Annual Review 2009/10
Introduction 30 years ago, Bliss was founded in response to an urgent call to help save the lives of our smallest and sickest babies. Three decades on, although Bliss’ work has had many successes, the need for our funding, support and advocacy has never been stronger. Much has been achieved for premature and sick babies in the last 30 years. Medical advances mean that more babies are surviving than ever before. There is no longer a shortage of life-saving equipment in hospitals. And families are not excluded from caring for their sick child. We are very proud of the part that we have played in achieving this, and much more. However many other problems are yet to be resolved, and Bliss is committed to seeing every baby in the country have the best possible care regardless of where or when they are born. There remains a chronic shortage of specially trained staff, particularly nurses, to care for our most vulnerable babies. A lack of available cots mean families too often have to move long distances around the country to find the vital care that they so desperately need. Tragically, every day, seven babies die in their first week of life. There is still much more for Bliss to do. In the last year we have seen significant progress on many fronts. The first ever set of national standards for neonatal care has been published in England – this is a very welcome step to have finally been achieved by the Government and the NHS. Our research projects have identified and progressed exciting new areas of treatment in the areas of early nutrition, Kangaroo Care and infant resuscitation. Our new counselling service has offered a lifeline to families coming to terms with having had their baby, unwell, in hospital. We would like to offer our sincere thanks to all our supporters, volunteers and partners who have helped us to make this, our thirtieth anniversary, a very memorable year for Bliss. It is only with the amazing cooperation and generosity of so many individuals and organisations that we are able to offer hope and support to these very special babies, their families and the nurses and doctors who care for them.
Isobel Gowan Chair of Trustees
Bliss
is the only UK charity that helps care for premature and sick babies
Andy Cole Chief Executive
Our mission is to ensure that more babies survive and go on to have the best possible quality of life
80,000
babies every year need specialist hospital care at birth in the UK
2 Bliss Annual report 09/10
About the work of Bliss
Caroline and James’ story At six am on Monday 10 August 2009, Caroline was told she would have to deliver her baby much earlier than she had planned. Olivia Grace was born at 32 weeks gestation, weighing 3lbs 9oz. She was sent to special care, given antibiotics as a preventive until they had taken blood and also given oxygen.
It was while Caroline remained in intensive care that she first heard of Bliss. Her husband James had been given Bliss leaflets for her to read. When she was better she read them cover to cover and over and over again. Caroline says: “Not only was I a first time mum, I felt isolated and had no idea what to expect. I was terrified and my initial reassurance was from the Bliss information. I went over the ‘what to expect’ booklet until I could almost recite it. Then my first real wave of tears came and a wonderful midwife sat and comforted me.” From that day Caroline has used Bliss as her reference point. “About two weeks after Olivia was born, I began to look on the Bliss website and forum. I couldn’t say what I felt - the forum was the only place that made me feel normal. When I read other stories I could relate to them. The forum kept me sane, it was my outlet and helped me whenever I needed a question answered.” The family celebrated Olivia’s first birthday in August 2010.
Supporting families to care for their babies
“Bliss was a lifeline while Ella was in hospital. They showed us that we weren’t alone and that there was help, support, and information on neonatal care, available. This is something you don’t know anything about until you are thrown in to it” Sarah Smith, mum to Ella born ten weeks early
66%
of all families whose baby is admitted to a neonatal unit for more than one day are supported by our services
Supporting families to care for their babies
91%
of parents felt more reassured and happy after calling our helpline
63%
increase in our local support groups, with a total of 849 meetings for parents held
Having a baby in neonatal care is incredibly stressful and difficult for all members of a family. Bliss’ support services play a vital role in helping parents to gain the skills, knowledge and confidence they require to care for their baby, both in hospital and at home. This ensures that babies have the best possible environment in which to recover and thrive. Some of our support is provided directly to families, through our helpline, counselling services and via our national support group network, other support is provided more indirectly: Support offered Remote support (via the website) Indirect support (via the free parent literature and online message board) Direct support (via the helpline, support groups and counselling service)
Interactions with families 224,000 370,000 9,250
This year we have expanded the range of support available to families of premature and sick babies, initiating a number of new projects and publications and greatly expanding activity through our national support group network. All our support services are free to access.
