Supporting treatment, care and research Charitable Funds Annual Report 2012/13

Central Manchester University Hospitals NHS Foundation Trust Charity. Registered charity 1049274. Celebrating our achievements

Chairman’s welcome our Charity to their hearts. From star-studded dinners and Our aims The principal purpose of ladies’ lunches to company cake bakes and sponsored the NHS is to deliver services It’s a great pleasure to welcome you to our annual review, The role of the Central Manchester University Hospitals runs, every penny raised is helping to make a real to patients, and so use of and to share some of the highlights and achievements of NHS Foundation Trust Charity is summed up in its difference to the treatment and care we can provide. the charitable funds is focused on the past year, in which our Charity raised £3.77m. This is governing document: funds are used “for any charitable enhancing the experience of patients, their an outstanding achievement, given the tough economic The money raised is used to purchase specialist purpose or purposes relating to hospital services families and friends and the wider community. climate, and a testament to the generosity of individuals, equipment which helps with diagnosis and monitoring. (including research) or to any part of the National Health The Trust’s aim is to provide all patients, visitors and staff families, companies and other organisations. It is also spent on additions to the hospital environment, Service associated with any hospital.” with a quality service that meets the highest professional making a difficult time a little more comfortable for More than a million people, plus their families, carers and The public benefits from the work of the Charity, which standards, while also respecting and responding to patients and their families. We are pleased to be able to friends, come to our family of eight hospitals each year. has aims directly related to public benefit. This is achieved their individual needs. We want to be innovative in the contribute to the running cost of the 60-room Ronald And many of them have benefited from the £4.8m spent through the Charity’s support of, and links to, the NHS treatment we provide and the environment we create. McDonald House Manchester which opened in May in our hospitals over the past 12 months. The Charity’s work hospitals on our central Manchester and Trafford sites. 2012. It provides free accommodation to the families of The Charity supports the Trust’s aims, while also has played a key role in supporting the excellent treatment, children being treated at our children’s hospital. The section of the public which benefits from our work is complying with donors’ wishes and charity law. care and research that our Trust takes a great pride in. mainly the patients, service users, staff and visitors in our This is achieved both directly through patient-focused Research is another priority, and, as part of this year’s None of this would have been possible without our hospitals but further public benefit can be demonstrated expenditure, such as improving patient waiting areas or investment in research, the Charity has provided hugely enthusiastic and hard-working Charity fundraising from the results of research undertaken and supported purchasing equipment, and indirectly by funding research. £600,000 during the past year to support the discovery team. My sincere thanks go to them, and to the Charity’s by the Charity. Education for staff and patients is regularly and development of new treatments for a wide range of The main priorities for the Charity are: Fundraising Board and its chairman Maurice Watkins CBE. funded through the Charity and is another example of diseases and conditions. resources spent for the ultimate benefit of a significant • Supporting research projects to improve our I’ve been very privileged to meet many individual donors Our Trust is dedicated to providing the best possible section of the general public. understanding of illness and fundraisers over the past 12 months. These have healthcare to people from our local community and included patients and family members who have raised The Charity makes grants which benefit the hospitals, • Helping to create an environment that’s more friendly beyond. On behalf of the Charity’s Trustees, I would like money to say thank you for the excellent care they services, patients, visitors and staff of the Trust. The to express our gratitude to all the extremely generous • Providing state-of-the-art equipment for diagnosis received, and also people who wanted to contribute hospitals are Manchester Royal Infirmary, Manchester individuals, groups, companies and charitable trusts who and treatment in memory of their loved ones. There are some Royal Eye Hospital, Royal Manchester Children’s continue to support our hospitals. Thanks to you, By working in close partnership with the Trust, the Charity tremendously inspiring stories, of which we can only share Hospital, Saint Mary’s Hospital, Trafford Hospitals and we really are making a difference. ensures funding is allocated to areas where it can make a few in this review, and we are grateful to every donor for the University Dental Hospital of Manchester. The Charity a real difference to the care and treatment of patients whatever they have been able to give. Trustee has invested money with the aim of enhancing the across our family of eight hospitals. environment by supporting art projects throughout Companies and their employees, celebrity patrons and the hospitals. supporters and the sporting community have also taken Peter W Mount CBE | Chairman

2 3 Celebrating our achievements

Grant Making Policy A fantastic year of fundraising May 2012 went towards raising over £3,000 in support of the children’s hospital’s Giggle Doctors project. The Trust Board approves the scheme of delegation We are very grateful to all of our supporters - every individual, May was a very busy month with many sporting events against which the managers and officers of the Trust community group, company and organisation that continues to taking place in support of all our hospitals, including the June also saw a flurry of activity from our corporate may approve grants. All grants in excess of £100,000 show their support allows the Charity to make a real difference. annual Great Manchester Run that saw 347 runners supporters including Manchester furniture company, are approved directly by the Charitable Fund Committee. taking part for us, raising over £80,000. Stocktons, refurbishing a parent room in the children’s The last 12 months have been jampacked, and it is Governance issues are covered in more detail on pages A&E and the Rainbow Room in Saint Mary’s Hospital. testament to the fantastic generosity and enthusiasm of Clare Maher from Salford and her team ‘The Maz 21 to 23. so many people that we are able to continue to support Strollers’, took on the 44th annual Keswick to Barrow 40 East Lancashire Freemasons donated £5,000 after Core activities treatment, care and research at our family of eight hospitals mile sponsored walk and raised £1,300 for Manchester holding a Jubilee Banquet to help fund a Play Specialist across central Manchester and Trafford. It also enables us Royal Infirmary’s CALLM Fund (Caring for Adults with and play equipment for the Children’s Clinical Research The Charity’s expenditure in 2012/13 was allocated in the to raise awareness of the amazing work of our clinical teams Leukaemia, Lymphoma and Myeloma). Over 1,300 Facility, which will help to distract children from their following ways: and of course the inspirational people they treat every day. children in nurseries, play groups and crèches across the treatment and offer more fun during their stay on the unit. • Research – 28% towards research programmes and North West took part in our under 5s sponsored walk, Here are some highlights of fundraising activity that has Staff and clients from the Co-operative Bank and Beavers research salary costs. Teddy Toddle, and this year patients from the children’s taken place throughout the year. & Struthers were given the opportunity to watch the first hospital were also invited to take part in a special Teddy • Patient related expenditure – 16% helped to deliver England match of Euro 2012, which took place during April 2012 Toddle which took place at the hospital. Our Teddy Toddle improvements to the patient experience. working hours, if they made a donation to ward 84 at raised a total of £16,500 which will be used to support Our year was kick-started when our charity mascot, Royal Manchester Children’s Hospital. Staff choosing to • Staff related expenditure – 14% was contributed, with Specialised Play Therapy. Humphrey Bear, was one of the first people to run watch the game collectively raised £700. A number of a significant proportion spent on training and education. 100m at the Olympic Stadium. Following a national Fundraising Football, which was co-organised by the events also took place in local communities throughout • Contributions to hospital capital expenditure – 34% vote Humphrey was the only charity mascot from the Charity team and long term supporters Sheldon Bean June, including a charity fishing match held by Lee Barlow spent on the purchase of medical equipment; 3% North West to compete and crossed the finish line in a and Nigel Woolfstein, in association with Manchester City from Wigan in aid of the Heart Care Unit in the children’s spent on other capital equipment with a further 2% on commendable fourth place! Football Club, raised an amazing £85,000 with a daytime hospital and Wendy Lomax’s family fun day in Preston IT and computer equipment. The capital expenditure tournament and evening dinner at the Etihad Stadium. following her daughter’s treatment on ward 84. April also saw 26 runners raise funds for our family of was all spent on improving equipment and the patient hospitals by competing in the first Manchester Marathon Barry and Annette Wright also completed Wainwright’s environment. June 2012 for ten years, collectively raising almost £23,000 in 182 mile Coast to Coast Walk and raised over £2,000 in June was another busy month with a whole host of • Contributions to Trust-wide refurbishments – 3%. sponsorship. Talk of Manchester also hosted a unique support of the refurbishment of the Hydrotherapy Pool in different events taking place including patrons Cole and speaker’s event for businesses at the Midland Hotel, the children’s hospital. Suzanne Page’s annual Ladies’ Ascot Day that was held which included a talk from Michelle Mone OBE and a at the Lowry Hotel. Guests were wined and dined and collection of over £3,000 that helped to support our some fabulous auction prizes were up for grabs, which Giggle Doctors project.

