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THE MARY HOW TRUST

FOR CANCER PREVENTION

Trustees’ Annual Business Review April 2017

The Mary How Trust for Cancer Prevention is a Charitable Company Limited by Guarantee registered

both at Companies’ House and the Charity Commission

Registered office: Pulborough Primary Care Centre, Spiro Close, Pulborough, West Sussex, RH20 1FG

Company Number: 6324356 Charity Number: 1122393

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Contents

INTRODUCTION TO THE 2017 BUSINESS PLAN REVIEW ................................. 3

REVIEW OF THE TRUST’S PERFORMANCE ........................................................ 5

Overall Performance ............................................................................................... 5

Financial ................................................................................................................. 6

Health Screening ...................................................................................................... 7

The Charity Shops ................................................................................................... 9

Marketing and Fundraising .................................................................................... 10

GENERAL INFORMATION ON THE TRUST ...................................................... 12

APPENDIX A: ACTUAL/FORECAST FIGURES .................................................. 16

APPENDIX B: COST COMPARISON OF OTHER SCREENING

ORGANISATIONS .................................................................................................. 17

APPENDIX C: ORGANISATION CHART OF MANAGEMENT, EMPLOYEES AND VOLUNTEERS ............................................................................................... 18

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INTRODUCTION TO THE 2017/18 BUSINESS PLAN REVIEW

“My visit to the Mary How Trust proved to be a real ‘game changer’ for me.”

The Mary How Trust is proud to have continued helping men and women through its health screening service in the past year. Thanks to support from the local and wider

community, we have been able to give people from all walks of life the chance to take control of their health by receiving comprehensive screenings irrespective of their ability

to donate the full cost of these screenings.

OUR REVIEW IN BRIEF. Last year whilst maintaining excellent care standards, we

increased our client screenings, doubled our Charity Shop capacity and improved Trust governance through enhanced Risk Assessment. In the coming year, we seek to increase

our client screenings by 100, increase our Grant Revenue, startup the Friends of the Mary How Trust and continue to increase our Charity Shop income. We seek to

increase the public perception of the Mary How Trust as that of a responsible, honest, compliant and well regulated Charity.

We will continue to:

Provide a quality health screening offer of unrivalled value.

Operate to best practice standards in all that we do and ensure compliance with the Care Quality Commission Fundamental Standards.

Operate within an effective compliance and quality managed framework.

Make every attempt, whilst not sacrificing standards,

To optimise cost and raise income

To ensure we maximise the value of donations thus securing the sustainability of the Trust for the future.

Value the skills and commitment of our employees and volunteers.

Review our screening offer regularly against that of the NHS and commercial

organisations.

Maintain a rolling review programme ensuring our clinical protocols remain

robust and current to ensure we provide our clients with a first class health screening service and that our employees operate within a safe environment.

Each year we review the performance of the Trust over the previous 12 months and produce a report and financial forecast for the coming year. During 2016/17 we were

able to continue vigorous and successful fundraising together with the promotion of realistic donations relating to health screenings from those clients who could afford them.

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We monitor our costs, income, and financial position at the monthly management meetings to ensure value for money and good housekeeping commensurate with running

a quality health screening service and in line with our charitable status.

Essential capital expenditure always remains a challenge as only up to date medical and IT equipment enables the Trust to run an efficient and high quality system for the benefit

of its clients. During 2016/17, we upgraded the seven office computers and our clinical database, and purchased an ECG machine to add an ECG test to our screening offer.

As the Trust is a not for profit organisation, our screenings are of remarkable value (the actual cost of a health screening in 2016 was £270), half the cost of what would normally

be paid for an equivalent service at a well-known private company (see Appendix B). While we continue to seek realistic donations for health screenings, we take into account

each client’s ability to pay towards their health screening costs. To ensure that the Trust’s charitable ethos is not compromised, health screenings are available to all irrespective of

an individual’s ability to donate the full cost.

A major aspect of the financial and operational security of the Trust – improving income

- is to apply for grants and to maintain and increase our relationships with all supporters, existing and potential. As with all charities we rely on sponsorship, donations and grants

to continue our work. The Trust operates a rigorous and responsible reserves policy and we prudently maintain

sufficient reserves for six months’ service. Our reserves cushion us from the inevitable fluctuations in cash flow endured by most charities. We propose to review this policy

and the funds held in 2017/18 to consider our thinking on the use of these funds.

