S U P P O RTING Your Hospital Charity Annual Report 2012 / 13 Chairman’s Statement James Nicholson Chairman of the Section 11 Trustees of Oxford Radcliffe Hospitals Charitable Funds Welcome to the 2012/13 Annual Report for the Oxford Radcliffe Hospitals Charitable Funds. The year reflected the move from the large-scale fundraising campaigns of recent years, based around major expansions of the hospitals’ work, towards concentrating on ensuring that the Charitable Funds are in a strong position to move forward and expand their work in the face of current challenges. Much of the work of the Trustees over the year has concentrated on ensuring that the charity spends its money as effectively as possible, that systems of control and risk management are robust, that prudent arrangements are in place to deal with turbulence in the financial markets, and that the position of the Charitable Funds is strengthened as one of the principal fundraising charities in the areas served by the hospitals. During the 2012/13 financial year the charity’s income was £5.7 million. This compared to £6.4m in the previous year. However, £0.7 million of this reduction arose because grants from the Sobell House Hospice Charity Ltd for the payments of nursing salaries, which were previously made to the charity, are now made directly to the Oxford University Hospitals NHS Trust. The change in the handling of Sobell House grants also removed £0.7m from charitable expenditure compared to the previous year. However, having allowed for this, there was still a modest reduction in income in all categories other than legacies (which are very variable year on year. For example, donations fell from £2.5 million to £2.3 million – a reduction of 8%. Page 1 Annual Report 2012/13 This is not unusual in the experience of charities of all kinds in the current difficult economic climate. In addition, the charity is not currently conducting major fundraising campaigns of the kind that supported the creation of the Children’s Hospital and the Cancer and Haematology Centre, and this inevitably means that income levels are moving back to what may be considered more normal levels. Income through legacy gifts was strong this year, however, with £1.8 million donated, compared to £0.84 million in the previous year. Areas across the Trust benefitted from these most generous bequests, including a £350,000 gift to the Children’s Hospital, £250,000 to the Oxford Transplant Centre and gifts totalling over £250,000 to the Oxford Hospitals General Fund. The Fundraising Team had another busy year with community events proving particularly successful, building in terms of both participants and income. You can read more about these on page 5. Much of the work of the Trustees over the last year has been to ensure that the charity has robust arrangements in place to deal with any external challenges. ■ The Trustees conducted a review of the charity’s investment arrangements. Following this review it was decided to move the investments from a portfolio primarily of equities and bonds to an absolute return fund at Ruffer LLP. Funds of this type are designed to minimise downside risk and given market volatility and that the primary concern is to preserve capital rather than maximise returns, the Trustees consider that this change is an appropriate defensive measure. ■ Expenditure has been scrutinised to achieve an increased focus on areas of which produce direct patient benefit. There are always more possible ways of using charitable funds than funds available, and therefore the Trustees want to ensure that they prioritise those areas of spending which have the greatest impact on patients. Considerable work was done during the year on the charity’s risk register. This revealed no major gaps in our controls, but it did identify a number of areas where controls could be further strengthened and appropriate measures were put in place. ■ A key area for discussion for the Trustees has been reputational risk. In a year that has seen the reputation of a number of charities and NHS bodies tarnished by association with particular individuals, the Trustees have been concerned to review how relationships with external bodies and individuals are managed and to ensure that these are handled appropriately. This work has provided a solid basis on which to move forward. The challenge to the Trustees over the coming year will be establish how best the charity can support the strategic objectives of the Trust now that the era of major building projects is over and how we can raise the profile of the charity in the communities which we serve. Spending by the charity continues to make a major positive impact on services to the Trust’s patients during the year. Inevitably charitable spend is a relatively small amount compared to NHS spending. However because the charity can focus on the extras, the things that are over and above what the NHS would provide, we are often able to provide that key additional resource, that radically innovative new technology, or that spending on the more intangible parts of the patient experience that