Trustees report 2015 - Terrence Higgins Trust

Transcription

Trustees’ Report and Financial Statements
for the year ended 31 March 2015
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Foreword
Dear Reader,
I am pleased to be able to introduce Terrence Higgins Trust’s Trustees’ Report for 2014/15. It has been a
year of significant change and challenge, during which we have continued to deliver innovative HIV and
sexual health services across England, Scotland and Wales, and campaigned assiduously to support the
rights and interests of those living with HIV and those at risk of poor sexual health.
HIV continues to be one of the fastest growing serious health conditions in the UK, with 6,000 new
diagnoses in 2013, the latest available figures revealed. African people and gay and bisexual men
continue to bear the burden of HIV disproportionately. There are also still too many people who are
unaware of their status, and too many diagnosed late who do not get the treatment they need.
Britain also continues to have some of the highest levels of sexually transmitted infections in Europe.
We know that advances in treatment mean that people with HIV can live long and healthy lives.
But even with effective treatment, HIV presents unique challenges which are exacerbated as people
develop conditions of later life such as diabetes, cancer and heart disease.
In this year’s Report you will read about some of the services we have developed, and the stories of some
of the people we have supported. We have expanded our services for older people with HIV, and
redoubled our efforts to help people with HIV back into work. As well as opening new Terrence Higgins
Trust services in the East and Northwest of England, and in Scotland, we have provided more HIV tests
than ever before; and we continue to be a major provider of chlamydia screening services.
Our support and information helpline THT Direct helped almost 17,000 people with questions about HIV
and sexual health during the year. For people living with HIV, we provided expert online peer support and
self-management tools for the 10,000 people registered with the myHIV website. And we have supported
hundreds of people experiencing poverty and hardship with advice and financial support.
In addition to delivering 70,000 chlamydia tests for young people across the UK and treatment for those
with positive test results, we responded to outbreaks of syphilis, working effectively with a network of
partners. We also provided advice and support to people involved in sex work and other hard-to-reach
groups through the SWISH programme and other initiatives.
In a year that saw a General Election in the UK, we stepped up our influencing and campaigning work.
We sought our Members’ views on our work, and engaged with a large number of candidates running for
office on our priorities. Support for our ongoing campaign to provide compulsory sex and relationship
education reached most of the political landscape, but not all – so that work will go on. We continued
to prioritise the challenge of stigma and the provision of welfare support for those with HIV-related ill
health and disability.
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Last year was also characterised by our campaign, with others, for the availability of PrEP
(Pre-Exposure Prophylaxis) for those at high risk of getting HIV, following publication of the definitive
results of the UK-led PROUD trial. We also continued to lobby for vaccination of boys and gay and
bisexual men against Human Papilloma Virus, which can cause cancers in men.
Our achievements would not have been possible without our staff and volunteers who have worked so
effectively during this time of significant change. They care passionately about people living with HIV
and those affected by poor sexual health, and we are fortunate to benefit from their dedication and
expertise. Neither would we have achieved what we have without the support and campaigning activity
of our Members and those on the myHIV website.
We could not be more grateful for the financial contributions made by our generous supporters. This
year we raised £6.1m in voluntary donations from individuals, trusts and companies. We received funding
from the Big Lottery Fund and from Comic Relief, and held our first THT Cymru gala event. We are
grateful for every contribution, large or small. And we never take them for granted.
The UNAIDS target of ‘90/90/90’ aims to ensure that 90 per cent of people know their HIV status,
90 per cent of those are on treatment, and 90 per cent of them have a reduced viral load. In the UK,
we are meeting the latter two; but for the first target we have a way to go to build on our successes. It is
against this backdrop that Terrence Higgins Trust will be launching a new strategy in the year ahead, one
which will move us closer towards ending HIV in the UK, and to ensuring that people living with HIV can
pursue healthy lives, free from prejudice and from discrimination.
Finally, I should add that since this Report was written, the CEO has stepped down from the organisation
and we are actively seeking a replacement. In the meantime, Jackie Morton is serving as interim
Chief Executive, after having served on the Board of Trustees here at Terrence Higgins Trust. Jackie
has decades of experience in the NHS, and has long represented people who are living with HIV, most
recently as Chair of HIV Scotland. The Trustees and I look forward to working with her and her executive
team during the year ahead.
In the meantime I hope you enjoy reading about the significant achievements we have made this year.
Robert Glick
Chair, Board of Trustees
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Contents
1
Foreword
i
2
Contents
5
3
Our objectives, mission and vision
7
4
Strategic Report
4.1 Our year in overview
9
4.2 HIV long term management
11
4.3 HIV prevention and sexual health promotion
19
4.4 Clinical services
25
4.5 Campaigning and building support
29
4.6 Ensuring our sustainability
35
4.7 Our plans for the year ahead
41
4.8 Financial review
43
4.9 Principal risks and uncertainties
49
5
Governance Review
51
6
Auditors’ Report
57
7
Consolidated Statement of Financial Activities
61
8
Consolidated Balance Sheet
63
9
Consolidated Cashflow Statement
65
10
Notes to the Consolidated Financial Statements
67
11
Thank You
94
5
Terrence Higgins Trust Pimlico Boutique
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The Trustees of Terrence Higgins Trust present their Annual Report for the year ended 31 March 2015 under the Charities
Act 2011 and the Companies Act 2006, including the Directors’ Report and the Strategic Report under the 2006
Act,together with the audited financial statements for the year.
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Terrence Higgins Trust is at the forefront of the fight against HIV,
and improving the nation’s sexual health.
Our vision
A world where people with HIV live healthy lives free from prejudice and discrimination,
and good sexual health is a right and reality for all.
Our mission
• Maximise sexual health, and minimise the spread of HIV and STIs in the UK
• Empower everyone living with HIV in the UK to maximise their health and wellbeing
• Lead public and political support for HIV and sexual health issues, and campaign to eradicate
stigma and discrimination.
Our values
Ambitious: We believe communities and individuals can change their own lives. We push
ourselves and others to make this happen.
Honest: We are accountable to our communities, donors and funders. We work with integrity,
transparency and efficiency. We communicate clearly and responsibly.
Different: We support, respect and value each other and work without prejudice. We are radical
professionals, proud of our diversity, and united by a common cause.
Independent: We are an independent charity, rooted in the communities we serve. We use our
insight to innovate and inspire change in policies, services and minds.
In developing our objectives for the year, Terrence Higgins Trust has considered the Charity
Commission’s guidance on public benefit. We believe that the range and accessibility of the
services and activities offered and undertaken by the charity clearly demonstrate the public
benefit that our work provides.
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A Terrence Higgins Trust fundraiser
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Strategic Report: Our year in overview
Strategic Report
4.1 Our year in overview
It has been a dynamic and challenging year for Terrence
Higgins Trust. The number of people living with and affected
by HIV continues to rise. There are now at least 107,800 people
living with HIV in the UK.
Thanks to advances in treatment, it is now possible to live a
long and healthy life with HIV. But even with effective
treatment, HIV presents unique challenges.
To address these challenges, we have sustained our support for
people living with and affected by HIV throughout 2014/15.
We have also expanded our specialist services - by offering
further help to people who are ageing with HIV or trying to get
back into work, for example.
When it comes to testing and treatment, we have reached
further afield than ever. Our testing, treatment and health
promotion is now available for a range of communities in a
range of new locations - some for the first time.
National HIV Testing Week 2014 was the most successful yet
as it enabled clinics, pharmacies, councils, youth clubs and
student unions across the country to offer more HIV tests than
ever to those most at risk. Our free Fastest Direct postal
testing service offered even more people the chance to access
HIV testing in a way they felt comfortable with.
Our 2012-2016 strategy
Personal Health,
Public Health details how
Terrence Higgins Trust is
committed to supporting
people living with HIV in
the UK in five key ways:
• HIV long term
condition management
• HIV prevention and
sexual health promotion
• Clinical services
• Campaigning and
building support
• Ensuring our
sustainability.
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Graham Norton hosts a table at the annual Supper Club
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Strategic Report: HIV long term condition management
Here’s an overview of how we delivered this in 2014/15.
4.2 HIV long term condition management
At least 6,000 people were diagnosed with HIV in 2013,
the most recent available statistics show. This means
that 16 people per day were told they have HIV.
Thanks to substantial advances in treatment over
the past 30 years, it is now possible to live a long
and healthy life with HIV. But even with effective
treatment, HIV presents unique challenges. Its impact
on somebody’s employment prospects and their future
financial health can be as devastating as its effect on
their long-term physical and mental health.
An estimated
107,800
people are living
with HIV in the
UK in 2013.
As a result more than 8,720 people used our long-term
condition management services in 2014/15 and more
than 6,000 people used our health improvement
services.
With a reduction in state funding, we looked further
afield for financial support for our extensive range of
work with people living with HIV.
So what did we do in 2014/15?
Health, Wealth and Happiness
Thanks to effective treatment, people can now live full and
long lives with HIV. But older people with HIV face extra
challenges – they are more likely to be financially
disadvantaged and twice as likely to experience other
long-term health problems compared to people their age
without HIV, studies have found. Older people are the
fastest-growing group living with HIV in the UK - and
many have serious concerns about their future.
Terrence Higgins Trust’s Health, Wealth and Happiness project
addresses their needs head on. We offer one-to-one support to
people aged 50 or over with HIV. The project runs groups and
workshops to help manage their finances, expand their social
networks and learn new skills such as IT. Dedicated workers
also guide on more complex financial issues – including
welfare benefits, housing and employment, and debt advice.
24%
24% of them
(26,100 people)
are unaware
they have HIV.
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Terrence Higgins Trust supporters at Pride
Health, Wealth and Happiness has helped 300 older people
with HIV in London since it began in 2012. In July 2014 it was
awarded £1 million from the Big Lottery Fund (in association
with the Daily Mail) for a major three-year expansion to help
people in Bristol, the West Midlands, Brighton and Manchester
as well as London.
This has enabled the project to build links with local health
and social care organisations such as care homes, offering staff
training on HIV to improve their understanding of HIV and
ensure services are ready to meet increasing need. Participants
will also meet MPs and decision-makers to raise their
awareness of the issues they face.
Health, Wealth and Happiness case study:
David
David is a gay man in his early 50s who was diagnosed with HIV
10 years ago. When he first contacted the Health, Wealth and
Happiness team in Bristol, he seemed very ‘together’. In fact,
David was going through huge upheaval at home with his partner.
He was also feeling very isolated, as he lives in a rural community
and spends a lot of time at home alone. A very private person, David
decided not to tell his local GP about his HIV status, regularly
travelling to London for his essential HIV check-ups instead. David
said he felt he was dealing with 1,000 different problems at once,
and that his mental and emotional health was in a state of
permanent flux. David has hugely benefited from the practical
and emotional support offered by Health, Wealth and Happiness.
He has attended every group session, he’s receiving one-to-one
peer support and he has started to see one of the project’s
volunteer counsellors.
6,000
people were
diagnosed with
HIV in 2013.
‘I’ve gained companionship and friendship, and become more
relaxed in groups,’ David says.
‘With what I have going on, it really has come at the best time for
me. It’s good to hear others’ problems which I can relate to. I no
longer think it’s just me.’
Work Positive
Around one in four people living with HIV in the UK are
unemployed. Thanks to effective treatment, many can now
return to work - but if they have had a long period of ill
health, they may lack confidence or feel they no longer have
the skills or stamina required to find a job in an increasingly
competitive market.
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16 people
per day are told
they have HIV.
Our Work Positive scheme has been helping people with HIV
back into the workplace since 2011. It has been doing this by
offering work placements at Terrence Higgins Trust to dozens
of people living with HIV who have been unemployed for two
years or more, or receiving state benefits. Participants also
undertake an intensive programme of training, coaching and
mentoring to ensure they are once again ready for the working
world. ‘Having regular employment gives a sense of purpose
which can transform people’s lives, particularly if they’ve been
feeling isolated or depressed,’ says Work Positive Co-ordinator
Ruth Burns.
In July 2014 the scheme received a funding boost from the Big
Lottery Fund, enabling it to offer work placements in Bedford,
Ipswich, Brighton, Shropshire and Colchester for the first time,
as well as London.
Meanwhile 28 people took part in Work Positive throughout
the year, with 12 of them having already secured paid
employment.
Work Positive case study: Rachel
Rachel is HIV positive and she was a secondary school teacher in
her home country. She moved to London in 2006 to study
accounting and finance. Since completing her degree, she attended
a number of interviews but hadn’t been offered a job.
She also tried to go back to teaching without any success. Rachel
lost confidence in herself, attributing her lack of success to her
personality, and was on the verge of depression. Rachel says
Work Positive helped her overcome most of the barriers she had
faced in her search for a job.
‘I had an opportunity to gain work experience which was related to
my degree, which gave me the confidence to apply for jobs that I
would never have dreamed of applying for before,’ she says.
Rachel says working in a team where her contributions were valued,
in an environment where she wasn’t stigmatised because of her
HIV, gave her a sense of belonging and self worth. She now has a
job she enjoys and feels motivated to go to work each morning.
‘I am definitely looking forward to the future now,’ Rachel says.
‘ I firmly believe that I have grown both personally and
professionally throughout my journey on Work Positive.’
28
people took part in
our Return to Work
training and work
placement programme
‘I updated
and further
developed my
skills and
regained my
confidence.
In addition to
getting moral
support, I also
got a lot of
support with
my CV,
job applications
and interview
techniques.’
Rachel
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my HIV
More than 10,300 people are now registered with myHIV, our
groundbreaking website which helps people to manage
everyday life with HIV. The site offers information and free
self-management tools-including CD4 and viral load
trackers, treatment and appointment reminders. In addition,
myHIV provides online counselling–delivered to 54 people in
2014/15–plus one-to-one advice from online Health
Trainers. They delivered 208 interventions during this period.
One of the most popular areas of myHIV is its Community
forum, where more than 3,250 members share information
and advice about all aspects of life with HIV. Our online peer
support volunteers had 2,000 online discussions or
‘interactions’ with myHIV Community forum members in
2014/15. This is particularly important to people who are
newly diagnosed with HIV, who benefit greatly from being
able to chat with others living with the virus.
Of those using myHIV this year, more than eight out of 10
said they were satisfied or very satisfied and 85% said they
would recommend myHIV to others living with HIV.
