enhance - East and North Herts NHS Trust

enhance 

herts 

Supporting East and North 

Hertfordshire Hospitals 

Annual Report and Accounts 2008/09

East and North Hertfordshire NHS Trust Charitable Fund 

Annual Report and Accounts 2008/09 

Contents 

P2 

Our aims and vision 

P3 to 7 

Review of the charity’s work in particular: 

Building Blocks campaign 

Nightingale Funds 

Completion of CTRT project at Mount Vernon Cancer Centre 

P8 

Structure and governance 

P9 to 20 

Accounts 

P20 

Financial highlights 

P21 

Thanks to supporters 

P22 

Charity details 

1



Our Aims and Vision 

The East and North Hertfordshire NHS Trust 

Charitable Fund - enhance herts - is dedicated 

to raising funds for the extras that can make a 

real difference to NHS patients and staff. 

That means extra equipment, better facilities 

and new research and education for hospitals in 

east and north Hertfordshire and for the Mount 

Vernon Cancer Centre. 

Our aims are to raise awareness of the 

continuing need for, and benefits of, providing 

such ‘extras’, and to channel the hard work and 

goodwill of all our supporters to make a real 

difference for our patients and visitors. 

Many of our supporters contribute to our 

charity because they value their local hospitals 

and wish to support them. Many others 

contribute simply because they or their loved 

ones have received excellent care from our 

hospitals and they wish to give something back 

to benefit other patients and their families. 

Our vision is to make a positive difference to 

the way in which hospital services are provided 

by East and North Hertfordshire NHS Trust. 

We achieve this by working with patients, 

their families and hospital staff to identify 

opportunities to enhance local hospital services 

and raising funds to enable this to occur. 

Whatever it is that we do, we could not do 

it without the - frequently astonishing - 

generosity of our community. 

This review of 2008/09 shows how, against a 

background of continuing change and economic 

uncertainty, the charity has consistently 

worked at fulfilling its aims. 

The three particular appeals areas we focus on 

in this report are the Building Blocks Appeal, 

our Nightingale Funds, and the Chemotherapy 

Treatment and Research Trials Appeal (CTRT), 

which passed a significant milestone along the 

way to seeing a chemotherapy research unit 

built at the Mount Vernon Cancer Centre. 

For the year ahead, the task is to continue 

to build on our work, continue to raise funds 

to benefit our community and embrace the 

opportunities for enhancing hospital services 

in Hertfordshire provided by East and North 

Hertfordshire NHS Trust’s Our Changing 

Hospitals Programme - a major capital 

investment programme to reconfigure and 

update local hospital services for the benefit 

of the community. 

This can mean providing technical equipment to 

be used on ‘the front line’, sometimes providing 

a few items which will make a parent’s bedside 

vigil more comfortable or raising funds to 

support local research into kidney disease. 

2



Building Blocks 

This was a wonderful year for Building Blocks, 

with a huge range of fund-raising events 

helping to boost the appeal, which exists to 

support Trust programmes for children and baby 

services. 

As a high-profile appeal locally, Building Blocks 

has attracted both corporate and public support 

- from singers to dancers, from shopping 

centres to builders - on the way to raising 

£22,000, and has become ‘a real part of the 

community’... 

Stevenage’s local paper The Comet adopted 

Building Blocks as its Charity of the Year, 

while The Garden Square Shopping Centre, 

Letchworth, Stevenage Town Centre 

Management Company and the Westgate 

Shopping Centre all supported the appeal in 

2008. 

“This is very much the 

community supporting 

the Trust to provide 

things which make a 

real difference for the 

children…” 

The input of these four companies provided 

the charity with many opportunities to stage 

events and raise awareness of enhance herts 

and the Building Blocks Appeal. In addition both 

Stevenage Town Centre Management Company 

and Garden Square Shopping Centre Letchworth 

raised money for Building Blocks by funding 

money boxes for use in local schools and at 

their own events, and by encouraging stores to 

host collecting tins and badge boxes. 

Our skydive and British 10K London Run 

were well supported with a number of people 

designating Building Blocks as their chosen 

fund. The appeal also received support from 

The Spotlight Drama Academy, Willmott Dixon 

Construction, Woolworths and Stevenage Golf 

Club. Local dance groups from Ceroc and Ijig 

provided entertainment on the streets over 

many weekends and the appeal benefited 

significantly from street collections and 

grottoes in the run up to Christmas. 

The appeal also received support from local 

singer, Micaelia Baptiste who has dedicated her 

on stage fundraising to Building Blocks for 2008 

– 2010. 

In addition to the numerous supporters and 

fundraisers for the Building Blocks Appeal, it 

was a delight to become involved with Mrs 

Camilla Hamilton who was determined to find 

a way to actively support the Bluebell ward and 

the Special Care Baby Unit where her son had 

received care in the months after his birth. 

Camilla orchestrated ‘Baby’s First Christmas 

Party’ which encouraged new mums to have a 

party to celebrate Christmas and raise money 

from donations and raffle sales. The scheme 

raised more than £9,000 in just over two 

months. 

The owners 

of Emerald 

Florists and 

Kaff’s Kards 

again supported the 

appeal and raised over 

£5,000 at a variety of 

events through the 

summer. 

3



Many local primary schools and 

the Barnwell School in Stevenage 

supported the Building Blocks 

50-50 moneybox appeal, and the 

fact that so many children took a 

money box home raised the profile 

of the appeal significantly. 

The money raised through the 

Building Blocks Appeal goes 

to fund extra equipment or 

improvements within the Trust, 

which would not be provided 

normally through the NHS. 