We continue to review governance and update our Risk Review Matrix with our Management and Trustees regularly, to ensure that best practice and governance is maintained at the highest appropriate level through these regular reviews.

We are most fortunate in having employees who are of the highest calibre. Our

employees are qualified to do their jobs and receive relevant and on-going training while working to managed MHT standards, protocols and set procedures. MHT’s clinical

equipment is continually managed and validated. To further the comfort and efficiency of our clinical and office employees we will install air conditioning in 2017/18 (see page 7).

We are most grateful for our volunteer supporters, including our President, our Patrons,

our Trustees/Directors and the many volunteers both at our office, at our charity shops and at all our fundraising events.

Our volunteers are invaluable in their longstanding commitment to the Trust. The formation of a League of Friends during 2017/18 will involve our volunteers in a more cohesive and structured organisation where they will have opportunity to have more

detailed connection with the workings of the charity. Their input will be invaluable. Initial consultations will take place in Spring 2017 and the League of Friends will be formally launched and constituted in early winter 2017.

Thanks to the skills of our Lead Shop Manager, supported by the team of dedicated volunteers, shop takings have increased significantly and an invaluable programme of

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improvements at the shop were completed in the first quarter of 2016. In addition, a new Charity Shop was opened in Billingshurst in July 2016 (see page 9), which is proving an

invaluable new fundraising asset.

Compliance

We continue to ensure compliance with the Care Quality Commission requirements and ensure compliance with all data protection, data security and data privacy requirements.

We update employees concerning regulatory and Charity Commission alerts. The Mary How Trust has records and archiving processes which includes handling of client consent

and client payment receipts. The Trust manages a secure and validated computer system via which public donations can be made electronically. Personal Computer Policies are

in place as well as password control among employees. The Trust has an incident procedure and a managed Corrective Action Plan for use in the event of any incident.

Trustees/Directors All our Trustee/Directors are engaged actively in the governance of the charity, receive all relevant papers from the committees and thus have full knowledge of the key issues

confronting us. Their strategic overview and responsibility for the proper governance of the Trust is both valued and essential. Many of the Trustees work within the Trust on a regular basis and are actively involved in various projects, and a number sit on the Trust

committees.

There is also an Annual Meeting of the Trust’s President, Patrons and Trustees to overview the past year and discuss the strategic issues going forward. The next meeting is

planned for Autumn 2017. The Trust has a recruitment and full induction process and ensures that a spread of skills

is maintained amongst the trustees, which is appropriate to the work of the Trust and its governance. To this end three new Trustee/Directors were appointed for 2016/17.

All our Trustee/Directors are familiar with the needs of charity governance and we thus

ensure that the Trust is governed to the best and most up to date standards. In addition, a number of our Trustee/Directors have key involvement in a number of other charities. This experience of other ‘outside’ charitable responsibility is invaluable to their

contribution and advice to the Trust. All Trustee/Directors individually have specific experience in particular aspects of the charity’s work and needs. Thus for every aspect of

the charity’s function, there is a designated Trustee/Director with the relevant experience to advise as appropriate.

REVIEW OF THE TRUST’S PERFORMANCE

Overall Performance in 2016/17 2016/17 was another challenging yet successful year for the Trust. As the following Review demonstrates, the Trust proved highly successful in 2016/17 with the continuing

delivery of a strong health screening programme for its clients thanks to the excellent clinical and office employees, the dedicated volunteers and the invaluable input and

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direction of the new Finance Director, Lead Shop Manager and Chair of the Marketing and Fundraising Committee (all appointed in 2015/16).

In addition to running its day to day operations, MHT employees delivered on several

important projects, successfully developing the new accounting system, the website, the donor data base and implementing the refit to the existing Pulborough Charity Shop

together with the opening of the new charity shop in Billingshurst (summer 2016). Marketing and Fundraising activities in 2016/17 (which were beneficiaries of these new projects) enabled the Trust to consolidate its strong financial performance in 2016/17.

Financial

Past year 2015/16 - Certified Accounts

After each year end, our accounts are analysed, certified and signed by our accountants,

Kreston Reeves, as a SORP-compliant accurate record. The accounts are then approved by our Trustees, who sign and authorise them on behalf of the Trust and publish them as open information. The income shown for the year ended 31st March 2016, was £303,893,

and expenditure £300,132, which resulted in an operating surplus of £3,761. A £7,697 fall in the capital value of the Trust’s investments (albeit more than offset by income of

£13,111), resulted in a small net deficit for the year of £3,936. Total funds carried forward into the 2016/17 financial year were £341,170. The full, detailed, accounts are

available on request and are on public record.

