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REGISTERED COMPANY NUMBER: 05389416 (England and Wales)
REGISTERED CHARITY NUMBER: 1109021











Report of the Trustees and

Unaudited Financial Statements

for the Year Ended 31 March 2023

for

Walsall Rehabilitation And Healthy
Living Trust

Walsall Rehabilitation And Healthy
Living Trust

Contents of the Financial Statements
for the Year Ended 31 March 2023










Page

Report of the Trustees 1 to 4

Independent Examiner's Report 5

Statement of Financial Activities 6

Balance Sheet 7

Cash Flow Statement 8

Notes to the Cash Flow Statement 9

Notes to the Financial Statements 10 to 15

Walsall Rehabilitation And Healthy
Living Trust (Registered number: 05389416)

Report of the Trustees
for the Year Ended 31 March 2023



The trustees who are also directors of the charity for the purposes of the Companies Act 2006, present their report with the financial statements of the charity for the year ended 31 March 2023. The trustees have adopted the provisions of Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019).

Trustees' Responsibilities
The responsibilities of the Trustees are detailed on page 5.

Trustees will attend Charity Law updates to ensure that the Charity is compliant and have included a routine item on the agenda for Risk Management. A Risk Management policy and action plan has been drawn up.

The Charity Trustees therefore give on-going consideration to the major risks to which the charity is exposed and satisfy themselves that strategies, systems and procedures have been established in order to manage those risks.

OBJECTIVES AND ACTIVITIES
Objectives and aims
The objects of the Charity are to relieve sickness and protect the health of persons suffering or at risk from diseases, complaints or hereditary conditions of the cardiovascular system, circulatory system and respiratory system or other long term conditions.

Significant activities
Development, Activities and Achievements
The Trust continues to be part funded by the NHS Black Country ICB (previously NHS Black Country & West Birmingham CCG) based on new cardiac and pulmonary patient referrals.

All the initial interviews are undertaken by phone, following which patients are offered our Unit based programme or if they are unable to attend they can be offered a home exercise and/or web based programme co-ordinated by the Exercise Physiologist, or a nurse support programme for those who are unable to exercise but want advice and support over 8 weeks where goals are set and agreed. Those on the home/web, or nurse support programmes are also offered to move to the Unit based programme after a month if they change their mind or their circumstances change. Our tailor-made rehabilitation programmes therefore continue for all appropriate patients referred, with 100% of patients having a personalised care plan supported by professionally trained and experienced personnel. Staff ascertain and agree with the patient the best pathway, including relevant advice and/or Tai Chi.


Walsall Rehabilitation And Healthy
Living Trust (Registered number: 05389416)

Report of the Trustees
for the Year Ended 31 March 2023


ACHIEVEMENT AND PERFORMANCE
Charitable activities
Cardiac Rehabilitation
The Trust has achieved the National Certification Programme for Cardiac Rehabilitation status for the fifth year in a row.

This year we have received 850 referrals up from last year which is encouraging following the dip during COVID. In addition 95% of patients were given an appointment.

The majority of referrals were received from New Cross Hospital (68%) with Walsall Manor Hospital 16% and GP 9%.

The majority of patients were white British with 10% ethnic minority patients. 67% of patients were male and 33% female, a similar split to previous years.

All patients who start the exercise programme are given a baseline assessment, 100%.

Statistics:
-58% who had been given an appointment received clinical input
-84% who received clinical input started an exercise programme
-92% of those who received clinical input completed a programme (Nurse Support Programme, Unit exercise
programme, home based/web programme). Where patients cannot get into the Unit patients are reassessed
over the telephone using the baseline at interview/first assessment, although there are , although there are 11
patients still on one of the programmes
-94% of patients who commenced an exercise programme completed

We continue to provide some short exercise sessions via our own website if patients can't access the Unit, including Tai Chi. Patients have moved between programmes and therefore it has been difficult to access exact improvements, however, the majority of patients have improved fitness and risk factor outcomes such as quit smoking, reduced anxiety and depression, and reduced blood pressure. These are recorded and reported to the CCG accordingly on a quarterly basis.

