Annual Report 2017/18 We are here to support anyone affected by a life limiting illness, every step of the way. Contents
About Us: Spread the Word 4-5
Kirkwood Stories 6 - 15
Our Impact 16 - 17
Charity Reference and Administrative Details 18
Statement from the Chair of Trustees 20 - 21
Statement from the Chief Executive 22 - 23
Trustees’ Annual Report 24 - 52 (including Directors’ Report and Strategic Report)
Independent Auditor’s Report 54 - 57
Consolidated Statement of Financial Activities 58 (including income and expenditure account)
Consolidated Balance Sheet 59
Charity Balance Sheet 60
Consolidated Statement of Cash Flows 61
Notes to the Financial Statements 62 - 78
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Who we are Our Ambition The best possible care We are Kirkwood In the next ten years, we will: Spread the Word • Helping to improve the lives of • Double the number of people we people affected by any life limiting support illness in our local communities This page is an extract from ‘Spread the Word’, which shares our vision and ambitions for the future. We • Continue to provide the best believe that anyone affected by a life limiting illness should have access to the best possible care, whenever • Supporting people to improve possible care for patients, carers and wherever they need it, but we need your help to make sure that people know more about how we their quality of life and remain as and families can support them. You can find the full document on our website at:www.kirkwoodhospice.co.uk independent as possible Please share this message and help us to reach more people who may need our help! • Work with our local communities • Helping people to maintain their to highlight our work and improve We are here to support anyone affected by a life limiting illness, every step dignity until the very end understanding of end of life care of the way. • Supporting families and loved ones • Become the go-to charity for during illness and in bereavement anyone affected by a life limiting illness • We do all of this with compassion, care and expertise
1. We are here for you when 3. We provide the best care 5. Helping others on you need us for you at the end of life their journey Champion Kirkwood in your As soon as you are diagnosed with a When supporting you at the very For many, supporting Kirkwood community life limiting illness, Kirkwood is here end of life, whether in the Hospice following the death of a loved one to offer you the right advice and or at home, you will receive the best is an important way to pay tribute Volunteer support. care from our team of experienced to their life. Your help, in whatever professionals. a little time With you form it takes, will make sure we are Make a here to support others on their own donation to help on your journey. us provide care 2. We focus on what 4. We support families during matters to you illness and in bereavement journey We need the help of our community Think to make sure that everyone affected about leaving a We help you to maintain and Our whole team support families by a life limiting illness has access to gift in your will improve your quality of life so that and carers at any time, helping you the very best care and support. We you can focus on what is really and your family to find ways to cope need to raise £19,000 every day to Spread important to you. with grief and move forward. keep our services going. You can the word! help in lots of ways...
5 265 11,719 accessed a Drop-In calls were made to session at Kirkwood for our 24/7 Specialist the first time in 2017-18 Advice Line We are here for you when you need us
Richard is living with COPD and shortness of breath. He attends Support & Therapy at Kirkwood and is also taking part in Breathe Better sessions. Since first visiting Kirkwood, he has enjoyed pottering in the Hospice gardens as part of Grow Group. Richard’s wife Jean, who also cares for Richard, has been coming along too.
Richard said: “I’d been in hospital a few times hasn’t been doing at home for a long time. I and one of the doctors at Calderdale suggested think being in the company of everybody and coming in to Kirkwood Hospice. This is the third feeling secure really helps. time I’ve been. I like it because it’s relaxing, “All the staff are absolutely brilliant. Really there’s very nice people and it’s not over- friendly and helpful. bearing. It’s lovely.” “We used to have a greenhouse but as Richard’s wife, Jean, added: “He’s getting to Richard’s condition developed, it became more meet people with the same condition as him. distressing for him that he couldn’t maintain it. When you’ve got a breathing problem and When we came to Kirkwood it was just perfect. can’t get out much, you feel as though you’re All of the planters were just at the right level and isolated and you feel like you’re the only one he can do a bit of pottering and watering as he going through something. We came here and likes.” discovered that everybody panics when they can’t breathe properly, they all feel the same and it was very reassuring to know that. It’s quite normal. “We don’t have a car so one of the drivers from Kirkwood comes and picks us up from Crosland Moor and brings us to and from the sessions which is a great help. “It surprised me first time we came because Richard walked all around the garden which he
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We focus on what matters to you
Jean and Karen recently attended Kirkwood’s 12 week Getting On and Living (GOAL) course, run by our Support & Therapy team. GOAL was created to provide support to people with neurological conditions and their carers. For Jean Lowe, who has Multiple Sclerosism and Karen Booth, who was been diagnosed with CMT disease two years ago, GOAL has made a huge difference.
“You hear the word Hospice, and you’re like oh in, but now I can hold my head up high. Jean no, it’s bad. said Karen. “But then you come and helped me to get on that plane. it’s not at all what you think, nothing like it. It’s “The course gives you a lift to go out and do fantastic. something, to go out and live instead of just “When I first came, I didn’t want to come at staying at home and festering. all. I felt small. I wanted to curl up in a ball and On her illness, Jean said: “You get to a certain just disappear. But a couple of weeks in, talking stage [in your illness] where you think there’s to Jean and everyone else, it lifts you. It changes nothing there for you anymore. Particularly your life, it really does. I feel different now. when you get to the progressive part of the “My big [achievement] was going on holiday disease, because there isn’t the medication to Spain. That was down to Jean. She took me that there is for someone who has relapsing/ under her wing. She saw this small bird walking remitting; they get disease modifying drugs. That isn’t available for someone like myself as they don’t help at all. “For a good number of years I didn’t have that support; until I came here. That’s when everything changed. “We all gave each other confidence in the group. It helped to build our self worth. “Before I came here I had MS, ‘I’d got MS’, but I came away and it was like, no actually, ‘I’m Jean!’” The Kirkwood team has developed and run a range of specialist courses for people affected by chronic illnesses such as Chronic Lung conditions, Heart Failure and Neurological conditions. Courses include:
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We provide the best care for you at the end of life
In May 2015, Margaret Godsman, of Cleckheaton, was diagnosed with an aggressive form of lung cancer. When her daughter, Fiona, got engaged to marry Roger Brown, the family were unsure whether Margaret would be able to make the special day. However with the help of Kirkwood Hospice, she did. This is Fiona’s story…
“When Mum was diagnosed, she was diagnosed said how brave and how beautiful she looked. as terminally ill. We did all sorts to keep her “I know that if Mum hadn’t been at the positive, which she always remained throughout. Hospice, she wouldn’t have made it to the “Mum came to Kirkwood Hospice on the wedding. Having her there on the day made it Tuesday, and there wasn’t much hope that all worthwhile.” she’d be able to make it for the wedding at the Fiona’s brother, Nigel Godsman, had the weekend. It seemed the nearer the wedding was idea to take collection boxes to the wedding to coming, the worse her health was getting. raise funds for Kirkwood, and a big part of the “But the first thing she said when she came wedding speeches focussed on encouraging into the Hospice was ‘I’m going to go to the people to find out more about Kirkwood wedding.’ She chose her outfit a couple of Hospice – and to dig deep. Fiona said: “When months before and every day she said she was my brother Nigel and I first walked through the going to be there. The wedding was a big thing doors here at Kirkwood, we felt such a big relief. keeping her going and she knew she had to get It was very hard to make Mum comfortable at there. home, it was a lot of pressure and we didn’t “When we knew there was a chance of Mum want her suffering. Here, it is 24/7 support. being able to come, the Matron at the Hospice Not only the care for your loved one, but the went above and beyond to make It happen. The support for you too. We have access to holistic therapists did Mum’s nails and there was even therapies and there is always somebody to talk the option of having her hair done. to. “A nurse volunteered to help take Mum “We’ve all said if there was anywhere to to the venue on the day, and there were two have your last days, what a lovely place it is to different types of wheelchair to make sure that be. The nurses are more than nurses, they’re she was comfortable. I was looking out of the like angels. There’s a real sense of calm and hotel window when she arrived. I saw her wave tranquility and I can’t praise it enough.” up to me and I knew she’d made it. Everybody Kirkwood supported 734 patients at the end of life in 2017-18. Of this number, only 208 people died on our In-Patient Unit
A wedding to remember: (L to R) Fiona, Margaret & Roger 12 2,385 individual counselling sessions were offered by our Family Care Team in 2017-18 We support families during illness and in bereavement
Jude Sellmeyer became a loyal supporter and dedicated ambassador for Kirkwood Hospice following the care her son, Jody, received at the end of his life. Back in June, Jude set off across Europe on a fundraising mission to remember Jody, who sadly died from Motor Neurone Disease last year, aged just 38.
Riding on a Yamaha XJR motorbike, Jude along personal for both of us.” with her friend, Martin Lyn, travelled through Jude said: “Jody was incredibly brave, nine countries and across 16 borders, raising an incredibly courageous and always had a smile impressive £1,565. on his face. Michaela Statham, Kirkwood Hospice’s Shop “There are so many things that go on in the Manager in Holmfirth, heard about Jude’s story Hospice that people don’t know about. and knew she wanted to get involved. Michaela “Kirkwood is there for any life limiting illness, and her team set up a beautiful window display at any age and that’s the message we need to to mark Jude and Jody’s story, including tiny get out there. details down to a bag of Maltesers, which were “If we didn’t have the Hospice in Jody’s care Jody’s favourite chocolate. journey, I don’t know where we would have Michaela said: “Kirkwood has been amazing been. Kirkwood has been, and still is, my lifeline.” for both me and Jude in different ways, but it’s
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Helping other people on their journey
Our Midnight Memory Walk is a very special night, when the people of Kirklees to join together to walk through the night in memory of their loved ones. In 2017, 1,221 people laced up to raise a record-breaking £113,000 to help us deliver care for patients, carers and families affected by life limiting illnesses. Here are some of their stories...
Michelle Crowe, from Meltham, was walking We know that counselling is open to us if we for the first time with her family. The group need it.” personalised their bright orange T-shirts with Danielle Watson, of Heckmondwike, walked pictures, framed by strings of lights in a beautiful with her partner, Jonathan Wall, and step- and memorable tribute to their loved ones. son, Jay, in memory of her dad Phil, who was The family walked for Derek as well as diagnosed with liver cancer and sadly died in Thomas, Kath and Edna. 2016. Michelle said of her dad Derek: “He was “My dad, Phil, passed away in October last diagnosed in February and became ill in March. year.” said Danielle. “My dad was lovely. He was He ended up in hospital in April. After being really funny, everyone loved him and he was admitted to the Hospice, my dad was cared for always there to help anyone in need. at Kirkwood for six days. He died just after his “The support we had from Kirkwood was just 72nd birthday. amazing. Kirkwood wasn’t just there for my dad, “I then lost my father in law, Thomas Crowe, they were there for the family afterward and it on Tuesday this week. He sadly died at home was really nice to have that support. It made but he was being cared for by Kirkwood. things a little easier. “The level of care was fantastic. It was like a “We just want to show our support for the home from home for us. They went above and Hospice tonight and help them raise a bit of beyond, not just for my dad but for us as well. money.” 1,221 walkers took part in the 2017 Midnight Memory Walk
827
people gave up their time to volunteer in the past year
Participants taking a break at the 2018 Midnight Memory Walk 16
Our Impact
Here’s a snapshot of how Kirkwood helps to support patients and families in Kirklees, how the local community helps to support us and the amount it costs to care for anyone affected by a life limiting illness.
In 2017-18, a total of 2,262 patients, carers and families living in Kirklees accessed one or more 2,262 of Kirkwood’s services. Last year, we supported 9% more local people than the previous year.