Hardship Fund
The Hardship Fund provides vital financial support for
people living with HIV in the UK who are experiencing
poverty or hardship. It provides grants to support people with
immediate crisis needs, and signposts them to longer-term
support and advice such as counselling, peer support or legal
representation. In 2014/15 we supported 1,870 people with
payments through our Hardship Fund, with awards totalling
£282,000.
1,870
people were
supported with
payments through
our Hardship Fund,
with awards
totalling around
£282,000
Positive Balance
People living with HIV are more likely to be financially
disadvantaged than people without HIV. This is because health
problems can leave many people with HIV unable to work,
or with a significantly reduced ability to work. In addition,
living with HIV can put additional demands and restrictions on
your financial resources, such as reduced access to insurance.
Poverty can then contribute to deterioration in health in a
vicious circle.
Positive Balance is a new service from Terrence Higgins Trust in
association with Comic Relief, which provides financial support
and guidance for people living with HIV. Since December 2014
it has been giving information and advice over the phone or
face-to-face from Lighthouse South London, Waterloo. Advice
on debt, budgeting, utility tariffs, mortgages and more has
already enabled people living with HIV to take back control of
their finances and plan for the future. Workshops discussing
key topics such as shopping wisely, eating well on a budget
and credit unions are also taking place.
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‘I would
definitely
recommend
the service!
The help and
care is amazing.’
Positive Balance
service user
Counselling
Terrence Higgins Trust offers emotional support to people living
with and affected by HIV. This could help someone to deal with
issues around sex and relationships, discrimination, HIV
treatment, drugs, children, family life, sexuality and much
more. In 2014/15 our counselling teams saw 1,074 clients –
including 574 in London, 262 of whom had never accessed
counselling or any other Terrence Higgins Trust service before.
Afterwards 77% reported an improvement in their mental
health.
THT Direct
Our support, advice and information helpline THT Direct helped
16,900 callers in 2014/15. THT Direct can be a lifeline to people
concerned about HIV and sexual health. A total of 96% of the
callers surveyed said they would use the service again.
16,903
people were helped
by THT Direct.
96%
of THT Direct callers
surveyed said they
would use the
service again.
Volunteers
Volunteers are at the heart of Terrence Higgins Trust services.
As an organisation founded by a group of committed friends
who recruited volunteers to join the cause, Terrence Higgins
Trust developed a strong volunteer culture that continues
today.
Our incredible volunteers play a vital role in delivery and
support of our long-term condition management and HIV
prevention services.
In 2014/15 we were lucky enough to have an average of 300
volunteers per month working across the UK. They undertook
a variety of roles, from fundraisers and receptionists to
counsellors and trainers, office and retail assistants to outreach
workers handing out condoms and information. Volunteers
contributed a total of 46,000 hours to Terrence Higgins Trust
this year.
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Volunteer case study: James Tarling
‘I volunteer on the THT Direct helpline, based in King’s Cross. I do
one shift per week, answering a wide range of calls from people
with issues regarding HIV.
I started volunteering as a Community Support Volunteer in 2011,
helping people living with HIV in and around their homes in
London. Subsequently I was a mentor on the Work Positive
scheme, assisting someone living with HIV who is long-term
unemployed and looking to get back into work.
On average we had
340
volunteers
a month
I have also been involved in fundraising, as a member of the
Supper Club committee, organising a fun night of dinner and
entertainment for Terrence Higgins Trust supporters, and by
helping to put together a one-off film screening event in aid of the
charity.
I believe Terrence Higgins Trust plays a critical role in improving
the UK’s sexual health and education and in the support of people
living with HIV. As a volunteer I see first-hand the benefits the
charity brings to people affected by HIV. I continue to learn more
about issues surrounding HIV each time I come into the office,
as well as getting an insight into the charity’s work elsewhere,
including reducing stigma and improving testing rates. Terrence
Higgins Trust’s volunteers form a key part in providing these
benefits and services.
It is particularly fulfilling to be able to come away from a shift on
the helpline with a sense that you have directly been able to help
someone affected by HIV. This could be in the form of emotional
support, providing clarity over transmission or testing, signposting
to other specialised assistance, or a wide range of other areas.
Each shift brings a wide variety of calls but whatever support or
advice you can provide is greatly appreciated.’
who give
3,800
hours each month
or
46,000
hours a year.
1 YEAR
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Highlights
• Essential support is
being given to children and
young people living with
and affected by HIV in
Nottinghamshire.
In September 2014 the
Children and Families
project won funding to
provide one-to-one and
group support over three
years. It also offers
social outings to enable
HIV positive children and
young people to build vital
peer support networks.
• A new Telephone Support
Group launched in October
2014 to improve access to
support for people
living with HIV in Scotland.
The conference call service
enables people in Fife to
anonymously discuss
disclosure, stigma and
coping strategies with
two Terrence Higgins Trust
workers and a psychologist.
The group was developed
by Family Link Worker
Louise Yanetta in
partnership with Waverley
Care and NHS Fife.
• More than 100 people
attended our Welfare
Rights workshops in
Brighton in 2014/15,
which helps people living
with HIV on state benefits
to understand welfare
reform and the new
Personal Independence
Payments (PIP), and to
complete their claims
form. Lead by Welfare
Rights Co-ordinator Tim
Procter, the workshops
have been especially
beneficial to claimants
with poor literacy or
sensory disabilities.
• Stigma remains a huge
problem for people living
with HIV, causing stress
and anxiety which can
have a greater impact
on someone’s life than
the physical effects of the
virus. Terrence Higgins
Trust combats stigma on a
daily basis, from correcting
myths around HIV
transmission on our
websites and in our
groupwork, to explaining
the effectiveness of HIV
treatment in our national
health improvement
programme It Starts With
Me, to providing accurate
and up-to-date sexual
health information via
our helpline THT Direct.
In addition, in November
2014 Terrence Higgins
Trust in Brighton and Hove
launched the HIV Stigma
Statement – a clear
commitment to combat
stigma that was endorsed
by local MPs, councillors
and the Sussex Police and
Crime Commissioner.
The statement concludes:
‘We stand together to
ensure that everyone has
access to support,
services, information and
advice which can help to
defeat HIV infection and
HIV stigma.’
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Strategic Report: HIV prevention and sexual health promotion
4.3 HIV prevention and
sexual health promotion
DIAGNOSIS
2013
NEW
There are now at least 107,800 people living with HIV
in the UK.
One in four are unaware that they have the virus,
therefore they are not receiving the medical care or
treatment they need. This also means they are likely to
be very infectious.
In the UK, African people and gay and bisexual men
are most at risk of HIV - representing 25% and 54%
respectively of all new HIV diagnoses in 2013.
54%
gay and bisexual men
25%
African people
It is vital to know your HIV status. If you discover you are HIV
positive, this will enable you to start treatment as soon as you
need to, to stay well. You can also take steps to avoid passing
the virus on to others.
Co-ordinated by Terrence Higgins Trust, National HIV
Testing Week (NHTW) supports and promotes HIV testing
across the country. From 23-30 November 2014, this annual
event brought together clinics, hospitals, NHS trusts,
pharmacies, councils, doctors’ surgeries, youth projects, student
unions and more. It was our most successful NHTW so far during the week a total of 353 testing events were reported,
up from 55 in 2013. Over two thirds (68%) of agencies who
delivered HIV tests said they more than doubled the number
carried out during NHTW; over a fifth said it more than trebled.
A total of 8,464 home sampling kits were ordered in the two
weeks before and during NHTW (up from 618 in the previous
three weeks). These enable people to test for HIV by sending a
small blood sample to our laboratory (see Fastest Direct below).
Almost 350% more postal testing kits were ordered from our
website around NHTW compared to the same period in 2013.
NHTW is also a chance to raise awareness of the benefits of
regular HIV testing for the individual and their community.
Our posters appeared on billboards, telephone kiosks,
bus shelters and bus backs in cities including Bristol,
Newcastle, Sheffield and Birmingham and across London
Underground. Among those placing orders for our free NHTW
resources was a London library, a Manchester housing
association and a Luton African football team.
x 8,515
Public awareness
of NHTW on
social media included
8,515
uses of the campaign
hashtags
#HIVTestWeek
and
#ImTesting
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London Underground advertising for National HIV Testing Week
It Starts With Me
England’s largest ever HIV prevention campaign It Starts With
Me continues. This major Department of Health programme
aims to increase HIV testing and condom use, primarily among
gay men and African people -the two groups most at risk of
HIV in the UK. Terrence Higgins Trust leads the programme
for HIV Prevention England, working with 34 local delivery
partners in 2014/15.
In May 2014, It Starts With Me highlighted the risk from sexual
partners who have HIV without knowing. This includes people
who are very infectious as a result of recently becoming
infected -it has been estimated that someone could be
up to 26 times more infectious during the first six weeks of
having HIV, a crucial ‘window period’ when tests cannot yet
detect HIV.
We produced an infographic film, leaflets and posters
explaining that you cannot simply rely on someone telling
you that they are HIV negative - because they may have been
recently infected without realising. The campaign also
explained that if someone is HIV positive and on effective
treatment, their risk of passing on HIV may be low.
It emphasised that condoms remain the best form of protection
from both HIV and other sexually transmitted infections.
During 2014/15 the It Starts With Me website
(startswithme.org.uk) was accessed by 55,150 gay and
bisexual visitors and 36,830 African visitors.
Pastor Elizabeth
Faith and Community Project
African people are among the communities most affected by
HIV in the UK, so a pioneering Terrence Higgins Trust project
is working with influential leaders to increase testing within
these groups.
The Faith and Communities Project works with Muslim and
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359
people were tested
for HIV through
the Faith and
Communities Project.
181
of these were
tested at the
African
Nations Cup UK
through our
Play It Safe project.
‘Some pastors
have never been
exposed to HIV
or met anyone
living with HIV,
so they can’t
relate to it.
It’s very
important
that we are
supporting
faith leaders to
learn and work
in partnership
with them.’
Pastor Elizabeth
Kalonga
Christian faith leaders and community groups to provide HIV
information, guidance, resources and testing.
Faith leaders have an important role to play in opening up the
discussion of HIV and sexual health within their congregations
and communities. It is hoped that this openness will help raise
awareness of HIV and the support available to people living
with the virus.
Since launching in August 2014, the project has already
introduced HIV testing to sporting events, community
barbecues and other events. It tested a total of 359 people
for HIV in 2014/15, including 181 people at the African
Nations Cup UK football tournament. The Faith and
Communities Project was subsequently shortlisted for Adult
Sexual Health Project of the Year at the UK Sexual Health
Awards.
Fastest Direct
People across Scotland were able to test for HIV at home for
the first time in November 2014 when Terrence Higgins Trust
expanded its free Fastest Direct postal testing scheme.
It’s a simple process - someone orders a testing kit online
then sends a small blood sample (taken by a finger-prick blood
test) to a laboratory, where it is tested for HIV. If the result is
negative, they are told by text message. If it is ‘reactive’
(indicating that HIV may be present) they receive a phone call
from a Terrence Higgins Trust support worker, who refers them
to a specialist HIV service.
A pilot scheme proved successful in England in 2013 - around
a third of those who returned a postal test had never tested
for HIV before, and 97% of users agreed that they would use
the service again.
11,012
people ordered a free
HIV postal testing kit
4,818
samples were returned
for testing
Fastest Direct was subsequently introduced to Scotland. It was
also reintroduced to England for gay and bisexual men and
African people, the groups most at risk of HIV in the UK.
More than 11,000 free Fastest Direct postal tests were ordered
in 2014/15. Just under 2% of those returned received a
‘reactive’ result - with a benchmark figure of 2%, this
represents an effective HIV testing service.
94
produced
a positive result
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HPE Conference
Three hundred sexual health commissioners, health
promoters, sexual health and HIV service providers, and faith
leaders attended the HIV Prevention England conference in
central London in February 2015. Organised by Terrence
Higgins Trust, the conference enabled them to receive HIV
research updates while sharing knowledge and experience.
Responding to need
Syphilis is a bacterial infection that is easily spread, and if left untreated - can cause serious damage to the heart,
brain and nervous system. However, it does not always display
symptoms so many people carry and transmit syphilis without
realising. Between January and March 2014 there were 54 new
cases of syphilis diagnosed among gay and bisexual men in
Brighton and Hove, more than four times the number during
the same period in 2013. A few months later there was a
further syphilis outbreak on the Isle of Anglesey in Wales.
Terrence Higgins Trust in Brighton addressed this by launching
a syphilis awareness campaign with Brighton & Hove City
Council, Brighton and Sussex University Hospitals NHS Trust
and Public Health England. They distributed posters and
leaflets in LGBT venues, gay saunas and public sex
environments to make men aware of syphilis symptoms
and how to get tested. By February 2015 the number of
syphilis cases in Brighton and Hove had returned to
pre-outbreak levels.
THT Cymru responded to the Anglesey outbreak by working
with Public Health Wales to offer syphilis testing alongside
HIV tests. The team also distributed syphilis awareness
materials in gay saunas and public sex environments to contain
the outbreak.
Helping hard to reach groups
Terrence Higgins Trust service SWISH, which offers confidential
advice and support for people involved in sex work or the adult
industries, entered its 30th anniversary year in 2015. SWISH
(Sex Workers into Sexual Health) began life as Streetwise
Youth, offering support and advice to male escorts in Earl’s
Court, London. It now works with people of all genders over
nine different London boroughs.
Gay and bisexual men in Brighton who are taking risks with
their sexual health, or having problems with drug, alcohol or
sexual addiction, are being helped by new advice service
Face-to-Face. Based on motivational interviewing, the
four-week Terrence Higgins Trust programme also offers help
22
535,383
people visited our
It Starts With Me
website
199,694
people visited our
Drugfucked website,
for men who have
sex with men
while using drugs
71,170
people visited our
Hardcell website
for gay men who have
rougher sex
around relationships or a new HIV diagnosis. Face-to-Face saw
400 clients in 2014/15, 278 of whom were engaging in
high-risk behaviour when they made contact.
More than one in five students have considered working in
the sex industry, a survey of 6,770 students found. THT Cymru,
which completed the Student Sex Work Project over three
years with Swansea University, said the research identified a
clear need for dedicated, non-judgemental support within
sexual health services and the universities themselves.
Bus advertising promoting National HIV Testing Week
Highlights
• Terrence Higgins Trust
launched its first condom
courier service, Luber,
in east London. Gay and
bisexual men were able
to use dating apps to
order free condoms,
lube and HIV postal
testing kits from our
Health Improvement team
from 3-9 November. They
were then delivered free
by bicycle. The Luber
riders also offered
confidential advice and
information around sexual
health, either via the apps
or in person, and made
referrals to other local
sexual health services.