The difference Building Blocks makes 

A good example of Building Blocks making a difference through practical support is the 

provision of reclining chairs in the new Paediatric Assessment Unit at the Lister. 

Something that may seem a luxury does in fact play a significant role in truly holistic 

care. “We are helping to take care of the whole family at what is often a stressful time,” 

said Kath Evans, Lead Nurse, Children’s Services. 

The reclining chairs mean tired parents can stay at their child’s bedside – grabbing some 

rest when possible. This reduces stress on the parents and ‘if the parents are relaxed, 

it feeds through to the child’. 

4



Nightingale Funds 

A lasting tribute from families and friends. 

The ‘Nightingale Funds’ - set up in memory of 

loved ones - are an important way of providing 

support and facilities which might otherwise 

not be possible through the NHS. 

There are a host of Nightingale Funds in 

operation within the Trust, giving support across 

the board, from the Special Care Baby Unit at 

the QEII to the Macmillan Nursing Team at the 

Lister. The list below highlights some of the 

Funds and their aims. 

“The people involved 

in these Funds all have 

reasons to do what they 

do, and they all care. It 

means such a lot, and it is 

a privilege to be involved 

with them.” 

The Lee Haynes Nightingale Fund was set up by 

Lee’s mother, Sue Williams, to celebrate his life: Lee 

was only 25 when he died. 

Sue talked to the consultants and identified a need 

for active renal research into kidney conditions and 

elected to start a Nightingale Fund to raise money 

towards a ‘Renal Research Unit’ attached to the 

highly regarded dialysis unit at the Lister. 

Lee’s father, Dave Haynes, also became involved 

and, using contacts in the Letchworth area, the Fund 

now organises dinners, quiz nights, soccer events, 

fun days, race nights, parties and music nights to 

raise money. 

Sue also managed to obtain ‘Charity of the Year’ 

status at the Garden Square Shopping Centre in 

Letchworth for 2009. The money raised so far is in 

the region of £25,000, which provides a significant 

start to making the plans a reality. 

Molly’s Room at the QEII is the positive result of a 

heart-breaking experience for one bereaved couple. 

The Molly’s Room Nightingale Fund was set up 

by Molly’s parents Emma and Barry, who sadly 

lost Molly soon after her birth. 

There was nowhere private for them to go and 

spend time with her, so the only time they had 

with Molly was in the middle of the Special Care 

Baby Unit, among live babies, parents and busy 

staff. 

Emma and Barry didn’t want any other parents 

ever to be in this position - so they organised a 

charity night and linked with Tesco to raise a total 

of £11,630. 

The first part of this money set up Molly’s Room, 

where bereaved parents can spend as long as 

they wish with their baby to come to terms with 

their loss. The room is set out as a bedroom with 

a bed and crib, to give parents privacy. There is 

just over £5,000 remaining in the Fund and the 

intention is to use that money to create a similar 

room in the newly modernised maternity unit at 

the Lister which is due to open in 2011. 

5



The Donald Weston Nightingale Fund was set up by 

Donald’s family to raise money for pulmonary and 

respiratory care at the Lister. 

The memory of Donald - a popular man around 

Stevenage – will live on through the purchase of 

specialist equipment to support patients who need 

additional support with their breathing. 

Donald’s grand-daughter ran the Bristol Half 

Marathon, and as a result of publicity about the 

Nightingale Fund she not only raised an additional 

£200 overnight - but also led to the creation of a 

new Nightingale Fund after a reader saw the article 

and decided to start one for his late wife. 

Anna Macdonald NF 

Anthony Jonathan Gray NF 

Barrie James Lunnon NF 

Dennis Biggs NF 

Donald Weston NF 

Dorothy Warner 

Elsie Lambert NF 

Issac and Isabella NF 

Jim Robb Cardiac NF 

Ken Prenty NF 

Lee Haynes NF 

Michael Jennings NF 

Molly's Room NF 

Neil Silmon NF 

Noah and Gabriel NF 

Peter Brown NF 

Robert Smith NF 

Rose Merry Robinson NF 

Roy McPartland NF 

Roy Whitney NF 

Sylvia Cave NF 

Terence Busby NF 

Zena Unwin NF 

Lister Macmillan Nurses 

SCBU 

Forster Suite 

Pirton Ward 

Pulmonary/Respiratory Care 

Bowel Cancer 

Pulmonary/Respiratory Care 

SCBU 

Cardiology 

Ward 9A 

Renal Research Unit 

General Renal Fund 

QE2 SCBU 

Endoscopy for alcohol pts. 

SCBU 


Forster Suite and Endoscopy 

Dialysis Unit 

Medical Admissions Unit 


Strathmore Unit 

CTRT Appeal 

Radiology Development 

pictures to choose/follow 

6



CTRT Project 

After three years of hard work, the Cancer Therapy 

Treatment and Research Trials Appeal has reached its 

target of raising £1.47 million. 

This milestone is a huge achievement for 

everyone involved, and means that the plan 

to create space for research trials as a part of 

the main chemotherapy suite at Mount Vernon 

can now take its final shape. 

It is expected that the building programme 

will be completed early in 2010, with the full 

facility in operation from late January 2010. 

The appeal target was reached thanks to the 

generosity of major donors and many, many 

smaller contributors. 

Their efforts mean that the existing building at 

Mount Vernon Cancer Centre can be extended, 

with improved access for disabled service 

users and enhanced facilities to improve every 

patient’s experience – facilities such as an 

improved waiting area and garden space. 

“The appeal target was 

reached thanks to the 

generosity of major donors 

and many, many smaller 

contributors.” 

The Appeal was launched in 2006 to raise 

money to tackle the issues apparent then. 