11,719 483 122 1,156 calls were made to patients and carers carers accessed patients supported our 24/7 Specialist visited our Support & one of more of our in their own homes Advice Line Therapy Department services by our Community Nursing Team
321 516 98% The total number of people were supported by of 409 Service Users admissions to Kirkwood’s our Family Care Team, either surveyed rated our care as In-Patient Unit before or after bereavement ‘Outstanding’ or ‘Excellent’ The money we have spent caring for patients, carers and families has risen 26% by 26% in the past two years 2015-16 2016-17 2017-18 £3,815,350 £4,306,875 £4,782,213
20,000
In 2017-18 over 20,000 local people made a contribution to make sure that everyone affected by a life limiting condition has access to the very best care and support
£2.9 million was raised from donations, fundraising, shops and lottery in 2017-18
About 30% of our charitable expenditure relies on the generosity of individuals who 30% remember Kirkwood in their wills by leaving a legacy
In the year these legacies totalled £1,343,418
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Charity Reference and
Administrative Details
Charity registration number: Medical Director 512987 Dr S Oxberry MBChB BSc (Hons) FRCP PhD
Company registration number: Director of Income Generation & Marketing 1645888 Mr D H Batty BA (Hons), MInstF
Trustees Auditor Mr B F Ainsworth Wheawill & Sudworth Limited Mrs C Black Chartered Accountants Mrs J Brady 35 Westgate Miss L A Chapman Huddersfield Mr J C Denham HD1 1PA Mr D N Harling Mrs K S Hinchliff Solicitors Mr P R Sands Schofield Sweeney 30 Market Street Life President Huddersfield Mr D N Stocks HD1 2HG
Chairman Honorary Chartered Surveyors Mr B F Ainsworth Bramleys 14 St George’s Square Company Secretary and Registered Office Huddersfield Mrs P E Wade DChA MAAT HD1 1JF 21 Albany Road Dalton Principal Bankers Huddersfield Lloyds TSB Bank plc HD5 9UY 1 Westgate Huddersfield Chief Executive HD1 2DN Mr M Crowther BA(Hons) PgDip Investment Managers Director of Finance and Resources Investec Wealth & Investment Limited Mrs P E Wade DChA MAAT Quayside House Canal Wharf Director of Clinical Services Leeds Mrs S Shaw RNDip Adult Nursing LS11 5PU BSc(Hons) MSc The 2017 Midnight Memory Walk was Kirkwood’s biggest yet, raising a record-breaking £113,000. 20
Statement from the Chair of Trustees
Welcome to the Annual Report, detailing the • Kirkwood’s 6 community support groups activities of Kirkwood in 2017-18 - a significant across Kirklees who raised a total of £45,730 year in the history of the charity for many in the last financial year reasons. • 9 new families chose to set up a new tribute This was the 30th year that Kirkwood has fund in memory of a loved one. That took continued to provide the very best care and the total number of these funds to over support to local people affected by life limiting 50, and collectively these funds have raised illnesses. This in turn is only possible through over £350,000 for Kirkwood since they were the generous contributions and support from created. our many donors and volunteers, which in turn is the driving force behind our ability to adapt Looking back over the year, we must also give and grow, meeting the needs of more and more many thanks to all of our Trustees for their people every year. generous gift of time and effort. 2017 saw two of our Trustees step down, Catherine McGowan All contributions large or small are greatly and John Philpott. Catherine had been Chair of appreciated, ranging from the commitment of our Clinical Governance committee while John people’s time and resource, to the many and has been a supporter of Kirkwood for many varied fundraising events, initiatives, donations years including his time as a Trustee. We thank and legacies. In particular, we are incredibly them both for their efforts on the Council and grateful to those individuals who chose to leave their continuing support and wish them well for Kirkwood a gift in their Wills. These donations the future. account for around 30% of everything we spent on patients and families last year, giving us an In December 2017, I took over the role of Chair additional £1.3m for patient care. of the Board of Trustees from John Spain when John, with his term almost complete, chose to I would also like to thank a number of local leave the Board at the conclusion of the 30th organisations that this last year have made year Anniversary events. substantial contributions to Kirkwood. These include: John has been a committed Trustee for over 11 years, and Chair of our Board for 6 of those. On • The Freemasons of Yorkshire West Riding behalf of the Board of Trustees, I would like to who awarded a grant of £25,000 for the thank John for his dedication and commitment purchase of electric profiling beds during this time and for the significant impact he had on delivering changes to the leadership • Towngate PLC, who gave a significant and governance within the charity over his donation towards the running of Kirkwood many years in post. services John left Kirkwood in very good shape delivering high quality services to an ever growing number of local people and with the outline of a refreshed strategy for the future.
I look forward, along with my fellow Trustees, to working with our Chief Executive, Michael, and his team in building on the legacy John left, and ensuring Kirkwood reaches new heights in the future.
Bernard Ainsworth OBE Chair of Trustees Kirkwood Hospice
September 2018
Top: The Sarah’s Wish Tribute Fund present a cheque to Kirkwood. Above: Outgoing Chair of Trustees John Spain (left) with Sarah, The Duchess of York and Michael Crowther.
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Statement from the Chief Executive
I am privileged to have led the team at and support for people with complex needs Kirkwood during our 30th year of providing at a very difficult time in their life. Our skill is the best possible care and support to people in stripping away the complexity so we can affected by life limiting illness. I am also help people to focus on what is important to privileged and humbled to be part of the them. In the same way, we now understand Kirkwood community, a community that believes that we need to make our messages simpler passionately that people should be cared for as and easier to communicate. Our future vision well as they approach the end of their lives as and ambitions are illustrated in a new manifesto they were at the start. ‘Spread the Word’ - a call to action which will help to galvanise our community, helping to During our 30th Anniversary year, we spent make sure care is available to everyone who valuable time with our community looking needs it. back at the achievements of the charity and celebrating the amazing contribution we ‘Spread the Word’s’ core message is a simple have made. It was also important to use this one; Kirkwood is here to support anyone important milestone to look to the future. affected by a life limiting illness, every step of the way. This report includes stories about how We know that there are still people here in we do just thatand we would like you to share our community Kirkwood doesn’t reach; either them with people who you think may need our because they don’t realise the different ways in care or who could help us continue to provide which we can help them, or because we don’t it. have sufficient resources to meet the need. 2017-18 was a successful year in terms of our During 2017-18, we had lots of discussions charitable purpose. With the help of Kirkwood’s with key stakeholders and completed a many supporters, partners, employees and comprehensive market research project. As a volunteers we have been able to provide vital result, we have confirmed that there is a lot of care to more local people than in any previous confusion about the services Kirkwood provides, year. We have continued to focus on the quality who we are here for and when people can of the services we deliver, both in terms of the access our care and support. We also learnt experience of those who use them and their that this confusion is not limited to the general effectiveness in meeting individuals’ palliative public, but extends to many of our colleagues care needs. in the healthcare sector too. All of this endorses our belief that if we want to achieve our The financial climate remains a challenge for ambition of helping more people in the future, Kirkwood., In response to continued pressure we need to improve understanding about the on NHS and social care funding, Kirkwood has care Kirkwood provides. secured a commissioning partnership with the NHS and Kirklees Council, which has created Kirkwood is a charity that provides expert care greater security over our funding for the next five years. At the same time, it gives earned by each of our excellent team of 1,000 us the perfect opportunity to demonstrate people, who all make a huge contribution to the value of what Kirkwood provides for local what we do. I want to thank our employees and people, with the aim to maximise future funding volunteers for their hard work and commitment opportunities. in this reporting period Each and every one of them helps us to make sure that local people We continue to concentrate on the effectiveness have access to the very best care and support of our income generation activities, which available, and they do this care, compassion remain critical to the future success of Kirkwood. and expertise. I am very proud to be part of the Significant investment in our retail operations Kirkwood team. was completed in 2017-18. It will provide a strong platform from which we to improve the contribution that Kirkwood’s shops make towards the services that we provide.
Kirkwood is determined to make sure that our services are available for all the people that need them in the future. We will be successful Michael Crowther by focussing on the relationships that we have Chief Executive with our local communities, improving how Kirkwood Hospice we tell our story in a way that strengthens our identity and then by inspiring people to ‘Spread September 2018 the Word’!
The market research we have completed has confirmed the excellent reputation that Kirkwood has with its stakeholders; a reputation
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Trustees’ Annual Report Including Directors’ Report and Strategic Report (Year Ended 31 March 2018)
The Trustees present their report and the audited financial statements of the charity for the year ended 31 March 2018. The trustees have adopted the provisions of the Statement of Recommended Practice (SORP) “Accounting and Reporting by Charities” (FRS 102) in preparing the annual report and financial statements of the charity.
Kirkwood Hospice is a registered charity, number 512987 and a company limited by guarantee in England, number 1645888. The organisation was incorporated as a company limited by guarantee on 23 June 1982 and registered as a charity on 3 August 1982. The company was established under a Memorandum of Association which established the objects and powers of the charitable company and is governed under its Articles of Association. In the event of the company being wound up members are required to contribute an amount not exceeding £10.
Structure, governance Mr B F Ainsworth and management Mrs C Black - Appointed 8 September 2017 Mrs J Brady The governing body of Kirkwood Hospice is Miss L A Chapman the Council of Management whose members Mr J C Denham are elected by the Company’s Members. As at Mr K Dunning - Resigned 15 July 2018 31 March 2018, the Council of Management Mrs S Galvin - Resigned 3 June 2018 comprised ten Trustee members who meet 4 times per annum. There are committees Mr D N Harling dealing with Clinical Governance, Finance and Mrs K S Hinchliff Resources, Income Generation and Marketing, Mrs C J McGowan - Resigned 23 July 2017 Nominations, Risk & Audit, Remuneration Mr J C Philpott - Resigned 3 January 2018 and other specific referrals from Council of Mr P R Sands Management. The salary of the Chief Executive is determined by the Trustees with advice from Mr J R Spain - Resigned 15 December 2017 the Remuneration Committee on the Chief Executive appointment and by periodic reviews Members retiring by rotation in accordance with conducted by the Chair of Trustees. The the Articles of Association are Mr J C Denham, salaries of the other members of the Executive Mr D N Harling and Mr P R Sands who are Management Team are determined by the Chief retiring by rotation under Article 24.2 of the Executive. Articles of Association and Mrs C Black who is retiring under Article 25. The directors of the charitable company are its Trustees for the purposes of charity law. The The charity holds an indemnity insurance policy Trustees who have served during the year were on behalf of its trustees, details of the cost is as follows: included in note 10 to the financial statements. During 2017-18 there were 321 admissions to the In-Patient Unit. 26
Trustee responsibilities position of the charitable company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are The Council Members (who are also directors of also responsible for safeguarding the assets Kirkwood Hospice for the purposes of company of the charitable company and hence for law) are responsible for preparing the Trustees taking reasonable steps for the prevention and Annual Report, including the Strategic Report, detection of fraud and other irregularities. and the financial statements in accordance with applicable law and United Kingdom Accounting The trustees are responsible for the Standards (United Kingdom Generally Accepted maintenance and integrity of the corporate and Accounting Practice). financial information included on the company’s website. Legislation in the United Kingdom Company law requires the Trustees to prepare governing the preparation and dissemination financial statements for each financial year, of the financial statements may differ from which give a true and fair view of the state legislation in other jurisdictions. of affairs of the charitable company and of the incoming resources and application of resources, including the income and expenditure, of the charitable company for that Objects and mission period. In preparing these financial statements, statement the Trustees are required to: The objects for which Kirkwood Hospice • select suitable accounting policies and then (also referred to as Kirkwood in this report) is apply them consistently; established are to promote the relief of sickness by such charitable means as are considered • observe the methods and principles in the appropriate; the governing documents define Charities SORP 2015 (FRS 102) those charitable means in furtherance of those aims. There have been no material changes to • make judgements and estimates that are these objectives since the last Annual Report. reasonable and prudent; Kirkwood provides specialist care free of charge • state whether applicable UK Accounting to adults in Kirklees with advanced progressive Standards have been followed, subject illnesses at any time from diagnosis to the end to any material departures disclosed and of life, respecting their individual needs and explained in the financial statements; wishes. Care and support is also provided to their family members, friends and carers, both • prepare the financial statements on during the illness and after death. Through the going concern basis unless it is education, training and partnership with others inappropriate to presume that the charitable the hospice improves care for everyone affected company will continue in operation. by a life limiting illness.
The Trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at any time the financial Trustees’ Annual Report Including Directors’ Report and Strategic Report (Year Ended 31 March 2018)
Public benefit and We provide services, free of charge, to people in Kirklees with life limiting illnesses that focus on eligibility criteria their quality of life. We provide care for people with life limiting illnesses including cancer, The Charity Commission’s general guidance on neurological conditions, advanced heart and public benefit has been used for reference when lung diseases and dementia. We also provide compiling this report and in planning future services to patients’ families, carers and anyone developments and activities. that is important to them.
The eligibility for our services is described in Most patients use a combination of hospice the previous section; in addition Kirkwood has services as their illness progresses and draw on further developed eligibility criteria for accessing the specialist skills of Kirkwood’s multi-professional in-patient care at its facility in Huddersfield. team who work in collaboration with colleagues in all care settings to provide continuity of care. Common eligibility criteria were agreed in the Kirkwood also provides programmes of education year 2000 by all providers of specialist palliative to other professionals who are caring for people care (SPC) working in Calderdale and Kirklees in with life-limiting illnesses, in this way we seek to order to ensure equity of access. These criteria improve the quality of care experienced by all reflect those adopted by other SPC services people who have palliative care needs. across Yorkshire. Our services are continuously monitored, The three elements of the eligibility criteria are:- evaluated and reviewed to meet the changing needs of patients and their families. All our • That patients should have active, progressive services are delivered taking into account and potentially life-threatening illness. all current national guidance and quality statements and standards. • That patients should have unresolved, complex needs that cannot be met by their Kirkwood is regulated by the Care Quality current caring team, or it is anticipated Commission. An inspection was carried out in that the patient will develop such needs September 2016 and the rating awarded was in the near future. These needs may be ‘Good’ overall with an ‘Outstanding’ rating psychological, social, spiritual or physical. for Care. More information is available on the Care Quality Commission website (http://www. • Patients must have been recently assessed cqc.org.uk/location/1-115011048). This rating by a member of a specialist palliative care is an endorsement of the quality of care that team. Kirkwood continued to provide in its 30th year.
Overview of impact for beneficiaries Services provided Kirkwood exists to support anyone affected by a life limiting illness, every step of the way. 2,262 Kirkwood helps local people, with an illness that people benefited from the services that we cannot be cured, to live well and die with dignity deliver in the period reported, which is nearly and where possible in a place of their choice. 10% more than the previous year.