• An extensive series of
health promotion
workshops were delivered
to 395 students at
Aylesbury College in
Buckinghamshire in
December 2014. Health
Promotion Worker Geoff
Cook addressed issues
around sexual health,
consent and healthy
relationships during 32
workshops over three
weeks. Thanks to its
success with the further
education students, there
are now plans to repeat
and extend the
programme.
‘The programme
has proved
to have been
an excellent
support to me
throughout
one of the most
traumatic
episodes in my
life to date.
Terrence
Higgins Trust
has provided
real experience
and first class
advice that has
helped me to
reflect on my
sexual/drug
choices and,
more
importantly,
to change my
behaviour
completely and
positively.’
Face-to-Face client
23
24
4.4 Clinical services
Britain continues to have some of the highest levels
of sexually transmitted infections (STIs) in Western
Europe. The impact of STIs remains greatest in men
who have sex with men (MSM) and heterosexuals
under the age of 25. The latest UK-wide statistics show
there were nearly 440,000 diagnoses of STIs across
England in 2014. This included almost 207,000 cases of
chlamydia, nearly 35,000 cases of gonorrhoea (a 19%
increase) and nearly 4,320 cases of syphilis (a 33%
rise).
Terrence Higgins Trust tests tens of thousands of people each
year for a range of STIs and blood-borne viruses, including
HIV, syphilis, chlamydia, gonorrhoea and hepatitis A, B and C.
Testing is carried out in a wide range of locations at
convenient times with results delivered quickly. We also offer
free condoms, contraceptive advice and emergency
contraception.
Terrence Higgins Trust’s clinical services clearly play a vital role
in expanding access to HIV and STI screening, particularly in
non-traditional settings with harder-to-reach communities or
those who choose not to access traditional sexual healthcare.
An excellent example of this expansion is our free Fastest
Direct postal testing service, which enabled even more people
to access HIV testing. More than 11,000 free Fastest Direct
postal tests were ordered in 2014/15.
This year we reached further afield than ever and offered our
testing, treatment and health promotion services in a range of
new locations - locations which traditional sexual healthcare
providers do not commonly serve. As Terrence Higgins Trust
continues to explore new models to expand access to screening
and services in novel locations, this increases the uptake of
screening by communities at greater risk of poor sexual health.
Tackling chlamydia
Chlamydia is the most common STI in the UK. It is transmitted
through unprotected sex and often has no symptoms. But if
left untreated, chlamydia can lead to serious long-term health
problems including pelvic pain and infertility. Around one in
14 young people tests positive for chlamydia in the UK.
There were
approximately
450,000
new sexually
transmitted infection
(STI) diagnoses in
England in 2013.
208,755
people were
diagnosed with
chlamydia
Approximately
29,300
people were
diagnosed with
gonorrhoea
Over
3,240
people were
diagnosed with
syphilis
25
England’s largest ever HIV prevention campaign It Starts With Me
Strategic Report: Clinical services
Thankfully the testing and treatment for chlamydia provided by
Terrence Higgins Trust is quick, free, easy and confidential. In
2014/15 we tested 70,000 young people for chlamydia across
the UK and provided treatment for anyone testing positive.
THT Norfolk
Terrence Higgins Trust reached Norfolk for the first time in
March 2015, when East Coast Community Health’s 11-strong
sexual health team officially became THT Norfolk.
As a result Terrence Higgins Trust now offers HIV and STI
screening and provides health promotion via outreach
throughout Norfolk, Suffolk and Cambridge. Our experienced
team also provides community-focused sexual health
education and training for professionals.
Norfolk is a large rural area with a range of challenges in terms
of improving sexual health and increasing access to screening.
THT Norfolk is expected to make a significant difference to the
lives of people at risk of poor sexual health.
Dumfries and Galloway
Gay and bisexual men are among those most at risk of poor
sexual health and HIV. In addition, people living with HIV can
feel isolated, especially in rural communities where stigma and
access to services can be problematic.
Our new service in Dumfries and Galloway, Scotland, meets
these challenges head on. In January 2015, Terrence Higgins
Trust set up its first service for gay and bisexual men in the
area, to support all aspects of sexual health and wellbeing,
including support regarding positive relationships. This includes
outreach work, access to free condoms (including condoms by
post), rapid HIV testing, emotional support and volunteering
opportunities.
In partnership with NHS Dumfries and Galloway, this
much-needed service is based in the Dumfries and Galloway
LGBT Centre.
26
Strategic Report: Clinical services
Warrington
In October 2014 Terrence Higgins Trust opened its first
permanent centre in Warrington, Cheshire, providing HIV
prevention and support services to people in the town.
Funded by Warrington Borough Council, it includes a
programme of community support via outreach to groups at
risk of HIV, rapid HIV testing and condom distribution. It also
offers a range of services for local people living with HIV,
including face-to-face and group support, plus advice on
housing, finances and HIV treatment.
In 2012 there were an estimated 1,915 people living with HIV
in Cheshire and Merseyside, one in five of whom had not yet
been diagnosed. It is a situation we are committed to tackling,
so we are delighted to have expanded our North West services
in this way.
Continuing delivery of the C-Card scheme
Condoms still offer the best protection from HIV, other STIs
and unwanted pregnancy.
The C-Card scheme enables young people (aged 13 to 25)
to confidentially pick up free condoms from dozens of
pharmacies, youth clubs, clinics and other participating outlets
across London, Norfolk and Hertfordshire. They are advised on
the full range of condoms available, to help them become
confident and skilled with using condoms whenever they
have sex.
More examples of
success in London
clinical services
• A total of 1,957 HIV
tests were carried out
by our clinical services
teams in London alone
in 2014/15.
• This included 419 tests
undertaken from a bus
supplied by Croydon
Council to mark World
AIDS Day (1 December).
• Screening also took
place in community
venues, faith centres,
public sex environments
(PSEs) and many more
non-traditional settings.
Terrence Higgins Trust
is committed to
continuing its efforts
to respond to local
populations and to do so
in a flexible and
responsive manner.
Staff at each venue have been trained by Terrence Higgins
Trust to discuss sexual health concerns with young people
using the scheme, to make them aware of further support
available and to signpost or support young people into these
services.
In 2014/15 a total of 88,140 condoms were given to young
people across London as part of the C-Card scheme.
27
28
Strategic Report: Campaigning and building support
4.5 Campaigning and building support
HIV and sexual health are difficult subjects to gain
public and political support for. Prejudice against
people living with HIV, plus stigma, misunderstanding
and ‘blame’ around sexually transmitted infections,
mean they struggle to be prioritised by donors,
statutory funders, the general public and the media.
Terrence Higgins Trust worked tirelessly in 2014/15
to ensure sexual health did not fall off the political
agenda as we prepared for the General Election.
We also worked with the media and TV producers to
ensure issues around HIV and sexually transmitted
infections were portrayed fairly and accurately.
This year has been a busy year for influencing and
campaigning. With the General Election in May 2015, we
focused our work throughout 2014/15 on building awareness
among candidates and making sure that key issues were
included in manifestos and debates.
Sex and Relationships Education
We ran campaigns on compulsory Sex and Relationships
Education (SRE), reaching 70% of MPs. The support for
SRE grew and grew and we continued our work at party
conferences where we met with a number of Ministers and
Shadow Ministers. We discussed issues about HIV testing,
treatment and prevention as well as SRE. Support for
compulsory SRE extended across much of the political
landscape but not all, so our work will continue.
Reaching the Tipping Point
In November we published Reaching the Tipping Point in
response to the latest Public Health England statistics HIV in
the United Kingdom: 2014 Report. We set out the key
activities that need to happen in order to reduce onward
transmission of HIV in the UK. We were also able to have a
reception in the House of Lords for National HIV Testing Week
(23-30 November 2014) and World AIDS Day (1 December)
29
Channel 4’s Hollyoaks actor Kieron Richardson
where we discussed the importance of a national HIV
prevention programme, SRE and the need for ongoing support
for people living with HIV, particularly as they age.
HPV vaccination
We have continued our campaigning and influencing work to
extend the HPV vaccination programme. We have called for the
vaccination to be made available to men who have sex with
men (MSM) immediately and for the vaccination programme to
be extended to boys as well as girls. As part of this work,
we have presented at conferences.
Prosecutions
In February 2015 we responded to a key consultation from the
Law Commission on the scoping of the proposed reform of the
Offences Against the Person Act. We hope this is the start of
a larger piece of work in reviewing legislation around
prosecutions against HIV transmission and hopefully a
restriction to intentional transmission.
PrEP
We worked with other organisations to update the community
statement on PrEP (Pre-Exposure Prophylaxis) following the
publication of the PROUD research data. We have supported
the calls for access to PrEP, writing to Ministers and
encouraging people to sign a community-wide petition.
A working group is now set up to make a recommendation on
whether PrEP should be made available and we are continuing
our calls for immediate access for those at high risk of HIV.
What You Need To Know
The General Election campaign gave us the opportunity to
engage with a large number of candidates standing for
election. We published HIV in the UK – What You Need To Know,
setting out the facts and the top priorities for the new
Government: SRE, HIV prevention, challenging stigma and
welfare support for people with HIV-related ill-health and
disability.
30
10,315
people are registered
with our myHIV
website:
84%
said they were
satisfied or very
satisfied
85%
said they would
recommend myHIV
64%
reported an increased
knowledge of HIV
44%
had improved
confidence in asking
questions at their
clinics
Membership
Terrence Higgins Trust membership has continued to grow and
we now have 15,856 members.
In July 2014 we attended the International AIDS Conference in
Melbourne, Australia, when two staff members presented to a
global audience on our groundbreaking myHIV service for
people living with HIV. The membership of myHIV has now
reached 10,315, which represents 12.5% of the diagnosed
population.
We have continued our local influencing training, to support
people to understand how they can influence local and
national decisions around HIV and sexual health and to make
their voices heard. Sessions took place in Coventry, Glasgow,
Manchester, London and Bristol.
15,856
people are
members of
Terrence Higgins
Trust
Terrence Higgins Trust staff at the BMAs
Media and PR
Over the course of the year, our media work and PR activity
generated a huge amount of interest that supported our
campaigning, awareness-raising and fundraising activities.
There were 11.2 billion ‘opportunities to see’ media coverage
mentioning Terrence Higgins Trust. In November alone, our
media work – largely focused around National HIV Testing
Week and World AIDS Day – generated more than 4.3 billion
opportunities to see.
31
The last quarter, from January to March 2015, saw a huge
amount of proactive and positive media activity. At the end
of February, we described the results of the PROUD trial on
PrEP as a ‘game changer’, and received national and
international broadcast and written coverage. By the end of
March, our corporate social media Twitter followers had
increased to more than 14,500 and our Facebook likes
increased to more than 8,000.
Our impact was highlighted in Third Sector magazine’s Charity
Brand Index, an annual league table of the UK’s top 150
charity brands. From 2013 to 2014, Terrence Higgins Trust
increased its position by six places, reaching its highest ever
position of 69.
Ste and his partner Jean-Paul
await their HIV test results
in Hollyoaks
Hollyoaks
Terrence Higgins Trust worked with the producers of popular
Channel 4 soap opera Hollyoaks on a storyline which featured
its first gay character living with HIV.
Ste Hay, played by Kieron Richardson, tested positive for HIV in
January 2015 after having unprotected sex with a man named
Connor. The show’s producers contacted us for advice and
information while developing the storyline because they were
keen to accurately reflect how someone like Ste would manage
his HIV and its impact on his life and wellbeing.
32
Executive producer Bryan Kirkwood said: ‘We have wanted
to tell this story for a long time. While HIV can affect anyone,
infection rates in young gay men remain too high and to ignore
that is to do the gay audience a disservice.
‘Hollyoaks is in a unique positon to be able to talk directly to
millions of young viewers and if the safe sex message is not
coming through education we can help with that both on screen
and through multi-platform support.’
Hollyoaks and its website featured Terrence Higgins Trust
contact details for viewers who wanted to know more about
the HIV and sexual health issues it raised.
Mr Kirkwood added: ‘2015 is Hollyoaks’ 20th year and to make
that our “year of safe sex” felt right for a show built upon telling
rites of passage stories. With Ste’s HIV and other stories for
our teenage characters we will explore the many implications
of unprotected sex and hope to encourage thoughtful debate
amongst our audience.’
The Hollyoaks storyline came almost a year after Emmerdale
character Val Pollard discovered she was HIV positive. The
long-running ITV soap continued to explore the implications of
Val’s diagnosis during 2014/15, in a storyline which has been
widely praised for highlighting the fact that heterosexual older
women can also be affected by HIV.
33
34
Strategic Report: Ensuring our sustainability
4.6 Ensuring our sustainability
Throughout the year we organise a range of dynamic
fundraising events and activities to help support the
charity’s vital work.
Our Fundraising department works tirelessly to try to
secure funding, without which Terrence Higgins Trust
would not be able to provide our wide range of services
across the UK.
During 2014/15 our Fundraising department raised
more than £6.1 million. This was due to the generosity
of thousands of people who made donations, plus the
companies and grant-making bodies, who recognise
the short and long-term importance of our work.
Over £6 million was raised in 2014/15. Here are some of the
ways in which that was achieved:
You’ve got to have Friends
The fantastic support
from our regular
givers raised a
phenomenal
£915,955
in 2014/15,
providing vital
ongoing support
for our work together
with a very generous
£123,497
in cash donations
Our Friends and Associate Friends are a unique group of our
hugely generous and influential supporters. The Friends
programme is headed by actor Stephen Fry, its dedicated and
passionate President. Last year this group raised a total of
£952,000 for Terrence Higgins Trust through events including
the Friends Dinner (see below).
The Auction
Every year a series of unique and fantastic Lots are generously
donated to The Auction and sold in aid of the work of Terrence
Higgins Trust. This year was no exception, with Lots including a
date with rugby hunk Ben Cohen, a Philip Treacy hat fitting,
a stunning neon by Tracey Emin stating ‘Be Brave’ and a
‘half-cat, half-penis’ sculpture by Grayson Perry. The Auction
raised a total of £316,000 at Christie’s in London on 12 March
2015.
