Helping Your Hospitals Annual Report 2011 / 12 Chairman’s Statement James Nicholson Chairman of the Section 11 Trustees of Oxford Radcliffe Hospitals Charitable Funds Welcome to the 2011/12 Annual Report for Oxford Radcliffe Hospitals Charitable Funds. It has been a year of change at the Trust, which merged with the Nuffield Orthopaedic Centre in November 2011, changing its name to Oxford University Hospitals NHS Trust to reflect the merger and the close relationship with the University of Oxford. For the hospital charity, I am delighted to say that it has been a year of continuity, with another strong year despite a continued climate of financial uncertainty. During the 2011/12 financial year the income to the charity was £6.5 million, a sum which has helped to make a huge difference to patient comfort and care, medical innovation and research across the Trust. Legacies left to the hospital charity continued to be extremely important. Nearly £840,000 was received through gifts in wills to departments across the Trust, including the Churchill Hospital’s Radiotherapy department, John Radcliffe’s Gynaecology unit, Horton Hospital’s General Fund and the Renal Medicine Ward. Promoting the importance of legacy donations remains a priority for the fundraising team. The majority of income to the charity (over £4 million) came through donations from businesses and individuals, together with grants from other Trusts and charities. Page 1 Annual Report 2011/12 Part of the role of the charity is to facilitate donations by other charitable organisations to support the work of the NHS Trust. We particularly welcome the pledge of £1.5 million made by the Kadoorie Foundation to support the NHS Trust. The charity is acting as agent of the NHS Trust in administering this donation, which is to expand the Kadoorie Centre for Critical Care Research and Education, part of the Trauma Unit. The first half million of funding was received this financial year with a further £1 million to come. You can read in full how this will benefit trauma patients and research later in this report. Although it is difficult to single out individual gifts amongst the great number of generous donations, I would also like to mention the efforts of the local corporate community. In this year the service provider Amey successfully completed their pledge of raising £100,000 and Oxford solicitors, Darbys, £50,000 – both in support of the Oxford Cancer Centre. In addition Champion recruitment donated £120,000 to heart and children’s causes whilst the PF Charitable Trust donated £50,000 of an £100,000 pledge to the Heartfelt Appeal. Our active fundraising team continued to organise and promote a large number of events across the year, which both boost the charity income and dramatically raise its profile. Events such as the Oxford Mail OX5RUN, which celebrated its tenth year raising money for the Oxford Children’s Hospital, and our series of THE Abseils for several causes across the trust, prove popular and successful. Donors will be very interested to know that £6.8 million was spent by the charity during the financial year, primarily benefitting patient welfare, medical research and education across the Oxford University Hospitals NHS Trust. Over £1.7 million of this supported medical research across the Trust – allowing important research to take place into many conditions. Mission Statement Additional training is also an area that charitable funding supports strongly – with £1.9 million spent to allow staff of all levels able to advance their knowledge and skills through the latest specialist courses and conferences in their fields. Patient welfare formed the majority area of spending, at £2.6 million. Much of this was in the form of high tech medical equipment, provided for departments across the Trust during the year. Items include a £147,000 holmium laser for the Urology team, MRI vital sign monitors for the special care and neonatal units at a cost of £37,000, a £60,000 ultrasound system to benefit children and young adults needing cardiac care, and £70,000 of research equipment for the Haematology Research Fund. Huge improvements were also made to patient comfort and environment. Many innovative arts projects took place across the Trust – you will read more of that later and other improvements included making our roof terrace more accessible to older patients on the Bedford Ward, cardiovascular gym equipment for patients at the Horton General Hospital and improvements to teenage patients’ areas in the Children’s Hospital. We are hugely grateful to all those who support this hospital charity. Working together we are able to do so much to help the patients here, and your generosity touches almost every corner of our hospitals. I would also like to take this opportunity to thank Peter Bagnall, the previous Chairman of the Section 11 Trustees, for his many years of work for this charity. As Chairman of the trustees of the charity, I can confirm that we comply with the Charities Act 2011 to have due regard to public benefit guidance, as published by the Commission. 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 The importance of public benefit to all is always paramount in what we do. James Nicholson – Chairman of the Section 11 Trustees of Oxford Radcliffe Hospitals Charitable Funds Annual Report 2011/12 Page 2 Activities and achievements REVIEW OF 2011/12 – the purpose of the charity is to support and benefit the OUH NHS Trust in the most effective ways it can for the public benefit. We are guided in our work by the strategic objectives of the Trust and the priorities it sets for the year. During the year we continued to fundraise for causes across all our hospitals. The Heartfelt Appeal for the Oxford Heart Centre remained an important focus of fundraising and the charity’s arts programme had a busy and successful year. The Heartfelt Appeal – for the Oxford Heart Centre The Heartfelt Appeal (formerly the Oxford Heart Centre Campaign) chaired by Sir Christopher Ball, continued to move forward throughout the year. Having already funded a videoconferencing and outreach education centre, the appeal is now focused on raising further funds to create new echocardiography facilities for