During the year we have • Increased the opening hours of our helpline by 20 hours per week, using a pool of 50 trained volunteers in addition to core staff. This has meant an increase in the number of calls and messages handled by our Family Support Team of 11 per cent. • Developed and launched a new Going Home Pack for parents, supported by Fairy Non Bio and Pampers. 86 per cent of UK neonatal units started regularly using this within six months of it launching. • Seen a 100 per cent increase in the activity undertaken by our local support groups, including parent meetings, social events and visits to neonatal units. We also opened five new support groups in Scotland including Edinburgh, Kirkcaldy and Motherwell. • Distributed 92,000 copies of 30 different printed publications and had 9,850 downloads. This includes our essential Parent Information Guide, which is used by at least 93 per cent of all neonatal units across the UK.Translated our Parent Information Guide into five non-English languages and distributed 7,500 copies of a new printed Polish edition. • Launched a free counselling service for families, with support from the Department of Health, which was used by 56 parents with experience of having a baby in neonatal care. 98 per cent of parents using the service reported that they found it very beneficial. • Distributed 21,000 copies of a free DVD to teach parents of the most vulnerable babies about infant resuscitation, supported by Abbott Ltd, Laerdal and Angelcare. • Seen 224,000 individual visits to the Bliss website and had a 14 per cent increase in the number of posts to our online parent message board. 84 per cent of families visiting our site reported that they felt quite or very reassured. Bliss Annual report 09/10 5
Developing and replicating innovations in perinatal care Our finances
“Very inspiring - I can’t wait to implement and share new ideas at work with my colleagues.” Delegate fromreport a 2009 Bliss study day 6 Bliss Annual 09/10
Developing and replicating innovations in perinatal care
95%
of study day delegates picked up new ideas or changes to their practice
1,800
healthcare professionals have heard from Bliss through presentations at 24 professional events and conferences across the UK
Research
funded by Bliss demonstrated that Kangaroo Care helps reduce mothers’ stress and has a positive impact on their baby’s development
Great advances in medical care in the past 20 years have had a significant impact on the survival and quality of life for babies born premature or sick. However there is still much more to be done. Wide variations in practice in perinatal care are still prevalent across the UK and the uptake of new treatments and practices remains frustratingly slow. Bliss has focused particular effort on areas of ‘family centred’ or ‘developmental’ care. These are noninvasive interventions that have been shown to have not only a direct benefit to the clinical outcomes of babies, but also to the overall well-being of a baby’s family. We are committed to establishing a consistency of practice across the country that will ensure that all babies and families receive the very best possible clinical, practical and psychological care. To achieve this we have been actively involved in a number of service improvement programmes working directly with frontline NHS staff.
During the year we have • Invested in three major research projects, including an investigation into the administration of parenteral nutrition to extremely preterm babies based at Liverpool Women’s Hospital, and completed the work on three additional Bliss research programmes. • Continued involvement with a total of 27 major clinical trials and professional working groups including a General Medical Council working group updating guidelines on end of life care and a Department of Health review of neonatal breastfeeding practice. • Published the comprehensive POPPY (Parents of Premature Babies Project - Your Needs) study which examined the communication, information and support needs of parents of premature babies, in partnership with NCT, the National Perinatal Epidemiology Unit, the University of Warwick and the Royal College of Nursing Institute. • Produced and distributed 2,500 copies of the Bliss Baby Charter Standards, a comprehensive tool to help neonatal units deliver effective family-centred care. • Ran three successful study days in London, Bristol and Manchester attended by over 200 neonatal nurses and midwives on the theme of improving communication with parents. • Worked with 19 regional clinical neonatal networks in England on the involvement of parents in developing neonatal services, including training 12 parents as active user representatives. • Distributed two editions of our health professional newsletter covering latest research findings, training and development opportunities.
Bliss Annual report 09/10 7
Campaigning for improved perinatal services
“As a mother of prem twins, it hit me hard to see my girls so poorly in intensive care. While in NICU, my twins never received one to one nursing care; this had a huge impact on the girls, as well as Andy and I. The nurses were frantically busy, and as a result basic care such as discussing issues with us, explaining medical terminology, and having time to assist us with skin to skin took a back seat. As a result, my emotional state deteriorated, and I felt increasingly detached from my babies. Adults receive one to one care in intensive care – so why shouldn’t babies? With one to one care in the NICU, nursing staff would not only have a realistic workload, but medical care would be better too.” Louisa Hill, mother of Imogen and Isobel, born at 28 weeks
Demand for neonatal care services has risen by 9 per cent in the past three years. Half of neonatal units had to close to new admissions during 2009.
