‘More than Memories’ Leaving a legacy to Princess Alice Hospice www.pah.org.uk “I remember...” ‘‘ I will always be grateful to the Hospice for keeping our family together at a time when we needed support. The patience and understanding of the team allowed Mum to come to terms with her situation in her own time. ’’ Nishma, Tadworth Leave behind more than memories by leaving a gift in your Will Princess Alice Hospice provides free, holistic palliative care for patients with advanced illness and those approaching the end of their lives. We aim to enable all patients to have the best possible quality of life to the end. Family, carers and close friends have needs of their own and we provide them with support, comfort and advice at every stage of illness and after death. The Hospice is a charity. Over 75% of its work is paid for by voluntary donations. Without the support of the public we serve, we could not offer the services we do, for In-patient care as well as care at home. Easy to arrange A gift in your Will is easy to arrange and brings many benefits, not just for the Hospice but also for your estate, where charitable gifts can limit Inheritance Tax. A gift means that you leave behind more than just memories. You leave behind the means to provide nurses in people’s homes at a time when they need it most. You help us to keep our ward open and running. You give the means to provide Day Hospice care. You make it possible for us to provide Social Work and Bereavement services. A vital gift, large or small Legacies play a vital part in providing these services to the community. Gifts in supporters’ Wills have, for example, allowed a significant rebuild of the ward within the Hospice. Yet legacies are not always large. Gifts can be a few hundred pounds or many thousands. Any gift will make a real difference. Help us to always be there Whatever the size of your gift, it means that we can support whoever comes into our care, along with their loved ones, with quiet professionalism and calm dignity. It means that when we are needed, we can always be there. We are always happy to talk to you to discuss your legacy and, if you need it, to help you as much as we can with the technicalities. 2 “I wish...” ‘‘ Princess Alice Hospice is a very special place with wonderful people. I thought people were taken there to die, but once I had met the staff and volunteers I knew that my opinion had to be re-examined. ’’ Rose, Chessington What Princess Alice Hospice does today Princess Alice Hospice provides end of life care to over 2,600 patients every year, and supports family members and friends of those patients. In the last financial year (ending March 2013), we needed over £8 million, of which 25% came from the NHS, and the rest from donations, events, our shops and legacies. Out of every £1 we raised, just 15p was spent on management, administration and fundraising. Medical care Our team of consultants are at the heart of our multi-professional approach. They aim to relieve pain and other symptoms to enable patients to have the best possible quality of life. The Hospice is a centre of excellence for palliative care and our consultants make a vital contribution to GPs and visiting professionals. Community care Our community team of Princess Alice Nurses care for over 800 patients at any one time. Working closely with local healthcare professionals they provide specialist care management, symptom control, practical advice and emotional support, seven days a week. In-patient care Princess Alice Hospice has 28 beds. In the last stages of illness, we aim to give patients the best possible quality of life, while providing carers and families with the support they need. Day-patient care Open every week day, the Day Hospice provides therapeutic care and a range of activities that help patients to manage their symptoms and regain control of their lives. Therapeutic care Our specialist team helps patients maintain their independence and mobility and manage their own condition. This includes physiotherapy, occupational therapy and lymphoedema therapy. Complementary therapies are also offered. Social and spiritual care Our social work, chaplaincy and bereavement care team play a vital role in supporting patients, their carers and families with psychological, social and spiritual support. Our social workers also provide advocacy and advice on practical and financial matters. Education Our education team is a leading provider of training and education in palliative and end of life care for health and social care professionals locally, nationally and internationally. Through education, we hope to improve end of life care for everyone who needs it. 3 “I wonder...” ‘‘ We aim to enable all patients to have the best possible quality of life to the end, responding quickly to their needs and wishes. We recognise that family, close friends and carers have needs of their own and we are here to provide them with support, comfort and advice at every stage of their illness and after death. ’’ Nicki Shaw, Chief Executive What we want to do with your help: our clear and compelling strategy for the future With NHS budgets being squeezed, yet with life expectancy growing longer, we believe the demands for our services will increase without a corresponding increase in state funding. With advances in medical technology, the costs of providing outstanding service