4 5 Celebrating our achievements

July 2012 August 2012 September 2012 October 2012

Our very own limited edition Humphrey Beanie Bears The Charity welcomed Consumer September launched Wiggle for Women, Saint Mary’s Over 3,500 young children joined in Pyjama Day and wore were launched by Ryman in July and were made available Care’s support in August when they first ever Zumbathon. 173 women and a couple of men their pyjamas to nursery in order to help fund the cost of across stores in the North West for £4.99. pledged to raise money within their office to ‘wiggled’ for three hours, raising over £9,000 to purchase the Giggle Doctors within Royal Manchester Children’s go towards the Burns Camp Project. a cooling cot for the hospital’s Rainbow Room. Patron Hospital. Corporate supporters Gascoigne Halman got into the Julie Neville opened the event with a moving speech fundraising spirit by organising a baton challenge as part Tony Price arranged for 20 beach buggies from across We also had a number of daredevil supporters that took about how much of a difference the money raised would of their ‘charity of the year’ partnership with the children’s the country to visit the children’s hospital, with each part in our Imperial War Museum Zip Wire event and over make to families that use the room. hospital. The baton visited 17 Gascoigne Halman offices buggie owner raising sponsorship to do so. Patients were 150 that took in the gruelling Tower Run up 47 floors of and was delivered by a variety of means including cycling, also able to have their photos taken with the buggies For the third year running, 12 celebrities went head to the Beetham Tower to raise funds for our hospitals. rhythmic gymnastics and horse riding. whilst they were at the hospital. The fun didn’t stop there head in a cook off for ‘Celebrity Grilling’ at Manchester’s Campus Living Village in Salford also pledged their though because the next day Humphrey was guest of Restaurant Bar & Grill. The night was hosted by Angus July also saw supporters from all our hospitals take part in support to the children’s hospital honour at the Volkswagen Northwest Show in Tatton Park Deayton and celebrity chef Simon Rimmer oversaw the the Great Manchester Swim and the Charity’s annual sky in October. where the buggies were on display. The beach buggie action in the kitchen. Through ticket sales, a raffle and an dive day. Dave Howard, Play Therapist at the children’s weekend raised over £2,000 and Daniel Allcock, who auction, Celebrity Grilling 2013 raised over £65,000. hospital, also took part in the NHS Triathlon in Horwich, received sponsorship for having the VW logo shaved in coming 51st out of 123. September was another great month for our corporate his head, raised a further £500. supporters with Kings Chambers, Milly Mogs and Over £65,000 was raised as part of a sporting fun day Steve Ruane took part in Total Warrior 10K in the Lake Manchester Central all making donations to the children’s organised by Sara and Andrew from Prestwich. The day, District and raised more than £700 for the children’s hospital. Bolton-based Hilton Smyth also launched their which was in aid of ward 78 and the Paediatric Intensive hospital following a colleague’s son receiving treatment for support for the hospital. Care Unit, saw an array of sporting activities undertaken non-Hodgkin’s lymphoma. including fencing, archery and judo. Some great fundraising for the Neonatal Intensive Care Unit at Saint Mary’s took place in September including Prestwich seemed like the place to be in July as Wendy a 5km walk organised by Katy Barber, which celebrated Korol and friends also organised a Northern Soul ‘all- son Harry’s one year ‘home-iversary’. Natalie Cook and dayer’ at the Fairways Lodge, which helped purchase an family also took part in a number or activities from a iPad and case for ward 77, with extra funds also being bag pack at Morrison’s in Denton, to a Ben Nevis climb, donated. collectively raising more than £5,000. Steve Whitbread arranged an en mass ‘head shave’ and raised more than £2,000 to support ward 84, where his son was being treated.

6 7 Celebrating our achievements

November 2012 Patrons Cole and Suzanne Page held their very February 2013 Thank you to everyone who has been glamorous Ladies’ Starry Lunch at the Midland Hotel involved with the Charity over the last Our annual schools event, Be Seen in Green Day, held in Long term supporter group the Red Sea Pedestrians for the fifth year running, where guests enjoyed a festive year. Your support really does make a real conjunction with Ryman, had the support of over 5,000 held a Valentine’s ball at the Hilton Hotel and raised a lunch, gift stalls from Harvey Nichols and a show-stopping and lasting difference to the thousands of students, staff and patients who raised over £11,000 to staggering £140,000 for Saint Mary’s that purchased a patients, and their families, that we surprise visit from Jason Orange. Auction and raffle help fund the purchase of televisions and DVDs for patient specialist neonatal ambulance for the Greater Manchester treat each year. prizes, including a bespoke engraved diamond pendant bedsides. Neonatal Transport Service. from Boodles Manchester, helped the event to raise Following the birth of her quadruplet sisters, 11-year-old £23,000 which was used to purchase two V-pods for the Royal Manchester Children’s Hospital was awarded £229 Abbie Holden from Kearsley organised cake sales and children’s Burns Unit. as part of the Manchester Evening News Wish Campaign collections at her school for Saint Mary’s Hospital, and that ran in 2012. December also saw a whole host of companies, raised £500. community groups and individuals from across the North March 2013 Also in November, Art V Cancer hosted an exhibition in West very generously donating gifts for patients in the Our annual Big T-Break was launched by Coronation Manchester selling limited edition prints from international children’s hospital. Street’s Michelle Keegan who enjoyed afternoon tea at artists raising over £847 on the night. The proceeds from January 2013 the Lowry Hotel with Humphrey Bear. the event contributed towards a total of £6,800 raised by Art V Cancer which was split between a number of charities The new year brought in new corporate supporter BASF Once again, Big T-Break was supported by Lancashire including Manchester Royal Infirmary’s CALLM Fund. plc who will be fundraising through the year to support Tea who kindly donated a year’s supply of tea to prize the refurbishment of clinical areas within the children’s draw winners Russells Constructions and the Trust’s Adult Forrest Recruitment created a 2013 calendar that Burns Unit. Anaesthetics Team for their participation in the event. compiled patients’ drawings from the children’s hospital and sent them to all of their clients. They also made a The Joe Geeling Trust Foundation made a final donation Kevin ‘Ginger’ Lawton and his scooter fanatic friends £1,000 donation. of £5,000 having reached its fundraising target of visited the children’s hospital for their 27th annual £110,000 since being founded in 2007. Trustees ‘Ginger’s Easter Egg Run’. Around 600 scooters arrived December 2012 Tom Geeling and Derek Calrow visited Royal Manchester at the hospital for ward 84 patients to judge and vote for December is of course a hectic but very exciting month Children’s Hospital to mark the occasion with a special their favourites in the ‘Custom Scooter Show.’ with a whole host of Christmas activities and events cheque presentation. And finally, following his treatment at Manchester Royal taking place. Philips & Cohen Associates took to the waters in the Eye Hospital, eight-year-old Brandon Smith from Wigan Patients at the children’s hospital were all aglow during a visit Salford Dragon Boat Race for Saint Mary’s Hospital and held a tombola stall as a thank you to the staff there. from Manchester United and Manchester City players who raised almost £2,500. Brandon raised £45. came bearing many gifts including iPads and club merchandise.