70%
of the English neonatal networks now have a dedicated transport system, 24 hours a day seven days a week
Campaigning for improved perinatal services
Secured
a Government commitment to develop better parental accommodation for families with a baby in neonatal care
89
parliamentary questions and debates around the UK were informed by Bliss, and we participated in six national policy groups
Babies in neonatal care are the most vulnerable and fragile patients within the entire health system, yet services to support them have been chronically underfunded for decades. There is a severe shortage of specialist staff, both doctors and nurses, and many hospital facilities are no longer adequate. For 30 years, Bliss has fought to improve the services and care available to our sickest babies and their families. In the past year there have been some significant shifts in government policy in England, Scotland and Wales due to our campaigning activities. We will redouble our efforts to ensure that the recommendations in these policies deliver lasting change in special care baby units across the UK.
During the year we have • Ensured that the NHS Neonatal Taskforce process was completed, culminating in the first ever set of national neonatal standards for England and an agreed commissioning framework. • Worked with the National Institute for Health and Clinical Excellence (NICE) to ensure that they start to develop new quality standards for neonatal care which will be launched next year. • Contributed to the Welsh neonatal care implementation group, ensuring that the establishment of a clinical network in Wales was agreed by the Health and Social Services Minister. • Published the annual Bliss Baby Report, Three Decades and Counting, a state of the nation review of the developments in the UK’s neonatal care services over the last 30 years. • Recruited 640 new volunteers for our Action for Bliss campaigning network with almost 2,500 campaign messages sent to health ministers and elected representatives by the public as part of our ‘One to one nursing’ campaign. • Through our campaigning activities in Northern Ireland a review of neonatal nursing, by the Northern Irish Chief Nursing Officer, will commence next year. • For the second year running Bliss was shortlisted for Campaigning Team of the Year at the Charity Times Awards.
“It is important to demand better care; my choice to move from my local hospital to UCLH only two weeks before giving birth was because I was concerned about my lack of care and was feeling very unwell. Kwame is doing really well and I am thankful for him, but still sad at losing Shaka. I think my bittersweet story serves as a reminder that we can deliver healthy babies at less than 24 weeks and should fight to preserve life as much as possible.” Hyacinth Myers, mum to premature twins Shaka and Kwame. Shaka sadly died 23 days after being born.
Bliss Annual report 09/10 9 9 Bliss Annual report 09/10
Fundraising
£100,000 raised by staff at the international law firm Olswang
5,200
people supported our work with a regular monthly gift
120
Precious Star Funds raised £53,000 for Bliss in memory of someone who has passed away
Once again we exceeded the funds raised in the previous year, generating just under £2.3 million. Our broad portfolio of fundraising activity ensured that we were able to spread and minimise our financial risk during challenging economic times. Over 95 per cent of our core work is funded through the generosity of our corporate partners, trusts and foundations and by individuals undertaking a range of activity or giving from their own pocket or payroll.
During the year we have • Had huge numbers of people taking part in a wide range of running, challenge and community events across the UK. This included the London Marathon and the Great North Run as well as skydiving and the London to Paris cycle ride. • Were one of the four beneficiary charities of the Daily Telegraph’s 2009 Christmas Appeal. As a result £120,000 was raised and over 750,000 people read numerous feature articles about our work • Received a further £25,000 from the national group of nurseries, Childbase, taking their total over the past two years to over £50,000. • Significantly developed our partnership with Abbott Ltd who funded our Common Winter Illnesses booklet and awareness campaign. • Launched a new fundraising initiative, Cake a Difference, with the pro bono support of our design agency Langland. Thousands of people visited our themed website to view details and nearly £25,000 was raised as a result of their activity. • Received funding from The Department of Health to continue production of our Parent Information Guide, and to enable us to conduct a successful trial of our new counselling service. • Raised £57,000 towards our work in Scotland, including a £36,000 grant from the Scottish Executive.
