Mid Essex Hospital Services NHS Trust Charitable Fund For the year ending in March 2014 Registered Charity No 1048542 We care. We excel. We innovate. Always
Contents 1. The Chairman s Report 2. The Trustee s Report 3. Independent Auditor s Report 4. Statement of Financial Activities 5. Balance Sheet 6. Notes to Financial Statements 2
01. The Chairman s Report It is my great pleasure to introduce the Annual Report for the Charitable Fund of Mid Essex Hospital Services NHS Trust, which reflects another exciting and successful year. The hospital continues to be supported by an amazing number of organisations, clubs and societies, individuals, staff, patients and friends. It is heartening to discover how many people raise money in varied and imaginative ways to improve our hospital and the service we provide. There is a lot of good news in the pages that follow, and details of numerous events that friends and supporters of our hospital have organised over the past 12 months. Over the past year, through your hard work, commitment and support and through legacies and donations, 341,000 has been raised. In the report, you can read about where the money has come from and how and where it is being spent. It is inspiring that so many people, young and old, express their support and appreciation of the vital work of our dedicated staff through raising funds for so many different aspects and areas of hospital life. We are immensely grateful to you all. I must also offer a special thank you to the Friends at Broomfield Hospital, whose generosity and the continued support, not for only providing us with funds for important and much needed medical equipment and amenities, but also for the remarkable service in the shops, trolley and library services, and welcoming smiles for our patients, visitors and staff alike. In last year s report, I drew attention to two exciting new projects funded from charitable funds the Dementia Project and the refurbishment of the Phoenix Children s Ward courtyard garden. I am delighted to report excellent progress. The Dementia Project is well underway with the refurbishment of the ward areas, and vast improvements planned for the gardens with the help of volunteers from the local 41 Club and students of Writtle College. Our children s play area is nearing completion and a grand re-opening is planned in the near future. Both these projects will help us deliver our objects, which centre on enhancing the high quality care our clinical teams provide to their patients. Whilst you are reading this report, I would also like to encourage staff and members of the public to attend our quarterly meeting of the Charitable Funds Committee so that you can hear how we decide to spend the money you raise, and so that we can take account of your views and comments. The details can be found at www.nhs.uk/ourcharity On behalf of the Charitable Funds Committee, can I once again take this opportunity to thank all our supporters, fundraisers and volunteers for their hard work, commitment and continued generosity throughout the year and for your most valuable contribution to the welfare and wellbeing of patients, visitors and staff at Mid Essex Hospitals. Nick Alston CBE Non Executive Director Charitable Fund Committee Chairman 3
2. The Trustee s Report Registered Charity Number 1048542 The Trustee presents its annual report and the audited financial statements for the year ended 31 March 2014, which have been prepared in accordance with the Charities Act 2011 and the Statement of Recommended Practices, Accounting and Reporting by Charities 2005. Who we are Mid Essex Hospital Services NHS Trust Charitable Fund is an independent registered charity established under s51 of the NHS Act 2006 and registered with the Charity Commission (registered number 1048542) to raise funds and receive legacies and donations for Mid Essex Hospital Services NHS Trust (MEHT). We are members of the Association of NHS Charities and are regulated by the Charities Commission where you can find our annual accounts. We are one of more than 300 registered charities in the UK associated with NHS hospitals or organisations. Together these charities contribute 400 million each year to patient care. Our aim is not to fund patient care, but to enhance and improve it by funding projects, medical equipment and amenities that are over and above those served by government funding. What we do Mid Essex Hospitals is likely to have a major impact on everyone s life in mid Essex. From the birth of a child, to a serious illness, everyone needs the services of a hospital at some time. The patients experience can be enhanced even more from doctors and nurses with additional specialist skills, better equipment and additional amenities. The charity aims to achieve this through your generous support and donations. The charity also supports many specialist areas such as St Andrew s Centre based at Broomfield Hospital which has been acknowledged as one of the top Plastic Surgery and Burns units in the world and covers a catchment of over 3.2 million people. Hospital sites include Broomfield Hospital with its woodlands, green spaces and an excellent art project to brighten the corridors and distract patients at stressful times. There are also a range of outpatients and birthing units in Braintree and Maldon with the charity serving a total of over 350,000 people in Mid Essex. How we work Any donations made to our Charity, by the public or by institutions, are for the benefit of our patients and their care. We have