Many patients improved their eating habits, increasing fruit and vegetables and reducing salt, fast and alcohol.

All patients completing are reassessed and are given a long-term maintenance plan and a letter sent to their GP communicating their outcomes.

Goal setting continues within all programmes with 94% of patients achieving all or part of the goals.

Of those patients who defaulted, 48% could not be contacted and 27% did not want any further input or were not interested. 16% of patients were either too poorly or waiting for further intervention. Patients who default at any stage of the rehabilitation programme will be contacted by phone or letter to ascertain the reasons and where possible accommodated at a later stage and a letter is sent to their GP advising them of the current situation.

Actions agreed to increase the service to all patients
-Patients who do not want to attend any of the exercise programmes, are encouraged to join the nurse support
programme where they look at reducing their risk factors, increasing their physical activities and agree goals
over the next few months. These patients will then receive a telephone reassessment based on initial
baselines. They are also encouraged to change to the Unit programme if their circumstances change and they
feel they are able to do so
-Any patient who DNA's whilst on the course will receive a telephone reassessment
-All patients who return to work should be offered evening sessions (if suitable) or a home/web programme. At
the least they should have agreed goals and a telephone reassessment
-All patients unable to access the Unit due to transport should have a home programme or at least have agreed
goals and a telephone reassessment

We are continually marketing our service to the Local GPs and are reviewing our patient support group to ensure we are offering a wide range of activities that patients need for their on-going progress.

Pulmonary Rehabilitation
380 patients have been referred, this is an increase on last year and therefore encouraging. The majority of these have been referred from GPs (39%) and Practice Nurses (34%).


Walsall Rehabilitation And Healthy
Living Trust (Registered number: 05389416)

Report of the Trustees
for the Year Ended 31 March 2023


76% of referred patients had clinical input higher than last year and of those 51% started an exercise rehabilitation programme.

70% completed either the exercise programme, although 24 are still on the course.

Clinical improvements include: improved fitness, weight loss, anxiety and depression scores, SATs, COPD Assessment Test scores, blood pressure and perception of their condition.

There are still a higher proportion of patients being referred within the older age range, however, we are continuing to receive referrals for patients in the age range 40-59 which is encouraging and will continue to promote this to GPs and Practice Nurses.

The tai chi sessions are continuing to be well attended by all groups of patients. As previously stated there are still some short sessions on a website for patients to follow.

Unfortunately our singing classes have not continued due to the low numbers but we will keep this on review.

The staff continue to provide one-to-one education for patients.

27% of patients could not be contacted, were uninterested or were inappropriate
8% of patients were too ill to attend

After Care
After care sessions continue for patients who have completed any of the above free courses and wish to continue exercising at Heart Care. These patients continue to be monitored by the Clinical Team to maintain their lifestyle and fitness.

Health and Safety
We are following the NHS guidelines for COVID with both patients and staff wearing face masks only if they wish. Patients can ask staff to wear face masks if they feel more comfortable.

FINANCIAL REVIEW
Principal funding sources
The Trustees continue to be committed to raising additional funds with the Community Fund-raiser now able to organise some fund-raising activities, however, she continues to apply for Trust funding as a main source of funding at the moment.

The cardiac and pulmonary rehabilitation contracts continue with the NHS Black Country ICB and targets reviewed on a quarterly basis. The contract has now been reviewed and it has been agreed that this will continue with a few positive adjustments from our point of view giving more stability to the Charity.

We are continuing to promote our service to GPs for all patients who may have long term conditions and would benefit from our service.

Investment policy and objectives
Any investments or land belonging to the Trust, other than monies required for ordinary expenditure of the Trust, shall be vested with such concense as may be necessary in the official Custodian for Charities. The Trust Deed authorises the Trustees to make and hold investments using the general funds of the Charity.