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We provide advice and support to anyone The experience of our that has been diagnosed with a life limiting illness. Our 24/7 Specialist Palliative Care Advice service users Service handled 11,719 calls in the last year, and 1,509 people accessed some form of advice and At Kirkwood we use an online questionnaire support from our services including the Support to capture feedback from service users. There & Therapy Centre and the Community Palliative were 409 surveys completed with 98% of Care Team. people rating the quality of care received as outstanding or excellent. Kirkwood helps people to maintain and improve their quality of life so that they can focus on what is really important to them. 2,002 people Individual services were supported to achieve the best possible quality of life while being affected by a life providing public benefit limiting illness. 24/7 Specialist Palliative Care In this twelve month period Kirkwood cared for Advice Service: Health Care professionals, a total of 733 local people that died. Our team patients and their carers contact the Hospice for of experienced professionals provide the best expert advice at any time of the day or night, care for people at the very end of their lives, seven days a week. The aim of this service is meeting their individual needs as far as possible to enable more patients to be supported and and helping the vast majority (93%) to avoid as their illness progresses to have their needs dying in hospital. met as soon and as far as possible. A total of 11,719 calls were handled by the advice line, Services are provided to support patients‘ which included 1,186 calls outside office hours. family members and carers through the illness This is a 3% decrease in calls when compared and in bereavement; helping these people with to the previous year; the outside office hour’s their emotional and psychological needs to calls have increased by 3% during this reporting find ways to adjust to their bereavement and period. move forward in life. 516 individuals accessed this support through the Kirkwood Family Care Support and Therapy services: continue to Team. be provided at Kirkwood and at the Rosewood Centre in Dewsbury. A total of 483 people For many people, supporting Kirkwood accessed services through the Support and following the death of a loved one is an Therapy Centre at Kirkwood. 146 people important way to pay tribute to their life and accessed day services in the year and there honour their memory. This support comes were 781 day care attendances. 265 people in many forms, and from all parts of our accessed Drop-In at Kirkwood for the first time community. In this period over 20,000 local and there were 2,009 follow-up attendances. people made a contribution to make sure that Following assessment patients and carers access everyone affected by a life limiting condition a range of services that have been designed to has access to the very best care and support. meet their individual needs. The ‘Braveheart’ programme for patients with chronic heart Through our Support & Therapy team, patients and carers can access a range of services designed to meet their individual needs. 30
failure and ‘Breathe Better’ programme for Education and training: palliative and end of patients with chronic respiratory illnesses are life care training is provided for other health provided in the Support and Therapy Centre and social care agencies and also for visiting along with gentle exercise class ‘Keeping Active students. Specific programmes have been at Kirkwood’ and complimentary therapies. developed for professionals who work for Locala Community Partnerships CIC, Calderdale Community Palliative Care Team: A team & Huddersfield NHS Foundation Trust and of 9 Kirkwood Clinical Nurse Specialists the Yorkshire Ambulance Service aimed at provide advice on all aspects of pain and improving the delivery of palliative and end of symptom control and provide emotional and life care in all settings. Education is provided for psychological support for patients at home and all Hospice employees and volunteers including in care homes. During the period the team Trustees. supported 1,156 patients, a decrease of 1% on the previous year. 2,962 home visits and Lymphoedema follow up clinic: This service 11,435 phone contacts were made to patients, is run on Mondays each week in partnership families and other professionals. The Clinical with the lymphoedema service provided by Nurse Specialists also provide advice to health Calderdale & Huddersfield NHS Foundation care professionals and deliver education on all Trust (CHFT). This year saw 60 patients aspects of palliative care. accessing the service on 124 occasions. Due to increases in resources at CHFT Kirkwood will no In-Patient Care: for patients requiring care longer host this service after current patients and support to address complex problems have been discharged. associated with life- limiting illness. During the accounting period there were 321 admissions All aspects of hospice care are underpinned to the In-Patient Unit. Patients were discharged by the various support service teams and on 101 occasions, and 208 died at the Hospice, volunteers who provide help at Kirkwood, in with 9 patients resident in the Hospice at the end the Fundraising Department and in the Hospice of the year. The Hospice accepted 66 admissions shops. Volunteers contributed 21,981 hours of on an evening or a weekend, which ensures that their time at the Hospice during the accounting these patients are not admitted to hospital. year. In addition 91,211 hours were given by volunteers at Kirkwood’s shops. Family Care Team: provides psychological support and counselling for patients and families during their illness and in bereavement. Planning consultation and The team’s work includes support for children affected by the death or life-limiting illness of communication a close family member. The total number of people who accessed the services was 493, The Executive Management Team, comprises which is slightly up on the previous year, and the Chief Executive, the Director of Finance and 2,385 counselling sessions for bereaved people Resources, the Director of Clinical Services, the took place in the period. The team members Medical Director and the Director of Income also carried out 717 pre-bereavement contacts Generation & Marketing. The Executive Team within the Hospice. meet weekly and work within overall strategic Trustees’ Annual Report Including Directors’ Report and Strategic Report (Year Ended 31 March 2018)
objectives and policy guidelines determined by believes that selection and promotion should be the Trustees. The Chair of the Trustees meets based solely on ability to meet the requirements regularly with the Chief Executive and the of the post. The aim is to provide equal access Executive Management Team attend Council to jobs and training, and to ensure that all and Committee meetings. employees enjoy fully the benefits of working for the organisation. In particular, Kirkwood All management initiatives involve employees does not discriminate on the grounds of gender, and volunteers in forward planning and age, marital status, race, sexual orientation, there are regular meetings involving the religion, disability, social or financial status. multidisciplinary team, heads of departments and clinical teams. Employee views are sought when operational changes and terms of Special acknowledgement conditions of employment are contemplated. Employees contribute to and regularly receive The Trustees wish to record their sincere internal communications and other memoranda appreciation of the Hospice’s highly committed to inform them of developments and changes. employees, and all the numerous supporters, for their donations and bequests and to the The service user forum (‘Kirkwood Future Forum’) large number of volunteers who generously give continues to meet four times a year. Any patient their time, skills and expertise. or carer who has accessed any hospice service is welcome to attend. The aim of the forum Kirkwood has benefited from help received is to gain the views of those who have used from various organisations including Local GPs, hospice services and to share ideas for future Kirklees Metropolitan Council, Carers Count, our development. Those attending have provided Local Clinical Commissioning Groups (CCGs), valuable comments and feedback on a variety Calderdale and Huddersfield NHS Foundation of initiatives and quality improvement plans. Trust, The Mid Yorkshire Hospitals NHS Trust, Locala Community Partnerships CIC, South West Support groups are branches who undertake Yorkshire Partnership NHS Foundation Trust and their own fundraising initiatives in support of Yorkshire Ambulance Service NHS Trust. Kirkwood. They have their own committees whose accounts are incorporated into the The Trustees are very grateful for the annual accounts. developing relationship with the University of Huddersfield for their generosity and The Hospice based volunteers are co-ordinated partnership, including allowing access to their by an employee responsible to the Director facilities to accommodate some of our key of Finance and Resources, who ensures a events during the year. Our thanks are also due framework of support and training similar to to all of the local businesses and Charitable that for employees. Trusts who have generously helped to fund different aspects of the running costs of the Equal opportunities Hospice. The Trustees are also grateful for the generous treatment received from many of their professional advisers. Kirkwood is committed to ensuring equality of opportunity for its employees. Kirkwood
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The Trustees wish to express their appreciation this deficit was realised through losses incurred of the contributions made by John Spain, Ken in unrealised investments. It should be noted Dunning, Susan Galvin, Cath McGowan and that the charity had planned a deficit budget John Philpott during their time as Trustees of for the year of which the outturn position was Kirkwood Hospice. significantly favourable.
Income generation Review of activities Total voluntary income was higher than budgeted expectations. This is due to an The Consolidated Statement of Financial exceptional year of higher than expected Activities for the accounting period is detailed legacy income. Donations and gifts represent on page 58 of the financial statements. A a significant proportion of income, and the summary of the financial results and the work of involvement of individual and corporate donors, Kirkwood is set out below. charitable grant making trusts and supporters is greatly valued. Also the generosity of those Summary of financial performance individuals who remembered Kirkwood in The Trustees continue to monitor financial their wills by leaving a legacy to the Hospice is performance against budget as the primary key recognised. In the year these legacies totalled performance indicator. £1,343,418.
• Income for the accounting period increased Resources expended from £6,949,461 for the year to 31 March 2017 Expenditure on employee salaries and fees to £7,015,621 for the year to 31 March 2018. remained within budgeted limits. Resources expended in total increased by £540,068, the • Expenditure for the accounting period cost of the various services is shown at Note 6 increased from £6,700,660 for the year to 31 to the Accounts. March 2017 to £7,240,728 for the year to 31 March 2018. Changes, developments and achievements during the year • The deficit for the accounting period before taking into account gains and losses In 2017, Kirkwood celebrated our 30th on investments amounted to £225,107 anniversary year and in keeping with the compared to last year’s surplus of £248,801. founding spirit of the charity, we challenged ourselves to develop an ambitious new strategy. • After taking account the movement in This was to enable the evolution of the original year of unrealised losses on investments of vision of a better quality of life for those living £8,051 the deficit is £233,158 compared to with illness, the dying and the bereaved. last year’s surplus of £1,087,379. Further details are on page 58. A great deal has been achieved within the last 30 years. Tens of thousands of families The overall financial position as at the year have had experience of the care and support ended 31 March 2018 was a deficit of £233,158. that Kirkwood provides, and the charity has Despite operating within our budgeted limits, developed an excellent reputation for the Trustees’ Annual Report Including Directors’ Report and Strategic Report (Year Ended 31 March 2018)
quality of services provided. In turn, this ensures When we achieve the right financial platform that the charity is very well supported by local to meet future palliative care needs, Kirkwood’s people through donations and volunteering. services will develop to support more people who are affected by life limiting illnesses. We Kirkwood’s development over the years is due would look to: to a complete focus on what matters to people who rely on hospice care and those that are • enhance the specialist advice line to provide important to them. We remain committed to comprehensive care coordination for people widening access to Kirkwood services for all who are in the last months of their life. those that need them, both now and in the future. • expand the Community Specialist Palliative Care Team to meet all the needs of our We have an excellent understanding of the needs community – including investing in further that Kirkwood is meeting in the local community Dementia Specialist Nurses. and how this compares to the overall need; we believe that Kirkwood is involved in providing • create good facilities in Huddersfield and care and support for around half the people who North Kirklees to provide a range of support have specialist palliative care needs in Kirklees. and wellbeing services to people affected by Therefore, whilst we have been successful in illness. growing the impact of our services, there is much more to be done. In addition, the charity • work and support care homes throughout forecasts that the palliative care needs of the Kirklees to identify what is important to local population will increase significantly over their residents as they approach the end of the next five to ten years. their lives and enable their wishes to be met where possible. Market research undertaken in the last 12 • introduce a ‘Hospice in the Home’ model months has confirmed that Kirkwood has an to support a similar number of people that opportunity to increase the number of people receive end of life care through our In- that access services and the support that is Patient Unit. available to the charity by improving local understanding and engagement with local Kirkwood’s 30th Anniversary Year communities, businesses and our partners. 2017 marked the 30th Anniversary of Kirkwood. In line with Kirkwood’s vision we have set This milestone year gave us an opportunity to aspirations for the next five to ten years and we reach out to the local community to change have also developed a three year business plan the way people understand their local hospice. to move us towards these targets (detailed later During the year we delivered a number of in this report). To achieve this, we will need to events and activities to celebrate the impact increase donations from people and businesses Kirkwood has had on people’s lives and to dispel in Kirklees by promoting the value of what we some of the misconceptions that surround do – at the same time as increasing funding hospice care. These events also provided further from the NHS in recognition for the contribution awareness to make sure that more people that Kirkwood services make. understand how they or someone they know
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might benefit in the future from the care and many different aspects of Kirkwood services support we provide in the future. These events with the aim of improving the understanding and activities were as follows: of Kirkwood’s clinical partners who deliver care to local people. • In June 2017, Kirkwood had the honour of a visit from Sarah Ferguson, The Duchess of • Our 30th year programme also included York, as part of our 30th year celebrations. many bespoke fundraising events to harness The Duchess was introduced to supporters, the continued, unswerving commitment and volunteers and members of the Kirkwood loyalty of the people of Kirklees. Individuals team, as well as patients and families and groups in many of our communities receiving care and support. The visit of the held special 30th birthday parties. In excess Duchess was a special moment in our 30th of 50 parties were held during the year, anniversary year and helped enormously helping to spread the word and to raise in highlighting the outstanding care we vital funds for Kirkwood. Kirkwood’s flagship provide across Kirklees. events and lottery broke new records, demonstrating that local people continue to • In the summer, Kirkwood held the Sunshine believe in our vision and also care enough & Serenity Festival at the University of about the way end of life care is delivered to Huddersfield’s brand new Oastler Building. give their time, their energy and their money The festival’s aims were to educate, to ensure people continue to be cared for. extend reach and challenge common misconceptions surrounding hospice care • Finally, we used this important milestone to in a truly original way. A space, kindly carry out comprehensive market research. provided by the University was transformed This sought to explore and also confirm what into an outdoors-in festival, complete with local people understand about hospices a fully grassed floor, deck chairs and comfy and Kirkwood in particular, preconceived seating. A fabulous illuminated tree formed views about the charity’s work, barriers the centrepiece in a nod to Kirkwood’s which prevent engagement with the charity iconic beech tree, which stands proudly in and stakeholders preferences in relation the heart of our gardens. Throughout the to communications and engagement. The week, hundreds of visitors from the local learning from this important research has community took part in the event, taking supported the refresh of Kirkwood’s business the opportunity to discover more about the plan. Future priorities supported by the services provided by Kirkwood and find out market research project are the strengthening more about the charity’s history. of the Kirkwood brand and a charity wide adoption of a new approach to sharing • At the same time, Kirkwood engaged local stories which will have a greater impact in clinicians and healthcare professionals the local communities which we serve. by holding a Clinical Conference. The conference entitled ‘Twinset and Pearls – Challenging perceptions about Hospice care’ featured national experts in hospice and palliative care. The event also showcased Kirkwood held the Sunshine & Serenity Festival at the University of Huddersfield’s brand new Oastler Building. 36
Strategic Achievements • developed organisational effectiveness through changes to structure and roles, 2015-18 particularly within the Executive and wider management teams. This year saw the culmination of work towards three priorities that were identified in Kirkwood’s Strategy Diagram plus high level measures three year strategic plan ‘Let that moment be now’ which ran until March 2018.