restricted and designated funds for many of our wards and departments, giving donors the opportunity to give to a specific cause. We also have a general purpose fund which aims to support areas where the need is greatest. Areas of work we support through charitable donations are: Patient care and clinical area enhancements Equipment Staff training and education Medical research Partnerships with other charities are important. We take time to work with many local charities whose mission is to support our patients such as the Friends at Broomfield Hospital, Farleigh Hospice, Essex Air Ambulance and our local Rotary Clubs. Through partnership working, we aim to improve and enhance patient care through joint projects and funding. We support our research and development departments who work with Anglia Ruskin University's research unit on world class research into a wide range of projects to create breakthroughs in medical science and practices. 4
Trustees The charity has a corporate Trustee: Mid Essex Hospital Services NHS Trust. The Trust Board have appointed a charitable fund committee to exercise the duties and powers of the charity. The members of Mid Essex Hospital Services NHS Trust Board who served during 2013/14 were: Sheila Salmon Colin Grannell (From May 2013) Manny Lewis Robert Kirton Nick Alston Karen Hunter Malcolm Stamp (Until June 2013) Paul Forden (From September 2013) Ronan Fenton Paul Reeves Cathy Geddies (From January 2014) Nick Gerrard Helen Hughes Stephanie Watson (From July until September 2013) Alison Cuthbertson (From May until January 2014) Trust Chairman Non Executive Director Non Executive Director Non Executive Director Non Executive Director Charities Chairman Non Executive Director Chief Executive Officer Chief Executive Officer Medical Director Chief Nursing Officer Chief Nursing Officer Finance Director Director of Performance & Business Planning Chief Finance Officer Chief Nursing Officer Charitable fund committee members and advisors The charitable fund committee members are appointed in line with the terms of reference of the charitable fund committee. Nick Alston, Non Executive Director is Chair of the committee. The following advisors also attend the meetings of the committee. Mary Atkins (Until July 2013) Belinda Butt Yvonne Carter Betty Perry (Until October 2013) Clare Read James Day Christine Watts Fundraising Manager Head of Finance Accounting & Controls Charities Support Officer Patient Council Legal Advisor, Birkett Long Trust Board Secretary Director of Communications and Patient Experience Administrative details Registered Office: The Secretary to the Trustees Mid Essex Hospital Services NHS Trust Charitable Fund Charities Office Broomfield Hospital Chelmsford, Essex CM1 7WE Telephone: 01245 514559 Bankers: GBS - CITI Bank Auditors: BDO LLP, 16 The Havens, Ransomes Europark, Ipswich, Suffolk, IP3 9SJ Investment advisors: HSBC Investment Bank plc, 6 Bevis Marks, London, WC3A 7JQ Legal advisors: Kennedys, Longbow House, 14-20 Chiswell Street, London, EC1Y 4TW 5
Object and Activities Our object in charity law is: To hold the trust fund upon trust to apply the income, and at their discretion, so far as may be permissible, the capital, for any charitable purpose or purposes relating to the National Health Service. The Trustee s powers in law are: To raise funds and receive contributions Buy hire or lease any property necessary Sell lease or dispose of any property necessary To co-operate with other charities in furtherance of the objects Our aim and our activities are not to fund patient care, but to enhance and improve it, providing funding for projects that are over and above those served by government funding. We aim to increase both income and expenditure of funds for the primary purpose of enhancing the patient experience at our hospitals which includes: Improvements to the internal and external environments Providing additional services Enhanced staff training and development Purchasing new equipment To establish and support any charities formed for the objects Employ staff necessary for the proper pursuit of the object Charge against MEHT a proportion of administrative overheads To permit any investments in any company that is a member of the stock exchange To designate funds to meet the objectives To accept create or administer restricted funds To transfer the trust fund and any part of it to any such body that is responsible for MEHT Research and development In setting the objectives and activities of the Charity the Trustees have given due consideration to the Charity Commission s published guidance on public benefit. 6
Annual Review Our Impact We aim to make an impact to the health and wellbeing of the 350,000 people who are served by Mid Essex Hospitals through supporting a range of capital and revenue projects funded by our charitable income. Our supporters We continue to be supported by many individuals, community groups, charities and institutions. We are immensely grateful to our major supporter, the Friends at Broomfield Hospital, who yet again have not only provided services to our patients, staff and visitors but also made significant donations towards our projects from their free reserves. The Friends of Broomfield provided the hospital with equipment including this ECG Machine for the Lister Ward. A range of individuals and groups have held events to raise funds for their chosen cause. These include runners in the London Marathon 2013 who supported the Dementia Project, staff at Liverpool Victoria who raised funds for the Children s Garden, whilst the neo natal unit benefitted from participants in the Maldon Mud Race to purchase additional equipment for our tiniest patients. It s not always about the money. Hand knitted teddies and toys provide a welcome distraction for younger patients visiting the children s outpatient and emergency services, all created by local knit and natter groups, as well as individuals. Handcrafted quilts received from Project Linus UK are gifted to poorly children providing a little extra comfort when it s needed most. Its not always about money. They also provide a free Library Trolley Service to our patients. 7