Patients were being treated in a range of 

locations across the cancer centre, which 

had a negative impact on their experience. It 

also limits the efficiency of clinical staff in 

delivering treatment and recording outcomes. 

One of the prime aims of the programme 

is to increase the interaction between all 

patients receiving chemotherapy, in order 

to raise awareness and understanding of 

chemotherapy trials. At the same time, the 

project aims to maximise the space available 

and prevent unnecessary duplication of 

services for both regular and trials patients. 

Now that the physical work is taking shape 

on the ground at Mount Vernon, the results 

of all these planning and fund-raising efforts 

are ‘on the horizon’ – a bright prospect for 

patients, their families, and staff. 

The project will also allow the best use of 

trained staff, as they will be located together, 

and will provide up to date facilities for 

clinical management of trials patients, as well 

as creating more appropriate 

staff space on the first floor 

with improved fire escape 

provision. 

7



Structure, governance and management 

The charity has one Trustee, in the form of the East and North 

Hertfordshire NHS Trust. The Trust Board, which comprises 

six non-executive directors and five directors who are members 

of the executive management team, represents the Trust in this 

matter. Non-executive directors are appointed for a four-year 

period, after which they may be reappointed for one term. 

The NHS Trust Board, as representatives of the Trustee, 

delegates responsibilities to a Board committee, the Treasury 

and Investment Committee (TIC), to ensure that charitable funds 

are used in an appropriate manner and that proper accounts 

are made for them. This committee meets at least four times a 

year, and its minutes are presented at the relevant monthly Trust 

Board meetings. 

The Trustee is responsible for: 

* keeping proper accounting records which disclose with 

reasonable accuracy at any time the financial position of the 

funds held on trust and enable it to ensure that the accounts 

comply with the requirements of the Charities Act 1993 

(as amended by the Charities Act 2006) and the Charities 

(Accounts and Reports) Regulations 2008; 

* establishing and monitoring a system of internal control; 

* and establishing arrangements for the prevention and 

detection of fraud and corruption. 

The Trustee is required to prepare accounts for each financial 

year to give a true and fair view of the financial position of 

the funds held on trust, in accordance with the Charities Act 

1993 (as amended by the Charities Act 2006) and the Charities 

(Accounts and Reports) Regulations 2008. In preparing 

those accounts, the Trustee is required to: 

* apply on a consistent basis accounting policies in accordance 

with applicable law and United Kingdom Accounting 

Standards; 

* make judgements and estimates which are reasonable and 

prudent; 

* and state whether applicable accounting standards have been 

followed, subject to any material departures disclosed and 

explained in the accounts. 

As far as the Trustee is aware, there is no relevant audit 

information of which the charity’s auditors are unaware; and 

the Trustee has taken all steps that it ought to have taken as 

a Trustee in order to make itself aware of any relevant audit 

information and to establish that the charity’s auditors are 

aware of that information. 

The Trustee confirms that it has met the responsibilities set 

out above and complied with the requirements for preparing 

the accounts. The financial statements set out on pages 10 to 

20 have been compiled from and are in accordance with the 

financial records maintained by the Trustee. 

Constitution, objects and powers 

The Trustee has been appointed under section 11 of the 

NHS and Community Care Act 1990. The East and North 

Hertfordshire NHS Trust charitable funds held on trust are 

registered with the Charity Commission, number 1053338. 

The objects of the Charity are prescribed by section 93 of 

the National Health Service Act 1977 - in particular for any 

charitable purpose or purposes relating to the National Health 

Service wholly or mainly for the service provided by the East 

and North Hertfordshire NHS Trust. 

Risk management 

The Treasury and Investment Committee, on behalf of the 

Trustee, ensures that the charity meets its obligations for 

risk management. It has established a framework for risk 

identification and has examined the strategic business and 

operational risks that the charity faces. The Trustee will 

regularly review the risks on an ongoing basis in conjunction 

with the NHS Trust’s internal auditors, and take the necessary 

steps to ensure the risks are mitigated. 

How our Activities deliver Public Benefit 

The board of trustees has carefully considered the Charity 

Commission’s applicable principles of public benefit. The first 

principle that there must be identifiable public benefit is met 

by the achievement of the specific objectives which are set out 

above. These benefits are all related to the aims of the charity. 

The second principle that benefit must be to the public or a 

section of the public is met because the charity benefits the 

patients and families of the four hospitals within Enhance Herts. 

The charity does not provide facilities directly to the public, 

but provides facilities for the hospital, and in so doing, for the 

patients of the hospital. These benefits are available to any 

patient requiring the services of our hospitals and are available to 

all entitled to NHS treatment based on need. 

Reserves 

The Trustee recognises its obligation to ensure that funds 

received by the charity should be spent effectively in 

accordance with the funds’ objects. The charity’s reserves 

comprise those funds that are freely available for its general 

purposes. 

The reserves are held at a level that will enable the charity to 

cover one year’s running costs and provide a resource of six 

months’ charitable fund expenditure. 

The Trustee considers it prudent that reserves should be 

sufficient to avoid the necessity of realising fixed assets held 

for the charity’s use. 

Investment policy 

The objective of the policy is to ensure the creation of sufficient 

income and capital growth to enable the charity to carry out 

its purposes consistently year by year with due and proper 

consideration for future needs and maintenance of and, if 

possible, enhancement of the value of the invested funds while 

they are retained. The Trustee excludes the tobacco sector, as 

defined by those companies that derive their income from such 

trading, with regard to investments. 

