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 2025

for

Walsall Rehabilitation And Healthy

Living Trust

Page

Report of the Trustees

1

to

5

Independent Examiner's Report

6

Statement of Financial Activities

7

Balance Sheet

8

Cash Flow Statement

9

Notes to the Cash Flow Statement

10

Notes to the Financial Statements

11

to

16

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 2025. 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 pages 4 and 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 funded by the NHS Black Country ICB for new cardiac and pulmonary patient referrals.

All the initial interviews are undertaken by phone, following which patients are offered our Unit based programme (the most popular again) or if they are unable to attend they can be offered a home exercise and/or web based programme, coordinated 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 the chance 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.

ACHIEVEMENTS AND PERFORMANCE

Charitable activities

Cardiac Rehabilitation

The Trust has achieved the National Certification Programme for Cardiac Rehabilitation status for the seventh year in a row.

This year we have received 995 referrals (steady throughout the year) and a continued increase from last year and moving us towards pre-COVID numbers. We are recording when interviews should take place, a target of within 3 weeks, against when the interviews actually take place. At present we are hitting this target. Patients are then commencing on the exercise programme within a further 2 weeks.

The majority of referrals were received from New Cross Hospital (70%) with Walsall Manor Hospital 20% and GP 6%.

The majority of patients were white British with 23% ethnic minority patients. 70% of patients were male and 30% female, a similar split to previous years.

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

Statistics:

- 61% of those referred received clinical input

- 77% who received clinical input started an exercise programme

- 73% 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

- 94% of patients who commenced an exercise programme completed

- Of those completing: 71% were on the Unit exercise programme, 16% hybrid programmes, 12% home/web

programme and 1% nurse support programme.

We continue to provide some short exercise sessions via our own website if patients can't access the Unit, including Tai Chi. 79% of patients have improved fitness and in addition, patients have improved their anxiety and depression (15%), blood pressure (14%), grip strength (50% - this is one of the outcomes that links to frailty and therefore increases can be significant for individuals), eating habits (12%) and reduced BMI (18%). These are recorded and reported to the ICB accordingly on a quarterly basis.

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 97% of patients achieving all or part of the goals.

Of those patients who defaulted, 47% could not be contacted and 25% did not want any further input or were not interested. 17% 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.

Continued 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

- 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

381 patients have been referred, this is a significant decrease on last year. Of these, 38% have been referred from GPs, 30% from Practice Nurses and 27% from the automatic referral pathway.

77% of referred patients had clinical input, similar to last year and of those 35% started an exercise rehabilitation programme and 25% received education only.

45% completed either the exercise programme or education only.

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 increased referrals for patients in the age range 40-59 which is encouraging and will continue to promote this to GPs and Practice Nurses.

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

67% of patients could not be contacted, were uninterested or were inappropriate

27% of patients were too ill to attend

These were much higher than last year.

The new system to identify patients who are keen to attend or those who are not interested much quicker by texting them, has worked very well and we have now adopted this as part of our service, meaning that patients responding with 'yes' are interviewed as soon as possible. However, if they respond 'no' we can complete. For those who do not respond, they will be put into the bring-forward system to be contacted at a later date.

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.

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.

Research and Audits

Heart Care has been involved in a number of research and audits this year and this is continuing into 2025/26.

Students

Heart Care is being used as a work based placement for Year 2 and 3 Physiotherapy students and for Master degree students on one of the Exercise Physiology courses at Birmingham, Loughborough and WolverhamptonUniversities

Health and Safety

The health and safety policy is reviewed annually.

FINANCIAL REVIEW

Principal funding sources

The Trustees continue to be committed to raising additional funds. The Community Fund-raiser is continually organising fund-raising activities and applying for Trust and Grant funding.

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 with further negotiations required to ensure the contract is financially stable particularly in meeting the annual pay increases and inflation costs.

We are continuing to promote our service to GPs for all patients who may have long term conditions and would benefit from our service and are working with other professionals within the NHS such as cancer to promote our services to their patients as well.

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.