are likely to rise too. These are challenges we are prepared for. But we will continue to need the support of our friends and supporters. Below are some of our visions for the future. Community care We’d like to do more to develop care delivered in our patients’ own homes including rapid response services, urgent overnight care, regular nursing care, drop-in clinics and a 24-hour support line. Cutting edge technology We need to make more use of the latest technology so that we can make our resources go further and give opportunities for patients and staff to support each other more effectively. Making more of In-patient care We need to ensure that the In-patient unit remains responsive to patients’ needs, especially those patients who are admitted at short notice and out of hours. We’d like to do more to support carers and to make sure they’re more closely involved in their loved one’s care. Developing drop-in and the Day Hospice We want to develop more flexible models for drop-in and Day Hospice support that reflects the needs of our different patient groups and their carers. Improving support for carers We’ve always recognised the vital role that carers play in supporting their loved ones. We’d like to do more to support them with the knowledge and skills that will help them do this to the best of their ability. Sharing our expertise We share our experience with many others, and by doing so, we learn from others too. We’re keen to support care homes and nursing homes within our community with education and training packages. We want to enhance our position as an education provider continuing and improving our delivery of the European Certificate in Essential Palliative Care. 4 “I need...” ‘‘ Our teams are on-call 24/7 to provide guidance to doctors and patients facing difficult decisions and treatment choices. We need support now and in the future to ensure we can continue caring when it matters... ’’ Dr Craig Gannon, Medical Director Things you should know about making a Will 1 Make a list of your assets. Estimate their value. You can do this yourself, or ask a solicitor to help you. 2 Make a list of what you owe. Remember to include any outstanding mortgage, loans, or bills. 3 Decide who you would like to benefit and how. Make a list of the people and the organisations you’d like to benefit, and by how much. 4 Choose your executors and meet your solicitor. Your executors - usually family members - will have to make sure your wishes are carried out after your death. 5 Create a letter of wishes. This will specify the sort of funeral you want when the time comes. You can use this to ask for donations instead of flowers. What does making a Will involve? How the team at Princess Alice Hospice can help you Making a Will is not a difficult process. Yet even today, many people die ‘intestate’, leaving no Will at all. Their estate is distributed to spouses, children and nearest relatives in a strictly laid-down sequence, and of course this may not be what they wanted to happen. In some cases, where relatives cannot be traced, HM Treasury is entitled to claim (and does) the entire proceeds after a period of time. Keeping control Legally, a Will can simply be a written document stating how you want your estate distributed after your death. You can therefore create your own, but most people making a Will choose to use a solicitor, and we are happy to provide a list of the names and phone numbers of local firms who can handle this sort of work. Today, ‘ready-made’ Will kits are even available from supermarkets and stationers, keeping the costs down. The great benefit of making a Will is that you keep control over how your estate is divided. After satisfying the needs of your nearest and dearest, many people choose to leave a gift in their Will to a charity of their own choosing. ‘Pecuniary’ and ‘residuary’ There are two popular ways to leave a gift to a charity, if that’s what you choose to do. It can be a ‘pecuniary’ gift, where you specify the precise amount you wish to leave to your chosen charity or charities. The other gift is ‘residuary’. Here, you leave what remains after you’ve made the gifts you wish to make. The advantage here is that your specific wishes are met first, and only then is a residuary gift made. 6 Keep your Will safe and up to date. Most people leave a copy of their Will with their solicitors, and a further copy in a safe place, ensuring the executors know where to find it. It’s a good idea to review your Will every five years, or after major changes in your life such as marriage or divorce. You can alter your Will easily with a ‘codicil’ or by making a new Will. 5 “I give...” ‘‘ We are not rich, we are normal people and so are just doing as much as we can. Our gift is a way of ensuring those in the future who need it, can have the vital care and support that I am so grateful to receive. ’’ Janet, Ashford A gift in your Will of as little as £500 will make a real difference Over 75% of the money we need every year comes from voluntary donations from friends and supporters in the community. Without this financial support we simply could not provide care for the 2,600 local people who will need our help. Of these donations, legacies have always formed a significant part. Most people are surprised at the final value of their estate, especially with the rise in house prices over the past 25 years, and so