patients. Creating a world-class Echocardiography unit, with the most advanced 3D imaging equipment, means we can increase the number of scans we perform, streamline the clinical process, and create more meaningful data for research. Our local community will benefit and, with a growing patient population, an expanded Echocardiography service is of real importance. Echocardiography is now a vital diagnostic tool and 15,000 echo scans take place annually at the John Radcliffe. Use of this important service is increasing rapidly and bringing great advances in our understanding of heart conditions. A new unit will also speed up application of new research discoveries currently in development within Oxford. For example, in collaboration with the University of Oxford Biomedical Engineering Department, clinical researchers in Oxford have developed new ways to improve echo image quality that have the potential to provide even more precise diagnosis. We are now fundraising to create a purpose-built diagnostic suite for the echo team and a state-of-theart echocardiographic system for the most advanced non-invasive imaging of the heart. Not only will this enhance patient care, it will also foster research and collaboration. Consultant Cardiologist, Saul Myerson explains why: “Oxford University Hospitals’ vision is to provide the right hospital environment to ensure innovative research can happen. Then we aim to set the standard for translating that science and research into new and better NHS clinical care. This vision is apparent in the Heart team’s ambitious plan to create a new Echocardiography unit at the centre of the department’s operations. Page 3 Annual Report 2011/12 Other key areas of research which would benefit from the Echocardiography development include groundbreaking studies being undertaken by Oxford researchers in patients with heart failure, valve disorders or heart rhythm problems.” Throughout the year fundraising for the Heartfelt Appeal has been a priority, and campaign funds were boosted by over £330,000. Abseils, walks and an open day together with many other events and donations from the community added £179,000 to the year’s fundraising. This included a generous donation of £50,000 (with a pledge for a further £50,000) from the PF Charitable Trust. A further £150,000 was transferred from our Hospital Innovation and Enhancement Fund and our Gibson Fund to the Heartfelt Appeal. Fundraising will continue in the coming year for this important area. the Nuffield Division of Anaesthetics to promote the study of interventions and outcomes in critical injury and illness. This knowledge will improve the care of patients who have suffered a critical illness or a traumatic injury. The Kadoorie Centre Examples of collaborative research projects currently based in the Kadoorie Centre include: Expanding trauma research and education The Kadoorie Centre for Critical Care Research and Education was set up in 2003 at the John Radcliffe Hospital. Sir Michael Kadoorie generously supported the initial establishment of the Kadoorie Centre and due to its success is donating a further £1.5m to the NHS Trust over two years to support an expansion of the Centre, over the front entrance of the hospital. The charity has been very pleased to be able to facilitate this by acting as agent of the Trust in administering the donation. This charitable funding has meant that the Kadoorie Centre has now also become an established research unit that has achieved an enviable research record in areas of complex acute surgical and critical care. With this additional gift from the Kadoorie Foundation the Oxford University NHS Trust will be able to double the research space which will benefit patients locally, nationally and internationally. Work began on the extension at the end of March 2012 and is expected to be completed by the end of the year. Orthopaedic trauma surgery, intensive care medicine, the resuscitation department, emergency medicine and anaesthetics will all benefit from this expanded space. ■ The treatment and rehabilitation of ankle fractures ■ injury prevention ■ packages of care for hip fractures in the elderly ■ physiological monitoring of surgical and medical patients ■ multi-centre trials of interventions in critically ill patients This internationally recognised centre has been developed through the judicious use of charitable donations and has impacted on the lives of numerous people in the UK and around the world. Keith Willett, Professor of Orthopaedic Trauma Surgery said: “We are absolutely delighted with the new facility which has adopted the most modern technology in its build to create an ideal research environment; we expect to take occupancy in November 2012” But medical technology never stands still, and the need for the very best audiovisual images of patients being treated in the Catheter Suites was identified as a fundraising priority by our cardiac colleagues. In addition to providing more detailed images for the multi-disciplinary teams that collaborate to develop effective care strategies for each patient, these images are critical for effective training, research and outreach work to patient support groups. The Kadoorie Centre is a joint venture within the Oxford University Hospitals between the NHS Trust and the University departments of NDORMS (Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences) and Annual Report 2011/12 Page 4 The Work of Art at Oxford University Hospitals Ruth Charity writes: Artlink is the Trust’s arts programme which aims not only to create an attractive and welcoming hospital environment, but provide distraction and reduce stress for patients and visitors, and create a stimulating and engaging workplace for staff. Charitable Funds supports the Arts Coordinator’s post and many of the projects within the programme, which along with other funding has allowed numerous innovations to take place. During the year a large number of projects were completed, where artists brought their skills to rather tired areas of the hospitals. These included a number of new schemes for waiting rooms to distract and engage patients at our Blue Outpatients area, Eye Hospital and Endoscopy department. In addition, artists