8 9 Investing in treatment, care and research

The latest equipment and facilities • Supporting the expansion of the specialist Blackout • Contributing to the annual running costs of This work would not have been possible without the Clinic at MRI by funding computer equipment (£4,600). Ronald McDonald House, the ‘home from home’ continued support and investment from the Charity. In Charity funds have been spent on a wide range The clinic sees patients who have suffered unexplained accommodation for the families of children who are 2012/13 the Charity awarded £600,000 in funding, as of equipment, activities, training and events to blackouts and aims to provide a rapid diagnosis of the being treated at RMCH (£200,000). part of its five-year agreement to support research and help patients, their families and to support staff. possible cause. innovation activity. Here are just a few examples of how the money • Funding complementary therapy sessions for cancer has been used: • Buying a Body Weight Support Treadmill System for patients at Trafford Hospital (£1,200). Facilities use with patients undergoing rehabilitation at MRI • Providing support to increase the number of • Purchasing four Minilink Transmitter Systems for In December 2012 the NIHR/Wellcome Trust Manchester (£11,000). consultations with the Skin Camouflage Service, monitoring diabetes patients being treated at MRI Clinical Research Facility celebrated receiving £5.5 million which works with patients who have scars, burns, • Helping to equip MancEL, the Trust’s Clinical Skills (£1,700). in Experimental Medicine funding from the NIHR. The birthmarks or skin conditions. A monthly clinic is and Simulation Centre (£71,500). The Centre is used • Supporting the weekly cost of the ‘Giggle Doctor’ visits facility will use this money to support studies for people held at Manchester Royal Infirmary (MRI) by a trained by staff training in a variety of clinical disciplines to to entertain the children at RMCH (£16,000). with diseases such as arthritis, psoriasis, depression, volunteer from the Changing Faces charity, for practice and develop their skills before going on to addiction and diabetes. Alongside this, the Charity has patients from various departments. The volunteer work with patients. • Helping to pay for staff and patients to attend training funded the equivalent of a one-year research nursing shows patients how to apply creams and powders to courses, conferences and support group sessions. • Providing a Vivid Echo Machine and Phased Assay post, to support the delivery of these trials. minimise the impact of their conditions (£4,000). These were in areas as diverse as caring for the Probe for the Royal Manchester Children’s Hospital victims of sexual assault, managing diabetes, specialist Manchester Biomedical Research Centre • Purchasing patient monitoring equipment for the (RMCH) to help diagnose and treat children with heart Strategic Funding Awards emergency training, renal care and genetics. intravenous sedation suite at the University Dental conditions (£63,000) and developing Paediatric Critical In 2012/13 the Charity awarded vital pump-priming Hospital of Manchester (£9,500). Care IT systems (£3,700). Investing in research funds to four key translational research studies, totalling • Funding the purchase by Saint Mary’s Hospital (SMH) • Buying specialist surgical (£48,000) and laparoscopic The Trust’s Research and Innovation Division has £400,000. The money was awarded to Manchester of a Laerdal airway management baby mannequin, to equipment (£60,000) for the urological surgery team at MRI. continued to deliver pioneering translational research. Biomedical Research Centre (BRC) researchers as part help with neonatal life support training (£1,100). of a new strategic funding call. The successful projects • Contributing towards the cost of RMCH patients Over the past twelve months it has increased recruitment were at the initial stages of being translated from research • Contributing to the travel costs of Trust staff who attending the summer Burns Camp held at Ghyll Head of participants to clinical trials and attracted large sums studies into new patient treatments. They volunteered to work in their own time at health clinics (£7,000), and taking the oncology siblings group on a of national and international funding, including from have the potential to directly benefit in Sri Lanka and Uganda (£2,100). visit to Blackpool (£500). the National Institute for Health Research (NIHR) and European Research Council. This enables the Trust to NHS patients and also increase • Purchasing a specialist retinal photography camera for continue translating research BRC research capacity. Manchester Royal Eye Hospital (£1,000). findings into the very best clinical practice.

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Funded projects

Early intervention for permanent childhood hearing Nursing Midwifery and Allied Health How do primary schools in Central Manchester Encouraging innovation impairment: progress means new challenges. This study Professionals Pump Priming Awards support children with their diabetes management? To support continued improvement in the quality and of around 100 normal hearing and deaf babies will answer The Charities also funded around £50,000 through a A case study design will be adopted in order to examine safety of services in healthcare, there is a need for questions related to changes in the brain in response to pump priming research scheme for Nursing, Midwifery the influences of the range of people and interactions on constant innovation. In 2012 the Trust and MIMIT™, a sound as the baby grows and the ability to consistently and Allied Health Professionals. This scheme funds the diabetes management in schools. Three case studies partner organisation, and a collaboration of The University detect a cortical auditory evoked potential (CAEP). development of research projects for up to 18 months. will be conducted in order to conduct cross-case of Manchester and Greater Manchester NHS and Primary Development of a home-use device for patients with comparison of facilitators and barriers in different primary Care Organisations, that identifies unmet clinical needs macular degeneration: a feasibility study. The team will Funded projects: school settings. and solves these problems through the development develop a mobile vision testing unit that patients can use Exploring fathers’ experiences of care in pregnancy of new devices, diagnostics or services, launched the daily to monitor changes in the eye condition macular following stillbirth or neonatal death. The research aims to Professor Colin Sibley, Clinical Head of Clinical Need Award. This award, funded by the Charity, degeneration, ultimately reducing unnecessary hospital understand fathers’ views and experiences of maternity Research and Innovation at the Trust and supports unmet clinical needs identified by clinician teams Director of the Manchester BRC, said: “The visits but encouraging more rapid assessment if needed. care in pregnancies following a stillbirth or neonatal that could have technology-based solutions. By the end of the study, a prototype device will be ready continued support from the Charity enables death. The study will explore the experiences of six to ten One award of £30,000 was given to Dr Alex Heazell for extensive testing on patients. us to develop the high calibre research that fathers, who have prior experience of stillbirth or neonatal the Trust produces year on year. By funding from Saint Mary’s Hospital, to develop the concept of a Development of lentiviral mediated haematopoietic stem death. The study will enhance health professional high quality, clinically oriented research “Mummy Vest” that could distinguish the heartbeats of cell gene therapy for Sanfilippo disease. This is a clinical understanding of fathers’ perceptions of current maternity projects at an early stage, we can help the mother and unborn child and could help improve the researchers develop translational studies trial of a new stem cell gene therapy for children with care provision. survival rates of babies. One in 200 pregnancies in the UK Sanfilippo disease. Patients lack an enzyme which helps that will eventually attract substantial grants A qualitative study to determine attitudes towards living from the Medical ends in stillbirth. them process food, creating a build-up of chemicals in kidney donation amongst South Asian parents of children Research Council, A second award of £10,000 was made to Dr Stephen the body. This leads to a brain disease which causes following renal transplant - This qualitative study invites NIHR or medical Playfor from the Royal Manchester Children’s Hospital progressive dementia and death in their mid-twenties. research parents to take part in a one-to-one research discussion and Dr Rachel Barber, to assess the clinical need for a charities.” Early phase trial of statin treatment for autism in young to explore their attitudes towards living donation. new type of portable ventilator designed children with NF1 - This study is the first to test whether The findings will be used to help develop especially for newborns. statins will help specifically the autism found in some an educational package for staff; a In each case, the goal is to children with the genetic condition NF1. It will investigate workshop to share the findings develop a commercial the effect of the medicine on the children’s brain functioning, with staff/families in UK children’s product that will be their autism and other behaviour problems. It is hoped the study kidney units to better understand available to the NHS and will open up important new avenues of therapy for children views on living donation; and to other healthcare providers. who suffer from NF1, as well as possibly autism more generally. inform future research in this area.

