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Company Number: 03019382 Charity Number: 1075588 NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH TRUSTEES' ANNUAL REPORT 5 FINANCIAL STATEMENTS 31 MARCH 2019

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Page 1: 31 MARCH 2019

Company Number: 03019382Charity Number: 1075588

NATIONAL CONFIDENTIAL ENQUIRY

INTO PATIENT OUTCOME AND DEATH

TRUSTEES' ANNUAL REPORT 5 FINANCIAL STATEMENTS

31 MARCH 2019

Page 2: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

TRUSTEES' ANNUAL REPORT

Year ending 31 March 2019

Page 2

The Trustees (who are also directors of the charity for the purposes of the Companies Act) present their annual

report together with the audited financial statements of National Confidential Enquiry into Patient Outcome and

Death ('the charity', 'NCEPOD') for the year ended 31 March 2019. The Trustees confirm that the annual report

and financial statements of the charity comply with the current statutory requirements, the requirements of the

charity's governing document and the provisions of the Statement of Recommended Practice (SORP), applicable

to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and

Republic of Ireland (FRS 102) (effective 1 January 2015).

Since the charity qualifies as small under section 383, the strategic report required of medium and large companies

under The Companies Act 2006 (Strategic Report and Director's Report) Regulations 2013 is not required.

REFERENCE AND ADMINISTRATIVE DETAILS

The trustees of the charity, who are also the directors of the company, have held office since 1 April 2018, unless

otherwise stated, as follows:

Professor L Regan

Mr I C Martin

Dr D G Mason

Professor R EndacottProfessor T J Hendra

Mrs J BarberDr P Jane Greaves

Chair —demitted 20'" July 2018Chair —appointed 20'" July 2018Honorary TreasurerDemitted —26'" April 2018

Appointed —9'" November 2018

The principal address of the charity and the registered office of the company is the offices of NCEPOD at Abbey

House, 74-76 St John Street, London, EC1M 4DZ.

The charity is registered under the charity number 1075588 and the company is incorporated with the company

registration number 03019382 in England and Wales.

The trustees have made the following professional appointments:

Solicitor: H Montlake & Co, 198 High Street, llford, Essex IG1 1LX

Auditor: MHA Maclntyre Hudson, New Bridge Street House, 30-34 New Bridge Street, London

EC4V 6BJ

Bankers: CAF Bank Limited, 25 Kings Hill Avenue, Kings Hill, West Mailing,

Kent ME19 4JQCCLA Investment Management Limited, 80 Cheapside, London EC2V 6DZ

Virgin Money, Jubilee House, Gosforth, Newcastle upon Tyne, NE3 4PL

The Charity Bank Limited, Fosse House, 182 High Street, Tonbridge, TN9 1BE

Nationwide Building Society, Nationwide House, Pipers Way, Swindon, SN38 1NW

Stockbrokers:

Financial Advisor:

The Share Centre, Floor 1, Oxford House, Oxford Rd, Aylesbury HP21 8SZ

Foster Denovo, 2 Hamm Moor Lane, Weybridge, Surrey KT15 2SA

The following key senior members of staff are responsible for the day-to-day activities of the charity who together

with the trustees form the key management personnel of the charity:

Dr Marisa Mason

Dr Neil Smith

Chief Executive & Company SecretaryClinical Researcher & Deputy Chief Executive

Page 3: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

TRUSTEES' ANNUAL REPORT

Year ending 31 March 2019

Page 3

STRUCTURE, GOVERNANCE AND MANAGEMENT

Status & History

The National Confidential Enquiry into Patient Outcome and Death (formerly the National Confidential Enquiryinto Perioperative Death) was originally set up in 1988 following the desire by the government of the day toundertake regular reviews into the practice of surgical and anaesthetic care. The remit has since been extended toinclude medical care and primary care.

NCEPOD is a registered charity, and a company limited by guarantee, not having share capital. Every member ofNCEPOD (Steering Group listed below) undertakes to contribute an amount not exceeding E1 to the assets of thecharity in the event of the charity being wound-up during the period of membership, or within one year thereafter,

NCEPOD was incorporated on 8 February 1995, and became a registered charity on 20 May 1999. NCEPOD is

governed by the rules and regulations set down in its company Articles of Association originally dated 8 February1995, and updated on 1 April 1999, 28 November 2003 (change of name), 29 November 2012 (membershiporganisations amended), 27 May 2016 (membership updated to include the Royal College of Surgeons ofEdinburgh, the Royal College of Physicians of Edinburgh, the Royal College of Physicians and Surgeons of Glasgowand the Royal College of Psychiatrists) and 27 April 2017 (membership updated to include the Faculty of IntensiveCare Medicine).

Organisational Structure

Steering Group

The Members of the Steering Group represent the Associations, Colleges, and Faculties primarily related toNCEPOD's activities and are elected by resolution of the trustees to ensure a balance within the group. The groupensures that the clinical and professional messages of NCEPOD are paramount. The Members, who have servedon the Steering Group since 1 April 2016, are as follows:

Association of AnaesthetistsDr M Nathanson

Association of Surgeons of Great Britain and Ireland

Mr M Lansdown

Royal College of Emergency MedicineDr C Mann (demitted 26'" April 2018)Dr G Barnett (appointed 3'4 October 2018)

Faculty of Dental SurgeryMr K Altman

Faculty of Intensive Care MedicineDr J Butler

Lay RepresentativeMs S Payne

Mr S Barasi

Royal College of OphthalmologistsDr W Karwatowski

Royal College of Paediatrics and Child HealthDr I Doughty

Royal College of Physicians of LondonDr M Kumwenda (appointed 1"October 2018)Dr H Skene (appointed 1"October 2018)Dr A Gibson (appointed 1"October 2018)Royal College of Physicians and Surgeons of GlasgowDr M McKirdy

Royal College of Physicians of Edinburgh

Mr M JonesRoyal College of PsychiatristsDr J Carlile

Royal College of AnaesthetistsDr C Carey

Dr K Ramchandaran

Royal

RadiologistsCollege of

Royal College of General PractitionersDr A Tavare (appointed 23' January 2019)Royal College of Nursing

Dr J Greaves (demitted 26'" April 2018)Dr N Ashby (appointed 26'" April 2018)Royal College of Obstetricians and GynaecologistsDr T Hillard

Dr S Ingram (demitted 26'" April 2018)Prof R McWilliams (appointed 15'" October 2018)Royal College of PathologistsDr L Igali

Royal College of Surgeons of Edinburgh

Mr W Tennant

Royal College of SurgeonsEngland

of

Mr J AbercrombieMiss S Vig (appointed 14'" September 2018)

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NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

TRUSTEES' ANNUAL REPORT

Year ending 31 March 2019

Page 4

Clinical Co-ordinators and Observers

There are also observers to the meetings of the Steering Group, who assist and provide advice to ensure the clinical

and public integrity of NCEPOD.