35
Tracey Emin’s ‘Be Brave’ at The Auction
Friends Dinner
Hosted by Stephen Fry, the Friends Dinner is our flagship
fundraising event, attended by our closest friends and celebrity
supporters. The June 2014 event took place at the prestigious
One Marylebone in central London, with an appeal and
speeches by people living with HIV. Singer Elaine Paige
performed and £525,000 was raised – a 50% increase on the
previous year’s total.
Imelda Staunton and Dominic West in Pride
Pride
Set in 1984, hit British film Pride told the true story of how a
group of London gay activists supported striking miners in the
Welsh village of Onllwyn in the Dulais Valley. Led by activist
Mark Ashton, the group Lesbians and Gays Support the Miners
(LGSM) overcame prejudice and homophobia to find common
ground and win support from the mining community itself.
Released in September 2014, Pride gained rave reviews and
highlighted Mark’s commitment, passion and empathy for
others. He died just 12 days after being diagnosed with
late-stage HIV in 1987.
36
A Red Ribbon fund (see below) was set up in Mark’s
memory by his friend Chris Birch, enabling people to donate
to Terrence Higgins Trust in honour of Mark. Before Pride was
released, a total of £2,000 had been donated to the fund. After
its release, an outpouring of support from the general public
saw that total increase to £20,700. Messages from donors
included: ‘People are only now realising what you did for the
LGBT community. You showed people that shame is not an
option, and the fight continues. Xx’
It included a £4,000 donation from the Neath, Dulais and
Swansea Valley Miners’ Support Group and members of the
original LGSM, who reunited in March 2015 to mark the 30th
anniversary of the miners’ strike. A Pride screening by the
Portrush FILM Theatre in Northern Ireland also raised £250 in
Mark’s memory in February 2015.
Supper Club
Every year London’s most iconic restaurants host and donate
meals in support of Terrence Higgins Trust, with guests giving
the price of the meal to our charity. In October 2014 a host of
celebrities including Nigella Lawson, Jim Broadbent and
Jemima Khan attended 50 dinner parties at restaurants
including Roast, Wilton’s and Scott’s, before heading to our
after-party at the Underglobe. A total of £98,000 was raised.
Walk for Life
Terrence Higgins Trust’s annual community event Walk for Life
had a superhero theme in June 2014. The 10k sponsored walk
through central London saw 346 people taking part in a wide
range of colourful and dynamic costumes, having been greeted
and launched on their way by actor Sir Ian McKellen. A total of
£57,000 was raised in the process.
THT Cymru Gala Event
In October 2014, THT Cymru hosted its first Gala fundraising
event at the Marriott Hotel in Cardiff. It brought together
supporters, health partners, staff and volunteers for dinner, a
drinks reception and entertainment, raising £4,820.
Individual Giving
The fantastic support from our regular givers and cash
donations raised a phenomenal £1,039,450 in 2014/15,
providing vital ongoing support for our work.
37
World AIDS Day red ribbons
Red Ribbon funds
A Red Ribbon fund enables friends and family members to
support those living with HIV by making donations to Terrence
Higgins Trust in memory of their loved ones.
In May 2015 a plaque was unveiled to honour those whose Red
Ribbon funds had raised more than £2,000 in donations. Each
of their stories was told during a moving unveiling ceremony at
Terrence Higgins Trust’s London centre in May.
Boutique
Boutique is Terrence Higgins Trust’s charity shop in Pimlico,
south west London. Listed by Time Out as one of London’s
top 20 charity shops, it sells designer bargains and unique
treasures including art, vintage clothes and new stock donated
from local and high street retailers. It also holds regular events
for customers and donors, such as auctions, haggling evenings
and exhibitions.
38
Highlights
• A number of people
kindly left donations for
Terrence Higgins Trust
in their will. This resulted
in a total of £872,000 in
donations in 2014/15.
In December a second branch of Boutique opened as a
temporary pop-up shop in central London. Boutique Soho in
Walkers Court sells designer and vintage clothes and
accessories, art, books and household items. Boutique raised
£104,160 in 2014/15 and Boutique Soho raised £22,240.
• Our teams marked World
AIDS Day (1 December)
by raising awareness
of HIV and raising funds
for Terrence Higgins
Trust across the UK,
including £39,000 raised
in collections by the
Community team.
Major grants
Comic Relief awarded us a grant of £180,180 over three years
in August 2014 to boost the financial advice offered to people
living with HIV. It was the largest grant Terrence Higgins Trust
has ever received from this funder.
People living with HIV are at disproportionate risk of financial
hardship, a problem that is growing as changes to the
benefits system continue. As a result of the Comic Relief grant,
our team at Lighthouse South London now delivers accredited
advice on money management skills, how to reduce or
consolidate personal debt and how to assess financial products
(such as insurance or bank accounts). This aims to reduce
the impact of welfare reforms and increase the financial
independence and resilience of people living with HIV.
39
40
Strategic Report: Our plans for the year ahead
4.7 Our plans for the year ahead
The need for Terrence Higgins Trust’s services continues
to grow. There are over 107,000 people living with
HIV in the UK. Last year, of the 6,000 people who were
diagnosed with HIV in the UK, over 40% were
diagnosed ‘late’, after the point at which they would
have benefitted from starting treatment. It is
estimated that there are around 24,000 people living
with HIV in the UK who are undiagnosed.
There are over
107,000
people living with
HIV in the UK
Over the next year Terrence Higgins Trust’s work will
continue to increase access to HIV testing, support
people living with HIV, and work towards improving
the nation’s sexual health.
In the next year our plans include:
• Expand our community
HIV testing services in new
novel settings to better
reach people at high risk
of HIV.
• Develop our online HIV
postal testing service to
work with a wider range of
funders, making the service
available to more people at
risk of HIV.
health campaign aimed at
increasing HIV testing and
condom use among those at
most risk of HIV.
• Work to develop effective
networks and partnerships
with statutory, private and
voluntary sector bodies to
deliver innovative new
services.
• Campaign to ensure access
to PrEP (Pre-Exposure
Prophylaxis) for those in
communities at highest risk
of HIV.
• Launch a Lighthouse
Innovation Fund, to finance
innovative new projects or
expand current initiatives
for people living with or
affected by HIV.
• Work to provide support for
men who have sex with
men involved in chemsex
(ie, sex while using drugs).
• Continue to increase the
level of charitable donations
made to support the work
of the charity.
• Work to increase the
number of Terrence Higgins
Trust members engaged
with our campaigning
activities.
• Develop our online services
to provide information and
support to more people.
• Develop our successful
It Starts With Me public
Stephen Fry hosts the Friends Dinner
• Launch a new five-year
strategy with a focus on
ending HIV in a generation.
24,000
undiagnosed
Of the
6,000
newly diagnosed
people
40%
were diagnosed
‘late’
41
42
Strategic Report: Financial review
4.8 Financial review
Our strategy for 2012-2016 outlines how we will
continue to respond to ongoing changes in the
external environment and ensure that we safeguard
our work in HIV and sexual health, by maintaining
financial sustainability throughout the period. With an
increase in funds of £3,443,000, we feel confident we
have achieved this during the penultimate year of our
current strategy. Sustainability continues to be a key
theme in the next strategy, which is in the process of
being written.
The following section of the Trustees’ Report
summarises and explains the financial information
presented in the Financial Statements in Sections
5 to 8.
Where our money comes from
Incoming resources
2014/15
Other 1%
Incoming
resources Activities
from charitable for
activites 61% generating
funds 6%
Terrence Higgins Trust receives funding from a variety of
sources, to support us in our vital work. We call this ‘incoming
resources’. In 2014/15, we saw another slight fall in our
income with our total income falling by just over 1% from
£19,646,000 to £19,399,000. Given the ongoing challenges of
the economic and funding environment in which we operate,
this represents solid performance and, in line with our strategic
aims, this income has been used to support new services as
well as maintaining existing ones.
Our income came from a range of sources as set out below.
Further details of the figures can be found in the notes to the
Financial Statements Voluntary income saw another
year-on-year increase in 2014/15 with an additional £89,000
of income compared to the previous year. Total voluntary
income stood at £6,095,000 compared to £6,006,000 in
2013/14. This represents a 1% increase. The Big Lottery Fund
continues to be a major contributor to Terrence Higgins Trust,
and more so this year than in previous years, with income in
2014/15 of £1,298,000 (£617,000 in 2013/14). Of the total
received, 61% of voluntary income was unrestricted compared
to 66% in 2013/14. Securing unrestricted income ensures that
the charity has the flexibility to use funding to best meet its
strategic aims, allowing the charity to remain in control of the
wider HIV agenda on behalf of beneficiaries.
43
Volunteers at Boutique
Voluntary
income
32%
The charity is very grateful to all those who have supported
our work during the year; the generosity of our donors is so
appreciated. The fundraising team has been on a mission in
recent years to revamp the work that they do and the events
that are run, which has incurred some additional costs.
The cost of generating funds increased a little in 2014/15
compared to previous years, which has offset the increase in
income. Greater returns on this innovation work are expected
to be achieved over the next few years.
Incoming resources from charitable activities received in
2014/15 totalled £12,133,000 from statutory bodies, funding
both regional and national work. Overall, statutory income fell
by just 2%. Unlike previous years, funding for Long Term
Condition Management, supporting people with HIV, saw slight
growth compared to 2013/14. While Terrence Higgins Trust has
been able to establish some new services, we have also relied
on the use of unrestricted voluntary income, to offer continuity
of service to our beneficiaries. THT Direct is now fully funded
by unrestricted voluntary income and provides a hugely
valuable service to so many beneficiaries.
Activities for generating funds comprise income from
fundraising events, sponsorship, rent, room hire and catering.
Terrence Higgins Trust’s Estates policy is designed to allow for
flexibility within any operational building acquired, and in the
short term any unused space is let to provide income.
Total income from activities to generate funds in 2014/15
was £1,077,000 (2013/14: £1,033,000).
The following graph summarises how our income has changed
over the last five years:
Incoming resources 2011-2015
20,000
15,000
£’000
n Other (including sale of assets)
n Incoming resources from
charitable activities
10,000
n Activities for generating funds
5,000
n Voluntary income
44
0
2011
2012
2013
2014
2015
How we spend our money
Our charitable expenditure in 2014/15 decreased a little
compared to the prior year to £16,852,000. This decrease was
broadly in line with the decrease in income we experienced.
As austerity measures continue, statutory funders increasingly
require us to reduce costs and deliver the same or more for
less money, which is a challenge. We strive to work in a lean
manner without compromising the quality of our service.
This year has seen a buck of the trends felt across our
charitable expenditure in recent years, with a significant
decline in expenditure on clinical work and an increase in
expenditure on long term condition management and health
improvement. These two areas of activity are at the heart of
Terrence Higgins Trust’s strategy and history and, as such,
this change is welcome.
The following graph summarises how our income has changed
over the last five years:
Charitable expenditure over the last five years
6,000
5,000
n 2011
n 2012
n 2013
n 2014
n 2015
£’000
4,000
3,000
2,000
1,000
0
Clinical
Health
Improvement
Long Term
Condition
Management
Campaigning,
Lobbying &
Advocacy
Governance costs include the cost of audit, and an allocation
of staff time. These costs have increased by £8,000 on previous
year, but still represent less than 0.3% of our charitable
expenditure.
Support costs in 2014/15 totalled £2,120,000. Support costs
have increased when compared to the prior year; however this
is largely due to one-off costs. Significant improvements have
been made to our IT infrastructure and one-off costs have been
incurred in relation to the sale of the Lighthouse West London
building. This year support costs represent 11% of total
expenditure and include premises costs, salaries of staff
and all other direct costs of support roles as well as the
45
The overall picture
Taking the income and expenditure detailed above against each
other, the charity closed the year with operational income in
excess of expenditure by £398,000. This surplus is transferred
to our reserves to support the charity in the future. During the
year the charity worked towards the sale of Lighthouse West
London. This property was no longer needed for the activities
of the charity. The charity exchanged on the sale of the
property prior to year end and completed in June 2015.
The property sold for £6,000,000, which is significantly more
than we had it valued at last year end. The increase in value
has been reflected as a revaluation in the accounts and has
further boosted our reserves by £4,804,000. Our ‘Plans for the
year ahead’ section of this report mentioned the launch of
the Lighthouse Innovation Fund. This Fund will use reserves
generated by this sale.
Pension scheme
Financial Reporting Standard 17 (FRS17) dictates how pension
scheme assets and liabilities are calculated and disclosed in
accounts. It is designed to be prescriptive to prevent the
funding of a scheme from being misrepresented, but a
criticism of FRS17 is that it creates large movements year on
year. In 2014/15 the pension scheme net liabilities increased
from £1,354,000 to £2,277,000. This is disappointing given the
significant one-off contribution of £630,000 that was made
during the year as part of the agreed deficit recovery plan.
Further details can be found in Note 13.
46
www.tht.org.uk
thank you
exceptional items noted above. These costs have been allocated
across activities on the basis of staff whole time equivalents.
Although the charity operates across the UK, central
services including finance, HR, IT and estates are all located at
the charity’s main premises in London in order to achieve
economies of scale while still providing an effective support
service for the organisation.
Over
£6.7
million
was raised by
our Fundraising
department
For every £1 raised by Terrence Higgins Trust
in 2014/15, we spent:
maximising
sexual health
29p
27p
supporting people
living with HIV
campaigning
for change
1p
fundraising
costs
10p
12p
22p
governance,
support
and
running
costs
diagnosis
and treatment
Last year we raised over £6.7 million and spent
£1.8 million to raise that money, meaning that for
every £1 spent on Fundraising, we raised £3.71.
Our reserves
In common with many other charities, Terrence Higgins Trust
operates in an uncertain funding environment. Following the
prolonged and significant changes in the funding and structure
of NHS and Local Authority together with continued austerity
drives, funding for HIV and sexual health services looks certain
to be challenged. In such circumstances it is more important
than ever to the charity to ensure its sustainability. During
2014/15, the charity has negotiated the sale of one of our
most significant assets, Lighthouse West London. This sale,
completed 26 June 2015, will enable the charity to put the
funds to more effective use in our mission to achieve our
objectives and ensure our financial sustainability into the
future.
The Trustees have agreed the charity’s reserves policy so that
the level of unrestricted reserves held be equal to 30% of total
resources expended. Our budgeted expenditure for 2015/16 is
£19.2m giving an expected reserve level of £5.8m. Our actual
unrestricted reserves at 31 March 2015 were £10.3m, above
the level set by our policy. This level of unrestricted reserves
has arisen following the revaluation of Lighthouse West
47
London and does not equate to liquid assets. The Trustees are
making plans for the long investment of this additional
resource and will review our reserves policy in light of the sale
in 2015/16. The Trustees are of the view that in light of the
ongoing challenges in the economic and funding environment
and the organisation’s commitment to providing continuity for
existing services, the current level of unrestricted reserves is
appropriate. The value of the reserves held as current assets is
just over £1m.