Our Year Breast Reconstruction Awareness Fund celebrates 10 year anniversary This year the Breast Reconstruction Awareness (BRA) fund is celebrating an entire decade of supporting women undergoing breast reconstruction. Since the fund was established by staff in 2004, it has gone from strength to strength, providing vital support and information to patients while also raising a staggering 75,000 from events including the granny run, an evening ball, and the extremely popular annual Ladies Lunch. With the help of fundraisers, former patients and community events, the team have been able to provide new equipment, the refurbishment of a ward area. Staff take on fundraising challenge for the Intensive Care Unit Well done to staff from our Intensive Care Unit, who have been busy fundraising to improve patient facilities and purchase new specialist rehabilitation equipment for the unit. The ambitious team set their sights on completing the Three Peaks Challenge, which saw 13 staff climb the UK s highest mountains in just 24 hours in a bid to raise 10,000. Members of the team also arranged a Bed Push through Chelmsford High Street, a cake sale and a quiz night to support their fundraising efforts. New equipment enhances patient care Staff on the renal unit have been putting their charitable funds to good use, purchasing a new transonic device to be used in the direct treatment of patients. The device scans and measures blood flow, and alerts the medical staff to the possibility of a problem developing. The new equipment will be extremely useful in patient care, and will make a huge difference to patient outcomes. 8
Thanks to Friends at Broomfield The Friends at Broomfield have provided incredible support to the hospital throughout the year. They have funded a variety of equipment including an advanced Specular Microscope for the Ophthalmology Department and a Video fluoroscopy chair for the Speech and Language Department. They have also provided toiletry bags for the elderly wards, a new piano for the Faith Centre and funded reflexology sessions for patients on the chemotherapy unit. The Friends run two shops on site selling newspapers, toiletries, gifts and refreshments. They run a library service and trolley service for patients. Donations fund new woodland path Over the past year, volunteers from The Conservation Volunteers have been working on a new path in the hospital grounds, which was completed in March. This path has been funded by donations from the Heritage Lottery Fund and BAA Stansted Communities Fund. Spending time in the outdoors can provide an enhanced sense of wellbeing for our patients and staff, so we are extremely pleased to provide space within the grounds where patients, visitors and staff can relax and enjoy a tranquil environment, away from the busy setting of the hospital. Charitable funds improve care of the elderly The Dementia Project was established by the multi-disciplinary team to ensure persons with dementia receive the highest standard of care possible in the right healing environment. Work has begun refurbishing Baddow Ward and Braxted Ward which includes painting the walls distinctive colours and improving access around the ward. Students from Writtle College are also designing two therapeutic outside areas for both wards. Once the designs are finalised, members of the 41 Club will work on bringing the designs to life. 9
Out to Africa project goes from strength to strength The Out to Africa Project continues to expand, with four members of Trust staff returning to University Teaching Hospital (UTH) in the Lusaka, Zambia in early 2014 to continue working with the medical teams to facilitate training courses and share working practices. To fund the project, the project team have held a number of successful fundraising events over the past year, including a quiz night, sponsored bike ride and held an extremely successful Summer Fun Day. Tom Browne, Vascular Surgeon and Lead for the Out to Africa Project also completed the London Marathon this year to raise additional funds for the project. Community Donations Ladies from the Women s Institute kindly donated hand knitted teddies for the children s outpatients department. These are an extra treat for children if they have been particularly brave! Staff on Burns ITU were delighted to received two remote controlled cars from BMW Colchester. The cars will not only provide hours of fun for patients, but will also help with their rehabilitation. Children s garden now open for play! Young patients on the children s ward now have a brand new play area to use following the complete refurbishment of the previous space made possible by charitable donations. The refurbishment included extending the size of the area, installing a new surface, creating a visual and sensory area and providing all new play equipment and outdoor toys. The new play area will not only help with rehabilitation and therapy but will also provide a welcome distraction for our young patients and their families during their time in hospital. 10