By order of the Trustee 

Signed: 

Richard Beazley Chairman 

Date: 22/01/2010 

Signed: 

Nick Carver Trustee 

Date: 22/01/2010 

8



Independent auditor’s report 

Report of the independent auditor to the 

trustees of East & North Hertfordshire NHS 

Trust Charitable Fund 

We have audited the financial statements of East & North 

Hertfordshire NHS Trust Charitable Fund for the year ended 

31 March 2009 which comprise the statement of financial 

activities, the balance sheet, and notes 1 to 13. These financial 

statements have been prepared under the accounting policies 

set out therein. 

This report is made solely to the charity’s trustees, as a body, 

in accordance with Section 43A of the Charities Act 1993 

and regulations made under Section 44 of that Act. Our audit 

work has been undertaken so that we might state to the 

charity’s trustees those matters we are required to state to 

them in an auditor’s report and for no other purpose. To the 

fullest extent permitted by law, we do not accept or assume 

responsibility to anyone other than the charity and its trustees 

as a body, for our audit work, for this report, or for the 

opinions we have formed. 

Respective responsibilities of trustees 

and auditors 

The trustees’ responsibilities for preparing the Trustees Annual 

Report and the financial statements in accordance with 

applicable law and United Kingdom Accounting Standards 

(United Kingdom Generally Accepted Accounting Practice) are 

set out in the Statement of Trustees’ Responsibilities. 

We have been appointed as auditors under section 43A of the 

Charities Act 1993 and report in accordance with regulations 

made under section 44 of that Act. Our responsibility is to 

audit the financial statements in accordance with relevant 

legal and regulatory requirements and International Standards 

on Auditing (UK and Ireland). 

We report to you our opinion as to whether the financial 

statements give a true and fair view, whether they are properly 

prepared in accordance with the Charities Act 1993. We also 

report to you if, in our opinion, the Trustees’ Annual Report is 

not consistent with the financial statements, if the charity has 

not kept proper accounting records, or if we have not received 

all the information and explanations we require for our audit. 

We read other information contained in the Trustees’ Annual 

Report, and consider whether it is consistent with the audited 

financial statements. The other information comprises only 

the Trustees’ Report (entitled Structure, Governance & 

Management). We consider the implications for our report 

if we become aware of any apparent misstatements or 

material inconsistencies with the financial statements. Our 

responsibilities do not extend to other information. 

Basis of audit opinion 

We conducted our audit in accordance with International 

Standards on Auditing (UK and Ireland) issued by the Auditing 

Practices Board. An audit includes examination, on a test 

basis, of evidence relevant to the amounts and disclosures in 

the financial statements. It also includes an assessment of the 

significant estimates and judgements made by the trustees in 

the preparation of the financial statements, and of whether 

the accounting policies are appropriate to the charity’s 

circumstances, consistently applied and adequately disclosed. 

We planned and performed our audit so as to obtain all the 

information and explanations which we considered necessary 

in order to provide us with sufficient evidence to give 

reasonable assurance that the financial statements are free 

from material misstatement, whether caused by fraud or other 

irregularity or error. In forming our opinion we also evaluated 

the overall adequacy of the presentation of information in the 

financial statements. 

Opinion 

In our opinion: 

• the financial statements give a true and fair view, in 

accordance with United Kingdom Generally Accepted 

Accounting Practice, of the state of the charity’s affairs 

as at 31 March 2009, and of its incoming resources and 

application of resources for the year then ended; and 

• the financial statements have been properly prepared in 

accordance with the Charities Act 1993. 

Paul Winrow, Senior Statutory Auditor 

For and on behalf of; 

GRANT THORNTON UK LLP 

REGISTERED AUDITORS 

CHARTERED ACCOUNTANTS 

London 

22 January 2010 

9



Statement of Financial Activities for the year ended 31 March 2009 

2008/09 2007/08 

Note Unrestricted Restricted Total Total 

Funds Funds Funds Funds 

£'000 £'000 £'000 £'000 

Incoming resources 2 

Voluntary Income 759 813 1,572 1,140 

Activities for generating funds 63 65 128 158 

Investment Income 38 66 104 56 

Income from Deposit A/Cs 35 34 69 127 

Total incoming resources 895 978 1,873 1,481 

Resources Expended 3 

Costs of generating funds 

Cost of generating voluntary income (9) (42) (51) (72) 

Fundraising trading costs (48) (77) (125) (165) 

Investment management costs (4) (8) (12) (4) 

Charitable activities (1,160) (228) (1,388) (771) 

Governance (7) (12) (19) (22) 

Other resources expended (1) 0 (1) (1) 

Total resources expended (1,229) (367) (1,596) (1,035) 

Net incoming/(outgoing) resources before transfers (334) 611 277 446 

Other recognised (losses) 

Losses on investment assets (202) (308) (510) (263) 

Net movement in funds (536) 303 (233) 183 

Total funds brought forward 1,791 2,878 4,669 4,486 

Total funds carried forward 1,255 3,181 4,436 4,669 

The notes at pages 12 to 20 form part of this account. 

10



Balance Sheet as at 31 March 2009 

2008/09 2007/08 

Notes Unrestricted Restricted Total Total 

Funds Funds Funds Funds 

£'000 £'000 £'000 £'000 

Fixed Assets 

Intangible assets 8 2 0 2 3 

Investments 8 727 1,842 2,569 2,087 

Total Fixed Assets 729 1,842 2,571 2,090 

Current Assets 

Debtors 9 16 15 31 28 

Cash at bank and in hand 

Current Account 24 62 86 198 

Deposit A/Cs 504 1,287 1,791 2,399 

Total Current Assets 544 1,364 1,908 2,625 

Creditors: Amounts falling due within one year 10 (18) (25) (43) (46) 

Net Current Assets/(Liabilities) 526 1,339 1,865 2,579 

Total Assets less Current Liabilities 1,255 3,181 4,436 4,669 

Creditors: Amounts falling due after more than one year 0 0 0 0 

Provisions for liabilities and charges 0 0 0 0 

Total Net Assets 1,255 3,181 4,436 4,669 

Funds of the Charity 

Unrestricted Funds 11 1,255 0 1,255 1,791 

Restricted Income Funds 0 3,181 3,181 2,878 

Total Funds 1,255 3,181 4,436 4,669 

The notes at pages 12 to 20 form part of this account. 