FUTURE PLANS
Heart Care continues to work closely with the Commissioners as well as the local public to promote all services.

The website continues to gain followers and by including more information through facebook we feel that we are reaching more patients and the general public informing them of them work that we are doing and giving them support in regard to education and exercise. In addition the website helps with our fund-raising activities and also in regard to bid writing where potential Trusts can easily view our services.

STRUCTURE, GOVERNANCE AND MANAGEMENT
Governing document
The charity is controlled by its governing document, a deed of trust, and constitutes a limited company, limited by guarantee, as defined by the Companies Act 2006.


Walsall Rehabilitation And Healthy
Living Trust (Registered number: 05389416)

Report of the Trustees
for the Year Ended 31 March 2023


STRUCTURE, GOVERNANCE AND MANAGEMENT
Charity constitution
The Trust is incorporated as a Limited Company by Guarantee from March 2005.

Organisational structure
The activities of the Trust are governed by the Trustees, all of whom are Directors, and are administered by a committee consisting of the Trustees and a senior member of staff.

REFERENCE AND ADMINISTRATIVE DETAILS
Registered Company number
05389416 (England and Wales)

Registered Charity number
1109021

Registered office
12 Portland Street
Walsall
West Midlands
WS2 8AB

Trustees
P Griffin Director NHS (retired)
M Walsh Director NHS (retired)
P B Burns Trustee
Dr C Kerbotson Flenley General Medical Practitioner

Company Secretary
Ms S M Ursell

Independent Examiner
Haines Watts Tamworth Limited
Sterling House
97 Lichfield Street
Tamworth
Staffordshire
B79 7QF

This report has been prepared in accordance with the special provisions of Part 15 of the Companies Act 2006 relating to small companies.

Approved by order of the board of trustees on 23 October 2023 and signed on its behalf by:





P B Burns - Trustee

Independent Examiner's Report to the Trustees of
Walsall Rehabilitation And Healthy
Living Trust


Independent examiner's report to the trustees of Walsall Rehabilitation And Healthy Living Trust ('the Company')
I report to the charity trustees on my examination of the accounts of the Company for the year ended 31 March 2023.

Responsibilities and basis of report
As the charity's trustees of the Company (and also its directors for the purposes of company law) you are responsible for the preparation of the accounts in accordance with the requirements of the Companies Act 2006 ('the 2006 Act').

Having satisfied myself that the accounts of the Company are not required to be audited under Part 16 of the 2006 Act and are eligible for independent examination, I report in respect of my examination of your charity's accounts as carried out under Section 145 of the Charities Act 2011 ('the 2011 Act'). In carrying out my examination I have followed the Directions given by the Charity Commission under Section 145(5) (b) of the 2011 Act.

Independent examiner's statement
Since your charity's gross income exceeded £250,000 your examiner must be a member of a listed body. I can confirm that I am qualified to undertake the examination because I am a member of the Association of Chartered Certified Accountants, which is one of the listed bodies.

I have completed my examination. I confirm that no matters have come to my attention in connection with the examination giving me cause to believe:

1. accounting records were not kept in respect of the Company as required by Section 386 of the 2006 Act; or
2. the accounts do not accord with those records; or
3. the accounts do not comply with the accounting requirements of Section 396 of the 2006 Act other than any requirement that the accounts give a true and fair view which is not a matter considered as part of an independent examination; or
4. the accounts have not been prepared in accordance with the methods and principles of the Statement of Recommended Practice for accounting and reporting by charities (applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102)).

I have no concerns and have come across no other matters in connection with the examination to which attention should be drawn in this report in order to enable a proper understanding of the accounts to be reached.