designed vinyl based artwork for windows to provide privacy and decoration for the Cardiac Reception and in the Chemotherapy waiting room to unify the space, make it more attractive and provide privacy for both patients and staff. The feedback from staff and patients has shown how popular these innovations are. Some projects have a specific function to inform as well as entertain patients. A specially commissioned film by Tim Hunkin, installed in the new Pharmacy space at the Churchill, is designed to amuse and entertain those waiting for their drugs as well as provide information on the ‘journey’ of drugs to patients. The film is accompanied by a series of humorous wall-based ‘film stills’. Page 5 Annual Report 2011/12 One of the largest projects completed during the year were two photographic stories by Jan von Holleben, which take young people on an imaginative journey from children’s wards to operating theatres, with images hung along corridors, on the ceilings of anaesthetic areas and on screens in recovery bays. The stories are made of over 380 wall panels, following the adventures of two children – Lily and Jonathan Underwater (for Level 1) and Lily and Jonathan in Outer Space (for Level 2). “I just wanted to say that it is a great distraction on the children’s journey to theatre… The response has been very positive!” Erica Watson, Senior Play Specialist As well as commissioning new work, funds have been spent on cleaning and reframing a series of 8 important historical portraits of those involved in the development of the Radcliffe Infirmary (RI). These have been hung in the corridor linking the main JR building to the West Wing, accompanied by biographical details of each sitter. There has been a very enthusiastic response to their return to the Trust from a wide range of staff – consultants, academics, cleaners and handymen. Pews from the RI have been restored and installed in the Cancer Centre to provide welcome additional seating. Projects to engage elderly patients have been developed with local organisations. The Museum of Oxford is providing ongoing reminiscence therapy sessions on Geratology wards, encouraging people to share memories, to talk about something other than why they are in hospital. In addition a pilot programme of concerts on the wards with local musicians and Oxford Philomusica has been very successful; staff say that the ward is much more relaxed and patients much happier after the sessions. And a programme of lunchtime concerts has been developed for the café in the entrance of the Cancer Centre based around the grand piano given by a generous donor. This includes regular piano playing by volunteer musicians and students from Headington School as well as a series of one-off concerts. Having listened to patients we know that making the hospital environment positive and even inspiring is something very important to them. Art and music can distract, entertain and calm patients, and on occasion even transform their hospital experience. Annual Report 2011/12 Page 6 Fundraising news It is you that makes this charity and this charity is here for you. Most families in this region will have some first-hand experience of at least one of our hospitals. Whether their children have been born here, their parents cared for, or through a trip to A&E or our Cancer or Heart Centre, our hospitals touch on hundreds of thousands of lives every year. This charity exists to make improvements to the hospital experience – going beyond what the NHS can provide alone. Through securing the very latest medical equipment, funding groundbreaking medical research or making the hospital environment more comfortable and calming – the effects of the charity can be seen across all our hospitals. It is you that makes this charity – patients, staff, local business, individual donors – without the tremendous support of all those who donate we would be unable to achieve these improvements and innovations. The simple act of making a donation has the power to transform the lives of patients – whether it’s a few pounds a month through regular giving, an event you have entered or organised, a corporate donation or a legacy in your will. And this charity is here for you – you can be sure that your donations are being used the way you wish – making the hospitals that you, your family and friends use a better place to be and funding medical innovations that could transform health care for generations to come. These two simple facts are fundamental to the work the fundraising team does across the year. From working with trusts and foundations and individual donors to secure generous support, to teaming up with the local community to organise all kinds of fundraising and engagement events and activities, which raise large sums for causes across the Trust. Page 7 Annual Report 2011/12 These events also create positive media, with stories such as that of Brian and Audrey Berryman (pictured on the front of this report), a couple in their 80s who abseiled for the Cancer Centre which treated them, reaching far and wide. The support of the business community is also important. Public services provider, Amey, completed their pledge to donate £100,000 to the Oxford Cancer and Haematology Centre, whilst Oxfordshire-based recruitment firm, Champion, gave £120,000 to our heart and cancer funds. The Heartfelt Appeal for the Oxford Heart Centre continued to move forward with the Charitable Funds team collaborating with cardiac staff to run an extremely successful open day in October, attended by 400 interested individuals. Having funded an innovative scanner used by heart surgeons to view the heart in 3D and a videoconferencing education centre, the appeal is now focused on raising further funds to create new echocardiography facilities for patients. The breast cancer screening appeal ran throughout the year, with a host of events including a pamper evening and clinical open day, helping to achieve £100,000 towards creating a fully digital breast screening unit. Events for the Children’s Hospital included the Oxford Mail OX5RUN, an annual golf day, and an evening of song at Broughton Castle. This together with other support helped to fund a mobile intensive care unit, a