would otherwise not be funded. Charitable Expenditure during the year amounted to £4.9 million. Spending on patient welfare and amenities (which includes equipment used in providing care) formed the largest part of this at £1.9 million. A further £1.3 million was spent on research and £1.2 million on education. £0.5 million was spent on staff welfare and amenities. Much of the latter relates to monies which have been specifically given by grateful patients and their relatives for staff welfare. The Trustees are keen to ensure that such spending is directed to areas where it can make the most impact upon staff morale and thereby also benefit patients. Mission Statement Oxford Radcliffe Hospitals (ORH) Charitable Fund and Other Related Charities (reg charity 1057295) exists to support the work of the Oxford University Hospitals NHS Trust in providing the best possible healthcare for its catchment area of around 2 million people from across the region and beyond, raising standards above the level that NHS funding alone allows. ORH Charitable Funds helps to enhance the hospital environment, purchase equipment that will make a real difference for patients and contribute to research, staff development and training. The hospitals that we support are: ■John Radcliffe Hospital, Oxford, which includes the Oxford Children’s Hospital and the Oxford Heart Centre. ■Churchill Hospital, Oxford, including the Oxford Cancer and Haematology Centre. ■Horton General Hospital, Banbury, including the Brodey Cancer Centre. ■ The Nuffield Orthopaedic Centre Annual Report 2012/13 Page 2 During the year a further £76,000 was awarded by the Hospital Innovation and Enhancement Fund (HIEF). This is one of the key mechanisms through which the Trustees aim to ensure that charitable funds are invested in developments which create the greatest impact on standards of medical care. Any hospital department is able to bid for funding from HIEF and bids are subject to a rigorous process of evaluation and prioritisation. During the four years that HIEF has been active, it has invested over £1 million pounds in new developments. Projects wholly or partly funded through HIEF in the year included cardio-pulmonary testing equipment for pre-operative assessment at the Churchill Hospital, digital ultrasound for ophthalmology and training to equip maternity staff with the skills required to encourage and support new mothers in breastfeeding. The Trustees are particularly keen to encourage donations and legacies for HIEF, given its effectiveness in enabling charitable input to be used to best effect. Not everything that the charity spends is invested in high-tech equipment. The Trustees are also keen to see that the overall patient experience is positive, and sometimes this can be achieved by relatively low cost and low-tech initiatives. The charity continues to fund the work of the Trust’s art-coordinator. Arts initiatives during the year included a series of concerts at the Cancer Centre at the Churchill and improvement of the exhibition areas at the John Radcliffe and Churchill hospitals. A charitably-funded project continued during the year to increase the awareness of staff to issues of deafness and visual disability. By the end of the year 385 staff had attended the training sessions. Page 3 Annual Report 2012/13 The work of the charity depends upon many people: from the fund-advisors who help the Trustees decide on local priorities, to the volunteers who send out fundraising mailshots, to the staff of the fundraising and charitable funds teams, and not least to the army of people who give up their time and effort to raise money because they want to see their local hospitals providing care that is technically excellent and patientcentred. As Chairman of the Trustees of the charity I can confirm that the Trustees have due regard to the Charity Commissions’ guidance on public benefit. Considerations of how best to achieve public benefit through contributing to improvements in health care in the area served by the NHS Trust are constantly part of the deliberations of the Trustees. James Nicholson – Chairman of the S11 Trustees of the Oxford Radcliffe Hospitals Charitable Funds Activities and achievements During the year the governance arrangements and control systems of the charity have been strengthened further. Three strategy meetings were held to enable the Trustees to set time aside to consider the general direction of the charity. A detailed review of risk was completed and various measures put in place to further ameliorate risk. Reporting arrangements were strengthened with more formal arrangements for the minutes of subsidiary committees or working groups to come back to the Trustees for review. In the year 2012/13 our strategic aims included diversifying support to Funds right across the Trust for example encouraging participation in: THE Abseil, Open Days such as for the Eye Hospital, a campaign with the Breast Imaging Service and helping more modest Funds such as the Adult Sarcoma Fund maximise their income. We planned to focus on inspiring supporters and colleagues at every level