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Funded projects

Clinical development Metformin, a type 2 diabetes drug, costs just 2 pence Arts programme for our hospitals events taking place over the year. Every week in the a day and has shown promising anti-cancer effects in Children’s Hospital professional musicians visit the wards Dr Paul Abeles was awarded £25,000 by the Charity The hospital arts programme run by Lime Arts continues several other cancer types, including breast and prostate providing magical interactive music sessions with the for his Advanced Sleep, Activity and Rest Monitoring to flourish with increased support from the Charity cancer. In Dr Crosbie’s research, women with womb children. The music programme is delivered in partnership (ASARM) project, to develop a prototype of his and continued partnerships with other culture and arts cancer are given metformin in the two to four week period with the Royal Northern College of Music. monitoring device to help people who suffer from Myalgic organisations in the city. The true value of integrating the between diagnosis and hysterectomy. The effects of Encephalopathy (ME)/Chronic Fatigue Syndrome (CFS). arts into the life of the hospital continues to be evidenced metformin are assessed by comparing the proportion of His project addresses the need to integrate data collected with more awards. For example, the Hydrotherapy cancer cells that are multiplying before and after the drug Comments on the Music for Health atrium from current devices that monitor baseline activity, with Arts Project in RMCH has won an international patient concert series is given. The study has currently recruited a third of the patient observations and clinician feedback. The project environment design award and a Patient Experience total patients needed. “Makes a very relaxed atmosphere, should be is focused on developing software to address this need, National Network award. Thanks go to all the staff and more often.” Staff member The RfPB funding has enabled Dr Crosbie and her team providing an integrated system that can monitor sleep, patients involved. “I never knew hospitals could be fun, I could activity and rest in patients with ME/CFS. The software to bring in further external funding. In 2012, they secured have stayed all day.” Patient Transforming clinical spaces into a welcoming healing will ultimately become a commercial product for use a Wellcome Trust/Wellbeing of Women Clinical Research environment for everyone has become the hallmark of “Good idea to have something uplifting when across the healthcare sector. Fellowship of £200,000 over three years. This money is most people associate hospitals with a lot of Lime Arts’ activity, making our hospitals more interesting, funding a talented young obstetrics and gynaecology negativity.” Staff member relaxing and therapeutic for patients, staff and visitors. trainee from Edinburgh, Dr Vanitha Sivalingam, to Case Study – new approaches to “Everyone walking past has a smile on their womb cancer complete a PhD in Saint Mary’s Hospital. Her PhD looks Here are a few examples of what has been achieved over face. Music makes you happy.” Patient at the pre-clinical and clinical effects of metformin on the past year: Womb cancer is the fourth most common womb cancer growth. cancer affecting British women and its The Thomas Cook Hydrotherapy Arts Project Dr Crosbie has also been awarded a prestigious NIHR incidence is rising rapidly in the UK and The first phase of this project was to refurbish the facilities Comments on the Hydrotherapy Arts Project elsewhere in the world, partly due to the Clinician Scientist fellowship of £1.25 million over five and improve the environment for patients, including the “It’s a lovely change to the department – obesity epidemic. In 2011/2012 Dr Emma years, for her research to improve our understanding of much brighter and more child-friendly! Good Crosbie, Honorary Consultant at Saint use of artwork. The completion of this first phase of the how obesity causes womb cancer and feedback from my patients too – one child Mary’s Hospital, was awarded £27,000 in project and its successful outcomes has prompted a develop new prevention and was very excited to ‘go play at the beach and Research for Patient Benefit (RfPB) funding second phase for which charitable funding is confirmed treatment strategies. search for treasure.” Staff member from the Charity to test the anti-cancer for 2013/14. properties of metformin in womb cancer. “What a wonderful transformation, from a Music for Health Programme neutral clinical environment to a friendly, interactive and pleasurable environment.” The music programme continues to gain momentum with Staff member some 15 public concerts and many more ward-based

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Funded projects

Scoping Future plans be the Manchester base for a number of biohealth companies which are developing new diagnostic services Valuable work has also taken place on scoping projects Charitable funds are being used to support a wide range and treatments for patients. in order to raise funds. This has been achieved for three of activities across the Trust, from arts projects to patient new projects: the RMCH Radiology Department, the and family support initiatives and research. Here are Due to open in Spring 2014, Citylabs will also be the Burns Unit and the Sexual Assault Referral Centre. just some of the plans for 2013/14 which will be made new home for the Charity team. Other tenants include TRUSTECH, an NHS organisation which aims to improve Display Cabinets possible thanks to fundraising support: healthcare through the development of innovative Music helps to make a difference Eight of the twenty display cabinets across the site products and services, and the Manchester College now show the ‘Story of Health’, a historical perspective The current Music for Health Programme is being which will use the space for medical training. on each of the four hospitals. Valuable and fascinating extended to Renal Dialysis and Dementia patients, thanks Celebrating the Eye Hospital’s bicentenary archive material has been liberated from storage for all to to Charity funding. This follows excellent feedback from see and enjoy painting a unique history of health in patients about how listening to live music in the hospital Manchester Royal Eye Hospital was founded on 21st Manchester from 1752 to the present day. Other new displays atria is helping to reduce anxiety while they are waiting for October 1814, and celebrations are being planned for are ongoing involving our cultural partners and local artists. clinic appointments or treatment. its bicentenary year. These will include an international conference focusing on pioneering research into eye Ronald McDonald House Taking the fear out of surgery for kids diseases and treatment carried out in Manchester and A major artwork was installed this year in the ground floor Having even a minor operation may be a frightening elsewhere, a staff event plus an exhibition and open glazing of Ronald McDonald House, the accommodation experience for children, and bright, cheerful surroundings days for patients. The Eye Hospital has also launched unit for the parents and families of sick children. This can help them to relax. Royal Manchester Children’s a fundraising campaign – ‘200 for MREH 200’ – to is approximately 40 metres of printed vinyl artwork, a Hospital has put together a proposal to use £222,000 raise £200,000 during 2014 composition made by Lime Arts incorporating children’s of Charity funding to turn a storage area into a fully- to fund the creation drawings submitted by Trust staff from their children. equipped specialist minor surgery unit, complete with of a specialist Culture shots themed artwork to engage children and take their minds paediatric off the treatment. genetics This was a week of creative activities across the hospital service. site organised with the Manchester Museums and Citylabs transformation well under way Galleries Partnership. Connecting with major cultural Work is continuing to convert the former Royal Eye players in the city adds a new and valuable dimension to Hospital building on Oxford Road into Citylabs, a new patient care and staff involvement in cultural events. 100,000 sq ft biomedical centre of excellence. It will

16 17 Working together to make a difference

Volunteers The Charity would also like to thank celebrity chef Simon With support from the Brian Wilson Charitable Trust we Rimmer, lingerie entrepreneur Michelle Mone, Olympic were able to purchase special sensory equipment for The Trustees would like to pay tribute to the role of gold medallist Paul Manning, Key 103’s Mike Toolan Royal Manchester Children’s Hospital, called the 3D V volunteers, members of the general public who give up and Chelsea Spokes, BBC sports presenter Hugh Pod Sensory Unit, for the children’s Major Trauma their time in support of the services to our patients. Ferris, Natasha Hamilton, Jason Orange and TV’s Angus Centre. This is an amazing tool for comforting The voluntary groups and charities working to support our Deayton and Christopher Biggins. our young patients during treatment, hospitals make a valued contribution. examination and rehabilitation following Thanks must also go to the Manchester football traumatic injury such as a road traffic The past year has seen volunteers helping with community as the Charity has enjoyed the support of accident, brain injury or broken bones. administration in the office and also lending a hand at Manchester United Football Club and Manchester City events and collections including at supermarkets, gigs Football Club. The Oglesby Charitable Trust generously and in Manchester City Centre. donated £20,000 to Saint Mary’s Sexual Our sincere thanks also go to our volunteer fundraisers Charitable Trusts Assault Referral Centre (SARC). SARC who support us by donating their time and talent In the current economic climate, we are overwhelmed at provides care for children and adults who have and who go the extra mile to raise funds in support of the generosity of our Charitable Trust supporters. experienced sexual violence. The services offered include our hospitals. forensic, therapeutic, medical and emotional support and The year kicked off in May 2012 with a generous donation counselling. To date the service has been provided to from the Big Lottery Fund (Awards for All) for £10,000 Celebrity Support over 16,000 people from across Greater Manchester and towards the purchase of a Body Weight Support System Cheshire and has a national and international reputation The Charity has been very fortunate to receive the and Gait Trainer for Manchester Royal Infirmary. This for excellence. support of many celebrities over the past year, which has piece of equipment will make it easier to monitor a helped to raise the profile of the Charity and in particular patient’s progress with regard to how they walk or how the Children’s Hospital. Special thanks go to Phil and the sequences of their foot movements are affected Julie Neville, Cole and Suzanne Page and BBC ‘dragon’ following a stroke or other neurological disorders. Theo Paphitis. Thanks also go to Coronation Street stars Anthony Cotton, Brooke Vincent and Tony Hirst, actor John Thomson, stars Jason Done, George Sampson, Chelsee Healey, Rebecca Ryan and Ben Ryan Davies, actors Ashley-Taylor Dawson and Andrew Moss and Emmerdale’s Kurtis Stacey.

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How to support us Structure

There are many ways in which people can support any of our eight hospitals, by donating money, time and talents.

