Isabel Hospice Annual Review 2014 2015

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Annual Review 2014/15 “Over the six days that Dad was in the Hospice he was looked after as if he was glass. I watched as they gently lifted his arms, even when he couldn't communicate anymore. I watched as they spoke to him even when he couldn't answer anymore, how they put cream on his dry skin. I watched these amazing people I’d never met before treat my beautiful dad the way anyone's last days should be.Emma Cooper

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This document outlines our specialist palliative care services, how we have helped patients and their carers and shows our financial information. Full statutory accounts, are available via the Charity Commission website from October 1st 2015.

Transcript of Isabel Hospice Annual Review 2014 2015

Annual Review 2014/15

“Over the six days that Dad was in the Hospice he was looked after as if he was glass.I watched as they gent ly lifted his arms, even when he couldn't communicate anymore. I watched as they spoke to him even when he couldn't answer anymore, how they putcream on his dry skin. I watched these amazing people I’d never met before treat mybeautiful dad the way anyone's last days should be.“Emma Cooper

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To deliver a range of high quality, free, specialist palliative and supportive careservices, which meet the physical, psychosocial and spiritual needs of patients,carers and family members, including in bereavement.

To collaborate with other healthcare services in providing co-ordinatedservices at an appropriate time and place according to each individual’s needs.

To support and empower healthcare professionals through education andtraining.

To ensure that service provision is sustainable and continuously improved tomatch the evolving needs of the eastern Hertfordshire community.

Our patients are predominately cancer patients but we also care for patients with otherlife-limiting illnesses such as end stage renal failure, heart disease, end stage lungdisease and motor neurone disease (MND) for whom specialist palliative care is needed.

Our care covers the area of eastern Hertfordshire, with a population of about 350,000.We were founded in 1982 by local resident, Isabel Last.

Last year we cared for 1,371 patients and 2,420 family members. To be able to continueto provide this free care we need to raise £4.7 million, with £3 million of this fromcharitable sources.

Cover photo: The image is of the swan stained glasswindow which can be found at our In-Patient Unit.

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Chief Executive’s Message ................04Our Service Catchment Area .............05Frank’s story .......................................06Community Team ...............................08Day Services .......................................10Family Support ...................................12Therapy Team .....................................14In-Patient Care ...................................16Jacque’s story .....................................18

Quality Training .................................................20Volunteers ..........................................................22Trusts and Grants ...............................................24Fundraising ........................................................26Shops and Lottery .............................................28Achievements ....................................................30Finance Report ...................................................32Chairman’s Message ..........................................34Our Trustees and Senior Executives ..................35

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I am pleased to report that theoutcomes of the financial year ending31st March 2015 were muchimproved on the previous year. Ouraudited accounts (there is a summaryon page 33) show that we recorded asurplus of nearly £800,000 and ouractivity data (there are examplesthroughout this report) show that welooked after more patients and familymembers than ever before.

It is however worth going behind these headlines as bothfinancially and clinically there are stories and underlyingmessages of both challenge and encouragement. On thefinancial side, our charitable costs were lower than theprevious year and income from the NHS, fundraising andtrading activity all grew as planned. Regular legacieswere however lower than average, but we received alarge bequest to be used for capital expenditure in thefuture. The end result is that whilst we remain low onfree reserves and therefore need to raise more workingcapital, we are better placed for the financial challengesthat lay ahead and which our Chairman will set out in hismessage at the end of this Review.

We are extremely grateful to all our financial supportersboth large and small, regular and one-off; it all adds upand represents the tangible commitment of the localcommunity to caring for those in its midst that need thespecialist support that the Hospice is uniquely placed toprovide.

Turning to the impact of our services, our multi-disciplinaryclinical teams have again worked wonders. They face hugedemand, more complex cases and more stringentregulation of all they do. And they respond with unfailingprofessionalism, compassion and dedication, bringinggreatly valued care to many patients, carers and familymembers. The high quality of this care has beenrecognised by the Care Quality Commission and by themany letters and messages of support we receive on analmost daily basis from our service users. The feedback wereceive is in stark contrast to one branch of the media’sperception that Hospices are “dingy” places; nothingcould be further from the truth because not only is it nottrue of our In-Patient Unit but also “hospice” is not abouta particular building, it is about the quality of personal careprovided wherever that may be. To appreciate that youonly need to read the stories that follow of Frank andJacque, who were looked after at home, by Day Servicesand in the In-Patient Unit, and the descriptions of thescope and variety of care provided.