The Trustees believe that Terrence Higgins Trust has adequate
financial resources and our planning process, including
financial projections, has taken into consideration the current
economic and funding environment and its potential impact on
the various sources of income and planned expenditure.
Therefore Terrence Higgins Trust has a reasonable expectation
that it has adequate resources to continue in operational
existence for the foreseeable future. The Trustees believe that
there are no material uncertainties that call into doubt the
charity’s ability to continue. The accounts have therefore been
prepared on the basis that the charity is a going concern.
Capital funds and investments
A capital fund was established to accommodate a legacy
received in 1994/95 as a permanent endowment. This is
invested in Common Investment Funds managed by Cazenove
Fund Management Ltd. The Trustees believe this is the most
appropriate investment given the size of the portfolio and the
level of risk they wish to take.
Risk statement
The management of risk is an integral part of the charity’s
operational management and a series of systems operate to
identify and mitigate risk.
These systems include:
• An integrated skills-based board with effective separation of
duties and regular reporting of management information.
• Terrence Higgins Trust operate a system of Directorate,
Project & Service Quality risk registers which inform the
Terrence Higgins Trust Corporate Risk Register.
• The board regularly reviews the risk dashboard which clearly
outlines Terrence Higgins Trust’s risk appetite and ensures
risks carried remain in line with this appetite.
48
Strategic Report: Principal risks and uncertainties
4.9 Principal risks and uncertainties
The Board regularly review the risks faced by the
charity and by the trading subsidiary Terrence Higgins
Trust Enterprises, and feels the key risks currently
facing the charity are:
• Difficulty in maintaining the current level of statutory
income as a result of planned reductions in public
spending, the retendering of a significant number of
contracts, and changes to the funding of sexual health
services.
• Difficulty in maintaining and further increasing charitable
income due to an unsupportive social environment.
• Difficulty in keeping up with the pace of technological
change and developing digital services to meet service user,
donor and stakeholder expectations.
• Increasingly competitive commissioning environment may
threaten our ability to win local authority and NHS contracts.
• Competing public health priorities may divert funding from
HIV and sexual health.
• Increase in commissioning of integrated services
necessitating the need to develop new partnerships.
• Many of the charity’s beneficiaries are young people or
vulnerable adults. A safeguarding incident, resulting from
the charity’s policies not being followed, may cause harm to
a client and expose the charity to reputational damage.
• Difficulties in recruiting and/or retaining clinical staff
may impede the charity’s ability to deliver clinical services
and the clinical governance framework.
49
50
5
Governance Review
Governance Review
Terrence Higgins Trust is a charitable company limited
by guarantee, incorporated on 14 December 1983
(company registration number 1778149). Terrence
Higgins Trust was registered as a charity in England
and Wales on 26 January 1984 (registration number
288527) and with the Office of the Scottish Charity
Regulator (OSCR) in January 2009 (registration
number SC039986).
Terrence Higgins Trust is governed by its memorandum and
articles of association. These two documents set out the
charity’s objectives, and the framework within which Terrence
Higgins Trust must operate to achieve these. The memorandum
and articles of association are approved by the Charity
Commission, and are regularly reviewed by Trustees to ensure
they remain up to date. They were updated most recently in
December 2011. It is expected that further changes will be
recommended by the Board to the AGM in November 2015 and
a full review of the governing documents will be conducted
in 2016.
The charity has one active 100% owned subsidiary,
Terrence Higgins Enterprises Limited, the activities of which are
accounted for in note 25. This company’s principal activity is
that of raising funds for charity. The company carries on
trading activities for the benefit of The Terrence Higgins Trust.
The company registration number is 2242767 (England and
Wales). The company will continue to develop merchandising
and fundraising events to raise funds for The Terrence Higgins
Trust. Additional care contracts will be novated from Terrence
Higgins Trust to Terrence Higgins Enterprise, and the work
subcontracted to Terrence Higgins Trust.
51
A Terrence Higgins Trust service user
Governance Review
Trustees
Our Board of Trustees (Directors) is responsible for setting the
overall strategy and direction of the charity, and for ensuring
Terrence Higgins Trust uses its resources effectively in pursuit
of our mission statement. The charity’s constitution provides
for 11 Trustees, six of whom are elected by the charity’s
members. Our Trustees are unpaid, and are either elected or
appointed and are drawn from a variety of backgrounds to
ensure a balanced, skills-based board.
The Board of Trustees is supported by four sub committees.
Details of the current Trustees, sub committee members,
the senior management and the charity’s professional advisers
are as follows (Membership of the Finance, Audit & Risk
Committee is indicated by ‡, of the Quality & Clinical
Governance Committee by ~, of the Strategy & Governance
Committee by ∞ and Trustee Recruitment Committee by †).
The Trustees who served during the year were:
Robert Glick ∞ – elected in 2012 – Chair
Paul Jenkins ∞ + – elected in 2011 and re-elected in 2013 –
Deputy Chair
Anthony Babajee ~ + – elected in 2013
Neil Beasley - resigned 6 January 2015
Ben Bradshaw – appointed in 2011 and re-appointed in 2014
David Steyn - resigned 18 February 2015
Professor Rob Miller ~ ∞ - elected in 2014
Clare Minchington ‡ – co-opted in 2013 (filling a vacancy)
and appointed in 2014
Jackie Morton ∞ – elected in 2014 (Jackie has since stepped
down to become interim Chief Executive on 27 July 2015)
William Roberts ~ + – appointed in 2014
Gavin Wills ‡ - appointed in 2014.
Biographical information on the current Trustees can be found
at: www.tht.org.uk/trustees
52
Governance Review
Trustees are elected to the board for three years at our
Annual General Meeting and, subject to re-election, serve for
a maximum six-year term. A recommendation is to be made
at the next AGM that Trustees (whether elected or appointed)
may serve a maximum nine-year term – three terms of three
years. Appointed Trustees serve for terms of up to three years
and, subject to re-election, also serve for a maximum six-year
term. All Trustees undergo a formal induction to the charity
upon election, the content of which is reviewed annually, and
includes a mixture of formal training and visits to observe
delivery of the charity’s services and meetings with senior
management.
Trustees’ responsibilities
The Trustees are responsible for preparing the Strategic Report,
the Trustees’ Report and the Financial Statements in
accordance with applicable law and regulations.
Company law requires the Trustees to prepare Financial
Statements for each financial year in accordance with
United Kingdom Generally Accepted Accounting Practice
(United Kingdom Accounting Standards) and applicable law.
Under company law the Trustees must not approve the
Financial Statements unless they are satisfied that they give a
true and fair view of the state of affairs of the charity and the
group and of the surplus or deficit of the group for that period.
In preparing these Financial Statements, the Trustees are
required to:
• select suitable accounting policies and then apply them
consistently
• make judgements and accounting 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
• 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 ensuring that adequate
accounting records are maintained that are sufficient to show
and explain the charity’s and the group’s transactions and
disclose with reasonable accuracy at any time the financial
position of the charity and the group and enable them to
ensure that the Financial Statements comply with the
Companies Act 2006.
53
Governance Review
They are also responsible for safeguarding the assets of the
charity and the group and ensuring their proper application
in accordance with charity law, and hence for taking
reasonable steps for the prevention and detection of fraud
and other irregularities.
So far as each of the Trustees at the time of the report are
aware there is no relevant information of which the auditors
are unaware and they have taken all the steps they ought to
have taken to make themselves aware of any relevant audit
information and to establish the auditors are aware of that
information.
Crowe Clark Whitehill LLP has indicated its willingness to be
reappointed as statutory auditor.
This Annual Report of the Trustees, under the Charities Act
2011 and the Companies Act 2006, was approved by the Board
of Trustees on 10 August 2015, including approving in their
capacity as company directors the Strategic Report contained
therein, and is signed as authorised on its behalf by:
Robert Glick
Chair, Board of Trustees
Sub-committees
Trustees meet at least four times a year as a board and also
attend two full day strategy meetings. In addition to this they
are supported through the work of four committees:
• Finance Audit and Risk Committee, which is responsible for
appointing the external auditors, reviewing Terrence Higgins
Trust’s accounts and financial controls, and reviewing the
statements and actions on risk and internal controls.
• Strategy and Governance Committee, which oversees the
development of strategy, organisational development
and governance.
• Trustee Recruitment Committee, which identifies which of
the applicants who apply to become candidates for board
election meet the requirements of the Trustee specification.
• Quality and Clinical Governance committee, which oversees
clinical services provided by the charity.
54
Governance Review
The membership of these Committees is drawn from Trustees,
Executive Directors and lay members, often specialists, who
possess a particular expertise relevant to the work of the
Committee.
Executive Team
The Executive Team works closely with the Board of Trustees
to help turn Terrence Higgins Trust’s vision and strategy into a
reality. They are responsible for the day-to-day management of
the charity.
The Executive team that served during the year are:
Dr Rosemary Gillespie
Chief Executive (Rosemary stepped down from the role on 10
July 2015 and was succeeded by Jackie Morton on 27 July
2015)
Jackie Morton
Interim Chief Executive (since 27 July 2015)
Freda O’Brien
Executive Director of Human Resources and Organisational
Development (Interim cover from 9 March 2015. Freda was
appointed to the role on 22 June 2015)
Kerry Blair ∞
Director of Growth and Development (up to 23 July 2015)
Hannah Bodek ‡
Executive Director of Finance (from 26 January 2015)
Dr Michael Brady ~ Medical Director
Dominic Edwardes
Executive Director of Digital and Marketing
Catherine Farrell
Interim Executive Director of Finance (Maternity cover up to
26 January 2015)
Dr Shaun Griffin
Executive Director of External Affairs (since January 2015)
Jackie Kennedy
Interim Executive Director of Service Delivery (since 7
December 2014)
Sonya Trivedy
Acting Executive Director of Fundraising (since 28 July 2015)
55
Governance Review
Mandy Tyson
Executive Director for Clinical Leadership & Clinical
Governance (since November 2014)
Biographical information on the current Executive Team can be
found at: www.tht.org.uk/executive
Volunteers, employees and supporters
There are an average of 300 volunteers actively supporting
Terrence Higgins Trust each month in a variety of ways.
Volunteers continue to provide many valuable hours of work
and are the backbone of many services which otherwise could
not exist. Based on the average salary of the charity’s
workforce, the value to the charity of the work performed by
volunteers during the year is estimated at £733,000.
Terrence Higgins Trust also relies on the work and commitment
of its 760 paid staff (including 428 sessional workers and 285
WTE part-time staff). The charity is particularly grateful for the
continued loyalty of its staff during another challenging but
productive year. Terrence Higgins Trust continues its
commitment to equal opportunities and to good staff relations.
Terrence Higgins Trust has a policy on Equality and Diversity
Policy, the stated aim of which is:
‘To provide equality of opportunity and fair treatment for all;
To eliminate discrimination on the grounds of gender, race,
marital status, ethnic origin, colour, religion or belief,
disability, sexual orientation, age or HIV status and any other
unfair grounds; To promote diversity in the workplace;
To ensure that all employees are aware that it is their
responsibility to work in a non-discriminatory way.’
In particular, Terrence Higgins Trust has a target of employing
13% of staff who are living with HIV, and has a specific ‘HIV in
the workplace’ policy.
Terrence Higgins Trust has a Staff Involvement Committee with
terms of reference and elected representatives in order to
manage employee engagement and consultation in a
structured and effective manner. Committee members are able
to raise issues on behalf of their colleagues. In addition to this
formal structure, Terrence Higgins Trust has a staff newsletter
and daily news email in which all items of interest such as new
business, successes, publications etc are communicated to staff
and through which staff and teams are encouraged to share
their news with the rest of the organisation.
56
6
Independent Auditor’s Report to the Members and Trustees of The Terrence Higgins Trust
Independent Auditor’s Report
to the Members and Trustees
of The Terrence Higgins Trust
We have audited the financial statements of Terrence
Higgins Trust for the year ended 31 March 2015 which
comprise the Group Statement of Financial Activities,
the Group and Company Balance Sheets, the Group
Cash Flow Statement and the related notes numbered
1 to 28.
The financial reporting framework that has been applied in
their preparation is applicable law and United Kingdom
Accounting Standards (United Kingdom Generally Accepted
Accounting Practice).
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 and to the charitable company’s
trustees, as a body, in accordance with section 44(1c) of the
Charities and Trustee Investment (Scotland) Act 2005. 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 company’s members as a body,
for our audit work, for this report, or for the opinions we have
formed.
57
Respective responsibilities of trustees
and auditor
As explained more fully in the Statement of Trustees’
Responsibilities, the trustees (who are also the directors of
the charitable company for the purpose of company law) are
responsible for the preparation of the financial statements and
for being satisfied that they give a true and fair view. We have
been appointed as auditor under section 44(1c) of the
Charities and Trustee Investment (Scotland) Act 2005 and
under the Companies Act 2006 and report in accordance with
regulations made under those Acts. Our responsibility is to
audit and express an opinion on the financial statements in
accordance with applicable law and International Standards
on Auditing (UK and Ireland). Those standards require us to
comply with the Auditing Practices Board’s Ethical Standards
for Auditors.
Scope of the audit of the financial statements
An audit involves obtaining evidence about the amounts and
disclosures in the financial statements sufficient to give reasonable assurance that the financial statements are free from
material misstatement, whether caused by fraud or error. This
includes an assessment of: whether the accounting policies
are appropriate to the charitable company’s circumstances
and have been consistently applied and adequately disclosed;
the reasonableness of significant accounting estimates made
by the trustees; and the overall presentation of the financial
statements.
In addition, we read all the financial and non-financial
information in the Strategic report and the Trustees’ Annual
Report and any other surround information to identify
material inconsistencies with the audited financial statements
and to identify any information that is apparently materially
incorrect based on, or materially inconsistent with, the
knowledge acquired by us in the course of performing the
audit. If we become aware of any apparent material misstatements or inconsistencies we consider the implications for our
report.
