements; and the information gien in the rustees eport for the financial year for which includes the trategic eport and the the trategic eport and the irectors eport included within the rustees eport has been prepared in accordance irectors eport prepared for the purposes of company law for the financial year for which the financial statements with the applicable legal reuirements are prepared is consistant with the financial statements; and atters the trategic on hich eport e and are the reuired irectors to eport report included by eception within the rustees eport has been prepared in accordance with the applicable legal reuirements n light of the knowledge and understanding of the charity and its enironment obtained in the course of the audit we hae notatters identified on materialhich e misstatements are reuired in the to trategic report eportby eception or the irector eport included within the rustees eport n light of the knowledge and understanding of the charity and its enironment obtained in the course of the audit we hae e hae nothing to report in respect of the following matters in relation to which the ompanies ct reuires us to report to you ifnot in identified our opinion material misstatements in the trategic eport or the irector eport included within the rustees eport adeuate and proper accounting records hae not been kept or returns adeuate for our audit hae not been receied e hae nothing to report in respect of the following matters in relation to which the ompanies ct reuires us to report to you if in from our opinionbranches not isited by us; or adeuatethe financial and statements proper accounting are not in records agreement hae withnot been the accounting kept or returns records adeuate and returns; for our or audit hae not been receied certain disclosures of trustees remuneration specific by law are not made; or from branches not isited by us; or we hae not receied all the information and eplanations we reuire for our audit the financial statements are not in agreement with the accounting records and returns; or Responsibilitiesesponsibilities certain disclosures of of trusteesoftrustees trustees remuneration specific by law are not made; or we hae not receied all the information and eplanations we reuire for our audit As explained more fully inin thethe Trustees’Trustees’ responsibilitiesresponsibilities statement statement set set out out on on page{ page 24, the trustees who(who areare alsoalso thethe directorsdirectors ofof the thecharitableesponsibilities charitable company company offor trustees the for purposesthe purposes of company of company law law)are responsible are responsible for the for preparation the preparation of the financialof the financial statements statements and for beingand for beingsatisfied satisfied that they that gie they a true give and a truefair iew and fair and view, for such and internalfor such controlinternal as control the trustees as the determinetrustees determine is necessary is tonecessary enable theto enable the As explained more fully in the Trustees’ responsibilities statement set out on page{ the trustees who are also the directors of the preparation of of the the financial financial statements statements that that are are free free from from material material misstatement misstatement, whether whether due dueto fraudto fraud or error or error. charitable company for the purposes of company law are responsible for the preparation of the financial statements and for being satisfied that they gie a true and fair iew and for such internal control as the trustees determine is necessary to enable the preparationn preparing ofthe the financial financial statements statements the that trustees are free are from responsible material for misstatement assessing the whether charitys due ability to fraud to continue or error as a going concern disclosing as applicable matters related to going concern and using the going concern basis of accounting unless the trustees either intend to liuidate the charity or to cease operations or hae no realistic alternatie but to do so n preparing the financial statements the trustees are responsible for assessing the charitys ability to continue as a going concern disclosing as applicable matters related to going concern and using the going concern basis of accounting unless the trustees either uditor's responsibilities for the audit of the financial statements intend to liuidate the charity or to cease operations or hae no realistic alternatie but to do so ur objecties are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement whether due to fraud or error and to issue an auditors report that includes our opinion easonable assurance is a high leeluditor's of assurancebut responsibilities is not a guarantee for the audit that an of audit the conductedfinancial instatements accordance with s will always detect a material ur objecties are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement when it eists isstatements can arise from fraud or error and are considered material is indiidually or in the misstatement whether due to fraud or error and to issue an auditors report that includes our opinion easonable assurance is a high aggregate they could reasonably be epected to influence the economic dicisions of users taken on the basis of these financial leel of assurancebut is not a guarantee that an audit conducted in accordance with s will always detect a material statements misstatement when it eists isstatements can arise from fraud or error and are considered material is indiidually or in the aggregate they could reasonably be epected to influence the economic dicisions of users taken on the basis of these financial further description of our responsibilities for the audit of the financial statements is located on the inancial eporting ouncils statements website at wwwfrcukauditorsresponsibilities his description forms part of our auditors report Use further of the description audit report of our responsibilities for the audit of the financial statements is located on the inancial eporting ouncils hiswebsite report at wwwfrcukauditorsresponsibilitiesis made solely to the companys members his description as a body in forms accordance part of withour auditors hapter report of art of the ompanies ct ur audit work has been undertaken so that we might state to the companys members those matters we are reuired to state to them inUse an ofauditors the audit report report and for no other purpose o the fullest etent permitted by law we do not accept or assume responsibility to his report is made solely to the companys members as a body in accordance with hapter of art of the ompanies ct anyone other than the company and the companys members as a body for our audit work for this report or for the opinions we hae ur audit work has been undertaken so that we might state to the companys members those matters we are reuired to state to them formed in an auditors report and for no other purpose o the fullest etent permitted by law we do not accept or assume responsibility to eeanyone artwright other than enior the tatutorycompany uditorand the companys members as a body for our audit work for this report or for the opinions we hae orformed and on behalf of aars hartered ccountants and tatutory uditor ee hurch artwright treet enior tatutory uditor irminghamor and on behalf of aars atehartered ccountants and tatutory uditor hurch treet irmingham ate 27 September 2018

