The Peace Hospice

Information and contact details
The Peace Hospice trustees
Stuart Nagler Marion McCrindle Shabir Ahmed Tina Crombie Sharon Kilbane Mark Tempest
Chair Treasurer &
Company Secretary
John Meyrick- Tom Hendy David Plank Sue Collyer Raj Jobanputra Isabel Walker
Thomas Vice-Chair
Visit our website
www.peacehospice.org.uk
for the latest information
on the Hospice
Peace Hospice shops
Chorleywood
9 New Parade
Chorleywood
WD3 5NJ
T 01923 285345
Watford
174 High Street
Watford
WD17 2EG
T 01923 221109
Tudor
147 Bushey Mill Lane
Watford
WD24 7PD
T 01923 249408
Maple
Cross
The Peace Hospice
Peace Drive, Watford, Herts WD17 3PH
T 01923 330330 F 01923 330331
Email info@peacehospice.org.uk
www.peacehospice.org.uk
Registered charity no 1002878
Company registration no 2604892
Garston
10 Garston Park
Parade, Garston
Watford
WD25 9LQ
T 01923 676337
Peace Hospice catchment area
Sarratt
Chorleywood
Rickmansworth
Abbots
Langley
Watford
South Oxhey
South Oxhey
9 St Andrews Road
South Oxhey
WD19 7AD
T 020 8420 1525
Radlett
Bushey Elstree
Senior management team
Jonathan Carmichael Chief Executive
(and Company Secretary from 1st April 2008)
Sue Plummer Director of Patient Services
Dr Maria Ribeiro Medical Director & Consultant
Alpana Malde Finance & IT Manager
Lesley Bates Personnel Manager
Jim Swindells Director of Fundraising
Bushey Heath
43/45 High Road
Bushey
WD23 1EE
T 020 8421 8916
Borehamwood
Shenley
Potters Bar
Radlett
108 Watling Street
Radlett
WD7 7AB
T 01923 852613
The Peace Hospice
Annual Review 2007/2008

2
Major Supporters – a BIG thank you!
Without the support of our hundreds of supporters in the community, we would
not be able to provide the high quality of care that we give to our patients.
It is impossible for us to mention everyone who has helped us over the year, but here are a few of the organisations that have given us invaluable support:
Aidy Boothroyd
A & R Woolf Charitable Trust
Aneatasign
Arcadia Group
Arriva the Shires
Association of Women’s Clubs
Ayletts Nurseries
Barclays Bank
Bibby Financial Services
Brambles Industries Ltd
Brownies, Cubs, Guides & Scouts of
South West Herts
Building Research Establishment Ltd
Cardif Pinnacle
Central Trust plc
Churches and Synagogues of South
West Herts
De Lage Landen
Deauville Securities
Diageo Foundation
Ealing Trading Company
Enterprise Rent-a-Car
Fast & Direct Marketing Ltd
Friends of The Peace Hospice
GTECH UK Ltd
Graham Taylor
Golf Clubs of S.W. Hertfordshire
The Harlequin Centre
Help the Hospices
Hertfordshire Chamber of Commerce
Hertfordshire Constabulary
Herts Mercury Radio 96 6
Herts & Middlesex Life & Pensions
Society
Hertsmere Borough Council
Hospice Support Groups: Cassiobury,
Chorleywood, Irish & Holyrood,
Shenley and The Sunday Club
Hunton Park
Inner Wheel
John Apthorp Charitable Trust
John Lewis
Kall Kwik, Watford
Kodak GCG
KPMG
Kromachem
Ladbrokes
Linda Nunn
Lions Club of Watford
Luther Blissett
Matthew Arnold & Baldwin
M & B Services (GB) Ltd
Marks & Spencer PLC
Masonic Lodges
Mothercare Charitable Foundation
Music & Dance Associations of
South West Hertfordshire
NIG (RBS Insurance)
Nursing & Residential Homes
Park Inn
Pettit Charitable Trust
Provincial Grand Lodge of
Hertfordshire
PS Graphics Ltd
Pubs & Clubs of South West
Hertfordshire
Renewable Energy Systems
Rotary Clubs of South West
Hertfordshire
Round Tables of South West
Hertfordshire
Royal Bank of Scotland
Royal Mail
Royal Masonic School for Girls
Sainsbury
Sanyo Europe
Saracens Ltd
SA Law
Schools of South West Hertfordshire
Sigma Pharmaceuticals plc
Skanska
Smiths Coffee Co
Spire Bushey Hospital
St George’s Day Charity
Taylor Woodrow
The Brian Maguire Charitable Trust
The Eastcheap Charitable Trust
The Grove
The Morris Charitable Trust
The Old Electricity Works
The Raz Gold Foundation
The Richard Wilcox Welfare Charity
The Snaresbrook Charitable Trust
Three Rivers District Council
Three Valleys Water
Total (UK) Ltd
We hope that as a major supporter of the Hospice, you will also share our satisfaction in the progress that has been highlighted in our annual report!