during the year and re-launched the website TORCH. The fundraising magazine continues to reach an increasingly large and supportive audience. Traditional forms of media coverage have remained positive and frequent and our social media programme has also been very successful in helping to inspire and motivate, at minimal cost to the charity. Communication with staff has increased with more targeted global emails and outreach work including new staff inductions for all staff. We have worked to highlight the importance of regular and legacy giving through the website and promotional materials. Looking forward to next year Key objectives for the charity for the coming year include: ■ Raising the profile for the charity in the area served by the Trust. ■ Launching a fundraising campaign specifically to support the Hospital Innovation and Enhancement fund. ■ Ensuring that spending continues to be focused on the areas which give the greatest patient benefit. Annual Report 2012/13 Page 4 Fundraising News Supporting your hospital charity Thanks to this charity’s supporters, we are able to make the hospital experience that bit easier for patients and their families – funding ground-breaking research, the very latest equipment and creating more comfortable and welcoming areas for patients of all ages. our hospital causes. The important contribution of hospital volunteers, patients and supporters was recognised in style across the region with the Olympic torch relay – a highlight of the summer of 2012. We are delighted that this was another very busy year, which started in style when 19 runners took part in April’s Virgin London Marathon, raising an incredible £35,000 between them for causes across the Trust. Many were running in memory of loved ones, including Angela Nicholls who ran for Adult Sarcoma research in memory of her husband, and Steven Radley, who continued his fundraising for Newborn Intensive Care, to remember his baby boy, William. Endurance events of all kinds proved popular throughout the year – with staff and supporters tackling increasingly demanding challenges whilst cycling, running or climbing. Heart consultant Tim Betts ran 100 miles (non-stop) along the Thames on one of the coldest days of the year, adding another £8,000 to his fundraising for the Heartfelt Appeal. The three charity abseil events also proved popular, raising £80,000 between them for fifteen separate causes at the Trust. Across the year hundreds of individuals and groups organised their own events from summer balls to belly dances, concerts to canoe rides. We cannot thank them enough for their incredible dedication to Page 5 Annual Report 2012/13 Another special moment in the year was the Dorchester Abbey Christmas concert in support of the Children’s Hospital, with the celebrity readers and world class choir attracting an audience of 600 and raising £60,000. A similarly prestigious event took place at Merton College, where a black tie dinner raised £25,000, helping the Heartfelt Appeal nudge closer to its final goal of creating a brand new Cardiac Imaging Unit. Support from the business community continued, with local law firm Darbys taking part in an Oxford to Paris bike ride and completing their pledge to raise £50,000 for the Cancer Centre. It is recognised across the sector that funds available from Trusts and Foundations are generally lower in the current economic climate. We are therefore particularly grateful for the generous donation of £50,000 (part of a £100,000 pledge) from the PF Charitable Trust towards the Heartfelt Appeal, £15,000 from the Friends of Kennington supporting cancer research and Nuffield Oxford Hospital Fund donating £80,000 to support projects across the Trust. The annual Oxford Mail OX5RUN for the Children’s hospital rounded off an excellent year, attracting 1,000 runners and raising over £90,000 – topping the previous year’s total by £30,000. The determination and positive spirit we see from all our supporters can only be described as inspiring. We are incredibly grateful for all their efforts. Other Projects ORH Charitable Funds supports nearly 600 individual funds, which allow people to donate to very specific causes, projects and needs. These vary from individual ward funds to large department funds and ground-breaking research funds. The Fund for Children supports Children’s Services across the Trust, including the Oxford Children’s Hospital, children’s intensive care wards and the Horton Children’s Ward. £400,000 was raised for this Fund including the successful Oxford Mail OX5RUN and Dorchester Abbey Christmas Concert that enable the Trust to projects including a chill-out room for teenagers with cancer to relax in and furnishing and toys in the Children’s Emergency Department. The Fund also supported a play specialist in Children’s Specialist Surgery Outpatients, an ultrasound scanner for Children’s Radiology and a monitor for children with complex breathing problems. Working with the Eye Hospital Fund the Fund for Children also helped to purchase a state-of the-art paediatric retinal scanner. The Heartfelt Appeal raised £177,000 