To all Hospice staff and volunteers, ranging from theclinical teams featured here, through those in fundraisingand our trading company to the ‘behind the scenes’departments which keep the organisation running, I wishto record my thanks for all they do, with great skill,commitment and enthusiasm. Together they are a greatteam who make a hugely positive impact on the lives ofpeople in the care of the Hospice.

Nigel FurlongChief Executive

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Ou

r service catchm

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05

350,000

254

1,371

2,420

population

patients caredfor in 2014/15

family memberscared for

square miles

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Frank O’Rourke

My dad, Frank O’Rourke, was a happy and sociableindividual, well loved by many including his wife, twodaughters and five grandchildren. He could not doenough for others, whether it was pulling over andhelping a lady who had broken down in her car or beingthe life and soul at work, dad was a character.

Then in 2012 everything changed. We found out thatdad had bowel cancer. It was terminal. Our world wasturned upside down. How would we deal with this? Our beautiful dad, husband, granddad was going to die?

Whilst all of these questions were going on, we werelucky to receive a visit from an Isabel Hospice nurse, whohelped with all of our questions. From then on, over thetwo years that my dad fought his cancer, he wouldattend Day Service. He said he liked having a laugh again!

Then came the day when dad was very ill, and I contactedIsabel Hospice who were able to admit him. When wewent to see him, I was shocked and amazed at howcomfortable the room was. How kind andaccommodating the staff were and most importantly howcomfortable and happy my dad was as his pain was beingmanaged and he was getting round the clock care. Wehad a doctor come around and she was so very kind andemphatic as she delivered the news that dad was very ill.Dad started to deteriorate so it was time to bring in his

beloved grandchildren who he had thrown in the air, runafter, spoilt with sweets, taught them gardening. They lovedhim so much and it broke our hearts. But a nurse calledWendy sat us down and helped us explain to the childrenwhat was happening to their granddad. We made somewooden hearts and each of them wrote what they lovedabout granddad.

Over the six days that dad was in the Hospice, dad waslooked after by the staff as if he was glass. I watched as theygently lifted his arms, even when he couldn’t communicateanymore. I watched as they spoke to him even when hecouldn’t answer anymore, how they put cream on his dryskin. I watched these amazing people I’d never met beforetreat my beautiful dad the way anyone’s last days should be.

As we stayed with dad, they offered us meals and drinks, hada hairdresser do my step-mum’s hair. These things just madeus feel the immense support we had at this difficult time.

On Nov 11th 2014 I was in the kitchen at the Hospice as mystep-mum sat with dad who at that moment slipped awayaround 11pm. We called our family, and when we returnedto the room to dad the lovely staff had put all those woodenhearts the grandchildren had wrote around dads head.

I can't thank the Hospice enough. All those special peoplewill never know how grateful we are. They allowed Dad todie with dignity and with no pain.

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Interesting facts and statistics

1,046

09

It costs over £1.1 million to provide our CommunityServices each year, that’s £3,000 per day

patients were visited across our254 square mile catchment area

757 of these were new patients

108 days was the average timespent in our care

8,396 home visits were made

272 patients we supported choseto die at home

103 patients were supported tothe end of their lives in theircare home

20% of patients visited had a non-cancer diagnosis

£130 is the average cost perhome visit

Our Isabel Nurse Specialistscarry out the role in easternHertfordshire that Macmillannurses carry out in otherparts of the country.

Our Community Team consists of 12Isabel Nurse Specialists (INS), PalliativeCare Support Workers and theHospice at Home team. They visitpatients in their own homes, at ourDay Services and provide out-patientclinics across eastern Hertfordshire.Home can mean a residentialhouse/flat, care home or specialistunit. The teams work closely with GPsurgeries, District Nurses andprofessionals and can offer access tothe extensive range of Isabel Hospiceservices. We also have an Isabel NurseSpecialist dedicated to working withpatients and staff in care homes too.

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Our Community Services include a range of Day Servicesthroughout our catchment area, which means thatpatients and their families don’t need to travel too farfrom home to access our specialist palliative care.

At these sessions our patients can be seen by our nursing,family support and therapy teams. The Therapy Teamincludes physiotherapists, an occupational therapist and alymphoedema therapist.

Arts, crafts and complementary therapies are also onoffer at each location as well as advice and support.