Townswomen’s Guilds
288 Group Ltd
U3A Groups of S.W. Hertfordshire
Valeside Catering Contracts
Vicarage Road Service Station
VRC Office Supplies Ltd
Watford & West Herts Chamber of
Commerce
Watford Borough Council
Watford Colosseum
Watford Fire Station
Watford Football Club
Watford Harriers
Watford Observer
Watford St George’s Day Club
Watford Timber
West Hertfordshire PCT
West Herts College
West Herts Golf Club
West Watford Golf Society
Wilkinson
Women’s Fellowship
Women’s Institute
Yours Truly
Stuart Nagler
Chair
Jonathan Carmichael
Chief Executive
Chair & Chief Executive’s report
Welcome to our review of 2007/8
We hope you will enjoy reading about the
many ways that the Hospice cares for people
across south west Hertfordshire, in people’s
homes as well as in the Hospice. We have set
out here what we planned to do, how much
we achieved those plans, and our new aims
for the year 2008/9.
There are many things to be pleased about.
The number of patients cared for by the
Hospice at Home service has risen again,
from last year, by 11.5%, caring for 116 new
patients. It is so important to help support
patients to be at home, if that is their choice,
and this year we plan to expand further, to
cover the whole of Hertsmere.
Our inpatient unit cared for 231 patients and
their families last year. With time, space,
quiet and friendly faces as well as expert
care, we have been able to help people to
have a better quality of life for the time that
remains. This helps their friends and families
too, and we care for them alongside our
patients.
As we write this, we are in the middle of
building works to create two extra bedrooms.
This will allow ten of our twelve inpatients to
have the privacy of a single room, and in the
long run we will have the facilities for up to
fifteen patients, if we have more funds for
more nurses.
The bereavement service helped 542 people
this year, whether on the telephone,
through one-to-one counselling, our groups,
visitors and through the STARS children’s
bereavement workshops we run. As ever,
these are all open to anyone who has lost
someone special, whether they were in
contact with the Hospice or not.
The new story in day care this year has
been our breathlessness clinic. Now well
established, this helped 23 patients last year
with the physical and emotional effects of
living with breathing difficulties.
We have had some great fundraising events,
and the high point was the Starlight Walk,
where over a thousand women walked
through Watford and Croxley in the middle
of the night, raising over £190,000. We also
had some special gifts from the families of
people we had cared for, as well as some
important gifts in people’s wills. These gifts,
small or large, continue to sustain our work,
as around 20% of our income comes from the
government.
Opening a seventh shop in South Oxhey
has been another great success, and all our
trading activities continued to flourish.
You will see as you read through this report
that we are not resting on our laurels. We
have many exciting plans, to build on what
we already provide, and also to spread our
work out beyond the Hospice.
It has been a pleasure to work hard alongside
so many dedicated people, all aiming to help
other people when they need it most.
Thank you so much for your support. Your
Hospice would not be what it is without you.
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4
Inpatient care
In this year’s review, we focus on our performance over the last
financial year. We look back at what we said we would achieve
and evaluate our performance against those objectives.
Last year, we made significant steps forward in improving our
services to patients and also had a good year in increasing the
funds needed to run our services.
Our inpatient unit, set in a calm and relaxed atmosphere,
is run by a highly professional specialist team. They aim to
treat a variety of symptoms related to advanced disease,
for example pain. The average length of stay in the unit is
12 days.