Family fundraise for Freddie! Matt Wingar and a group of friends took on the Bupa London 10K to raise money for the neonatal unit after Matt s son, Freddie, was born three months premature, weighing just 2lbs 8oz. Freddie spend 6 weeks on the unit, but now at 2 years old is the picture of health. Matt and his wife Tracey describe the care from the staff on the unit as amazing and were thrilled to raise so much to say thank you. Staff fundraiser The Palliative Care charitable fund was given a boost thanks to the generosity of Bouygues Energies and Services UK Ltd. Staff held a variety of fundraising events including raffles and cake stalls, and between them raised over 500. Sarah Godfrey, Palliative Care CNS, said We will use this donation to buy additional amenities to support our patients, such as camp beds which enable relatives to stay with them. Thank you for helping us make a huge difference to our patients Members of the Chelmsford Lioness donated over 5,000 to the hospital, which enabled the cardiac service to purchase an ECG machine and a heart monitor. Children coming to the St Andrews Centre will be kept entertained after staff used charitable funds to buy new toys and games for the area. Work has now been completed to refurbish the Head and Neck Ward, which was paid for by the Let s Face It appeal that staff set up to enhance the care they can provide to their patients. 11
Analysis of Income 2013/2014 2013/2014 2012/2013 000 % 000 Individuals 137 40 231 Charitable Foundations 65 19 63 Corporate and grants 43 13 171 Legacies 25 7 79 Investments and other 71 21 59 Total 341 100 603 This chart represents the different ways we receive charitable income. National trends indicate legacy income contributes 8% to NHS charities, and this area of income will need to be investigated for future improvements. Analysis of expenditure Charitable Expenditure is summarised as follows: 2013/14 2013/14 2012/13 000 % 000 Patient s welfare and amenities 499 67 284 Staff welfare and amenities 127 17 116 Other 119 16 140 Total 745 100 540 12
Risk Management The major risks to which the Charity is exposed have been identified and considered. They have been reviewed and systems established to mitigate those risks. The current investment policy represents a low risk in terms of receiving interest on its investment. The position is reviewed on an annual basis. Systems and procedures are also regularly reviewed to ensure controls remain appropriate. Internal audit reviews, performed by the Internal Auditors of Mid Essex Hospital Services NHS Trust, will be undertaken on a cyclical basis. The Trustee is satisfied that systems are in place to mitigate exposure to identified risks. The investments are a managed service via the appointed bankers HSBC. The service level is discretionary and the portfolio mandate is a cautious high income strategy with a low level of risk. The investment policy is to maintain a broad range of investments all in relation to the ethics of the National Health Service. A specific investment restriction to avoid investments in tobacco related products is in place. The only fixed assets held by the Charity are investments. Reserves The policy of the Trustee is to apply, wherever possible and without delay, all funds to charitable purposes within Mid Essex Hospital Services NHS Trust. Expenditure is approved only where sufficient funds are available, therefore, the policy that there is no need to maintain a reserve for each of the funds remains in place. Policies and Procedures Policies and procedures that are regularly updated are provided to all Trust Board Members and Fund Managers. Members of the Charitable Fund Committee and Advisors receive training as appropriate. Statement of Trustee s Responsibilities The Trustees are responsible for preparing the Trustee s Annual Report and the financial statements in accordance with applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). Charity law requires the Trustees to prepare financial statements for each financial year that give a true and fair view of the state of affairs of the Charity and of the incoming resources and application of resources, including the net income or expenditure, of the Charity for the year. In preparing those financial statements the Trustees are required to: select suitable accounting policies and then apply them consistently; observe the methods and principles in the Charities SORP; make judgments and accounting estimates that are reasonable and prudent; state whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the financial statements; prepare the financial statements on a going concern basis unless it is inappropriate to presume that the charity will continue in business. The Trustees are also responsible for keeping accounting records that disclose with reasonable accuracy at any time the financial position of the Charity and enable them to ensure that the financial statements comply with the Charities Act 2011, and regulations made thereunder. They are also responsible for safeguarding the assets of the Charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities. 13