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) (resigned 12.12.24)

P B Burns Trustee

Dr C Kerbotson Flenley General Medical Practitioner

N Madhar Medical

C J Blunt (appointed 12.12.24)

Company Secretary

Ms S M Ursell

Independent Examiner

TC Group

Sterling House

97 Lichfield Street

Tamworth

Staffordshire

B79 7QF

TRUSTEES' RESPONSIBILITY STATEMENT

The trustees (who are also the directors of Walsall Rehabilitation And Healthy Living Trust for the purposes of company law) are responsible for preparing the Report of the Trustees and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

Company law requires the trustees to prepare financial statements for each financial year. Under that law, the trustees 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 trustees 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 charitable company and of the incoming resources and application of resources, including the income and expenditure, of the charitable company for that period. In preparing those financial statements, the trustees are required to

-	select suitable accounting policies and then apply them consistently;

-	observe the methods and principles in the Charities SORP;

-	make judgements and estimates that are reasonable and prudent;

-	prepare the financial statements on the going concern basis unless it is inappropriate to presume that the charitable company will continue in business.

The trustees are responsible for keeping proper accounting records which disclose with reasonable accuracy at any time the financial position of the charitable company and to enable them to ensure that the financial statements comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

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 11 December 2025 and signed on its behalf by:

P B Burns - Trustee

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 2025.

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

TC Group

Sterling House

97 Lichfield Street

Tamworth

Staffordshire

B79 7QF

11 December 2025

2025

2024

Unrestricted

Total

fund

funds

Notes

£

£

INCOME AND ENDOWMENTS FROM

Donations and legacies

2

99,621

132,761

Charitable activities

5

Rehabilitation Programmes

354,869

357,489

Aftercare Programmes

86,749

71,443

Other trading activities

3

592

1,142

Investment income

4

8,768

7,020

Total

550,599

569,855

EXPENDITURE ON

Raising funds

6

28,692

24,849

Charitable activities

7

Rehabilitation Programmes

368,379

335,874

Management and governance costs

235,959

225,083

Total

633,030

585,806

NET INCOME/(EXPENDITURE)

(82,431

)

(15,951

)

RECONCILIATION OF FUNDS

Total funds brought forward

783,827

799,778

TOTAL FUNDS CARRIED FORWARD

701,396

783,827

2025

2024

Unrestricted

Total

fund

funds

Notes

£

£

FIXED ASSETS

Tangible assets

13

520,498

475,883

CURRENT ASSETS

Prepayments and accrued income

119,896

2,525

Cash at bank and in hand

77,985

323,785

197,881

326,310

CREDITORS

Amounts falling due within one year

14

(16,983

)

(18,366

)

NET CURRENT ASSETS

180,898

307,944

TOTAL ASSETS LESS CURRENT LIABILITIES

701,396

783,827

NET ASSETS

701,396

783,827

FUNDS

15

Unrestricted funds

701,396

783,827

TOTAL FUNDS

701,396

783,827

The charitable company is entitled to exemption from audit under Section 477 of the Companies Act 2006 for the year ended 31 March 2025.

The members have not required the company to obtain an audit of its financial statements for the year ended 31 March 2025 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 11 December 2025 and were signed on its behalf by:

P B Burns - Trustee

Cash flows from operating activities

Cash generated from operations

1

(173,049

)

10,915

Net cash (used in)/provided by operating activities

(173,049

)

10,915

Cash flows from investing activities

Purchase of tangible fixed assets

(75,019

)

(180,112

)

Interest received

2,268

5,503

Net cash used in investing activities

(72,751

)

(174,609

)

Change in cash and cash equivalents in the reporting period

(245,800

)

(163,694

)

Cash and cash equivalents at the beginning of the reporting period

323,785

487,479

Cash and cash equivalents at the end of the reporting period

77,985

323,785

1.	RECONCILIATION OF NET EXPENDITURE TO NET CASH FLOW FROM OPERATING ACTIVITIES

2025

2024

£

£

Net expenditure for the reporting period (as per the Statement of Financial Activities)

(82,431

)

(15,951

)

Adjustments for:

Depreciation charges

30,404

29,014

Interest received

(2,268

)

(5,503

)

(Increase)/decrease in debtors

(117,371

)

4,774

Decrease in creditors

(1,383

)

(1,419

)

Net cash (used in)/provided by operations

(173,049

)

10,915

2.	ANALYSIS OF CHANGES IN NET FUNDS

At 1.4.24

Cash flow

At 31.3.25

£

£

£

Net cash

Cash at bank and in hand

323,785

(245,800

)

77,985

323,785

(245,800

)

77,985

Total

323,785

(245,800

)

77,985

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.