The Observers listed below were invited to attend the meetings of the Steering Group, during the year ended 31March 2019:

Coroners' Society of England and Wales

Healthcare Quality Improvement Partnership

Healthcare Quality Improvement Partnership

Healthcare Quality Improvement Partnership

Dr D SharpstoneMr M Skrypak

Miss V SeagroveMiss S Walker

Clinical Co-ordinators are co-opted Members of the Steering Group, and the Lead Clinical Co-ordinator is invited

to attend trustee meetings as an observer.

Currently, seven hospital consultants are on secondment to NCEPOD as Clinical Co-ordinators. From this number

a Lead Clinical Co-ordinator is appointed. They commit to between one and two sessions per week.

Trustees

A minimum of three trustees are appointed, and one of these individuals is additionally appointed as the Chair. All

appointments are ratified at the Annual General Meeting following appointment.

The trustees have formal responsibility under the Companies Acts 1985 to 2006 and the Charities Act 2011 for the

management of NCEPOD as a company and a charity. Their role relates primarily to the governance of the

organisation, and together they are the employer of all NCEPOD staff. The Chair of the trustees is the "head" of

NCEPOD for the staff. The trustees meet as and when they see fit to exercise their duties, and to fulfil their

responsibilities. For the purposes of the Companies Acts 1985 to 2006, the trustees of the charity are also the

directors of the company, The names of the trustees, who have served during the year, are listed on page 1,

Method of Recruitment, Appointment, Election, Induction & Training of Trustees

Recruitment

It is the policy of NCEPOD to ensure that there are an appropriate number of trustees with the required skills toensure that the charity is well governed, Trustees are appointed following resignation of an existing trustee or to

provide additional skills. These skills may be professional such as legal or accounting skills or may be clinical toensure appropriate coverage of the various medical specialties. When a vacancy is identified, an appointment will

be made by the trustees after conducting an application/invitation and interview process. Every new trustee will

become a member of the Steering Group.

Appointment & Election

The Articles of NCEPOD state:

"The trustees may appoint a person who is willing to act to be a trustee, either to fill a vacancy or as an additional

trustee, provided that the appointment does not cause the number of trustees to exceed any number fixed by or

in accordance with the Articles as the maximum number of trustees. A trustee so appointed shall hold office only

until the following annual general meeting. If not reappointed at such annual general meeting, s/he shall vacate

office at the conclusion thereof. "

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NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

TRUSTEES' ANNUAL REPORT

Year ending 31 March 2019

Page 5

Induction & Training

Newly appointed trustees are given a pack of information comprising of:

~ The Charity Commission's document 'The Essential Trustee'~ NCEPOD's Memorandum and Articles of Association~ The last Trustees' Annual Report and Financial Statements~ The last year's minutes of Trustee and Steering Group meetings~ The business plan~ The latest risk assessment

A meeting with the Chief Executive, who also acts as the Company Secretary, is also arranged before attendingtheir first trustee meeting to ensure that any questions they may have are answered. Additional sessions can bearranged if required on specific issues.

If additional training needs, such as media training, are identified then an appropriate method of training will beused.

Staff

The day-to-day running of NCEPOD is managed by the Chief Executive and Company Secretary, Dr Marisa Mason,who is based at NCEPOD's registered office and principal address. She is assisted in this task by her deputy, Dr Neil

Smith and thirteen staff, three of whom are part-time. These staff members are responsible, together with theClinical Co-ordinators, for the running of studies including their design and the processing of data.

Dr Vivek Srivastava, as Lead Clinical Co-ordinator is responsible for the deployment of the Clinical Co-ordinatorsand is the clinical lead for NCEPOD. Many clinicians assist NCEPOD as case note reviewers, and are listed in thereport relevant to the year(sj for which they have reviewed data.

Staff pay

The trustees are responsible for setting the pay of the Chief Executive and Deputy Chief Executive who with thetrustees represent the charity's key management personnel, and for agreeing any other staff pay rises. The payscale used by the trustees was agreed following an external review which benchmarked salaries to a variety ofsimilar organisations. This is reviewed by the trustees and amended at their discretion when considering thecurrent pay scales of NHS providers, academic institutions and similarly sized organisations.

Risk & Corporate Governance Matters

The trustees have conducted a review of the principal risks and uncertainties to which NCEPOD is exposed andsystems have been established to mitigate those risks. This register is reviewed annually. The basis of this risk

review is the Charity Commission's guideline "Charities and Risk Management" and risks are assessed under thefollowing headings:

~ Governance risks

~ Operational risks

~ Financial risks

~ External risks

~ Compliance with law and regulation

The trustees' first concern is to maintain and enhance the quality of the studies with which the reputation ofNCEPOD has become synonymous.

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NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

TRUSTEES' ANNUAL REPORT

Year ending 31 March 2019

Page 6

Their second concern is to do what can be done to ensure that the lessons of the studies undertaken are widely

shared so that they can be translated into improved patient care.

Financial viability is essential if NCEPOD is to continue and the reduction in income in real terms due to the financial

pressures on NCEPOD's principal funder, NHS England, is a significant risk. NCEPOD is currently in the second of a

two year extension to its two tendered programmes, both of which have had a 15% reduction in budget. There is

always a risk that funding will be stopped with little notice and therefore NCEPOD has continued to keep free

reserves available to meet liabilities such as redundancy payments in the event of forced closure or loss of contract

under the tendering arrangements.

Internal risks are minimised by the implementation of procedures for authorisation of all transactions, and to

ensure quality of delivery for all operational aspects of NCEPOD, These procedures are annually reviewed to ensure

that they still meet the needs of the charity. The responsibility for completing this risk assessment and for following

up actions lies with the Chief Executive,

The safeguarding of highly confidential data is of paramount importance to NCEPOD and as such it is registered

with the Information Commissioner and NCEPOD abides by the General Data Protection Regulations 2016. The

Chief Executive acts as a Caldicott Guardian with responsibility for protecting the confidentiality of information

relating to all patients, The work of NCEPOD has been registered with the Health Research Authority-

Confidentiality Advisory Group (HRA-CAG) which, under Section 251 of the NHS Act 2006, requires organisations

to seek approval of the Secretary of State for Health where patient consent is not sought for the use of identifiable

data, This registration is reviewed annually and in 2018/19 the NHS Information Governance Toolkit was

completed with a 98% overall score. Formal arrangements are also in place with the Northern Ireland Privacy

Advisory Committee and the NHS Scotland Public Benefit and Privacy Panel for Health and Social Care.

Professional Indemnity Insurance

NCEPOD has taken out an insurance policy that provides professional indemnity cover for the trustees, The cost of

this insurance policy to NCEPOD for the year was E6,795 (2018:E6,795).

Trustees' 5 Directors' Responsibilities in the Preparation of Financial Statements

The trustees (who are also the directors of NCEPOD for the purposes of company law) are responsible for preparing

the Trustees' Annual Report and the financial statements in accordance with applicable law and United Kingdom

Accounting Standards (United Kingdom Generally Accepted Accounting Practice).