chill-out area for teenage cancer patients, innovative art en-route to the operating theatres, and a play Specialist in the Children’s Emergency Department to calm and distract young patients. Legacies continue to be very important and, in this year alone, £839,000 was left to causes, including the radiotherapy department at the Churchill, the Renal Medical Ward, the Horton General Hospital and the Oxford Hospitals General Fund. In 2012 , we are delighted seven supporters were chosen for the honour of carrying the Olympic torch this summer. They are all longstanding supporters of our hospitals’ charity. But you don’t have to be running marathons or cycling hundreds of miles to contribute to the future of your local hospitals. Regular giving is a very simple way to make a long standing difference to the hospital causes you care about. To set up a regular donation visit www.justgiving.com/oxfordradcliffe or call 01865 743444. We are hugely grateful to all those people who chose to support their local hospitals with such generosity and enthusiasm. To find out how you can get involved with fundraising for the OUH hospitals visit www.ouh.nhs.uk/charity, or telephone 01865 743444. Annual Report 2011/12 Page 8 Other projects ORH Charitable Funds manages nearly 600 individual funds which allow people to donate to very specific causes, projects and needs. These vary from ward funds to ground-breaking research funds. The following reports give a small flavour of just a few of the activities supported this year. ma Fund The Julian Starmer-Smith Lympho ma Fund. 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Dr Charles re basic scientific research, including mo our ted por sup e hav we , this ide Alongs in lymphoma ate the role of microRNA molecules Lawrie who has continued to investig ing the role of has a particular interest in understand who ham Ban on Alis Dr and is nes pathoge lymphoma. de-regulated transcription factors in g this work to towards this important fund, allowin ate don who se tho all to eful grat ely We are hug take place. Haematology Dr Chris Hatton, Director of Clinical Paediatric Treadmill This was purchased for the Paediatric physio department at the Children’s Hospital. The machine is fully adjustable to enable children from across a wide age range of age and abilities and with many different medical conditions to benefit from physiotherapy. Examples of the benefits include gait assessment, enabling patients to walk in a safe and private environment and the reduced need of having to have two therapists for certain patients. Page 9 Annual Report 2011/12 The Hospital Innovation and Enhancement Fund Below are a few examples of purchases HIEF supported. ■£100,000 to fund a Holmium Laser for the enucleation of the prostate. This equipment is used for the telescopic removal of obstructing prostate tissue using a laser. The Hospital Innovation and Enhancement Fund (HIEF for short) was created to encourage a more diverse range of support across the OUH Trust. General gifts to the hospitals’ charity are directed towards this grant making fund, which as its title suggests, is specifically designed to encourage innovative and pioneering projects that benefit patient care and improve the hospital environment across the Trust. Holmium laser therapy allows patients to experience minimal pain after an operation and spend less time in the hospital. During this year the Fund reached the point of having made over £1 million of grants across our hospitals – a fantastic achievement: Grants made this year totalled nearly £500,000. ■Skin ■Neonatal resuscitation equipment ■Physiotherapy gym equipment for the trauma outpatients department cancer education videos ■Deaf and Visual awareness across the Trust ■A birthing Simulator Oxford Breast Imaging Centre Fund Digital breast screening uses computer imaging techniques to produce a much clearer picture of the glandular tissue in the breast, which means that significantly more breast cancers can be diagnosed using this technology. In addition the digital images are instantly available for doctors to view, and this enables faster diagnosis and treatment for those patients with breast cancer. Digital mammography is being implemented across the breast screening programme in the UK and we are the first Trust in the region to introduce this service to all our patients. During 2011/2012 OUH was able to purchase two new mobile digital breast screening units, thanks in part to the Breast Imaging Appeal. Being digital, the units provide the clearest images possible and being mobile they reach women all over the county. £20,000 towards the cost of these came from donations from the public and each van comes complete with a collecting tin – which is filled regularly as women continue to support this important service. Fundraising for this important equipment came through many and varied events, including the “All About the Image” event in October hosted by the Electric hair salon group. This pampering event raised important funds as well as great awareness about the cause. Philippa Reay, Manager Breast Imaging Centre Annual Report 2011/12 Page 10 Heads Up Eight years of fundraising and over £500,000 of voluntary donations – no easy undertaking, but we’ve achieved it at Heads Up – thanks to the overwhelming generosity of our supporters. The total sums raised have this year enabled us to complete our seed-funding of Dr Stephan Feller’s research project into head and neck squamous carcinoma cells at Oxford University. Dr Feller is now arranging to use his findings in a related drug trial. Extensive exposure to the devastating impact of head and neck cancer continues to fuel Heads Up’s commitment to scientific research. We seek to identify potential cures and treatments that will result in less devastating side effects – treatments currently affect patients’ abilities to eat, smell, swallow, see, speak… to enjoy the fundamental pleasures of life. Current Heads Up Fund Advisers, Consultant Head and Neck Surgeons’ Mr Graham Cox, Mr Stuart Winter and Miss Amanda Salisbury, are all members of the head and neck MDT at the John Radcliffe Hospital. The team links with all those engaged in cancer care within the community and primary care, and offers specialist advice to other head and neck cancer teams within the Thames Valley Cancer Network. Patients from outside the county are often referred to our service in Oxford as we provide specialist treatment not available in all hospitals. 