“Olswang is so proud to have raised money for Bliss, not only because it was supporting such a great cause, but the fact that Olswang found the experience of working with Bliss rewarding and enjoyable”. Linda Zell, Head of Corporate Responsibility, Olswang
10 Bliss Annual report 09/10
Fundraising
Our supporters Our thanks goes to the following funders without whose generosity we would not be able to continue our work:
Corporate partners
Trusts and foundations
Abbott Ltd Angelcare Childbase The Daily Telegraph Emma’s Diary Forester Friendly Society K&L Gates LLP Langland Mamas & Papas Mothercare Olswang Pampers
Ellerdale Trust Hugh Fraser Foundation Inverforth Charitable Trust Thomas J Horne Memorial Trust Steel Charitable Trust Waterloo Foundation
Bliss BlissAnnual Annualreport report09/10 09/1011 11
•
Future activities
Plans for the future As part of Bliss’ five-year strategy we are committed to achieving the following by the end of 2012: • Significant increases in NHS resources to improve the care of babies in UK neonatal units and on discharge home. • Championing major new approaches to perinatal care throughout the UK. • Broadening our services and developing access to them, to ensure that every family member in need is able to receive support in an appropriate way for them
Our key activities for next year are wide ranging and include the following • Production of a completely new version of our essential Parent Information Guide, with additional practical sections on family centred care. • The first ever Bliss Family Nurse, based at a major intensive care centre, to champion the developmental, psychological and social needs of babies and families at that hospital and across the local neonatal network. • A further growth in the size and reach of our support group network of 20 per cent, establishing specialist groups to target fathers, young parents and families with children with special needs. • Embedding our counselling support into our core work and training a further 15 counsellors • Evaluation and active dissemination of the results from more of our completed research and development projects. • Promotion of the Bliss Baby Charter Standards, a tool to help neonatal units provide effective familycentred care, to all units. • Production and distribution of a fully updated edition of our Community Health Practitioners Information Guide, with advice specific to each of the UK countries, with the support of Abbott Ltd. • Engaging with the new Parliamentary intake in Westminster and the new Coalition Government, following the 2010 General Election. • Engaging with all of the main political parties in Scotland, Wales and Northern Ireland to influence their election manifestos in advance of the devolved administrations’ elections in May 2011. • A survey of neonatal services across the UK with the publication of four country-specific reports to identify progress made since 2008 and the success of government strategies related to neonatal care in recent years.
12 Bliss Annual report 09/10
Finances
Financial summary Our total income grew by 8 per cent in a challenging economic climate, unrestricted income in the year increased by 7.5 per cent and restricted income was £281,300.
Annual income Trusts and foundations Statutory
64 per cent of our expenditure was directed towards our charitable activities an increase of £80,000 on 2008/09. 33 per cent was spent on the costs of generating funds, essentially fundraising and governance costs were 3 per cent.
Charitable activities
Corporate Legacies and other Individual Giving
Developing and replicating innovations in perinatal care Campaigning for improved perinatal services
Scotland
Supporting families to care for their babies
Events
Scotland % of annual income
% of charitable expenditure
Restricted funds carried forward rose by over £28,000 as income received for a National Patients Survey will not be spent until 2010/11. Bliss Sales Ltd made a profit of just over £174,000 which it will transfer to Bliss and Bliss Scotland under the Gift Aid Scheme, based on turnover of £270,000. Total expenditure in Scotland was £108,700 with a deficit of £52,000, but we intend Bliss Scotland to be self-funding within three years. Our reserves improved by a further £60,000 in the year and the total amount now held represents just under four months of projected operational expenditure.
Bliss Annual report 09/10 13
Charity details
Who’s who Patron HRH The Duchess of Gloucester GCVO Trustees Isobel Gowan (Chair) Stephen Braviner-Roman David Craig Dr Jane Hawdon Andrew Hobbs Rebecca Lloyd Peter McMahon Leslie Morphy OBE Simon Palmer Keith Soper Zoe Stebbing Chris Sullivan Clare Sumner CBE Senior Management Andy Cole Chief Executive Jane Abbott Head of Programmes Caley Eldred Head of Fundraising and Marketing
Thank you to We would particularly like to thank the following partners who have helped make our work possible this year:
• • • • • • • • • • •
ACT British Association of Perinatal Medicine Children’s Rights Alliance for England Department of Health EFCNI (European Foundation for the Care of Newborn Infants) General Medical Council Foundation for the Study of Infant Death National Blood Service National Institute for Health and Clinical Excellence National Patient Safety Agency National Perinatal Epidemiology Unit
• • • • • • • • • • •
NCT Neonatal Data Analysis Unit Neonatal Nursing Association Royal College of Nursing Royal College of Obstetricians and Gynaecologists Royal College of Paediatrics and Child Health Scottish Government Stillbirth and Neonatal Death Society The Royal College of Midwives Tiny Life Twins & Multiple Births Association