Darren Barlow FCCA

Haines Watts Tamworth Limited
Sterling House
97 Lichfield Street
Tamworth
Staffordshire
B79 7QF

23 October 2023

Walsall Rehabilitation And Healthy
Living Trust

Statement of Financial Activities
for the Year Ended 31 March 2023

2023 2022
Unrestricted Total
fund funds
Notes £    £   
INCOME AND ENDOWMENTS FROM
Donations and legacies 133,485 245,863

Charitable activities
Rehabilitation Programmes 319,404 298,248
Aftercare Programmes 52,239 53,651

Other trading activities 2 900 2,006
Investment income 3 7,294 2,793
Other income - 659
Total 513,322 603,220

EXPENDITURE ON
Raising funds 23,456 18,413

Charitable activities 4
Rehabilitation Programmes 318,077 279,919
Other 165,368 156,576

Other 7,053 4,397
Total 513,954 459,305

NET INCOME/(EXPENDITURE) (632 ) 143,915


RECONCILIATION OF FUNDS
Total funds brought forward 800,410 656,495

TOTAL FUNDS CARRIED FORWARD 799,778 800,410

Walsall Rehabilitation And Healthy
Living Trust (Registered number: 05389416)

Balance Sheet
31 March 2023

2023 2022
Unrestricted Total
fund funds
Notes £    £   
FIXED ASSETS
Tangible assets 9 324,784 346,572

CURRENT ASSETS
Debtors 10 - 2,300
Prepayments and accrued income 7,299 3,019
Cash at bank and in hand 487,479 474,115
494,778 479,434

CREDITORS
Amounts falling due within one year 11 (19,784 ) (25,596 )

NET CURRENT ASSETS 474,994 453,838

TOTAL ASSETS LESS CURRENT LIABILITIES 799,778 800,410

NET ASSETS 799,778 800,410
FUNDS 12
Unrestricted funds 799,778 800,410
TOTAL FUNDS 799,778 800,410

The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 March 2023.


The members have not required the company to obtain an audit of its financial statements for the year ended 31 March 2023 in accordance with Section 476 of the Companies Act 2006.


The trustees acknowledge their responsibilities for
(a)ensuring that the charitable company keeps accounting records that comply with Sections 386 and 387 of the Companies Act 2006 and
(b)preparing financial statements which give a true and fair view of the state of affairs of the charitable company as at the end of each financial year and of its surplus or deficit for each financial year in accordance with the requirements of Sections 394 and 395 and which otherwise comply with the requirements of the Companies Act 2006 relating to financial statements, so far as applicable to the charitable company.

These financial statements have been prepared in accordance with the provisions applicable to charitable companies subject to the small companies regime.


The financial statements were approved by the Board of Trustees and authorised for issue on 23 October 2023 and were signed on its behalf by:





P B Burns - Trustee

Walsall Rehabilitation And Healthy
Living Trust

Cash Flow Statement
for the Year Ended 31 March 2023

2023 2022
Notes £    £   

Cash flows from operating activities
Cash generated from operations 1 11,255 179,601
Net cash provided by operating activities 11,255 179,601

Cash flows from investing activities
Purchase of tangible fixed assets (160 ) (16,679 )
Interest received 2,269 110
Net cash provided by/(used in) investing activities 2,109 (16,569 )

Change in cash and cash equivalents in
the reporting period

13,364

163,032
Cash and cash equivalents at the
beginning of the reporting period

474,115

311,083
Cash and cash equivalents at the end of
the reporting period

487,479

474,115

Walsall Rehabilitation And Healthy
Living Trust

Notes to the Cash Flow Statement
for the Year Ended 31 March 2023


1. RECONCILIATION OF NET (EXPENDITURE)/INCOME TO NET CASH FLOW FROM OPERATING
ACTIVITIES
2023 2022
£    £   
Net (expenditure)/income for the reporting period (as per the
Statement of Financial Activities)

(632

)

143,915
Adjustments for:
Depreciation charges 21,948 24,497
Interest received (2,269 ) (110 )
(Increase)/decrease in debtors (1,980 ) 4,187
(Decrease)/increase in creditors (5,812 ) 7,112
Net cash provided by operations 11,255 179,601