2.	DONATIONS AND LEGACIES

2025

2024

£

£

Donations

99,621

73,978

Legacies

-

58,783

99,621

132,761

3.	OTHER TRADING ACTIVITIES

2025

2024

£

£

Fundraising events

592

1,142

4.	INVESTMENT INCOME

2025

2024

£

£

Rents received

6,500

1,517

Deposit account interest

2,268

5,503

8,768

7,020

5.	INCOME FROM CHARITABLE ACTIVITIES

2025

2024

Activity

£

£

Walsall Clinical Commissioning

Rehabilitation Programmes

354,869

357,489

Aftercare

Aftercare Programmes

86,749

71,443

441,618

428,932

6.	RAISING FUNDS

Raising donations and legacies

2025

2024

£

£

Staff costs

28,692

24,849

7.	CHARITABLE ACTIVITIES COSTS

Support

Direct

costs (see

Costs

note 8)

Totals

£

£

£

Rehabilitation Programmes

368,379

-

368,379

Management and governance costs

25,719

210,240

235,959

394,098

210,240

604,338

8.	SUPPORT COSTS

Management

Finance

Totals

£

£

£

Management and governance costs

204,695

5,545

210,240

9.	NET INCOME/(EXPENDITURE)

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

2025

2024

£

£

Depreciation - owned assets

30,404

29,013

Hire of plant and machinery

3,448

2,288

10.	TRUSTEES' REMUNERATION AND BENEFITS

There were no trustees' remuneration or other benefits for the year ended 31 March 2025 nor for the year ended 31 March 2024.

Trustees' expenses

There were no trustees' expenses paid for the year ended 31 March 2025 nor for the year ended 31 March 2024.

11.	STAFF COSTS

2025

2024

£

£

Wages and salaries

454,315

413,218

454,315

413,218

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

2025

2024

Medical staff

12

12

Admin staff

3

3

Fundraising staff

1

1

16

16

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

12.	COMPARATIVES FOR THE STATEMENT OF FINANCIAL ACTIVITIES

Unrestricted

fund

£

INCOME AND ENDOWMENTS FROM

Donations and legacies

132,761

Charitable activities

Rehabilitation Programmes

357,489

Aftercare Programmes

71,443

Other trading activities

1,142

Investment income

7,020

Total

569,855

EXPENDITURE ON

Raising funds

24,849

Charitable activities

Rehabilitation Programmes

335,874

Management and governance costs

225,083

Total

585,806

NET INCOME/(EXPENDITURE)

(15,951

)

RECONCILIATION OF FUNDS

Total funds brought forward

799,778

TOTAL FUNDS CARRIED FORWARD

783,827

13.	TANGIBLE FIXED ASSETS

Fixtures

Freehold

Plant and

and

property

machinery

fittings

Totals

£

£

£

£

COST

At 1 April 2024

704,666

141,401

19,137

865,204

Additions

68,007

-

7,012

75,019

At 31 March 2025

772,673

141,401

26,149

940,223

DEPRECIATION

At 1 April 2024

251,828

125,901

11,592

389,321

Charge for year

24,344

3,876

2,184

30,404

At 31 March 2025

276,172

129,777

13,776

419,725

NET BOOK VALUE

At 31 March 2025

496,501

11,624

12,373

520,498

At 31 March 2024

452,838

15,500

7,545

475,883

14.	CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR

2025

2024

£

£

Social security and other taxes

9,523

8,876

Accrued expenses

7,460

9,490

16,983

18,366

15.	MOVEMENT IN FUNDS

Net

movement

At

At 1.4.24

in funds

31.3.25

£

£

£

Unrestricted funds

General fund

783,827

(82,431

)

701,396

TOTAL FUNDS

783,827

(82,431

)

701,396

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

Incoming

Resources

Movement

resources

expended

in funds

£

£

£

Unrestricted funds

General fund

550,599

(633,030

)

(82,431

)

TOTAL FUNDS

550,599

(633,030

)

(82,431

)

Comparatives for movement in funds

Net

movement

At

At 1.4.23

in funds

31.3.24

£

£

£

Unrestricted funds

General fund

799,778

(15,951

)

783,827

TOTAL FUNDS

799,778

(15,951

)

783,827

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

Incoming

Resources

Movement

resources

expended

in funds

£

£

£

Unrestricted funds

General fund

569,855

(585,806

)

(15,951

)

TOTAL FUNDS

569,855

(585,806

)

(15,951

)