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It costs around £115,000 per year to provide ourDay Services across eastern Hertfordshire

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Interesting facts and statistics

1,363 attendances were made toour Day Services

132 patients usedthese services

88 patients were newto Day Services

6 months was the average timepatients attended

2,791 was the number of face-to-faceconsultations

£84 is the cost per session, perpatient at our Day Services

451 attendances were inThorley

666 attendances were inWelwyn Garden City

246 attendances were inCheshunt

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Interesting facts and statistics

174 children were supported

£135 is the cost to provide supportto a family member for a year

532 patients and family memberswere supported by ourpalliative care social workers

1,077 1:1 sessions were deliveredby our Bereavement Team

236 people were helped by ourbenefit adviser in 535 sessions

807 arts/music sessions wereprovided

225 patients seen by our laypastor in 950 sessions

It costs £326,000 to provide ourFamily Support Service each year,which is £893 per day

The diagnosis of a life-limiting illness isdistressing for both the patient and theirfamily. We support them in individual,family and group sessions, offeringpractical, psychosocial and spiritualsupport. The team consists of socialworkers, counsellors, an art therapist,complementary therapy co-ordinator,volunteer therapists, a lay chaplain and awelfare benefits adviser who is contractedfrom East Herts Citizens Advice Service.We also have a specialist childhoodbereavement service and a bereavementco-ordinator who manages a team oftrained volunteers to support adults.

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Ther

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Our Therapy Team consists of physiotherapists, anoccupational therapist, complementary therapists and alymphoedema therapist.

Their work enables us to put life into the days of our patients,where we cannot put days into their lives.

The team works with individuals and their carers to identifyareas of need, and provide tailored help, enabling patients toadapt to their changing condition and enhancing quality oflife and well-being, regardless of their life expectancy.

It costs around £108,000 per year toprovide these three therapy services

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Interesting facts and statistics

878 individual and groupphysiotherapy sessions took place

685 lymphoedema therapysessions were given

955 individual and groupoccupational therapy

2,518 therapy sessions were carriedout by the team as a whole

£2,077 per week to providephysiotherapy, occupationaltherapy and lymphoedematherapy care

£123 per therapy session

12% of patients were seen by allthe members of the team

1,870 complementary therapytreatments including massage,aromatherapy, reflexology,indian head massage, reiki,guided relaxation, manicureand shiatsu were given. 15

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In-P

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Our In-Patient Unit has accommodation for up to 13 patients.They are admitted for a variety of reasons. Some may comefor care when they have distressing symptoms which cannotbe managed at home, whilst for others it is a safe havenwhere they can be cared for in the last days of their life.

Annually it costs just under £2 million toprovide In-Patient care 24/7, 365 days a year

Interesting facts and statistics

11 days is the averagepatient stay

220 patients wereadmitted last year

189 of these werenew admissions

41% of patients aredischarged to home

£650 is the approximate cost ofproviding nursing care perpatient, per day

£27 is the cost per hour ofnursing a patient everyhour of the day and night

240 admissions were made lastyear, which includespatients who wereadmitted more than once

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Jacque Beattie

Jacque Beattie, age 51, had been living with cancer fora very long time. First diagnosed with breast cancer in1997 aged just 34, she had two mastectomies andthought she was in the clear until she was driving heryoung sons back from a day out at Thorpe Park in2000 and her vision became blurred. She went to heroptician and after undergoing tests there they told herto go straight to the hospital where a tumour wasfound behind her eye.

“Although I underwent lots of radiotherapy the cancerspread to my bones, in my hip and my spine. I had fivecycles of chemotherapy and over the years I have alsotried a trial drug but it wasn’t for me. I had anoperation to encase my spine in metal but a year tothe day I was actually at the In-Patient Unit for somerespite last July when my legs started to go. My spinalcord had compressed and within a few days I wasunable to walk.

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In all this time Isabel Hospice has been there for me.They remind you to think about yourself. The staff andvolunteers are so positive. I have never met suchpeople, they have an aura about them; from the ladythat cleans your room, to the cook that makes suchdelicious food, and the nurses that visit me at home.

The loss of the use of my legs has really been thehardest thing for me. I am such an independent personand now we have had to move my bed downstairs andwe are trying to plan how to adapt my bathroomaccess as I can’t get in there on my own in mywheelchair. Sometimes I think, is it worth it, as I’m notgoing to be around much longer. I try not to thinkabout the future and live for the day, but with my twosons, one being severely autistic, I have to make plans.So, I have my funeral organised. I know who I want tospeak at it, and I know the song I want. It inspires meand the words are very special.”