2013 will see the launch of another Heads Up fundraising campaign in support of a new research project that is to be jointly funded by Heads Up and the Royal College of Surgeons. It will be another busy year. Thank you to everyone who has helped. Mr Stuart Winter, Consultant Head and Neck Surgeon in Otolaryngology Page 11 Annual Report 2011/12 The Injury Minimization Programme for Schools (I.M.P.S.) I.M.P.S. is an injury prevention programme that empowers children to take responsibility for their own risk management and equips them with the skills to cope in an emergency situation. The I.M.P.S. scheme is provided to over 200 Oxfordshire schools and annually teaches 5,000 ten and eleven year old children emergency life skills including first aid, basic life support and how to use an automated external defibrillator. A visit to the emergency department helps to reduce fear of hospitals and the children are taught by a team of specialist I.M.P.S. trainers. Learning emergency life skills and understanding how to take safer risks increases children’s confidence and self-esteem and we aim to reduce the number of injuries that present to the emergency department. There have been many reports of young people and adults who have used I.M.P.S. skills in emergencies. Money raised this year has enabled us to: ■Continue our Automated External Defibrillator (AED) project – teaching children how to use an AED by providing training units for each child to practise. (AED’s are found in public community places to be used in the event of a cardiac emergency.) ■Develop our Emergency Department e-learning resource, which enables children to take a ‘virtual tour’ around the emergency department learning about the children’s experiences and injuries. ■ Enrol more Oxfordshire schools (including special needs schools). Thanks to our generous supporters, we are able to continue to develop the programme and enrol more schools. We would like to thank the members of the I.M.P.S. abseil and London Marathon teams, all the I.M.P.S. children who raise money for their school to attend and all of the individuals and local grant funds who donate so generously towards the continuation of I.M.P.S. Lynn Pilgrim, Oxfordshire I.M.P.S. Manager Haematology Fund The haematology trials fund remains very active with expenditure during the last 12 months on a number of research and educational projects. Of these two staff members are being funded for their work on a qualitative research study in patients with neutropenic sepsis. Dr Tim Littlewood, Haematology Consultant Annual Report 2011/12 Page 12 The Silver Star Society Our year began with our biggest event so far – the Silver Star Stroll in the Park – celebrating 40 years of the Silver Star Unit started in 1971 by Professor Chris Redman. The event started with lots of puffing, panting, pushing, and shouting. It ended with much laughter, smiles and happy baby faces. But this wasn’t a routine delivery at the JR, but the celebration of 40 amazing years of the work of the Silver Star unit, which takes care of mums with complicated pregnancies and their babies. Celebrities Armando Iannucci (The Thick of It) and Jo Joyner of EastEnders together with Lawrence Impey (Head of the Fetal Medicine Unit) and Chris Redman led the field in a Stroll round Oxford University Parks to raise money for a state of the art scanner to be used in the Fetal Medicine Unit on Level 6, which works closely with the Silver Star Unit. The afternoon was a great success, supported by hundreds of supporters of the unit and captured by the BBC, Oxford Mail and other media groups. About 500 Silver Star babies are expected to be delivered this year, as the unit goes from strength to strength, ensuring plenty of new supporters for the next 40 years! We were able to donate a substantial amount to the Fetal Medicine Unit towards the purchase of a new state of the art scanner. Our fundraising continued with a wonderful donation from Kristina and Adam Reynolds. They were married in Woodstock Town Hall and instead of a traditional wedding list they asked friends and family to make donations to the Silver Star Society. Two years ago their twin girls Flora & Phoebe were born in the Silver Star Unit. They said “We hope the Unit continues to provide support to many more families in the way it did to ours”. Maggie Findlay, Silver Star Society Charity Secretary Page 13 Annual Report 2011/12 Horton General Fund The Horton General Charitable Fund supports projects across the Horton General Hospital. In 2011/12 the fund pledged to contribute £10,000 towards the new Renal Dialysis Unit which opened in April 2012. The unit enables patients who previously currently travelled to Oxford to be treated in Banbury. It has five dialysis stations to treat up to 20 patients and both staff and patients are thrilled with the new unit. Allie Thornley, Matron of Dialysis units explains: “It has long been our ambition to be able to develop a renal dialysis unit in the North of the county at the Horton. It is particularly hard for dialysis patients to be travelling, because the treatment itself is so tiring and time consuming and they have to have the treatment so regularly.” Legacies continue to be very important to the Horton’s General Fund and in this year over £100,000 was received. We are extremely grateful to everyone in the local community who supports this important fund which allows us to bring so many positive changes to our hospital. Yolanda Jacob Fundraising Project Manager The Fund for Children The Fund for Children supports areas where babies, children and teenagers are treated, including the Oxford Children’s Hospital, the Horton General’s Children’s Ward and many other areas across the Trust. Donations and fundraising events have continued to play a huge role in making our hospitals a less intimidating and more comfortable place to be for children and their families. The following are just a few examples of improvements that have been