Financial Past year 2016/17

Our management accounts for the year ended 31 March 2017 have now been completed. Our income for the year ended 31st March 2017 was £384K, an increase of over 25%

compared with 2015/16. This improvement has been brought about by a 20% increase in screening donations; improved fundraising (a 17% increase, helped by a much-

appreciated Nyetimber event); and, following the opening of a second shop in Billingshurst, a dramatic 60% boost in shop income. We continue to benefit from our regular film and bingo evenings and other events, together with generous grants and

donations from several local donors and organisations.

Our operating expenditure has been carefully controlled at £366K, an increase of 19% compared to the 2015/16 expenditure of £306,797. This is a strong result as the

additional expenditure covers the scheduled replacement of some of our clinical equipment to include an additional test; the incremental costs for providing an ECG

examination as part of our standard health screening; the set-up costs for the new Billingshurst shop; the replacement of our seven office computers, all of which are now running on Windows 10 and update our clinical database to enable it to become a

support programme.

For the full year we achieved an operating surplus of a little over £17K. This will strengthen the Trust’s reserves and help fund our plans to grow the number of health

screenings by 12%, during the coming year.

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Current Year – 2017/18

Because it’s the essence of what we are here to do, we are determined to increase the number of annual health screenings from around 850 to nearer 950. Achieving this

stretching goal will be a test of our marketing, fund raising and brand-building capability.

Most of our clinical and office accommodation is heavily windowed and faces due south. During the summer months, the resulting green-house effect often leads to hard-

to-bear, and energy-sapping, internal temperatures. This leads to complaints from clients and employees alike. Last year, we made a commitment to improve the environment and, for 2017/18, we have set aside a modest budget to cover the cost of installing air

conditioning. Installation of effective air conditioning will finally bring the Trust’s accommodation into line with other Spiro Close occupants, where an air-conditioned

environment is now the norm.

Last year, and in recognition that our standard offer now includes ECG screening, we asked clients to consider a donation of £270 (the actual cost of a health screening), rather

than the previous £250. As we are currently experiencing some unwelcome inflationary pressures, for 2017/18, we plan to ask that clients consider donations of £275, a £5

increase – this reflects the prevailing 2% RPI inflation figure.

Combined with ever-more energetic fundraising and our improving charity shop revenues, the increased number of health screenings will help the Trust to grow its

income to around £430K. With costs budgeted at a little over £420K, we are forecasting a small surplus for 2017/18, of around £10K.

Meeting these objectives will remain a considerable challenge. As ever, this will stretch the resourcefulness and tenacity of our loyal and hardworking team.

See Appendix A for detailed financial figures.

Health Screening

Past Year 2016/17

During the past year, we screened 845 clients and continued to experience a high demand for our service. In addition we saw a continued upturn in our screening

donations, and the number of clients signing up to donate by standing order. Our appointments team and Trust Practice Manager carefully monitored and maintained our waiting list and ensured that all clients were kept fully informed of waiting times where

applicable.

In 2016/17, 21% of the clients screened were referred to their GP for further investigation or treatment. We retained contact with all of these clients demonstrating

our commitment and genuine interest both to their future well-being and in their progress. In addition, this contact has acted as a prompt, if they have not yet seen their GP as advised. Further, we keep detailed case studies (with the clients’ permission)

which enable us to conduct in-depth data analysis, which is invaluable in helping us maintain good operational practice.

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The quotes below from two of our clients demonstrate the value of our health screenings:

“I found the health screening I received to be helpful, it's reassuring to be able to discuss things that

might concern me. I realise it's a charitable service and always try to cover the cost of my appointments. Thank you for the good service.” “Thank you again for the conscientious follow up and also for the excellent service your Trust provides.”

Clinical protocols are continually reviewed to ensure compliance with all relevant current legislation and the current requirements of the Care Quality Commission. Our

medical Trustee provides clinical supervision and mentoring as required.

A review and update of all our client information regularly takes place with input from

all clinical and appointment employees, to ensure health-screening instructions are clear

and concise. The type of bowel test kit that we use was reviewed, in line with that used for NHS

Bowel Screening. After due consideration and consultation, the decision was made that the Trust should continue to use the present test kit. In particular, it was noted that the

NHS had delayed any decision regarding change to the bowel screening test.