Company law requires the trustees to prepare financial statements for each financial year which give a true and

fair view of the state of affairs of the charitable company and of the incoming resources and application of

resources, including the income and expenditure, of the charitable company for that period. In preparing these

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 estimates that are reasonable and prudent;~ state whether applicable UK Accounting Standards have been followed, subject to any material

departures disclosed and explained in the financial statements; and

~ prepare the financial statements on the going concern basis unless it is inappropriate to presume that the

charitable company will continue in business,

The trustees are responsible for keeping adequate accounting records that disclose with reasonable accuracy at

any time the financial position of the charitable company and enable them to ensure that the financial statements

comply with the Companies Act 2006. They are also responsible for safeguarding the assets of the charitable

company and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

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NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

TRUSTEES' ANNUAL REPORT

Year ending 31 March 2019

Page 7

In so far as the trustees are aware:

~ there is no relevant audit information of which the charitable company's auditor is unaware; and~ the trustees have taken all steps that they ought to have taken to make themselves aware of any relevant

audit information and to establish that the auditor is aware of that information.

The trustees are responsible for the maintenance and integrity of the corporate and financial information includedon the charitable company's website. Legislation in the United Kingdom governing the preparation anddissemination of financial statements may differ from legislation in other jurisdictions.

Auditor

The charity's auditors, MHA Maclntyre Hudson, have indicated their willingness to continue in office and offerthemselves for re-appointment.

OBJECTIVES AND ACTIVITIES

Charitable Objectives

The charitable objectives for which the charity was established are as follows:

The Company's objects are to assist in maintaining and improving standards of healthcare for the benefit of thepublic by reviewing the management of patients, by undertaking and providing the undertaking of confidentialsurveys and research, and by publishing and generally making available the results of such activities.

Charitable Activities

NCEPOD's principal source of funding is via the Healthcare Quality Improvement Partnership (HQIP) on behalf ofNHS England, the Welsh Government, the Scottish Government, the Department of Health in Northern Ireland andthe Offshore Islands. The private sector also contributes funds to the activities of NCEPOD.

Over forty-five reports have been published since NCEPOD was set up, and its influence is widely accepted withinthe healthcare sector. All NHS hospitals in England, Wales, Scotland and Northern Ireland participate in the workof NCEPOD, together with hospitals in Guernsey, Jersey and the Isle of Man, and the majority of the providers ofacute patient care in the private independent sector.

Following a major review of NCEPOD's work during 2001 and 2002 by NICE (during its time as the commissioningbody), it was agreed to extend NCEPOD's remit to include medical care and primary care, and to include in itsstudies those cases where an adverse incident had occurred rather than just review those cases where patientshad died. The original name of NCEPOD no longer reflected this extension to its remit, and as a result in December2003, the name of the organisation became the National Confidential Enquiry into Patient Outcome and Death.

Ideas for topics for consideration are sought from a wide range of organisations as part of an annual topic selectionprocess usually held over the summer and autumn months. The call for topics is also made available on the NCEPODwebsite and using social media; allowing ideas to be submitted by any interested party, including the public.

Therefore in pursuance of its overall goal, NCEPOD undertakes a principal charitable activity which is the designand conduct of confidential surveys. The findings together with recommendations are published. These activitiesare consistent with the objects of NCEPOD as described above.

At any one time there may be several studies underway and grants may be made for a particular study.

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NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

TRUSTEES' ANNUAL REPORT

Year ending 31 March 2019

Page 8

Indicators, Milestones & Benchmarks

NCEPOD generally develops two new studies during the year. Each study runs over a two year period.

Each study has set milestones. Progress against these milestones is assessed at the trustees' meetings

and formally documented in the business plan which is produced at the beginning of each financial year.

Adherence to the milestones is also reviewed quarterly by HQIP. The milestones are:

1. Form the Study Advisory Group

2. Write the protocol

3, Design the questionnaires

4, Advertise the study

5. Advertise for Reviewers

6. Test data collection methods

7. Meet with the Study Advisory Group for a second time

8. Final protocol to Steering Group and HQIP

9. Start data collection

10. Run Reviewer meetings

11.Data analysis

12. Write the report13. Design the report

14, Publish the report

Public Benefit - strategy

The trustees have taken The Charity Commission's general guidance on public benefit (contained within the

guidance publication "Charities and Public Benefit" ) into consideration in determining the strategy and operation

of the charity and in preparing their statements on public benefit contained within this trustees' annual report.

Benefits & Beneficiaries

In accordance with its charitable objectives, NCEPOD strives to improve patient care and safety and to improve the

quality of healthcare for the benefit of all those treated in a healthcare setting. The charity's beneficiaries are

therefore the public and patients, and benefits to all are provided through continuing support for clinicians and

allied health professionals to ensure the highest possible quality of safe care is delivered.

Trustees' Assessment of Public Benefit

In addition to monitoring the progress of NCEPOD in terms of achievement of milestones in relation to studies, the

trustees also promote the adoption of the recommendations. At the start of a study, relevant organisations that

represent the study sample are involved, This group includes clinicians as well as patient representatives, Prior to

the launch of each report consideration is given as to who should be invited to comment, whether it be a Health

Department or a specialist group, including patient groups. In addition to this the Chair requests that the NCEPOD

Steering Group take the messages of the report back to their constituent groups (Royal Colleges and Specialist

Organisations) to ensure maximum impact. Feedback from these organisations on how the reports and

recommendations have been implemented act as a marker of public benefit and are reported back to the trustees

as a positive indication of impact.

Volunteers

NCEPOD does not use public volunteers to undertake its work but does benefit from clinicians who are willing to

provide their time to help review the data collected.

Grant Making Policy

The charity does not give grants,

Fundraising Activities

No activities.

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NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

TRUSTEES' ANNUAL REPORT

Year ending 31 March 2019

Page 9

ACHIEVEMENTS AND PERFORMANCE

Activities & Events

Publications

NCEPOD published four reports during 2018/19.

The first was a review of the common themes identified through past NCEPOD reports

The second report, called 'Failure to Function'was published in November 2018 and was a review of the quality ofcare provided to patients in acute heart failure who died following an emergency admission.

The third report, called 'On the Right Course7' was published on December 2018 and was a review of the careprovided to children, teens and young adults who died or who were admitted to critical care within 60 days ofreceiving systemic anti-cancer therapy.

The fourth report, called 'Highs and Lows'was published on December 2018 and was a review of the care received

by patients with diabetes undergoing surgery.