Jacque died on 1st June 2015.

Thank you to her family for giving us permission toshare her story.

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Throughout 2014/15 Isabel Hospice has continued with improvingthe patient experience and safety through assessing our performanceagainst national and local standards; providing training, and actingon clinical audits and patient/user feedback.

In 2014/15 Isabel Hospice introduced a new quality improvementinitiative called, “Releasing Time to Care” and a new contract totake forward our infection control strategy.

During 2014/15 96% of clinical staff received safeguarding adultsand child protection training during the year, and we also introducedProtecting Personal Information training.

Isabel Hospice worked closely with the local healthcarecommissioners through participation in the End of Life Care Forumand with other partners to disseminate knowledge and skills tocolleagues working throughout our locality in a variety of health andsocial care settings.

Initiatives introduced over the past 12 months include:

1. New safeguarding lead and deputy supported by a competence framework

2. Review of the bedroom volunteer role

3. Competency Passports for nurses and healthcare assistants and working closely with all clinical departments to achieve a ‘Good’ overall rating with the Care Quality Commission.

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We spent £171,000 on externaltraining and education

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Interesting facts and statistics

90% of patients who had a face toface with one of our clinical staffhad a Holistic Needs Assessmentcompleted. This means theirclinical, emotional, psychologicaland spiritual needs were assessed

16 audits were carried out about arange of clinical care servicesprovided by the doctors andnurses across our community andin-patient areas. All auditsshowed that very high standardsof care are delivered

6 patient satisfaction surveys wereundertaken and consistentlyshowed that patients felt thatthey were treated with dignityand respect and that the foodwas of a high standard at the In-Patient Unit

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Our hundreds of volunteers bring an extensive range of skills andtalents to the Hospice, without which we could not continue toprovide a wide range of high quality services. Their value to us isso much more than the financial face value that their donatedskills bring to our patients, their families and our staff. They keepus rooted in our local community and strengthen our links withthose we work with and care for.

Interesting facts and statistics

Volunteering offers flexible times and a chance to workin a team. It is a win:win activity and we see individualsgrow in confidence, competencies and skills

380 volunteers help regularly inour 15 shops

35 people volunteer as drivers,transporting our patients fromhome to our Day Services

8 fundraising groupsindependently organiseand run events

20 volunteers arrange flowersfor us throughout the year

80,000 hours of volunteer timeare donated to theHospice each year

130 volunteers support our staffat the In-Patient Unit

11 volunteers support ourpatients at home

12 volunteers offer complementarytherapies at our In-Patient Unit,at our patients’ homes and at ourDay Services

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We would like to thank those below for their support

Albert Hunt Trust

Annandale Charitable Trust

BBC Children in Need

Big Lottery Fund / Awards for All

Bishop’s Stortford Town Council

Borough of Broxbourne

Cathedral and Abbey Church of St Alban

Childwick Trust

Clayson Williams Charitable Trust

Co-operative Membership CommunityFund

David Webster Charitable Trust

D’Oyly Carte Charitable Trust

East Herts District Council

Foresters Charity Stewards UK Trust

Freemasons Grand Charity and

Masonic Lodges

Glossop Pryor Foundation

Happy Days Fundraising Group

Heath Charitable Trust

Hertfordshire County Council LocalityBudget Grants

Hospice Aid UK

James Tudor Foundation

McCrone Charitable Trust

Michael Game Charity

Norman Evershed Trust

North Mymms Parish Council

P & G Bird Charitable Trust

Percy Bilton Charity

Ridgeons Community Fund

Seymour Strang Charitable Trust

Simon Gibson Charitable Trust

Sir Jules Thorn Charitable Trust

Towergate Charitable Trust

Welwyn Hatfield Borough Council

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Examples of howmoney from someof the trusts hasbeen spent

David Webster Charitable Trust for core costsand Hospice at Home

Co-operative Membership Community Fundfor one week’s funding of the Therapy Team(physiotherapists, occupational therapist,lymphoedema therapist)

D’Oyly Carte Charitable Trust for the Hospiceat Home Service

East Herts Council, Bishop’s Stortford TownCouncil and Ridgeons Community Fund for aFatigue and Breathlessness Course in Thorley

The James Tudor Foundation and ChildwickTrust towards the additional costs incurred bythe Hospice resulting from the downgradingof the QEII Hospital