2. ANALYSIS OF CHANGES IN NET FUNDS

At 1.4.22 Cash flow At 31.3.23
£    £    £   
Net cash
Cash at bank and in hand 474,115 13,364 487,479
474,115 13,364 487,479
Total 474,115 13,364 487,479

Walsall Rehabilitation And Healthy
Living Trust

Notes to the Financial Statements
for the Year Ended 31 March 2023


1. ACCOUNTING POLICIES

Basis of preparing the financial statements
The financial statements of the charitable company, which is a public benefit entity under FRS 102, have been prepared in accordance with the Charities SORP (FRS 102) 'Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019)', Financial Reporting Standard 102 'The Financial Reporting Standard applicable in the UK and Republic of Ireland' and the Companies Act 2006. The financial statements have been prepared under the historical cost convention.

The charitable company's financial statements are prepared on a going concern basis on the grounds that current and future sources of funding or support will be more than adequate for the charitable company's needs. We have considered a period of twelve months from the date of approval of the financial statements.

Additionally not all events or conditions can be predicted with the event of COVID-19 pandemic, which has brought with it additional unprecedented levels of uncertainty and the inability to assess fully, therefore, the impact of that on not only the charity and its ability to meet its primary objectives but also on the support afforded by donors and overall fundraising capabilities.

Income
All income is recognised in the Statement of Financial Activities once the charity has entitlement to the funds, it is probable that the income will be received and the amount can be measured reliably.

Expenditure
Liabilities are recognised as expenditure as soon as there is a legal or constructive obligation committing the charity to that expenditure, it is probable that a transfer of economic benefits will be required in settlement and the amount of the obligation can be measured reliably. Expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all cost related to the category. Where costs cannot be directly attributed to particular headings they have been allocated to activities on a basis consistent with the use of resources.

Tangible fixed assets
Depreciation is provided at the following annual rates in order to write off each asset over its estimated useful life.



Freehold property2% or 10% on cost
Plant and machinery25% on reducing balance
Fixtures and fittings15% on reducing balance

Taxation
The charity is exempt from corporation tax on its charitable activities.

Fund accounting
Unrestricted funds can be used in accordance with the charitable objectives at the discretion of the trustees.

Restricted funds can only be used for particular restricted purposes within the objects of the charity. Restrictions arise when specified by the donor or when funds are raised for particular restricted purposes.

Further explanation of the nature and purpose of each fund is included in the notes to the financial statements.

Hire purchase and leasing commitments
Rentals paid under operating leases are charged to the Statement of Financial Activities on a straight line basis over the period of the lease.


Walsall Rehabilitation And Healthy
Living Trust

Notes to the Financial Statements - continued
for the Year Ended 31 March 2023


2. OTHER TRADING ACTIVITIES
2023 2022
£    £   
Fundraising events 900 2,006

3. INVESTMENT INCOME
2023 2022
£    £   
Rents received 5,025 2,683
Deposit account interest 2,269 110
7,294 2,793

4. CHARITABLE ACTIVITIES COSTS
Direct Support
Costs costs Totals
£    £    £   
Rehabilitation Programmes 318,077 - 318,077
Other 21,451 143,917 165,368
339,528 143,917 483,445

5. NET INCOME/(EXPENDITURE)

Net income/(expenditure) is stated after charging/(crediting):

2023 2022
£    £   
Depreciation - owned assets 21,948 24,497
Hire of plant and machinery 3,462 2,987
Independent examiner's fee - 2,640

6. TRUSTEES' REMUNERATION AND BENEFITS

There were no trustees' remuneration or other benefits for the year ended 31 March 2023 nor for the year ended 31 March 2022.


Trustees' expenses

There were no trustees' expenses paid for the year ended 31 March 2023 nor for the year ended 31 March 2022.



