SOUTH DURHAM HEALTH C.I.C.

Company limited by guarantee

Company Registration Number:
07807964 (England and Wales)

Unaudited statutory accounts for the year ended 31 March 2024

Period of accounts

Start date: 1 April 2023

End date: 31 March 2024

SOUTH DURHAM HEALTH C.I.C.

Contents of the Financial Statements

for the Period Ended 31 March 2024

Directors report
Profit and loss
Balance sheet
Additional notes
Balance sheet notes
Community Interest Report

SOUTH DURHAM HEALTH C.I.C.

Directors' report period ended 31 March 2024

The directors present their report with the financial statements of the company for the period ended 31 March 2024

Principal activities of the company

The principal activity of the company continued to be that of a not for profit GP federation.

Additional information

The directors are responsible for preparing the annual report and the financial statements in accordance with applicable law and regulations. Company law requires the directors to prepare financial statements for each financial year. Under that law the directors have elected to prepare the financial statements in accordance with United Kingdom Generally Accepted Accounting Practice (United Kingdom Accounting Standards and applicable law). Under company law the directors must not approve the financial statements unless they are satisfied that they give a true and fair view of the state of affairs of the company and of the surplus or deficit of the company for that period. In preparing these financial statements, the directors are required to: 1. select suitable accounting policies and then apply them consistently; 2. make judgements and accounting estimates that are reasonable and prudent; 3. prepare the financial statements on the going concern basis unless it is inappropriate to presume that the company will continue in business. The directors are responsible for keeping adequate accounting records that are sufficient to show and explain the company’s transactions and disclose with reasonable accuracy at any time the financial position of the company and enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.



Directors

The directors shown below have held office during the whole of the period from
1 April 2023 to 31 March 2024

Dr N Sahoo
Dr KS Sidhu
Dr R Mansingh
Dr S Moss
Dr M Shield


Secretary Susan Watson

The above report has been prepared in accordance with the special provisions in part 15 of the Companies Act 2006

This report was approved by the board of directors on
22 August 2024

And signed on behalf of the board by:
Name: Dr KS Sidhu
Status: Director

SOUTH DURHAM HEALTH C.I.C.

Profit And Loss Account

for the Period Ended 31 March 2024

2024 2023


£

£
Turnover: 4,021,903 4,959,731
Cost of sales: ( 3,520,509 ) ( 4,227,086 )
Gross profit(or loss): 501,394 732,645
Administrative expenses: ( 506,730 ) ( 502,869 )
Operating profit(or loss): (5,336) 229,776
Interest receivable and similar income: 5,692 960
Profit(or loss) before tax: 356 230,736
Tax: 645 ( 6,258 )
Profit(or loss) for the financial year: 1,001 224,478

SOUTH DURHAM HEALTH C.I.C.

Balance sheet

As at 31 March 2024

Notes 2024 2023


£

£
Fixed assets
Tangible assets: 3 10,095 11,877
Investments: 4 100 100
Total fixed assets: 10,195 11,977
Current assets
Debtors: 5 758,044 651,997
Cash at bank and in hand: 3,415,411 3,207,915
Total current assets: 4,173,455 3,859,912
Creditors: amounts falling due within one year: 6 ( 3,840,137 ) ( 3,528,326 )
Net current assets (liabilities): 333,318 331,586
Total assets less current liabilities: 343,513 343,563
Provision for liabilities: ( 1,918 ) ( 2,969 )
Total net assets (liabilities): 341,595 340,594
Members' funds
Profit and loss account: 341,595 340,594
Total members' funds: 341,595 340,594

The notes form part of these financial statements

SOUTH DURHAM HEALTH C.I.C.

Balance sheet statements

For the year ending 31 March 2024 the company was entitled to exemption under section 477 of the Companies Act 2006 relating to small companies.

The members have not required the company to obtain an audit in accordance with section 476 of the Companies Act 2006.

The directors acknowledge their responsibilities for complying with the requirements of the Act with respect to accounting records and the preparation of accounts.

These accounts have been prepared and delivered in accordance with the provisions applicable to companies subject to the small companies regime.

This report was approved by the board of directors on 22 August 2024
and signed on behalf of the board by:

Name: Dr KS Sidhu
Status: Director

The notes form part of these financial statements

SOUTH DURHAM HEALTH C.I.C.