What we planned
to do last year Our achievements
We aimed to expand our nursing team by
one post.
We set ourselves the challenging target of
increasing our average number of patients
by 9%.
We aimed to convert some of our under
used rooms in the inpatient unit to
improve privacy and dignity for patients.
Figures
Facts&
Our inpatient unit cared
for 231 people last year.
We added an extra senior staff nurse to
the team.
Occupancy decreased by 0.5% because the
average length of stay reduced by 3%.
We received a Department of Health grant
that has helped us to improve privacy
and dignity for patients. We are currently
converting this space, by adding a further
2 bedrooms, which will allow ten of our
12 patients to have a room to themselves,
instead of the current six. Building work
will be completed by the end of July 2008.
We replaced all of our existing beds in the
inpatient unit with longer ones which are
more adjustable, and purchased specialist
mattresses to be more comfortable and
avoid pressure sores.
Inpatient care
What we plan to do next year 2008 - 2009
We aim to start admitting patients on Saturdays and Sundays during the day.
We aim to start a programme of planned respite care, usually one at a time for a week, to
give carers a badly needed break which can be planned in advance.
We aim to increase admissions to our inpatient unit by 16% and reach our target of a 9%
increase in patients using our beds at any one time.
We aim to add an additional team leader post to the nursing team.
Our new double room will have a ceiling mounted hoist, allowing patients to be easily
transported to the ensuite bathroom.
The route to the Inpatient Unit will be improved to create easier access for visitors.
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6
Day care
We aim to provide an
individual plan of care
to meet the needs of
our patients who have a
terminal illness.
Our patients are referred to us by GPs, Macmillan Nurses,
District Nurses, Specialist Nurses and Hospital Clinical Nurse
Specialists across South West Herts. Patients can also self refer
to our service.
What we planned
to do last year Our achievements
We wanted the new clinic for people
experiencing breathlessness to become a
regular part of our outpatient service.
We aimed to increase the attendance
levels for day and outpatient care.
Figures
Facts&
Our new breathlessness clinic helped
23 people in its first full year of operation.
The new breathlessness clinic was a huge
success, helping 23 people with 123
attendances.
Total attendance was 936 individual
sessions, slightly lower than last year.
What we plan to do next year 2008 - 2009
We aim to expand the breathlessness clinic to a maximum of 8 patients a week.
We aim to increase the number of sessions we offer in complementary therapy.
We will continue to develop the care on our therapeutic days.
Day care
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Hospice at Home
What we plan to do next year 2008 - 2009
We aim to expand Hospice at Home across Hertsmere, to cover the whole of our area.
We aim to start making visits in the evenings and at night time.
Our Hospice at Home team provides patients and their families
with a greater choice of care, allowing them to receive support
from the comfort of their home. We aim to treat patients with
a variety of symptoms related to advanced disease. We also
provide psychological support and support for family and
carers including respite care.
What we planned
to do last year Our achievements
We aimed to expand the service in Watford
& Three Rivers, and extend to patients of
the GP practices in Borehamwood, as a
step on the way to providing for the whole
of Hertsmere.
We aimed to persuade the West
Hertfordshire Primary Care Trust to
contribute funds toward an extension
of the service, and to fund cover in the
evenings and the night time.
Figures
Facts&
Our care at home grew by
11.5% during the last 12 months
We cared for 116 new patients, a rise
of 11.5%. A small part of this came
from beginning to care for patients in
Borehamwood and Elstree.
We learned in July 2008 that our bid was
successful. We also set aside charitable
funds in our 2008/09 budget to complete
the expansion.
Bereavement counselling, family support and spiritual care
Our Bereavement Service is an important part of the care the
Hospice provides, not just for relatives, friends and carers of
patients who we have looked after, but for anyone who has
been bereaved within the South West Hertfordshire area.
What we planned
to do last year Our achievements
We aimed to add a new group of oneto-one
counsellors to the bereavement
service.
We aimed to increase the number of
STARS programmes for children who have
lost someone special, if the number of
referrals continued to rise.
We aimed to continue a broad range of
services.
We aimed to review our spiritual care in
the latter part of the year.
We aimed to review our Family Services
Team.