source A great deal has been achieved against the Re s priorities that were set, in the last three years Kirkwood has: Service R y e t Users i a
l c
• increased expenditure on charitable services a
h u
by 37% to £4.8million Q Supporters • reduced the budgeted deficit and achieved strong financial performance • created more detailed evidence than ever before regarding the quality of the services delivered both in terms of the experience of service users and the effectiveness of services to meet people’s palliative care Figure 1. Kirkwood Strategy needs. • expanded the specialist Community Palliative How we are doing Care Team into North Kirklees. • reached over 50% more people with the -- We supported 2,262 local people services provided. -- There were 409 instances of feedback from • increased the numbers of people who are service users 98% rated the quality of care cared for at the very end of their lives by received as outstanding or excellent nearly 50%. -- 11,719 calls to our 24/7 advice line • achieved an overall GOOD rating from the -- 483 people attended sessions at our Care Quality Commission inspection, with an Support and Therapy Centre OUTSTANDING rating for ‘Caring’. -- 2,962 face to face appointments were made • increased the contribution from fundraising by our Community team back to levels that were achieved during the -- 321 admissions to the In-patient unit capital appeal. -- 516 people used our Bereavement service • developed formal partnerships with -- Cost of patient services in 2017-18 - £4.8 a number of local Health and Social million Care organisations, both providers and -- Number of Volunteers that gave their time commissioners. was 827 • secured a formal Commissioning Partnership -- Net amount raised from donations, with the Local Authority and Clinical fundraising, shops and lottery was £2.9 Commissioning Groups million
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2017-18 Achievements 4. Kirkwood cared for a total of 733 local people that died; an important outcome for many people is that they are cared for There have been many achievements delivered in their usual residence and to avoid dying within the year that have contributed to our in hospital unless that is appropriate and/ strategic priorities. or what they want. With support from Kirkwood 93% did not die in hospital. Priority A: Quality 5. The skills and experience available to Our reputation is built on the quality of our Kirkwood patients has been enhanced services and how we support the quality of through the introduction of Speech and life of local people. Quality remains at the Language Therapy and support from a heart of our strategy. Dietician to better meet the complex needs of our patients. This development was driven by data that is now collected regarding the Key Achievements: needs of our patients with respect to the burden of particular symptoms and people 1. The Enabling Quality of Life project has can be supported to meet daily activities. successfully delivered education and changes to practice across our patient and family 6. The Admiral Nurse Service, delivered in services. This means that what matters to partnership with Dementia UK and Kirklees patients and their families is comprehensively Council is now successfully established identified so that effective plans can be put in alongside other local services for people place to help them achieve goals. affected by Dementia as they approach the end of their lives. More people are accessing 2. The experience of Kirkwood services is of the this service and in addition patients and highest importance to us and as our aim is carers have benefited from a new ‘Positive to help people with life limiting illness focus Steps’ programme that has been launched on what matters most to them. There have in the Support & Therapy Centre. been 409 instances of feedback generated in the year and 98% rated the overall quality 7. A comprehensive market research exercise of the care received as outstanding or has been completed gathering important excellent. data from all of Kirkwood stakeholder groups in the form of questionnaires, focus 3. The stories of people who use our services groups and one to one interviews. The rich are a really effective way of demonstrating information that was produced will be used the impact that Kirkwood has on people’s to develop our services and support whilst lives. A number of stories have been ensuring that information and activities are captured during the year to develop this tailored to people’s individual needs. approach. These help illustrate the value of Hospice care to people who might need the 8. The transformation of processes and care and support offered or who might be practices across the Kirkwood retail network prepared to support Kirkwood care for more has been completed. The purpose of this people. The skills and experience available to Kirkwood patients has been enhanced through the introduction of Speech and Language Therapy. 40
project was to optimise stock levels and 2. The Kirkwood Community Palliative Care enhance the experience of customers and Team has been strengthened with 9 nurses donors. This required the dedication and working across the whole of Kirklees commitment of employees and volunteers alongside GPs and other professionals to from across the charity to successfully meet the individual needs of more patients deliver this change. and to help people remain at home wherever possible. The Designated Project Fund has been utilised to initiate an important project which will see the 3. The Support &Therapy Centre has development of Electronic Patient Records across successfully developed the model of ‘drop- all Kirkwood clinical services. While this project in’ to provide access and support to more will deliver some efficiency in the way services people. The numbers of patients and carers use information the main aim of the project is accessing this service has increased by 38% to enable an improvement in quality across our on the previous year. The drop-in model services. When the Electronic Patient Record is supplemented by a number of self- is delivered the assessment of patients’ needs management programmes and therapeutic will be more comprehensive, records will be activities which meet specific needs that are integrated, chronological and available to more identified. of the multi-disciplinary team in real time. This will enable patient needs to be met more safely, 4. The Support & Therapy Centre has launched effectively and record keeping will be in line with new services this year which include: Getting improving national standards. On and Living (GOAL) a service for people with neurological conditions; Positive Steps collaboration with Kirklees Admiral Nurse Priority B: Reach for patients and carers who are affected by Dementia. It remains our priority to reach more people who are affected by a life limiting illness 5. A partnership has been agreed with North in order that we can help support their Kirklees Clinical Commissioning Group quality of life. While Kirkwood is very to introduce a Kirkwood Clinical Nurse well supported by local people, we need to Specialist to work with people in care continue to reach new supporters if we are homes. to achieve our aims. 6. The 30th year anniversary saw a record Key Achievements: breaking Midnight Memory Walk with over 1,200 people taking part raising nearly 1. There have been over 1,500 referrals in the £115,000. year to Kirkwood services. This is more than in any previous year and is as a result of all 7. The Kirkwood Lottery continues to grow and the efforts to increase the reach of services has become a key source of income for the across the whole Kirkwood community. This charity with over 12,000 people taking part growth in referrals matches the ambition each week. that we set three years ago. Trustees’ Annual Report Including Directors’ Report and Strategic Report (Year Ended 31 March 2018)
8. During the 30th year our fundraising Point of Sale technology into the network activities have attracted people from all over and change the way we do business. As a our community with events and donations result we will derive even better value from coming from different faith groups, from the stock donated by the people of Kirklees. people of all ages and all corners of Kirklees. 3. Following the departure of the previous 9. Calls to the 24 hour Specialist Advice line Director (which presented significant outside usual working hours have increased. risk to the charity), the recruitment and The service is proving more and more introduction of the new Director of Income valuable to patients and those that care for Generation and Marketing, has been them. The resources that are available to the completed successfully. advice line will be strengthened in 2018-19, and further resources are planned to create 4. Improved the alignment of income a proactive service that helps to coordinate generation and service development, which the care that is required by our patients. will open up new income streams and ensure that the delivery of existing services is more sustainable in the future. Priority C: Resources 5. Investment in Clinical employees has To successfully reach more people and continued to ensure that we maintain the improve the quality of our services we will competence and skill to deliver the care need to increase our resources in a number that our patients need. A number of clinical of areas; we will need to find more effective employees have been encouraged to ways of generating funds; we need to invest develop as Non-Medical Prescribers and to in our workforce to ensure it is capable undertake Post Graduate certificates. of meeting future demands; we need to continue to develop our partnerships with 6. Kirkwood education programmes continue other professionals and organisations. to be successful; a bespoke palliative care education programme has been Key Achievements: commissioned by Locala to enhance the palliative care knowledge and 1. The culmination of three years’ work communication skills of their End of Life has resulted in the creation of a Joint Champions. Commissioning Partnership with both Clinical Commissioning Groups in Kirklees 7. In partnership with the University of and the local council. This brings with it Huddersfield, Kirkwood deliver a Post more security over NHS funding for the next Graduate Certificate in Palliative and End of three years in what are very challenging Life Care. The first year of the course was times. completed and evaluated very well and the course is now set to run for a second year. 2. Excellent teamwork and professionalism from the retail team delivered a transformational project to bring Electronic
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Future developments plan that is more closely aligned to how we can meet those needs will be more sustainable in and changes terms of our core services and also help us to create better value in new service developments. 2018-21 Priorities Kirkwood has developed a business plan for the Three year objectives: next three years, focussed on delivering four priorities which will put us in a strong position to 1. Identify inequalities and widen access to achieve the charity’s future aims: Kirkwood services
2. Develop new service models to meet future Strategic Priority A: population needs
Meet the changing palliative care 3. Create bespoke, sustainable funding streams needs of Kirklees to drive service development
Kirkwood focuses on trying to meet the 4. Lead care coordination for more people at increasingly complex nature of patients’ the very end of their lives conditions and understands that this will be further complicated by a rise in demand within 5. Meet the needs of patients, carers and the next few years. We know that at present professionals through the use of technology we are not meeting all the needs within our community, and this alongside increase in complexity and need are our main challenges. Strategic Priority B:
Whilst Kirkwood has already started to reshape Strengthen the brand of Kirkwood by a number of services to extend our support telling our story to people who have not historically used our services, data analysis confirms that we have All of our analysis and consultation confirms more work to do. We believe that anyone that we have a huge opportunity if we can affected by a life limiting illness should have engage people more effectively. We know that equal access to Kirkwood services, no matter more people would access our services if they what their individual circumstances, however our understood more fully what our services are, caseload is still not representative of those that who they are for and the impact that being die in the local population in terms of primary supported by Kirkwood can have. diagnosis, age and ethnicity. Kirkwood’s priority is to widen access to our services so that people We know that charities are well supported have equal access no matter what their personal where they are seen to be large enough to circumstances. make a difference, support people with cancer and benefit local people. Market research tells In order to meet the changing palliative care us that local stakeholders would like Kirkwood to needs of Kirklees we also need clear plans to have a bigger impact. To do this, we need to get raise the funds that will be required. A funding our messages across more effectively. Trustees’ Annual Report Including Directors’ Report and Strategic Report (Year Ended 31 March 2018)
While the reputation of Kirkwood is very care for people with palliative care needs. We strong, building on our brand will give us are determined to inspire our communities to the opportunity to further strengthen our support us to deliver more and also to support engagement with potential service users and carers and people in the wider community who our local community. are keen to play as big a role as they can.
Stories about people connected with Kirkwood Our reach and reputation will be enhanced if are a great asset to us, and are an effective we engage more effectively with our many local tool to engage people and motivate them to communities. We will continue to engage other act in a way that supports our objectives. We professionals through the high quality education have made some progress in the use of stories we provide. We will provide improved support through various media. With further investment Kirkwood carers and to other people who in this area it will be possible to achieve a lot want to play a confident and competent role more. supporting people at the end of life.
Three year objectives: Finally, working more closely with different communities will help to deliver our aim of 1. Strengthen the story about the impact of widening access to Kirkwood services. We aim Kirkwood care to move equitably to support people of different ages, with different diseases, and from different 2. Know our audience and develop/promote parts of the community. stories that inspire them Three year objectives: 3. Refresh the Kirkwood brand to meet our modern needs 1. Build community-based giving, through which local people feel they have a stake in 4. Increase NHS funding through making a providing care to their community. success of the Lead Commissioner role 2. Influence the end of life care provided to people in Care Homes throughout Kirklees. Strategic Priority C: 3. Create meaningful connections with all our Support our local communities to care communities. for people at the end of life 4. Build effective partnerships with key groups, Kirkwood should play a key role in the local individuals and organisations to achieve our community and beyond; standing for the best aims. quality care for people as they approach the end of their lives. 5. Lead the education of other professionals involved in palliative and end of life care in It is not possible, within existing resources, to Kirklees. care for everyone with palliative care needs. It is also the case that there are other services that
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Strategic Priority D: 2. Ensure Kirkwood assets and facilities are fit for purpose to meet service development Create an agile organisation that is ready to and future demands. meet future challenges 3. Deliver financial stability to provide the platform to serve future generations across Kirkwood has grown as an organisation over Kirklees. the past 30 years and quite rapidly over the last three years, as a consequence of the increasing 4. Enhance Kirkwood through the use of number of people accessing our services. There technology in a way that supports service is evidence that the development of systems, development and income generation buildings, people, skills and data have not kept opportunities. pace with the recent growth. In particular our systems and buildings require urgent attention 5. Evaluate, pilot and rollout new digital to meet the needs of the organisation. technologies that support income generation. In addition, a strong theme that has come through the strategy development is that data 6. Become an organisation that uses internal analysis needs to improve to ensure the charity and external data intelligently to drive future has the right information on which to base development. decisions and monitor effectiveness.
Our approach to income generation will need to evolve. There is a lot more required to transform Developments targeted the way we generate income through our retail through use of Designated operation. We also need to build a fundraising approach that is focussed on relationships as Funds this will lead to an increase in support over a longer period of time. Designated Funds Update May 2018
Partnerships remain key; particularly our In previous years the Council of Management partnerships with NHS commissioners. Through has taken the decision to designate funds the development of our Joint Commissioning from the general reserve with the purpose of Partnership we will ensure that we are in the investing in projects and initiatives that serve the best position to plan for and respond to future purpose of the charity and meet future strategic challenges. objectives.