funded thanks to your generosity, and participation in events such as our golf days, abseils and annual fun run. We continue to be hugely grateful for all the generous support received. Playspecialist in Children’s Emergency Department We funded a 12 month pilot project to have a playspecialist based in the Children’s ED department which proved so successful that the post has now been made permanent and incorporated into the department budget. Not only did the post holder improve the environment for the children and their families, she also used her skills in distraction to enable many children to undergo procedures which they would have otherwise have needed sedation or an anaesthetic for. Mobile Intensive Care Unit The Fund for Children contributed to the purchase of a mobile Intensive Care Unit. This enables the expert medical team from the Children’s Hospital to go out to other hospitals within the region to bring critically ill children to Oxford for specialist care. Art En-route to Theatres As detailed earlier in this report, a series of photographic art murals have been installed along the corridors leading from the Children’s wards to the operating theatres and on the ceilings of the anaesthetic rooms and the recovery room. Designed by Jan von Holleben the installations aim to distract children about to have an operation and give them and their parents and the staff something to chat about. The Fund for Children has been proud to support this project and would like to thank the company Firefly Tonics for their fundraising towards this initiative. Penny Hambridge, Children’s Development Officer Annual Report 2011/12 Page 14 Looking ahead Funds across the Trust One of the things that makes this charity so special is that it is made up of around 600 unique funds, covering almost every corner of our hospitals. From major campaigns when new facilities are being built, to supporting individual hospital wards and funding innovative medical research – there is something of interest for everyone. With the success of the Children’s Hospital and Cancer Centre campaigns, the fundraising team at ORH Charitable Funds will be focussing on supporting and encouraging many of the smaller funds to grow. The charity literature will feature more of the diverse range of funds and events have been opened up to a larger number of our hospital causes, rather than concentrating solely on the large campaigns. THE Abseil is a great example of this in practice. Traditionally our abseils throughout the year have been run for one large fund area – for example the Children’s Hospital, Cancer Centre or Heart Centre. With THE Abseils for 2012 /13 we will open the events up to a number of smaller funds who have grabbed the opportunity enthusiastically. Our successful Open Days, where patients are invited to exclusive talks from the top clinicians in their field, will also be extended to include new areas. Whilst we will continue to provide these events for the Heart and Cancer Funds, we will also be working with other specialisms, such as the Eye Hospital, to organise events. Although the open days are designed principally as information events, they have proven to be hugely successful in terms of fundraising and supporter acquisition, and broadening them out to departments across the Trust is an exciting development. Page 15 Annual Report 2011/12 Encouraging Regular Giving and Legacy gifts Regular giving is an area this charity is very keen to continue advancing in the coming years. A steady monthly or annual donation from supporters can amount to very large sums indeed, and helps the charity to plan ahead and support long-term projects. We will be developing new ways to encourage regular giving through our events and publicity materials. Similarly the importance of legacies to this charity cannot be underestimated. In recent years around a million pounds a year has been donated through the generosity of those who have left gifts in their wills. In total 36 people left gifts in their wills to the hospital this year, including one to causes across the hospitals of over £220,000, a £50,000 gift was given to the Radiotherapy Department and £84,000 left to the Haematology Wards and Cancer Day Treatment Unit. The Horton General Fund received over £100,000 whilst the Gynaecology Unit received £9,000. We will continue to highlight the importance of legacy giving – in an appropriate and sensitive manner – across the hospitals and in our fundraising literature. Inspiring Staff and supporters Spreading the word about the work the charity does amongst both staff and supporters is fundamental for the success of the charity. In the coming year we are hoping to improve visibility of the charity across the Trust, re-designing the website and improving our social media outlets. It is also a priority to further engage staff across the Trust to act as knowledgeable ambassadors for the charity. Annual Report 2011/12 Page 16 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 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. Page 17 Annual Report 2011/12 "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." 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 non-executive 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 Social Investment Business Limited and the Identity and Passport Service, 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. Annual Report 2011/12 Page 18 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 is the Treasurer (Finance & Estates Bursar) of Somerville College. She is 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 non-executive 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 2011/12 Page 19 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) 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.ouh.nhs.uk/charity For fundraising queries, please call 01865 743444. Registered charity number 1057295 CONSULTANT Philip BonnierProject Manager working with the Oxford University Hospitals Charitable Funds Department Annual Report 2011/12 Page 20 Financial review The following figures are taken from the 2011/12 accounts which carry an unqualified audit report and the Accounts may be viewed in more detail on the Charity Commission website (www.charitycommission.