from major donations and community support moving closer to the target of funding a new Cardiac Imaging Unit. A new Phillips IE33 ultrasound system has already been purchased and it is hoped that work will begin to create this new hub for patient care and research at the end of 2013. The Cancer Care Fund, one of our many cancer funds, also continued to receive support with an income of £94,000. The funds helped to purchased innovative clinical equipment including a nerve stimulator for head and neck patients, an ablation system for endoscopy and a very powerful surgical microscope. In partnership with the HIEF (Hospital Innovation and Enhancement Fund), the Cancer Care Fund also supported the digitalisation of breast screening equipment as well as creating many more comfortable areas for patients with cancer across the Trust. Three funds that have great community support are Oxford I.M.P.S. (the Injury Minimization Programme for Schools), the Silver Star Society (supporting mothers through more difficult pregnancies) and Heads Up (funding head and neck cancer research). Research remained a popular area of support, with causes such as the Julian Starmer-Smith Lymphoma Fund, the Adult Sarcoma Fund, Childhood Cancer Research Fund, the Oxford Vaccine Group and the Cardiology Research Fund all able to continue their important work thanks to the support of donors. HIEF – the Hospital Innovation and Enhancement Fund – was again instrumental in providing support for a variety of pioneering projects across the Trust, including funding of a maternal and neonatal birthing simulator and an ultrasound system for the respiratory day unit Annual Report 2012/13 Page 6 Page 7 Annual Report 2012/13 About us How we are Structured Oxford Radcliffe Hospitals Charitable Funds is an independent registered Charity (Registered charity number 1057295), which exists to raise, receive, manage and distribute donations for the benefit of the Oxford University Hospitals NHS Trust. The Charity was established by Declaration of Trust in July 1996, the Trustee at that time being a corporate body. In April 2003 an independent board of Trustees was appointed under Section 11 of the NHS & Community Care Act 1990. These independent Trustees manage the assets of the Charity and comply with all current statutory requirements, the requirements of the Charity’s governing document and of SORP 2005. The Charity is made up of nearly 600 different funds and each has a specific purpose. This may be to benefit a particular area of the hospital or medical service, to support a research project or to fund certain training and development services for clinical staff. All money received by the Charity is placed in these individual funds and held on trust by the Trustees to ensure that the wishes of our donors are honoured. Each fund has a Fund Advisor (usually a member of staff with specialist knowledge in the relevant area) who is responsible for managing the fund on behalf of the Trustees and ensuring that the money is spent appropriately, in accordance with charity law and in line with the wishes of the donor and for public benefit. The Fund Advisors liaise with the central Charitable Funds Department and receive monthly financial statements, guidance information and ongoing support and advice from the Charitable Funds team. "The Charity is made up of nearly 600 different funds, which each have a specific purpose" "All money received by the Charity is placed in these individual funds and held on trust by the Trustees to ensure that the wishes of our donors are honoured." The Oxford Radcliffe Hospitals NHS Trust merged with the Nuffield Orthopaedic Centre NHS Trust on 1st November 2011 to become the Oxford University Hospitals NHS Trust. The ORH Charitable Funds charity and NOC General Charity merged on 21st March 2012 under the name of Oxford Radcliffe Hospitals Charitable Funds. Annual Report 2012/13 Page 8 Our Trustees The Charity is managed by independent ‘Section 11’ Trustees appointed by the Department of Health Appointments Commission. These Trustees have ultimate responsibility for all activity within the Charity and meet to make recommendations and decisions. When new Trustees are appointed, they receive a comprehensive induction and training programme, which includes spending time with the operational staff who administer the Charity and manage fundraising activity. Our Trustees are appointed for a period of four years, a term which may be renewed for up to 10 years, and meet quarterly. They are: Mr James Nicholson (Chairman) James brings to the Charity benefits arising from his considerable commercial and business background over many years and specifically an expertise in investment management. He is currently chairman of Alpha Portfolios plc, a Director of JP Morgan Russian Securities plc and also a Director of Baring Hedge Select Fund Limited. He has been a Trustee since 2005. He succeeded Mr Peter Bagnall as Chair of the Committee in March 2011. Ms Julie Bond Julie is a Partner and Head of Litigation at solicitors Manches LLP. She has over 30 years experience of commercial