The table below details the current projects in progress at the time of this report. Further information can be foundon NCEPOD's website at www, nce od. or .uk:

Area of study:

Young people's mental health

Pulmonary embolism

Acute bowel obstruction

In hospital management of out ofhospital cardiac arrests

Dysphagia in Parkinson's Disease

Completion date:Due to be released 12/9/19

Milestone reached:Report being reworked

Due to be released in January 21 Data being collected

Due to be released in October 19 Report being written

Due to be released in January 20 Data analysis underway

Due to be released in October 20 Data being collected

impact of Activities & Events

Publications2018/19 was a very successful year with regard to promotion of the work undertaken by NCEPOD,

For the reports published:1, Acute heart failure was presented to 800 delegates at the British Cardiac Society conference2. Cancer in children, teens and young adults was presented at the Children's Cancer and Leukaemia Group

annual conference3, Perioperative diabetes was presented at local meetings but will be presented at the Association of

Surgeon's annual conference and has been used as a reference source to amend the national diabetesaudit, in a stream of work led by Diabetes UK,

In addition to the reports published NCEPOD marked 30 years of improving patient care a one-day conference washeld at the Royal College of Physicians of London. Fourteen speakers, including the Medical Director of NHS

England commented on the impact NCEPOD had had over the 30 years. Some examples are given below:

"NCEPOD Categories of Intervention has become common language" Dr K Wilkinson

"Reconfiguration of trauma servicesin London could not have happened without the support of NCEPOD. The reportsaved lives and money" Dr E Cole

"How I conductincident reviews has changed post-NCEPOD" Dr C Hayhurst

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TRUSTEES' ANNUAL REPORT

Year ending 31 March 2019

Page 10

"The NCEPOD review is what started the quality improvement work by the BTS into non-invasive ventilation, it is

what drove it forward" Dr S Bloch

"NCEPOD was the ignition point for a systematic improvement in acute kidney injury" Dr R Fluck

There were also posters presented highlighting how NCEPOD reports had been implemented locally:

Introduction of an Nltv'Retrieval Service to a District General Hospital.

V Lewis, L Ward, H Jones, S Fairbairn

Improving early detection and management Sepsis following 'Just Say Sepsis'NCEPOD reportL. Jordan, V. Selby, C Edmonds, D Greenman'

Audit of the NCEPOD "Treat as One" Recommendations on an Acute Admissions Ward

Dr Sarah Barber, Dr Azeem Alam, Dr Catriona Dickie, Dr Abeer Rivzi and Dr Vivek Srivastava

30 yeors on: Comparing 2017 with findings from the original 1987 CEPOD reportDJ Freeman and D Whitelock

The Perfect Surgical Theatre Day

Sargsyan N, et al.

On The Right Trach Yet? The South West of England multicentre tracheostomy service audit

Agnieszka Skorko, Robert Goss, Richard Innes, Sanjoy Shah, Christopher Newell, on behalf of the STAR and

SWARM trainee networks

Study toolkits

NCEPOD produces audit toolkits which can be downloaded from the website to allow individual hospitals and

Trusts/Boards to assess their own practice against the recommendations made. In addition, toolkits are available

for all past reports from 2007 which can be downloaded from the website. The development of electronic toolkits

is also underway.

Other means of disseminating the messages from the reports

Other than the main report, for each study the following are produced:1. An executive summary

2. A summary sheet3. An infographic sheet4. A slide set5, A patient question

6. A short video uploaded to social media

7. A Commissioner's guide

8. Fishbone diagrams

Other activities

To promote the work of NCEPOD and to ensure that effective links are made with each hospital so that they feel

confident participating in the studies, NCEPOD has continued to run days for the Local Reporters (our link person

in each hospital) and Ambassadors (hospital based clinicians who promote the work of NCEPOD) to meet with

NCEPOD and discuss common issues.

Clinical Co-ordinators and/or senior NCEPOD non-clinical staff have given over 15 presentations at individual

hospitals,

NCEPOD held a one-day conference at the Royal College of Physicians of London to mark 30 years of impact.

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TRUSTEES' ANNUAL REPORT

Year ending 31 March 2019

Page 11

Public Benefit - delivery

During the year 2018/19, the trustees gathered the following evidence that demonstrates to their satisfactionthat NCEPOD continues to benefit the public through its activities targeted to achieve its charitable objectives:

~ Patients were involved in the pulmonary embolism and acute bowel study advisory groups as well as out ofhospital cardiac arrests and dysphagia in Parkinson's Disease

~ Patient and parent carer views were sought for the child health study

FINANCIAL REVIEW

Financial Results of Activities & Events

Results for the year ended 31 March 2019 are given in the Statement of Financial Activities on page 17.The assetsand liabilities of NCEPOD are shown in the Balance Sheets on page 18, The financial statements should be read in

conjunction with their related notes, which appear on pages 20 to 31.

In summary, total income decreased by 15.0/o (2018:decreased by 13.7/o) to f1,415,654 (2018:E1,664,871), totalexpenditure decreased by 25.1/o (2018: increased by 8.4/) to f1,302,410 (2018:f1,738,855), resulting in a positivenet movement in funds for the year of f96,599 (2018: negative net movement in funds of f72,815). Included in

the net movement in funds is the loss on investment recognised for 2019:f4,453 (2018: Gain f1,169).The primarysource of funding was via the Healthcare Quality Improvement Partnership who commission the work programmesundertaken.

The trustees maintain their policy of transferring cash not immediately needed for working capital purposes toshort term treasury deposits and longer term investments as detailed below.

Reserves Policy

The trustees review the reserves policy each year. In conducting this review, the trustees take account of bestpractice as identified by the Charity Commission and the risks facing NCEPOD.

Designated reserves are set aside at the discretion of the trustees. There is currently one fund in this category-the Premises Fund — this is designed to meet the costs of decoration and maintenance of the leased premisescurrently occupied by NCEPOD,

To meet legal and other associated costs to undertake an orderly wind-up, it is estimated that a sum up to f700,000would be required. This would cover the costs of staff redundancy, legal and professional costs of winding up thecharitable company and the termination costs for premises and equipment leases.

The current level of free reserves stands at E1,019,240 (2018: f921,069), which meets the above requirements.The excess free reserves will be used as part of the budget in 2019/20 and ongoing to cover any future reductionin core funding for the work programmes we undertake.

Investment Policy

NCEPOD plans its activities over a three year period, with annual review and budgets to expend anticipated income,retaining reserves as detailed above. To date and to ensure the best return on the reserves NCEPOD has E209,000in a Virgin Deposit Account, f143,000 in a COIF deposit fund, f100,000 in the Charity Bank and f100,000 in theNationwide Building Society. In addition, NCEPOD has f200, 000 invested in Iow/medium risk securities.

In November 2018 the assets held in securities were moved from Beaufort Securities to the Share Centre asBeaufort Securities went into administration in March 2018. The Share Centre is an online trading platform onlyso the trustees are scoping potential fund managers through 2019 and will finalise a more formal investment policywith the new fund manager once they have been appointed in late 2019/early 2020,

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Year ending 31 March 2019

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PLANS FOR FUTURE PERIODS

Future Strategy

The contract for the current programme of medical and surgical studies continues until March 2020. And the

contract for the child health studies continues until December 2019. Both programmes will be bid for during

2019/20.