Our professional and experienced clinical team continued to ensure that our clients experienced a quality health screening in a relaxed environment, and we were pleased to be able to add an ECG test to enhance our service. To ensure the continued level of

clinical excellence for the benefit of our clients, regular clinical meetings were held to enable clinical employees to have the opportunity to discuss all aspects of their work.

The Trust Practice Manager provided supervision to all clinical employees, and ensured

ongoing liaison between the clinical and office teams. During the year, we explored the possibility of moving premises in order to expand the

number of clinics we are able to offer and to provide a more spacious and congenial environment for both our clinical and office employees. Despite extensive research, we

did not find any suitable premises that were available, and thus the decision was made to remain at Pulborough Medical Centre for the present and to continue to research the

possibility of further accommodation within the Medical Centre (see page 9).

Future Year 2017/18

Central to our 2017/18 plans it is our agreed aim to screen up to 950 clients in the forthcoming year. This ambitious target will be a challenge for all involved in the Trust,

not least those involved in fundraising who will have to raise the funds needed to cover the increased costs associated with the additional screenings. We are, however, determined to achieve this goal to maximise and extend the value of the Trust’s offer to

our clients and to fulfil the charity’s aims and objectives.

To be able to do this we will make maximum use of our current rooms by including clinics on up to 2 Fridays a month. Additionally, we will take advantage of the offer

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from Pulborough Medical Group to use one of their clinical rooms (immediately next to the entrance to the Trust Reception) up to 2 days a week.

We have recruited a 4th nurse to the clinical team, and make use of an agency sonographer, to enable us to screen up to 950 clients.

We have added a further test to our health screening when all clients will routinely have

an HbA1c test. This checks the glycated haemoglobin level, and can give an early indication of type 2 diabetes. In the light of present medical concerns as to the development of type 2 diabetes and its consequences, this test has become an essential

addition to our screening offer. A further benefit for our clients is that they will no longer need to starve prior to their appointment.

We will continue to ensure compliance with the Care Quality Commission’s Essential

Standards of Quality & Safety, and current legislation such as NICE guidelines. We will continue to review our health screening offer, client information and clinical protocols,

making adjustments as appropriate.

The analysis of detailed clinical data will continue to be a key component of the grant

funding applications that are essential to the financial health of the Trust.

Even at the full cost of £275 in 2017/18, our health screening offer is of extraordinary value compared with screenings within the commercial sector and a survey has been carried out to compare our service with other providers. See Appendix B for detailed

information.

Our current screening offer is:

Full range of blood tests including PSA for men

Analysis of urine sample Bowel Screening Test

Health questionnaire Blood pressure & pulse measured Cardiac risk assessment, including an ECG test

Diabetes risk assessment, including an HbA1c test Lifestyle advice

Abdominal ultrasound for all Pelvic ultrasound for women who have their uterus and/or ovaries

The Charity Shops

The Pulborough shop has continued to play a key part in the local community and is on target to exceed its £65k target for 2016/2017. The shop continues to be well supported

by the volunteers and as ever is run with efficiency and ambition for its ongoing success.

We were delighted to be able to open a second charity shop in Billingshurst in the summer of 2016. We were fortunate to recruit a Shop Manager who is very experienced,

and passionate about the work of the Trust. The shop required refurbishment, but with amazing support from volunteers and our Lead Shop Manager, the shop was soon up and running.

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Although there are other charity shops in the vicinity, we have been able to generate ongoing interest and enthusiasm from the local community and now have regular

customers. Recruiting sufficient volunteers is always a challenge, but we are able to open five and half days a week, with support from the Pulborough shop volunteers.

During the forthcoming year, consideration will be given to selling carefully selected

merchandise.

In 2017/18 we are targeting an income of £45k for Billingshurst and £70k for Pulborough. We are confident that our enthusiastic, dedicated Shop Managers and

volunteers will make this achievable.

Marketing and Fundraising

Past Year 2016/2017

Screening donations

We continued to encourage our clients to donate what they can afford for their screenings. This is sensitively handled, and in the past year resulted in an average screening donation of £193, with 19% of clients donating at least the full cost currently

requested of £270. We are confident that by continuing to publicise the true cost per head to our clients we will see a further increase in donations.

We also made progress in encouraging a greater proportion of clients to make a

donation. In the past year, 88% of our clients made a donation for their health screening, and many were pleased to take out a monthly standing order to spread their donation across the year as regular monthly gifts.