Notes to the Financial Statements

for the Period Ended 31 March 2024

  • 1. Accounting policies

    Basis of measurement and preparation

    These financial statements have been prepared in accordance with the provisions of Section 1A (Small Entities) of Financial Reporting Standard 102

    Turnover policy

    Income and expenses are included in the financial statements as they become receivable or due

    Tangible fixed assets depreciation policy

    Tangible fixed assets are initially measured at cost and subsequently measured at cost or valuation, net of depreciation and any impairment losses. Depreciation is recognised so as to write off the cost or valuation of assets less their residual values over their useful lives on the following bases: Fixtures, fittings & equipment - 15% reducing balance Computer equipment - 15% reducing balance

    Other accounting policies

    Fixed asset investments Interests in subsidiaries are initially measured at cost and subsequently measured at cost less any accumulated impairment losses. The investments are assessed for impairment at each reporting date and any impairment losses or reversals of impairment losses are recognised immediately in surplus or deficit. A subsidiary is an entity controlled by the company. Control is the power to govern the financial and operating policies of the entity so as to obtain benefits from its activities. Impairment of fixed assets At each reporting period end date, the company reviews the carrying amounts of its tangible assets to determine whether there is any indication that those assets have suffered an impairment loss. If any such indication exists, the recoverable amount of the asset is estimated in order to determine the extent of the impairment loss (if any). Cash at bank and in hand Cash and cash equivalents are basic financial assets and include cash in hand and deposits held at call with banks. Financial instruments The company has elected to apply the provisions of Section 11 ‘Basic Financial Instruments’ and Section 12 ‘Other Financial Instruments Issues’ of FRS 102 to all of its financial instruments. Financial instruments are recognised in the company's balance sheet when the company becomes party to the contractual provisions of the instrument. Basic financial assets, which include debtors and cash and bank balances, are initially measured at transaction price including transaction costs. Financial liabilities and equity instruments are classified according to the substance of the contractual arrangements entered into. An equity instrument is any contract that evidences a residual interest in the assets of the company after deducting all of its liabilities. Basic financial liabilities, including creditors, are initially recognised at transaction price unless the arrangement constitutes a financing transaction, where the debt instrument is measured at the present value of the future payments discounted at a market rate of interest. Financial liabilities classified as payable within one year are not amortised. Taxation The tax expense represents the sum of the tax currently payable and deferred tax. Current tax The tax currently payable is based on taxable profit for the year. Taxable profit differs from net profit as reported in the profit and loss account because it excludes items of income or expense that are taxable or deductible in other years and it further excludes items that are never taxable or deductible. The company’s liability for current tax is calculated using tax rates that have been enacted or substantively enacted by the reporting end date. Deferred tax Deferred tax liabilities are generally recognised for all timing differences and deferred tax assets are recognised to the extent that it is probable that they will be recovered against the reversal of deferred tax liabilities or other future taxable profits. Such assets and liabilities are not recognised if the timing difference arises from goodwill or from the initial recognition of other assets and liabilities in a transaction that affects neither the tax profit nor the accounting profit. Retirement benefits Payments to defined contribution retirement benefit schemes are charged as an expense as they fall due. Past and present employees are covered by the provisions of the NHS Pensions Scheme. The scheme is an unfunded, defined benefit scheme that covers NHS employers, GP practices and other bodies, allowed under the direction of the Secretary of State, in England and Wales. The scheme is not designed to be run in a way that would enable NHS bodies to identify their share of the underlying scheme assets and liabilities. Therefore, the scheme is accounted for as if it were a defined contribution scheme: the cost to the NHS Body of participating in the scheme is taken as equal to the contributions payable to the scheme for the accounting period.

SOUTH DURHAM HEALTH C.I.C.

Notes to the Financial Statements

for the Period Ended 31 March 2024

  • 2. Employees

    2024 2023
    Average number of employees during the period 11 9

SOUTH DURHAM HEALTH C.I.C.

Notes to the Financial Statements

for the Period Ended 31 March 2024

3. Tangible assets

Land & buildings Plant & machinery Fixtures & fittings Office equipment Motor vehicles Total
Cost £ £ £ £ £ £
At 1 April 2023 3,209 20,775 23,984
Additions
Disposals
Revaluations
Transfers
At 31 March 2024 3,209 20,775 23,984
Depreciation
At 1 April 2023 2,070 10,037 12,107
Charge for year 171 1,611 1,782
On disposals
Other adjustments
At 31 March 2024 2,241 11,648 13,889
Net book value
At 31 March 2024 968 9,127 10,095
At 31 March 2023 1,139 10,738 11,877

SOUTH DURHAM HEALTH C.I.C.

Notes to the Financial Statements

for the Period Ended 31 March 2024

4. Fixed assets investments note

Shares in group undertakings and participating interests - £100 (2023: £100)

SOUTH DURHAM HEALTH C.I.C.

Notes to the Financial Statements

for the Period Ended 31 March 2024

5. Debtors

2024 2023
£ £
Trade debtors 723,017 629,996
Prepayments and accrued income 35,027 22,001
Total 758,044 651,997

SOUTH DURHAM HEALTH C.I.C.