Making a donation Gift Aid Structure, Governance and Trustee Remuneration management To make a donation please call the fundraising Last year we claimed thousands of pounds in Gift Aid. If The individuals comprising the sole team on 0161 276 4522 or email you are a UK tax payer you can increase your donation by Governing Document Corporate Trustee are the Executive and Non-Executive [email protected]. 20% with Gift Aid by making a simple declaration. members of the Board of Directors of the Central The charitable fund was created under Trust deed Manchester University Hospitals NHS Foundation Trust. You can also find out more by visiting For information about Gift Aid, legacy donations and the executed on 26th July 1995 and constituted with a sole The individuals do not receive any remuneration from the www.cmftcharity.org.uk many other ways you could support the hospitals, please Corporate Trustee, which is now the Board of Directors of or www.rmchcharity.org.uk Charity in their capacity as Trustee; they are, however, call the Charity office on 0161 276 4522. Central Manchester University Hospitals NHS Foundation Trust. remunerated by the NHS Trust in their capacity as a Gifts in Memory A Big Thank You The object of the fund is “for any charitable purpose or Board member. The Charity’s management costs include purposes relating to hospital services (including research) a small recharge from the Many thousands of pounds are donated each year to our On behalf of the patients, their families and the staff who or to any other part of the Health Service associated with NHS Trust in relation to their hospitals in memory of patients who have died. The funds have benefited from the improved services provided from any hospital.” direct work for are used to improve facilities or buy equipment that will donations and legacies, the Charity would like to thank all the Charity. benefit our patients, so creating something very positive Appointments to Corporate Trustee those patients, friends and relatives, staff, companies and out of a sad personal loss. other organisations that have supported us – you really The Board of Directors is constituted of a Chair, six have made a difference to Non-Executive Directors and five Executive Directors, Legacies our hospitals. including the Chief Executive. The Chair and Non- The generous legacy donations received from our Executive Directors are appointed through a selection supporters enable us to plan ahead for the future and process and have the skills and attributes to act as help us to ensure that we can continue to help our advocates for their communities and provide patients. In 2012/13 £357,000 was received from legacy leadership for the NHS. The Council of Governors gifts helping us to fund additional research, purchase approves these appointments. vital equipment and make improvements to the patient The Chief Executive is appointed by the Chair, Non- environment. A legacy may be left to a specific hospital Executive Directors and two external assessors from or to a specialist area of work in accordance with the within the NHS. The Executive Directors are appointed donor’s wishes – even the smallest by the Chair, Chief Executive, Non-executive directors legacy can have a lasting and two external assessors from within the NHS. impact on our work at our family of hospitals.

20 21

Structure

Organisation Structure Spend up to £4,999 Employees There is a Charitable Funds Committee for the overall Local Fund Advisor The Charity does not directly employ any staff. management of the charitable fund. This Committee has The Charity funds staffing costs, including clinical Spend from £4,999 to £24,999 specific terms of reference and a membership comprising and support staff, who undertake research and other Local Fund Advisor and Directorate Management the Chair and nominated executive and non-executive charitable activities, as well as fundraising and directors of the Trust. Mr Maurice Watkins CBE, who Spend from £25,000 to £49,999 administrative staff who run and support the Charity. chairs the Charity Fundraising Board, that supports the Local Fund Advisor, Directorate Management and These staffing contracts are generally held by the NHS Trustee, also attends the Committee. The Committee Divisional Manager Foundation Trust, with a recharge made to the Charity for meets at least three times per year, usually July, Spend from £50,000 to £99,999 the costs incurred solely in relation to the Charity’s activities. November and March. Local Fund Advisor, Directorate Management, Divisional Indemnity Risks and Internal Control Insurance The Executive Director of Finance is the Manager and appropriate Executive Director Executive Director nominated by the Board to Expenditure over £100,000 The Charitable Fund Committee has undertaken a full The individuals of the sole Corporate Trustee are the have prime responsibility for the administration Requires the specific approval of the Charitable review of the major risks to which the Charity may be Executive and Non-Executive members of the Board of the Charity’s finances. Fund Committee exposed, based upon the guidance issued by the Charity of the Central Manchester University Hospitals NHS The Charity is registered with one unrestricted fund; this Commission ‘Charities and Risk Management’. The Foundation Trust. The NHS Trust has Directors’ indemnity means that that there are no restrictions on how the Investments review covers the risks associated with: insurance, which also covers their responsibilities as money is spent, other than the governing document. • Governance and Management Trustees of the charitable fund. The Charitable Fund Committee has responsibility for However, to ensure that the funds are applied in accordance the management and monitoring of the investments • Operational Risk with donors’ wishes, but without creating any restrictions, of the Charity, as delegated by the Corporate Trustee. • Financial Risks the Corporate Trustee has created over 450 individual The Charity conforms to the investment powers given • Environmental/External Factors designations. This enables the designations to be managed within the Charity Commission Order for an NHS • Compliance risk (law and regulation) by fund advisers at an appropriate level within the organisation, umbrella charity and the Trustee Act 2000. The day to ranging from nurses and clinicians to managers and The Charity also benefits from the independent reviews day administration of the investments is delegated to support staff. The designated fund advisers are appointed undertaken by both internal and external audit, reports four investment management companies, which operate by the NHS Trust’s management team in accordance with from which are presented to the Trustee. The action within these powers and present regular monitoring the Scheme of Delegation approved by the Board. points from such reports are applied and monitored on reports to the Committee. The Corporate Trustee imposes behalf of the Charity by the charitable funds team within Within the Scheme of Delegation, the Corporate Trustee additional requirements with regard to the finance department of Central Manchester University sets the overall budgets with the day to day spending risk, income requirements and Hospitals NHS Foundation Trust. being made through a scheme of delegation as follows: ethical investment policies.

22 23 Financial review

Funding summary Reserves Policy Investments Investment Portfolio

Source of Income The Charity is able to hold and administer funds for any Investment Powers The Charity invests its available funds in four charity- purpose relating to hospital services, including research. specific investment funds. The income streams of the Charity are: The Charity conforms to the investment powers given The Trust comprises eight hospitals: The value of the investment as at 31st March 2013 • Donations 72% by the Charity Commission Order for an NHS umbrella • Manchester Royal Eye Hospital charity and the Trustee Act 2000. was as follows:- • Legacies 9% • Manchester Royal Infirmary Investment Policy £000 • Investments 19% Schroder Charity Equity Fund £3,638 • Royal Manchester Children’s Hospital The Charity’s investment policy is based upon the powers M and G Charibond £3,210 Financial Highlights – Incoming • Saint Mary’s Hospital within the Trust deed, which forms the basis of a formal investment management agreement with the investment JP Morgan Bond for Charities £3,342 Resources and Resources Expended • Trafford Hospitals (from 1 April 2012, incorporating managers. The main aims of the policy are that: CCLA COIF Charity Fixed Interest £3,193 Trafford General Hospital; Altrincham General Incoming resources for the year totalled £3,777 (£4,537k Total Investments £13,383 Hospital; Stretford Memorial Hospital) • There should be a balanced portfolio 2011/12). The reduction is mainly attributable to a decrease in legacy income in the financial year of £303k • University Dental Hospital of Manchester • The investment style is conservative and a decrease of £485k in voluntary donations. These The diversity and specialist nature of the services • The Trustee monitors performance against the Funds held as Custodian Trustee reductions are partially offset by additional investment provided from these hospitals produces a similarly diverse WM2000 weighted average The Charity holds the following funds on behalf of other income of £28k through prudent investment decisions. donor base. • The investment managers refrain from the direct NHS Trusts: The resources expended on charitable activities during In order to ensure that donations are used in accordance investment in companies which have substantial Value Designated the year (excluding cost of generating funds and with the donors’ wishes, but without creating a separate activities in tobacco manufacture £000 Funds governance cost) was £4,800k (2011/12 £2,724k) and trust, the Trustee operates a number of designated funds. Number • There is no direct investment exposure through Manchester Mental 162 37 the cost of generating funds was £596k (2011/12 £550k). These designations allow the Trustees to ensure that overseas shares. Overseas equity exposure should Health and Social On the 1 April 2012 the Charity absorbed the net assets the funds are applied in harmony with donor wishes and be taken through UK quoted trusts. Overseas Care Trust and liabilities of Trafford Healthcare NHS Trust Charity are administered by operational managers through the exposure should not exceed 20% of the total fund Total 162 37 in the form of cash, £362k, following the transfer of policies and procedures set by the Trustee. The incoming Ethical Investment Policy services to Central Manchester University Hospitals NHS resources of the Charity are applied as income and designated; 8th July 2013 Foundation Trust. these designations do not require a reserves policy. The Trustee has considered and agreed a policy for The Trustee has a requirement for freely available funds in ethical investments, which forms part of the investment Net Income before Transfers & Other order to fund the following: policy agreed with the Investment Managers. The policy Recognisable Gains & Losses says: “The Investment Manager should not invest directly • Maintaining the continued furtherance of the objects The net expenditure from all activities before transfers in a company which has substantial activities in tobacco of the Charity and recognisable gains is £1,709k. The net movement manufacture, as this would conflict directly with the aims in funds at March 2013, after adjusting for unrealised • Management, administration, fundraising and other of a healthcare charity.” gains on investments, is £847k. The total balance of all support costs funds, including brought forward balances, amounts to The Trustee believes the level of reserves should be £17,570k. sufficient to cover:

• Two years’ operational support costs

• To provide a resource of six months’ charitable fund expenditure

The level of reserves will be continually monitored by the Trustee and the policy will be reviewed every three years.