Work will continue to ensure that the quality of the studies is as high as possible, both in scientific terms and also

in ensuring robust recommendations are provided which will improve patient care and benefit the public.

Future Activities 5 Events

NCEPOD is publishing four reports in 2019/20:1. Young people's mental healthcare2. Pulmonary embolism

3. Acute bowel obstruction4. Long-term ventilation

Data collection will continue during 2019/20 for all remaining studies.

Data collection will start on the two new studies

The next topic selection round commences in September 2019 and suggestions will be sought from a wide range

of organisations and individuals

NCEPOD trustees will explore additional sources of potential income for NCEPOD,

Impact of Future Activities & Events

The following targets have been set by the trustees against which to measure the performance of NCEPOD during

2019/20:~ Win the tender for the child health clinical outcome review programme~ Win the tender for the medical and surgical clinical outcome review programme~ The young peoples' mental health report publication to be a success —measured by stakeholder responses;~ The publication of the pulmonary embolism report to be a success —measured by stakeholder responses;~ The publication of the acute bowel obstruction report to be a success —measured by stakeholder responses;~ The publication of the long-term ventilation report to be a success —measured by stakeholder responses;~ Data collection to begin for two new studies; and

~ Two new studies to be selected.

Public Benefit

The trustees intend to ensure that NCEPOD continues to benefit the public by producing high quality reports which

are available on the NCEPOD website and making recommendations that will improve the quality of care received

by patients. The trustees will continue to be pro-active in planning which groups are best placed to enforce the

recommendations that are made and will continue to invite patient groups to be part of the study planning process

to ensure that data collected is relevant to what patients want, as well as what clinicians want for patients.

FUNDS HELD AS CUSTODIAN

NCEPOD does not currently hold, and the trustees do not anticipate that it will in the future hold, any funds as

custodian for any third party,

Page 13: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

TRUSTEES' ANNUAL REPORT

Year ending 31 March 2019

Page 13

This report of the Board of Trustees has been prepared taking advantage of the small companies' exemption ofsection 415A of the Companies Act 2006.

This report was approved by the trustees on 19'"July 2019, and was signed for and on behalf of the trustees by;

Mr lan C Martin

Chair of NCEPOD

Page 14: 31 MARCH 2019

Page 14INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT

OUTCOME AND DEATH (REGISTERED COMPANY NO. 03019382)

Opinion

We have audited the financial statements of National Confidential Enquiry into Patient Outcome and Death (the'charitable company') for the year ended 31 March 2019 which comprise the Statement of Financial Activities,

the Balance Sheet, the Cash Flow Statement and the notes to the financial statements, including a summary ofsignificant accounting policies. The financial reporting framework that has been applied in their preparation is

applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The

Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted

Accounting Practice).

In our opinion the financial statements:

~ give a true and fair view of the state of the charitable company's affairs as at 31 March 2019, and of its

incoming resources and application of resources, including its income and expenditure, 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 Companies Act 2006.

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable

law. Our responsibilities under those standards are further described in the Auditors responsibilities for the audit

of the financial statements section of our report. We are independent of the charitable company in accordance

with the ethical requirements that are relevant to our audit of the financial statements in the UK, including theFRC's Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these

requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a

basis for our opinion.

Conclusions relating to going concern

We have nothing to report in respect of the following matters in relation to which the ISAs (UK) require us toreport to you where:

~ the trustees' use of the going concern basis of accounting in the preparation of the financial statements

is not appropriate; or

~ the trustees have not disclosed in the financial statements any identified material uncertainties that

may cast significant doubt about the charitable company's ability to continue to adopt the going concern

basis of accounting for a period of at least twelve months from the date when the financial statements

are authorised for issue.

Other information

The trustees are responsible for the other information. The other information comprises the information

included in the annual report, other than the financial statements and our auditor's report thereon. Our opinion

on the financial statements does not cover the other information and, except to the extent otherwise explicitly

stated in our report, we do not express any form of assurance conclusion thereon.

Page 15: 31 MARCH 2019

Page 15INDEPENDENT AUDITOR'5 REPORT TO THE MEMBERS OF NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENTOUTCOME AND DEATH (REGISTERED COMPANY NO. 03019382) (continued)

In connection with our audit of the financial statements, our responsibility is to read the other information and,in doing so, consider whether the other information is materially inconsistent with the financial statements orour knowledge obtained in the audit or otherwise appears to be materially misstated. If we identify such materialinconsistencies or apparent material misstatements, we are required to determine whether there is a materialmisstatement in the financial statements or a material misstatement of the other information. If, based on thework we have performed, we conclude that there is a material misstatement of this other information, we arerequired to report that fact.

We have nothing to report in this regard,

Opinion on other matters prescribed by the Companies Act 2006

In our opinion based on the work undertaken in the course of the audit:

~ the information given in the Trustees' Annual Report for the financial year for which the financial statementsare prepared is consistent with the financial statements; and

~ the Trustees' Annual Report has been prepared in accordance with applicable legal requirements.

Matters on which we are required to report by exception

In the light of our knowledge and understanding of the charitable company and its environment obtained in thecourse of the audit, we have not identified material misstatements in the Trustees Annual Report,

We have nothing to report in respect of the following matters where the Companies Act 2006 requires us toreport to you if, in our opinion:

~ adequate accounting records have not been kept or returns adequate for our audit have not been receivedfrom branches not visited by us; or

~ the financial statements are not in agreement with the accounting records and returns; or

~ certain disclosures of trustees' remuneration specified by law are not made; or

~ we have not received all the information and explanations we require for our audit; or

~ the trustees were not entitled to prepare the financial statements in accordance with the small companiesregime and take advantage of the small companies exemption in preparing the directors' report and takeadvantage of the small companies exemption from the requirement to prepare a strategic report.

Respective responsibilities of trustees and auditor

As explained more fully in the Trustees' Responsibilities Statement set out on page 6, the trustees (who are alsothe directors of the charitable company for the purposes of company law) are responsible for the preparation ofthe financial statements and for being satisfied that they give a true and fair view, and for such internal controlas the trustees determine is necessary to enable the preparation of financial statements that are free frommaterial misstatement, whether due to fraud or error.

Page 16: 31 MARCH 2019

Page 16INDEPENDENT AUDITOR'S REPORT TO THE MEMBERS OF NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT

OUTCOME AND DEATH (REGISTERED COMPANY NO. 03019382) (continued)

In preparing the financial statements, the trustees are responsible for assessing the charitable company's ability

to continue as a going concern, disclosing, as applicable, matters relating to going concern and using the going

concern basis of accounting unless the trustees either intend to liquidate the charitable company or to cease

operations, or have no realistic alternative but to do so.

Auditor's responsibilities for the audit of the financial statements

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free

from material misstatement, whether due to fraud or error, and to issue an auditor's report that includes our

opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in

accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise

from fraud or error and are considered material if, individually or in aggregate, they could reasonably be expected

to influence the economic decisions to users taken on the basis of these financial statements.