These accounts were approved by the Treasury and Investment Committee of East & North Hertfordshire NHS Trust, 

by delegated authority, on 23rd December 2009. The accounts were signed by two trustees, on behalf all the trustees, 

on 22 January 2010. 

Signature: 

Print Name: Nick Carver 

Date: 22/01/2010 

Signature: 

Print Name: Richard Beazley 

Date: 22/01/2010 

11



Notes to the Account 

1 Accounting Policies 

1.1 Accounting Convention 

The financial statements have been prepared under the 

historic cost convention, as modified for the revaluation 

of certain investments, and in accordance with applicable 

United Kingdom accounting standards and the Statement 

of Recommended Practice “Accounting and Reporting by 

Charities” issued by the Charities Commissioners in 2005. 

1.2 Incoming Resources 

a) All incoming resources are included in full in the 

Statement of Financial Activities as soon as the following 

three factors can be met: 

i) entitlement - arises when a particular resource is 

receivable or the charity’s right becomes legally 

enforceable; 

ii) 

certainty - when there is reasonable certainty that the 

incoming resource will be received; 

iii) measurement - when the monetary value of the incoming 

resources can be measured with sufficient reliability. 

b) Incoming resources with related expenditure - 

Where incoming resources have related expenditure 

(as with fundraising or contract income) the incoming 

resources and related expenditure are reported gross in 

the SOFA. 

e) Tax reclaims on donations - Incoming resources from tax 

claims are included in the SOFA at the same time as the 

gift to which it relates. 

f) Volunteer help - The value of any voluntary help received is 

not included in the accounts but is described in the annual 

report. 

g) Intangible income - (eg the provision of free 

accommodation) is included in the accounts with an 

equivalent amount in outgoing resources, if there is a 

financial cost borne by another party. The value placed 

on such income is the financial cost of the third party 

providing the resources. 

h) Legacies 

Legacies are accounted for as incoming resources once 

the receipt of the legacy becomes reasonably certain. 

This will be once confirmation has been received from 

the representatives of the estates that payment of the 

legacy will be made or property transferred and once all 

conditions attached to the legacy have been fulfilled. 

c) Grants and donations - these are only included in the 

SOFA when the charity has unconditional entitlement to 

the resources. 

d) Gifts in kind 

i) Assets given for distribution by the funds are included 

in the Statement of Financial Activities only when 

distributed. 

ii) 

Assets given for use by the funds (e.g. property for 

its own occupation) are included in the Statement of 

Financial Activities as incoming resources when receivable. 

iii) Gifts made in kind but on trust for conversion into cash 

and subsequent application by the funds are included in 

the accounting period in which the gift is sold. 

In all cases the amount at which gifts in kind are brought 

into account is either a reasonable estimate of their value to 

the funds or the amount actually realised. The basis of the 

valuation is disclosed in the annual report. 

12



1.3 Resources expended 

The funds held on trust accounts are prepared in accordance 

with the accruals concept. All expenditure is recognised once 

there is a legal or constructive obligation to make a payment 

to a third party and valued based on the best information 

available at the time. 

a) Cost of generating funds 

The cost of generating funds are the costs associated 

with generating income for the funds held on trust, 

fundraising activities, management, administration and 

other support costs. 

b) Grants payable 

Grants payable are payments, made to third parties 

(including NHS bodies) in the furtherance of the funds 

held on trust’s charitable objectives to relieve those who 

are sick. They are accounted for on an accruals basis 

where the conditions for their payment have been met 

or where a third party has a reasonable expectation that 

they will receive the grant. This includes grants paid to 

NHS bodies. 

c) Governance costs 

Include costs of the preparation and examination of 

statutory accounts, costs of trustee meetings and costs 

of any legal advice to the trustees on governance or 

constitutional matters. 

1.5 Intangible Assets 

Intangible assets are those capable of being used in the 

charity’s activities for more than one year; they can be valued; 

and they have a cost of at least £5,000. 

Such assets are amortised over the estimated life of the asset 

(5 years) on a straight line basis. 

The carrying value of the intangible assets are reviewed 

for impairment at the end of the first full year following 

acquisition and other periods if events or changes in 

circumstances indicate the carrying value may not be 

recoverable. 

1.6 Investment Fixed Assets 

Investment fixed assets are shown at market value. 

i) Property assets are not depreciated but are shown 

at market valuation. Valuations are carried out by a 

professional valuer at five yearly intervals. The last such 

valuation was at 1 April 2005. Between valuations 

trustees’ make a best estimate of market value. Valuation 

gains and losses are recorded in the Statement of 

Financial Activities with the balance sheet reflecting the 

revalued amounts. 

ii) 

Quoted stocks and shares are included in the balance 

sheet at mid-market price, ex-div. 

iii) Other investment fixed assets are included at trustees’ 

best estimate of market value. 

d) Support costs 

Include central functions and have been allocated to 

activity cost categories on the a basis consistent with 

the use of resources eg allocating property costs by floor 

area, or per capita staff costs by time spent and other 

costs by their usage. 

e) Grants with performance conditions 

Where the charity gives a grant with conditions for its 

payment being a specific level of service or output to be 

provided, such grants are in the SOFA once the recipient 

of the grant has provided the specified service or output. 

f) Grants payable without performance conditions 

These are only recognised in the accounts when a 

commitment has been made and there are no conditions 

to be met relating to the grant which remain in the 

control of the charity. 