Opinion on financial statements
In our opinion the financial statements:
• give a true and fair view of the state of the group’s and the
charitable company’s affairs as at 31 March 2015 and of
the group’s incoming resources and application of resources,
including its income and expenditure, for the year then
ended;
58
• 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, the Charities and Trustee
Investment (Scotland) Act 2005 and Regulations 6 and 8 of
the Charities Accounts (Scotland) Regulations 2006
(amended).
Opinion on other matter prescribed by the
Companies Act 2006
In our opinion the information given in the Strategic report
and the Trustees Annual Report for the financial year for which
the financial statements are prepared is consistent with the
financial statements.
Matters on which we are required to report
by exception
We have nothing to report in respect of the following matters
where the Companies Act 2006 or the Charities Accounts
(Scotland) Regulations 2006 (as amended) requires us to
report to you if, in our opinion:
• the parent charitable company has not kept adequate
accounting records, or returns adequate for our audit have
not been received from branches not visited by us; or
• the parent charitable company 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.
Naziar Hashemi
Senior Statutory Auditor
For and on behalf of
Crowe Clark Whitehill LLP
Statutory Auditor St Brides House 10 Salisbury Square London
EC4Y 8EH
Date
Crowe Clark Whitehill LLP is eligible to act as an auditor in terms of section 1212 of
the Companies Act 2006.
59
60
7
Consolidated Statement of Financial Activities for the year ended 31 March 2015
Consolidated Statement of
Financial Activities
THE TERRENCE HIGGINS TRUST
CONSOLIDATED STATEMENT OF FINANCIAL ACTIVITIES (incorporating an income and expenditure account)
For the year ended 31 March 2015
(incorporating an income and expenditure account)
Incoming resources
Incoming resources from generated funds
Voluntary income
Activities for generating funds
Investment income
Unrestricted
Note
£'000
Restricted
£'000
2015
Total
£'000
2014
Total
£'000
2
3
4
3,719
1,076
21
2,376
1
-
6,095
1,077
21
6,006
1,033
26
Incoming resources from charitable activities
Clinical
Health improvement
Long term condition management
5
5
5
4,817
4,802
2,514
-
4,817
4,802
2,514
4,946
5,015
2,472
Other incoming resources
6
73
-
73
148
17,022
2,377
19,399
19,646
1,811
287
-
1,811
287
1,601
243
2,098
-
2,098
1,844
14,924
2,377
17,301
17,802
4,579
5,348
4,215
296
51
64
772
1,578
-
4,643
6,120
5,793
296
51
5,769
5,937
5,305
490
43
Total resources expended
16,587
2,414
19,001
19,388
Net incoming / (outgoing) resources before other
recognised gains and losses
Other recognised gains and losses
Investment assets gains
Gains on revaluation of fixed assets
Actuarial (losses) / gains
435
4,804
(1,761)
(37)
2
-
398
2
4,804
(1,761)
258
10
549
3,478
(35)
3,443
817
Total incoming resources
Resources expended
Cost of generating funds
Cost of generating voluntary income
Fundraising trading
7
7
Net incoming resources available for charitable
application
Charitable expenditure
Clinical
Health improvement
Campaigning, lobbying and advocacy
Governance costs
8
8
8
8
10
15
13
Net movement in funds
Funds at the start of the year
19
6,851
516
7,367
6,550
Funds at the end of the year
19
10,329
481
10,810
7,367
The restricted funds column includes an endowment fund as follows: Opening balance of £255,000, net gain on investments for
the year £2,000 and a closing balance of £257,000.
All of the above results are derived from continuing activities. There were no other recognised gains or losses other than those
stated above. Movements in funds are disclosed in Note 19 to the financial statements.
61
The notes on pages 67 to 90 form part of these financial statements.
62
8
Consolidated Balance Sheets as at 31 March 2015
Consolidated Balance Sheets
CONSOLIDATED BALANCE SHEETS
As at 31 March 2015
Note
Fixed assets
Tangible fixed assets
Investments
Current assets
Debtors
Cash held as short term deposits
Cash at bank and in hand
Creditors: amounts due within 1 year
14
15
16
17
Net current assets
Total assets less current liabilities
Creditors: amounts falling due after 1 year
18
Net assets excluding pension liability
Pension liability
13
Net assets including pension liability
Group
2015
£'000
2014
£'000
Charity
2015
£'000
2014
£'000
13,525
257
8,977
255
13,525
257
8,977
255
13,782
9,232
13,782
9,232
1,841
1,691
480
1,714
3,150
322
1,887
1,617
480
1,840
2,905
384
4,012
5,186
3,984
5,129
(2,959)
(3,615)
(2,937)
(3,564)
1,053
1,571
1,047
1,565
14,835
10,803
14,829
10,797
(1,748)
(2,082)
(1,748)
(2,082)
13,087
8,721
13,081
8,715
(2,277)
(1,354)
(2,277)
(1,354)
10,810
7,367
10,804
7,361
257
224
481
255
261
516
257
224
481
255
261
516
12,600
6
(2,277)
8,199
6
(1,354)
12,600
(2,277)
8,199
(1,354)
10,329
6,851
10,323
6,845
10,810
7,367
10,804
7,361
Funds
Permanent endowment funds
Restricted funds
Total Restricted Funds
19
Unrestricted funds
General funds
Subsidiary companies' non-charitable funds
Pension fund
Total unrestricted funds
Total funds
19
The notes on pages 67 to 90 form part of these accounts.
The financial statements were approved and authorised for issue by the trustees on 10 August 2015 and signed on their
behalf by
Robert Glick - Chair
63
64
9
Consolidated Cashflow Statement for the year ended 31 March 2015
Consolidated Cashflow
Statement
CONSOLIDATED CASH FLOW STATEMENT
Note
Net cash (outflow) / inflow from operating
activities
2015
£'000
27(a)
Return on investments and servicing of finance
Investment income
Bank interest received
Interest paid
2015
£'000
(873)
12
9
(9)
Capital expenditure and financial investments
Payments to acquire tangible fixed assets
Receipts from sale of tangible fixed assets
2014
£'000
2014
£'000
874
10
16
(27)
12
(1)
(111)
-
(204)
3
(972)
672
(329)
(312)
(1,301)
360
Net cash (outflow) / inflow before management
of liquid resources and financing
Financing
Capital repayments of secured loan
(Decrease) / Increase in cash
Cash resources brought forward
27(b)
3,472
3,112
Cash resources carried forward
27(b)
2,171
3,472
65
66
10
Notes to the Consolidated Financial Statements for the year ended 31 March 2015
Notes to the Consolidated
Financial Statements
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
1.
Accounting policies
a) Accounting convention
The financial statements have been prepared under the historical cost convention with the exception of
investments, which are included on a market value basis and the inclusion of certain freehold property at
valuation. They are prepared in accordance with applicable accounting standards (United Kingdom Generally
Accepted Accounting Practice) and follow the recommendations in the Statement of Recommended Practice
for Charities (2005) and the requirements of the Companies Act 2006. The financial statements have been
prepared on a going concern basis as discussed in the Trustees’ report on page 57.
Consolidated accounts have been prepared on a line by line basis in accordance with SORP 2005. No separate
income and expenditure account for the Charity has been presented as permitted by section 408 of the
Companies Act 2006. The income and expenditure for the charity is £19,117,000 and £19,499,000 giving a
deficit in the year of £382,000 before other gains and losses.
b) Services in kind
Other than significant donated gifts-in-kind, no amounts are included in respect of the substantial
contributions made by the many volunteers and volunteer organisations which provide various services and
supplies free of charge. Where out of pocket travel and other expenses have been reimbursed to volunteers,
these costs are included in the accounts.
c) Gifts in kind
Significant donated gifts-in-kind, where the items are given for the Charity’s own use or distribution, are
included at estimated market value. Where gifts are donated as prizes in fundraising events the income
generated is recognised in the financial statements.
d) Incoming resources
Incoming resources are recognised in the period in which the Charity is entitled to their receipt and the amount
can be measured with reasonable certainty. Income is deferred only when the charity has to fulfil conditions
before becoming entitled to it or where the donor or funder has specified that the income is to be used in a
future accounting period.
Legacies are included in the Statement of Financial Activities (SOFA) on the earlier of the date of receipt of
finalised estate accounts, the date of payment or where there is sufficient evidence to provide the necessary
certainty that the legacy will be received and the value is measurable with sufficient reliability.
67
Community fundraising event
Accounting policies (continued)
e) Resources expended
Resources expended are recognised in the period in which they are incurred. Resources expended include
attributable VAT which cannot be recovered.
The SOFA headings comprise expenditure directly attributable to the activity. Where support costs (including
finance, information technology, estates and human resources) cannot be directly attributed, they have been
allocated to activities on a whole time equivalent basis.
The cost of generating funds comprise the direct costs of fundraising activities and a proportion of support
costs.
Governance costs are those incurred in connection with the organisational administration and compliance with
constitutional and statutory requirements, such as auditors’ fees.
f) Pension costs
THT operates a defined benefit scheme for employees, which provides benefits to members on retirement and
on death in service. The assets of the scheme are held and managed separately from those of the charity.
Pension scheme assets are measured at fair value at each balance sheet date. Liabilities are measured on an
actuarial basis. The net of these two figures is recognised as an asset or liability on the balance sheet. Any
change in the asset or liability between the balance sheet dates is reflected in the Statement of Financial
Activities as a recognised gain or loss for the period.
Current service costs relating to the defined benefit scheme are charged to the Statement of Financial
Activities. Contributions to defined contribution schemes are charged to the Statement of Financial Activities
in the year in which they are incurred.
g) Tangible fixed assets
Assets costing more than £1,000 are capitalised.
Tangible fixed assets are stated at their original cost (including any incidental expenses of acquisition such as
surveyor’s fees), except for the freehold interest in the property located at 111-117 Lancaster Road, London
(“The London Lighthouse”). This building is stated at its market value, £6,000,000. Exchange of contracts for the
sale of this building took place on 3rd March 2015 and the sale completed on 26th June 2015
Depreciation, which reduces the value of tangible fixed assets over time, is calculated at the following annual
rates in order to write off each asset over its estimated useful life:
Freehold buildings
Leasehold improvements
Fixtures and fittings
Motor vehicles
Management Information System
Computer equipment
No depreciation is charged on freehold land.
68
2% on cost
20% on cost (or over the life of the lease if shorter)
20% on cost
25% on cost
10% on cost
25% on cost (or over the life of the project if shorter)
Accounting policies (continued)
h) Investments
Investments held as fixed assets are stated at market value at the balance sheet date. The gain or loss for the
period is taken to the Statement of Financial Activities.
Investments in subsidiary companies are stated at cost.
i) Leased assets
Rental costs relating to operating leases, where substantially all the benefits and risks of ownership remain
with the lessor rather than with THT, are charged to the Statement of Financial Activities as incurred.
j) Fund accounting
Unrestricted funds are those available for use at the discretion of the Trustees in furtherance of the objectives
of THT.
Designated funds comprise funds that are expendable, but which have been set aside by the Trustees for
specific purposes.
Restricted funds are to be used for specific purposes as laid down by the donor. Expenditure which meets these
criteria is charged to the fund, together with a fair allocation of support costs.
Capital funds consist of income permanently endowed by donors. Income from these funds is transferred to
General Funds.
69
2.
3.
Voluntary income
Unrestricted
£'000
Restricted
£'000
2015
£'000
2014
£'000
Corporate donations
Trust donations
Big Lottery Fund
Community fundraising
Individual donations
Legacies
528
44
288
1,987
872
211
791
1,312
21
41
-
739
835
1,312
309
2,028
872
555
1,198
617
268
1,928
1,440
Total voluntary income
3,719
2,376
6,095
6,006
Unrestricted
£'000
Restricted
£'000
2015
£'000
2014
£'000
481
126
448
18
3
1
-
482
126
448
18
3
483
122
394
31
3
1,076
1
1,077
1,033
Unrestricted
£'000
Restricted
£'000
2015
£'000
2014
£'000
Investment income
Bank interest
12
9
-
12
9
10
16
Total investment income
21
-
21
26
Activities for generating funds
Fundraising events
Shop sales
Rent, room hire and catering
Sponsorship, sales and cause related marketing
Other
Total activities for generating funds
4.
70
Investment income
5.
Unrestricted
£'000
Restricted
£'000
2015
£'000
2014
£'000
Clinical
PCTs and Health Boards
Local authorities and other statutory bodies
846
3,971
-
846
3,971
619
4,327
Total clinical
4,817
-
4,817
4,946
Health improvement
Department of Health
2,450
557
1,795
-
2,450
557
1,795
2,450
376
2,189
Total health improvement
4,802
-
4,802
5,015
151
2,363
-
151
2,363
164
2,308
Total long term condition management
2,514
-
2,514
2,472
12,133
-
12,133
12,433
Total statutory income for charitable activities
71
6.
7.
Other incoming resources
Unrestricted
£'000
Restricted
£'000
2015
£'000
2014
£'000
Training and conferences
Counselling and therapy fees
Student placements
Other
16
26
9
22
-
16
26
9
22
13
47
26
62
Total other income from charitable activities
73
-
73
148
Cost of
generating Fundraising &
voluntary income
trading
£'000
£'000
2015
£'000
2014
£'000
Cost of generating funds
Salaried staff costs
Non-salaried staff costs
Printing costs
Event costs
Other direct costs
Premises costs
Support costs (note 9)
Total cost of generating funds
72
759
22
67
323
328
88
224
124
6
11
57
51
16
22
883
28
78
380
379
104
246
822
36
164
171
404
55
192
1,811
287
2,098
1,844
8.
9.
Clinical
Health
improvement
Long term
condition
management
Campaigning,
lobbying &
advocacy
£'000
£'000
£'000
£'000
2015
£'000
2014
£'000
Non-salaried staff costs
Subcontractors and partners
Clinical supplies
Hardship grants
Website
Volunteer costs
Print and design costs
Condoms & materials
Event costs
Campaign/service advertising
Research & evaluation
Staff travel and subsistence
Other direct costs
Premises costs
Support costs (note 9)
2,290
30
445
678
8
5
26
15
11
7
85
258
343
442
2,502
29
1,472
47
29
20
258
88
31
276
10
97
286
339
636
3,182
81
288
6
285
107
35
43
1
36
10
32
119
348
455
765
178
6
5
2
1
9
64
31
8,152
146
2,205
731
285
149
60
329
105
67
297
49
310
956
1,137
1,874
8,439
(10)
2,036
1,241
357
430
53
344
118
56
252
30
288
1,139
1,012
1,716
Total charitable expenditure
4,643
6,120
5,793
296
16,852
17,501
Clinical
Health
improvement
Long term
condition
management
£'000
£'000
£'000
£'000
£'000
2015
£'000
Non salaried staff costs
Staff travel and subsistence
IT costs
Other direct costs
Premises costs
177
5
3
106
137
14
252
9
5
152
198
20
304
11
6
183
237
24
11
8
11
1
98
3
2
59
76
8
842
28
16
508
659
67
Total support costs
442
636
765
31
246
2,120
Support costs
Campaigning,
lobbying & Fundraising &
advocacy
trading
Support costs include the cost of the Finance, Human Resources, IT and Estates departments. Support costs are allocated to
activities based on the number of whole time equivalent employees working within each activity.