many of our legators find themselves able to make a more significant gift than they had imagined they would be able to make. Smaller gifts Over the past few years we have had some very generous bequests which allowed us to re-build and refurbish parts of the Hospice. But bequests are not always large. Much smaller gifts make up the majority of such donations and any amount will make a real difference to the work we carry out today, and the work we will need to carry out tomorrow. £500 will cover a Community Princess Alice Nurse’s home visits for a day £5,000 will support an average stay for a patient in our In-patient unit £10,000 will pay for 50 patient visits to the Day Hospice £20,000 is the daily cost of running all the Hospice services £50,000 will support the monthly cost of our Social Work and Bereavement services It may be that you want to support a specific area of care or service that we provide. We would be happy to discuss in detail what initiatives, now or in the future, would benefit from your support and you will find us creative and flexible in finding ways to meet your wishes. 6 “I have...” Wealth Check List This calculator is for your private and personal use. You will never be asked to share it with Princess Alice Hospice. What’s the approximate value of your house? £ Your car? £ How much are you really worth? The rise in house prices over the past few decades has meant that most people’s main asset is worth substantially more than they paid for it. If you add up your assets using the calculator on the left, remembering to deduct any outstanding mortgage, loans, credit cards and other bills, then the amount at the bottom gives you a good indication of the total value of your estate. Will you pay 40% Inheritance Tax? Do you have any other valuables such as works of art or jewellery? £ Do you have savings – deposit account, personal pension, ISAs? £ Remember, inheritance tax may need to be paid on your estate. In areas such as ours, where house prices are high, the recently increased ‘threshold’ may still not be enough to leave your estate exempt. Are you covered by life insurance? £ Where the total value of your estate is more than £325,000 (in 2013-14), your estate will probably need to pay a tax bill of 40% on the amount above that threshold. Total Value £ Do you have an outstanding mortgage? £ Do you have other loans or credit card bills? £ Are there insurance premiums to pay? £ Utility bills that will need to be cleared on your death? £ £ Total Deductions Reducing your estate’s tax bill You may be able to reduce the tax burden. Firstly, if you are a married couple or in a civil partnership, then your executor or personal representative can transfer your unused tax threshold of £325,000 (rate fixed until 2015) to your partner on your death, and then your partner when they pass on can have an increased threshold of as much as £650,000 (again, in 2013-14). Secondly, any gifts you leave to a qualifying charity (such as Princess Alice Hospice) during your lifetime or in your Will, will be exempt from any inheritance tax, effectively reducing the cost of a bequest to your estate by 40% if tax is to be paid. Thirdly, if you leave 10% of your estate to charity, then inheritance tax due may be paid at a reduced rate of 36% reducing the cost to your estate of a charitable bequest. The importance of a Will The approximate value of your estate £ TO FIND OUT THE APPROXIMATE VALUE OF YOUR ESTATE, SUBTRACT YOUR TOTAL DEDUCTIONS FROM YOUR TOTAL ESTATE VALUE. IF THIS IS GREATER THAN £325,000 THEN YOU MAY WANT TO THINK ABOUT WAYS TO REDUCE YOUR INHERITANCE TAX BILL. A Will is needed to dispose of your estate in a way that is the most tax efficient. Without a Will, if you live in an area where house prices have shown a substantial increase over the past two decades, then your estate may end up paying 40% tax when much, if not all of that, could have been reduced. 7 ‘More than Memories’ Leaving a legacy to Princess Alice Hospice “I want to help.” Kate from Esher talks about why she is supporting Princess Alice Hospice with a gift in her Will ‘‘ The Princess Alice Hospice is a very special place. My husband spent his last days there ten years ago and while the big things take care of themselves, it’s the little things that stay with you. It’s the cups of tea at three in the morning and the time spent with you when you’re not even aware that you need it. It’s not only the concern and the compassion, but also the humour and the humanity. And the respect. And the tenderness. You can’t quantify it, it is literally priceless but I’m happy to make a contribution, for ’’ myself and Peter. He can’t say ‘thank you’. Kate, Esher At Princess Alice Hospice there is a small group of staff supported by volunteers who have experience dealing with legacies. They will be happy to meet with you at your home or at the Hospice to discuss the various ways a gift in your Will can help our work. If appropriate, they can introduce you to other members of the team, including the Chief Executive. Please call 01372 461808 or email [email protected] join us at pahospice ©Princess Alice Hospice 2013. Princess Alice Hospice is a registered charity no. 1010930 and a company limited by guarantee in England and Wales no. 1599796. Registered as a US Tax Exempt charity under Section 501 (c) (3) IRC
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