Summary of three year objectives: The Trustees identified a number of principles that would guide the use of these funds: 1. Develop a skilled and flexible workforce that adapts to the changing needs of the charity. 1. The designated ‘project’ fund should be spent in line with the organisations strategic objectives. Our Support Services play a vital role at Kirkwood. 46
2. There is a balance between the delivery of Future allocation of the fund clinical services and income generation to ensure sustainability. At present £772,000 of the £2.4m designated project fund has been allocated, as 3. A schedule be created and maintained from demonstrated below: consultation to project plan implementation, in order to ensure timeliness of allocation of Designated the fund. Project Fund as at 31/03/18 Comments Allocation made during 2017/18 £950,000 Opening Balance IT Development and Market Research £1,500,000 Additional funds as at year ended 16/17 In June 2017 the decision was made by the £2,450,000 Total Designated Project trustees to allocate £282k to enable the Fund Electronic Patient Record project (as mentioned £282,000 Allocated to IT on page 40). This 18 month project commenced Development (Electronic on 1st February 2018 as planned. The trustees Patient Record) also decided to allocate £50k to Market £50,000 Allocated to Market Research to inform the future strategy (as Research detailed on pages 34 and 38). £440,000 Allocated to Care Coordination - 2 year pilot Care Coordination £772,000 Total Amount Allocated £1,678,000 Balance remaining The development of a Care Coordination model is a key part of Kirkwood’s future strategy. (Please see note 20 on page 76 for details of The development will enhance the Specialist designated funds expenditure during 2017/18) Palliative Care advice line to ensure that we have the capacity to meet demand; it will enable Further priorities for the funds to support our the Community Palliative Care Team to meet strategic objectives have been identified as: the needs of more people through proactively coordinating aspects of care that the team • Additional car parking - To alleviate current are involved with that do not require specialist car parking issues, accommodate existing resource; it will support the joint commissioning flow and activity on the main Kirkwood site. work by creating a focus through which • Space & Accommodation – To address Kirkwood works more actively with other current accommodation issues and create providers who are supporting people at the a more flexible space to allow for further very end of their lives. As part of the budget development in the future. process, trustees agreed to allocate £440k from the Designated Project Fund towards the two Work will be completed in 2018-19 to year pilot of the Care Coordination model. scope these developments so that they can be progressed in future years utilising the designated fund. Our catering team provide outstanding home cooked meals for patients and visitors, 365 days a year. 48
Reserves the review they take into consideration best practice and the guidance issued by the Charity Commission. The review is reported The reserves decreased in value by £233,158 as to the Hospice Council at its next meeting, and shown on page 58 of the financial statements. recorded in the minutes. The Trustees regularly review the reserves of Kirkwood Hospice. To allow the Hospice to be prudently and efficiently managed, and Fundraising Standards to provide a buffer for uninterrupted service during periods of variation in income and Kirkwood works hard to meet the requirements expenditure, the Trustees believe that a general of the Fundraising Regulator (of which it is a reserve equal to between twelve and sixteen paid up member), and to follow these standards months’ expenditure on charitable activities when planning or undertaking fundraising should be the aim. This reserve is to be in initiatives. This includes supporting donors addition to any significant planned capital who are planning or undertaking their own expenditure. fundraising initiatives to ensure that these remain within the ethical regulations of the The Executive Management Team actively Fundraising Regulator. In addition donations monitors the level of reserves held on a monthly received are processed following the charity’s basis when reviewing the monthly management comprehensive Internal Financial Control accounts. This information is subsequently Procedures in line with Charity Commission reported into Finance and Resources Committee guidance. on a quarterly basis.
All income generation activities are undertaken At the year end this reserve amounted to 14 within charity law, Charity Commission months expenditure on charitable activities and guidelines, Institute of Fundraising codes of 9 months on total expenditure. The comparative practice, HMRC rules, The Gambling Act, local for the year ended 31st March 2017 was 16 licensing laws, Advertising Standards Authority months charitable activity and 10 months total rules and Data Protection legislation, (this list is expenditure, after the allocation of £1.5 million not exhaustive). Kirkwood never sells donor data to the designated project fund. Plans to utilise to a third party, or engages in data swapping, the designated project fund are referenced on and a statement to this effect is included in our pages 36 to 46 (2017-18 Achievements) and fundraising literature. page 76 (Note 20 narrative).
However, Kirkwood sees compliance with Forecasts of income and expenditure are made legislation and codes of practice as a minimum annually, the aim being to balance expenditure standard, not an aspiration, and we strive to and income, and the object being to maintain ensure our supporter care is of the same high the agreed level of reserves. Contingency plans standard as the care we offer our beneficiaries. exist in the event that reserves fall below, or We hope our supporters enjoy and value their exceed, the estimated reserve requirements. interactions with the charity, look forward to receiving information from us, and know we The Finance & Resources Committee reviews view them as partners in the care we can offer. the reserves policy each year. In conducting Trustees’ Annual Report Including Directors’ Report and Strategic Report (Year Ended 31 March 2018)
We work towards these goals throughout all of our income generating activity.
This is reflected in the low levels of complaints received with regards to our fundraising activities. During this accounting period of the 14 complaints received 10 were in relation to income generation activities. Employees and volunteers are empowered to deal positively and respectfully with any complaint. The charity has an effective, open and accessible Complaints Policy. We have systems and procedures which promote learning within the organisation and aim to maintain the excellent reputation of the charity. All complaints are audited on a quarterly basis.
The charity does not condone and never employs aggressive fundraising tactics. All contact with donors is always conducted in a caring and professional manner, in line with Kirkwood’s values.
Risk management
The Trustees and Executive Management Team have assessed, and regularly review, the major risks to which Kirkwood is exposed, in particular those related to the finances and operation and provision of services of the Hospice. In addition the Risk and Audit Committee has oversight of the risk management framework and meets on a quarterly basis.
The Executive Management Team has compiled a risk register which is reviewed every month. The Trustees and Executive Management Team are satisfied that the systems are in place to mitigate exposure to these risks. The following table details the risks that were reported in the last annual report and the and how the risk rating has changed within the accounting period 2017-18:
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Key Risk at the end of Change in risk Commentary Accounting period rating during 2016-17 2017-18 1 The recruitment A fully functioning Executive Management Team is and retention critical to the achievement of Kirkwood’s objectives. of Executive Last year we reported the risk associated with the Management recruitment and introduction of a new Director of Team members Income Generation and Marketing, which has been completed successfully.
2 The risk that the The development of all Heads of Department and management of Clinical Leaders remains a priority for Kirkwood; the the Hospice is development of the charity and the achievement of ineffective future goals rely on their effectiveness. Leadership development will continue throughout Kirkwood in 2018/19.
3 Uncertainty Significant progress has been made here. Kirkwood regarding has secured a Joint Commissioning Partnership statutory funding with local public sector commissioners. This has strengthened the position of the charity in the local health and social care economy, at the same time securing a grant agreement for the next three years.
4 Reduction in Kirkwood has a diverse range of income streams in Fundraising non- place, however there is still uncertainty regarding statutory income the future which presents risk for all income streams.
5 Impact of A lot of work has been completed to successfully Government manage the impact of new regulations e.g. Changes / Fundraising and Data Protection legislation. There structure of remains however a lot of uncertainty regarding the government economic and policy framework which will follow Brexit and / or any changes in government. Trustees’ Annual Report Including Directors’ Report and Strategic Report (Year Ended 31 March 2018)
Key Risk at the end of Commentary Accounting period 2017-18 1 Impact of This risk relates to potential changes in the political landscape and Government to government policy that have implications for any part of the Changes / organisation’s operational or strategic direction. Following the decision structure of on Brexit and the latest general election there is uncertainty which government may result in policy decisions that have an impact on Kirkwood.
2 Reduction in The risk that there is a reduction in non-statutory income remains Fundraising a key consideration for the charity. Kirkwood has a diverse range of non-statutory income streams in place, and the risks in relation to each income income stream are regularly assessed. Through analysis of our existing income streams we have invested in those that will generate the most consistent return. The Director of Income Generation and Marketing is responsible for continually researching new ideas for income generation. We have invested in the development of the Kirkwood lottery, fundraising events and the retail network, so that in future years there will be an increase in both net income and return on investment.
3 External Resources are stretched within the Health and Social Care system as a influences on result of government policy on managing the budget deficit. This has strategic direction resulted in changes to capacity in other healthcare services, which has a direct impact on the demand placed Kirkwood services. To counter this Kirkwood has developed a formal commissioning partnership with local Health and Social Care commissioners, to increase security regarding funding and to influence the commissioning of other services within limited resources.
4 The risk that the A challenge for the organisation going forward is ensuring that the management of capacity of leadership and management is realised. The success of the Hospice is Kirkwood relies on the capability of all managers, heads of service and ineffective clinical leaders within the organisation. Development activities have been completed in previous years and the management structure has developed. Leadership development remains a priority for the charity and further development will take place in 2018-19.
5 Unauthorised The risk of unauthorised access to electronic information that is held access to by the charity is linked to the integrity of the server infrastructure electronic and having robust software and hardware in place. The current confidential server array that is in use needs to be updated and modernised to information - meet the needs of the organisation in the future. Upgrade work has including Cyber been planned over the next twelve months to ensure systems and Attack information continue to be secure.
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Financial Instruments Disclosure of information to the auditors The Hospice’s principal financial instruments comprise bank balances, an investment We, the Trustees, being directors of the portfolio, trade creditors and trade debtors. company, who held office at the date of The main purpose of these instruments is to approval of these financial statements as set raise funds for the operations of the Hospice out above each confirm, so far as we are aware, and to finance the Hospice’s Services. that:
Due to the nature of the financial instruments • there is no relevant audit information of used by the Hospice, there is no exposure to which the company’s auditors are unaware; price risk other than that which relates to the and investment portfolio. To manage this risk, the Finance and Resources Committee meet at six • we have taken all the steps that we ought monthly intervals with the investment managers to have taken as directors in order to to review performance in the light of the make ourselves aware of any relevant investment management policy. The Hospice’s audit information and to establish that approach to managing other risks applicable to the company’s auditors are aware of that the financial instruments concerned is shown information. below. In approving the Trustees’ Annual Report, we In respect of bank balances, the liquidity risk is also approve the Strategic Report included managed by maintaining credit balances. The therein, in our capacity as company directors. Hospice makes use of money market facilities when funds are available. On behalf of the board
Trade debtors are managed by the regular monitoring of amounts outstanding for both time and credit limits.
Trade creditors liquidity risk is managed by ensuring sufficient funds are available to meet Mr B F Ainsworth amounts falling due. Trustee
7 September 2018 The 2017 Colour Rush attracted 1,075 participants to Oakwell Hall Country Park. 54
Independent Auditor’s Report to the members of Kirkwood Hospice
We have audited the financial statements of resources, including its income and of Kirkwood Hospice (the parent charitable expenditure, for the year then ended; company) and its subsidiaries (the group) for the year ended 31 March 2018 which • have been properly prepared in accordance comprise the Consolidated Statement of with United Kingdom Generally Accepted Financial Activities, the Consolidated and the Accounting Practice; and Parent Charitable Company Balance Sheet, the Consolidated and the Parent Charitable • have been prepared in accordance with the Company Statement of Cash Flow and notes to requirements of the Companies Act 2006. the financial statements, including a summary of significant accounting policies. The financial reporting framework that has been applied in Basis for opinion their preparation is applicable law and United Kingdom Accounting Standards including We conducted our audit in accordance with Financial Reporting Standard 102 “The Financial International Standards on Auditing (UK) (ISAs Reporting Standard applicable in the UK and (UK)) and applicable law. Our responsibilities Republic of Ireland’’ (United Kingdom Generally under those standards are further described Accepted Accounting Practice). in the Auditor’s responsibilities for the audit of the financial statements section of our report. This report is made solely to the charitable We are independent of the group and parent company’s members, as a body, in accordance charitable company in accordance with the with Chapter 3 of Part 16 of the Companies Act ethical requirements that are relevant to our 2006. Our audit work has been undertaken so audit of the financial statements in the UK, that we might state to the charitable company’s including the FRC’s Ethical Standard, and we members those matters we are required to state have fulfilled our other ethical responsibilities to them in an auditor’s report and for no other in accordance with these requirements. We purpose. To the fullest extent permitted by law, believe that the audit evidence we have we do not accept or assume responsibility to obtained is sufficient and appropriate to provide anyone other than the charitable company and a basis for our opinion. the charitable company’s members as a body, for our audit work, for this report, or for the opinions we have formed. Conclusions relating to going concern
In our opinion the financial statements: We have nothing to report in respect of the following matters in relation to which the ISAs • give a true and fair view of the state of the (UK) require us to report to you where: group’s and parent charitable company’s affairs as at 31 March 2018, and of the • the trustees’ use of the going concern group’s incoming resources and application basis of accounting in the preparation of the financial statements is not appropriate; of this other information; we are required to or the trustees have not disclosed in the report that fact. financial statements any identified material uncertainties that may cast significant doubt We have nothing to report in this regard. about the group’s or parent charitable company’s ability to continue to adopt the going concern basis of accounting for a Opinions on other matters prescribed by the period of at least twelve months from the Companies Act 2006 date when the financial statements are authorised for issue. In our opinion, based on the work undertaken in the course of the audit:
Other information • the information given in the trustees’ report (incorporating the strategic report and the The trustees are responsible for the other directors’ report) for the financial year for information. The other information comprises which the financial statements are prepared the information included in the trustees’ annual is consistent with the financial statements; report, other than the financial statements and and our auditor’s report thereon. Our opinion on the financial statements does not cover the • the strategic report and the directors’ report other information and, except to the extent have been prepared in accordance with otherwise explicitly stated in our report, we do applicable legal requirements. not express any form of assurance conclusion thereon. Matters on which we are required to report In connection with our audit of the financial by exception statements, our responsibility is to read the other information and, in doing so, consider In the light of our knowledge and understanding whether the other information is materially of the group and parent charitable company inconsistent with the financial statements or our and its environment obtained in the course knowledge obtained in the audit or otherwise of the audit, we have not identified material appears to be materially misstated. If we identify misstatements in the strategic report and the such material inconsistencies or apparent directors’ report. material misstatements, we are required to determine whether there is a material We have nothing to report in respect of the misstatement in the financial statements or a following matters in relation to which the material misstatement of the other information. Companies Act 2006 requires us to report to If, based on the work we have performed, we you if, in our opinion: conclude that there is a material misstatement
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• adequate accounting records have not been to liquidate the group or the parent charitable kept by the parent charitable company, or company or to cease operations, or have no returns adequate for our audit have not realistic alternative but to do so. been received from branches not visited by us; or Auditor’s responsibilities for the audit of the • the parent charitable company’s financial financial statements statements are not in agreement with the accounting records and returns; or Our objectives are to obtain reasonable assurance about whether the financial • certain disclosures of directors’ remuneration statements as a whole are free from material specified by law are not made; or misstatement, whether due to fraud or error, and to issue an auditor’s report that includes • we have not received all the information and our opinion. Reasonable assurance is a high explanations we require for our audit. level of assurance, but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when Responsibilities of trustees it exists. Misstatements can arise from fraud or error and are considered material if, individually As explained more fully in the trustees’ or in the aggregate, they could reasonably be responsibilities statement set out on page expected to influence the economic decisions 26, the trustees (who are also the directors of users taken on the basis of these financial of the charitable company for the purposes statements. of company law) are responsible for the preparation of the financial statements and As part of an audit in accordance with ISAs (UK), for being satisfied that they give a true and we exercise professional judgment and maintain fair view, and for such internal control as the professional scepticism throughout the audit. trustees determine is necessary to enable the We also: preparation of financial statements that are free from material misstatement, whether due to • Identify and assess the risks of material fraud or error. misstatement of the financial statements, whether due to fraud or error, design and In preparing the financial statements, the perform audit procedures responsive to trustees are responsible for assessing the those risks, and obtain audit evidence that is group’s and parent charitable company’s ability sufficient and appropriate to provide a basis to continue as a going concern, disclosing, for our opinion. The risk of not detecting a as applicable, matters related to going material misstatement resulting from fraud concern and using the going concern basis of is higher than for one resulting from error, accounting unless the trustees either intend as fraud may involve collusion, forgery, Independent Auditor’s Report to the members of Kirkwood Hospice
intentional omissions, misrepresentations, or underlying transactions and events in a the override of internal control. manner that achieves fair presentation.