26 age

age Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity T TA A AT A AT T TA A AT A tatement of inancial ctivities for the year ended arch AT tatement of inancial ctivities for the year ended arch ote ref ote nrestrited funds estrited funds otal funds ear rior ote ref ote nrestrited funds estrited funds otal funds ear rior Income and endoments from onations and legaies Income and endoments from haritable atiities onations and legaies nestments haritable atiities Total nestments penditure on Total Raising funds: Charitablependiture activities: on Raising edialfunds: esearh Charitableurhase activities: of e uipment eedial uilding esearh and efurbishment taffurhase duation of e and uipment elfare atiente uilding duation and efurbishmentand elfare taff duation and elfare isher ouse unning osts atient duation and elfare isher ouse epreiation osts isher ouse unning osts Total isher ouse epreiation osts Total Net Income/(Expenditure) for the reporting period before gains and losses on investments Net Income/(Expenditure) for the reporting period before gains and losses on investments nrealised gains losses on inestments () ealised gains losses on inestments nrealised gains losses on inestments () ealised gains losses on inestments Transfers beteen funds 15 Other recognised gains and losses Transfers beteen funds 15 gainsOther losses recognised on realuation gains and lossesof fixed assets

etgains movement losses on in realuation funds for the of fixed year assets

econciliationet movement of in funds funds for the year Total funds brought forard econciliation of funds Total funds carried forward Total funds brought forard Total funds carried forward The statement of finanial atiities inludes all gains and losses reognised in the year All inome and expenditure derie from ontinuing atiities The statement of finanial atiities inludes all gains and losses reognised in the year All inome and expenditure derie from ontinuingApproed and atiities authorised for issue by the oard and signed on their behalf

ignedApproed and authorised for issue by the oard and signed on their behalf

ignedTrustee ………………………………………… Trustee ………………………………………… Dave Mackay Andy Pemberton Trustee ………………………………………… Trustee ………………………………………… Date: ………………………………………… Date: ………………………………………… 15 August 2018 15 August 2018 Date:The notes ………………………………………… at pages xx to xx form part of these aounts Date: …………………………………………

The notesnotes atat pages pages xx 30 to toxx 41form form part part of these of these aounts accounts.

age

age

Trustees Report incorporating the Strategic Report | 27 University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716 T T T T Balance heet as at arch te re restrte us estrte us otal funds rr ear

ied assets estets ser use rra eate sset

Total fixed assets

Current assets ssets e r sae Detrs as at a a a t Total current assets

iabilities retrs: uts a ue t e ear

rss r ates: uts a ue t e ear

Net current assets/liabilities

Total assets less current liabilities

rss r ates: uts a ue ater re ta e ear

Total net assets or liabilities

he funds of the charity estrte e us restrte us Total charity funds

re a autrse r ssue te ar a se ter ea

e:

Trustee …………………………………………Dave Mackay Trustee …………………………………………Andy Pemberton

15 August 2018 15 August 2018 Date: ………………………………………… Date: …………………………………………

TheTe tesnotes at at aes pages 30t to r 41 form art part tese of autsthese accounts.

ae

28 Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity T T T T tatement of Cash los

Cash flos from operating activities Net cash provided by operating activities Table A

Cash flos from investing activities Des terest a rets r estets rees r te sae rert at a euet urase rert at a euet rees r sae estets urase estets Net cash provided by (used in) investing activities