73
10. Governance costs
2015
£'000
2014
£'000
Audit
Other direct costs
10
40
1
9
34
-
Total governance costs
51
43
2015
£'000
2014
£'000
334
9,886
501
44
3
1
29
7
3
331
10,161
377
27
3
1
29
8
3
11. Net incoming resources
This is stated after charging:
Depreciation
Rental costs relating to operating leases
Bank interest paid
Trustees’ indemnity insurance
Trustees' reimbursed expenses
Auditors' remuneration: audit
Auditors' remuneration: pension
Actuarial fee for FRS 17 valuation
None of the Trustees received any remuneration from the Charity (2014: £nil). One trustee (2014: 3) was reimbursed for travel
expenses during the year amounting to £216 (2014: £693). Catering costs for the committee and other meetings, amounted
to £177 in the year (2014: £478). The auditors' remuneration stated above are exclusive of irrecoverable VAT that is an
additional cost the the charity.
74
12. Staff costs
Staff costs (paid staff, not including volunteers) were as follows:
Notes
Salaries and wages
Social security costs
Pension contributions
Subcontracted staff
Redundancy costs
Total staff costs
2015
£'000
2014
£'000
8,833
824
135
199
94
8,538
807
426
23
390
10,085
10,184
781
130
2,320
2,531
3,263
184
866
10
742
116
2,764
2,416
2,938
311
888
9
10,085
10,184
Staff costs are categorised as:
Cost of generating voluntary income
Fundraising trading
Clinical
Health improvement
Campaigning, lobbying and advocacy
Infrastructure and premises
Governance
Total staff costs
7
7
8
8
8
8
10
The average weekly number of whole time equivalent employees during the year was as follows:
Salaried staff
Sessional staff
2015
WTE
2014
WTE
258
27
261
28
285
289
75
12. Staff costs (continued)
The number of higher paid employees was:
£60,000 to £69,999
£70,000 to £79,999
£80,000 to £89,999
£90,000 to £99,999
£100,000 to £109,999
£140,000 to £149,999
£210,000 to £219,999
2015
No.
2014
No.
1
1
1
1
-
1
1
1
Of the higher paid employees, all four received employer contributions totalling £15,113 (2014: £23,012) paid into a
defined contribution pension scheme.
13. Staff pension
THT operates a defined benefit scheme for employees, which provides benefits to members on retirement and on
death in service. The scheme has been closed to new members since March 2004 and benefits were closed to future
accrual on 28th February 2014. During the year ended 31st March 2015, THT paid £780,000 as part of a deficit
recovery plan however no employee related employer contributions were made (2014: £215,000) and no employee
contributions were made (2014: £44,000).
The defined benefit scheme is administered by trustees and is independent of the Charity's finances.
To replace the final salary scheme a Group Personal Pension Scheme was introduced. During the year ended 31st
March 2015, THT contributed £258,000 (2014: £181,000) and employees contributed £165,000 (2014 £125,000).
The FRS17 liability does not include any allowance for discretionary benefits.
For the purposes of FRS17, the major assumptions used by the actuary were:
Discount rate
Rate of increase in salaries
Rate of increase in pensions in payment
Revaluation in deferment ( CPI )
Pre-retirement mortality table
Post-retirement mortality table
Mortality projection
Tax-free cash
Age difference
76
At
31/03/15
At
31/03/14
3.50%
n/a
3.00%
1.80%
S1NA
S1NA
4.70%
n/a
3.30%
2.20%
S1NA
S1NA
Long cohort based on 1%
minimum pa improvement in
rates 2014 , and CMI 2014
1.25% 2015
15.00%
15.00%
Males 3 years older
13.
Staff pension (continued)
Under the mortality tables and projections adopted, the total life expectancy at age 65 is as follows:
At
31/03/15
Male currently aged 45
Female currently aged 45
Male currently aged 65
Female currently aged 65
The expected long term rate of return of the Scheme's assets were:
Scheme's assets
89.1 years
91.6 years
87.4 years
89.7 years
At
31/03/14
90.2 years
92.8 years
88.2 years
90.8 years
At
31/03/15
At
31/03/14
3.50%
5.98%
The expected return on assets is a weighted average of the assumed long-term returns for the various asset classes.
The major categories of assets as a proportion of total assets are as follows:
Equities
Bonds
Other (cash etc)
At
31/03/15
At
31/03/14
80%
15%
5%
76%
14%
10%
2015
£'000
2014
£'000
13,347
(15,624)
(2,277)
11,344
(12,698)
(1,354)
The actual gain on the Scheme's assets over the year to the review date was £1,346,000.
The assets do not include any investment in the Trust.
Amounts recognised in the balance sheet at 31 March 2015:
Fair value of assets
Present value of funded obligations
Scheme deficit
77
13.
Staff pension (continued)
Analysis of the amount charged to the Statement of Financial Activities
Actuarial (loss) / gain
Past Service cost
Current service cost
Expected return on pension scheme assets
Interest cost
Total
Actual return on plan assets
2015
£'000
2014
£'000
(1,761)
44
(698)
596
(1,819)
549
147
(584)
566
678
2015
£'000
1,346
2014
£'000
638
2015
£'000
2014
£'000
11,344
698
780
(123)
648
13,347
10,525
584
215
44
(78)
54
11,344
2015
£'000
2014
£'000
12,698
596
(123)
44
2,409
15,624
12,513
147
44
566
(78)
(494)
12,698
2015
£'000
60
2014
£'000
-
Reconciliation of assets and defined benefit obligation
The change in assets over the period was:
Fair value of assets at the beginning of the period
Expected return on assets
Contributions by employer
Contributions by scheme participants
Benefits paid
Actuarial gain on assets only
Fair value of assets at the end of the period
The change in the defined benefit obligation over the period was:
Defined benefit obligation at the beginning of the period
Current service cost
Contributions by scheme participants
Interest cost
Benefits paid
Past Service Cost
Actuarial (gain) / loss
Defined benefit obligation at the end of the period
Expected Co contribution in 2015/16
78
Summary of prior year amounts
Period to
Present value of defined benefit
obligation
Scheme's assets
Scheme deficit
Experience gains / (losses) on scheme's
liabilities
as a percentage of
liabilities
Experience
gain/(loss) on
scheme assets
as a percentage of assets
31/03/15
£'000
31/03/14
£'000
31/03/13
£'000
31/03/12
£'000
31/03/11
£'000
(15,624)
13,347
(2,277)
(12,698)
11,344
(1,354)
(12,513)
10,525
(1,988)
(10,768)
9,161
(1,607)
(9,001)
8,881
(120)
37
27
(388)
(89)
(97)
0.2%
0.2%
-3.1%
-0.8%
-1.1%
648
54
743
(589)
60
4.9%
0.5%
7.1%
-6.4%
0.7%
79
14. Tangible fixed assets - group and charity
Freehold
property
£'000
Lighthouse
West
Leasehold
London improvements
£'000
£'000
Fixtures &
fittings
£'000
Computer
equipment
£'000
Motor
vehicles
£'000
Total
£'000
Cost
At the start of the year
Revaluation
Additions in year
Disposals/write offs in year
8,347
-
1,258
4,742
-
211
6
(41)
712
9
(27)
3,024
96
(342)
78
-
13,630
4,742
111
(410)
At the end of the year
8,347
6,000
176
694
2,778
78
18,073
Depreciation and impairment provisions
Charge for the year
Revaluation
Disposals/write offs in year
1,662
102
-
62
(62)
-
73
38
(20)
516
56
(16)
2,270
136
(341)
70
2
-
4,653
334
(62)
(377)
1,764
-
91
556
2,065
72
4,548
Net book value
6,583
6,000
85
138
713
6
13,525
6,685
1,196
138
196
754
8
8,977
The book value of one of the Charity’s freehold properties, located at 111-117 Lancaster Road, London, is based on
an open market value of £6,000,000. The property has sold, being surplus to the Charity's requirements. Contracts
were exchanged on 3rd March 2015, with the sale completed on 26th June 2015. The open market value is the
sale price as stated in the contract.
Details of charges over properties are given in note 18.
80
15. Fixed asset investments - group and charity
2015
£'000
2014
£'000
Market value at the start of the year
Unrealised gain
255
2
245
10
Market value at the end of the year
257
255
Historic cost at the end of the year
207
207
50
48
Unrealised investment gain based on historical cost
All fixed asset investments are held in UK Common Investment Funds and are held by the Charity. For details of
investments held by the Charity in subsidiary undertakings see note 24.
16. Debtors
Group
2015
£'000
2014
£'000
Charity
2015
£'000
Grant and contract funding receivable and
similar debtors
Other debtors
Amounts due from subsidiary undertakings
Prepayments
Accrued income
Tax recoverable
1,023
153
310
355
-
1,192
41
217
209
55
595
153
474
310
355
-
1,125
41
193
217
209
55
Total debtors
1,841
1,714
1,887
1,840
Group
2015
£'000
2014
£'000
Charity
2015
£'000
2014
£'000
2014
£'000
17. Creditors: amounts due within 1 year
(a) Loan repayable (note 18)
Trade creditors
Social security, pension contributions and other
taxes
Other creditors
Accruals
Deferred income
Total creditors due within 1 year
328
359
323
811
328
359
323
811
535
13
1,184
540
345
7
1,601
528
535
6
1,184
525
345
1,595
490
2,959
3,615
2,937
3,564
81
17. Creditors: amounts due within 1 year (continued)
(b) Deferred income reconciliation
Voluntary income
Statutory income
Other income
At
1 April 2014
£'000
458
33
37
Released to
incoming
resources
£'000
(423)
(33)
(28)
Deferred
during the
year
£'000
435
33
28
At
31 March
2015
£'000
470
33
37
528
(484)
496
540
Income is deferred when cash is received in advance of the charity being entitled to it, for example when funding is
given a specific future date or for a specific activity that hasn't yet been performed.
18. Creditors: amounts due after 1 year
Group
2015
£'000
2014
£'000
Charity
2015
£'000
2014
£'000
1,748
2,082
1,748
2,082
Repayment term
Years
Payments due
in < 1 year
£'000
Payments
due in 2-5
years
£'000
Payments
due in > 5
years
£'000
20
20
250
78
1,000
312
48
388
Loan
The loans which THT currently has outstanding are summarised below:
Gray's Inn Road 1
Gray's Inn Road 2
Total
1,298
778
Two loans were taken out to assist THT in the move to the Charity's current headquarters. A loan of £3,000,000 was
taken out in respect of the purchase of the building and a further loan of £1,250,000 was taken out to assist with
the refurbishment of the premises. The interest rate on both loans is base rate plus 1%. There are charges over the
Charity's buildings in relation to the loans.
As part of the funding discussions between the Charity and the Terrence Higgins Trust Pension Scheme, the Charity
agreed to grant the Scheme Trustees security by way of a legal mortgage over two of its properties in respect of its
liabilities under the scheme recovery plan. This charge ranks second in priority.
82
19. Movements in funds
Other
Outgoing movement in At the end of
resources
funds
the year
£'000
£'000
£'000
At the start
of the year
£'000
Incoming
resources
£'000
8,205
(1,354)
17,022
-
(16,645)
58
4,024
(981)
12,606
(2,277)
6,851
17,022
(16,587)
3,043
10,329
12
10
32
4
7
6
8
3
4
17
2
3
46
10
5
8
27
1
4
1
51
29
57
188
72
102
249
20
79
42
106
20
6
5
4
102
80
145
31
15
47
60
48
24
204
20
20
13
243
13
150
21
2
82
78
(26)
(54)
(220)
(73)
(94)
(203)
(20)
(86)
(47)
(103)
(16)
(6)
(8)
(3)
(90)
(97)
(142)
(32)
(11)
(47)
(106)
(53)
(23)
(212)
(9)
(8)
(3)
(263)
(14)
(150)
(25)
(82)
(88)
Restricted income funds
261
2,377
(2,414)
-
224
Permanent endowment
255
-
-
2
257
Total restricted funds
516
2,377
(2,414)
2
481
7,367
19,399
(19,001)
3,045
10,810
Unrestricted funds:
General fund
Pension fund
Restricted funds
American Express
Anglo American Group Foundation
Anglo American Faith project
BLF Investing in Communities: Confident Families
BLF People & Places: Community Liaison
BLF Investing in Financial Futures
BLF Silver Dreams: Health, Wealth and Happiness
BLF Reaching Communities: Informed Passions
BLF SWISH
BLF Reaching Communities: Living positively
BLF Reaching Communities: Peer Ambassadors
BLF Life Positive Nottingham
Awards for All Scotland: Volunteering for Wellbeing
Awards for All: - Positive Education Programme
Awards for All Wales: Community Workshops
BLF Reaching Communities: Health Navigators
BLF Reaching Communities: Talk Safe 2
BLF Wales: Positive Action Wales 2 - Gweithredu
BLF LGBT Wirral
BLF Children & Families project Nottingham
BLF Work Positive
Burdett Trust for Nursing: Integrated Care
City Bridge Trust: Young People's Counselling
Comic Relief: SWISH
Comic Relief - Positive Balance (Advice)
Elton John AIDS Foundation: Hardship Fund
Fastest Direct Scotland
Clinical Services Scotland
Elizabeth Taylor AIDS Foundation: Hardship Fund
Elton John Aids Foundation: Noise
Soho Estates - SWISH
The Monument Trust: Advice
John Lyon's Charity: SWISH
Lambeth Law Centre: Advice Lambeth
MAC Hardship Fund
Other restricted funds
Total funds
15
10
3
3
8
46
1
11
4
1
16
5
2
4
5
5
1
11
12
10
7
3
41
83
19. Movement in funds (continued)
Unrestricted funds are funds that the Trustees are free to spend on any charitable activities.