Walsall Rehabilitation And Healthy
Living Trust

Notes to the Financial Statements - continued
for the Year Ended 31 March 2023


7. STAFF COSTS

The average monthly number of employees during the year was as follows:

2023 2022
Medical staff 12 12
Admin staff 3 3
Fundraising staff 1 1
16 16

No employees received emoluments in excess of £60,000.

8. COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES
Unrestricted
fund
£   
INCOME AND ENDOWMENTS FROM
Donations and legacies 245,863

Charitable activities
Rehabilitation Programmes 298,248
Aftercare Programmes 53,651

Other trading activities 2,006
Investment income 2,793
Other income 659
Total 603,220

EXPENDITURE ON
Raising funds 18,413

Charitable activities
Rehabilitation Programmes 279,919
Other 156,576

Other 4,397
Total 459,305

NET INCOME 143,915


RECONCILIATION OF FUNDS
Total funds brought forward 656,495

TOTAL FUNDS CARRIED FORWARD 800,410


Walsall Rehabilitation And Healthy
Living Trust

Notes to the Financial Statements - continued
for the Year Ended 31 March 2023


9. TANGIBLE FIXED ASSETS
Fixtures
Freehold Plant and and
property machinery fittings Totals
£    £    £    £   
COST
At 1 April 2022 524,554 141,241 19,137 684,932
Additions - 160 - 160
At 31 March 2023 524,554 141,401 19,137 685,092
DEPRECIATION
At 1 April 2022 215,694 113,972 8,694 338,360
Charge for year 13,565 6,817 1,566 21,948
At 31 March 2023 229,259 120,789 10,260 360,308
NET BOOK VALUE
At 31 March 2023 295,295 20,612 8,877 324,784
At 31 March 2022 308,860 27,269 10,443 346,572





10. DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
2023 2022
£    £   
Trade debtors - 2,300

11. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
2023 2022
£    £   
Trade creditors - 674
Social security and other taxes 8,425 8,605
Accrued expenses 11,359 16,317
19,784 25,596

12. MOVEMENT IN FUNDS
Net
movement At
At 1.4.22 in funds 31.3.23
£    £    £   
Unrestricted funds
General fund 800,410 (632 ) 799,778

TOTAL FUNDS 800,410 (632 ) 799,778

Walsall Rehabilitation And Healthy
Living Trust

Notes to the Financial Statements - continued
for the Year Ended 31 March 2023


12. MOVEMENT IN FUNDS - continued

Net movement in funds, included in the above are as follows:

Incoming Resources Movement
resources expended in funds
£    £    £   
Unrestricted funds
General fund 513,322 (513,954 ) (632 )

TOTAL FUNDS 513,322 (513,954 ) (632 )


Comparatives for movement in funds

Net
movement At
At 1.4.21 in funds 31.3.22
£    £    £   
Unrestricted funds
General fund 656,495 143,915 800,410

TOTAL FUNDS 656,495 143,915 800,410

Comparative net movement in funds, included in the above are as follows:

Incoming Resources Movement
resources expended in funds
£    £    £   
Unrestricted funds
General fund 603,220 (459,305 ) 143,915

TOTAL FUNDS 603,220 (459,305 ) 143,915

A current year 12 months and prior year 12 months combined position is as follows:

Net
movement At
At 1.4.21 in funds 31.3.23
£    £    £   
Unrestricted funds
General fund 656,495 143,283 799,778

TOTAL FUNDS 656,495 143,283 799,778

Walsall Rehabilitation And Healthy
Living Trust

Notes to the Financial Statements - continued
for the Year Ended 31 March 2023


12. MOVEMENT IN FUNDS - continued

A current year 12 months and prior year 12 months combined net movement in funds, included in the above are as follows:

Incoming Resources Movement
resources expended in funds
£    £    £   
Unrestricted funds
General fund 1,116,542 (973,259 ) 143,283

TOTAL FUNDS 1,116,542 (973,259 ) 143,283

13. RELATED PARTY DISCLOSURES

There were no related party transactions for the year ended 31 March 2023.