Change in cash and cash equivalents in the reporting period Cash and cash euivalents at the beginning of the reporting period Change in cash and cash euivalents due to echange rate movements Cash and cash equivalents at the end of the reporting period Table B

able : eat et eeeture t et as r erat attes Net movement in funds for the period dustments for Dereat ares as sses estets Des terest a rets r estets reaseerease t reaseerease etrs reaseerease retrs reaseerease rss Net cash provided by (used in) operating activities

able B: ass as a as euaets as a otal cash and cash euivalents

ae

Trustees Report incorporating the Strategic Report | 29 Notes to the accounts University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716 T T T T otes to the ccounts onated oods and ervices ole of olunteers

Te a as rrate as a a te uaratee st r t s restere ue to te ture o te roe o outeers t s ot osse to ut te oetr ue o ter re a cotrutos ut oute o te cttes te eror ree s exe eo

ccounting olicies t sou e ote tt rustees o rectors e ter te ss ree to ru te rt

a) Basis of preparation and assessment of going concern u sors tere re out st o trou eete rustee utort e recoetos s to o te crts este us re set to eet te tets o te ost Te aa stateets ae ee reare arae t ut a ert artes: ese us re este or erre te trustees to e set or rtcur urose or rtcur tateet eee rate aae t artes rear ter auts arae t te r or ertet ccorce t te urose o te oto c u sor s eete oer to aa ert taar aae te a eu rea eete auar utorse u to o exeture ro te reet este u u sors s to recoe artes a te aes t excess o reure utort or te rt e xecute o s rustee eete utort to se u to reuests excess o ts out u to reure te utort o te rt r erst stas ra art eets te et a u eet ett as ee reuests oer ts ue reure u rustee or ro ssets a ates are ta rese at str st r trasat aue t te eet estets are ue at aret aue u sers tere re outeers oc o cte suort te urs or te crt rect rs us us coecto ts s e s outeers o uerte sosore cttes coect trou Te Trustees ser tat tere are atera uertates aut te arts at t tue as a oe suort es cttes cue cc s e crt so s te o reur er Tere are atera uertates aet te urret ears auts outeers tot crc o o ee ss st te ost tru

tructure of unds ere s reur outeer re rou or ser ouse tot crc eoe

ote oos oos or serce ote orer to e te crt rse us ors se or ucto re ere tere s a ea restrt te urse t a u a e ut te u s asse eter as a recose t ret or ce ue ere t s re e or rustees est estte e crt re ot endowment fund ere te r as eress re tat te e te u a e ae r o suc ssets t te ce seet te as a restricted income fund ere te r as re r te at t e set urterae a see artae urse et us ere te ata s e t eerate e r artae esources pended and Irrecoverable urses are su aase etee tse ere te Trustees ae te sret t se te ata expendable endowment, a tse ere tere s sret t ee te ata permanent endowment. exeture s ccoute or o ccrus ss s ee csse uer es tt rete costs rete to te cteor exeture s recose oce tere s e or costructe oto to e et to tr rt Tse us are eter eet r restrte e us are unrestricted income funds are cue t rosos re te ues o u rts re te trustees t te ce seet te suaase etee designated (earmarked) funds ere te r as ae ter ese rts re cosere u t rers to te ts o te reureets to o te rosos to ses r ere te Trustees at ter sret ae reate a se u r a se urse a wholly e st etee outs cosere exee t oe er outs exee ter oe er unrestricted funds are at te Trustees uettere sret

Te ar us e ea tese ateres are sse te rrecoere s cre st te cteor o resources exee or c t s curre

Incoming esources llocation of verhead and upport Costs resures are rese te tateet aa ttes e te art as etteet t te e a errae ts ae ee et t s rae tat te e e reee a te ere suort costs c re ot o ttrute to exeture te e ee ortoe aut a e uate t reasae aura etee osts o s us rte cttes e ss o oere suort costs te ss o octo s so ote r eaes etteet s tae as te earer te ate eter: te art s aare tat rate as ee rate te estate as ee ase a tat as ee ae te eeutrs t te art tat osts o eert us re costs ttrute to eert coe or te crt oter t coe rs suet us est t eae a strut t e ae a ts t te ea ae ee ue r ro crte cttes rereset urs costs toeter t estet eet ees are t te arts tr or e a strut s reee r te estate eet a ea e r art s sere rae e te aut a e easure rea a te art as ee osts o rte cttes corse exeture ete s o or curre te ursut o te te te executor’s tet t ae a strut ere eaes ae ee te t te art r crte oects o te crt ese costs ere ot o ttrute re ortoe to to te art s aare te rat rate a te rtera r e ret ae t ee et te rect costs cue ortoet o oere suort costs s scose ote te ea s treate as a tet asset a sse atera see te