Auditors The Trustees declare that: a) so far as each of the Trustees at the time of the report are aware, there is no relevant audit information of which the auditors are unaware, and b) they have taken all steps they ought to have taken to make themselves aware of any audit information and to establish that the auditors are aware of this information By Order of the Trustee: (Signed)... Paul Forden Date 10th November 2014 Chief Executive Officer - Mid Essex Hospital Services NHS Trust (Signed) Sheila Salmon Date 10th November 2014 Chairman - Mid Essex Hospital Services NHS Trust 14
3. Independent Auditor s Report to the Trustee of Mid Essex Hospital Services NHS Trust Charitable Fund INDEPENDENT AUDITOR S REPORT TO THE TRUSTEE OF MID ESSEX HOSPITAL SERVICES NHS TRUST CHARITABLE FUND We have audited the financial statements of Mid Essex Hospital Services NHS Trust Charitable Fund ( the Charity ) for the year ended 31 March 2014 which comprise the Statement of Financial Activities, the Balance Sheet and the related notes. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards (United Kingdom Generally Accepted Accounting Practice). opinion on the financial statements in accordance with applicable law and International Standards on Auditing (UK and Ireland). Those standards require us to comply with the Financial Reporting Council s (FRC) Ethical Standards for Auditors. Scope of the audit of the financial statements A description of the scope of an audit of financial statements is provided on the FRC s website at www.frc.org.uk/auditscopeukprivate. This report is made solely to the Charity s Trustee, as a body, in accordance with the Charities Act 2011. Our audit work has been undertaken so that we might state to the Charity s Trustee those matters we are required to state to them in an auditor s report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the Charity and the Charity s Trustee as a body, for our audit work, for this report, or for the opinions we have formed. Respective responsibilities of Trustee and auditor As explained more fully in the Statement of Trustee s Responsibilities, the Trustee is responsible for the preparation of financial statements which give a true and fair view. We have been appointed as auditor under section 144 of the Charities Act 2011 and report in accordance with regulations made under section 154 of that Act. Our responsibility is to audit and express an 15
Opinion on financial statements Opinion on financial statements In our opinion the financial statements: give a true and fair view of the state of the Charity s affairs as at 31 March 2014, and of its incoming resources and application of resources, for the year then ended; have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and have been prepared in accordance with the requirements of the Charities Act 2011. Matters on which we are required to report by exception We have nothing to report in respect of the following matters where the Charities Act 2011 requires us to report to you if, in our opinion: the information given in the Trustee s Annual Report is inconsistent in any material respect with the financial statements; or sufficient accounting records have not been kept; or the financial statements are not in agreement with the accounting records and returns; or we have not received all the information and explanations we require for our audit. BDO LLP Statutory Auditor Ipswich United Kingdom Date: 14th November 2014 BDOLLP is eligible to act as an auditor in terms of section 1212 of the Companies Act 2006. BDOLLP is a limited liability partnership registered in England and Wales (with registered number OC305127). 16
4. Statement of Financial Activities for the year ending 31 March 2014 All incoming resources and resources expended are derived from continuing activities. The statement of financial activities includes all gains and losses recognised in the year. The notes on ages 19 to 26 form part of this account 17
5. Balance sheet as at 31 March 2014 The notes on pages 19 to 26 form part of this account Signed:. Chief Executive Date: 10th November 2014 Signed:. Chairman Date: 10th November 2014 18
6. Notes to the financial statements for the year ended 31 March 2014 1. Principal accounting policies The financial statements have been prepared in accordance with applicable Accounting Standards in the United Kingdom and the Statement of Recommended Practice (SORP) "Accounting and Reporting by Charities" (SORP 2005). A summary of the principal accounting policies, which have been applied consistently, are set out below. 1.1 Basis of accounting The financial statements are prepared with the historical cost convention, modified by the revaluation of certain investments. 1.2 Incoming resources 1.2.1 Donations, legacies and gifts in kind Donations and legacies are credited to revenue on a receivable basis when the amount is known and collectability is sufficiently certain. Legacies are accounted for on receipt of correspondence from the personal representative indicating that payment of the legacy will be made. Gifts donated for resale are included as income when they are sold. No amounts are included in the financial statements for services donated by volunteers. 1.2.2 Grants receivable Grants receivable are credited to the statement of financial activities in the year in which they are receivable. 1.3 Resources expended All expenditure is accounted for on an accruals basis and has been classified under headings that aggregate all costs related to the category. Where costs cannot be directly attributed to particular headings they have been allocated to activities on a basis consistent with use of the resources. Costs of generating voluntary income are those incurred in seeking voluntary contributions and do not include costs of disseminating information in support of charity activities. All expenditure is recognised once there is a legal or constructive obligation to make a payment to a third party. 