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 2011/12 are also available from the Charitable Funds Department, Manor House, Headley Way, Oxford, OX3 9DZ. SOURCES OF FUNDS RECEIVED IN THE YEAR (£6.5m) Each of the major areas of incoming resources is reviewed below: Donations received (£2.5m) We are again enormously grateful for the thousands of donations received from members of the public, including of course the many grateful relatives and patients, collections in memory of a loved-one, and in addition from the many companies which have adopted our Charity as a way of putting something back into the community. Legacy (£0.8m) A gift in a Will is a valued way of donating to charity and an investment in the future. We are fortunate at ORH Charitable Funds to be remembered by so many people each year, whose gifts make a huge difference to healthcare across the Trust. Where the terms of the gift require the capital to be invested, the income generated is used to assist our charitable work. Please see the listing of 2011/12 legacies on page 25. Grants from external organisations (£2m) We are grateful to the charities and other similar organisations that have given us grants to fund particular projects or pieces of equipment. Specific mention should be made of the continued significant support of Sobell House Hospice Charity for palliative care. We are always keen to work with the many specialist health charities to benefit groups of patients being treated at the OUH Trust. Activities for Generating Funds (£46k) This income arises from sales of fundraising merchandise and a staff lottery which has been running for many years. Page 21 Annual Report 2011/12 Income from Charitable Activities (£626k) Income is received from activities undertaken to further the charity’s objectives (such as research and education). This includes income from courses of £553k. Many clinical departments run courses and conferences enabling the exchange of information and best clinical practice. These events generate income to benefit the departments concerned. The majority of the course income (£369k) is generated by Sobell House Study Centre. Investment Income (£504k) Investment income of £504k has been generated with the main portfolio yielding an average of 3.5%. Where we spent our money in 2011/12 compared with the previous year 2011/12 £’000 (Restated*) 2010/11 £’000 1,702 534 1,659 877 1,840 – 113 397 10 1,862 508 1,623 1,471 1,406 942 195 443 5 7,132 8,455 Patients Staff Welfare, Equipment & Staff Areas Medical Research & Equipment Medical Equipment Specialist Courses & Training Building Projects and upgrade to patient areas Fundraising Costs Charged to Specialist Appeals Administration Other Totals * The merger with The Nuffield Orthopaedic Centre has been treated as merger accounting and accordingly the comparatives for the year 2011 have been restated to include the results for both entities. OUR INVESTMENTS Investment Review for year ending March 2012 Cazenove Capital Management Limited have provided the following review: Financial markets provide us with a constant reminder of just how quickly sentiment can reverse over a short period of time. As Greece’s dominance of the news headlines began to diminish, investors seemed to put aside the negative implications of their lingering Eurozone debt concerns. Their ‘riskon’ mentality that emerged towards the end of last year, and then became more obvious in the opening quarter of 2012, appeared fully justified by the provision of cheap and plentiful liquidity by the European Central Bank (ECB) and the additional firepower committed to the European Financial Stability Facility (EFSF). Simultaneously, across the Atlantic, a stream of more positive economic data raised the prospect of a more solid US recovery than most commentators had been anticipating, although ironically the resulting improvement in sentiment has been partially counter-acted by the fading hopes on more quantitative easing (QE). While growth prospects in the West may have improved, there has been a divergence with trends in the emerging markets. Most importantly, there have been growing concerns over China’s ability to achieve a soft landing although the Chinese government still has a lot of room for manoeuvre via fiscal and monetary policy – quite opposite to the situation in Europe where austerity has become the pre-condition for growth. Annual Report 2011/12 Page 22 Looking at the UK, GDP is now reported to have contracted by -0.3% in real terms in Q4 2011, more than the -0.2% initially estimated and driven mainly by a more modest increase in inventories than in the preceding quarter. For 2011 as a whole, UK GDP growth is now estimated at 0.7%, again lower than the previously published figure of 0.8%. A positive feature of last year’s growth was that an improvement in net trade more than accounted for the whole of the increase in real GDP, with an increase in exports of 4.6% significantly outpacing the 1.2% growth in imports. The Bank of England extended QE by adding £50bn to gilt purchases in February 2012, on top of the £75bn added in October 2011, making a total asset purchase target of £325bn. Consensus forecasts still suggest there will be an additional £50bn or so of gilt purchases before the end of this year, necessitated by stalling economic growth. We remain sceptical of the effectiveness of purchasing gilts, particularly because we are unconvinced by official claims of a significant positive impact on real economic growth, as evidenced by the sluggish growth in 2011 despite the billions that had already been pumped into the economy. Rather, we regard current policy as raising future inflationary risks and potentially undermining sterling. Considering global market uncertainty, it is therefore pleasing to report that the portfolio achieved a +3.6% return for the year ending March 2012, ahead of the FTSE All Share Index of +1.4% but behind the tailored benchmark of +5.5%. Whilst the majority of the asset classes, such as UK and overseas equities and property outperformed their relative benchmarks, fixed interest under performed. As stated above, we think conventional gilts are expensive and returning you