30

ae e Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity Notes to the accounts

onated oods and ervices ole of olunteers

ue to te ture o te roe o outeers t s ot osse to ut te oetr ue o ter re cotrutos ut oute o te cttes te eror ree s exe eo

t sou e ote tt rustees o rectors e ter te ss ree to ru te rt

u sors tere re out st o trou eete rustee utort e recoetos s to o te crts este us re set to eet te tets o te ost ese us re este or erre te trustees to e set or rtcur urose or rtcur r or ertet ccorce t te urose o te oto c u sor s eete oer to utorse u to o exeture ro te reet este u u sors s to recoe excess o reure utort or te rt e xecute o s rustee eete utort to se u to reuests excess o ts out u to reure te utort o te rt r reuests oer ts ue reure u rustee or ro

u sers tere re outeers oc o cte suort te urs or te crt rect rs us us coecto ts s e s outeers o uerte sosore cttes coect trou oe suort es cttes cue cc s e crt so s te o reur outeers tot crc o o ee ss st te ost tru

ere s reur outeer re rou or ser ouse tot crc eoe

ote oos oos or serce ote orer to e te crt rse us ors se or ucto re recose t ret or ce ue ere t s re e or rustees est estte e crt re ot o suc ssets t te ce seet te

esources pended and Irrecoverable

exeture s ccoute or o ccrus ss s ee csse uer es tt rete costs rete to te cteor exeture s recose oce tere s e or costructe oto to e et to tr rt

cue t rosos re te ues o u rts re te trustees t te ce seet te ese rts re cosere u t rers to te ts o te reureets to o te rosos to e st etee outs cosere exee t oe er outs exee ter oe er

rrecoere s cre st te cteor o resources exee or c t s curre

llocation of verhead and upport Costs

ere suort costs c re ot o ttrute to exeture te e ee ortoe etee osts o s us rte cttes e ss o oere suort costs te ss o octo s so ote

osts o eert us re costs ttrute to eert coe or te crt oter t coe rs ro crte cttes rereset urs costs toeter t estet eet ees

osts o rte cttes corse exeture ete s o or curre te ursut o te crte oects o te crt ese costs ere ot o ttrute re ortoe to to rect costs cue ortoet o oere suort costs s scose ote

31

e Notes to the accounts University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716

ied ssets Investments estets re stte t ret ue s t te ce seet te e tteet o c cttes cues te et s osses rs o reuto soss trouout te er xceto ere te se or ture o o o securtes s suc tt te sos o tose securtes ou e ter eect o te uote ret rce serte scosure o ote ou se o te ustet to te ret rce uto ecessr to reect ts stuto urret te rt oes ot o estets o ts te roperty ied ssets

ser ouse s e t cost ess erecto oer er ter s er ote

rogramme elated sset

e rore rete sset o et ourt sre s crre t ret uto s t st ur roe ottos rtere ureors o r erur te rt cure urter rore rete sset o et ourt sre

Current ssets held for sale

urret ssets e or se corse o roert ssets so t ret ue e st roesso uto s coete rc ce oret o exter sors oert oe o

ains and osses s osses o estets re te to te tteet o c cttes s te rse ese s osses o estets re ccute s te erece etee ses rocees oe crr ue urcse rce ter rese s osses re ccute s te erece etee te ret ue t te er e te oe ret ue or urcse rce ter

ebtors etors re esure t ter recoere out tere re curret o rosos or or outu ets

Cash at ban and in hand s t cues cs sort ter u estets t sort turt o tree ots or ess ro te te o custo or oe o te eost or sr ccout

Creditors and provisions retors rosos re recose ere te crt s reset oto resut ro st eet tt ro resut te trser o us to tr rt te out ue to sette te oto c e esure or estte re