The pension fund represents the value of the defined benefit scheme at 31st March 2015. This fund is held separately
from the Charity and is not available for distribution on charitable activities.
Permanent endowment
A legacy was received in 1994/95 which the donor specified should be held as a permanent endowment. This is
invested in Common Investment Funds. Any income from this endowment is included in the unrestricted funds but
losses or gains on the investment, arising from changes in market value, are included in the endowment fund.
Restricted funds
Restricted funds relate to statutory grants and voluntary income received towards the charity’s activities where
their use is restricted by the conditions imposed by the grantors or donors. The majority of restricted income is
spent in the same year that it is received. A description of our material restricted funds is given below:
Big Lottery Fund Scotland: Confident Families – Provision of a comprehensive support package of short and
long term activities tailored to the needs of all types of families who have at least one person (including a child)
living with HIV.
Big Lottery Fund People & Places: Community Liaison and Participation Project – Community action project
raising awareness of HIV/Hepatitis C in Wales, including through volunteering.
Big Lottery Fund Reaching Communities: Health Navigators – Long term condition management support for
people living with HIV in Bristol, Midlands and Wirral.
Big Lottery Fund Reaching Communities: Informed Passions – A project training people from Yorkshire living
with HIV and/or Hepatitis C, or at risk of poor sexual health, to become volunteers and deliver peer support to other
people in the same or similar situations.
Big Lottery Fund Reaching Communities: LGBT Wirral – Community network and peer support for LGBT people
living in Wirral.
Big Lottery Fund Reaching Communities: Talksafe 2 - A young person’s counselling and online mentoring service
in London.
Big Lottery Fund Silver Dreams: Health, Wealth and Happiness – Innovative project for people 50+ living with
HIV in London, Brighton, Bristol, Manchester and the Midlands.
Big Lottery Fund Scotland: Financial Futures – Advice and support to people living with HIV and Hepatitis C to
increase their financial resilience skills.
Big Lottery Fund: SWISH – Advice and support for people involved in sex work.
Big Lottery Fund Reaching Communities: Peer Ambassadors in Sexual Health - Training young people as peer
deliverers of sexual health and relationship education in Bristol, Wirral and the Midlands.
Big Lottery Fund: Advice Lambeth – Partnership project providing advice and training for mainstream
organisations on HIV.
Big Lottery Fund Wales: Positive Action Wales 2 – Support services for people living with HIV/Hepatitis C across
Wales to self-manage their condition.
84
19. Movement in funds (continued)
Big Lottery Fund Reaching Communities: West Sussex HIV Support – Peer support project for people living with
HIV in West Sussex providing support and advice.
Big Lottery Fund Reaching Communities: Life Positive – Advice and support project for people living with HIV in
Nottingham addressing issues such as stigma and isolation.
Big Lottery Fund Reaching Communities: Work Positive – Peer mentoring, support and training for people with
HIV to access employment opportunities.
Awards for All: Positive Education Programme Shropshire (PEP) – Supports people living with HIV in Shropshire
to better manage their health and wellbeing, to build their skills and confidence and to reduce social isolation.
Awards for All Wales: Community Workshops Project – Supports people living with HIV and/or Hepatitis C in
Powys and North Wales.
Children in Need: Children & Families Nottingham – Project for children and families living with and affected by
HIV.
Comic Relief: Positive Balance – Designed to tackle the root causes of financial exclusion faced by people living
with HIV in London, primarily in the deprived areas of Lambeth and Southwark.
The Monument Trust: Advice – Provision of advice for people living with HIV in Wales, London, Bristol and the
Midlands.
John Lyon’s Charity: SWISH – Support for young women at risk of sexual exploitation or those involved in sex
work in Hammersmith & Fulham, Kensington & Chelsea and Westminster.
City Bridge Trust: Young People’s Counselling Services – For young people in London.
Elton John Aids Foundation: Hardship Fund – Disbursement of small grants for vulnerable people living with HIV
in financial crisis.
Elton John Aids Foundation: NOISE – National online long term condition management service for people,
providing a package of online support services including website MyHIV, advice and counselling.
Elizabeth Taylor Aids Foundation Hardship Fund – Disbursement of small grants for vulnerable people living with
HIV in financial crisis.
Henry Smith Charity: Scotland Welfare Rights – Money management project providing advice and support on
budgets for people living with HIV in Scotland.
Church of Scotland: HIV testing in Glasgow - a specialised opportunity for people to test for HIV & other sexually
transmitted infections, with the aim to reduce undiagnosed HIV in the Glasgow area and reduce the rates of
onward transmission.
85
20. Analysis of group net assets between funds
£'000
£'000
Net current
assets
£'000
13,520
-
-
828
6
(4,025)
-
10,323
6
13,520
-
834
(4,025)
10,329
Restricted funds
Permanent endowment
5
-
257
219
-
-
224
257
Total restricted funds
5
257
219
-
481
13,525
257
1,053
(4,025)
10,810
Fixed Assets
General Funds
Subsidiary company
Total funds
Investments
Long-term
liabilties
£'000
Total funds
£'000
21. Lease commitments
The charity had annual commitments at the year end under operating leases expiring as follows:
2015
Land &
building
£'000
Less than 1 year
1 - 2 Years
2 - 5 Years
260
21
Other
£'000
12
2
2014
Land &
building
£'000
280
20
Other
£'000
12
2
22. Legacies Receivable
At the year end the Charity had been notified of an estimated £910,752 (2014: £760,000) of residual legacies
subject to life tenancies and are expected to be received by the Charity over a number of accounting periods. These
mainly comprise shares in properties and investments held in trusts and have not been recognised as income by the
Charity as we have been unable to form a reliable estimate of the amounts the Charity is entitled to.
86
23. Taxation
No corporation tax has been provided in these accounts because, as a registered charity, THT is entitled to the
exemptions granted by sections 466 to 493 Corporation Tax Act 2010 .
THT is a partially exempt business, which means it can only reclaim a small proportion of the Value Added Tax
(VAT) it incurs on expenses. The amount of irrecoverable VAT suffered by THT on its expenditure during the year
was £589,377 (2014: £476,320).
24. Subsidiary companies
The Charity has investments costing £100 (2014: £100) in two companies (2014: 2). The shareholding comprises
ordinary shares. Details of the subsidiary companies at 31st March 2015, which were incorporated in England and
Wales and are wholly owned or controlled directly by THT, are set out below:
Subsidiary companies
Terrence Higgins Enterprises Limited
Crusaid Limited
Activity
Fundraising
Dormant
Summary accounts for Terrence Higgins Enterprises Limited are shown in note 25.
87
25. Terrence Higgins Enterprises Limited
2015
£'000
2014
£'000
Turnover
Cost of sales
957
(637)
543
(380)
Gross profit
320
163
(2)
(1)
318
162
-
-
318
(318)
162
(162)
Profit for the financial year before dividend
Retained profit brought forward
6
6
Retained profit carried forward
6
6
74
428
(474)
(22)
183
66
(193)
(50)
6
6
Profit and loss account
Administrative expenses
Profit on trading activities
Interest
Profit on activities
Profit donated through gift aid
Balance sheet
Cash
Debtors
Amounts owed to parent undertaking
Other creditors
Net assets
26. Related party transactions
There were no material related party transactions during the year (2014: none).
THT has taken advantage of the exemption provided by FRS 8 with respect to transactions between the
Charity and Terrence Higgins Enterprises, the Charity's only active subsidiary.
88
Notes to the Consolidated Financial Statements for the year ended
31 March 2015
27. Notes to the consolidated cash flow statement
(a) Reconciliation of net incoming resources to net cash (outflow) / inflow from operating activities
2015
£'000
2014
£'000
Net incoming resources
Pension adjustment
Investment income
Bank interest received
Interest paid
Depreciation charge
Loss on disposal of fixed assets
(Increase) / Decrease in debtors
(Decrease) / Increase in creditors
398
(838)
(12)
(9)
9
334
33
(127)
(661)
258
(85)
(10)
(16)
27
331
331
38
Net cash (outflow) / inflow from operating activities
(873)
874
2014
£'000
Cash flow
£'000
2015
£'000
322
3,150
3,472
158
(1,459)
(1,301)
480
1,691
2,171
(323)
(2,082)
(5)
334
(328)
(1,748)
1,067
(972)
95
(b) Analysis of changes in net funds
Cash held at bank and in hand
Liquid resources - cash held on short term deposits
Mortgages due within one year
Mortgages due after one year
Total
(c) Reconciliation of net cash flow to movement in net debt
Increase in cash
Cash outflow from increase in liquid resources
Cash inflow from decrease in mortgages
Net cash at 1 April 2014
Net cash at 31 March 2015
158
(1,459)
329
1,067
95
89
For the year ended March 2015
28. Terrence Higgins Trust Scotland
This is a summary of the activities of the Terrence Higgins Trust in Scotland.
Unrestricted
£'000
Restricted
£'000
2015
Total
£'000
2014
Total
£'000
14
361
375
218
216
-
1
216
1
244
3
230
362
592
465
17
223
14
52
24
1
404
-
41
224
404
14
52
322
23
37
49
103
Total resources expended
306
429
735
534
Net outgoing resources
(76)
(67)
(143)
(69)
Incoming resources
Incoming resources from generated funds
Voluntary income
Statutory income for charitable activities
Other incoming resources from charitable activities
Total incoming resources
Resources expended
Clinical
Health Improvement
Long Term Condition Management
Premises
Support Costs
90
Sporah, African television celebrity
91
92
11
Thank you
Thank you
Terrence Higgins Trust would like to thank the following statutory funders:
ABMU LHB - Swansea
Division
Aneurin Bevan Health Board
Ayrshire & Arran Health Board
BHA
Bath & North East Somerset
Council
Bedford Borough Council
Betsi Cadwaladr University
LHB
Birmingham City Council
Brighton & Hove City Council
Bristol CC
Buckinghamshire County
Council
Cambridgeshire Community
Services NHS
Trust
Cardiff & Vale LHB
City of London
Coventry City Council
Croydon Council
Cwm Taff LHB
Department of Health
Dorset Healthcare University
NHS Fdn Trust
East Sussex County Council
Essex County Council
European Center for Disease
Control
Freshwinds
Gloucestershire County
Council
Harrow Council
Halton Borough Council
Hywel Dda Local Health Board
Kings College Hospital
Lincolnshire County Council
Living Well CIC
London Borough of Barking &
Dagenham
London Borough of Camden
London Borough of Croydon
London Borough of
Hammersmith & Fulham
London Borough of Havering
London Borough of Hillingdon
London Borough of Lambeth
London Borough of Merton
London Borough of Newham
London Borough of Redbridge
London Borough of Richmond
Upon Thames
London Borough Of Sutton
London Borough of Waltham
Forest
MBARC Ltd
Metropolitan Borough of
Wirral
NHS Dumfries & Galloway
NHS Fife
NHS Forth Valley
NHS Lanarkshire
NHS Mid Essex CCG
NHS North East Essex CCG
NHS Tayside
North Lanarkshire Council
North Somerset Council
Nottingham City Council
Oxfordshire County Council
Public Health England
ROSA
Royal Borough of Kensington
& Chelsea
Royal Borough of Kingston
SOLIHULL MBC
St Helens Metropolitan
Borough Council
St Helens & Knowsley NHS
Trust
Sandwell MBC
Shropshire Council
Somerset County Council
South Gloucestershire Council
Southend on Sea Borough
Council
Suffolk County Council
Surrey County Council
Sussex Community NHS Trust
Swindon Borough Council
Telford & Wrekin Council
Wakefield Metropolitan
District Council
Walsall Metropolitan Borough
Council
Wandsworth Local Authority
Warrington Borough Council
Warwickshire County Council
Welsh Government
Westminster City Council
Wiltshire County Council
Wolverhampton City Council
93
A volunteer collecting for Terrence Higgins Trust
Thank you
Terrence Higgins Trust would like to thank the following funders:
American Express Foundation
Anglo American Group
Foundation
Audeliss
Barclays
The Big Lottery Fund
Boehringer Ingelheim
Children in Need
Church of Scotland
City Bridge Trust
Comic Relief
94
The DG Charitable Settlement
Elizabeth Taylor AIDS
Foundation
Elton John AIDS Foundation
Friends Life
Gilead Sciences
The Henry Smith Charity
The Hugh Fraser Foundation
The John Lyon’s Charity
The Joseph Strong Frazer Trust
The Jusaca Charitable Trust
MAC AIDS Fund
The Monument Trust
The Ofenheim Charitable Trust
Paperchase
Pasante Healthcare Ltd
Royal Bank of Scotland
Soho Estates
The Thistledown Trust
Uniserve Group
ViiV Healthcare UK
Weil, Gotshal & Manges
James Corden
at the Affordable Art Fair
95
Patrons Include
Sir Richard Branson
Simon Callow CBE
Julian Clary
Martin Clunes
Dame Judi Dench
Tracey Emin CBE
Lord Fowler
Stephen Fry
Paul Gambaccini
Lord Glendonbrook CBE
Charles Hart
Sir Elton John
Lord Kirkwood of Kirkhope
Lord Morris of Handsworth
Canon Doctor Paul Oestreicher
Professor Anthony Pinching
Caroline Quentin
Danny Rampling
Gaby Roslin
Sir Antony Sher KBE
Reverend Nicolas Stacey
Dr Miriam Stoppard OBE
Dr Rupert Whitaker
Tony Whitehead MBE
Johnny Wynne-Williams
Registered office
314-320 Gray’s Inn Road
London
WC1X 8DP
Auditors
Crowe Clark Whitehill LLP
St Bride’s House
10 Salisbury Square
London
EC4Y 8EH
Bankers
National Westminster Bank PLC
1-4 Berkeley Square House
Berkeley Square
London
W1J 6BR
Fund managers
Schroder Unit Trusts Limited
31 Gresham Street
London
EC2V 7QA
Solicitors
Capsticks Solicitors LLP
77/83 Upper Richmond Road
London
SW15 2TT
The HIV and sexual health charity for life
Website: www.tht.org.uk |
Registered office: 314-320 Gray’s Inn Road, London WC1X 8DP
Tel: 020 7812 1600 Email: [email protected]
© Terrence Higgins Trust, October 2015.
Terrence Higgins Trust is a registered charity in England and Wales (reg no. 288527) and in Scotland (SC039986).
Company reg. no. 1778149. A company limited by guarantee.
Ref: 7123301.

Trustees report 2015 - Terrence Higgins Trust

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