This policy requires the Charity to maintain a cash reserve of circa £3.5m, which has been achieved throughout the financial year.

24 25 Independent auditor’s report to the trustee of central Financial review Manchester University Hospitals NHS Foundation Trust Charity Statement of Trustees’ The Trustees are required to act in accordance with the We have audited the financial statements of Central accounting estimates made by the trustee; and the overall Responsibilities trust deed of the Charity, within the framework of trust Manchester University Hospitals NHS Foundation presentation of the financial statements. In addition, we law. They are responsible for keeping proper accounting Under the Trust deed of the Charity and charity law, the Trust Charity for the year ended 31 March 2013 which read all the financial and non-financial information in the records, sufficient to disclose at any time, with reasonable Trustees are required to prepare financial statements for comprise the Statement of Financial Activities, the annual report to identify material inconsistencies with the accuracy, the financial position of the Charity at that time each financial year which show a true and fair view of the Balance Sheet, the Cash Flow Statement and the related audited financial statements. If we become aware of any and enable the Trustees to ensure that any statements state of affairs of the Charity and of the excess of income notes 1 to14. The financial reporting framework that has apparent material misstatements or inconsistencies we of accounts comply with the requirements of regulations over expenditure. been applied in their preparation is applicable law and consider the implications for our report. under that provision. They have general responsibility United Kingdom Accounting Standards (United Kingdom In preparing these financial statements, the for taking such steps as are reasonably open to them to Generally Accepted Accounting Practice). Opinion on financial statements Trustees are required to: safeguard the assets of the Charity and to prevent and This report is made solely to the charity’s trustee, as a In our opinion the financial statements: • Select suitable accounting policies and then apply detect fraud and other irregularities. body, in accordance with section 144 of the Charities • give a true and fair view of the state of the charity’s them consistently; Act 2011 and regulations made under section 154 of affairs as at 31 March 2013, and of its incoming • Make judgements and estimates that are reasonable The Trustees confirm that they have met the that Act. Our audit work has been undertaken so that we resources and application of resources, for the year and prudent; responsibilities set out above and have complied with the might state to the charity’s trustee those matters we are then ended; requirements for preparing the accounts. required to state to them in an auditor’s report and for no • State whether the recommendations of the other purpose. To the fullest extent permitted by law, we • have been properly prepared in accordance with Statement of Recommended Practice (“Accounting These financial statements on pages 28 to 38 were do not accept or assume responsibility to anyone other United Kingdom Generally Accepted Accounting and Reporting by Charities: Recommended Practice” approved by the Trustees on 8th July 2013 and were than the charity and the charity’s trustee as a body, for Practice; and [SORP] March 2005) have been followed, subject to signed on its behalf by: any material departures disclosed and explained in our audit work, for this report, or for the opinions we have • have been prepared in accordance with the Peter W Mount CBE the financial statements; formed. requirements of the Charities Act 2011 and the trust Chair of the Trust and Trustee deed. • State whether the financial statements comply with Mike Deegan Respective responsibilities of trustee the trust deed, subject to any material departures Chief Executive of the Trust and Trustee and auditor Matters on which we are required to disclosed and explained in the financial statements; report by exception As explained more fully in the Trustee’s Responsibilities • Prepare the financial statements on the going Statement, the trustee are responsible for the preparation We have nothing to report in respect of the following concern basis unless it is inappropriate to presume of the financial statements which give a true and fair view. matters where the Charities Act 2011 requires us to that the Charity will continue its activities; report to you if, in our opinion: We have been appointed as auditor under section 144 • Ensure the accounts comply with current statutory of the Charities Act 2011 and report in accordance with • the information given in the Trustee’s Annual Report is requirements, the requirements of the Charity’s regulations made under section 154 of that Act. Our inconsistent in any material respect with the financial governing document and the requirements of the responsibility is to audit and express an opinion on the statements; or; charity SORP. financial statements in accordance with applicable law • sufficient accounting records have not been kept; or and International Standards on Auditing (UK and Ireland). Those standards require us to comply with the Auditing • the financial statements are not in agreement with the Practices Board’s Ethical Standards for Auditors accounting records and returns; or Scope of the audit of the financial • we have not received all the information and statements explanations we require for our audit. An audit involves obtaining evidence about the amounts Deloitte LP and disclosures in the financial statements sufficient to Chartered Accountants and Statutory Auditor give reasonable assurance that the financial statements Newcastle upon Tyne, UK are free from material misstatement, whether caused by 19th September 2013 fraud or error. This includes an assessment of: whether Deloitte LLP is eligible to act as an auditor in terms the accounting policies are appropriate to the charity’s of section 1212 of the Companies Act 2006 and circumstances and have been consistently applied and consequently to act as the auditor of a registered charity. adequately disclosed; the reasonableness of significant

26 27 Financial review Statement of Financial Activities for the Year Ended 31st March 2013 2012/13 2011/12 Note Total Funds Total Funds

Statement of Corporate Trustee By order of the Corporate Trustee, Incoming Resources £000 £000 Responsibilities Peter W Mount CBE Incoming Resources from Generated Funds The corporate trustee is responsible for preparing Chair of the Trust and Trustee Voluntary Income: the Trustee Report and the financial statements in Mike Deegan Donations 2,708 3,193 accordance with applicable law and United Kingdom Chief Executive of the Trust and Trustee Legacies 357 660 Accounting Standards (United Kingdom Generally Signed for and on behalf of the corporate trustee Sub Total: Voluntary Income 2 3,065 3,853 Accepted Accounting Practice). 8th July 2013 and ratified 9th September 2013. The law applicable to charities in England & Wales Investment Income 5.2 712 684 requires the corporate trustee to prepare financial statements for each financial year which give a true Total Incoming Resources 3,777 4,537 and fair view of the state of affairs of the Charity and of the incoming resources and application of resources of the Charity for that period. In preparing these financial Resources Expended statements, the corporate trustee is required to: Costs of Generating Funds 3.1 596 550

• Select suitable accounting policies and then apply them consistently; Charitable Activities: Clinical Care and Research Posts 1,347 913 • Observe the methods and principles in the Charities Patient Education, Welfare & Amenities 788 550 SORP 2005, subject to any material departures disclosed and explained in the financial statements; Staff Welfare, Education & Amenities 657 647 New Building & Refurbishment 123 17 • Make judgments and estimates that are reasonable Purchase of Medical Equipment 1,668 152 and prudent; Purchase of IT and Computer Equipment 75 418 • State whether applicable accounting standards have Purchase of New Equipment 142 27 been followed; and Sub Total: Charitable Activities 3.2 4,800 2,724 • Prepare the financial statements on a going concern basis unless it is inappropriate to presume that the Governance Costs 3.3 90 26 Charity will continue in business.

The corporate trustee is responsible for keeping proper Total Resources Expended 5,486 3,300 accounting records that disclose with reasonable accuracy at any time the financial position of the Charity Net (Outgoing) / Incoming Resources Before Transfers (1,709) 1,237 and enable them to ensure that the financial statements comply with the Charities Act 2011, the Charity (Accounts Transfers to other NHS Charities 53 0 and Reports) Regulations 2008 and the provisions of the trust deed. It is also responsible for safeguarding the Net (Outgoing) / Incoming Resources After Transfers (1,762) 1,237 assets of the Charity and hence for taking reasonable steps for the prevention and detection of fraud and other Unrealised Gains on Investment Assets 915 536 irregularities.