litigation and specialises in large cases involving long-term projects, together with crisis management issues. She advises both commercial and not-for-profit organisations of all sizes. Julie lives in central Oxford with her two children, and has been a Trustee since 2003. Ms Caroline Langridge Caroline has extensive knowledge of working in the public sector, and has been part of the NHS since 1975. She has a Masters degree in Public Policy Studies and is a trained Executive Coach. Caroline joined the Department of Health in 1989 where she was a founder member of the NHS Trust Unit, and moved in 1991 to take on a new role as Head of the NHS Women’s Unit, responsible for a major equality programme for women delivering Opportunity 2000 in the NHS. In 1998, she established her own independent consultancy, dealing with health-related matters. Caroline has been a Trustee since 2003 and was also a non-executive director on the ORH Trust Board until October 2009. She also chairs the HIEF Committee. Mrs Anne Tutt Anne Tutt is a qualified Chartered Accountant with 25 years of experience as an executive and nonexecutive director. Anne was appointed as a non-executive director of the OUH in 2009 for a period of four years. Her portfolio currently includes acting as a non-executive director of the Adventure Capital Fund Limited, the Vice Chair of Social Investment Business Limited and Her Majesty’s Passport Office, where she also chairs the Audit Committee. She is a non-executive member of the Audit Committees of the Home Office and DEFRA and works in the private sector as a financial consultant. Anne has led successful finance and management teams in many different sized organisations from small owner-managed companies to large, multi-national organisations in the public, private and social enterprise sector. Anne chairs the Audit Committee for the Charity and the OUH NHS Trust. Page 9 Annual Report 2012/13 Professor Andrew Wilkinson Andrew first came to work at the John Radcliffe in 1973, when only the Maternity block and the Institute were open. After training in Perinatal Medicine in San Francisco, he was appointed as the first consultant specialist in neonatology in Oxford in 1981. In 1992 he joined the University Department of Paediatrics. His contribution to the Charity as a Trustee brings expertise and advice from the perspective of an active medical clinician and researcher. He has been a Trustee since 2005. Mrs Helen Morton Helen was the Treasurer (Finance and Estates Bursar) of Somerville College until December 2012. She was responsible for the College’s finances and investments including legacies, building projects and maintenance, commercial property, human resources, health and safety and gardens. Helen has a background in civil engineering, the oil industry, finance and the charity sector and her experience in the health sector includes being Director of Finance & Administration at Trinity Hospice and a nonexecutive director of the Oxfordshire Ambulance NHS Trust. Helen became a Trustee in 2011 and sits on the Audit Committee. Mr Michael Doherty Michael is an entrepreneur and currently Chairman of ehouse Ltd, a digital marketing company he founded. He has previous experience in finance and industry, working both in the city and then in senior positions for Hanson PLC, a FTSE100 industrial group. Michael studied History at Cambridge University and has an MBA from INSEAD business school in France. He moved to the Banbury area with his wife and young twins in 2009. He became a Trustee in 2011 and sits on the Audit Committee. Volunteers We are greatly assisted in our work by the generous support of all our volunteers, and would like to thank everyone who has made a contribution of any kind. This ranges from the small army of dedicated helpers who put together mailings and ensure that our newsletters reach our database of supporters, to those who sit on fundraising campaign committees. We are also indebted to those volunteers who help to run regular table sales at the John Radcliffe, or help with street collections, fundraising events, publicity, updating our notice boards and many other tasks. Annual Report 2012/13 Page 10 The team Charitable Funds Department Kirsten Bailey Lorraine Irwing Group Finance Manager (ORH Charity) Financial Accountant (Other Charities) Income Section Yaima Bacallao Roland Panavia Angela Williams Finance Manager Income Officer Income Officer Payments Section Michele Tombs Margaret Slater Elaine Burden Janine Marriott Payments Manager Deputy Payments Manager Payments Officer Payments Officer Fund and Legacy Management Pat Newbold Fund & Legacy Manager Fundraising Department Graham BrogdenDeputy Director of Fundraising and Head of Community Fundraising Andrew HouseDeputy Director of Fundraising and Head of Major Gifts Janet Sprake Andrew Styles Penny Hambridge Cynthia Charlett Sarah Vaccari Marianne Julebin Yolanda Jacob Fundraising Manager Outreach & Gift Processing Admin. Asst. Children’s Development Officer Outreach/Gift Processing Manager Communications Manager Major Gifts Manager Fundraising Project Manager (Horton) CONSULTANT Philip BonnierProject Manager working with the Oxford University Hospitals Charitable Funds Department Annual Report 2012/13 Page 11 HOW TO CONTACT US Our main address is: Oxford Radcliffe Hospitals Charitable Funds, Manor House, Headley Way, Headington, Oxford, OX3 9DZ. Tel: 01865 743432 Email: charity@ouh.nhs.uk www.hospitalcharity.co.uk For fundraising queries, please call 01865 743444. Registered charity number 1057295 Financial review The following figures are taken from the 2012/13 Accounts which carry an unqualified audit report. The Accounts may be viewed in more detail on the Charity Commission website (www.charity-commission.gov.uk). This part of the Trustees’ Annual Report comments on the key features from these Accounts. Copies of the full accounts entitled Oxford Radcliffe Hospitals Charitable Funds Accounts 2012/13 are also available from the Charitable Funds Department, Manor House, Headley Way, Oxford, OX3 9DZ. SOURCES OF FUNDS RECEIVED IN THE YEAR (£5.7m) The major categories of incoming resources were: Donations received (£2.3m) Donations in the year amounted to £2.3 million compared to £2.5 million in the previous year. Although this was a reduction of 8%, this was a creditable performance given that the economic situation is making fundraising difficult for most charities and that the Charity currently has no campaigns underway for major expansions of hospital services. We are very grateful for the thousands of donations that are received each year from members of the public (including many grateful patients and relatives) and from the many companies which support the Charity as part of their commitment to the community. Legacy (£1.8m) A gift in your will is a valuable way of investing in the future of the health service in Oxfordshire. The many legacies the Charity receives each year make a huge difference to our ability to introduce the best modern techniques and equipment. The legacies received in 2012/13 are listed opposite. However, particular mention should be made of the bequest of £350,000 for the Children’s Hospital and £271,500 shared between cardiac research, cancer research and cardiac, thoracic and vascular care. These two very large legacies, along with a large number of smaller ones, led to legacy income rising to £1.8 million compared to £0.8 million in the previous year. Listed below are the legacies gratefully received between 1 April 2012 and 31 March 2013, showing the areas which have benefited: Phyllis AbsalomOxford Hospital General Fund Betty Adams Renal Unit Fund Sheila Barber Oxford Hospital General Fund Dorothy Bone Oxford Hospital General Fund Tom Bowling Osler Chest Unit (Respiratory Research) Fund Legacies continued: Brian Brocklehurst Jane Ashley Unit Fund Lillian Burtenshaw Oxford Hospital General Fund Viola Busby Gibson Fund Marianne Calmann Oxford Transplant Centre Terence Chipperfield Renal Medical Ward Fund Dennis Cooper Oncology Ward Fund Annie Copley Oxford Hospital General Fund Edward Cox Neurological Surgery Fund Ernest Craddock Audiology Department Fund Irene Curzon Haematology Ward Fund & Cancer & Haematology Day Treatment Unit Fund Cyril Dashwood Heart/Lung Bypass Damage Fund John Davies Clinical Diabetes & Metabolism Research Fund Derek Enock Oxford Hospital General Fund Paul Eriksen Horton Hospital General Fund Maud Hallam Oncology Research Fund Edward Harris Children’s Hospital (Footprint) Fund Rita Hobbs The Brodey Centre Horton Hospital Fund Mary Hector Oxford Eye Hospital Fund Dennis Hooper Haematology Research Fund William Hunwick Medical Oncology Cancer Research Fund Pamela Marshall Transplant Unit Fund Stephen MilnesCancer & Haematology Day Treatment Unit Jonathan SewellMedical Oncology Cancer Research Fund Valerie Shirley Endocrinology Research Fund Mary Stockford Oxford Hospital General Fund James SummerlyJulian Stammer-Smith Lymphoma Fund Elisabeth Thomas Lung Disease Research Fund Beryl TimmsThe Brodey Centre Horton Hospital Fund Ronald TyleeSpecialist Surgery Inpatients Ward Fund Marjorie Upton Nuffield Orthopaedic Centre Nurses Fund William WardleCardiac Research Fund, Cancer Research (Medical Oncology) Fund & Cardiac, Thoracic & Vascular Fund Casseres Williams Oxford Hospital General Fund Hugh Williams Oxford Hospital General Fund Annual Report 2012/13 Page 12 Grants from external organisations (£0.6m) This heading is significantly lower than the £1.8 million for the previous year. £0.7 million of this reduction arises because of a change in the way grants from the Sobell House Hospice Charity Ltd were dealt with part way through the year. Grants to fund nursing salaries, previously routed via the Charity, are now paid directly to Oxford University Hospitals NHS Trust. There is a corresponding reduction of £0.7 million in charitable expenditure. Activities for Generating Funds (£48k) This mainly arises from sales of fundraising merchandise and a staff lottery which has been running for many years. Income from Charitable Activities (£520k) Income is received from activities undertaken to further the charity’s objectives (such as research and education). This