Sir Jules Thorn Charitable Trust for two suctionmachines

A number of Hertfordshire County Councillorsmade grants from their Locality Budgets forthe work of the Isabel Nurse Specialist in theirDivision

Parish Council

ritable Trust

arity

munity Fund

g Charitable Trust

Charitable Trust

Charitable Trust

ritable Trust

d Borough Council

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The services you have read about in this Annual Review arefree to our patients and their families. To enable us to providethis care, our team of fundraisers who work alongside ourTrading Company and our volunteers were tasked to raise £3 million towards our total running costs of just over £4.7 million. Our Fundraising Team run events and activities,and support local people to raise money for us too. We alsowork closely with local businesses both large and small.

Many people choose to support Isabel Hospice by makingdonations in memory of loved ones we have cared for, andothers in lieu of gifts for celebration events. However theychoose to support us, we are always very grateful.

Leaving a gift in your Will (a legacy) to the Hospice is anotherway in which people choose to support us. Over the last fewyears legacies have become increasingly important, and thegenerosity of those who choose to remember us in their Willis very much appreciated. For those who may not currentlybe in a financial position to help us as much as they wouldwish during their lifetime, gifts in Wills are a great way ofdoing so in a thoughtful and tax efficient way.

We would like to thank everyone who has supported usthroughout the year.

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Interesting facts and statistics

£3.1m came into the fundraisingdepartment during the year

£797k was raised from eventfundraising

£507k was raised fromdonations and grants

was gifted fromlegacy income

was raised by ourmarathon runners

was collected in loose-changeboxes

£1.5m

£35k

£2.4k

was raised by our trekkersto Peru and Iceland

was donatedin memory

£103k

£262k

was raised by ourbrave Fire Walkers£26k

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This year (2015) our weekly Lottery is celebrating its20th birthday and as part of the celebrations wehave introduced a special “20 weeks for £20”campaign. 

Last year, our Lottery contributed £231,000 towardspatient care.

We have over 6,950 people playing our Lottery eachweek and last year 70 people took out a secondweekly chance raising an additional £1,793 for theHospice.

The top weekly prize is £1,000 and we have 27other cash prizes each week.

You can purchase a membership online or in one ofour shops where you can also buy one-off tickets forour weekly draw. You can also sign up through ourLottery canvasser (always ask for ID) or by calling theoffice on 01707 382500.

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Our 15 shops can be found across our catchment area, witheach one staffed by up to 40 volunteers a week. Stock isdonated by members of the public.

Our shops are in Bishop’s Stortford, Buntingford, Cheshunt,Cuffley, two in Hatfield, Hatfield galleria, Hertford, Hoddesdon,Sawbridgeworth, Waltham Abbey, Waltham Cross, Ware andtwo in Welwyn Garden City. We now have two £1 clearanceoutlets, one in Waltham Cross and one in Hatfield. Both haveproved very popular. Donations of goods are enhanced whendonors sign up to our retail Gift Aid scheme. We can then claiman extra 25% from HM Revenue & Customs on any item whensold. We also sell online via eBay and Amazon.

Interesting facts about our shops

£1.7m worth of goods were sold in our shops

£1,760 was the highest priceachieved on eBay, from twoMaurice Wilks oil paintings

50p was the smallest sale for apaperback book

380 volunteers donated their time to staff our shops

£165 was the item sold for thehighest value, which wasa vintage doll

£231k was raised ineBay sales

11,000 transactions weremade on eBay

£26k was raised inAmazon sales

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Aims and achievements

Our therapies and family support teams offered targetedgroup activities to help those wishing to help themselvesto stay active and well for as long as possible. Copingpsychologically with life-limiting illness is morechallenging for some, but being with others in similarsituations makes it more bearable.

A “Stepping Stones” project was to set up to provide anopportunity for the younger bereaved to meet for peersupport. In addition to this, the bereavementdepartment had a successful pilot of two therapeuticintervention courses held for the younger bereaved.

The “Schwartz Centre Rounds” programme was piloted.It provides the opportunity for staff, irrespective of role, to meet to discuss social and emotional issues that arisewhen caring for/supporting patients and their families.There is evidence to suggest that when staff feelsupported in their jobs, this is beneficial for them, thepeople they care for, and the organisation as a whole.

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Our aims

We remain committed to continuously reviewing and improving the quality of care we deliver to our patients,their carers and families.