13



1.7 Investments policy 

The objective of the policy is to ensure the creation of 

sufficient income and capital growth to enable the charity to 

carry out its purposes consistently year by year with due and 

proper consideration for future needs and maintenance of and 

if possible, enhancement of the value of the invested funds 

while they are retained. 

The trustees exclude the Tobacco sector, as defined by those 

companies that derive their income from such trading, with 

regard to investments. 

The Charity’s investment advisers are Rensburg Sheppards. 

1.8 VAT Policy 

VAT is recorded in expenditure unless it is recoverable. 

1.9 Realised gains and losses 

All gains and losses are taken to the Statement of Financial 

Activities as they arise. 

Realised gains and losses on investments are calculated as the 

difference between sales proceeds and opening market value 

(or date of purchase if later). Unrealised gains and losses are 

calculated as the difference between market value at the year 

end and opening market value (or date of purchase if later). 

1.10 Research policy 

The research funds represent funding of research posts in the 

Trust and any related expenditure. 

1.11 Change in the Basis of Accounting 

There has been no change in the basis of accounting during 

the year. 

1.14 Apportionments 

Items of income and expenditure are apportioned as follows:- 

(i) 

(ii) 

Dividends, investment gains and pooling expenses are 

allocated to funds in direct proportion to that fund’s share 

of the total investment portfolio. 

Bank interest is allocated to funds in direct proportion to 

that fund’s share of the total bank balance. 

(iii) Management/Admin costs are allocated to funds in direct 

proportion to the average balance of the fund in the 

quarter as a proportion of the total average balances. 

Fundraising cost are attributed to the fund(s) which 

incurr the expenditure. 

Reserves Policy 

The Trustee recognises its obligation to ensure that funds 

received by the Charitable Trust should be spent effectively in 

accordance with the funds’ objects. The charitable fund 

reserves comprise those funds that are freely available for its 

general purposes. 

The reserves are held at a level that will enable the charity 

to cover a years running costs and provide a resource of six 

months charitable fund expenditure. 

The Trustee considers it prudent that reserves should be 

sufficient to avoid the necessity of realising fixed assets held 

for the charity’s use. 

Risk Management 

The Treasury and Investment Committee, on behalf of the 

Trustee, ensures that the charity meets its obligations for 

risk management. It has established a framework for risk 

identification and has examined the strategic business and 

operational risks that the charity faces. The Trustee will 

regularly review the risks on an ongoing basis in conjunction 

with the Trusts internal auditors, and take the necessary steps 

to ensure the risks are mitigated. 

1.12 Prior Year Adjustments 

There has been no change to the accounts of prior years. 

1.13 Pooling Scheme 

There is no official pooling scheme in operation. 

14



Note 2 

Total 

Total 

2008/09 2007/08 

£'000 

£'000 

2.1 Analysis of voluntary income 

Donations 1,153 932 

Legacies 419 208 

1,572 1,140 

2.2 Activities for generating funds 

Events 58 116 

Raffles 5 3 

Merchandise Sales 19 17 

Nightingale Fundraising 24 11 

Tin Collections 0 2 

Building Blocks Fundraising Activities 22 9 

128 158 

2.3 Other Income 

Investment Income 104 56 

Income From Deposit A/Cs 69 127 

173 183 

Note 3 

Total 

Total 

2008/09 2007/08 

£'000 

£'000 

3.1 Analysis of resources expended 

Costs of generating voluntary income 

Staffing Costs 50 70 

Training 0 1 

Charity Software 1 1 

51 72 

15



Total 

Total 

2008/09 2007/08 

£'000 

£'000 

3.2 Fundraising trading costs 

Fundraising Management/Admin 86 118 

Printing/Stationery/Journals/Subscriptions 5 4 

Training 0 0 

Fundraising software 8 5 

Raffles/Lotteries 0 0 

Fundraising Events 20 22 

Merchandise Sales 5 11 

Tin Collections 1 5 

125 165 

3.3 Investment Management Costs 

Costs associated with investments 12 4 

12 4 

3.4 Charitable Activities 

Patient Welfare, Equipment, Ward Extras 159 144 

Staff Education, Training, Equipment 271 234 

Research, Salary, Travel Equipment, Training 251 209 

Capital Equipment 666 61 

Capital Building Works/Refurbishments 41 123 

1,388 771 

3.5 Governance Costs 

Management & Administration 9 13 

Audit Fees 5 5 

Annual Report Expenses 5 4 

19 22 

3.6 Other resources expended 

Depreciation Fundraising Software 1 1 

1 1 

16



Note 3 (continued) 

3.7 Support Costs 

Fundraising Charitable Governance Total Cost Total Cost 

Activity Activity Activity 2008/09 2007/08 

£'000 

£'000 

External Audit Fees 0 0 5 5 5 

Management /Fundraising 86 25 9 120 184 

Training/IT 8 1 0 9 6 

Event Expenses 20 0 0 20 22 

Marketing Materials 11 0 5 16 24 

Finance Support 0 25 0 25 18 

125 51 19 195 259 

Note 4 Details of certain items of expenditure 

4.1 Trustee expenses 

There were no trustee expenses during the current or prior year. 