less than inflation. Therefore, the portfolio’s bias has been to investment grade corporate bonds. However and in the short term, QE and the search for ‘supposed’ safe havens have moved gilt prices to all-time highs (and yields to all time lows), hurting relative performance. The portfolio is defensively positioned, with around 40% in equities, 22% in fixed interest and the remainder in alternative assets such as absolute return and property. The bias remains toward income, with the portfolio yielding around 3.5%. Page 23 Annual Report 2011/12 ABOUT OUR INVESTMENTS There are two elements to the Investment Policy with the charity operating two types of investment pools: a)Stock Exchange Portfolio – for large, non-appeal funds not opting for the ‘cash only’ option. b) Cash and Fixed Interest Only Funds – for small, ward, appeal and new funds The Trustees ensure that the money held within the Charity is invested prudently and profitably over the long term, for the benefit of the Charity. The aim for the stock market portfolio is to meet the income needs of the Charity and to grow capital and income over the long term at a low to medium level of risk. An investment buffer of 20% (above fund values) was created to support these funds against future market falls and this decision resulted in the capital value of funds being fully protected in the year. The aim of the cash and fixed interest only fund is to meet the income needs of the charity at a low level of risk. The investment performance is measured against a composite portfolio benchmark agreed by the Trustees and Cazenove at quarterly meetings. The Trustees are carrying out an Investment Management Review in 2012/13 At 31 March 2012 the value of the portfolio of investment funds was £7.6m, achieving an annual protected income of £264k (equivalent yield of 3.5%). Annual Report 2011/12 Page 24 GIFTS THROUGH LEGACIES Listed below are the legacies gratefully received between 1 April 2011 and 31 March 2012, showing the areas which have benefited: Phyllis Absalom Oxford Hospital General Fund Richard AtkinsonRadiotherapy Department Improvement Fund Valerie BakerGynaecology Unit Ward / Cancer & Haematology Day Treatment Unit Fund Joyce Brockington Blood Coagulation Research Fund Ada Cooper Oxford Eye Hospital/Cancer Research/ Oxford Hospitals General Fund Sheila Crouch Oxford Eye Hospital/Kamran’s Ward Fund Ira Cubitt Neurology Fund Irene Curzon Haematology Ward/Cancer & Haematology Day Treatment Unit Fund John EnnisHead’s Up – Head & Neck Cancer Research & Development Fund Paul Eriksen Horton Hospital General Fund Stanley Goodman ORH Cancer Campaign John Gossage Oxford Hospital General Fund Mary Hector Oxford Eye Hospital Fund Gillian Faichen HedgesEndoscopy Unit Fund Vera Hillman Neuro ITU Ward Fund Dennis Hooper Haematology Research Fund Dorothy MillerHaematology Ward/Cancer & Haematology Day Treatment Unit Fund Joseph Mitty Fund for Children Betty Mold Churchill Transplant Unit Fund Hilda Needle Cardiothoracic Critical Care John Parsons Renal Research Fund Constance Preston Clinical Diabetes & Metabolic Research Fund Christopher Rogers Heart Centre Campaign / Oxford Heartfelt Appeal Hilda Salmon John Warin Ward Fund Lily Scarsbrook Renal Medical Ward Fund Adrian Shirlin Horton Hospital General Fund Margaret Spratt Gibson Fund Hilda Steptoe Renal Medical Ward Fund Joyce TaylorOxford Eye Hospital / Oxford Hospital General Fund/Sir Michael Sobell House Fund Mildred Treen Oxford Hospital General Fund Margaret Tremaine Haematology Research Fund Ronald Tylee Specialist Surgery Inpatients Ward Fund Ursula Warman Cancer Research Fund Janet Webb Cardiothoracic Critical Care Fund Leslie Weller Haemophilia & Thrombosis Centre Zena Woolway Oxford Eye Hospital Fund Page 25 Annual Report 2011/12 RISK MANAGEMENT POLICY In compliance with the Statement of Recommended Practice (SORP) 2005, the Trustees identified their main objectives, including those delegated to their administrative department, the ORH Trust’s Charitable Funds Department. The risks to these objectives were then shown and assessed for severity and likelihood, and compiled as a register showing the controls existing to mitigate each risk. This highlighted those areas in which residual risk remains medium or high, and where further action is required. It is the Trustees’ intention to re-visit this register on an annual basis to ensure that it remains relevant and comprehensive and that action has been taken where indicated. It is their belief that the control systems identified in this exercise are sufficiently embedded to have become part of the culture of the Department and that managers and staff are aware of their responsibility for internal control as part of their accountability for achieving the objectives. All members of the Department are encouraged to be aware of their responsibility to respond and advise on evolving risks, whether internal or external, and to report failings promptly for consideration by management and Trustees. 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. 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. PROFESSIONAL ADVISERS 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. Ernst & Young Apex Plaza Forbury Road Reading RG1 1YE Lloyds TSB Bank plc 87 London Road Headington Oxford OX3 9AB 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. Cazenove Capital Management Limited 12 Moorgate London EC2R 6DA At 31 March 2012 the balances on these funds and their average 12 months’ expenditure, was as follows: Withers LLP 16 Old Bailey London EC4M 7EG General Funds’ Balance at 31 March 2012 £554,939 12 Months’ Average Expenditure £361,123 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. Principal Office Oxford Radcliffe Hospitals Charitable Funds Department Manor House Headley Way Oxford OX3 9DZ CO-OPTED ADVISERS 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. Professor John Stradling Dr Chris Wait John Reynolds Medical Staff and Research Medical Staff and Horton General Hospital Medical Staff Thank you for taking the time to read our Annual Report for 2011/12 Annual Report 2011/12 Page 26 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.ouh.nhs.uk/charity Registered Charity Number 1057295