Notes to the Financial Statements

for the Period Ended 31 March 2024

6. Creditors: amounts falling due within one year note

2024 2023
£ £
Trade creditors 74,688 94,090
Taxation and social security 406 3,289
Accruals and deferred income 3,764,943 3,430,847
Other creditors 100 100
Total 3,840,137 3,528,326

COMMUNITY INTEREST ANNUAL REPORT

SOUTH DURHAM HEALTH C.I.C.

Company Number: 07807964 (England and Wales)

Year Ending: 31 March 2024

Company activities and impact

South Durham Health (SDH) is a federated group of General Practitioner (GP) practices and serves the localities of Easington, Sedgefield and surrounding areas in County Durham. The membership of SDH is drawn from partner General Practitioners in seventeen practices with a combined patient list size of 179,000. The purpose of South Durham Health CIC is: To re-lieve Illness and promote health in South Durham, and: To ensure that General Practice in South Durham is viable because general practice is the best way of delivering the personal-ised, comprehensive health care which is essential to the health and well-being of people in South Durham. Our activities have principally benefited the community by providing additional, local and highly accessible services commissioned by NHS North East and North Cumbria and the Pub-lic Health Service of Durham County Council. SDH delivers contracts with an annual value in excess of £3,752,000. The Vulnerable Adults Wrap Around Service consists of a team of highly experienced Advanced Nurse Practitioners (ANPs) who support the most vulnerable and elderly patients. They work closely with care home staff and other multi-disciplinary health care staff ensuring those they care for offered the care they need. The service offered covers 42 care homes and supports 1993 elderly care beds. Specialist mental health nurses provide accessible and timely appointments for adult patients referred by their GP practice. In 2023-24, through a combination of telephone and face-to-face consultations 1334 appoint-ments were offered. Our Primary Care Service helped people who required an urgent same day appointment with an ANP/ GP outside core practice hours and in 2023-24 over 23,500 ap-pointment slots were made available. We contract with a number of practices to offer vital monitoring of anticoagulation therapy to patients in a local, familiar and accessible setting avoiding the need for a trip to a hospital. In 2023-24 we had over 4400 contacts with 478 of these visits delivered in the patients’ home. Our practices improved the care level offered to diabetes patients, initiating insulin treatment which may previously have required a hospital visit. All our practices are working with specialist nurses and hospital consultants to provide specialist care locally rather than through a hospital appointment. In the winter of 2023-24 we again offered an acute respiratory hub to support the high demand in the community. A total of 1578 patients were seen over a 101 day period. We use funds we generate through our ac-tivities to support practices to deliver additional services to patients or to provide improve-ments in the patient experience. During this year we invited practices to invest in new equip-ment, patient services, upgrades to their buildings or staff development against criteria linked to our aims and objectives. We provided assistance with additional training and development for practice staff via online training programmes and locality meetings. SDH is the managing agent for five local Primary Care Networks of GP practices and has supported their planning, finance and management functions throughout the year. We supported the recruitment process for First Contact Physiotherapists, Pharmacy Technicians, Trainee Nursing Associates, Social Prescribing Link Workers, Care Co-ordinators and Physicians Associates as well as overseeing and supporting the national performance management requirements for PCNs.

Consultation with stakeholders

Stakeholders include the populations of Easington, Sedgefield and surrounding areas; members within GP practices and their staff; Primary Care Networks; NHS organisations lo-cally and organisations involved in the delivery of health and social care; local authorities; voluntary organisations supporting the communities served by SDH; groups representing pa-tients. There has been no formal consultation on our activities this year. SDH seeks the views of its members, providing feedback on its work via an Annual Report and Annual General Meeting and encouraging discussion to inform the agendas for future years. We are in regular contact with staff in all practices and seek their views and feedback on our activities. We agree with Clinical Directors of Primary Care Networks what services they require from us to achieve their requirements and have increased our staffing numbers to respond to their needs. We are transparent about our activities and our Annual Report and updates on our services are available to any interested party via our web site. Feedback from patients is collected on services provided by South Durham and used to in-form the development of services. This is done by means of service specific questionnaires and through use of the Friends and Family test for the Primary Care Service and Primary Mental Health service.

Directors' remuneration

Dr N Sahoo (£2560), Dr KS Sidhu (£14631), Dr R Mansingh (£2133), Dr S Moss (£2133) and Dr M Shield (£2467)

Transfer of assets

No transfer of assets other than for full consideration

This report was approved by the board of directors on
8 October 2024

And signed on behalf of the board by:
Name: Susan Watson
Status: Director