There are several things we are sometimes asked to do that we are not able to do, and we would rather you knew now than at the point of disappointment. We cannot fund medication for individual patients, NHS staff salaries, or out-of-hospital social care. We do not pay for transport home after discharge, and we cannot help with care-home fees — although we will, every time, take the call and point you to a kinder organisation than ourselves. In 2019 we ran a small pilot of a discharge-grant programme funded from the legacy of a Stoke-Sub-Hamdon donor; we closed it eighteen months later, quietly, because the demand was so much larger than the legacy that we were unable to make decisions we could explain to other applicants without distress. We hold the closure in our memory and re-read the file every winter to remind ourselves what the limits of a small charity look like.
We are also a small charity by hospital-charity standards. Our annual charitable expenditure is around £473,000 — enough for a meaningful list of monitors, scanners, beds, and comforts, but not enough to fund a new wing or a multi-year research programme. We are very careful about what we promise. If we are asked to lead an appeal that we know we cannot finish in the timescale, we will say so, and recommend a larger charity instead.