includes income from courses of £455k. This compared to course income of £553k in the previous year. Many departments run courses and conferences enabling the exchange of information and best clinical practice. The income from these events is available to support charitable purposes related to the particular specialty or department. The majority of the course income (£328k) related to the Sobell House Study Centre. Investment Income Investment income amounted to £389k (£504k in the previous year). This reflected reductions in holdings of bonds as part of the restructuring of the investment portfolio. Expenditure The principal change in expenditure was the reduction of expenditure on charitable activities to £4,909k (£6,673k in the previous year), a reduction of £1,764k. As noted elsewhere £700k of this arose because grants for staffing costs from the Sobell House Charity Ltd are now made directly to the Oxford University Hospitals NHS Trust. £507k reflected the reduction in spending on the Heart Centre as that campaign came towards its end. Investments During the year the Trustees conducted a fundamental review of the investment portfolio with the assistance of PiRho Investment Consulting Ltd. The aim of the review was to determine the investment strategy appropriate to Page 13 Annual Report 2012/13 the charity’s needs and to assess proposals from potential investment managers. This exercise led to a reassessment of the investment approach. The Trustees continue to seek investment returns which can be used both to defray the costs of the charity and to provide additional funding for charitable projects. However, they recognise that, particularly in a volatile market, avoiding downside-risk must be a key concern. Previously the investments consisted of a portfolio of equity funds, bonds and other investments, with the investment managers aiming to ensure that these performed at least in line with the market indices for the appropriate class of asset. One of the problems with this approach is that if the values of those classes of asset generally fall, it is possible for the portfolio to outperform the market and still to see the charity’s funds reduced. As a result of the investment review it was decided to move to an absolute return fund managed by Ruffer LLP. Ruffer were chosen as the investment managers as a result of a competitive tender and on the basis both of their track record in managing funds of this kind and the clarity and coherence of their investment approach. At the year end the process of transferring the portfolio from the previous investment managers to Ruffer was underway, but not yet complete. Investments valued at £2,282k remained with the previous managers, and £7,713k had been invested with Ruffer. The process of transferring assets depends upon the period of notice required to liquidate existing investments, but this will have been completed fully by the end of August 2013. In addition, at 31st March 2013 £5.2m was held in cash funds at BlackRock Asset Management Ltd. Up to June 2013 (after the end of the financial year) these monies were held at BlackRock on the instruction of the previous investment managers as part of their overall portfolio. From that date these funds remained at BlackRock, but were held directly on the instruction of the Charity In the nine months to 31st December 2012 the existing investment portfolio showed a total return of 5.24% which exceeded the overall benchmark of 3.49%. This reflected tactical decisions by the investment managers, Cazenove Capital Management. In the following quarter the bulk of the Cazenove portfolio was liquidated and across the year as a whole there were net gains of £467k. During the year the charity maintained two investment pools (excluding the restricted investments for the Bellamy Fund). These were the ‘cash funds’ invested solely in cash or fixed interest securities for small, ward, new or appeal funds, and the ‘stock exchange’ for large, non-appeal funds which had not opted for the ‘cash fund’ option. The Trustees aim to ensure that funds are invested both prudently and profitably over the long-term. In order to protect funds against market fluctuations an investment buffer is held, created from past investment returns and not distributed to individual funds. In the event of a significant fall in the market this buffer would be available to cushion individual charitable funds from this fall and to enable them to continue to meet both their contractual and their moral commitments. Under the previous investment arrangement the aim was for this buffer to be 20% of equity investments and no buffer was held in respect of bond investments. Under the new investment arrangements it is not possible to make this clear distinction between equities and bonds and accordingly the aim is to hold a sum equivalent to at least 15% of the overall investment via Ruffer (without seeking to distinguish between classes of investment asset). residual risk were brought back to the Trustees after the balance sheet date and the register will be reviewed and updated on a regular basis throughout