REGISTERED COMPANY NUMBER: |
REGISTERED CHARITY NUMBER: |
Report of the Trustees and |
Unaudited Financial Statements |
for the Year Ended 31 March 2023 |
for |
Walsall Rehabilitation And Healthy |
Living Trust |
REGISTERED COMPANY NUMBER: |
REGISTERED CHARITY NUMBER: |
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 |
Registered Charity number |
Registered office |
Trustees |
Company Secretary |
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 |
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 |
Charitable activities |
Rehabilitation Programmes |
Aftercare Programmes | 52,239 | 53,651 |
Other trading activities | 2 |
Investment income | 3 |
Other income |
Total |
EXPENDITURE ON |
Raising funds |
Charitable activities | 4 |
Rehabilitation Programmes |
165,368 | 156,576 |
Other | 7,053 | 4,397 |
Total |
NET INCOME/(EXPENDITURE) | ( |
) |
RECONCILIATION OF FUNDS |
Total funds brought forward |
TOTAL FUNDS CARRIED FORWARD | 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 |
CURRENT ASSETS |
Debtors | 10 |
Prepayments and accrued income |
Cash at bank and in hand |
CREDITORS |
Amounts falling due within one year | 11 | ( |
) | ( |
) |
NET CURRENT ASSETS |
TOTAL ASSETS LESS CURRENT LIABILITIES |
NET ASSETS |
FUNDS | 12 |
Unrestricted funds | 800,410 |
TOTAL FUNDS | 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 |
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 property | 2% or 10% on cost |
Plant and machinery | 25% on reducing balance |
Fixtures and fittings | 15% 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 |
3. | INVESTMENT INCOME |
2023 | 2022 |
£ | £ |
Rents received |
Deposit account interest |
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 |
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 |
8. | COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES |
Unrestricted |
fund |
£ |
INCOME AND ENDOWMENTS FROM |
Donations and legacies |
Charitable activities |
Rehabilitation Programmes |
Aftercare Programmes | 53,651 |
Other trading activities |
Investment income |
Other income |
Total |
EXPENDITURE ON |
Raising funds |
Charitable activities |
Rehabilitation Programmes |
156,576 |
Other | 4,397 |
Total |
NET INCOME |
RECONCILIATION OF FUNDS |
Total funds brought forward |
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 |
Additions |
At 31 March 2023 |
DEPRECIATION |
At 1 April 2022 |
Charge for year |
At 31 March 2023 |
NET BOOK VALUE |
At 31 March 2023 |
At 31 March 2022 |
10. | DEBTORS: AMOUNTS FALLING DUE WITHIN ONE YEAR |
2023 | 2022 |
£ | £ |
Trade debtors |
11. | CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR |
2023 | 2022 |
£ | £ |
Trade creditors |
Social security and other taxes |
Accrued expenses |
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 | (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 | ( |
) | (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 |