14 Bliss Annual report 09/10
Bliss – The National Charity For The Newborn Notes to the financial statements for the year ended 31 March 2010
Cost of generating funds: Voluntary income Events costs Trading costs Total cost of generating funds Charitable activities: Supporting families to care for their babies Developing and replicating innovations in perinatal care Campaigning for improved perinatal services Scotland Total Charitable activities Governance costs: Total resources expended
6
Net incoming/(outgoing) resources/ (resources expended) before transfers Net transfers between funds Fund balances brought forward at 1 April 2009 Fund balances carried forward at 31 March 2010
15
601,213 32,897 34,911 669,021
-
-
601,213 32,897 34,911 669,021
411,464 217,191 8,210 636,865
433,275
-
72,143
505,418
550,412
175,858
-
149,841
325,699
314,328
293,941
-
-
293,941
331,586
119,443 1,022,517
-
34,788 256,772
154,231 1,279,289
1,196,326
65,720
-
-
65,720
77,045
1,757,258
-
256,772
2,014,030
1,910,236
260,542
-
24,546
285,088
159,999
(200,474)
196,826
3,648
-
-
441,048
-
104,697
545,745
385,746
501,116
196,826
132,891
830,833
545,745
There were no recognised gains or losses for 2010 or 2009 other than those included in the Statement of Financial Activities. The notes on pages 27 to 36 form part of these accounts
Notes to the financial statements for the year ended 31 March 2010
Notes
2010
2009
2010
2009
£
£
£
£
Charity
Group
Group
67,326 -
68,152 -
67,326 1
68,152 1
67,326
68,152
67,327
68,153
272,485 744,295
5,100 198,013 414,981
513,238 527,854
229,933 390,412
1,016,780
618,094
1,041,092
620,345
(251,115)
(136,724)
(213,522)
(129,306)
Net current assets
765,665
481,370
827,570
491,039
Total assets less current liabilities
832,991
549,522
894,897
559,192
(2,158)
(3,777)
(2,158)
(3,777)
830,833
545,745
892,739
555,415
132,891 501,116 196,826
104,697 441,048 -
131,679 564,234 196,826
104,697 450,718 -
830,833
545,745
892,739
555,415
Fixed assets Tangible assets Investment in subsidiary undertaking
Current assets Stock Debtors Cash at bank and in hand
Creditors: amounts falling due within one year
Creditors: amounts falling due after more than one year
9 5
10
11
12
Net Assets Funds Restricted funds Unrestricted funds Designated funds
15 15 15
Charity
These financial statements have been prepared in accordance with the special provisions of Part 15 of the Companies Act 2006 relating to small companies and with the Financial Reporting Standard for Smaller Entities (effective April 2008). Approved by the board of directors and trustees The notes on pages 27 to 36 form part of these accounts
Notes to the financial statements for the year ended 31 March 2010
ACCOUNTING POLICIES 1.1 Basis of accounting The financial statements are prepared under the historical cost convention and are in accordance with applicable accounting standards and the Statement of Recommended Practice ‘Accounting and Reporting by Charities’ (SORP 2005). 1.2 Basis of consolidation The financial statements consolidate the Charity and its subsidiary undertaking, Bliss Sales Limited and Bliss Scotland made up to the balance sheet date. In accordance with Section 408 of the Companies Act 2006 and paragraph 397 of SORP 2005, no separate statement of financial activities is presented for Bliss – the National Charity for the Newborn. 1.3 Cash flow statements The charity has taken advantage of the exemption in Financial Reporting Standard No.1 from the requirement to produce a cash flow statement on the ground that it is a small charity. 1.4 Income All incoming resources are included in the Statement of Financial Activities when the company is legally entitled to the income and the amount can be quantified with reasonable accuracy. 1.5 Grants Grants receivable in respect of expenditure charged to the statement of financial activities during the year have been included in the statement of financial activities. Grants made towards the cost of acquiring assets or making improvements to leasehold property have been taken to the statement of financial activities over the useful life of the asset concerned. 1.6 Legacies Legacy income is included in the year in which it is receivable, which is when the Charity becomes entitled to the resource. 1.7 Expenditure All expenditure is accounted for on an accruals basis and has been included under expense categories that aggregate cost for allocation to activities. Support costs are those costs incurred directly in support of expenditure of the objects of the company and include project management. They have been allocated to projects on the basis of salary costs incurred. Governance costs are those costs incurred in connection with compliance with constitutional and statutory requirements. 1.8 Tangible fixed assets and depreciation Tangible fixed assets costing more than £500 are capitalised and included at cost. Depreciation is provided on all tangible fixed assets so as to write them off over their anticipated useful lives at the following annual rates: Fixtures and fittings Office and computer equipment Leasehold Property
- over three years - over three-five years - length of lease
1.9 Stock Stock is recorded in the balance sheet at the lower of cost or net realisable value. 1.10 Fund accounting Unrestricted funds are available for use at the discretion of the Directors in furtherance of the general objectives of the Charity. Designated funds are unrestricted funds, which are reserved for specific purposes and available for use at the discretion of the Directors in furtherance of the general objectives of the Charity.