A further description of our responsibilities for the audit of the financial statements is located on the Financial

Reporting Council's website at: www. frc.or .uk auditorsre onsibilities. This description forms part of our

auditor's report.

Use of our report

This report is made solely to the charitable company's members, as a body, in accordance with Chapter 3 of Part

16 of the Companies Act 2006. Our audit work has been undertaken so that we might state to the charitable

company's members 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 charitable company and the charitable company's members as a body, for our audit work, for this report, or

for the opinions we have formed.

Sudhir Singh FCA (Senior Statutory Auditor)

For and on behalf of;MHA Maclntyre Hudson

Chartered Accountants and Statutory Auditor

New Bridge Street House

30-34 New Bridge StreetLondon

EC4V 6BJ

Page 17: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

STATEMENT OF FINANCIAL ACTIVITIES

(including Income & Expenditure Account)Year ending 31 March 2019

Page 17

NotesTotal2019

f

Total2018

fINCOME FROM:

Donations

Charitable activities

171,810 238,350

1,236,361 1,411,147

Investments 7,483 15,374

TOTAL INCOME 1,415,654 1,664,871

EXPENDITURE ON:

Charitable activities 1,302,410 1,738,855

TOTAL EXPENDITURE 1,302,410 1,738,855

Net (loss) gain on investments (4,453) 1,169

NET (EXPENDITURE)/INCOME 108,791 (72,815)

NET MOVEMENT IN FUNDS 108,791 (72,815)

RECONCILIATION OF FUNDS

Fund balances brought forwardat 1 April 2018 1,131,847 1,204, 662

FUND BALANCES CARRIED FORWARD

AT 31 MARCH 2019 1,240, 638 1,131,847

The net movement in funds for the year arises from the charity's continuing activities.

No separate statement of total recognised gains and losses has been presented as all gains and losses are dealtwith in the Statement of Financial Activities.

All funds are unrestricted in the current and prior year.

The annexed notes form part of these financial statements.

Page 18: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

BALANCE SHEET AS AT 31 March 2019Registered number: 03019382

Page 18

FIXED ASSETS

Tangible assetsInvestments

Notes 2019E

6,495214,903

2018f

3,048207,730

221,398 210,778

CURRENT ASSETS

Debtors

Cash at bank and in hand

415,039627,052

411,356580,457

1,042,091 991,813LIABILITIES

Creditors: Amounts falling due within one year 10 (22,851) (70,744)

NET CURRENT ASSETS 1,019,240 921,069

TOTAL ASSETS LESS CURRENT LIABILITIES

5 NET ASSETS 1,240, 638 1,131,847

THE FUNDS OF THE CHARITY

Unrestricted income funds

General Fund

Designated Premises Fund

1,220, 638 1,111,84720,000 20,000

TOTAL CHARITY FUNDS 1,240, 638 1,131,847

The financial statements have been prepared in accordance with the provisions applicable to companies subject

to the small companies regime.

The financial statements were approved and authorised for issue by the Trustees on 19'"July 2019 by the Board

and signed on their behalf by:

Mr I C Martin

Chair

Dr David Mason.. ......... Honorary Treasurer

The annexed notes form part of these financial statements.

Page 19: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

Statement of cash flows for the year ended 31 March 2019Page 19

Notes 2019E

2018E

Cash flows from operating activitiesNet cash provided by (used in) operating activities 13 64,056 (57,176)

Cash flows from investing activitiesInterest from investmentsPurchase of tangible fixed assetsReceipts from sale of investmentsPurchase of investments

2,849 1,600(8,684)

52,441(11,626) (63,968)

Net cash (outflow) inflow from investing activities (17,461) (9,927)

Increase (decrease) in cash for the yearCash brought forward

46,595 (67,103)580,457 647,560

Cash carried forward

627,052 580,457

Page 20: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

Financial statements for the year ended 31 March 2019ACCOUNTING POLICIES

Page 20

Company Status

National Confidential Enquiry into Patient Outcome and Death is a charitable company limited by guarantee and

is registered with the Charity Commission (Charity Registration Number: 1075588) and Registrar of Companies

(Company Registration Number 03019382) in England and Wales.

The Members of the Charity are the Trustees named on Page 1. In the event of the Charity being wound up, the

liability in respect of the guarantee is limited to E1 per member.

The address of the registered office is given in the Charity's information page on Page 1 of these financial

statements. The nature of the Charity's operations and principal activities are listed in the Trustees' Report.

BASIS OF ACCOUNTING

The financial statements have been prepared to comply with current statutory requirements (being the

Companies Act 2006 and the Charities Act 2011), under the historical cost convention, and in accordance with

United Kingdom Generally Accepted Accounting Practice. The recommendations in Accounting and Reporting by

Charities: Statement of Recommended Practice applicable to charities and in accordance with the Financial

Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) issued by the Charity Commission

effective in January 2015 have been followed. The accounting policies have been applied consistently with the

prior year.

PREPARATION OF THE ACCOUNTS ON A GOING CONCERN BASIS

The financial statements are prepared on a going concern basis under the historical cost convention, modified

to include certain items at fair value. The Trustees consider that this remains an appropriate basis for the

preparation of the financial statements as no material uncertainties exist which would threaten the going

concern status. NCEPOD is expected to continue in operational existence for the foreseeable future, based on

the strategic plans in place, the related financial budgets and forecasts, anticipated outcome of the HQIP funding

tender process and its satisfactory reserves position, as detailed in the Trustees' Annual Report and in note 11.The financial statements are presented in sterling and are rounded to the nearest pound,

INCOME RECOGNITION

Grants are received from both the government departments for health and from private subscribers, who

provide money to enable the activities of NCEPOD to continue. Grants receivable are recognised in full in the

statement of financial activities in the year to which they relate. Grant income received in advance is carried

forward in the balance sheet as deferred income.

Donated services from hospitals providing clinicians for peer reviews is recognised as donated services, and

valued at the cost NCEPOD would have to pay for equivalent professional work. The income is recognised as

donations, and the corresponding expenditure shown as costs of charitable activities,

Bank interest receivable and other sources of income are accounted for on an accruals basis.

EXPENDITURE RECOGNITION

Resources expended are allocated to the charity's principal activity where the cost can be identified as relating

directly to specific confidential surveys.

An estimate is made at the balance sheet date of the proportion of total staff costs that relates to governance

matters. All other staff costs can be related directly to specific confidential surveys. For the year ended 31 March

2019, 2.9/o (2018: 2.9/o) of the total staff costs for the Chief Executive have been estimated to relate to

governance matters.

Page 21: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

Financial statements for the year ended 31 March 2019ACCOUNTING POLICIES

Page 21

Research expenditure is written off when it is incurred.

All costs that cannot be identified as relating directly to confidential surveys are categorised as support costs,and a proportion of these costs are then allocated to governance costs based on the proportion of total staffcosts estimated to relate to governance matters.