Figures
Facts&
The Bereavement Team has helped
542 new people over the last 12 months
Eight new counsellors started in the
autumn, helping us keep up with the
requests for counselling sessions.
We offered another programme, but it was
cancelled due a lack of participants.
In total, 342 new people received support,
whether in one-to-one counselling, home
visiting, family therapy, a social group,
ongoing support over the telephone, or
the STARS programme.
A further 199 people simply used our
helpline, where support was given,
including advice about other specialist
counselling services.
The main review was postponed to
2008/09.
The team not only supports patients and
their families, but also supports our staff.
As a result of the review, we decided to
recruit another part-time social worker.
What we plan to do next year 2008 - 2009
We will continue to provide our
range of bereavement support,
and consider the scope for more
expansion.
We aim to expand the Family
Services Team, in line with the
review, appointing another parttime
team social worker.
We will increase awareness across
South West Herts of our STARS
programme for children.
We aim to keep looking for ways to
enhance our support for children
and young people.
We aim to review the spiritual care
we offer.
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10
Developing our people
What we plan to do next year 2008 - 2009
We will be recruiting a Lecturer
Practitioner to lead clinical
development and education, and work
with our Personnel Team on training
issues across the Hospice. In addition,
we will have dedicated administrative
time to support training and
development across the Hospice for
the first time.
We will be introducing an employee
assistance programme, to enable staff
to access confidential counselling
and information from an external
organisation.
We will be embedding our new
appraisal scheme to ensure all staff are
supported through effective appraisal
and ongoing line management and
development.
We will also introduce a comprehensive
new Volunteer Policy, which will
build on our current support for
volunteers, and aims to strengthen our
proactive approach to the recruitment,
management and development of
volunteers.
We believe that our staff and volunteers are our most valuable
resource, with every individual playing a key role in enabling
us to provide high quality services.
What we planned
to do last year Our achievements
We aimed to develop further the skills
and knowledge of our managers, staff and
volunteers.
We recognised the need to strengthen our
systems and procedures to support staff
and volunteers in their roles.
Individuals and groups participated in a
broad range of training and development,
including regular clinical updating
sessions, management development
programmes and courses on topics
varying from health and safety and child
protection to time management skills.
We developed and implemented
comprehensive new induction and
probation procedures for all new staff.
We launched a new appraisal scheme,
with a comprehensive training programme
for all staff.
We receive fabulous help from our large team of volunteers,
and from our wider group of supporters. The Hospice would
not be able to function without their support.
Volunteer view
Hibbz Ahmed, from Watford said, ‘I enjoy the
variety of tasks involved in the job, plus I get
the added satisfaction of knowing I’m doing
something useful. I’d miss it if I had to stop.’
Volunteering
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Quality Care
What we plan to do next year 2008 - 2009
We are recruiting a part-time Quality and Audit Facilitator to help us continually improve
our care.
We will use an external facilitator to talk with patients and families, aimed at helping us
further improve our services. We will also develop a new questionnaire to gain feedback
from our bereavement clients.
Our aim is to listen and provide a high standard of care to
those people who come into contact with the Hospice.
What we planned
to do last year Our achievements
We planned to review several key aspects
of our care, and update our practice.
Patient view
Kay from Carpenders Park who used the bereavement
service, ‘I didn’t realise that the Hospice offered
bereavement support for anyone in south west Herts
coping with a death, irrespective of whether they had
cancer or not. My partner was killed in a tragic accident
and I have been receiving counselling for 6 months.
My counsellor has been absolutely amazing.’
We started a new Clinical Governance
Implementation Group to involve more
of our clinicians. Topics we improved
include the control of infection, blood
transfusions, how we record significant
conversations with patients and families,
patient consent, the implications of the
new legislations on mental capacity, and
measures to reduce falls.
To learn from our patients’ experiences,
we introduced new questionnaires for
inpatients and day care patients.
We want to help people throughout our area, whether they use the
Hospice itself, or are cared for by other professionals.
What we planned
to do last year Our achievements
We planned to draw up a new three year
Strategic Direction for the Hospice,
to include helping people beyond the
Hospice.