Notes to the financial statements for the year ended 31 March 2010
The purpose and use of restricted funds are imposed by donors or by the specific terms of charity appeals, and are set out in note 15 to the financial statements. 1.11 Operating leases Rentals under operating leases are charged to the statement of financial activities as incurred. 1.12 Finance leases Assets obtained under hire purchase contracts and finance leases are capitalised as tangible fixed assets. Assets acquired by finance lease are depreciated over the shorter of the lease term and their useful lives. Finance leases are those where substantially all of the benefits and risks of ownership are assumed by the company. Obligations under such agreements are included in creditors net of the finance charge allocated to future periods. The finance element of the rental payment is charged to the SOFA so as to produce a constant periodic rate of charge on the net obligation outstanding in each period. 1.13 Tax status The company is a registered charity and is not subject to corporation tax on its current activities. 1.14 Value Added Tax The Charity is registered under a partial exemption scheme for VAT. In common with many other registered charities the Charity is unable to recover most of the Vat charged on its expenditure. 1.15 Gifts in Kind Gifts in kind are valued at the cost to the donor. 1.16 Branches These accounts include the results of all branches.
2.
VOLUNTARY INCOME
Trust funding Corporate funding Gifts in Kind Individual giving Branch donations Payroll giving Legacies Fees and Reimbursements Money raised through sporting and community activities Statutory Income Scotland Regional income (including Trusts)
2010 £
2009 £
66,080 585,880 121,000 222,054 9,390 272,609 23,706 2,397 588,817 10,000 -
38,188 297,721 55,881 229,793 12,654 296,623 25,000 958 481,190 7,500
1,901,933
1,445,508
2010 £
2009 £
33,092 60,408
367,612 25,534
93,500
393,146
Gift in kind includes legal fees, donated goods and Baby Show stands. 3.
EVENTS AND ACTIVITIES FOR GENERATING FUNDS
Fundraising events Income from trading
Notes to the financial statements for the year ended 31 March 2010
NET INCOMING RESOURCES FOR THE YEAR 4.
2010 £
2009 £
Operating leases – land and buildings Auditors’ remuneration – audit Depreciation of fixed assets
89,700 10,886 16,377
89,700 10,750 19,986
NET INCOME OF TRADING SUBSIDIARY
2010 £
2009 £
270,521 (76,803) 193,718 (33,515) 14,484
77,123 (8,210) 68,913 (20,043) 3,551
174,687
52,421
(174,687)
(52,421)
Net incoming resources for the year are stated after Charging/(crediting):
5.
Turnover Cost of sales Gross profit Administration income/(expenses) Interest receivable Operating profit Gift aid payable to Bliss & Bliss Scotland Profit / (loss) for the year
The Trustees of Bliss – the National Charity for the Newborn, control Bliss Sales Limited which is incorporated in England and Wales and whose principal activity is trading operations that enhance the aims and objectives of Bliss. 6.
Staff Costs £
Other Direct £
Support Costs £
Total 2010 £
Total 2009 £
Cost of generating funds Voluntary income Events costs Trading costs
Grants Payabl e £
278,661 4,221 12,669
-
176,639 1,944 16,036
145,913 26,732 6,206
601,213 32,897 34,911
411,464 217,191 8,210
Total cost of generating funds
295,551
194,619
178,851
669,021
636,865
TOTAL RESOURCES EXPENDED
Cost of activities in furtherance of Charity’s objects: Supporting families to care for their baby Developing and replicating innovations in perinatal care Campaigning for improved perinatal services Scotland Total Charitable activities Governance costs
-
219,345
-
157,546
128,527
505,418
550,412
116,795
61,125
85,156
62,623
325,699
314,328
168,675
-
30,915
94,351
293,941
331,586
75,643
-
33,398
45,190
154,231
-
580,458
61,125
307,015
330,691
1,279,289
1,196,326
15,412
15,570
65,720
77,045
34,738
Notes to the financial statements for the year ended 31 March 2010
Total
910,747
61,125
517,046
525,112
Support Costs Consist of: Staff costs Premises costs Communications costs Office costs Repairs and maintenance Legal and professional fees Irrecoverable VAT Other costs
2,014,030
1,910,236
2010 £
2009 £
99,947 137,423 16,256 64,319 758 136,720 48,171 21,518
142,075 135,214 4,676 40,269 3,824 20,954 77,761 24,648
525,112
449,421
Support costs have been allocated on the following bases: Staff costs – Time spent Professional fees and subscriptions – Time spent Communications – Apportionment of work carried out Premises costs – Headcount Other costs – Time spent
Grants paid Through its Innovation Programme, Bliss seeks to support the neonatal community in the UK to improve its capacity to deliver high quality neonatal care. The Bliss Innovation in Care Fund provides grants to healthcare professionals to enable them to develop and replicate innovations which have the potential to have a widespread positive impact on outcomes for babies born premature or sick. In 2009/10 Bliss made the following grants: 1. 2.