1.3.1 Grants payable Grants payable are payments, made to third parties (including NHS bodies) in furtherance of the funds held on trust's charitable objectives. They are accounted for on an accruals basis, in full as liabilities of the charity when approved by the Trustees and accepted by the beneficiaries (i.e. where a third party has a reasonable expectation that they will receive the grant). 1.3.2 Charitable activities Costs of charitable activities comprise all costs incurred in the pursuit of the charitable objects of the Fund. These costs comprise direct costs and an apportionment of support costs as shown in note 7. 1.3.3 Governance costs Governance costs comprise all costs incurred in the governance of the Fund. 1.3.4 Allocation of support costs Support costs have been allocated between charitable activities and governance costs on the basis of direct costs. Support costs have been further allocated between charitable activities in proportion to the average month end balances held on each individual fund. 19
1.3.5 Irrecoverable VAT Any irrecoverable VAT is charged to the statement of financial activities, or capitalised as part of the cost of the related asset, where appropriate. 1.3.6 Recognition of liabilities Liabilities are recognised when an obligation arises to transfer economic benefits as a result of past transactions or events. 1.4 Fund accounting General funds are unrestricted funds which are available for use at the discretion of the Trustees in the furtherance of the general objectives of the charity and which have not been designated for other purposes. Designated funds comprise unrestricted funds that have been set aside by the Trustees for particular purposes. Designated Funds have been set up in 2013/14. Restricted funds are funds which are to be used in accordance with specific restrictions imposed by donors or which have been raised by the charity for particular purposes. The cost of raising and administering such funds are charged against a specific fund. The aim and use of each restricted fund is set out in the notes to the financial statements. Investments are included at closing midmarket value at the balance sheet date. Any realised and unrealised gains and losses on revaluation or disposals are in the statement of financial activities. Income from investments is included, together with the related tax credit, in the year in which it is received. 1.6 Taxation The charity is a registered charity and as such is entitled to certain tax exemptions on income and profits from investments and surpluses on any trading activities carried out in furtherance of the charity's primary objectives, if these profits and surpluses are applied solely for charitable purposes. The charity is not registered for VAT and, accordingly all, all their expenditure is recorded inclusive of any VAT incurred. 1.7 Pensions The charity is a grant making charity and has no employees and any pensions contribution liabilities that may arise are solely the responsibility of the grant recipient. Endowment funds are capital funds given to be held in perpetuity. Investment income is apportioned to the individual funds in proportion to the average fund balance over the previous quarter of the year. 1.5 Investments 20
2. Analysis of voluntary income 3. Grants receivable 4. Investment income 5. Other incoming resources 21
6. Allocation of support costs 7. Analysis of charitable expenditure 8. Grants payable 22
9. Analysis of total resources expended 10. Transfer between funds 11. Fixed asset investment 23
Listed Investments included on the previous page are invested as follows: 12. Debtors 24
13. Creditors 14. Funds 25
15. Related party transactions Mid Essex Hospital Services NHS Trust is the Corporate Trustee of the Mid Essex Hospital Services NHS Trust Charitable Fund. The members of the Board are listed on page 5 of the Annual Report. During the year none of the members of the Trust Board or key management staff or parties to them have undertaken any material transactions with the Mid Essex Hospital Services NHS Trust Charitable Fund. The Mid Essex Hospital Services NHS Trust Charitable Fund has made revenue and capital payments to the Mid Essex Hospital Services NHS Trust where the corporate Trustees are also members of the Trust board. An administrative recharge for the year 2013/14 of 72k (2012/13 99k) was made by the Trust to the fund. At the year end, the Charitable Fund had a balance outstanding owed to the Trust of 123k (2012/13 40k). This represents trade creditors paid by Mid Essex Hospital Services NHS Trust, and recharged to Mid Essex Hospital Services NHS Trust Charitable Fund. 16. Connected organisations The connected organisation of the Mid Essex Hospital Services NHS Trust Charitable Fund is Mid Essex Hospital Services NHS Trust by giving charitable support in their provision of health care. 17. Designated Funds From October 2013, following approval by the Trustee at its Charitable Funds Committee, a number of Designated Funds were established. Designated Funds are part of the unrestricted funds, that have been earmarked for a particular project or use, but without restricting or committing the funds legally. Monies received will be applied to the relevant Designated Fund. Where applicable, existing restricted funds will be utilised first. 26