We did agree a new Strategic Direction
whose four primary objectives are:
• Continue providing excellent care
• Expand Hospice at Home
• Increase support for other
professionals beyond the Hospice
• Spread our ethos of holistic care
Helping people beyond the Hospice
All our plans for 2008/09 in this Annual
Review build on this strategy. Our
fundraising successes enabled us to fund
new initiatives outside the Hospice.
What we plan to do next year 2008 - 2009
We are going to employ a senior nurse who will help provide training for local health
professionals caring for people in other settings. This person will also work in Watford
General Hospital.
We will be running a project looking at how best to serve all our communities, in
particular our ethnic minority and faith communities.
We aim to employ an experienced nurse to work with nursing homes in our area.
We think we can help many more people if we can support good care in nursing homes,
providing advice, support and training for their staff on site.
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Fundraising, Trading and Communication Fundraising, Trading and Communication
For the first time ever, we generated more than £1 million
from our trading ventures as well as £1 million from
fundraising activities. We also continued to work closely
with local media to publicise our events such as the Starlight
Walk and to inform the public about the work of the Hospice.
In 2008/09 we must continue to build our fundraising,
trading and communication capacity to make sure we can
meet growing need.
What we planned
to do last year Our achievements
We aimed to extend our network of major
supporters enlisting the help of volunteer
champions.
We planned to continue working on joint
fundraising events with our neighbouring
hospices and to introduce new events like
The Starlight Walk to attract supporters of
different ages to extend our support.
We aimed to encourage more people to
consider leaving us a gift as a bequest in
their will.
We planned to open two extra charity
shops.
We planned to research and develop a
model for the growth of Peace Hospice
trading as well as strengthening our
systems.
We have established contact with a
number of people who can help us by
networking and advocating support
for the Hospice. We received several
significant gifts including further
support of £200,000 from The Raz Gold
Foundation and family.
Our Starlight Walk succeeded brilliantly
with over £190,000 raised – our most
successful event ever.
Once again we organised events jointly
with other charities – like the firewalk
with the Hospice of St Francis and The
Big Herts Walk along with Watford and
District Mencap, Watford New Hope Trust
and Sigma Charitable Trust.
We have produced a new legacy
information leaflet and highlighted
the benefits of leaving a bequest to the
Hospice in our newsletter Peace Hospice
News. Legacy income increased to more
than £500,000 last year.
Our new shop at South Oxhey was a
great success, taking over £140,000 from
the date it opened in June to the end of
March. The other shop we had planned to
open, is still being pursued.
Selling goods on eBay and books on
Amazon produced an increased income
and turnover from Trading surpassing
£1 million for the first time.
14 15

Fundraising, Trading and Communication
Fundraising, Trading and Communication
What we plan to do
next year 2008 - 2009
It is important for us to continue to
seek major gifts to support the growing
work of the Hospice so we would like to
develop our network of supporters in
this area of giving.
We plan to repeat excellent events like
The Starlight Walk and to introduce
new options for different audiences like
‘Pedal for Peace’ - a cycle ride open to
men as well as women.
We also wish to find a new database
to replace our old system which we
have used for over a decade so we can
improve the way we communicate with
supporters.
We will use our new leaflet and
encourage people to leave a gift to the
Hospice in their will, once they have
provided for their beneficiaries.
We have an agreed strategy for
developing trading for the Hospice and
will continue our search for further
suitable new shops.
We will also test out new ideas like
reclaiming Gift Aid on some items
donated to our shops.
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Financial report
Financial Position – a snapshot
The result for the year is another
substantial unrestricted surplus
of £370K against an expected
budget deficit of £111K.
This is primarily due to another
very successful year for the
fundraising team which for the
first time ever recorded over
a million pounds in voluntary
income. Legacies this year also
exceeded budget at £512K,
an increase of £127K over the
previous year.
We expanded our trading
operation with the successful
opening of our seventh retail
shop at South Oxhey in June
2007. Turnover in our other six
shops grew by 3.2% year on year
which is remarkable in a very
difficult economic environment.
In 2007/08, overall costs for the
organisation were in line with
budget. Within this we have had
non-recurrent savings of £78K
due to vacant posts. However, in
common with most organisations
we have also felt the impact of
rising prices of energy and
other costs.
The substantial surplus for the
year has meant that we have
been able to plan to spend from
financial reserves some £155K
each year over the next three
years to finance improvements
and expansions to our services.