7.
Use of clinical simulation for neonatal training (Imperial College) £15,000 - development of the application of clinical simulation to multidisciplinary neonatal training. Maximising the benefits of parenteral nutrition (Liverpool Women’s Hospital) £46,125 – a two year project looking at the optimal way to deliver intravenous nutrition to premature babies.
STAFF COSTS
2010 £
2009 £
835,116 84,850 29,444
821,294 84,487 27,276
949,410
933,057
2010 No.
2009 No.
Staff costs consist of: Wages and Salaries Employer’s National Insurance Pension contributions
The average number of full-time equivalent employees during the year was:
Notes to the financial statements for the year ended 31 March 2010
Communications and public affairs Parental support and helpline Support groups Fundraising Trading Administration Innovation and Programmes Scotland Total
5.5 7.3 1.0 9.0 0.2 3.0 3.0 0.5
6.8 4.5 0.8 9.5 0.3 3.5 2.0 -
29.5
27.4
The directors who are also the trustees of the Charity did not receive any emoluments in the year. 1 employee received remuneration in the bracket £70,000 - £80,000 in the year (2009: 1). 3 Trustees (2009:3) received reimbursement of travelling expenses totalling £589 (2009: £1,118)
8. GOVERNANCE COSTS Consist of: Audit fees Board Recruitment & Training Trustees Expenses Legal & Professional Fees Other costs
9.
2010 £
2009 £
10,886 3,728 798 5,211 45,097
11,308 200 1,159 3,025 61,353
65,720
77,045
TANGIBLE FIXED ASSETS Group and Charity Leasehold Property
Office equipment
Computer equipment
£
£
£
Total Group & Charity £
71,519 2,100 _____ 73,619
34,244 6,748 _____ 40,992
141,994 6,704 ______ 148,698
247,757 15,552 ______ 263,309
At 31 March 2010
21,456 7,385 _____ 28,841
27,910 3,390 _____ 31,300
130,239 5,603 ______ 135,842
179,605 16,378 ______ 195,983
Net Book Value At 31 March 2010
44,778
9,692
12,856
67,326
At 31 March 2009
50,064
6,334
11,754
68,152
Cost At 1 April 2009 Additions Disposals At 31 March 2010 Depreciation At 1 April 2009 Charge for the year Eliminated on disposal
The net book value of assets held under finance leases or hire purchase contracts, included above, are as follows: Office equipment:
2,158
Notes to the financial statements for the year ended 31 March 2010
10.
DEBTORS
Trade Debtors Sundry debtors Prepayments Accrued income VAT recoverable Amounts due from subsidiary undertaking Amounts due from Bliss Scotland Income tax recoverable
11.
2009 Group £
2010 Charity £
2009 Charity £
140,187 4,501 90,359 37,352 86 -
47,900 3,280 85,246 61,587 -
115,466 4,501 90,359 37,352 197,462 68,098
5,913 3,280 85,246 61,587 73,907 -
272,485
198,013
513,238
229,933
2010 Group £
2009 Group £
2010 Charity £
2009 Charity £
120,368 33,590 67,831 24,193 2,158 2,975
28,322 25,643 71,626 2,158 8,975
117,622 33,590 57,177 2,158 2,975
22,457 24,991 70,626 2,158 9,074
251,115
136,724
213,522
129,306
2010 Group £
2009 Group £
2010 Charity £
2009 Charity £
2,158
3,777
2,158
3,777
CREDITORS: amounts falling due within one year
Trade creditors Tax and social security Accruals Deferred income Obligations under finance leases Amounts due to subsidiary undertaking Other Creditors
12.
2010 Group £
CREDITORS: amounts falling due after one year
Obligations under finance leases
Notes to the financial statements for the year ended 31 March 2010
13.
OBLIGATIONS UNDER FINANCE LEASES 2010 Group £
2009 Group £
2010 Charity £
2009 Charity £
2,158 2,158
2,158 3,777
2,158 2,158
2,158 3,777
4,316
5,935
4,316
5,935
Obligations under finance leases, included above are payable as follows: Under one year Between two and five years
14.
COMMITMENTS UNDER OPERATING LEASES As at 31 March 2010, the Charity had annual commitments under non-cancellable operating leases as set out below: Land and Buildings 2010 2009 £ £ Operating leases which expire: Between one and five years 89,700 89,700
15.