32 e Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity Notes to the accounts ensions H ension cheme

st reset eoees re coere te rosos o te to eso cees ets o te eets e rues o te cees c e ou o te esos este t sssuesos

ot re uue ee eet scees tt coer eoers rctces oter oes oe uer te recto o te ecretr o tte es e re ot ese to e ru tt ou ee oes to et ter sre o te uer scee ssets tes ereore ec scee s ccoute or s t ere ee cotruto scee te cost to te o o rtct ec scee s te s eu to te cotrutos e to tt scee or te ccout er orer tt te ee eet otos recose te c stteets o ot er ter ro tose tt ou e etere t te reort te or ctur uto te e reures tt te ero etee or utos s e our ers t roxte ssessets tere ers oute o tese oos

ccounting valuation

uto o scee t s crre out u te scee ctur curret te oeret Actuary’s ertet s t te e o te reort ero s utses ctur ssesset or te reous ccout er coucto t ute eers c t or te curret reort ero s ccete s ro sut roust ures or c reort uroses e uto o scee t s t rc s se o uto t s rc ute to rc t sur o eer ccout t uert ts ctur ssesset te etooo rescre reet e terrettos te scout rte rescre resur e so ee use

e test ssesset o te tes o te scee s cote te scee ctur reort c ors rt o te u eso cee es eso ccouts ese ccouts c e ee o te esos este re use u oes c so e ote ro e ttoer ce

ull actuarial (funding) valuation

e urose o ts uto s to ssess te ee o t resect o te eets ue uer te scees t to ccout ter recet eorc exerece to recoe cotruto rtes e eoees eoers

e st use ctur uto uerte or te eso cee s coete or te er e rc

e cee eutos o or te ee o cotruto rtes to e set te ecretr o tte or et t te coset o resur coserto o te ce o te cee ctur rorte eoee eoer reresettes s eee rorte

e ext ctur uto s to e crre out s t rc s set te eoer cotruto rte e ro r coser te cost o te cee rete to te eoer cost c ere re rosos te uc erce eso ct to ust eer eets or cotruto rtes te cost o te cee ces ore t o uect to ts ‘employer cost cap’ ssesset reure resos to eer eets or cotruto rtes e etere te ecretr o tte or et ter cosutto t te reet steoers

ational mployment avings rust cheme () e rt so cotrutes to te to oet s rust cee ee cotruto eso scee

ee cotruto eso scee s osteoet eet uer c te rt s xe cotrutos to serte ett e o e or costructe oto to urter outs otrutos re tereore cre to te te er c te ecoe e ccorce t te rues o te scee

33

e Notes to the accounts A A AUniversity Hospitals Birmingham Charity | Company NumberA 10004003 | Charity Number 1165716 A

rior ear Comparators

e prmary statemets proe pror year comparators total e comparators ca e ou t te releat otes to te accouts a ere rom te cartys results pror to ts coerso to compay lmte y uaratee

Related party transactions and trustees’ expenses and remuneration

atets o ersty osptals rmam ouato rust are te ma eecary o te carty e carty as mae cartale rats to ersty osptal ouato rust a tese are etale ote

ersty osptals rmam ouato rust proes a acal serces a amstrato serce to te carty y areemet t te rustees e cares mae y te ouato rust are set at a ar ope maret rate a are clue te oerea a support costs etale ote

oe o te trustees or partes relate to tem as uertae ay trasactos t ersty osptals rmam arty or recee ay eet rom te carty paymet or

oe o te trustees ae ee pa ay remuerato or recee ay oter eets rom a employmet t ersty osptals rmam arty or ay relate etty a te trustees ae ot purcase trustee emty surace

ur te year epeses or oe trustee ere pa rectly to a tr party to te alue o l

rustee ccomodation ravel raining otal e rustees ero rustees

e alue o uclame epeses curre y rustees olly a ecessarly te course o eecut ter rustee utes ae ee calculate at s ure as ere y us te postcoe stace rustees ae traelle to scare ter utes at te carty at a remursemet rate o pece per mle

34 ae Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity Notes to the accounts A A A A A

ncome rom onations and eacies restrcte estrcte otal restrcte estrcte otal us us us us oatos rom uals oatos rom compaes eaces rats

ncome rom aritale ctiities restrcte estrcte otal restrcte estrcte otal us us us us come rom uras ets

llocation o upport osts and ereads

upport a oerea costs are allocate etee uras acttes a cartale epeture e ass o allocato s te umer o trasactos processe

nalysis o xpenditure restrcte estrcte otal restrcte estrcte otal us us us us alares eso rael ra ce osts tatoery surace Aual eport rustee tra a peses roessoal ees teral Aut teral Aut a ares ace A ter