TANGIBLE FIXED ASSETS

All tangible assets that are over E500 are capitalised and classified as tangible fixed assets. Tangible fixed assetsare stated at historical cost less depreciation. Depreciation is provided on all tangible fixed assets at ratescalculated to write each asset down to its estimated residual value evenly over its expected useful life, as follows;

Computer equipmentFixtures and fittings

over 3 yearsover 5 years

INVESTMENTS

Investments are stated at market value at the balance sheet date. The statement of financial activities includesthe net gains and losses arising on revaluations and disposals throughout the year. As investments are revaluedcontinuously to market value, no realised gains or losses arise.

DEBTORS RECEIVABLE AND CREDITORS PAYABLE WITHIN ONE YEAR

Debtors and creditors with no stated interest rate and receivable or payable within one year are recorded attransaction price. Any losses arising from impairment are recognised in expenditure.

CASH AT BANK AND IN HAND

Cash at bank and in hand includes cash and short term highly liquid investments with a short maturity of threemonths or less from the date of acquisition or opening of the deposit or similar account.

LEASED ASSETS AND OBLIGATIONS

All leases are "operating leases" and the annual rentals are charged to the statement of financial activities on a

straight line basis over the lease term.

PENSIONS

NCEPOD makes contributions into defined contribution pension schemes on behalf of certain employees. Theassets of the schemes are held separately from those of NCEPOD in independently administered funds. Theamount charged to the statement of financial activities in respect of pension costs is the total contributionspayable for the year. No contributions were outstanding at the year end (2018:Enil)

FUND ACCOUNTING

The general fund comprises the accumulated surpluses of unrestricted incoming resources over resourcesexpended, which are available for use in furtherance of the general objectives of the charity.

Designated funds are a particular form of unrestricted funds consisting of amounts, which have been allocatedor designated for specific purposes by the trustees. The use of designated funds remains at the discretion of thetrustees.

Page 22: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

Financial statements for the year ended 31 March 2019ACCOUNTING POLICIES

Page 22

FINANCIAL INSTRUMENTS

The Charity holds basic financial instruments, The financial assets and financial liabilities of the Charity are as

follows:

Financial assets —trade debtors, other debtors and accrued income are basic financial instruments and are debt

instruments measured at amortised cost as detailed in note 9. Prepayments are not financial instruments,

Cash at bank —is classified as a basic financial instrument and is measured at face value,

Investments —All investments are classified as basic financial instruments and held at their fair value.

Financial liabilities —trade creditors and accruals are classified as basic financial instruments, and are measured

at amortised cost as detailed in note 10. Taxation and social security are not considered to be financial

instruments.

JUDGEMENTS AND KEY SOURCES OF ESTIMATION UNCERTAINTY

The following judgements (apart from those involving estimates) have been made in the process of applying the

above accounting policies that have had the most significant effect on amounts recognised in the financial

statements:

~ Useful economic lives of assets~ Basis of valuation of donated services~ Basis of valuation of the financial asset investments

Page 23: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

NOTES TO THE FINANCIAL STATEMENTS

Year ending 31 March 2019

Page 23

DONATIONS:

Total2019

E

Total2018

E

Donated services 171,810 238,350

171,810 238,350

INCOME FROM CHARITABLE ACTIVITIES —DESIGNING AND RUNNING CONFIDENTIAL SURVEY

Healthcare Quality ImprovementPartnership (HQIP)

1,196,884 1,371,520

Private hospitals 32,050 32,050

Conference, exhibition and otherincome sources 7,427 7,577

1,236,361 1,411,147

INVESTMENT INCOME

Dividends 4,635 13,774

Bank interest receivable on

short term cash deposits 2,848 1,600

7,483 15,374

Page 24: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

NOTES TO THE FINANCIAL STATEMENTS

Year ending 31 March 2019

Page 24

4. CHARITABLE ACTIVITIES

Total2019

E

Total2018

E

Support costs (note 5)Direct staff costs (note 6)

246, 816581,402

258,854655,620

Other direct expenditure;Staff healthcare, training, and recruitment

Clinical co-ordinators secondmentsClinical reviewers (donated services)Clinical co-ordinators, reviewers, and

staff expensesConsultancy

Temporary staff costsConference, exhibition, and meetings

expensesOperating lease rentals:

Plant and machinery

Other printing and report production costs

Postage and distribution

Cardiff University —Child Health project

431148,051171,810

74,5192,844

940

12,109

5,66634,444

6,29817,080

272174,702

238,350

93,6224,285

27,772

28,312

5,66618,07312,362

220, 965

1,302,410 1,738,855

Page 25: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

NOTES TO THE FINANCIAL STATEMENTS

Year ending 31 March 2019

Page 25

5. SUPPORT AND GOVERNANCE COSTS

Support Governancecosts costs

E E

Total2019

f

Total2018

f

Staff costs (note 6) 1,462 1,462 1,579

Other expenditure:Operating lease rentals:

Land and buildings

Other premises costsAuditors' remuneration:

Audit feesBookkeeping and payroll costsPublic relations and legal costsComputer expensesInsurance

Sundry expensesTelephoneOffice costsSteering Group and trustee expensesDepreciation - owned assetsBank charges

113,97216,919

27, 293

24,08716,1379,3684,075

11,7265,4895,221

88

10,66882

72492812351716

113,97216,919

10,66827,375

24, 15916,1869,3964,087

11,7615,5065,237

88

108,23519,033

8, 10027,096

8,31030,40315,04811,519

2,83618,326

4,8803,395

94

234,375 12,441 246, 816 258,854

Governance costs for the year f13,244 (2018: f10,021)

Included within auditors' remuneration are amounts payable to MHA Maclntyre Hudson in respect ofaudit services of E8,700 for the current year and under provision of E1,968 for the previous year (2018:E8,100).

Page 26: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

NOTES TO THE FINANCIAL STATEMENTS

Year ending 31 March 2019

Page 26

PRIOR YEAR COMPARATIVE

SUPPORT AND GOVERNANCE COSTS

Staff costs (note 6)

Support Governancecosts costs

E E

1,579

Total2018

E

1,579

Total2017

E

1,639

Other expenditure:

Operating lease rentals:Land and buildings

Other premises costsAuditors' remuneration:

Audit feesBookkeeping and payroll costsPublic relations and legal costsComputer expensesInsurance

Sundry expensesTelephoneOffice costsSteering Group and trustee expensesDepreciation —owned assetsBank charges

108,23519,033

27,0158,285

30,31215,00311,484

2,82718,271

4,8653,385

94

8,1008125914535

9551510

8,10027,096

8,31030,40315,04811,519

2,83618,3264,8803,395

94

8,10026,813

6,64030,37313,17816,170

2,82121,075

7,3676,752

59

108,235 73,48319,033 24, 345

248, 809 10,045 258,854 238,815

Governance costs for the year E10,021 (2017: E9,739)

Included within auditors' remuneration are amounts payable to MHA Maclntyre Hudson in respect ofaudit services of E8,100 (2017:E8,100).