The corporate trustee is responsible for the maintenance Net (Decrease) / Increase in Funds (847) 1,773 and integrity of the Charity and financial information included on the Charity’s website. Legislation in Total Funds Brought Forward 18,055 16,282 the United Kingdom governing the preparation and dissemination of financial statements may differ from Transfer of Trafford Healthcare NHS Trust Charity 13 362 0 legislation in other jurisdictions. Total Funds Carried Forward 12 17,570 18,055

28 29 Balance Sheet as at 31st March 2013 Cash Flow Statement for the Year Ended 31st March 2013

Total at 31 March 2013 Total at 31 March 2012 31 March 2013 31 March 2012 Note £000 £000 Note £000 £000

Fixed Assets Investments 5 13,386 12,471 Cash Outflow from Operating Activities 10 (3,225) (1,123)

Total Fixed Assets 13,386 12,471 Returns on Investments

Current Assets Interest - Cash Received 712 705 Debtors 6 510 252 Short Term Investments - Cash 7 5,000 5,000 Net Cash Inflow from Returns on Investments 712 705 Cash at Bank and in Hand 7 2,197 4,348 Decrease in Cash 11 (2,513) (418)

Total Current Assets 7,707 9,600 Opening Cash at Bank and in Hand 4,348 4,766

Current Liabilities Decrease in Cash (2,513) (418) Creditors Falling Due Within One Year 8 (303) (426) Transfer from Trafford Healthcare NHS Trust Charity 13 362 0 Provision for Commitments 9 (364) (963) Closing Cash at Bank and in Hand 2,197 4,348

The notes on pages 32 - 38 form part of the accounts. Net Current Assets 7,040 8,211

Total Assets before Non-current Liabilities 20,426 20,682

Non - Current Liabilities Provision for Commitments 9 (2,856) (2,627)

Total Net Assets 17,570 18,055

Funds of the Charity Unrestricted Income Funds 12 17,570 18,055

Total Charity Funds 17,570 18,055

30 31 1.4 Structure of Funds Notes to the Accounts Where there is a legal restriction on the purpose to which a fund may be put, the fund is classified in the accounts as 1 Accounting Policies a restricted fund. Where the capital is held to generate income for the charitable fund and cannot itself be spent, it is accounted for as an endowment fund. Other funds are classified as unrestricted. Funds which are not legally restricted 1.1 Basis of preparation but which the Trustee has chosen to earmark for a specific purpose taking into account, where possible, the wishes of The financial statements have been prepared in accordance with the historic cost basis, with the exception of the donor, are accounted for as designated funds.The major funds held within these categories are disclosed at note 12. investments which are included at revalued amounts. The financial statements have been prepared on the going The Charity does not have any restricted or endowment funds. concern basis and in accordance with Accounting and Reporting by Charities: Statement of Recommended Practice (SORP) 2005 issued in March 2005 and applicable UK Accounting Standards and the Charities Act 2011. 1.5 Fixed Assets Investments 1.2 Incoming Resources Investments are stated at market value as at 28 March 2013. The statement of financial activities includes net gains and losses arising on the revaluation and disposals throughout the years. a) All incoming resources are included in full in the Statement of Financial Activities as soon as the following three factors can be met: 1.6 Realised Gains and Losses i) entitlement – arises when a particular resource is receivable or the Charity’s right becomes legally enforceable; All gains and losses are taken to the Statement of Financial Activities as they arise. Realised gains and losses are calculated as the difference between the sale proceeds and market value at 1 April 2012 (or value at date of purchase ii) certainty – when there is reasonable certainty that the incoming resource will be received; if later). Unrealised gains and losses are calculated as the difference between market value at the year end and market iii) measurement – when the monetary value of the incoming resources can be measured with sufficient reliability. value at 1 April 2012 (or date of purchase if later). b) Gifts in kind: The Charity had no gifts in kind to disclose. 1.7 Change in the Basis of Accounting c) Intangible income: The Charity had no intangible income. There has been no change in the basis of accounting during the year. d) Legacies. 1.8 Prior Year Adjustments e) No incoming resources to the Charity are deferred. There has been no change to the accounts of prior years. Legacies are accounted for as incoming resources either upon receipt or where the receipt of the legacy is virtually 1.9 Pooling Scheme certain; this will be once confirmation has been received from the representatives of the estate(s) that payment of the The Charity operates a pooled portfolio of investments held in a range of common investment trusts. legacy will be made or property transferred once all the conditions attached to the legacy have been fulfilled. 1.10 Related Party Transactions 1.3 Resources expended During the year neither the Trustee nor members of the key management staff or parties related to them have Expenditure is recognised when a liability is incurred, and where appropriate irrecoverable VAT is recorded under the undertaken any material transactions with the Central Manchester University Hospitals NHS Foundation Trust Charity. relevant cost heading for the activity expensed. Board members/Trustees (and other senior staff) take decisions both on Charity and Exchequer matters but endeavour The costs of generating funds are the costs associated with generating income for funds held on trust. This will include to keep the interests of each discrete and do not seek to benefit personally from such decisions. Declarations of costs associated with fundraising events and investment management. All costs associated with generated income are personal interest have been made in both capacities and are available to be inspected by the public. borne centrally through the Charity’s general purpose fund and not charged to individual designations. The Charity has made revenue and capital payments to the Central Manchester University Hospitals NHS Foundation Grants payable are payments, made to third parties (including NHS bodies) in furtherance of the charitable objectives Trust where the Trustees are also members of the Trust Board. of the funds. They are accounted for on an accruals basis where the conditions for their payment have been met or where a third party has reasonable expectation that they will receive the grant. This includes grants paid to The audited accounts of the Central Manchester University Hospitals NHS Foundation Trust are available from the NHS bodies. During the year to 31st March 2013, all grant payments were made to the Trust. Director of Corporate Services on 0161 276 6262. Allocation of overhead and support costs are accounted for on an accruals basis and include recharges of an 1.11 Accounting Estimates appropriate proportion of staffing, establishment and premises costs from the Central Manchester University Hospitals The accounting estimates of accruals and provisions for liabilities and charges are based on expected costs likely to be NHS Foundation Trust. incurred by the Charity and are assessed as at the balance sheet date. Actual results may differ from those estimates, Charitable Activities costs comprise all costs incurred in the pursuit of charitable objects of the Charity. These and underlying assumptions are continually reviewed. costs comprise direct costs and an apportionment of overhead and support costs as shown in notes 3 and 4. The apportionment of support costs across charitable activities is based on the average cost of activities over the previous five years; this is to reflect the planning cycle and the time to implement or procure goods and services. Governance costs comprise all costs incurred in the governance of the charity. These costs include statutory audit and direct costs together with an apportionment of overhead and support costs. The individuals comprising the sole Corporate Trustee are the Executive and Non-Executive members of the Board of Directors of the Central Manchester University Hospitals NHS Foundation Trust. The individuals do not receive any remuneration from the Charity in their capacity as Trustee; they are, however, remunerated by the NHS Trust in their capacity as a Board member. The Charity’s management costs include a small recharge from the NHS Trust in relation to their direct work for the Charity.

32 33 2 Analysis of Voluntary Income 2012/13 2011/12 3.2 Analysis of Charitable Activities Grant & Support Total Costs Total Costs Total Total Direct Costs Costs 2012/13 2011/12 £000 £000 £000 £000 £000 £000 Donations from Individuals and Corporate Donors: Research and Clinical Support 1,223 124 1,347 913 Fundraising Events 363 274 Equipment 1,835 50 1,885 597 Third Party Fundraising 387 546 Staff Welfare Education and Corporate Donors 376 629 Amenities 746 42 788 647 Patient Welfare Education and Charities and Charitable Trusts 167 178 Amenities 629 28 657 550 Individual Donations 1,415 1,566 Building & Refurbishment 119 4 123 17 Sub Total: Donations from Individuals and Corporate Donors 2,708 3,193 4,552 248 4,800 2,724

Legacies 357 660 Charitable Activities costs comprise all costs incurred in the pursuit of charitable objects of the Charity. 3,065 3,853 These costs comprise direct costs and an apportionment of overhead and support costs. The apportionment of support costs (£248k) across charitable activities is based on the average cost of activities over the previous five years and time spent undertaking the activities in support of the charity; this is to reflect the planning cycle and 2012/13 2011/12 3 Costs of the Charity the time to implement or procure goods and services. The full cost of administering the Charity in 2012/13 was £934k Total Total (2011/12 £824k) and is analysed as follows:- Notes £000 £000 3.3 Governance Costs 2012/13 2011/12 Cost of Generating Funds 3.1 596 550 £000 £000 Support Costs 3.2 248 248 Staffing 79 14 Governance 3.3 90 26 Statutory Audit Fees 11 12 934 824 90 26

