For most trusts charity contribution is a small proportion of their income, in fact, the charity income of 50 trusts in 2011/12 was either reported as zero in their Annual Accounts, or the contribution was so small that it was consolidated into the ‘other income’ figure. However, a few foundation trusts have significant charity incomes. Table 5 lists the trusts with the ten largest charity income as reported in their 2011/12 Annual Accounts.
Table 5 Foundation Trusts with large charity income
|Total Income||Charity Income||PPI|
|Blackpool Teaching Hospitals NHS Foundation Trust||284,205||2,357||1,228|
|Gloucestershire Hospitals NHS Foundation Trust||432,563||1,569||4,779|
|Great Ormond Street Hospital for Children NHS Foundation Trust||293,001||9,334||28,157|
|Guys and St Thomas NHS Foundation Trust||1,136,426||12,667||23,081|
|Moorfields Eye Hospital NHS Foundation Trust||125,670||2,854||18,682|
|Kings College Hospital NHS Foundation Trust||628,615||1,648||16,882|
|The Christie NHS Foundation Trust||185,308||6,697||10,708|
|The Royal Marsden NHS Foundation Trust||311,586||31,790||51,144|
|University College London Hospitals NHS Foundation Trust||773,704||8,308||18,006|
|University Hospitals Birmingham NHS Foundation Trust||586,640||3,334||2,701|
Figure 3 shows the charity and private patient income for all Foundation Trusts in 2011/12 (as reported in their Annual Accounts). The charity figure is for the contribution that charity made to the trust’s expenditure, but this figure is not necessarily the total charity income of the trust since some trusts have significant contributions to capital projects (for example, the bar for GOSH in Figure 3 represents the £9m contribution to revenue expenditure, not the £28m contribution their charity made to capital projects). The graph shows that the trusts with the largest charity income also have large private patient income.
Great Ormond Street Childrens Hospital NHS Foundation Trust
The 2011/12 Annual Report for the GOSH charity  gives the annual income of the charity to be £66.335m. Of this £12.343m was spent on research and £10.254m of the charity funds were spent on capital projects like equipment and property development.
The GOSH FT 2011/12 Annual Report  says that the charity raised even more money than in the previous year:
In 2011/12, we are delighted to announce that Great Ormond Street Hospital Children’s Charity has had its best ever fundraising year, generating income of around £66.3 million.
The Annual Reports for the GOSH NHS Trust and FT say that in 2011/12 the GOSH charity contributed £5.828m to the NHS Trust and £3.506m to the FT for revenue expenditure (total £9.334m). The NHS Trust accounts  say that “charitable contributions to expenditure” for the month of March 2012 was £5.424m. The charity donated £23.939m to the NHS Trust and £4.3m to the FT for property, plant and equipment expenditure (total £28.2m). In 2011/12 the GOSH charity donated £9m towards revenue expenditure and £28m to capital projects.
GOSH raises large amounts of charity money, but the fund raising is not without cost. The Charity Accounts for 2011/12 says that income was £66.3m yet the cost of generating those funds was almost one quarter: £15.4m.
Moorfields Eye Hospital NHS Foundation Trust
The trust’s Annual Report  indicates the significant importance of charity income to the trust’s capital programme:
Anticipating the very important role that charitable giving will play in this major development, we launched the new Moorfields Eye Charity in May 2011 to enable us to build a strong and recognisable identity for our charitable and fundraising activity.
The Christie NHS Foundation Trust
The trust has a sizeable income from charity, the Annual Report  says:
Over the past 12 months we spent £306k on capital projects from charitable grants and we received a charitable revenue contribution of £6.4m to enable us to enhance our services.
Although The Christie has a large charitable income, only a small proportion (4%) is spent on capital projects.
The Royal Marsden NHS Foundation Trust
The trust with the largest charity income is The Royal Marsden. In 2011 The Royal Marsden used £4.1m of charitable income to purchase the “revolutionary technology” called the CyberKnife. The trust’s charity declared :
a £4.1 million appeal that ensured the purchase and installation of CyberKnife
However, this facility, paid for from charitable funds, features in two of the three editions of the trust’s magazine for private patients  so it is clearly encouraging private patients to request this facility.
The charity also donated £4.3m for the trust’s new £18m Centre for Molecular Pathology . (The other funding comes from the Department of Health, National Institute for Health Research and The Wolfson Foundation, that is, either public or charity funding.) This facility is also advertised as one of the trust’s “outstanding private facilities for patients” and that through the Centre for Molecular Pathology :
Consequently, we can offer our patients early access to the very latest diagnostic techniques and treatment available – administered by one of the very best cancer care teams in the world today.
The Royal Marsden says in its Annual Report  in its section on capital funding:
During the year the Trust spent £42.8m; of which £19.3m was financed by charitable donations, with the remainder being funded by operating surpluses and free cash.
Charity income clearly makes a significant contribution to capital projects, saving the trust from having to borrow money or use other funding schemes like PFI. The trust not only uses these facilities on private patients, but even uses these facilities in its publicity material to attract private patients.
University College London Hospital NHS Foundation Trust
The trust receives a sizeable amount of money through charity, the Annual Report  says:
During the year assets to the value of £6,856k were donated to the Trust, principally comprising contributions to the newly constructed UCH Macmillan Cancer Centre from Macmillan, UCLH Charitable Foundation, UCLH Charity and Teenage Cancer Trust. Additionally The National Brain Appeal funded the new Brain Analysis Centre.
The private healthcare company, HCA, say that the fifth floor of the UCH Macmillan Cancer Centre  is “dedicated to private patients”:
The UCH Macmillan Cancer Centre fifth floor is now open and dedicated to private patients, the brand new £100million centre is home to our adult outpatient and day care facilities. Although the focus of the new centre is cancer care we will also be relocating all of our non-cancer outpatient services to this stunning new facility.
The trust says that the Macmillan Cancer Centre has a private outpatients service :
What services are provided by the Cancer Centre?
There is a dedicated outpatient clinic area, day care and chemotherapy services, day surgery and on site diagnostic services to diagnose and treat cancers and haematological disorders. There is also a young persons’ cancer outpatients service, and a private patient cancer outpatient service.
Private patients clearly benefit from the charity income of the trust.
Guys and St Thomas NHS Foundation Trust
Guy’s and St Thomas’ Annual Report  says:
In addition, we are delighted that Guy’s and St Thomas’ Charity confirmed funding of £10.6 million to support the integrated care programme that we have developed with mental health, local authority and primary care colleagues.
On capital expenditure:
In 2011/12, the Trust spent £6.6 million from charitable grants on capital projects, and also received £6.1 million in charitable contributions towards revenue expenditure.
Other Foundation Trusts
In their Forward Plan, South Tees Hospitals NHS Foundation Trust  indicates that they “intend” charity to rise by initiating targeted campaigns:
We also intend to increase the scope of charitable fund raising through raising the profile of charitable giving and targeted campaigns to support specific service developments.
Southend University Hospital NHS Foundation Trust  also say they want to increase charity income, their Forward Plan says it will:
Increase charitable and other funds raised by 40%