We had an unannounced CQC inspection in August 2014. The new model of inspection focuses more strongly onthe patient experience and we achieved ‘Good’ in all these areas and we commend the staff and volunteers fortheir dedication and commitment to making the patient’s experience as positive as they can and achieving a‘Good’ outcome.

A Hospice at Home volunteer support worker rolewas piloted, delivering hands-on care where morethan one member of staff is required.

With the closure of the QEII Hospital wards in 2014,our teams have been involved in the development ofnew pathways to ensure continuity of care tosupport our families.

Many compliments are received on a daily basis,including the words below:

“Your support was outstanding and it meanteverything to us. Be proud of your organisation as itis paramount in patients receiving the best of care intheir most troubled time.”

“We would like to express our gratitude to yourteam for the compassion, respect and care given toour mother and us as a family.”

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Fin

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0 10 20 30 40 50

0 10 20 30 40 50

Shops and Lottery

NHS

Legacies

Events

Donations

Other

32%

24%

21%

1%

11%

11%

Patient services/medical

Patient services/In-Patient care

Patient services/community care

Patient services supportive care

Income generation: Fundraising

Income generation: Trading

7%

31%

17%

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10%

28%Ho

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We wish to record our thanksto the East & North HertsClinical CommissioningGroups for their contributionto the cost of services; to thegrant-making bodies listedon page 24; and to the manyindividual and corporatesupporters who provide themajority of our funding.

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30 40 50

2014/15 £000’s 2013/14 £000’s Variance £000’s

Direct costs of Patient Services 3,331 3,242 (89)

Indirect costs 650 809 159

Total cost of Charitable Activities 3,981 4,051 70

Income from NHS Hertfordshire 1,683 1,599 95

Other income 57 62 (16)

Fundraising income 1,566 1,538 77

Legacy income 1,485 419 1,066

Trading income 2,359 2,107 203

Investment income 13 16 (3)

Total income (gross) 7,163 5,741 1,422

Costs of income generation 2,387 2,226 161

Total income (net) 4,776 3,515 1,261

Net surplus/(deficit) 795 (536) 1,331

Footnote: Full statutory accounts, audited by Nicholsons, Chartered Accountants of Hatfield, are available via the Charity Commission website from 1 October 2015.

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We are pleased to report a large surplus in the year but note that a generous endowment made asignificant contribution towards this and thus the Hospice has been unable to improve its free reservesposition. Our general unrestricted income was in line with our running costs for this year and this doesrepresent a significant improvement on the previous year.

We hope to continue this in 2015/16 in order to operate a budget surplus and generate some muchneeded general reserves. The endowment income does give the Hospice a platform to proceed with someadditional capital development and has enabled the Hospice to purchase the Freehold of our Hospice In-Patient Unit site in Howlands. This means we can ensure the long-term security of our In-Patient Unit within eastern Hertfordshire.

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I hope that having read this far, you areinspired and encouraged by the stories ofthe care the Hospice provides and the sheerscope, diversity and impact of the manyinter-linked services it provides. This is myfirst report after taking up the reins ofChairmanship and in the few months sincemy appointment in January 2015 I havenever ceased to be amazed by the breadthand depth of what is achieved withrelatively limited resources.

My wife and I have been long term supporters of the Hospiceand living locally, we were well aware of its purpose, but it hascome as a revelation just how comprehensive and integratedare its services. It is therefore a privilege to have theopportunity to lead the Board over the coming few years inwhich the Hospice will face a number of exceptionalchallenges.

The first of these is the redevelopment of the Howlands siteon which our In-Patient Unit is situated. We are close toresolving working understandings with all parties involved inthe development of the new site, to enable us to ensure that,whatever happens to the area around the building, we shallcontinue to provide in patient care to the very high standardswe all pride ourselves on.

Secondly, nationally and locally we see changes indemographics and disease trends which challenge us to

change and develop our services to meet the needs ofpatients – to bring care closer to where they live and atthe time in their journey when they can benefit mostfrom our services.

Thirdly, we fully recognise that whilst we have veryspecial skills and ethos to offer, we cannot provide careon our own and therefore we need to strengthen ourlinks with others, in particular the local NHS, and otherHospices and service providers in the area; to provideintegrated care which is centred on the needs of eachunique individual.

All these challenges give rise to the perennial need forfinancial resources not only to keep current servicesrunning securely, but also to build reserves to providefor future development and to raise capital forinfrastructure development.