Total 

Total 

2008/09 2007/08 

£'000 

£'000 

4.2 Independent auditors' fees for reporting on accounts. 5 5 

5 5 

Note 5 Paid Employees 

The charity employees no staff. 

Note 6 Grantmaking Costs 

The charity made no grants. 

Note 7 Tangible Fixed Assets 

The charity has no fixed assets. 

17

Note 8 



Total Cost 

2008/09 

£'000 

Total Cost 

2007/08 

£'000 

8.1 Intangible Asset 

Progress Fundraising Software 3 4 

Depreciation (Straight line} (1) (1) 

2 3 

8.2 Investment Assets 

Carrying (market) value March 2008 2,087 2,350 

Add : Additions to investments at cost 1,500 0 

Less : Disposals at carrying value (508) 0 

Add/(deduct): net gain/(loss) on revaluation (510) (263) 

Carrying (market) value at 31 March 2009 2,569 2,087 

8.3 Analysis of investments 

Investments Market value Proportion 

£'000 % 

UK Fixed Interest 527,090 20.52% 

UK Equities 1,166,203 45.40% 

European Equities 151,802 5.91% 

North American Equities 201,941 7.86% 

Japanese Equities 59,494 2.32% 

Far East & Australasian Equities 78,695 3.06% 

Emerging Economies 55,662 2.17% 

Cash 328,064 12.77% 

TOTAL 2,568,951 100.00% 

Analysis of Investment Income 

Fund Manager 21 

Dividend Income 70 

Accrued Income 13 

Total Investment Income 104 

The investments shown above have a historical cost of £2.295m, they have current unrealised gains of £0.273m and a market value 

of £2.569m. 

Note 9 Debtors and prepayments 

Total 

Total 

2008/09 2007/08 

£'000 

£'000 

Trade debtors 0 0 

Prepayments 0 0 

Accrued income 0 0 

Other debtors 31 28 

Total debtors falling due within one year 31 28 

18



Note 10 Creditors and accruals 

Total 

Total 

2008/09 2007/08 

£'000 

£'000 

Trade creditors 0 0 

Other creditors 0 0 

Accruals and other deferred income 43 46 

Total creditors falling due within one year 43 46 

Note 11 Restricted income funds 

11.1 Funds held 

Major restricted funds - Purpose and restrictions: 

Cancer Centre - Patient & Staff Welfare, Medical Equipment, Research 

Cancer Support & Information - Patient & Staff Welfare, Medical Equipment, Research 

Cancer Research - Patient & Staff Welfare, Medical Equipment, Research 

Supportive Oncology Research - Research 

DJ Squire Love Of Roses - Staff Welfare & Amenities 

Elsie Allison Bequest - Mount Vernon Cancer Centre 

Brachytherapy Suite Fund - Development of Prostate Cancer Suite at Mount Vernon 

CTRT Appeal Mount Vernon - Cancer Treatment and Research 

Ultrasound Scanner Appeal - For purchase of Ultrasound Scanner. 

11.2 Movement of major funds 

Fund Balance Incoming Outgoing Transfers Gains & 

Fund 

Balance 

brought fwd resources resources Losses carried fwd 

£'000 £'000 £'000 £'000 £'000 £'000 

Cancer Centre 944 48 (44) 0 (125) 823 

Cancer Support & Information 208 160 (155) (15) (27) 171 

Cancer Research 675 21 (24) 0 (67) 605 

Supportive Oncology Research 59 2 (2) 15 (8) 66 

Elsie Allison Bequest 40 2 (1) 0 (4) 37 

Brachytherapy Suite Fund 492 18 (21) 0 (76) 413 

CTRT Appeal Mount Vernon 450 711 (117) 0 0 1,044 

Ultrasound Scanner Appeal 0 16 0 0 0 16 

Other 10 0 (3) 0 (1) 6 

2,878 978 (367) 0 (308) 3,181 

Legacy from U Parrott was amalgamated with the CTRT appeal as per the donors wishes. 

19



11.3 Transfers between funds 

From fund To Fund Reason Amount £’000 

Cancer Support & Information& In Supportive Oncology Research Incorrect fund credited 15 

Note 12 Transactions with related parties 

12.1 No remuneration or other benefits were paid to a trustee. 

12.2 No loans were made payable or due to the charity. 

12.3 Other transaction with trustees or related parties. 

Name of the trustee; 

East & North Herts NHS Trust 

Relationship to charity; 

Corporate Trustee 

Nature of transaction; 

Contributions to NHS 

£’000 2008/9; 707 

£’000 2007/8; 185 

There were no balances due to or from the Corporate Trustee at the year end. 

Note 13 Additional disclosures 

There are no additional disclosures. 

Financial highlights 

The charity’s financial performance presented a mixed 

picture in 2008/09. 

While three income-producing areas showed growth 

compared with the previous year, income from fund-raising 

was down. This may simply have been a reflection of the 

difficult economic times generally, which have affected many 

charities across the country. 

The fact that the three other main sources of income 

performed strongly suggests that enhance herts continues 

to have strong awareness in our local community, and is well 

placed to benefit when economic conditions improve. 

Voluntary income - donations – rose from £932,000 in 

2007/08 to £1,153,000, with the progress of the CTRT 

programme supporting a general increase in awareness 

of the charity and its activities. 

Legacy income also increased, with a legacy of £397,000 for 

the benefit of cancer research at Mount Vernon, and three 

legacies totalling £15,000 for Lister. 

The Investment income increased in year from £56,000 in 

2007/08 to £104,000 in 2008/09. The increase reflected the 

rise of funds available for investment which increased year 

on year from £2,087,000 to £2,568,000. Despite a difficult 

year for investment markets in broad terms, the Charity’s 

investments largely performed in line with expectations. 