To achieve this, we:

Continued to work closely with our appointments team and volunteer receptionists, supporting them in discussing donations with clients

Maintained our emphasis on the importance of screening donations across all our communications

Continued to promote our popular monthly giving programme We continued to fundraise to make up the difference and ensure that our service is

available to all, regardless of ability to donate.

Grants

We researched and applied for grants from a variety of organisations, large and small,

and raised £41,006. Grants make a lasting impact, and help to fund capital as well as

operational expenditure. These included a major gift from a charitable Trust of £10,000 that enabled us to fund

clinical improvements including a new PSA and HbA1c blood testing machine and an upgrade to our clinical database.

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We successfully applied for a £5,000 grant from an anonymous donor to help fund our health screening service and we were delighted to benefit from the continued and

generous monthly grants from our major supporter, Together Against Cancer.

These gifts help us to plan our clinics with confidence and help people from all walks of life to benefit from health screenings.

Fundraising activities We continued to organise our monthly bingo & Film Society evenings as well as our annual New Year bridge drive and a spring quiz. These events raised net proceeds of

over £7,000.

We were delighted to host our ‘Summer Sparkle’ party and wine-tasting at the

Nyetimber Estate, at the kind invitation of owners Eric and Hannah Heerema, who also

generously supported the evening. The party not only raised over £6,000 net but also helped us connect with some key new supporters.

Local support

Local residents and businesses continued to support us in a variety of ways including

fundraising events, collection boxes, and choosing the Trust as charity of the year. These fundraising activities raised over £12,000. The supporter stories in our newsletters and website reveal the imaginative ways in which people are making a difference and giving

their community the chance of health screenings.

Sadcase continued to support us generously, including a very successful Family Car Show and their first calendar. We were delighted to receive the continued support of

Pulborough Lawn Bowls Club, and to be chosen as Charity of the Year by Co-Op Ashington, St Mary of the Harbour Lodge, and Ashington Short Mat Bowls Club.

We were fortunate to receive gifts in memoriam totalling £2,235. We are tremendously grateful to everyone who remembers the Trust in this way.

Supporter communications

We continued our monthly Film Society email and our weekly health-e-news, and we continued to engage with our supporters and the general public via regular posts on

social media. Our website helped us to engage more closely with our supporters, and we received a growing number of appointments and events enquiries, as well as donations, via the website.

Administrative Volunteers We benefitted from the skills of 6 volunteers who helped with general administrative

tasks relating to our donor database. They gave over 200 hours, the equivalent value of some £3,000 to the Trust.

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Year Ahead - 2017/2018

Fundraising In addition to our regular monthly events we will produce four fundraising events,

including our bridge drive and spring quiz, subject to our available resources. We will hold our first street collection.

We will continue a rolling programme of grant applications for capital and operational expenditure and we will seek sponsorship from local business for our Film Society.

We will make plans for our forthcoming 30th Anniversary in 2018. Fundraising activities

will include a gala event in 2018, and the launch of our Anniversary 10p Challenge in autumn 2017.

For the year ahead we have been chosen as Charity of the Year by Watersfield FC and Sandgate Singers, and we look forward to developing these partnerships and helping to

promote their fundraising activities in aid of the Mary How Trust.

Communications and Donor Relations Online marketing calendar: we will maintain and promote this to engage with our

supporters, raise awareness of health screening, and give guidance on healthy living. Donor communications: we will maintain the frequency and variety of ways in which

we communicate with our supporters, and we will continue to trial fundraising appeals over the next two years. We will send an additional report by email to donors in the

summer, between our two newsletters.

Video: we will continue to try to recruit a volunteer videographer via the FCancer Project. Videos are an essential way to engage with current and potential supporters and grant funders.

Friends of the Mary How Trust

We will establish a Friends group during 2017. Initial consultations will take place in

spring/early summer and the Friends will be formally launched and constituted in early winter 2017. The aim of the of the Friends of the Mary How Trust is to involve our volunteers in a more cohesive and structured organisation where they will have the

opportunity to have a more detailed connection with the overall workings of the charity to underpin their essential fundraising efforts. The Friends will work in partnership with

our Marketing and Fundraising Committee but will have a level of autonomy in its planning and delivery of new fundraising initiatives. These will be additional to the

existing responsibilities which will remain with the Trust’s Marketing and Fundraising officers and the Marketing and Fundraising Committee.