• Obtain an understanding of internal control • Obtain sufficient appropriate audit evidence relevant to the audit in order to design regarding the financial information of audit procedures that are appropriate in the the entities or business activities within circumstances, but not for the purpose of the group to express an opinion on the expressing an opinion on the effectiveness consolidated financial statements. We are of the group’s internal control. responsible for the direction, supervision and performance of the group audit. We • Evaluate the appropriateness of accounting remain solely responsible for our audit policies used and the reasonableness of opinion. accounting estimates and related disclosures made by the trustees. We communicate with those charged with governance regarding, among other matters, • Conclude on the appropriateness of the the planned scope and timing of the audit trustees’ use of the going concern basis and significant audit findings, including any of accounting and, based on the audit significant deficiencies in internal control that we evidence obtained, whether a material identify during our audit. uncertainty exists related to events or conditions that may cast significant doubt on the group’s or charitable company’s 35 Westgate ability to continue as a going concern. If Huddersfield we conclude that a material uncertainty HD1 1PA exists, we are required to draw attention in our auditor’s report to the related disclosures in the financial statements or, if such disclosures are inadequate, to modify our opinion. Our conclusions are based on the audit evidence obtained up to the date of our auditor’s report. However, future Helen Solomons (Senior Statutory Auditor) events or conditions may cause the group or parent charitable company to cease to For and on behalf of Wheawill & Sudworth continue as a going concern. Limited, Statutory Auditor
• Evaluate the overall presentation, structure 7 September 2018 and content of the financial statements, including the disclosures, and whether the financial statements represent the
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Consolidated Statement of Financial Activities (Including income and expenditure account) Year ended 31 March 2018
2018 2017 Unrestricted Designated Designated Restricted Endowment Total Total funds Fixed Asset Project funds funds fund fund Note £ £ £ £ £ £ £ Income and endowments from: Donations and legacies 2 1,781,970 - - 29,095 - 1,811,065 1,705,789 Charitable activities 3 1,444,882 - - 30,588 - 1,475,470 1,498,445 Other trading activities 4 3,555,808 - - - - 3,555,808 3,582,043 Investments 5 173,278 - - - - 173,278 163,184 ────── ────── ────── ────── ────── ────── ────── Total income and endowments 6,955,938 - - 59,683 - 7,015,621 6,949,461
Expenditure on: Raising funds 6 2,458,515 - - - - 2,458,515 2,393,786 Charitable activities 6 4,479,989 218,370 49,235 34,619 - 4,782,213 4,306,874 ────── ────── ────── ────── ────── ────── ────── Total expenditure 6,938,504 218,370 49,235 34,619 - 7,240,728 6,700,660
Net (losses)/gains on invest- (7,987) - - - (64) (8,051) 838,578 ments ────── ────── ────── ────── ────── ────── ────── Net (expenditure) / income 9,447 (218,370) (49,235) 25,064 (64) (233,158) 1,087,379
Transfers between funds (81,832) 81,832 - - - - - ────── ────── ────── ────── ────── ────── ────── Net movement in funds (72,385) (136,538) (49,235) 25,064 (64) (233,158) 1,087,379
Reconciliation of funds: Total funds brought forward 20 5,770,297 4,451,448 2,450,000 7,334 5,652 12,684,731 11,597,352 ────── ────── ────── ────── ────── ────── ────── Total funds carried forward 20 5,697,912 4,314,910 2,400,765 32,398 5,588 12,451,573 12,684,731 ══════ ══════ ══════ ══════ ══════ ══════ ══════
All income and expenditure derive from continuing activities. The statement of financial activities includes all gains and losses recognised during the year. The notes on pages 62 to 78 form part of these financial statements. Consolidated Balance Sheet Year ended 31 March 2018
2018 2017 Note £ £ Fixed assets Tangible assets 13 4,331,034 4,451,448 Investments 14 6,059,994 6,124,639 ────── ────── 10,391,028 10,576,087 Current assets Stocks 15 52,739 45,313 Debtors 16 1,066,144 1,171,495 Cash at bank and in hand 1,767,895 1,682,424 ────── ────── 2,886,778 2,899,232
Creditors: amounts falling due within one year 17 (826,233) (790,588) ────── ────── Net current assets 2,060,545 2,108,644 ────── ────── Total assets less current liabilities 12,451,573 12,684,731 ══════ ══════
Charity Funds Endowment funds Permanent endowment 20 5,588 5,652 Restricted funds 20 32,398 7,334 Unrestricted funds 20 12,413,587 12,671,745 ────── ────── Total charity funds 12,451,573 12,684,731 ══════ ══════
The financial statements were approved and authorised for issue by the Board on 7 September 2018.
Signed on behalf of the board of Trustees
Mr B F Ainsworth Miss L A Chapman Chairman Trustee
Company registration number: 1645888
The notes on pages 62 to 78 form part of these financial statements.
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Charity Balance Sheet Year ended 31 March 2018
2018 2017 Note £ £ Fixed assets Tangible assets 13 4,331,034 4,451,448 Investments 14 6,060,094 6,124,739 ────── ────── 10,391,128 10,576,187 Current assets Stocks 15 14,608 12,325 Debtors 16 1,113,315 1,223,888 Cash at bank and in hand 1.750,249 1,653,204 ────── ────── 2,878,172 2,889,417
Creditors: amounts falling due within one year 17 (817,727) (780,873) ────── ────── Net current assets 2,060,445 2,108,544 ────── ────── Total assets less current liabilities 12,451,573 12,684,731 ══════ ══════ Charity Funds Endowment funds Permanent endowment 20 5,588 5,652 Restricted funds 20 32,398 7,334 Unrestricted funds 20 12,413,587 12,671,745 ────── ────── Total charity funds 12,451,573 12,684,731 ══════ ══════
The financial statements were approved and authorised for issue by the Board on 7 September 2018.
Signed on behalf of the board of Trustees
Mr B F Ainsworth Miss L A Chapman Chairman Trustee
Company registration number: 1645888
The notes on pages 62 to 78 form part of these financial statements. Consolidated Statement of Cash Flows Year ended 31 March 2018
Group Charity 2018 2017 2018 2017 Note £ £ £ £
Cash flow from operating activities 22 (42,414) 292,090 (30,840) 307,488
────── ────── ────── ──────
Net cash flow from operating activities (42,414) 292,090 (30,840) 307,488
────── ────── ────── ──────
Cash flow from investing activities Payments to acquire tangible fixed assets (101,987) (32,667) (101,987) (32,667)
Payments to acquire investments (863,034) (994,278) (863,034) (994,278)
Receipts from sales of investments 919,628 1,040,532 919,628 1,040,532
Interest received 2,388 4,449 2,388 4,449
Dividends received 170,890 158,735 170,890 158,735
────── ────── ────── ────── Net cash flow from investing activities 127,885 176,771 127,885 176,771
────── ────── ────── ──────
Net increase in cash and cash equivalents 85,471 468,861 97,045 484,259
Cash and cash equivalents at 1 April 2017 1,682,424 1,213,563 1,653,204 1,168,945
────── ────── ────── ──────
Cash and cash equivalents at 31 March 2018 1,767,895 1,682,424 1,750,249 1,653,204 ══════ ══════ ══════ ══════
Cash and cash equivalents consists of:
Cash at bank and in hand 1,696,336 1,651,713 1,678,690 1,622,493 Short term deposits 71,559 30,711 71,559 30,711 ────── ────── ────── ──────
Cash and cash equivalents at 31 March 2018 1,767,895 1,682,424 1,750,249 1,653,204 ══════ ══════ ══════ ══════
The notes on pages 62 to 78 form part of these financial statements.
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Notes to the Consolidated Financial Statements Year ended 31 March 2018
1. Summary of significant and rounded to the nearest £. The consolidated accounting policies. statement of financial activities includes the results of the wholly owned subsidiary which (a) General information and basis of operates trading activities in support of the preparation charity.
Kirkwood Hospice is a registered charitable The statement of financial activities and balance company limited by guarantee in the United sheet consolidate the financial statements of Kingdom. In the event of the charity being the charity and its subsidiary undertaking. The wound up, the liability in respect of the results of the subsidiary are consolidated on a guarantee is limited to £1 per member of the line by line basis as the subsidiary and parent charity. The address of the registered office is have identical purpose. No separate statement given in the charity information on page 1 of of financial activities has been presented for these financial statements. The nature of the the charity as permitted by Section 408 of the charity’s operations and principal activities are Companies Act 2006 and Section 24 of the detailed in the Trustees report. SORP (FRS102).
The charity constitutes a public benefit The charity has availed itself of Paragraph 4 (1) entity as defined by FRS 102. The financial of Schedule 1 of the Large and Medium-sized statements have been prepared in accordance Companies and Groups (Accounts and Reports) with Accounting and Reporting by Charities: Regulations 2008 and adapted the Companies Statement of Recommended Practice Act formats to reflect the special nature of the applicable to charities preparing their accounts charity’s activities. in accordance with the Financial Reporting Standard applicable in the United Kingdom and The significant accounting policies applied in Republic of Ireland (FRS 102) issued on 16 July the preparation of these financial statements 2014 (as updated through Update Bulletin 1 are set out below. These policies have been published on 2 February 2016), the Financial consistently applied to all years presented unless Reporting Standard applicable in the United otherwise stated. Kingdom and Republic of Ireland (FRS 102), the (b) Funds Charities Act 2011, the Companies Act 2006 and UK Generally Accepted Practice as it applies from 1 January 2015. Unrestricted funds are available for use at the discretion of the Trustees in furtherance of the The financial statements are prepared on a general objectives of the charity and which have going concern basis under the historical cost not been designated for other purposes. convention, modified to include certain items at fair value. The financial statements are prepared Designated funds comprise unrestricted funds in sterling, the functional currency of the charity, that have been set aside by the Trustees for particular purposes. The aim and use of each those conditions are fully met or the fulfilment designated fund is set out in the notes to the of those conditions is within the control of financial statements. the charity and it is probable that they will be fulfilled. Restricted funds are funds which are to be used in accordance with specific restrictions Donated facilities and donated professional imposed by donors or which have been raised services are recognised in income at their fair by the charity for particular purposes. The value when their economic benefit is probable, cost of raising and administering such funds it can be measured reliably and the charity has are charged against the specific fund. The aim control over the item. Fair value is determined and use of each restricted fund is set out in the on the basis of the value of the gift to the notes to the financial statements. charity. For example the amount the charity would be willing to pay in the open market for Endowment funds represent those assets which such facilities and services. A corresponding must be held permanently by the charity, amount is recognised in expenditure. principally fixed asset investments. Income arising on the endowment funds can be used in No amount is included in the financial accordance with the objects of the charity and statements for volunteer time in line with the is included as unrestricted income. Any capital SORP (FRS 102). Further detail is given in the gains or losses arising on the investments form Trustees’ Annual Report. part of the fund. Investment management charges and legal advice relating to the fund are Where practicable, gifts in kind donated for charged against the fund. distribution to the beneficiaries of the charity are included in stock and donations in the financial (c) Income recognition statements upon receipt. If it is impracticable to assess the fair value at receipt or if the costs All incoming resources are included in the to undertake such a valuation outweigh any Statement of Financial Activities (SoFA) when benefits, then the fair value is recognised as a the charity is legally entitled to the income after component of donations when it is distributed any performance conditions have been met, and an equivalent amount recognised as the amount can be measured reliably and it is charitable expenditure. probable that the income will be received. The SORP (FRS102) requires gifts in kind For donations to be recognised the charity will donated for resale to be included at fair value, have been notified of the amounts and the being the expected proceeds from sale less the settlement date in writing. If there are conditions expected costs of sale. Where estimating the fair attached to the donation and this requires a value is practicable upon receipt it is recognised level of performance before entitlement can in stock and ‘Income from other trading be obtained then income is deferred until activities’. Upon sale, the value of the stock is
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charged against ‘Income from other trading recognised at fair value when the charity has activities’ and the proceeds are recognised as entitlement after any performance conditions ‘Income from other trading activities’. Where have been met, it is probable that the income it is impracticable to fair value the items due will be received and the amount can be to the volume of low value items they are not measured reliably. If entitlement is not met then recognised in the financial statements until these amounts are deferred. they are sold and the income recognised within ‘Income from other trading activities’. Investment income is earned through holding The Trustees believe that it is impractical to assets for investment purposes such as shares recognise the goods at fair value upon receipt and property. It includes dividends and interest and have therefore continued to include the when the amount can be measured reliably. income when the goods are sold. Interest income is recognised using the Fixed asset gifts in kind are recognised when effective interest method and dividend income receivable and are included at fair value. They is recognised as the charity’s right to receive are not deferred over the life of the asset. payment is established.