The funds are invested on behalf of the charity by Rensburg 

Sheppard an investment management company with the 

objective to maximise its investment income in accordance 

with the Charity’s investment policy. 

On the expenditure side, spending increased during the 

year, with significant amounts contributed to provision of 

a Urology robot (£505,000), Intranet software/hardware 

(£80,000) and Paxman coolers (£34,000) for Radiotherapy 

at Mount Vernon. 

20

Our supporters 

The charity is very grateful to all the individuals and organisations who have supported us over the year. Those named below have been especially 

supportive, but there are many more whose efforts and generosity are also deeply appreciated. 

In every case, the funds raised are put to the best possible use. Thank you all. 

Adelessa Rios 

Adrian Johnson 

Amy and Julie Rosa 

Calum Macdonald and Family 

Camilla Hamilton 

Caroline and Martin Gray 

Christine Ingrey 

Claire Johnson 

Danielle Malin 

David Haynes 

David Laing 

Elaine Ledger 

Gavin and Gemma Barrett 

Geoff Pitt 

Georgina Cook 

Graham Pretty 

Ian Begg 

Ian D Grant 

Ian Scheer 

J Maitland 

Janice Moore and friends 

Jean Robbins 

Jennie Cullingford 

Jim and Julie Cranston 

Joanne and David Gray 

Joanne Barnes 

Joanne Jarvis 

John Starkey 

Judith Elliott 

Julie Piggott 

Kathryn Morris 

Lynne Dicker 

Manches 

Margaret Dolling 

Mark Sheridan 

Martin and Lady Rosemary French 

Maurice Pearson 

Michael Mountford 

Norman Robinson 

Pamela Varga 

Paul Osborn and Family 

Peter O’Neill 

Richard Cox 

Robert Pearl 

Russell Vaizey 

S Dudley 

S McLean 

Shonali Mathur 

Simon Tanlaw 

Stephanie Kiernan 

Sue Samme 

Sue Smith 

Sue Williams 

The Barnard Family 

The Lead Arrows 

Thomas Pilkington 

Valerie Homfrey-Cooper 

Corporate 

Stevenage Town Centre Managemen Company 

Groupama Healthcare 

S&B Commercials 

The Westgate Centre 

Willmott Dixon Construction 

Archant Herts and Cambs (The Comet) 

The Peter Cruddas Foundation 

The Echo Trust 

Letchworth Garden Square Shopping centre 

The Wolfson Foundation 

Organisations 

The Barnwell School 

WRVS 

Stevenage Golf Club 

QE2 Hospital League of Friends 

Lister Hospital League of Friends 

Lister Kidney Foundation 

Friends of Mount Vernon 

21

enhance herts is known officially as the East and North Hertfordshire NHS Trust Charitable Fund 

Corporate Trustee 

East and North Hertfordshire NHS Trust 

Board of Directors of East and North 

Hertfordshire NHS Trust 

Non-executive and executive directors (voting) 

Richard Beazley Chairman 

Alison Murray Vice-chairman 

and non-executive director 

Nick Carver Chief executive 

Alison Bexfield Non-executive director 

(from 1 February 2008) 

Stephen Brooker Non-executive director 

Neil Dardis Director of operations 

Michael Gibbons Non-executive director 

Wendy Hull Director of finance 

Ian Morfett Non-executive director 

James Quinn Medical director 

Noel Scanlon Director of nursing 

Stephen Posey Director of strategic 

development 

John Webster Director of corporate development 

Janet Lynch Director of human resources and 

organisational development 

The Board delegates responsibility for oversight of 

the Charitable Fund to the Treasury and Investment 

Committee, the membership of which comprised: 

Michael Gibbons Chairman 

and non-executive director 

Richard Beazley Chairman of the Trust Board 

Stephen Brooker Non-executive director 

Nick Carver Chief executive 

Wendy Hull Director of finance 

Victoria Fisher (Board Secretary) 

Registered Office 

Lister Hospital (L50) 

Coreys Mill Lane 

Stevenage SG1 4AB 

Bankers 

Lloyds Bank Plc 

Stevenage Branch 

3 Town Square 

Stevenage SG11BG 

Auditors 

Statutory 

Grant Thornton UK LLP 

Byron House 

Cambridge Business Park 

Cowley Road 

Cambridge CB4 0WZ 

Internal 

Bentley Jennison 

Cedar House 

Breckland 

Linford Wood 

Milton Keynes 

MK14 6EX 

Solicitors 

Foreman Laws 

25 Bancroft 

Hitchin SG51JW 

Investment Managers 

Rensburg Sheppards 

2 Gresham Street 

London EC2V 7QN 

East and North Hertfordshire NHS 

Trust staff responsible for running 

the charity 

Fundraising 

Peter Gibson, Head of public affairs 

Stephen Posey, Director of strategic 

development 

Suzanne Roynon, Fundraiser 

Danielle Malin, Fundraising assistant 

Finance 

Mark Wheeler, Financial controller 

Stuart Marshall, Treasury accountant 

Gita Raja, Deputy financial 

controller 

Sue Pearce, Assistant financial 

accountant 

22

enhance 

herts 

Supporting East and North 

Hertfordshire Hospitals 

enhance herts Lister Hospital L50 Coreys Mill Lane Stevenage SG1 4AB 

t. 01438 781682 info@enhanceherts.org www.enhanceherts.org 

enhance herts raises money to support the East and North Hertfordshire NHS Trust through its registered charity, 

East and North Hertfordshire NHS Trust Charitable Fund, number 1053338.

enhance - East and North Herts NHS Trust

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