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GENERAL INFORMATION ON THE TRUST

Aims of the Mary How Trust

The Mary How Trust for Cancer Prevention is a small, independent West Sussex

charity. The Mary How Trust’s health screening service aims to spot the early signs of cancers and other life-threatening illnesses such as heart disease, diabetes, bowel cancer,

prostate cancer and abdominal aortic aneurysm. “Stay Healthy, Take Control”. People from all walks of life have the chance to benefit

from our service. Instead of a fixed fee we invite donations that are dependent on our clients’ ability to pay. As a not-for-profit organisation, our screenings are remarkable

value and cost in the region of £275, which is approximately half the cost of an equivalent service at a well- known private company.

We receive no funding from the NHS. Our service is made possible by donations, fundraising and volunteers.

Stewardship

Primarily, the object of the Trust is to remain in operation as long as there is a demand for our services. In doing so we need to balance our books and underpin our cost base.

Further, we will seek to expand the work of the Trust consistent with our resources and capabilities.

Characteristics of the Trust

A charity which is run by a mixture of dedicated and enthusiastic professionals and volunteers.

A spirit of always striving to do things better. An informal and friendly atmosphere.

A well-established charity generating tremendous goodwill in the communities it serves.

Trustee/Directors who get involved and support the Trust in many ways.

History and Where We Are Now

Mary How was a resident of West Sussex. A mother two young children, she died in

1987 at the age of 46 from bowel cancer. Earlier detection of this disease could have saved her life. The charity was set up in 1988 in Mary’s memory. It was largely the creation of Mary’s husband and a far-sighted and committed local doctor. In 2007/8 the

Mary How Trust was incorporated. This additional status as a charitable company limited by guarantee is appropriate for a charity operating in the 21st Century. We are

now in our 29th year.

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The Trust benefits from:

Its charity shops in Pulborough and Billingshurst Its Film Society in West Chiltington

Its Bingo in Storrington Supporters, sponsors, donors

A growing number of groups and individuals who hold fundraising events in aid of the Mary How Trust.

In addition, the Mary How Trust benefits from donations from grant-making funds, charitable trusts, individual and corporate donors and legacies.

President and Patrons

We are delighted to have, as president and patrons, a number of prominent members of our local community and from further afield. We are most grateful for their support.

They are:

President: Lady Emma Barnard Patrons: The Hon Lady Barttelot MBE DL

David Bowerman CBE JP DL Carola Godman-Irvine

Guy Harwood Ted Hennings

Rt. Hon. Nick Herbert MP Revd. Rupert Toovey Daniele de Winter

Michaela de Winter

Directors / Trustees:

We are a Charitable Company Limited by Guarantee. We currently have 10 directors

who have responsibility to ensure compliance with company law. They are also trustees with responsibility to make sure the Trust complies fully with the rules of The Charity

Commission.

The Board continuously appraises their performance, delegates powers as appropriate to sub committees, and receives regular reports from those sub committees.

Above all, they ensure the Trust is well governed and is transparent in all its affairs. Seven of the directors/trustees are local and one lives further afield. Together, they

provide the Trust with an excellent range of skills – medical, marketing, finance, human resources, business and experience of other larger charities. The directors/trustees

formally meet twice a year and many assist on a more regular basis both as members of sub-committees and as consultants as needed.

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Mary How Trust Directors / Trustees:

Chairman Michael Follis Vice Chairman Patrick Lavin Finance Director James Ross

Trustee Sean Cemm Trustee Catherine Hodgson

Trustee Deborah Kirby Trustee Guy Leonard

Trustee Michael Toynbee Trustee Stuart Trownson Trustee Mary Wratten

We continue our family connection with Jeremy How.

Committee Structure

All committees are a mixture of trustees, employees and volunteers. The committees

report to the full board of Directors/Trustees, which take place six monthly.

Management Operations Committee (Monthly)

Financial and Governance Review including Risk Review (Quarterly)

Marketing and Fundraising (Monthly)

The Trust currently has fifteen employees and the support of over a hundred volunteers working in the shop, the clinic reception, the office and in various fundraising activities.