Legacy income is recognised when the charity is (d) Expenditure recognition entitled to the income. Under SORP (FRS 102) it is the earlier of the charity being notified of All expenditure is accounted for on an accruals an impending distribution or the legacy being basis and has been classified under headings received or if, before receipt, there is sufficient that aggregate all costs related to the category. evidence that it is probable that the legacy Expenditure is recognised where there is will be received and the value of the incoming a legal or constructive obligation to make resources can be measured with sufficient payments to third parties, it is probable that reliability. When the charity has received the settlement will be required and the amount notification of a legacy but it is not possible to of the obligation can be measured reliably. It is measure the amount expected the legacy is categorised under the following headings: treated as a contingent asset and disclosed. • Costs of raising funds includes the cost of Income from trading activities includes income commercial trading and their associated earned from fundraising events and trading support costs; activities to raise funds for the charity. Income • Expenditure on charitable activities includes is received in exchange for supplying goods the cost of running and maintaining the and services in order to raise funds and is hospice along with other costs undertaken to recognised when entitlement has occurred. further the purpose of the charity and their associated support costs; and The charity receives grants in respect of its • Other expenditure represents those items not charitable activities. Income from grants is falling into the categories above. Irrecoverable VAT is charged as an expense Freehold land against the activity for which expenditure arose. No depreciation provided
(e) Support costs allocation Freehold buildings 2% Straight line Support costs are those that assist the work of the charity but do not directly represent Shop fittings charitable activities and include office costs, The lower of the life of the lease or 5 years governance costs, and administrative payroll costs. They are incurred directly in support of Furniture, furnishings and equipment expenditure on the objects of the charity. Where 20% Straight line support costs cannot be directly attributed to particular headings they have been allocated Computer equipment to cost of raising funds and expenditure on 33⅓% Straight line charitable activities on a basis consistent with use of the resources. Premises overheads and Motor vehicles other overheads have been allocated pro rata 20% Straight line to staff cost basis. (g) Investments Fund-raising costs are those incurred in seeking voluntary contributions and do not include the Investments are recognised initially at fair value costs of promoting the charitable activities of which is normally the transaction price excluding the charity. transaction costs. Subsequently, they are measured at fair value with changes recognised The analysis of these costs is included in note 7. in ‘net gains / (losses) on investments’ in the Statement of Financial Activities if the shares are (f) Tangible fixed assets publicly traded or their fair value can otherwise be measured reliably. Other investments are Tangible fixed assets costing £1,000 or more measured at cost less impairment. are capitalised at cost (or deemed cost). Cost includes costs directly attributable to making the Investments in subsidiaries are measured at cost asset capable of operating as intended. less impairment.
Depreciation is provided on all tangible fixed (h) Stocks assets, at rates calculated to write off the cost, less estimated residual value, of each asset on a Stocks are stated at the lower of cost and net systematic basis over its expected useful life as realisable value. Cost includes all costs of follows: purchase, costs of conversion and other costs incurred in bringing stock to its present location
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and condition. Cost is calculated using the for the benefit of its qualifying employees. The first-in, first-out formula. Provision is made for scheme is held separately from the charity and damaged, obsolete and slow-moving stock administered by the National Health Service where appropriate. Pension Scheme. The charge to the Statement of Financial Activities represents the contributions (i) Debtors and creditors receivable / payable payable by the charity to the two schemes in within one year accordance with the Charity SORP (FRS102). Further details are provided in note 23. Debtors and creditors with no stated interest rate and receivable or payable within one year (m) Tax are recorded at transaction price. Any losses arising from impairment are recognised in The charity is an exempt charity within the expenditure. meaning of schedule 3 of the Charities Act 2011 and is considered to pass the tests set out in (j) Provisions Paragraph 1 Schedule 6 Finance Act 2010 and therefore it meets the definition of a charitable Provisions are recognised when the charity company for UK corporation tax purposes. has an obligation at the balance sheet date as a result of a past event, it is probable that an (n) Going concern outflow of economic benefits will be required in settlement and the amount can be reliably The financial statements have been prepared estimated. on a going concern basis as the Trustees believe that no material uncertainties exist. The (k) Leases charity’s business activities together with the factors likely to effect its future performance Rentals payable under operating leases are and development are detailed in the Strategic charged to the Statement of Financial Activities on Report. It is the view of the Trustees that the a straight line basis over the period of the lease. charity is well placed to manage its business risks successfully. This is evidenced in the (l) Employee benefits financial statements, cash flow and liquidity position as stated in this annual report. In When employees have rendered service to the addition the charity has robust policies and charity, short-term employee benefits to which procedures for managing its reserves and its the employees are entitled are recognised at the financial risk management objectives. The undiscounted amount expected to be paid in trustees have a reasonable expectation that the exchange for that service. charity has adequate resources to continue in operational existence for the foreseeable future. The charity operates a defined contribution plan Therefore they continue to adopt the going for the benefit of its employees. The charity concern basis of accounting in preparing the also contributes towards a defined benefit plan annual financial statements. 2. Income from donations and legacies
2018 2017 £ £ Donations 467,647 467,504 Legacies 1,343,418 1,238,285 ────── ────── 1,811,065 1,705,789 ══════ ══════
Income from donations and legacies was £1,811,065 (2017: £1,705,789) of which £1,781,970 (2017: £1,705,789) was attributable to unrestricted funds and £29,095 (2017: £nil) to restricted funds.
During the year the charity has received a significant amount in legacies, the charity is extremely grateful for these.
The charity benefits greatly from the involvement and enthusiastic support of its many volunteers, details of these are in the annual report. In accordance with FRS 102 and the charity SORP (FRS 102) the economic contribution of general volunteers is not recognised in the accounts.
3. Income from charitable activities
2018 2017 £ £ Contractual payments 1,444,882 1,468,357 Performance related grants 30,000 30,000 Third party care contributions 588 88 ────── ────── 1,475,470 1,498,445 ══════ ══════
Income from charitable activities was £1,475,470 (2017: £1,498,445) of which £1,444,882 (2017: £1,468,357) was attributable to unrestricted funds and £30,588 (2017: £30,088) was attributable to restricted funds.
4. Income from other trading activities
2018 2017 £ £ Fundraising events 720,117 798,210 Lottery 684,266 700,522 Shop income 2,151,425 2,083,311 ────── ────── 3,555,808 3,582,043 ══════ ══════
Income from other trading activities was £3,555,808 (2017: £3,582,043) of which £3,555,808 (2017: £3,582,023) was attributable to unrestricted funds and £Nil (2017: £20) was attributable to restricted funds.
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5. Income from investments
2018 2017 £ £ Investment income 170,890 158,735 Interest 2,388 4,449 ────── ────── Income from investments was £173,278 (2017: £163,184) all 173,278 163,184 of which was attributable to unrestricted funds. ══════ ══════
6. Analysis of expenditure
Staff Costs Other costs Depreciation Support costs Total £ £ £ £ £ Raising funds Merchandising 963,062 591,249 - 6,393 1,560,704 Lottery 52,591 194,908 - 2,377 249,876 Fundraising 337,258 169,575 - 116,184 623,017 Investment - - - 24,918 24,918 ────── ────── ────── ────── ────── 1,352,911 955,732 - 149,872 2,458,515 ────── ────── ────── ────── ────── Charitable activities In-Patient Care 2,356,413 212,586 - 756,840 3,325,839 Support & Therapy Centre 297,395 21,083 - 101,867 420,345 Community Palliative Care 467,731 22,878 - 158,883 649,492 Family Care Team 186,680 6,388 - 64,344 257,412 Information and education 85,372 4,895 - 38,858 129,125 ────── ────── ────── ────── ────── 3,393,591 267,830 - 1,120,792 4,782,213 ────── ────── ────── ────── ────── Support costs Personnel & volunteers 166,325 21,829 - (188,154) - Finance & information 130,619 22,827 - (153,446) - Administration 280,718 295,927 - (576,645) - Projects 13,603 35,632 - (49,235) - Depreciation - - 222,401 (222,401) - ────── ────── ────── ────── ────── 591,265 376,215 222,401 (1,189,881) - ────── ────── ────── ────── ────── ────── ────── ────── ────── ────── Total Resources Expended 5,337,767 1,599,777 222,401 80,783 7,240,728 ══════ ══════ ══════ ══════ ══════
Expenditure on raising funds was £2,458,515 (2017: £2,393,786) all of which was attributable to unrestricted funds. Expenditure on charitable activities was £4,782,213 (2017: £4,306,874) of which £34,619 (2017: £30,108) was attributable to restricted and £4,747,594 (2017: £4,276,766) was attributable to unrestricted funds. 7. Allocation of support costs
Personnel & Finance & Projects & Volunteers Information Administration Depreciation Total £ £ £ £ £ Raising Funds 17,009 13,871 52,127 24,554 107,561 In-Patient Care 118,839 96,917 413,445 122,332 751,533 Support & Therapy Centre 14,997 12,232 45,966 21,653 94,848 Community Palliative Care Team 23,589 19,237 72,293 34,055 149,174 Family Care Team 9,415 7,678 28,854 13,592 59,539 Information and Education 4,305 3,511 13,195 6,215 27,226 ────── ────── ────── ────── ────── 188,154 153,446 625,880 222,401 1,189,881 ══════ ══════ ══════ ══════ ══════
8. Investment management costs
2018 2017
£ £
Investment manager fees 22,774 20,761
══════ ══════
All of the above costs are attributable to unrestricted funds and included within raising funds costs.
9. Audit fees
2018 2017
£ £
Fees payable to the charity’s auditor for audit 12,905 12,900
Fees payable to the charity’s auditor for other services 1,000 1,000
══════ ══════
All of the above costs are attributable to unrestricted funds and included within support costs. Included within the audit fee is £2,155 (2017: £1,595) for the audit of the subsidiary.
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10. Net (expenditure)/income for the year
2018 2017 £ £ Depreciation of tangible fixed assets 222,401 221,192 Operating lease rentals 279,143 268,864 Trustees indemnity insurance 891 871 Loss/(profit) on fair value movement of investments 8,051 (838,578) ══════ ══════
11. Trustees’ and key management personnel remuneration and expenses
The Trustees neither received nor waived any remuneration during the year (2017: £Nil).
The Trustees did not have any expenses reimbursed during the year (2017: £Nil).
The total amount of employee benefits received by key management personnel is £405,435 (2017: £422,447). The Trust considers its key management personnel comprises the Chief Executive, the Director of Finance and Administration, the Director of Clinical Services, the Consultant in Palliative Medicine and the Director of Fundraising & Marketing.
12. Staff costs and employee benefits
The average monthly number of employees and the full time equivalent (FTE) during the year was as follows:
2018 2017 Average FTE Average FTE Nursing & medical 108 72 108 64 Education 2 2 3 3 Catering & domestic 21 14 21 13 Administration 27 18 24 19 Fundraising 75 50 90 54 ────── ────── ────── ────── 233 156 246 153 ══════ ══════ ══════ ══════
The total staff costs and employee benefits were as follows:
Net (expenditure)/income is stated after charging / (crediting):
2018 2017 £ £ Wages and salaries 4,532.119 4,006,547 Social security 355,101 326,212 Defined contribution pension costs 310,043 282,092 Consultancy and temporary staff fees 140,504 168,111 ────── ────── 5,337,767 4,782,962 ══════ ══════ 12. Staff costs and employee benefits (continued)
The number of employees who received total employee benefits (excluding employer pension costs) of more than £60,000 is as follows:
2018 2017 Number Number £60,001 - £70,000 1 1 £70,001 - £80,000 1 1 ────── ────── 2 2 ══════ ══════
13. Tangible fixed assets – Group and Charity
Freehold land and Furniture, furnishings, Total buildings vehicles and equipment £ £ £ Cost: At 1 April 2017 5,412,449 1,780,747 7,193,196 Additions - 101,987 101,987 Disposals - (3,700) (3,700) ────── ────── ────── At 31 March 2018 5,412,449 1,879,034 7,291,483 ══════ ══════ ══════ Depreciation: At 1 April 2017 1,119,496 1,622,252 2,741,748
Charge for the year 107,827 114,574 222,401 Eliminated on disposals - (3,700) (3,700) ────── ────── ────── At 31 March 2018 1,227,323 1,733,126 2,960,449 ══════ ══════ ══════ Net book value: At 31 March 2018 4,185,126 145,908 4,331,034 ══════ ══════ ══════ At 31 March 2017 4,292,953 158,495 4,451,448 ══════ ══════ ══════
Included within freehold land & buildings is non-depreciable freehold land amounting to £21,000 (2017: £21,000). The Trustees believe that it is not practical to quantify any difference between the cost of freehold land and buildings and the fair value.