FUNDS MOVEMENT Group and Charity Balance at 1 April 2009 £
Incoming resources
Resources expended
£
3,000 20,000 25,000 41,697
£
Transfer between funds £
Balance at 31 March 2010 £
19,906 41,967 125,500 9,750 1,000
23,106 41,982 30,447 34,750 46,130
200 15 3,433
115,053 -
15,000 -
26,000 6,000 14,195
15,000 23,514 7,055
-
2,486 6,000 7,140
-
1,000 36,000
34,788
-
1,000 1,212
Total restricted funds
104,697
281,318
256,772
3,648
132,891
Unrestricted funds
441,048
2,017,800
1,757,258
(200,474)
501,116
Designated funds
-
-
-
196,826
196,826
545,745
2,299,118
2,014,030
-
830,833
Restricted Funds Counselling Project Parents Information Guide National Patients Survey QuISP Project Clinical Simulation Training Project Kangaroo Care Project London User Involvement Distribution of Information Withholding & Withdrawing Care Project Early Birds Project Scotland
Total funds
Notes to the financial statements for the year ended 31 March 2010
Restricted funds: Supporting families to care for their babies This programme provides parents with support and clear information through critical periods, enabling them to provide the kind of care that will ensure the best possible outcomes for their baby. As well as trust grants, the following major projects support this programme: The Bliss Parent Information Guide provides families with a comprehensive overview of the issues associated with having a premature or sick baby. The project is currently funded by a three year Department of Health Section 64 grant (2009/10 £41,967) which this year enabled the production and distribution of a printed version in Polish. The Family Support Team provides a range of services to families, carers and health professionals enabling them to get advice and information from experienced staff on issues associated with having a premature or sick baby. This service was extended through the launch of a free counselling service which was supported by a Department of Health Third Sector Programme grant of (2009/10 £19,906) which enabled the provision of 209 counselling sessions. An additional grant from the Department of Health Third Sector Programme of £14,195 enabled us to begin work on a specialised booklet aimed to provide support to parents faced with the extremely difficult decisions around stopping intensive care for their baby. This work will continue and develop in 10/11. Developing and replicating innovations in perinatal care This programme enables health professionals caring for sick or premature babies to learn about and implement the latest approaches to care. This programme includes the following major projects: The QUISP project is designed to help neonatal unit frontline staff develop tools to influence, introduce and sustain changes in practice. This project received an additional £9,750 from small restricted grants. We also received £27,500 of funding to help support the development of work on user involvement specifically on gaining access for parents in the development of neonatal services. This included training 12 parents as active users. A total of £125,500 was received as restricted payments from various NHS networks towards a national patient survey planned for completion in 10/11.
Notes to the financial statements for the year ended 31 March 2010
Campaigning for improved perinatal services This programme supports our campaigning activities on behalf of babies and their families. The programme is normally funded from Unrestricted funds but this year we received the following project grant:
Unrestricted funds These represent the general funds of the Charity which are not Restricted for particular purposes and can be applied by the Trustees for the charitable purposes of the Charity.
Designated funds Research into the optimal way to deliver intravenous nutrition to extremely premature babies was continued and £34,500 of the money raised by the Telegraph Appeal was allocated towards the cost of the project. The Trustees approved an investment of £25,000 into the recruitment of new (cold) donors to add to the charities database and increase the charities income over a period of five years. Fixed assets fund of £67,326 linked to the net book value of the charity’s fixed assets. £70,000 will be used to fund a family-centred care nurse at St George’s Hospital London. This pilot project, delivered in partnership with First Touch and the Southwest London Neonatal Network, aims to improve the care that families receive during their baby’s hospitalisation.
16.
ANALYSIS OF GROUP NET ASSETS BETWEEN FUNDS Unrestricted funds £
Designated funds £
Restricted funds £
Total
754,389 (251,115) (2,158)
67,326 129,500
132,891 -
67,326 1,016,780 (251,115) (2,158)
501,116
196,826
132,891
830,833
£
Fund balances at 31 March 2010 are represented by: Tangible Fixed assets Current assets Current liabilities Creditors falling due after one year
Family Support Helpline Freephone 0500 618140 RNID typetalk 018001 0500 618140 Bliss is a member of Language Line, the telephone interpreting service, which has access to qualified interpreters in 170 languages. We rely on donations to fund our work and your support could make a real difference. To find out about the different ways in which you could help, please contact us on 020 7378 5740 or go to www.bliss.org.uk/donate
Bliss – The national charity for the newborn Registered charity no. 1002973 Scottish registered charity SCO40878 Company registration no. 2609219
9 Holyrood Street London SE1 2EL t 020 7378 1122 f 020 7403 0673 e information@bliss.org.uk www.bliss.org.uk