All support costs ae ee allocate to urestrcte us ue to mmal restrcte trasactos o te ass o te umer o trasactos processe a s so at ote o tese accouts

oernance osts

alculate oerace costs or are ey relate to costs assocate t te oerace o operat te carty a clue suc tems as tatutory Aut ompay restrato a leal costs as ell as a apportomet o remuerato a acal serces costs or tme spet o oerace ssues

35 ae Notes to the accounts University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716 A A A A A

nalysis o aritale xpenditure

e carty uer a ceme o eleato eter curre epeture t tr partes pursuace o rats or remurse epeture curre y eecares e carty ot uertae ay rect cartale acttes ur te year upport costs attrutale to artale peture ae ee apportoe etee cateores o te ass o te umer o ual trasactos uertae y te carty rant unded upport otal rant unded upport otal ctiity osts ctiity osts ecal esearc urcase o e upmet ul a eursmet ta ucato a elare atet ucato a elare ser ouse u osts ser ouse eprecato osts

e rema support costs ae ee allocate to te osts o as us o te ass o te umer o trasactos rant unded upport otal rant unded upport otal ctiity osts ctiity osts osts o as us osts o uras ets estmet aaemet osts

rants e carty oes ot mae rats to uals e rustees operate a ceme o eleato uer c u Asors maae ay to ay sursemets accorace t protocols set out y te rustees us surse ts ay represet oo actty c s ot possle to semet to ual rat aars umer o otal umer o otal nstitution Receiin upport rants rants ersty osptals rmam ouato rust ersty o rmam As per ceme o eleato

nalysis o sta costs and remuneration o ey manaement personnel otal otal alares a aes ocal securty costs ter peso costs

ension osts are split as ollos ee otruto ceme esos ee eet ceme

utstandin contriutions at year end ere ee otruto ceme esos ee eet ceme

Aerae ull tme eualets o employees te year Aerae ea cout ur te year

clue rom te aoe are to eart o la rust employees or om te carty as recee cares o ue to tem e eae arty or

36 ae Charity Number 1165716 | Company Number 10004003 | University Hospitals Birmingham Charity Notes to the accounts A A A A A

e ey maaemet persoel comprse te rustees upa a te arty e ecute o as pa a salary o plus peso cotrutos o o oter memers o sta ere pa ecess o

uditors Remuneration e eteral autors remuerato o relate solely to statutory aut or e carty ot commsso ay atoal or rom te autor l

nalysis o ixed sset nestments oements durin te year otal otal aret alue at start o year A traser r carty ess sposals at carry alue A Acustos at cost et losses o realuato aret alue at e o year

storc cost at year e

rocees rom te sale o estmets year

aret alue at arc el el otal otal croers ult Asset u ter estmets

otal ross income rom otal otal a ixed sset nestments estmets lste o a recose toc cae urrent ssets terest eare o cas eposts te year

All estmets are el t te

rorame Related sset liaet ourt reeold roperty lat lat otal otal aret alue at start o ear Atos et oss a o realuato

storc ost

37

ae Notes to the accounts A A AUniversity Hospitals Birmingham Charity | Company Number 10004003 | A Charity Number 1165716 A A A A A A

Contingent assets – legacy income iser ouse easeold roperty otal otal As at arc te carty a ee ote o elee leaces te alue o c caot e ascertae t accuracy all e a sare o a resue amout

Atos The average number of employees iailities and roisions aritale ter sposals xpenditure xpenditure otal otal oements durin te year R As at st Aprl pe rosos A e prosos care te year are or te year ess rosos release te year ae alue o rout orar prosos sposals rosos outsta at e o year eprecato as at st arc rosos ayale t oe year et oo alue as at st arc rosos payale ater more ta oe year