the year. b)The Trustees also considered those risks that are less easy to deal with via a risk log, either because they arise from circumstances which are essentially not foreseeable or because the likelihood of the risk crystallizing is so low as to make specific planning for the risk not cost effective. The best approach to dealing with risks of this kind is to have decision making processes which are good at evaluating the new and unexpected, where there are clear arrangements for making decisions and where there is a culture of flexibility and responsiveness. The Trustees continue to review the management arrangements and culture of the charity to ensure that these characteristics are maintained. The administrative services for the charity are provided by the Oxford University Hospitals NHS Trust and are covered by the internal audit arrangements of the Trust. Risk Management Policy A key role of the Trustees is the management of the risks which inevitably arise in running a substantial charity. The Trustees aim to have controls to monitor risk, to reduce risk as far as practical and appropriate, and to have measures in place to deal with any residual risks which may crystallise. During the year the Trustees comprehensively reviewed the risks faced by the Charity and acted to further strengthen the control framework in this area. This review had two elements: a)A fresh risk log was compiled identifying the various known risks (and drawing upon the experience of Trustees and staff to ensure that this list was as comprehensive as possible) and evaluating these for their likelihood and potential impact. On the basis of this scoring, risks were identified where mitigating actions were required and necessary workplans were established to achieve these. In practice the issues identified as requiring attention were relatively minor, but a number of actions were put in place to reduce risk. The updated risk register with estimations of the Annual Report 2012/13 Page 14 RESERVES POLICY Under SORP 2005, charitable reserves are identified as income which becomes available to the Charity and is to be spent at the Trustees’ discretion in furtherance of any of the Charity’s objects, but which is not yet spent, committed or designated. The definition of ‘reserves’ should exclude: ■ Endowment Funds ■ Restricted Funds ■ Designated Funds In terms of Unrestricted Income Funds, the policy of the Trustees is to transfer the majority of income into Designated Funds in order to ensure that donations are utilised in accordance with the donor’s wishes. At 31 March 2013 the balances on these funds and their average 12 months’ expenditure, was as follows: General Funds’ Balance at 31 March 2013 £750,865 12 months’ average expenditure £264,701. The charity recognises the importance of undesignated unrestricted funds, providing the flexibility to support the OUH Trust’s strategic plans, and therefore the Charity is encouraging more generic giving. This policy will be reviewed periodically. The Trustees review the balance of the OUH General Funds on an annual basis. CO-OPTED ADVISERS These funds are administered by Fund Advisors in accordance with policies and procedures set by the Trustees. The funds are closely and regularly monitored in terms of expenditure plans, ensuring they are spent within a reasonable period of time. In line with the Commission’s Guidance, a separate Reserves Policy is not required for these Designated Funds. Charitable Funds Committee meetings are held at least 4 times a year. Co-opted advisors (and Investment Managers) are invited by the Trustees to attend these meetings and are chosen in order to either represent the different hospitals across the Trust or their particular profession, thus assisting the Trustees in effective and informed decision making. The Trustees do, however, have a requirement to hold funds in order to support various charitable purpose expenditure, including general staff benefits, but it should be noted that this expenditure is not guaranteed. Professor John Stradling Dr Chris Wait John Reynolds In order to meet this expenditure, the Trustees hold General Purpose Funds for the Oxford University Hospitals – John Radcliffe Hospitals, Churchill Hospitals, Horton General Hospital and Nuffield Orthopaedic Centre – and a minimum level of reserve for these funds is considered to be 12 months’ average expenditure. Page 15 Annual Report 2012/13 Medical Staff and Research Medical Staff and Horton General Hospital Medical Staff PROFESSIONAL ADVISERS Lloyds TSB Bank plc 87 London Road Headington Oxford OX3 9AB Ernst & Young Apex Plaza Forbury Road Reading RG1 1YE Ruffer LLP 80 Victoria Street London SW1E 5JL Withers LLP 16 Old Bailey London EC4M 7EG Principal Office Oxford Radcliffe Hospitals Charitable Funds Department Manor House Headley Way Oxford OX3 9DZ Annual Report 2012/13 Page 16 OXFORD RADCLIFFE HOSPITALS Charitable Funds Manor House, Headley Way, Oxford, OX3 9DZ Tel: 01865 743432 Tel: 01865 743444 (Fundraising) Fax: 01865 222469 or email: charity@ouh.nhs.uk www.hospitalcharity.co.uk Registered Charity Number 1057295