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14. Fixed asset investments
Group Listed investments Total Unrestricted funds Endowment funds £ £ £ Valuation:
At 1 April 2017 6,118,987 5,652 6,124,639
Additions 863,034 - 863,034
Disposals (704,262) - (704,262)
Revaluation (223,353) (64) (223,417)
────── ────── ────── At 31 March 2018 6,054,406 5,588 6,059,994
══════ ══════ ══════
Cost:
At 31 March 2018 4,782,168 3,361 4,785.529
══════ ══════ ══════
At 31 March 2017 4,623,397 3,361 4,626,758
══════ ══════ ══════
Investments at fair value comprise: 2018 2017
£ £
Equities 3,980,244 4,130,171 Securities 2,079,750 1,994,468 ────── ──────
6,059,994 6,124,639
══════ ══════
Charity Listed investments Equity investment Total in subsidiary Unrestricted funds Endowment funds undertaking £ £ £ £ Valuation: At 1 April 2017 6,118,987 5,652 100 6,124,739 Additions 863,034 - - 863,034 Disposals (704,262) - - (704,262) Revaluation (223,353) (64) - (223,417) ────── ────── ────── ────── At 31 March 2018 6,054,406 5,588 100 6,060,094 ══════ ══════ ══════ ══════ Cost: At 31 March 2018 4,782,168 3,361 100 4,785,629 ══════ ══════ ══════ ══════ At 31 March 2017 4,623,397 3,361 100 4,626,858 ══════ ══════ ══════ ══════ 14. Fixed asset investments (continued)
Investments at fair value comprise: 2018 2017
£ £
Equities 3,980,244 4,130,171 Securities 2,079,750 1,994,468 Group Undertakings 100 100 ────── ──────
6,060,094 6,124,739
══════ ══════
The fair value of listed investments is determined by reference to the quoted price for identical assets in an active market at the balance sheet date.
Investments in group undertakings are measured at cost less impairment on the basis that they represent shares in entities that are not pub- licly traded and the fair value cannot otherwise be measured reliably.
The charity’s equity investment in subsidiary undertaking is a 100% holding in the ordinary share capital of Kirkwood Hospice Enterprises Limited, a company incorporated in England & Wales (company number 7368034). The charity holds 100 shares of £1 each, these are the only shares allotted, called up and fully paid.
It pays all of its profits to the charity under the gift aid scheme. Kirkwood Hospice Enterprises Limited operates all commercial trading activity as fundraising in support of the charity. A summary of the trading results is shown below:
2018 2017
£ £
Turnover 164,708 167,511 Cost of sales and administration costs (137,544) (131,894) ────── ────── Net profit 27,164 35,617 Amount gift aided to the charity (27,164) (35,617) ────── ────── Retained in the subsidiary - - ══════ ══════
The assets and liabilities of the subsidiary were:
Current assets 59,804 64,782 Current liabilities (59,704) (64,682) ────── ────── Total net assets 100 100 ══════ ══════
Aggregate share capital and reserves 100 100 ══════ ══════
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15. Stocks
Group Charity 2018 2017 2018 2017 £ £ £ £ Catering & housekeeping 4,744 4,715 4,744 4,715 Medical supplies 9,398 7,156 9,398 7,156 Shop and fundraising goods 38,597 33,442 466 454 ────── ────── ────── ────── 52,739 45,313 14,608 12,325 ══════ ══════ ══════ ══════
Stock held is for use to further the charity’s activities or for sale in the charity and gift shops.
16. Debtors
Group Charity 2018 2017 2018 2017 £ £ £ £ Trade debtors 157,964 150,336 155,587 147,662 Amounts owed by group undertakings - - 51,298 55,067 Prepayments and accrued income 164,590 308,063 162,840 308,063 Legacies notified in advance 743,590 713,096 743,590 713,096 ────── ────── ────── ────── 1,066,144 1,171,495 1,113,315 1,223,888 ══════ ══════ ══════ ══════
17. Creditors: amounts falling due within one year
Group Charity 2018 2017 2018 2017 £ £ £ £ Trade creditors 403,917 399,198 397,276 391,067 Other tax and social security 91,182 88,537 91,182 88,537 Accruals 267,982 236,731 266,117 235,147 Deferred income (note 19) 63,152 66,122 63,152 66,122 ────── ────── ────── ────── 826,233 790,588 817,727 780,873 ══════ ══════ ══════ ══════ 18. Leases
Total future minimum lease payments under non-cancellable operating leases are as follows:
Group Charity 2018 2017 2018 2017 £ £ £ £ Not later than one year 226,115 234,975 219,115 227,975 Later than one and not later than five years 567,895 578,347 539,895 550,347 Later than five years 298,667 259,667 279,417 233,417 ────── ────── ──────
1,092,677 1,072,989 1,038,427 1,011,739 ══════ ══════ ══════ ══════
19. Deferred income – Group and Charity
Under 1 Year Over 1 Year Total £ £ £ At 1 April 2017 66,122 - 66,122 Additions during the year 63,152 - 63,152 Amounts released to income (66,122) - (66,122) ────── ────── ────── At 31 March 2018 63,152 - 63,152 ══════ ══════ ══════
Income has been deferred which has been received in advance for future lottery draws.
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20. Fund reconciliation
Unrestricted funds Balance at 1 Income Expenditure Transfers Investment Balance at 31 April 2017 losses March 2018 £ £ £ £ £ £ Unrestricted 5,770,297 6,955,938 (6,938,504) (81,832) (7,987) 5,697,912 Designated Fixed Asset fund 4,451,448 - (218,370) 81,832 - 4,314,910 Designated project fund 2,450,000 - (49,235) - - 2,400,765 ────── ────── ────── ────── ────── ────── 12,671,745 6,955,938 (7,206,109) - (7,987) 12,413,587 ══════ ══════ ══════ ══════ ══════ ══════
Restricted funds Balance at 1 Income Expenditure Transfers Investment Balance at 31 April 2017 losses March 2018 £ £ £ £ £ £ Restricted fixed asset fund 7,334 29,095 (4,031) - - 32,398 Share and Care fund - 15,500 (15,500) - - - Breathe Better fund - 15,088 (15,088) - - - ────── ────── ────── ────── ────── ────── 7,334 59,683 (34,619) - - 32,398
Endowment 5,652 - - - (64) 5,588 ────── ────── ────── ────── ────── ────── 12,986 59,683 (34,619) - (64) 37,986 ══════ ══════ ══════ ══════ ══════ ══════
Fund descriptions
a) Unrestricted funds: The general funds are available for the use at the discretion of the charity in furtherance of the general objectives as detailed in the Trustees report.
b) Designated funds: Kirkwood Hospice has clear policy and procedures to guide its management of reserves. The policy clarifies in more detail that the Hospice will hold designated funds to provide for specific future projects that are unlikely to be met by future income alone.
A review of the financial position as at 31 March 2017 confirmed that the general reserve was 20 months of charitable expenditure, which equated to the Hospice holding £1.5million in excess of their reserves policy. As a result of this position the £1.5 million was transferred to the designated project fund. It should be noted that £950,000 was transferred to this fund during 2016.
During the financial year ended 31 March 2018, £49,235 was expended from the Designated Project Fund to commence with the project to update and optimise our Electronic Patient Record system. In addition the charity has been developing plans to allocate the fund to ensure that it maximises the benefit towards its strategic aims and ultimately facilitates the furtherance of the charities objectives. Further details of these proposed plans can be viewed on pages 44 to 46 (Developments targeted through use of Designated Fund).
The fixed asset designated fund comprises assets which were purchased to further the aims of the charity and are not considered to be re- With you stricted assets.
c) Restricted funds: The restricted fixed asset fund includes restricted income which has been received for equipment for the charity. on your Share and Care is an initiative comprising of a three week course, offering help and support to individuals who are caring for someone who journey has a life-limiting illness. The share and care fund is made up of a grant received to fund the share and care project, a project which has par- tially funded the salary cost of a nurse.
Breathe Better is a course for patients with a diagnosis of Chronic Respiratory Disease and their carers. The course provides advice, informa- tion and support to help manage their condition.
d) Endowment funds: The endowment fund is made up of investments transferred to the charity on condition that the capital should be re- tained and the income generated either retained or used to support the charities general activities, income generated by the endowment fund is considered to be unrestricted income. 21. Analysis of group net assets between funds
Unrestricted Designated Restricted Endowment Total funds funds funds funds £ £ £ £ £ Fixed assets 6,054,406 4,314,910 16,124 5,588 10,391,028 Cash & current investments - 1,751,621 16,274 - 1,767,895 Other current assets 469,739 649,144 - - 1,118,883 Current liabilities (826,233) - - - (826,233) ────── ────── ────── ────── ────── Total 5,697,912 6,715,675 32,398 5,588 12,451,573 ══════ ══════ ══════ ══════ ══════
General reserves
2018 2017 £ £ Unrestricted funds 12,413,587 12,671,745 Invested in tangible fixed assets (4,314,910) (4,451,448) Designated project fund (2,400,765) (2,450,000) ────── ────── General reserve 5,697,912 5,770,297 ══════ ══════
22. Reconciliation of net income to net cash flow from operating activities
Group Charity 2018 2017 2018 2017 £ £ £ £ Net (expenditure) / income for year (233,158) 1,087,379 (233,158) 1,087,379
Interest receivable (2,388) (4,449) (2,388) (4,449) Dividends receivable (170,890) (158,735) (170,890) (158,735) Depreciation of tangible fixed assets 222,401 221,192 222,401 221,192 Losses / (gains) on investments 223,417 (624,189) 223,417 (624,189) (Profit) on disposal of fixed asset investments (215,366) (214,389) (215,366) (214,389) (Increase) / decrease in stock (7,426) 1,533 (2,283) (856) Decrease / (increase) in debtors 105,351 (376,542) 110,573 (364,877) With youIncrease in creditors 35,645 360,290 36,854 366,412 ────── ────── ────── ────── on your Net cash flow from operating activities (42,414) 292,090 (30,840) 307,488 ══════ ══════ ══════ ══════ journey
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23. Pensions and other post-retirement benefits
Employees of the charity are entitled to join either the NHS Pensions Scheme (eligible employees only), or the Kirkwood Hospice Stakeholder Pension Plan.
NHS Pension Scheme Eligible employees are able to remain in the NHS Pensions Scheme as if they were still in the employment of an employing authority. The NHS Pension Scheme is an unfunded occupational pension scheme backed by the Exchequer, which is open to all NHS employees and employees of approved organisations. The scheme provides pensions, in varying circumstances for employees of participating employers. The scheme receives contributions from employers and employees to defray the costs of pensions and other benefits. The scheme is subject to a full ac- tuarial valuation every four years and an accounting valuation every year. Details of benefits payable, and the basis for valuations under these provisions can be found on the NHS Pensions website at www.nhsbsa.nhs/pensions. The scheme is accounted for as a multi-employer scheme under the Charity SORP (FRS102) and, as no surplus or deficit is able ot be identified and allocated to the separate employer, the contributions have been accounted for as a defined contribution scheme and no share of the surplus or deficit included in these financial statements.
In the year ended 31 March 2018, the charity made contributions to the NHS Pension Scheme totalling £230,331 (2017: £207,849). Employer contributions were 14.38% and employee contributions were in the range of 5% to 13.5% of pensionable pay.
Other Pension Schemes Other employees are entitled to join the AEGON - Kirkwood Hospice Stakeholder Pension Plan, which is a defined contribution scheme. The contribution rates for this scheme are 7.5% of pensionable pay for the employer and 6% of pensionable pay for the employee. New employ- ees are Auto-enrolled if eligible into this scheme, the contribution rates being 1% for the employer and 1% for the employee. The employee then has the option to increase their contributions to 6% if they so wish. In the year ending 31 March 2018, the charity paid contributions to the schemes totalling £79,712 (2017: £74,243).
The contributions are allocated to unrestricted funds.
24. Related party transactions
During the year donations totalling £5,371 (2017 - £2,086), excluding the value of donated goods, were received from Trustees, none of these had conditions attached.
The charity is controlled by the Trustees. No one Trustee has ultimate control. Our amazing supporters held events throughout the year to help us continue providing our services. Getting in touch
24/7 Specialist Advice Line: 01484 557910
Kirkwood Reception: 01484 557900
Fundraising: 01484 557911
Web: www.kirkwoodhospice.co.uk
Email: [email protected]
Kirkwood Hospice is a Company Limited by Guarantee in England (No. 1645888) and a Registered Charity (No. 512987)