3.1 Cost of Generating Funds Total Auditors’ Remuneration Funds Total Funds Other than the the auditors’ fees reported above, no additional services were supplied to the Charity. Raised Raised 2012/13 2012/13 2011/12 2011/12 4 Allocation of Staff Costs £000 £000 £000 £000

Fund Raising Costs: The Charity incurs the cost of staff to raise funds, to account for and manage the finances and also support charity governance. Details of staff functions are provided below. The staff are employed by the NHS Foundation Trust and Fundraising Events 66 363 36 274 re-charged to the Charity. Third Party Fundraising 70 387 71 546 Staff Costs Corporate Donors 68 376 82 629 Charities and Charitable Trusts 30 167 23 178 2012/13 2011/12 Individual Donations 257 1,415 204 1,566 £000 £000 Fundraising and Fundholder Support Legacies 65 357 86 660 400 350 Governance Sub Total Fund Raising Costs 556 3,065 503 3,853 79 26 Administrative and Finance 165 137 Investment Management Costs 40 712 47 684 644 513 596 3,777 550 4,537 The average number of people employed, expressed as Whole Time Equivalent (wte), in respect of the above costs (£644k) for 2012/13 was 17.53 wte (2011/12 £513k, 13.7 wte). Costs as a percentage of funds raised 16% 12%

34 35 5 Fixed Asset Investments : Movements in Funds 8 Analysis of Creditors 31 March 31 March 2013 2012 2012/13 2011/12 £000 £000 Market Value at 1st April 2012 £000 £000 Amounts Falling Due Within One Year: Add: Net Gain on Revaluation 12,471 11,956 Accrued Costs 36 99 Market Value at 28th March 2013 915 515 Trade Creditors 267 327 13,386 12,471 Total Creditors Falling Due Within One Year 303 426

The valuations on the Charity’s investments at 28 March 2013 have been provided by the four investment companies used to manage the funds. 9 Provision for Liabilities & Changes 5.1 Market Value at 31st March : 31 March 31 March 2013 2012 £000 £000 All Quoted Investments are Held in the U.K. 2012/13 2011/12 Opening Balance £000 £000 3,590 5,124 Arising in Year 214 394 Investments Listed on Stock Exchange 13,383 12,468 Utilised in Year (584) (1,928) Other Investments 3 3 3,220 3,590 13,386 12,471 Expected Timing of Cashflows: 5.2 Total Investment Income 31 March 31 March 2013 2012 2012/13 2011/12 £000 £000 £000 £000 364 963 Not later than one year Quoted Investments 621 595 2,856 2,627 Later than one year and not later than five years 3,220 3,590 Interest on Cash Held on Deposit 91 89 712 684 10 Reconciliation of Cash-Flows from Operating Activities to Net Incoming / 6 Analysis of Debtors (Outgoing) Resources 31 March 31 March 31 March 31 March 2013 2012 2012/13 2011/12 £000 £000 £000 £000 Amounts Falling Due Within One Year: Net (Outgoing) / Incoming Resources per SOFA (1,762) 1,237 Accrued Income 154 195 Less Total Dividends and Investment Income (712) (684) Trade Debtors 356 57 Net Incoming (Outgoing) Resources (2,474) 553 Total Debtors Falling Due Within One Year 510 252 (Increase) / Decrease in Debtors (259) 83 Decrease in Creditors £299k of the amount due to “Trade Debtors”, above, is due from Central Manchester University Hospitals NHS (122) (225) Foundation Trust which is a related party and processes payments on behalf of the Charity. Decrease in Commitments (370) (1,534) Cash Outflow from Operating Activities (3,225) (1,123) 7 Analysis of Cash and Deposits 31 March 31 March 2013 2012 £000 £000

Cash at Bank and In Hand 2,197 4,348 Cash Held as Short Term Investments 5,000 5,000 7,197 9,348

36 37 11 Analysis of Changes in Net Debt Balance Balance 31 March Cash 31 March 2013 Flows 2012 Contact details for the Charity, Trustees and Advisers £000 £000 £000 As a sole corporate trustee, the names of the directors are required to be disclosed: Short Term Cash Deposits 5,000 0 5,000 Cash at Bank and In Hand 1,835 (2,513) 4,348 Chairman...... Mr Peter Mount Transfer from Trafford Healthcare NHS Trust Charity ...... Lady Rhona Bradley 362 362 0 Non-Executive Director...... Professor Rod Coombs 7,197 (2,151) 9,348 Non-Executive Director...... Mrs Kathy Cowell ...... (from 1st March 2013) Debt Due Within 1 Year Non-Executive Director...... Mr Anthony Leon 510 258 252 Non-Executive Director...... Mr Steve Mycio Non-Executive Director...... Mrs Brenda Smith Total 7,707 (1,893) 9,600 Non-Executive Director...... Mr Alexander Wiseman ...... (until 31st January 2013) Chief Executive...... Mr Mike Deegan 12 Material Designated Funds with balances of over £250k Executive Director of Patient Services/Chief Nurse...... Mrs Gill Heaton Medical Director...... Mr Robert Pearson Balance Balance Executive Director of Finance...... Mr Adrian Roberts 31 Gains 31 Director of Human and Corporate Resources...... Mr Derek Welsh March Incoming (Resources and Transfers Transfers March Charity Fundraising Board Members...... Mr Maurice Watkins, Chairman 2012 Resources Expended) (Losses) In Out 2013 ...... Professor Malcolm Chiswick ...... Mr Ian Currie £000 £000 £000 £000 £000 £000 £000 ...... Mr David Cain ...... Mr Paul Horrocks General Purposes ...... Mr Steve Lewis ...... Sir Dave Richards RMCH 1,680 647 (504) 0 0 0 1,823 ...... Mrs Brenda Smith NICU ( formerly SCBU) 429 71 (22) 0 0 0 478 ...... Miss Carol Smith Cancer Research For Address of Registered Charity...... Cobbett House Children 429 74 (68) 0 0 0 435 ...... Manchester Royal Infirmary MRI Surgical General ...... Oxford Road, Manchester Purposes 347 18 (14) 0 0 0 351 ...... M13 9WL MREH General Purposes 333 19 (107) 0 0 0 245 ...... Tel 0161 276 4915 ...... Fax 0161 273 6211 Osteoporosis & Metabolic Bone Disease 310 0 (3) 0 0 0 307 Director of Regeneration and Charities...... Mr David Cain MRI Nuclear Medicine 296 6 (7) 0 0 0 295 ...... Tel 0161 276 4522 ...... Fax 0161 276 4241 Trustwide General ...... [email protected] Purposes 2,307 713 (1,812) 915 0 0 2,123 Charity Accountant...... Mr Michael Fox Other Funds 11,924 2,229 (2,949) 0 362 (53) 11,513 ...... Tel 0161 276 4915 ...... Fax 0161 273 6211 Total Funds 18,055 3,777 (5,486) 915 362 (53) 17,570 ...... [email protected] Banker...... Barclays Bank plc The value (£53k) in respect of transfers out from the Charity relate to custodian balances transferred to University ...... Manchester City Office Hospital of South Manchester NHS Foundation Trust Charitable Fund following the reorganisation of NHS community ...... PO Box 357, 51 Mosley Street, ...... Manchester, M60 2AU services previously managed and provided by Primary Care Trusts that are now done so by the University of South Manchester NHS Foundation Trust. Solicitor...... Hempsons ...... Portland Tower, Portland ...... Street, Manchester M1 3LF 13 Transfer of Trafford Healthcare NHS Trust Charity Auditor...... Deloitte LLP Trafford Healthcare NHS Trust was dissolved on 1st April 2012 (Dissolution Order reference 2012 ...... One Trinity Gardens, No.803) and as such the Board, of which some members were trustees of the Trafford Healthcare ...... Broad Chare NHS Trust Charitable Fund, disbanded on the same date. All assets and liabilities held by the Trafford ...... Newcastle Upon Tyne Healthcare NHS Trust Charity were subsequently transferred to Central Manchester University Hospitals ...... NE1 2HF NHS Foundation Trust Charity, under absorption accounting, resulting in a net balance of £362k being Registered Charity Number...... 1049274 recognised in the financial statements as stated in the SOFA. Where relevant, the notes to the accounts will show the amount transferred in from the Trafford Healthcare NHS Trust Charity.

38 39 Central Manchester University Hospitals NHS Foundation Trust Charity. Registered charity 1049274.