See the organisation chart in Appendix C

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APPENDIX A: ACTUAL AND BUDGETED FINANCIAL FIGURES

2015/16 Actual

(Internal Management Accounts)

2016/17 Actual

(Internal Management Accounts)

2017/18 Budget

INCOME Fundraising income,

including donations, Film Society and grants

75,755 88,512 100,000

Gift Aid tax reclaim 23,503 30,229 33,000 Charity shops, including

rag collection 57,581 93,486 113,000

Screening donations 74,846 97,681 109,000 Standing order screening

donations 59,140 64,034 68,000

Investment income 13,487 10,039 10,000 Legacies 0 0 0

TOTAL INCOME 304,312 383,981 433,000

EXPENSES Direct Salaries 175,974 224,266 265,000

Clinical 27,458 33,915 39,000 Marketing & Fundraising

Expenses 22,110 22,819 23,000

Premises, Office and Reception

32,853 30,550 36,000

Shop Costs (excluding refurbishment project)

11,952 20,419 30,000

Professional fees 9,766 16,687 17,000 TOTAL OP’TING

EXPENSES

280,113 348,656 410,000

NET SURPLUS 24,199 35,325 23,000 Extraordinary

investments (eg new website, shop refit etc)

26,684 17,871 15,000

TOTAL EXPENSES (inc investment costs)

306,797 366,527 425,000

SURPLUS AFTER EXTRAORDINARY

EXPENSES

(2,485) 17,454 8,000

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APPENDIX B: COST COMPARISON OF OTHER SCREENING ORGANISATIONS COST COMPARISON - MARY HOW TRUST AND OTHER SCREENING ORGANISATIONS

Reviewed October 2016

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MARY HOW TRUST 23 l l l l l l l l l l l l l l l l l l l l l l l BY DONATION (1)

BMI ADVANCED PLUS 27 l l l l l l l l l l l l l l l l l l l l l l l l l l l Ladies £694 Men £667 + £70 for PSA

BMI ADVANCED 24 l l l l l l l l l l l l l l l l l l l l l l l l Ladies £527 Men £483 + £70 for PSA

BUPA - Health Enhance age >40 17 l l l l l l l l l l l l l l l l l £632

BUPA-Mature Health age >65 17 l l l l l l l l l l l l l l l l l £695

BMI SELECT 16 l l l l l l l l l l l l l l l l £334

BUPA - Health Focus age age <50 15 l l l l l l l l l l l l l l l £430

BMI ESSENTIALS 14 l l l l l l l l l l l l l l £172 + £70 for PSA

BLUECREST-Elite 14 l l l l l l l l l l l l l l £169 + £49 for PSA

BLUECREST Vital 13 l l l l l l l l l l l l l £129

BLUECREST- Prevention Plus 11 l l l l l l l l l l l £99

NHS HEALTH CHECK age 40-74 6 l l l l l l FREE at point of use (2)

Our health screening programme looks for the early signs of serious illnesses such as bowel cancer, prostate cancer, heart disease, diabetes and abdominal aortic aneurysm

1 COST COMPARISON - MARY HOW TRUST TO OTHER ORGANISATIONS

Each screening costs us £275. The Trust invites a voluntary donation to meet this cost.

This is a discretionary and confidential donation so those unable to afford this figure may

choose to donate a sum they feel more suited to their financial position

The Trust receives no NHS or other official funding.

2 NHS Tests

Tests are carried out at the discretion of the GP surgery

BLOOD TESTS

18

Board of Trustees

Chairman Michael Follis

Vice Chairman Patrick Lavin

Finance Director James Ross

Trustee Sean Cemm

Trustee Catherine Hodgson

Trustee Deborah Kirby

Trustee Guy Leonard

Trustee Michael Toynbee

Trustee Stuart Trownson

Trustee Mary Wratten

Board of Trustees

Marketing and Fundraising Manager

Roanne Moore

Trust Practice Manager

Gillian Weston

Fundraising Assistant

Clare Flexman

Accounts/Appointments

Susan Blackman

Results /Appointments

Janice Stephens

Lead Nurse

Beverley Richards

Lead Shop Manager

Sarah Ross

Lab Scientist

Mary Garland

Health Screening Assistant

Jeannette Cawley-Smith

Lead Sonographer

Gillian Emmett

Volunteer Receptionists

Screening Nurse

Patricia McKinlay

Fundraising Volunteers

Shop ManagerJuliet Carr

Ultrasonographer

Corrinn Elford

Screening Nurse

Gillian Knight

Shop Volunteers

Screening Nurse

Christine Scutt

APPENDIX C: ORGANISATION CHART OF MANAGEMENT, EMPLOYEES AND VOLUNTEERS

APRIL 2017