All estmets are el t te rosos outsta at e o year rosos clue te accouts relate to rats payale cartale epeture or ot years c ae ee approe y te rustees ut ot yet pa nalysis o urrent ssets etors

mounts allin due itin one year otal otal ommitments rustees ae etere to arraemets t uture commtmets as ollos Assets el or sale easeols and uildins ter a uls ter mounts allin due itin one year pr t a year ace A otal otal rae etors Accrue come pr etee years repaymets The Chief Executive, the highest paid otal detors allin due itin one year

ransers eteen unds as at an and in and otal otal ere ae ee to trasers etee us ur te year oe rom te restrcte oller eacy u or c relates to a rat mae or te artersp ear etre a ucato etre a oe to et Aea or to coer a as salary sposorsp l

toc eld or sale otal otal toc

reditors otal otal mounts allin due itin one year

rae cretors Accruals otal creditors allin due itin one year

38 ae ae A A A A Charity Number A 1165716 | Company A Number A 10004003 | University Hospitals Birmingham Charity A Notes to the accounts A A

Contingent assets – legacy income iser ouse easeold roperty otal otal As at arc te carty a ee ote o elee leaces te alue o c caot e ascertae t accuracy all e a sare o a resue amout

Atos The average number of employees iailities and roisions aritale ter sposals xpenditure xpenditure otal otal oements durin te year R As at st Aprl pe rosos A e prosos care te year are or te year ess rosos release te year ae alue o rout orar prosos sposals rosos outsta at e o year eprecato as at st arc rosos ayale t oe year et oo alue as at st arc rosos payale ater more ta oe year

All estmets are el t te rosos outsta at e o year rosos clue te accouts relate to rats payale cartale epeture or ot years c ae ee approe y te rustees ut ot yet pa nalysis o urrent ssets etors

mounts allin due itin one year otal otal ommitments rustees ae etere to arraemets t uture commtmets as ollos Assets el or sale easeols and uildins ter a uls ter mounts allin due itin one year pr t a year ace A otal otal rae etors Accrue come pr etee years repaymets The Chief Executive, the highest paid otal detors allin due itin one year

ransers eteen unds as at an and in and otal otal ere ae ee to trasers etee us ur te year oe rom te restrcte oller eacy u or c relates to a rat mae or te artersp ear etre a ucato etre a oe to et Aea or to coer a as salary sposorsp l

toc eld or sale otal otal toc

reditors otal otal mounts allin due itin one year

rae cretors Accruals otal creditors allin due itin one year

ae 39 ae Notes to the accounts University Hospitals Birmingham Charity | Company Number 10004003 | Charity Number 1165716 A A A A A nalysis o Caitale ns

esticte ns alace com esources rasers as a alance Aprl esources pee osses ac ear a o et Aea C oller eacy otal estrcte us

e oects o te restrcte us are as ollos or te coclear mplat proramme us use to purcase tal eupmet eucato a researc to cacer a oter ea a ec seases C o u a lecture room to e ames memory o arry oller a te tra a eucato o uor octors at oo ope osptal

nesticte an esignate amae ns

e rustees set a alace ope or clos o or aoe as te tresol or report materal esate us te terest o accoutalty a trasparecy a summary o all esate us s aalale upo rtte reuest

alace com esources rasers as a alance Aprl esources pee osses ac amae ns

res o ecal etre coloy esearc u C rostate acer ser ouse le uras rmam st laucoma es Accelera esearc ro arty ocre esearc u are seases etre aetes esearc roect er ouato eart urery rasplatato etorary ece erces erte etaolc sease rocoloy esearc ar artyu eartlas oo ope ery e t olull eeral aaemet eal t acteroloy ter earmare us All us realse aoss

40

ae Charity Number A 1165716 A| Company Number A 10004003 | University Hospitals Birmingham Charity A Notes to the accounts A

nesticte an esignate amae ns continued

e oects o te materal esate us are as ollos

A us ase or te ecal etre esearc u elare Ametes or ocoloy patets a sta us rase to support rostate acer ser ouse orces a amles etre le uras proects laucoma researc proects Accerlera rus ral proramme arty us are tose us or c a oor as ot epresse ay specc o s a te urestrcte come accru to te carty ese us are apple or ay cartale purpose to te eet o te patets o ersty osptals rmam ocre relate researc clu clcal a laoratory researc upport or te etre or are seases aetes researc proects upport or te er t eart urery rasplatato upport or te etorary ece erces ut upport or te erte etaolc sease ut upport o researc proects eupmet or te euroloy team or te support o aematoloy a ocoloy serces at o create a me le ut at oo ope osptal o support patets a olull osptal o suppport te real serce at o support te acteroloy serce at ter esate us relate to oter ars a clcal epartmets t te ersty osptals rmam ouato rust or c oors ae cate ter o ses e ma ter eerous ts

41

ae