Page 27: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

NOTES TO THE FINANCIAL STATEMENTS

Year ending 31 March 2019

Page 27

2019 2018

6, STAFF COSTS

The average monthly number of persons employed byNCEPOD during the year (excluding trustees) was:Designing and running of confidential surveys

No.

15

No.

16

Staff costs for the above persons:Wages and salariesSocial security costsPension costs

490,44442,39650,023

550,56552,79153,843

582,863 657,199

Staff costs are allocated in the financial statements, as follows:

Designing and running of confidential surveys —unrestrictedGovernance costs

581,4021,462

655,6201,579

582,863 657,199

One employee's total emolument was between f70,000 and f80,000 in the current year (2018: oneemployee's total emoluments were in the range of f70,000 - f80,000).

Total costs for key management personnel remuneration and benefits (i.e. pension costs and employernational insurance contributions) for 2019 was f156,217 (2018:f156,484).

The Charity operates a defined contribution pension plan for its employees. The amount recognised asan expense in the year was f50,023 (2018: f53,843). There were no outstanding pension contributionsat the balance sheet date (2018: fnil), This is recognised within unrestricted funds.

Page 28: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

NOTES TO THE FINANCIAL STATEMENTS

Year ending 31 March 2019

Page 28

7. TANGIBLE ASSETS

Computer Fixtures and

equipment fittings TOTAL

f f E

Cost:1 April 2018Additions

34,4338,684

14,586 49,0198,684

31 March 2019 43,117 14,586 57,703

Depreciation:1 April 2018Charge in the year

32,8544,473

13,117 45,971764 5,237

31 March 2019Net book value:31 March 2019

37,327

5,790

13,881

705

51,208

6,495

31 March 2018 1,579 1,469 3,048

2019 2018

INVESTMENTS

Listed investments:Opening balance at 1 April

Additions at cost(inc cash account movement)

Disposals at carrying value

Gain / (loss) on investments

Market value at 31 March

207,730

11,626

(4,453)

214,903

195,03487,251

(23,292)(52,432)

1,169

207,730

All investments are held in the UK and ireland.

Beaufort Securities Limited

Fees paid to the investment managers are calculated as follows:On the first EO —f10,000 1,65%On the next f10,001- and above 1%Commission is taken at the point of transaction with a minimum commission of f20 per trade. Total

management fee for 2019:Enil (2018:f622)

The Share CentreAdministration charges applied to the share account are f21.60 per annum (E1.80 per month). Total

Charges for 2019:E7,00 (2018:Enil),

Page 29: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

NOTES TO THE FINANCIAL STATEMENTS

Year ending 31 March 2019

Page 29

2019 2018

Invesco Perpetual Enhanced In Ld Ord (IPE)Nationwide Building Society Core Capital Deferred (NBS)Balfour Beatty curn cnv pref (BBYB)

Cqs New City High Yield Fund Ltd Ord Npv (NCYF)

Ssga Spdr Etfs Europe I Pic SRP Global Div Aristocrats Ucits Usd (GBDV)

Cash

50,36441,00027, 19233,85248,41014,085

54,64439,62528,40634,60447,9922,459

Market value at 31 March 214,903 207,730

DEBTORS

Amounts falling due within one year:Trade debtorsOther debtors

P repayments

321,89538,68054,464

353,99632,49424,866

415,039 411,356

10. CREDITORS

Amounts falling due within one year:Trade creditorsAccruals

12,20410,647

24,48346,261

22,851 70,744

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NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

NOTES TO THE FINANCIAL STATEMENTS

Year ending 31 March 2019

Page 30

11. THE FUNDS OF THE CHARITY

1 April Income Expenditure 31 March

2018 2019E E E E

Unrestricted income funds:

General Fund

Designated Premises Fund

1,111,847 1,415,65420,000

(1,306,863) 1,220,63820,000

1,131,847 1,415,654 (1,306,863) E 1,240, 638

The leased premises that have been occupied by NCEPOD will require maintenance and internal

decoration during the course of the lease. The trustees intend to make regular provision in respect of

the Charity's premises, and the latest transfer into the Designated Premises Fund from the General Fund

was made as at 31 March 2010. The lease was renewed in 2017 and extended to 2022. The Designated

Premises Fund will be used for any dilapidations.

Unrestricted income funds:

General Fund

Designated Premises Fund

1 April

2017E

1,184,66220,000

Income Expenditure 31 March

2018E E E

1,666,040 (1,738,855) 1,111,84720,000

1,204, 662 1,666,040 (1,738,855) E 1,131,847

12. ANALYSIS OF NET ASSETS BETWEEN FUNDS

Unrestricted income funds:General Fund

Designated Premises Fund

Fixed

assetinvestments

E

214,903

Tangible

fixed assets

6,495

Net

currentassets

E

1,019,240

20,000

NET ASSETS AT 31 MARCH 2019 214,903 6,495 1,039,240

Unrestricted income funds:

General Fund

Designated Premises Fund

Fixed

assetinvestments

E

207,730

Tangiblefixed assets

3,048

Net

currentassets

E

921,06920,000

NET ASSETS AT 31 MARCH 2018 207,730 3,048 941,069

Page 31: 31 MARCH 2019

NATIONAL CONFIDENTIAL ENQUIRY INTO PATIENT OUTCOME AND DEATH

NOTES TO THE FINANCIAL STATEMENTS

Year ending 31 March 2019

Page 31

13. RECONCILIATION OF NET INCOME TO NET CASH FLOW FROM OPERATING ACTIVITIES

2019 2018f f

Net income for the yearDepreciation (note 7)(Gain) Loss on investmentInterest from investmentDecrease (Increase) in debtors(Decrease) increase in creditors

108,7915,2374,453

(2,849)(3,684)

(47,892)

(72,815)3,395

(1,169)(1,600)12,044

2,969

Net cash from operating activities 64,056 (57,176)

14. COMMITMENTS UNDER OPERATING LEASES

At 31 March 2019, NCEPOD had future minimum lease payments under non-cancellableoperating leases:

Within 1 year

2019Land 5 Building

f137,416 E5,608 E133,952 E5,608

2018Equipment Land 5 Building Equipment

Within 2-5 years

Total

E68,708

E206,124

E9,814

f15,422

E178,640

E312,592

f15,422

E21,030

15. TRANSACTIONS WITH TRUSTEES AND OTHER RELATED PARTIES

Related parties include Key Management Personnel, which comprise the trustees and senior membersof staff. Aggregate remuneration and benefits for these staff are disclosed in Note 6.

The trustees and directors were paid no remuneration for their services provided to NCEPOD duringthe current or previous period. Four (2018: Four) trustees were reimbursed travel and meetingexpenses totalling E2,576 (2018:f1,906) incurred in attending meetings,

NCEPOD has taken out an insurance policy that provides professional indemnity cover for the trustees.The cost of this insurance policy to NCEPOD for the year was E6,795 (2018:E6,795).

There were no other transactions with related parties that require disclosure.

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