None of this can be achieved without the wholeheartedsupport of the community, so I conclude with mythanks to Charles Lewis, my predecessor and to thevolunteers from the community who serve on theTrustee Board, in particular, to Kalyan Ray who like me,has joined the board during the year.

Finally I would extend our heartfelt thanks to all oursupporters and volunteers who give of their time,money and skills in support of the Hospice – it is muchappreciated.

Rod LeggetterChairman

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Board of Trustees

Rod Leggetter, Chairman

Christine Brown

Sophie Cowan

Marlene Duke

Bill Mitchell

John Morris

Barbara Newman

Kalyan Ray

Peter Shilliday

Life Presidents

Barbara Doherty MBE

John Lockhart

Senior Executives

Nigel Furlong, Chief Executive

Helen Dodd, Hospice Director and Deputy Chief Executive

Lisa Seccombe, Director of Fundraising & Public Relations

Matt Seccombe, Director of Trading

Dr Dee Traue, Medical Director – Consultant in Palliative Care

Isabel Hospice

Registered Office: 61 Bridge Road East,Welwyn Garden City, Herts, AL7 1JR Tel: 01707 382500

Registered Company Number (England & Wales) 3056823.

Registered Charity No. 1046826

Find out more at

www.isabelhospice.org.uk

Like us on Facebook

Follow us on Twitter

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All photographs in this Annual Review have been used with permission of our volunteers, patients and their family members.

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gRegular Giving is precious to usEvery day of every week of the year, Isabel Hospiceprovides specialist care for patients and their familiesliving with cancer and other illnesses.

To provide this service annually costs £4.7 million, of which we plan to raise£3 million from fundraising and trading, with £1.7 million coming from theNHS. To achieve this we rely heavily on the generosity of our supporters.

By making a regular donation you can help us to be there for more peoplewho need our care and support. This also means we can plan for the futurewith greater confidence. Ensuring the security of the Hospice means we willbe there for future generations.

Your Regular Gift will enable us to continue to help those living with cancerand other life-limiting illnesses.

A Regular GiftPlease enter your full name and HOME* address

Title: Mr/Mrs/Miss/Ms/other (circle relevant title)

First name:

Surname:

Address:

Post code:

Telephone:

Mobile:

E-mail:

* by entering your HOME address you enable us to claim Gift Aid if applicable. We CANNOT claim Gift Aid with any other address.

Standing order formPlease cut out and return to: FREEPOST ISABEL HOSPICE(only put these three words on your envelope as if you write anything else, we will incur a £1 charge). If you would like to pay the postage, put a stamp on theenvelope and send to Isabel Hospice, 61, Bridge Road East, Welwyn Garden City, AL7 1JR.

Please pay Isabel Hospice £....................... monthly/quarterly/yearly until further notice anddebit my Account No:

Bank sort code: / /

Starting on**: dd / mm / yy **(please allow one month from today)

To the manager (bank name and address):

Post code:

Signed:

Date:

Recipient Bank Details: Pay Co-operative Bank (08-02-28) for the credit of Isabel HospiceAccount No 65424870

GIFT AID DECLARATION

Please treat as Gift Aid donations all qualifying gifts of money made today min the past 4 years m in the future m (Please tick all boxes you wish to apply)

If I have ticked the box headed ‘Gift Aid √’, I confirm that I am a UK Income or Capital Gains taxpayer. I have read thisstatement and want the charity or Community Amateur Sports Club (CASC) named above to reclaim tax on the donationdetailed below, given on the date shown. I understand that I must pay an amount of Income Tax and/or Capital Gains Tax inthe tax year at least equal to the amount of tax that all the charities and CASCs I donate to, will reclaim on my gifts for that taxyear. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of taxon every £1 that I have given.

Signed: Date:

To find out more about Gift Aid go to our website www.isabelhospice.org.uk

To the bank: If this standing order is rejected, please return it to Isabel Hospice, 61 Bridge Road East, Welwyn Garden City, Herts AL7 1JR

Isabel Hospice values your support and promises to respect your privacy. By providing your details we will be able to provide therequested services and maintain our records.Unless you tick the box below to opt out, we will, from time to time, contact youabout future Hospice fundraising activities and appeals. I do not wish to be contacted by m Email m Telephone

m Mail m Text/SMS

We will not disclose or share your personal information for marketing purposes with any third party organisation. For moredetails about the way we use your information, please see our privacy policy on our website www.isabelhospice.org.uk

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