Over the next three years we will
also be implementing an agreed
strategy to increase income so
that these new services will be
sustainable after three years.
Included in total income of
£3.743M is £217K for the capital
grant we were awarded by the
Department of Health for the new
bedrooms. Of this, £7K was spent
at year end with the balance
£210K held over until completion
of the project.
Our baseline budget i.e. before
any of the planned service
changes, for 2008/09 is a forecast
breakeven position for the year.
Given the cost pressures in the
current economy and the possible
impact of economic slowdown on
our income, we rely as always on
the generosity of our community.
Our services rely on your
generosity and continued support
for our mission.
Income
NHS Funding
£682K 18%
Investment Income
£112K 3%
Lottery
£209K 6%
Grants
(inc one-off
Department of Health Grant)
£226K 6%
Shops
£828K 22%
Expenditure
Governance Costs
£47K 1%
Hospice & Care
Expenditure – Other
£175K 6%
Hospice & Care
Expenditure – Staff
£1.79M 56%
Donations and Gifts
£898K 24%
Income from Events
£275K 7%
Legacies
£51K 14%
Total income
£3.74M
Depreciation
£95K 3%
Cost of generating voluntary
income
£396K 12%
Shops and Lottery Expenditure
£654K 21%
Total expenditure
£3.16M
2008 2008 2008 2007
Summary Financial Report Restricted Unrestricted Total Total
£ £ £ £
INCOME
Voluntary Income including events – 1,141,529 1,141,529 1,081,568
Legacies – 512,295 512,295 384,960
Grants Received 226,025 32,000 258,025 76,113
Primary Care Trust Funding 136,917 545,103 682,020 691,642
Peace Hospice Shops and Lottery – 1,037,414 1,037,414 892,388
Investment and Rental Income – 111,928 111,928 85,817
Total Income 362,942 3,380,269 3,743,211 3,212,488
EXPENDITURE
Hospice and other care 155,128 1,914,482 2,069,610 1,981,342
Governance Costs – 47,263 47,263 48,948
Peace Hospice Shops and Lottery – 653,993 653,993 506,416
Fundraising Costs – 395,502 395,502 359,767
Total Expenditure 155,128 3,011,240 3,166,368 2,896,473
NET(OUTGOING)/INCOMING RESOURCES 207,814 369,029 576,843 316,015
(before gain/loss on investments)
Balance Sheet as at 31st March 2008 2007
£ £
Fixed Assets 3,010,113 3,032,179
Current Assets 3,116,538 2,292,205
Creditors – amounts falling due within one year (603,579) (379,362)
Total assets less current liabilities 5,523,072 4,945,022
Designated Funds 2,942,377 3,014,617
Unrestricted Funds 2,370,188 1,927,712
Restricted Funds 210,507 2,693
Total Funds 5,523,072 4,945,022
Statement of financial activities
Summary Financial Report
The summary figures presented
here have been extracted from
the charity’s full annual accounts
which are available separately
from the Peace Hospice. These
summary figures may not contain
sufficient information to give a
full understanding of the charity’s
financial affairs. The full annual
accounts have been audited
by haysmacintyre, Registered
Auditors, and their audit opinion is
unqualified. A copy of the accounts
will be submitted to the Charity
Commission and to the Registrar of
Companies.
Independent Auditor’s statement
on the Summary Financial Report
to the Trustees of the South West
Hertfordshire Hospice Charitable
Trust.
We have examined the Summary
Financial Report set out above.
Respective responsibilities
of Trustees and Auditors
You are responsible as Trustees for
the preparation of the Summary
Financial Report. We have agreed
to report to you our opinion on
the Summary Financial Report’s
consistency with the full accounts.
Basis of opinion
We have carried out the procedures
we consider necessary to ascertain
whether the Summary Financial
Report is consistent with the full
accounts from which they have
been prepared.
Opinion
In our opinion the Summary
Financial Report is consistent with
the full accounts for the year ended
31st March 2008.
haysmacintyre
Registered Auditors
Please note: from 1st April 2008, the charity changed its formal name from
‘South West Hertfordshire Hospice Charitable Trust’ to ‘The Peace Hospice’.
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